Friday, April 24, 2009

Help! My child has difficulty sleeping!

Insomnia is a very common problem which we see often in the clinic. Most of the time it is caused by psychological problems caused by stress and anxiety. In general, kids have little problems falling asleep since there is relatively little stress in their lives. They don't have to worry about bosses, spouses, how to pay the bills and what is happening with their careers.

For young children, their world revolves primarily around their parents. I don't know whether you have come across the situation where the child gets upset when he see his parents quarelling. The child's survival instinct tells him that his parents are the source for everything, from food to shelter to love and affection. So, built into each child is a "Parental Bliss" alarm system which sounds off whenever the child feels that something is not right with Daddy and Mommy.

So it is vitally important for the child to know that everything is well between Daddy and Mommy and impetus is really up to us as parents to "Market" that to the child. Don't just take for granted that the child knows that you and your spouse are still in a loving relationship. You really do need to demonstrate it openly to the child. One of the things that you can do is to set aside some time each week for you and your spouse to be seen just talking to each other. This special "Togetherness Time" is a time when you and your spouse sit down and chat for maybe 10 or 15 mins and has to be a place where your child can see you but not interrupt. When the child sees that his parents are in a loving relationship, he will feel that his whole world is secure and life is good. That added sense of security might just solve that sleep problem!

My wife and I have been attending an excellent parenting course at a local church and this is just one of the many things that we learnt. So we have made a concerted effort to implement some of the things at home. It does make a difference for your child and for your family life as a whole.

If you have problems with your kids, maybe it is not your kids that need training, but you! The course I attend is conducted by Growing Kids Int'l and you can find more information at their webiste here.

Happy Parenting!

Sunday, April 19, 2009

First Malaysian-Singaporean Expert Group Meeting on Pneumococcal Vaccination



I just returned from an Expert meeting on Pneumococcal diesease over the weekend. This meeting comprised of a small group of Doctors from Malaysia and Singapore whose main goal is to provide a forum to enable experts from both countries to share and exchange knowledege, clinical experience and insights in order to improve the management of pneumococcal disease and vaccination.

Chairing the meeting was Assoc Prof Daniel Goh, Chief of Paediatrics from NUH's University Children's Medical Institute and in attendence were specialists from both countries in Microbiology, Epidemiology and Paediatrics. I was one of two GPs who have been invited to be part of the expert panel to share our experience of pneumococcal vaccination in the general practice setting.

This meeting emphasized the need for more children to be vaccinated from the pneumococcal disease. Prof Daniel shared that the importance of vaccinating children from birth was important because by 6 months of age, a significant proportion of children will already have developed carrier status. That means that they carry the bacteria in their nose and throat where it might one day be activated and cause infections such as meningitis and pneumonia. By vaccinating the baby at 2 month, you reduce the risk of the child becoming a carrier.

A lot of information has been shared and these will be used in subsequent campaigns to educate the public on the importance of vaccinating kids with the pneumococcal vaccine.

Click here to read my last post on pneumococcal disease.

Sunday, April 12, 2009

Karri Family Clinic 4th Anniversary



Karri Family Clinic is four years old! We had our staff and family lunch today to celebrate our fourth anniversary.

We wouldn't be here if not for the support of all our patients. So a big THANK YOU for choosing Karri Family Clinic. We will do our best to continue to serve you and your family better.

Wednesday, April 08, 2009

Good Friday: Clinic will be closed

We wish all our Christian patients a very meaningful Good Friday.

Our Clinic will be closed on Good Friday.

We will remain opened on Saturday 8.30am to 12.30pm and Sunday 6.30pm to 9.30pm.

Monday, April 06, 2009

Woman dies from eating Rojak at Geylang Serai Temporary Market

In case you still haven't heard, it has been reported that a woman had died from eating rojak at Geylang Serai Temporary Market.

At the point in time, MOH/NEA has not informed us of the cause of death, but it does appear that only one stall was responsible for the outbreak and that is the Indian Rojak stall no. 320.

What I think might have happened is that somehow the rojak was contaminated by some bacteria and because the rojak is prepared beforehand and left to sit in the display cabinate for a length of time, the bacteria has time to grow and produce its toxins.

The lesson to be learnt here is to be careful when eating food that have been lying around for a long time. The safest food to eat are those which have been freshly prepared.

If you have recently eaten at the Indian Rojak Stall in Geylang Serai and are experiencing diarrhoea, vomiting or stomach cramps, please consult your family doctor immediately.

The story can be read here.

Sunday, April 05, 2009

The 938live Body and Soul Interview

In case you did not catch it on 938live, here are the podcasts of the interview I did with Daniel Martin last week on Body and Soul.