Somebody tell me:
Try these steps to cultivate self esteem and confidence in your child.
1.Encourage her/him positively, and help her/him succeed in everything she/he does or tries to do.
2.Praise her/him when she/he succeeds [and or trying]. This boosts her/his self-esteem and gives her/him greater confidence to take on new challenges.
3.Let your child know you believe in her ability to do well.
4.Play with her as much as possible .When playing ,let her take the lead.
Being a young parent you might not know what you want,what to do. So do not be shy to ask other people about parenting.Especially so if your child is not normal, such as autism, down syndrome, had congenital heart diseases, asthma,cerebral palsy, etc......
Wednesday, April 15, 2009
Tuesday, April 14, 2009
Positive Attitude
from dr Candice Chia's note
To succeed you need to polish up your communication skills and cultivate a positive ,winning attitude towards your work/ study.
10 tips of how to acquire a positive attitude:
1.strive to be happy.for every minute you get upset with somebody, you lose 60 seconds of happyness that you can never get back.
2.treasure the people who are good to you and forgive those who hurt you.
3.practice turning negative thoughts into positives ones.
4.talk to yourself continuously in a positive manner and you will feel better , look more confident and achieve greeter success.
5.treat as many people as you can with kindness and respect. do this everyday and you will stay upbeat and cheerful.
6.prepare yourself to accept changes in life , read self-help books or attend talks on the subject.
7.set realistic and achievable goals to motivate yourself.write them down and read them regularly to remind yourself.
8.read books , listen cds or watch videos on motivation succes.
9.attend motivational seminars or workshops regularly.
10. look after your health by getting adequate rest , eating sensibly and exercising regularly.
i think if we can do 7 out of 10 tips above, you will score as a positive attitude person. if you are a student, being positive means already pass the exam. a little bit more of effort means you score A on the subject.
To succeed you need to polish up your communication skills and cultivate a positive ,winning attitude towards your work/ study.
10 tips of how to acquire a positive attitude:
1.strive to be happy.for every minute you get upset with somebody, you lose 60 seconds of happyness that you can never get back.
2.treasure the people who are good to you and forgive those who hurt you.
3.practice turning negative thoughts into positives ones.
4.talk to yourself continuously in a positive manner and you will feel better , look more confident and achieve greeter success.
5.treat as many people as you can with kindness and respect. do this everyday and you will stay upbeat and cheerful.
6.prepare yourself to accept changes in life , read self-help books or attend talks on the subject.
7.set realistic and achievable goals to motivate yourself.write them down and read them regularly to remind yourself.
8.read books , listen cds or watch videos on motivation succes.
9.attend motivational seminars or workshops regularly.
10. look after your health by getting adequate rest , eating sensibly and exercising regularly.
i think if we can do 7 out of 10 tips above, you will score as a positive attitude person. if you are a student, being positive means already pass the exam. a little bit more of effort means you score A on the subject.
Wednesday, January 21, 2009
Punctured wound , oil palm's worker's occupational hazard
Few days ago , a guy walk in to my consultation room with pain and swelling of his right foot for 3 months.He says the pain comes on and off, but the swelling is always there.He gave history of kicking a bunch of oil palm's leaves , and hence the leg became painfull the next day.He has no history of gout or family history of gout.
He had minor aberation on the foot, which is bloodless and heal up in two days.He ignores it, didn't get any treatment from any doctor.A week or two later, he had some discharge from the site of aberation wound.It heals after he cleans up the wound.Yet it comes again after a week or two later.
When i saw him, there was a small wound and discharge on the dorsal of the right foot.It was painfull.I assure him there was something inside the wound. He allows me to do some digging work.There was a piece of oil palm's 'torn' as big as rice seed at the end of the 'tunnel'.
It was common to see oil palm's torn punctured through under the skin and left behind unnoticed.it is because they are very very brittle, yet sharp at the end of it so when enough force applied it can punctured through the skin, and snapped.Un suspecting medical personnel can missed it and the patient will suffer of non healing wound.Some how the body will attack this foreign body and produce puss ,as a mechanism of rejecting it.
Usually, after the foreign body removed, the wound cleanned, and some antibiotic given, the wound will healed up in a few days.Pain killer may help the patient , to keep up in mobility.
He had minor aberation on the foot, which is bloodless and heal up in two days.He ignores it, didn't get any treatment from any doctor.A week or two later, he had some discharge from the site of aberation wound.It heals after he cleans up the wound.Yet it comes again after a week or two later.
When i saw him, there was a small wound and discharge on the dorsal of the right foot.It was painfull.I assure him there was something inside the wound. He allows me to do some digging work.There was a piece of oil palm's 'torn' as big as rice seed at the end of the 'tunnel'.
It was common to see oil palm's torn punctured through under the skin and left behind unnoticed.it is because they are very very brittle, yet sharp at the end of it so when enough force applied it can punctured through the skin, and snapped.Un suspecting medical personnel can missed it and the patient will suffer of non healing wound.Some how the body will attack this foreign body and produce puss ,as a mechanism of rejecting it.
Usually, after the foreign body removed, the wound cleanned, and some antibiotic given, the wound will healed up in a few days.Pain killer may help the patient , to keep up in mobility.
Sunday, January 18, 2009
Chikugunya Fever
I fall sick for almost three weeks now. It was started as fever and body ache when i was in Beijing.That day we just visiting the tianmen square and the forbidden city. Our tour guides says we walked past 7 kilometer that day.No wonder i was dead tired.
The next day we tried to buy fever medicine from the pharmacy around the corner.However we cannot find any medicine on English labels. All in Mandarin.We end up buying fever medicine with strange name . We I took it ,it doesn't cure my fever, yet it caused my heart to run faster.The moral of the story is, next time, when you travel, bring along some medicine with you. just in case you need it.
My fever was never subsided when I reach home. The whole body become painful. My joints also painful.I feel nauseated and felt very dry. I can't swallow anything,I can't move around so i just choose to sleep.There was rashes on my both hands and feet.But starangely there was no sweat at all.Usually when i got fever, sweat will come after I took some paracetamol.I choose to treat my ownself. [well, being a doctor, I always thought i know more about my self]
Chikugunya fever is a viral infection. The virus was distributed by mosquitoes[ aedis agepty], ie the same mosquitoes that distribute denggi fever.In medicine, we call it vector.Last months was the highest incidence of chikugunya fever in our country. Probably i got infected when i was at my kampong. Our neighbour claimed there were almost everybody in the village get the same symptoms of fever joint pain and rashes.
Unfortunately there is no specific treatment for chikugunya fever.We give paracetamol to reduce the fever, alot of water, pain killer, and prednisolone and most importance is to have bed rest.I found it is releiving after drinking air zam zam[ holy water usually taken along by hajj pilgrimage]. i don't have enough stock, but i managed to buy from petronas petrol station along the kesas highway.So my advice for those who have the same symptom like me, buy zamzam water, and drink it as much as you can.It may cure you..
The next day we tried to buy fever medicine from the pharmacy around the corner.However we cannot find any medicine on English labels. All in Mandarin.We end up buying fever medicine with strange name . We I took it ,it doesn't cure my fever, yet it caused my heart to run faster.The moral of the story is, next time, when you travel, bring along some medicine with you. just in case you need it.
My fever was never subsided when I reach home. The whole body become painful. My joints also painful.I feel nauseated and felt very dry. I can't swallow anything,I can't move around so i just choose to sleep.There was rashes on my both hands and feet.But starangely there was no sweat at all.Usually when i got fever, sweat will come after I took some paracetamol.I choose to treat my ownself. [well, being a doctor, I always thought i know more about my self]
Chikugunya fever is a viral infection. The virus was distributed by mosquitoes[ aedis agepty], ie the same mosquitoes that distribute denggi fever.In medicine, we call it vector.Last months was the highest incidence of chikugunya fever in our country. Probably i got infected when i was at my kampong. Our neighbour claimed there were almost everybody in the village get the same symptoms of fever joint pain and rashes.
Unfortunately there is no specific treatment for chikugunya fever.We give paracetamol to reduce the fever, alot of water, pain killer, and prednisolone and most importance is to have bed rest.I found it is releiving after drinking air zam zam[ holy water usually taken along by hajj pilgrimage]. i don't have enough stock, but i managed to buy from petronas petrol station along the kesas highway.So my advice for those who have the same symptom like me, buy zamzam water, and drink it as much as you can.It may cure you..
Monday, November 10, 2008
Sensitivity and specificity
This definition of medical test is always a puzzle to me.I always get confused when trying to explain to another person.
Today i just read again the definition of it. It may give some help to you.
Sensitivity:
definition:probability of a positive test when the disease is present.
application:if the test has a high sensitivity, it will identify patients with the disease, and therefore a negative result indicates that the patient doest not have the disease.
Specificity:
definition:probability of a negative test when the disease is absent.
application:if the test has a high specificity, a negative result identifies people who do not have the disease , and therefore a positive result indicates that the patient has the disease.
Today i just read again the definition of it. It may give some help to you.
Sensitivity:
definition:probability of a positive test when the disease is present.
application:if the test has a high sensitivity, it will identify patients with the disease, and therefore a negative result indicates that the patient doest not have the disease.
Specificity:
definition:probability of a negative test when the disease is absent.
application:if the test has a high specificity, a negative result identifies people who do not have the disease , and therefore a positive result indicates that the patient has the disease.
Tuesday, October 7, 2008
WHAT IS MELAMINE
Oleh chekamala"(Copy and paste)
Given below are some clarification on the recent milk adulteration in China and how you can detect China made products.
Questions and Answers on melamine:
Melamine is an organic base chemical most commonly found in the form of white crystals rich in nitrogen.
What is melamine generally used for?
Melamine is widely used in plastics, adhesives, counter-tops, dishware, whiteboards and fertilizers.
Why was melamine added into milk and powdered infant formula?
In China , where adulteration has occurred, water has been added to raw milk to add to its volume. As a result of this dilution the milk will have a lower protein concentration. Companies using the milk for further production (e.g. of powdered infant formula) would normally check the protein level through a test measuring nitrogen content. Therefore the addition of melamine - because of its rich nitrogen content - could increase the level of nitrogen, which again masquerade as falsely high protein levels as the standard protein test only measures nitrogen content. This means that the adulterated milk would have an artificially high nitrogen level, which would be interpreted erroneously as a 'normal' or 'high' protein level.
Addition of melamine into food is not approved by the FAO/WHO Codex Alimentarius (food standard commission), or by any national authorities.
Has melamine been found in other food products?
In 2007, melamine was found in pet feed manufactured in China and exported to the United States which caused the death of a large number of dogs and cats due to kidney failure.
In the present event, melamine contamination has been found in a number of different brands of powdered infant formula, in one brand of a frozen yogurt dessert and in one brand of canned coffee drink. All these products were most probably manufactured using ingredients made from melamine contaminated milk.
What are the health effects of melamine consumptions in humans?
While there are no direct human studies on the effect of melamine on humans, extrapolation from animal studies can be used to estimate adverse health effects. When combined with another chemical (e.g. cyanuric acid which is also present in melamine powder) melamine can form crystals which can give rise to kidney stones.These small crystals can also block the small tubes in the kidney potentially stopping the production of urine, kidney failure and in some cases death.
Melamine has also been shown to have carcinogenic effects in animals.
What are the symptoms and signs of melamine poisoning?
Irritability, blood in urine, little or no urine, signs of kidney infection, high blood pressure.
What is the cure for kidney failure?
Patients may receive various types of treatment, depending on the severity of kidney failure. Treatment may include infusion of fluids and urine alkalinisation, administration of sodium bicarbonate and insulin, blood and peritoneal dialysis, or surgical removal of kidney stones.
With more and more milk products from China and Taiwan having problem. We really got to check where the things are produced. Here is a way to differentiate Taiwan made products and China made products : by looking at first three digits of its Bar Code.
If the 1st 3 digits are 690, 691 or 692 - China made
If the 1st 3 digits are 471 – Taiwan made
Given below are some clarification on the recent milk adulteration in China and how you can detect China made products.
Questions and Answers on melamine:
Melamine is an organic base chemical most commonly found in the form of white crystals rich in nitrogen.
What is melamine generally used for?
Melamine is widely used in plastics, adhesives, counter-tops, dishware, whiteboards and fertilizers.
Why was melamine added into milk and powdered infant formula?
In China , where adulteration has occurred, water has been added to raw milk to add to its volume. As a result of this dilution the milk will have a lower protein concentration. Companies using the milk for further production (e.g. of powdered infant formula) would normally check the protein level through a test measuring nitrogen content. Therefore the addition of melamine - because of its rich nitrogen content - could increase the level of nitrogen, which again masquerade as falsely high protein levels as the standard protein test only measures nitrogen content. This means that the adulterated milk would have an artificially high nitrogen level, which would be interpreted erroneously as a 'normal' or 'high' protein level.
Addition of melamine into food is not approved by the FAO/WHO Codex Alimentarius (food standard commission), or by any national authorities.
Has melamine been found in other food products?
In 2007, melamine was found in pet feed manufactured in China and exported to the United States which caused the death of a large number of dogs and cats due to kidney failure.
In the present event, melamine contamination has been found in a number of different brands of powdered infant formula, in one brand of a frozen yogurt dessert and in one brand of canned coffee drink. All these products were most probably manufactured using ingredients made from melamine contaminated milk.
What are the health effects of melamine consumptions in humans?
While there are no direct human studies on the effect of melamine on humans, extrapolation from animal studies can be used to estimate adverse health effects. When combined with another chemical (e.g. cyanuric acid which is also present in melamine powder) melamine can form crystals which can give rise to kidney stones.These small crystals can also block the small tubes in the kidney potentially stopping the production of urine, kidney failure and in some cases death.
Melamine has also been shown to have carcinogenic effects in animals.
What are the symptoms and signs of melamine poisoning?
Irritability, blood in urine, little or no urine, signs of kidney infection, high blood pressure.
What is the cure for kidney failure?
Patients may receive various types of treatment, depending on the severity of kidney failure. Treatment may include infusion of fluids and urine alkalinisation, administration of sodium bicarbonate and insulin, blood and peritoneal dialysis, or surgical removal of kidney stones.
With more and more milk products from China and Taiwan having problem. We really got to check where the things are produced. Here is a way to differentiate Taiwan made products and China made products : by looking at first three digits of its Bar Code.
If the 1st 3 digits are 690, 691 or 692 - China made
If the 1st 3 digits are 471 – Taiwan made
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