pantang larang mengandung

evening readers

I received a lot of question regarding types of medication that can be taken during pregnancy
that includes antibiotics , supplements , paracetamol and any kinds of capsule that u can stuff into ur mouth

occay, here is the thing
not all medication are tested on pregnant mother
hence, most of the side effect to pregnancy is not 100 % confirmed
the pharmaceutical company only tested their drugs of pregnant mouse or any other animal
not many pregnant mother volunteer to be a sample of drug test

why people are so concerned about taking medication during pregnancy?
because we are worried that the medication will effect the outcome of our babies
yes, it is true

here is the fact
the most important part of pregnancy is during the first 20 weeks
during these 20 weeks , the organs are started to be formed
we called it organogenesis period
after 20 weeks of gestation the baby is already well formed
so technically , the crucial period is within the first 20 weeks
that is the period when the mothers need to be careful
after 20 weeks , it is all about the growth
any abnormality could be detected by that age....

occay ... back to our topic..
what kind of drugs is dangerous for babies in the womb
practically , all drugs could effect babies
hence , we doctors try to avoid giving meds to pregnant ladies
not that the medication will surely effect the babies
in case shit happen... people like to blame doctors and our medication
therefore , to avoid any complication and dealing with lawyers
we prefer to take to safe steps

nevertheless
if the pregnant lady is really sick
we will give the medication needed
the mother life comes first
baby is number two

i have seen so many cases...
a pregnant ladies who is sick
given so many antibiotics
given so many other medication
and she delivered a healthy baby eventually

i have seen a pregnant doctors
who did operation under image intensifiers
( image intensifiers is like x ray , with larger radiation dose )
and she delivered a perfectly healthy baby a month ago

so yes,
based on my experience so far
i have seen no case of ill fated babies caused by medication taken by mothers during pregnancy
or by radiation

but i have seen a lot of abnormal babies delivered by mothers who are smokers :))

my little girl - maher zain

You are a miracle
You are a blessing from above
You brought joy to my soul
And pleasure to my eyes
In my heart I can feel it
An unexplainable feeling
Being a father
The best thing that I could ever ask for


Just thinking of you makes me smile
Holding you, looking in your eyes
I’m so grateful for having you
And everyday I pray
I pray that you’ll find your way

 You know I love you, I love you
My little girl, my little girl
I ask God to bless you, and protect you always
My little girl, my little girl
You’re like a shining star
So beautiful you are
My baby girl
You light up my world
I pray that I’ll get the chance
To be around and watch you grow
And witness your first steps
And the first time when you will call me “daddy”


I could spend hours watching you
You’re so innocent, so wonderful and pure
O God I can not express my gratitude!
But I’ll raise her good, ‘cause all I want is to please You
And now I pray You’ll guide her steps forever

happy bday akak

happy birthday to my beloved sister...  mak cik merah redmummy.com
lots of love from me n shida and also baby nia

Durian tale

One fine evening at the hospital

Me : guys , let's go dinner
Crazy girl : come , I am super hungry
Crazy guy : jommmm gear box

Me : delightful
Crazy girl : let's stop by the road side for durian
Crazy guy : good idea
Me : no bloody way !

Crazy girl : why u don't eat durian ?
Me : does beyonce eats durian ?

Answer

Azrine Aziz has left a new comment on your post "Baby nia is a great teacher!":

Salam Dr,
Im sorry for asking few questions under this post tho they're not related at all hehe.

Btw if u dont mind sharing :
1. Katakan a pregnant mom all this while pergi check-up at private clinic/hospital but at last (arnd 8 mths) she decided to deliver at GH. Would GH accept her? If yes what is the procedure to reg at GH?
2. How much does the delivery cost normal & ceaser ? (she's a housewife and her husband kerja swasta)

Thanks doc for sharing :)


That's actually a good question.

Answers :))

No 1
Yes u can . To deliver at any GH. The simplest way is to go to the labour room when ur wife is in labour. At GH, we have to accept all case , regardless of where u do ur antenatal check up.
If u want to continue ur check up at government clinic, just go to any Klinik kesihatan ibu Dan anak nearby you. They must accept ur case . If they refuse , kindly let me know... :)

No 2.

The cost for normal delivery at government hospital is as cheap as free! Yes.. Just need to pay for registration... Just a few ringgits.
Even for c section.. It would cost u minimal amount.. Not sure about the exact amount .. But it is definitely less that ur car monthly installment ..

But then again.. Reminder for everyone... It is cheap at government hospital ... So do not expect private hospital service yeah :))

U want better service.. Pay more :) go to private hospitals :))

Baby nia is a great teacher!

I miss my baby nia
Being apart from her is sometimes unbearable
She is so cute.
When she wakes up in the morning...
As soon as she opens her eyes..
She will scan the room looking for me
When she finally get a glimpse of smile ..
She will then smile happy and claps her little hand together
That would be the cutest thing...
Those small fingers...
She is an angel

She thought me a lot of thing
She thought me to wake up in the morning with a smile
Frankly, I am not a morning person
Prior to this, I want my morning to be silence and quite
Hate talking in the morning
I want to start my day listening to the wind blowing and the birds chirping ..

But nia changed the situation upside down.
I woke up in the morning with a big smile on my face as soon as I see her cute little face
Cuddling with her mother.
That is so comforting :)
Waking up in the morning with ur loved ones beside u.. That is priceless
...

When we both awake.. It won't take baby nia long before she opens her eyes as well.
She needs to feel somebody presence by her side when she is sleeping
Or else she will become restless
But then she only did that when mommy and daddy are around
When we r both oncall, her granny said she could sleep alone by herself in the room . Smart kiddo indeed :)

How could u not miss that little child rite ?

Do u know what I do when I miss my little princess...?
I ll mumbled to myself .. Calling her name... Niaa ... Shakira... Baby nia..
All by myself as she is in front of me ...
Even thou she is not physically nearby me... When I say her name .. I could see her smiling :))

All the small thing

In marriage , there are things that we dislike about our partner
Owh come on guys ...
Stop lying to urselves
A real marriage is not a wonderland.
There are fighting .. There are disagreement and a lot of unresolved issue

All of these divided into 2
The small thing..
And the big thingy.

The small things - For guys, throwing ur dirty clothes everywhere ... Never clean the the toilet... Didnt bother to change ur baby diapers..

These are the small or little things that ur partner dislike about u. But these small things are bearable at most times. Hardly cause war between husband and wife.

The big thingy - irresponsible of family need - emotionally and economically ... Respecting each other parents ... These are big issue.. These could cause divorce !

I don't want to talk about big thingy here ... U have ur lawyer and parents to lecture on that part

Nevertheless , what we forgotten is .. The small thingy.. When accumulated .. Could become a big thing if left unresolved.

This goes to the husbands and wives..

Come on guys , once in a while.. Get ur hand dirty... Play around with the vacuum cleaner. Clean the whole living room.... Mop the floor.. Do the dishes .. These small things mean a lot to ur other half. Believe me on that !

And ladies ...
If u partner just come back home from work ... Let him rest.. If he throws his dirty socks everywhere on the sofa .. Pick it up with a smile ... Serve him beverages... That will earn u a nice dinner latter on.

We must try to be reasonable to each other
We must work harder to be a better partner
Try to make each other happy
Give and take
Give more and expect less .

Guys .. Spend a few mins to indulge ur wife ... Ask her about her work..
Ask her if she needs anything..
Ask her what she wants to eat..
It is not everyday ur wife wants to have macaroons rite ?

And ladies ...
Don't ask anything...
Just keep smiling
If ur man wants to talk
He will talk
If he keeps quite.. He just want to rest

Yup.. It is a reminder for me
And maybe u could pick up a thing or two from this
I am no expert
But I know the rules of happy family
The hard part is to follow them!

Neelofa vs Tasha shila vs anzalna

Currently watching Karoot komedia
My baby girl fav tv show
But she is dead asleep rite now

Apparently anzalna is one of performers on the show
She looks stunning
She is one of my fav actress currently
My top 3 would be neelofa, Tasha shila and anzalna of course .
Who is the prettiest among them..
My magic Mirrow said Tasha shila would take the beauty queen crown
Neelofa is cute but too bad she is a bit short
But still pretty.
The hot steamy sexy medal goes to anzalna definitely ... Love her lips and hair..

Owh yeah ... Another post that would tick off my other half
No worry dear.. I would not trade u for any of them
U r prettier by a dozen...
And u gave me baby nia
That is priceless :)

Ella got married

I m a big fan of her
I m happy that she finally find her mr right
Took her quite a while
46 years to be exact
But what the hell.. She is still look youthful at that age.. Not many of us could look that young when we reach 40

For me, 40 years old is just a perfect age
By that time .. Most men are economically stable , still in good health ... And age does makes man more handsome and desirable in many ways
Owh my wife gonna hate this statement !

putrajaya

made  a phone call to a friend who is currently working at the HQ
by HQ i mean health ministry at the putrajaya
he used to be a doctor as i am right now
currently he is a ketua penolong pengarah.

sound cool for a 30 years old man

funny thing is , i could have the same position
technically , i m getting my UD 48 very soon
and with that grade , i am automatically could be promoted as a KPP
should i move to Putrajaya of course

sound very tempting
y? coz u dont have to deal with the little annoying thing at the hospital

dont get me wrong
i love treating people
it is my passion
but then , the administration that always tick me off
i dont want to go into detail about this issue
but it is killing me right now

hence, i am dreading to go to putrajaya
the people up there say that they could send me the offer letter at anytime
i just need to say the magic word ..."please save me ":

but then .
it is not an easy decision to make

it is not about money
it is not about higher cost of living
it is not about pollution...
none of those bother me at all

i have a family here
my mother and father
i left them for 6 years when i studied abroad last time
figured that i ll take care of them when i started working at my home soil

wish i could bring them with me to putrajaya
however , knowing them so well
no bloody way they would leave their home for something new  at their age right now

far far away kingdom...

was chatting a new friend...

friend :  so doctor , where are u from?

me : kelantan ...

friend : owh.. jauhhh tu.....

me : yeah... the far far away kingdom ... we even have shrek here... and talking cats...

correct intravenous injection technique

regarding my previous post
i received this honest question from a reader

babycomel said...

errrk, 'if the injection is not done properly' how we know it was not done properly doctor?? if we had the complication we can assume that the injection was not done properly la ye? alamak, takutnya

Jul 7, 2012 1:53:00 AM

occay, here is the thing

for doctors , intravenous injection supposed to be a simple task as it is something we do everyday.

hence, we are good at it. ( we are not talking about houseman here - housemen are new doctors who are still learning , hence they may not be as good in doing this  - no offence )

anyway , there are rules to follow when doing intravenous injection. u need to follow these rules to avoid any undesirable complication.

firstly , the site of injection. the best site of intravenous injection would be the cubital area. nevertheless in some cases , the vein is not visible - hence the experience of a doctor is needed here to find the visible vein.

when the vein is located , tourniquet is applied to stop to blood flow at the area , then the site is sterilized using alcohol swab.

selection of correct needle size and syringe size is crucial in order not to damage the vein. Too big , u will destroy the vein , too small , it will be difficult to administered drugs into the vein.

the most crucial part is when injecting the drug into the vein. if u doing it straight from the syringe n needle into the vein - without the help of branula or butterfly ... u must have a very steady hand to make sure that the needle will not slip from inside the vein . a little movement could make the needle slips outside the vein , and that will cause a lot of pain and swelling....

occay , that is pretty much the rules u have to follow , the correct way of intravenous injection

sound easy isnt it?

 

Complication of vitamin c injection

I received a lot of question regarding this issue

The simple answer would be, no- vitamin c injection has no complication if it is being done correctly and done by doctors

In our country only doctors are allowed to do intravenous injection. Not even head of nurses of malaya.

Vitamin c injection is basically the same as the vitamin c tablet as u could buy from ur local pharmacy or even at kedai mamak nowadays. It has the same function. But different concentration and onset. Definitely if u take the injection, the dose is higher and the effect is a lot better compared to the tablet.

Same situation in the hospital, we use injection for antibiotic , instead of tablet for better action and rapid onset.

What are the benefit of vitamin c ? Plenty ... Go google in the wikipedia. But most people take vitamin c injection for cosmetic purpose, to make their skin more radiance and prettier ... Which is proven and works miracle for some reason.

Nevertheless, as any other injection... If the injection is not done properly, there are many complication. U could have infection, skin irritation, inflammation ... Hence forward... If u want to do any kind of injection... Ask a doctor to do it for u....

Happy birthday papa

It was a belated birthday gift for my papa birthday
We stopped counting his age long time ago. What matter is the day and month. The years is long forgotten.
As long he is healthy ... I consider him as a 40 years old man.

Yes, people said that I resembled my papa a lot.
All of his friends told me that I look exactly like him when papa was still young. Even mama said i am the younger version of papa. Honestly, I could not deny that. We do resembled a lot. Physically and mentally as well I reckon..

Along with the physical appearance , I inherited his attitude as well.
Hardworking , loving , family always comes first , charming and my least favorite ... Hot tampered at times. Oh yes ... Hate to admit it... But I got that from my papa.
When I was a teenager and when I finished school, I become rebellious and I had fights with my papa. Not physically of course .
We are both bull headed ...
Lucky my mama always came thru and cool things off
But deep down inside , I love my father. And I m sure he feels the same way too
Happy birthday papa

quinny zapp extra adapter

quinny zapp xtra adapter

someway , somehow we lost this part of baby nia stroller
dont ask how and why
it is gone
now i need to find the replacement for the adapter
found a few on the net , on ebay
they are selling this part for about RM100  not including postage
hence if u have any info where i could get this in malaysia
kindly let me know
thank you guys

icu is now open for business

dear tanah merah citizen
Our ICU is now open for business
yeah , a big smile for me as i LOVE ICU so much
has not been in ICU for 6 month
since i left the GH

not that i love watching people die in ICU
i love the thrill and the adrenaline rush when we are saving life
yes, those thing u see on tv...
the heart defibrilator ,
blood on the floor and all over our clothes
yeap... sound crazy , but that feeling make me feel alive
saving life makes me feel good
it makes my life matter
but make no mistake
it is not doctor who decide who dies and who keep breathing
ALLAH decides EVERYTHING
we are just the medium
sometimes we succeed .. then everyone is happy
sometimes , we failed and we feel miserable and it would be a very sad moment for everyone
nonetheless, we always do our best

I pray to ALLAH
with the opening of our ICU
we are able to treat more patients
we are able to do better
saves more life
do more operations
ameen....

NONETHELESS
a wise man once said
" everyone should be happy if they see the anaest is not doing anything ( anaest = doktor bius )  , it means nobody is dying. Smiling anaest = people is still alive and well "
in this case we are talking about the ICU :)

so, keep praying to ALLAH
that I ll always be smiling here
meaning nobody is dying here!

Digi or maxis

I need another phone.
For business purposes of course
And it must be a blackberry since everyone is soooo into bbm these days
I used to be a blackberry user long time ago when bbm was first introduced , back when blackberry doesn't even have 3G connection yet.

One thing I hate the most about blackberry is that they always hang. For no valid reason, the screen suddenly stood still and do nothing. That is the most irritating part. U have to remove the battery and reboot it all over again. But I am not sure about the latest blackberry, either it has improved or getting worse.

Yet and still, I m gonna need one. People love to contact each other via bbm nowadays, it is like a trend... " don't call me, just bbm occay ! ".
" bye, I ll bbm u later! "
" I hate u liar ! Don't u ever bbm me again"
" baby I love u , u r the first people I bbm when I wake up every morning"

Just to show how people love bbm.

Hence foward, I ll get myself another blackberry very soon I reckon. The old one is gone, I don't know where I put it. Not sure which one I ll get , curve or bold.

The only thing bugging me right now is to choose either maxis or digi as the service provider. Currently I m using Celcom and there are moment Celcom really put me off, hence I need an alternative .

Anyone has any suggestion? Should I use maxis... Or digi? Mmmmm

Ot birthday celebration

The birthday party keep coming!
Another cake today :)
Love u guys ...

Sayang la plak nak pergi dari sini nanti.... Alahai

Dapat Bini dua pon x nak ....

Occay,
I am having a really bad flu rite now..
The flu is soooo irritating

I even said this to my nurses just now...

" bila dah Hidung tersumbat ni... Kasi la ape2 pon semua dah x nak... Mood dah hilang... Kasi Bini 2 pon x nak dah kalau asyik cari tisu nak Buang hingus ni.... "

Just to show how irritating flu could be

A fresh start

Well...not so fresh actually
I m down with fever n flu
Not the best condition to start my week

But I m thankful that I am still alive !!!

Flu is very irritating
Makes us uncomfortable
And makes people around us uncomfortable to be around us as well

Most commonly flu is caused by vital infection
Hence it could not the treated with antibiotic
Usually when u r having a very bad flu and bad fever, the best medication to be taken is the anti virus such as tamiflu...
But then tamiflu is a very expensive drug.
And hardly prescribed in the government hospital
Because in many cases viral fever resolved by itself
No medication is needed
Like they say... Time heal everything!

Not sure why the tamiflu is very expensive here
Back in Moscow we have a cheap and very effective anti virus... I forgot the name.. Will check it later . But that drug is not available in our country pharmacy ...
And no... It is not called kaspersky or dr Solomon ... That antivirus is worthless against influenza virus