Wednesday, December 17, 2008

a need to change the teaching module..

17 Dis 08

pgi tdi a few student medic dtg approach aku d wad 6S..diorg nak tnya pd aku on formula milk.Aku tnya diorg balik.sb apa nak tau psl susu formula..diorg ckp sb nak ajar parent on formula milk..aku tnya "kenapa?" ...diorg kata " sbb ada dlam modul utk diorg kena teach parent on formula milk.."
Aku tnya balik " sb apa awak nak bg susu formula kpd pt or nak suggest susu formula?kenapa tak suruh bg Bfdg?" diorg kata " sb susu ibu takde, sb mak sbuk sgt, mak bekrja.." whattt???aku agak bngg n rs sdih jg at the same time la...then aku kata kat diorg " i dont want to accept ur reason..give me another reason..sb reason awak tuh tak kuat in medical cndition n appropriate.."

diorg pun kata la "sb ibu ada mntal illness, ada pnkit bjgkit spt HIV, Hepatitis, ibu meninggal .." ok...that aku bleh accept..n lps tu aku dgn slmbanya kata, "saya tak boleh trima alasan awak sblm ni sb sumua tuh bkn alasan yg kuat n logik..sb saya pun sbuk bkerja, dkt rmh n d opis..tapi saya juga fully breastfdg baby saya..." dalam hati ms tu bngga gak la promote diri sndri.haha..
n aku smbung lagi "awak sptutnya promote parents esp mothers on bfdg or bg breastmilk...awak spttnya cari mklumat on bfdg, macamana nak maksure susu ibu tuh ada, apa yg galakkan susu ibu boleh ada, macamana awak nak maksure mak boleh breastfeed wpun bkerja..bukan trus2 awak nak suggest susu formula....form milk should be the last resort.." bdk2 ni trus tdiam lpas aku ckp camtu..after that aku trg la skit2 psl susu formula...bila aku tnya skit2 on Bfdg, muka sume blur..aku tnya psl susu pun blur..diorg ni mmg tak cri mklmt dulu ke bfore nak tnya..agaknya diorg anggap aku akan citer sume so tak pyh la diorg sshpyh...huh..

the thing aku nak highlight is, these are 4th yr medical students..yang tggal sthun lg then nak grad as Doktors but common knowledge pun takde on bfdg..zero!!!n diorg anggap Bfdg tu mcm tah..sort of like kekampungan or orang takde duit pnya cara nak susukan anak kot...susu ibu tuh tak pntg kot..aku pun tak phm..they are going to be dctrs mannnnn!!!!they should be the one yang promote on Bfdg...n diorg siap kata, kalo tak bleh bg susu ibu, bg susu lembu or susu kambing bleh tak??whatt???aku siap bgtau..kan dlm Alquran kata soh ibu susukan anak smpi 2thun jika mampu...takde pun kata bg susu lembu or susu kmbing...then Nabi pun, ada ibu susuan..bkn diberi susu kambing wpun Halimatussadiah tu bnyak kambing...diorg ni should know better la kan...afterall, pt kan sllu dgr kata dctors bndg org lain...hmmm..the uni should tukar la module study bdk2 medic ni...should be ajar diorg ni utk promo Bfdg then bru susu formula...ini tak..tbalik...tah papa tah....

aku citer kat Dr Arzuar n Dr Nurul td..diorg kata " nasib ko fully bfdg..if tak kena btg hidung sndri.."

heheh..sb tu aku brni fire bdk2 tu sb aku practice apa aku ckp..hehehe

instroducing solid fd to my babe..

aku sgt la excited nak start solid fd utk rizqi...bnyak nak kena baca...mmg bila advice parent nmpk mcm sng jee.bg basic2 je..but nak into detail to anak sndri kena la baca lbihkan...anak diorg, diorg kena la cri detail...kita bg basic je ,guidelines then pndi2 la kan....ishh tak sbr nya...ni aku amik dr stu web ni... http://www.wholesomebabyfood.com. dpt pun dr link blog ija...tq ija..heheh

Here are a few "signs" that may indicate your baby is ready for Solid Foods:

Loss of tongue-thrust reflex - This allows baby to drink and swallow liquids with ease; with the tongue-thrust reflex still present, baby may simply drink in liquidy purees or push the food back out. According to Dr. JimSears, in the first four months the tongue thrust reflex protects the infant against choking. When any unusual substance is placed on the tongue, it automatically protrudes outward rather than back. Between four and six months this reflex gradually diminishes, giving the glob of cereal a fighting chance of making it from the tongue to the tummy

hmm..ni tak try lg..mlm ni nak try..

ready for solids Ability to let you know she is full from a "meal" with signs such as turning away from the bottle or breast. This is important so that baby is able to self-regulate the amount of food being eaten. This helps stop baby from accidentally overeating as parents may continue to feed baby thinking that she is still hungry.

yang ni mmg dah ada..kalo dah knyg abis dia bling botol susu ibu tuh..if dierct BF dia akan stop, pusing bdn n trus pjam mata smbil bunyi yang sgt puas hati...tngan terangkat ke atas ltak tpi kpla...expose ketiak dia...hahah...nmpk sgt kenyang sgguh..

ready for solids Ability to sit up and hold head up unassisted

duduk takle lgi...but dah bleh angkat kpla sndri n klo dduk kat car est pun siap angkat kpla takmo bring...

ready for solids Interest in your food (we tend to disagree with this one as when a baby reaches the age of 4-6 months, he is interested in putting everything in his mouth!)

kalo bleh pnggan nasi aku tu pun dia nak capai..sume nak..kalo nmpk org mkn dia pun sbuk mgamuk nak juga...

ready for solids Doubling of birth weight

huhu...sngttttt...dah 7.8kg dah..bru 5bln lbih...

ready for solids Frequently waking in the middle of the night when a solid sleeping pattern had been established. This may not be the best indicator that your baby is ready for solids! Please keep in mind that a growth spurt will occur between 3-4 months of age, 6-7 months of age and also 9-10 months of age. Baby may also be waking due to an illness or teething.

mmg sgt kerap bgun...mcm tak knyg ja mnum susu...


banyak yang ye drpd tak..mean dah bleh bg mkn ke????mcm2 menu dah plan ni..hehehe

my boy 1st tooth..

16 Dis 08

today, after praying Magrb I read the Holy Quran beside Zaffran Rizqi...he was playing on the bed with his Itik Digi (itik getah kuning kepala besar yang bila msuk dlm air floating but kpla dah ttunduk dlm air dulu..sama macam itik Digi.hahahah), teether, key rattles...I read Surah ArRahman, one of my fave surah to him..he was cooing n smiling like I was singing to him and speaking to him...maybe he was thinking I am singing to him..heheh..after I finished, I read the 'tafsir ' aloud for him to hear...he as usual was smiling n looking at me with his round eyes...his hands trying to reach for the Quran to take into his mouth..he does that a lot..no matter whther its a book or paper...maybe thats a good sign that he is intrested in books like his mummy or its just his interest in things I dont know...

after finishing reading the Quran, I was playing with him while waiting for Isyak...he was reaching for my fingers n pulling it into his mouth n was sucking noisily with my fingers...i suddnly just on impulse touched his gum with my fingers and I found sumtg that is hard n a bit sharp on his gum...I tried to see with the clear light onto his gum..n he just kept opening his mouth for me to see as in showing me his new developing baby tooth...heheh..it was a tooth ready to come out..its quite sharp...nut still small..hehe..i am so happy n excited ..my bby 1st tooth..no wonder u were so cranky n had a fever last week...nak tmbuh gigi rupanya ya....sian ank ibu....

excitednya aku nak tgok gigi bru dia n bg dia mkn..hehehe..adik2 aku n abumi pun xcited...zulffi lg la excited..hmmm..wknd ni nak try start mkn la...lgpun dah 5bln 3mgu dah dia..hehehe...

Friday, December 12, 2008

aku bsyukur pd Mu Ya Allah

arini Zaffran Rizqi sudah lebih sihat berbanding hari2 yang lepas....aku hanya mampu mngucapkan Syukur Alhamdulillah..tiada yang lbih indah melainkan mdgr suaranya galak ketawa riang bila diagah...

Raya pertama Aidil Adha, aku pulang beraya di Elephant's Bridge bersama keluarga...thun ni aku dpt berada d kg sb zulffi ada kursus d Penang..lang dah dtg awal smggu k Kb utk pulang drive bsama aku ke Bertam..syukur ada adik yang sgt baik dan best tu..heheh...pgi raya, Zaffran Rizqi bgun lmbt...hampir jam 9lbih..itupun aku kjut..aku rasa, kalo aku tak kjut msti jam 11 bru bgun..aku kjut pun sb aku nak mndikan dia dan aku nak mndi utk bsiap sblm org sdah solat raya..aku termiss solat sunat raya thun ni..aku kjutkan dia dan mndikan zaffran Rizqi dalam besen besi maktok yang bsar tuh, yang maktok kuarkan nak letak dgg korban nnti.hehehe..pnjam sat nooo maktok..takdak besen nak mndi anak...hahaha..after mndi n siapkan dia, dia main2 ngan org..sepupu aku rmi tlg tgokkan dia smntra aku bsiap...pkul 11 pgi, dia smbung tido lagi sround...then bgun kjap n kul 1ptg camtu dia nangis2 lg..aku nenenkan dia dan dia trus tido smpi pkul 5ptg..dptla aku menolong d dapur msk bihun sup...ptg dia bgun nmpk ok..so aku bw dia kuar ikut zullfi g pam angin keta..sok pgi2 aku n Lang nak blik Klntan sb zulffi tak abis lg...mlm tu nak blik ke Bertam, bdn dia suam ja..maktok pun kata bdn dia pns..so aku sggah farmasi cri PCM..ms suap ubat dia nangis sgguh2..sian sgt..lps aku nenenkan dia trus ttdo...smpi rmh, dia tido sat ms aku bw naik blik but lps tu tjaga...aku bw trun bwh..dia main jap then nangis..aku msukkan dlm bouncer n dia tido blik..mlm tu aku mmg tak lena tido sb dia asyik jaga n nangis..aku tak le nak pam susu lgsg sb bila bg mnyusu je dia trus diam n tido..bgun pg aku pning kpla sb tak ckup tido..zaffran lak asyik meragam..bdn dia pans..sian dia....

balik ke KB, lang yang drive all the way as Zaffran Rizqi xmau dok dlm car seat n meragam..tido pun atas bahu aku..dahla jalan jam..sian lang...Tq lang...skli lg tlg bw kakak blik KB...mlm tu dia still meragam..tido pun asyik jaga je..ikut hati mmg nak amik EL sb sian kat dia but msti BOS tak bg sb takde org keje kcuali aku n Hajra..huhu..aku pg kje Rabu tu dgn kpla yg weng n laloq sb tak ckup rst...tghri aku blik g amik lang n zaffran bw g klinik Staf..Lang g MPKB bli tdg utk kawn dia...dkt klinik jmpa Dr Long..nsib jmpa dia..sng nak citer.heheh...after g klnik aku bw MZR balik opis..dia baik je. tak meragam...tak buat prgi or nangis..berlakon kata org..hehehe..blik rmh aku bg ubt, dia start nangis..siap mnth lg...abis sumer susu ibu kluar blik..sian anak ibu tak sihat...huhuhu..bila bg ORS dia mula tak mau sb dia ingt ubat..lama2 bru mnum..siap nangis lg nak lagi bila abis..sdap kot perasa oren.hahaha...mlm tido pun kejap2 bgun..jaga ja nangis...ibu smpi pning2 kpla bgun bgi ubt tgh mlm, jerlumkan kpla ngan air asam, slimutkan zaffran...rasa mcm nak nangis pun ada tgok dia skit mcm tu..tmbh plak sorg2...nasib Lang ada tlg tgok2kan..

bgun pgi Khmis tu, aku tgok muka dia merah ja sblh..mcm naik rash gitu..taktahu napa...dia tido, dah nenen sbuh tu..aku bgun pun dah lmbt..lang siap kjutkan lgi bgun..tak sdar sb pnat sgt...Zaffran Lang bw trun bg tido di bwh..dia lena smpi kul 11 lbih...Lang tlg jaga sb dia masih suam2 bdn..tak hntr nurseri sian kat dia...nasib lang ada..if tk ssh hati aku nak p keje...then lunch, aku kuar ngan Hajra kjap cri wedding gift Cam, aku call lang, dia ckp Zaffran nangis smpi selak...tak mo brnti..taktahu napa..Lang siap nangis lg sb dia taktahu nak watpa..aku kat kdi pun siap nangis..nak blik, aku kuar ngan Hajra, serbasalah jdinya....aku nekad nak blik lps abis bli brg but lang kata Zaffran dah lena..but dok nangis skit..mcm sdih sgt cara dia nangis..aku msuk opis dgn hati yang tak tng..rasa serabut..if bleh balik, skrg gak aku nak blik...aku doa2 bos balik awal so aku nak cbut gak balik awal...sb aku dok opis takle buat keje gak sb risau sgt anak dok nangis n tak sht..tp last mnit ada pt dtg..so tpksa counsel gak pt...dlm hati gundah gulana hnya tuha yang tau..by the time abis dah 430ptg..dah bleh balik...so balik umah dia lena...then bila dia jaga dia nangis mcm sdih sgt..Lang kata dia tak mau isap susu...dia tkut ubat ke apa or sb tonsil dia bgkak..sakit nak isap ..so mgkin dia nangis sb lapaq n skit..sian anak ibu..dia jaga ja, nangis bnyi sdih sgttt...mata tpejam...aku siap nak nagis dah...so aku amik dia n pluk n nenen kan dia..dia mnum dgn sgt cpat smpi tsedak...lapar sgt ya anak ibu..sian dia...lps nenen dah knyg bru dia mcm nak main sikit...aku tgok muka dia abis merah2 yg truk...bdn pun naik merah...aku call Dr susi, Paeds yang dok blkg umah aku...(nsib aku dok perumahan usm, sume jiran SN or Doktr or staf usm) sng skit...Dr susi soh aku bw g klinik.tkut alergik to ubat..so after mgrb aku siap2 p klnik staf again...Alhamdulillah dia ok je..tak nangis ke apa...siap gelak2 main lg.doktr ckp soh bw g kcemasan sb dia kata dia takle buat apa..kat A&E diorg bleh observe..mmm drpd g kcmsan baik aku g Paeds 6S.cari mana2 dktr..aku pun naik 6S cari dokt...nsib ada Dr Arzuar..one pf my fave paeds...dia cek, dia kt takde apa..lung clear, takde tachypneic ke apa..just rashes..dia bg ubt piriton, calamine utk sapu...lega sgt...Syukur aku kje kat Peeds ward..bleh la cri paeds if papa hal..huhuh...blik bg ubat n bg dia tido..but as mlm2 sblmnya dia nangissss ja...asyik jaga n nangis...aku mmg totally exhausted...seriusly...

but today dia dah ok...main pun ok..tido pun lbih elok...mlm ni lps mgrb trus tido n bgun myusu skli skjap n trus tido blik...aku pun saja ja surf net n tjmpa this one blog..http://mysuperchild.blogspot.com/ bila aku baca, aku sgt tsntuh hati... buat aku bnyak bfikir n yng lbih mnyntuh hti aku, aku keje di wad paeds- Neonate, prem, paeds Onko n paeds med tpi aku tidak pernah rs prsaan yg aku lalui skrg ni shgga ke thp ini..

sblm aku ada anak, aku bila counsel parents spt takde prsaan sgt...bg nsht n kdg aku sdkit refuse utk understnd prasaan ibu itu...aku sllu anggap itu hnya kdg kala alasan smata sb kdg2 mcm2 alasan yang org bg.huhu.....but since aku ada anak sndri aku lbih cuba memahami keadaan ibu itu dan cuba mysesuaikan nsht aku sbaik mgkin dan kini stlah lalu bbrpa hri yang bg aku getir, aku lbih phm n trasa sbgitu bslah sb tak cuba nak phm prsaan ibu2 yg anaknya kluarmsuk wad aku sblm ni...yang anak2nya spastic, cerebral palsy, jantung berlubang, fitting all the time, yang ada leukemia, kanser dll...ada a few of pt aku yg sllu sgt kuar msuk wad yg smpi buat aku rapat n boleh btkar citer dgn ibu diorg yang anak2 msing2 adalah special atau pun diuji Allah dgn ujian pd usia yg masih muda kbnyakannya...dan aku sgt salute pd mereka kerana mereka diduga dgn dugaan yang hebat itu tapi msih mampu tabah dan kuat mhdpi dugaan Allah..sdgkn aku yg hanya di duga dgn ujian Zaffran dmm bbrapa hari saja sudah menangis ksdhan dan ksian..aku tidak mmpu mbygkan bgimana jika aku ditmptkn d tmpt mereka..mampukan aku skuat mereka...apatah lgi jika anak2 yang berulang kali mjalani kemoterapi, Op utk buang tumor..Subhanallah..mmgla..Allah jdikan wanita itu sebgi ibu , insan yg ckup istimewa...kerana seorg ibu mmpu utk melalui apa saja utk anaknya..mmgla ptut seorg ibu itu lbih diuatamakan drpd ayahnya disbbkn pgorbann seorg ibu itu yg tidak thgga...

n aku sgt bsyukur, dikurniakan anak yang sihat dan smpurna InsyAllah..Tok Wa pernah kata ms aku dlam pantang, "takpela anak ni cerah ke gelap ke kulitnya...asal sihat sdahla.." ms tu aku tak phm lgi...but skrg, aku lbih phm n aku lbih bsyukur atas apa yng Allh kurniakan...terimaksih Allah sb bg aku ujian dan hidayah ini...insyAllah lps ni aku akan cuba mnjdi dietitian yang lbih baik n empati pd hti dan prsaan ibu2 di wad aku...semoga ibu2 di luar sana yang diberikan ujian akan lbih tegar dan tabah dalam menjalani ujian Allah..

PS: Lang, tq tlg kkk jaga zaffran 2mgu ni..if takdak awak, kakak taktahu la sapa nak mnt tlg..msti kakak nangis mlm2 sorg2...huhu :(