A&P: not just a miniature of an adult

A untuk اطفال

P untuk Paediatrics

Sebelum memasuki Paediatrics round, saya agak menggelabah. Mengenangkan saya bakal berhadapan dengan patients kanak-kanak, saya agak kecut perut. How to confront with this type of patients that are very vulnerable?

They are the types of patients yang kalau ditanya sakit apa, sakit macam mana, sejak bila dan lain-lain mereka hanya akan memberi hanya satu jawapan, iaitu

MENANGIS

dan MENJERIT.

Arghhhhhh. Stress, tahu tak?

Kids are cute, it's an undeniable fact wordwide despite of their skin colors, races or religions . But my fragile heart can't handle to see the little cute creatures are always yelling and crying  in agony, convulsing, gasping for air, not in well condition, lethargic, easily irritated and barely able to breathe! I tend to burst and step out from the wards or clinics (especially emergency department) in tears and keep thinking about them all day long.

A Syndrome Down Baby

I used to think that handling medical cases of children is just the similar way you dealing with your adult patients. I quoted one of the professors- 'Child is not just a miniature of an adult.' Their health issues, their needs, rights and phsycological behavior are differ with adults.

They're immunocompromised and very reliable to get infections. They can't access water when they are thirsty, or grab food when they're hungry. So their morbidity problems vary from the adults hence we need certain skills and specific approaches to handle them in order to help us to reach for the diagnosis and later, to plan for the management of the case.

From my observation, most of paediatrics (especially in neonates) health issues are closely  related to ignorant mothers and occur in low socio-economic status.

Contohnya la kan, untuk infants we need to breast feed them exclusively for 6 months on demand feeding, lebih kurang 8-10 times per day. Kalau baby tidur, we need to wake them up and try to feed them. Tapi menurut cerita doktor-doktor wujudnya segolongan ibu yang malas nak breast feed kan anak sebab sibuk nak buat benda lain/penat and biarkan je baby tu ending up the baby will face dehydration (especially kalau baby tu memang tak bottle feed sikit pun)

There are certain overprotected mothers yang wrap anaknya yang putih gebu bibir mungil kemerah-merahan tu berlapis-lapis dengan selimut tebal sampai baby boleh suffocate, tak expose anak to UV light especially during winter plus there are certain windowless houses here (in low socio-economic areas)  which later akan contribute to Infantile Vitamin D deficiency rickets.

Kalau bagi susu formula jangan overdiluted. Kalau masa age of weaning (kita slowly introduce makanan selain dari susu, between 6 months-2 years) adalah sangat-sangat crucial. Kena kreatif prepare and present a well-balanced diet untuk baby.   

Kalau infections mostly sebab lack of hygiene, living in crowded areas which are not well-ventilated or with no proper seawage and water supply etc. Opss ni macam point Community Medicine plak. Haha.

Lain-lain, parents (especially the mothers) kena la sangat alert dan sensitive pada sebarang kelainan pada baby. Kalau dia suckling lemah, kalau breast fed 2-3 teguk pastu berhenti ambil nafas, kalau asyik tidur je, kalau baby bernafas ada bunyi-bunyi, kalau ada abnormality dekat bone deformities atau kalau apa-apa je lah tolonglah, cepat-cepat seek for medical advice.

So basically, I conclude sangat penting to become well-educated mothers demi kesihatan anak-anak. That's why we say by educating a girl we are educating the whole family :)

So saya nak berkempen kepada para pembaca blog yang berspesies perempuan untuk sama-samalah kita menyiapkan diri dengan ilmu keibubapaan (spiritually, mentally and physically) untuk masa depan anak-anak yang gemilang. Tak kisah lah bila pun, tapi persediaan perlu dibuat dari sekarang XD. Salah satunya adalah dengan study Paeds dengan penuh ihsan T__T.

Main doktor-doktor ;)

Otai-otai wad tingkat 5 Hospital Abou Risy

I think, that's all for now. Banyaaaaak lagi nak cerita pasal round ni and I'll publish it very soon sementara mood nak menulis pasal Paeds masih ada. Selalunya musim-musim exam beginilah idea untuk update blog akan mencurah-curah. Hehe, actually sebelum ni selalu je ideas popped in my mind, butI don't really have the gut to sit down in front of my laptop to scribble it down. Terutamanya bila sekarang ni online guna tab je.

Doakan saya jadi rajin stadi ye!



P/s: Bila review balik hasil penulisan kebelakangan, adalah sangat menyedihkan. I feel a bit down for being inproductive. I miss writting and sharing for benefits of others. Maybe, my input is just so low until I can't give any output recently, or maybe less thinking activity is being done? *Sigh*