dryikis_crib

dryikis_crib A paediatrician at Baby and Beyond Clinic, Publika with close to 2 decades of experience in child health.

My passion is to share knowledge and empower families even while navigating my own journey as a mother of 3.

07/02/2026

Majority of cases of Child Hot Car Deaths are due to the child being unknowingly left in vehicle, 43% of them were supposed to be dropped off at childcare. They are usually under 5 years of age, 88% were 3 years and younger.
( kids and car safety database 2024)

80% of the increase in inside temperature happens in the 1st 10 minutes and a child's body overheats 3-5 times faster than an adult body. 20-30 minutes in the full sun in a closed vehicle is all it takes to kill a child.

๐˜๐˜ต ๐˜ค๐˜ข๐˜ฏ ๐˜ฉ๐˜ข๐˜ฑ๐˜ฑ๐˜ฆ๐˜ฏ ๐˜ต๐˜ฐ ๐˜ˆ๐˜•๐˜ ๐˜–๐˜•๐˜Œ.

But there are steps that we can start to take right now to prevent this tragedy from happening again.

Please watch the video where I expand on each of these:

โžก๏ธ Waze Child Reminder feature. Did you know this existed?!
โžก๏ธ Remind to Remember
โžก๏ธ Swap Something
โžก๏ธ Set an SOP

๐˜š๐˜ข๐˜ท๐˜ฆ ๐˜ข๐˜ฏ๐˜ฅ ๐˜š๐˜ฉ๐˜ข๐˜ณ๐˜ฆ ๐˜›๐˜ฉ๐˜ช๐˜ด!

Follow for more child health tips.

๐‘๐’๐• ๐ข๐ฌ ๐๐Ž๐“ โ€œ๐ฃ๐ฎ๐ฌ๐ญ ๐š ๐œ๐จ๐ฅ๐.โ€In Malaysia, RSV circulates all year and is one of the leading causes of hospitalisation in bab...
22/01/2026

๐‘๐’๐• ๐ข๐ฌ ๐๐Ž๐“ โ€œ๐ฃ๐ฎ๐ฌ๐ญ ๐š ๐œ๐จ๐ฅ๐.โ€

In Malaysia, RSV circulates all year and is one of the leading causes of hospitalisation in babies and young children. While most recover, some can develop severe lung infections, ICU admissions, or long-term breathing issues.

The good news?

๐Ÿ›ก๏ธ ๐—ฅ๐—ฆ๐—ฉ ๐—ถ๐˜€ ๐—ป๐—ผ๐˜„ ๐—ฝ๐—ฟ๐—ฒ๐˜ƒ๐—ฒ๐—ป๐˜๐—ฎ๐—ฏ๐—น๐—ฒ.

โœ”๏ธ Maternal vaccination during pregnancy

โœ”๏ธ Long-acting monoclonal antibody for infants
(This is different from a vaccine. A vaccine trains the body to recognize and produce its own antibodies to fight the infection. Monoclonal antibody is giving the body ready-made antibodies.)

โœ”๏ธ Simple hygiene measures still matter

๐˜Œ๐˜น๐˜ต๐˜ณ๐˜ข ๐˜ต๐˜ช๐˜ฑ๐˜ด & ๐˜จ๐˜ฐ๐˜ฐ๐˜ฅ-๐˜ต๐˜ฐ-๐˜ฏ๐˜ฐ๐˜ต๐˜ฆโ€™๐˜ด!

โœ”๏ธ Vaccines take time to train and produce antibodies - babies are only adequately protected when born to moms who have received the vaccine at least 2 weeks prior.

โœ”๏ธ Monoclonal antibody is recommended for any healthy infant in their first year. Additional doses are recommended for babies who are born premature or with severe chronic diseases like heart and lung problems.

โœ”๏ธ RSV vaccine is much cheaper than monoclonal antibody!

โœ”๏ธ RSV vaccine is also recommended for older adults above 60 years old - so letโ€™s think about our parents too.

If youโ€™re pregnant, planning a baby, or caring for an infant โ€” this is a conversation worth having with your doctor.

๐Ÿ’ฌ Save this post
๐Ÿ”„ Share with new parents
๐Ÿ‘ฉโ€โš•๏ธ Follow for evidence-based health tips

24/12/2025

โ˜€๏ธ ีแ‘Œแ‘Žีแ‘•แ–‡แ—ดแ—ดแ‘Ž 101 ๐Ÿ˜Ž

Excellent question from Ask-Me-Anythimg Wednesday!

โ“๏ธW๐™๐™–๐™ฉ ๐™ฉ๐™ค ๐™ก๐™ค๐™ค๐™  ๐™›๐™ค๐™ง ๐™ž๐™ฃ ๐™– ๐™œ๐™ค๐™ค๐™™ ๐™จ๐™ช๐™ฃ๐™จ๐™˜๐™ง๐™š๐™š๐™ฃ?

โญ๏ธ Broad spectrum that gives high protection against both UVA and UVB rays. Many will have SPF, but make sure it has PA +++ too because that's the sneaky ray. It doesn't burn in the heat of the afternoon but is present all day - rain or shine, indoors or outdoors, and through the glass; silently aging and damaging the skin. It can be a cause of sensitivity and flare-ups. For older kids who csnt agree with the white cast from the mineral sunscreen, you can consider part chemical sunscreen cos ANY sunscreen is better than none!

โญ๏ธ For children, best to keep to mineral sunscreen and avoid chemical sunscreen which has higher risk of causing irritation and absorption impact. Active ingredients in chemical sunscreen are like names that end with -benzone (oxybenzone), -oxate (octinoxate), -salate (octisalate) or octicrylene.

โญ๏ธ Some sunscreens are matched with other ingredients like ceramide that can also help moisturise the skin. For daily usage, that is such a bonus! It is time we started applying sunscreen more regularly beyond sunny pool and beach days!

๐Ÿ“ธ credit: Daily Mineral Face Lotion

๐˜๐˜ฐ๐˜ฐ๐˜ฅ ๐˜ง๐˜ฐ๐˜ณ ๐˜ต๐˜ฉ๐˜ฐ๐˜ถ๐˜จ๐˜ฉ๐˜ต. ๐˜๐˜ง ๐˜ธ๐˜ฆ (๐˜ฎ๐˜ข๐˜ช๐˜ฏ๐˜ญ๐˜บ ๐˜ญ๐˜ข๐˜ฅ๐˜ช๐˜ฆ๐˜ด) ๐˜ธ๐˜ช๐˜ญ๐˜ญ ๐˜ฎ๐˜ข๐˜ฌ๐˜ฆ ๐˜ด๐˜ถ๐˜ณ๐˜ฆ ๐˜ต๐˜ฉ๐˜ข๐˜ต ๐˜ฐ๐˜ถ๐˜ณ ๐˜ด๐˜ฌ๐˜ช๐˜ฏ ๐˜ฑ๐˜ณ๐˜ฐ๐˜ฅ๐˜ถ๐˜ค๐˜ต๐˜ด ๐˜ฉ๐˜ข๐˜ท๐˜ฆ ๐˜ด๐˜ถ๐˜ฏ๐˜ด๐˜ค๐˜ณ๐˜ฆ๐˜ฆ๐˜ฏ ๐˜ฑ๐˜ณ๐˜ฐ๐˜ต๐˜ฆ๐˜ค๐˜ต๐˜ช๐˜ฐ๐˜ฏ, ๐˜ธ๐˜ฉ๐˜บ ๐˜ข๐˜ณ๐˜ฆ ๐˜ธ๐˜ฆ ๐˜ฏ๐˜ฐ๐˜ต ๐˜ซ๐˜ถ๐˜ด๐˜ต ๐˜ข๐˜ด ๐˜ป๐˜ฆ๐˜ข๐˜ญ๐˜ฐ๐˜ถ๐˜ด ๐˜ต๐˜ฐ ๐˜ฑ๐˜ณ๐˜ฐ๐˜ต๐˜ฆ๐˜ค๐˜ต ๐˜ฐ๐˜ถ๐˜ณ ๐˜ฌ๐˜ช๐˜ฅ๐˜ด' ๐˜ด๐˜ฆ๐˜ฏ๐˜ด๐˜ช๐˜ต๐˜ช๐˜ท๐˜ฆ ๐˜ด๐˜ฌ๐˜ช๐˜ฏ?

๐˜—๐˜ฐ๐˜ญ๐˜ญ: ๐˜ˆ๐˜ณ๐˜ฆ ๐˜บ๐˜ฐ๐˜ถ ๐˜ณ๐˜ฆ๐˜จ๐˜ถ๐˜ญ๐˜ข๐˜ณ๐˜ญ๐˜บ ๐˜ข๐˜ฑ๐˜ฑ๐˜ญ๐˜บ๐˜ช๐˜ฏ๐˜จ ๐˜ด๐˜ถ๐˜ฏ๐˜ด๐˜ค๐˜ณ๐˜ฆ๐˜ฆ๐˜ฏ ๐˜ง๐˜ฐ๐˜ณ ๐˜บ๐˜ฐ๐˜ถ๐˜ณ ๐˜ฌ๐˜ช๐˜ฅ๐˜ด?

27/11/2025

I am a parent to three growing children and a paediatrician, and I say YES, I support my Malaysian government's serious plans to ban social media accounts to children under 16 years!

Before anyone chides the government of pulling a trigger finger, being reactive or over-controlling, I need you to be aware that these are children we trying to protect, not dictating grown-a** adults. Yes, while it is our responsibility as parents to put in place (and keep) social media boundaries for my children at home, we can't fight this uphill battle alone. It's us against the whole world! If we are going to have a decent chance at rolling back this phone-based child, we are going to need the collective effort and coordination of schools, communities and policy makers toย  coordinate.

I really like how Mr summarised the four norms that we can adopt to delay and reduce the effects of digital platforms and social media and give our children back their childhood healthily.

1๏ธโƒฃ ๐™‰๐™ค ๐™จ๐™ข๐™–๐™ง๐™ฉ๐™ฅ๐™๐™ค๐™ฃ๐™š ๐™—๐™š๐™›๐™ค๐™ง๐™š ๐™๐™ž๐™œ๐™-๐™จ๐™˜๐™๐™ค๐™ค๐™ก. Wait until they get through most of puberty before they get full access to one. Get them basic phones like flip phones and phone watches for communication purpose.

2๏ธโƒฃ ๐™‰๐™ค ๐™จ๐™ค๐™˜๐™ž๐™–๐™ก ๐™ข๐™š๐™™๐™ž๐™– ๐™—๐™š๐™›๐™ค๐™ง๐™š ๐Ÿญ๐Ÿฒ ๐™ฎ๐™š๐™–๐™ง๐™จ.

3๏ธโƒฃ ๐™‹๐™๐™ค๐™ฃ๐™š-๐™›๐™ง๐™š๐™š ๐™จ๐™˜๐™๐™ค๐™ค๐™ก. We need the government and schools to make rules and legislation for this.

4๏ธโƒฃ ๐™€๐™ฃ๐™˜๐™ค๐™ช๐™ง๐™–๐™œ๐™š ๐™ข๐™ค๐™ง๐™š ๐™ž๐™ฃ๐™™๐™š๐™ฅ๐™š๐™ฃ๐™™๐™š๐™ฃ๐™˜๐™š, ๐™›๐™ง๐™š๐™š ๐™ฅ๐™ก๐™–๐™ฎ ๐™–๐™ฃ๐™™ ๐™ง๐™š๐™จ๐™ฅ๐™ค๐™ฃ๐™จ๐™ž๐™—๐™ž๐™ก๐™ž๐™ฉ๐™ฎ in the real world.

We have to stop overprotecting them in the real world but under-protecting them on the digital world.

Do check out his interview on podcast/youtube titled "๐—ช๐—ต๐—ฎ๐˜ ๐—ฆ๐—ผ๐—ฐ๐—ถ๐—ฎ๐—น ๐— ๐—ฒ๐—ฑ๐—ถ๐—ฎ ๐—œ๐˜€ ๐——๐—ผ๐—ถ๐—ป๐—ด ๐—ง๐—ผ ๐—š๐—ฒ๐—ป ๐—”๐—น๐—ฝ๐—ต๐—ฎ" to understand the science that backs up his proposal. It's an hour long but it's worth the time to lean in!

Video remixed from

What DOES it take to raise mentally resilient children? Easy enough question but very tough to answer. It's not a matter...
13/11/2025

What DOES it take to raise mentally resilient children?

Easy enough question but very tough to answer. It's not a matter of googling or chatgpt it to get bullet form answers. As parents, we need to internalise exactly what those points mean for us and how we can turn them into daily and practical actions.

It's really a very big, wide and deep question with a tapestry of factors weaved together intricately. If we dont take time to unravel it, we will likely be overwhelmed, guilt-tripped and sink in our parenting journey.

We want to raise them well and give them our best, but how? This post is just the beginning of our conversations together.

Do you feel you are equipped with concrete practical parenting tools?

It's been a little over a week since we got hit with the news of the tragic death of a teenager in school from stabbing ...
27/10/2025

It's been a little over a week since we got hit with the news of the tragic death of a teenager in school from stabbing by a fellow student. It made the episode from "Adolescence" not just a scary plausibility but a heartbreaking reality. Too close to home.

As parents, there are so many deep questions we need to ask ourselves in response to what happened but the most immediate response I got from parents was that the first thing they did was to give their kids tighter and longer hugs that day. ๐Ÿฅน My oldest schools nearby and so, I too was concerned about what my boy had heard and how he was processing it.

Having a clear and calm strategy, it gave me an opportunity to have a meaningful conversation with my son - to objectively assess how he was or wasnt affected, see his perspective and answer his questions. As tempted as I was, it wasn't the time to jump straight into nagging about screen time or online games - these issues matter, but not just yet. It was a time to get a pulse on his mental and emotional health and have a deeper conversation depending on how HE steered the dialogue.

My only goal was this - to let him know he is safe with me and that he can talk to me about difficult things openly and honestly with me.

Here's a step-by-step guide to help us talk about violence and tragedy with our kids. Save and share it - only God knows when we may need it again in the future.

Sources:
National Association of School Psychologists (NASP)
American Academy if Child and Adolescent Psychiatry

PS: It was inspired by a conversation kit released by the children's ministry of my local church which included some biblical guidance to help bring some comfort and faith. If you'd like a copy of it, do DM me.

PPS: Have you spoken with your child about recent tragic happenings in schools?

23/10/2025

Parents often ask me,
"How old should I give my child milk until?" or "When should I stop giving my child milk?"

My honest answer is, "Don't stop."

Milk is still an key part of their daily diet for strong bones and teeth, to support growth, immunity and brain development.

For kids 1 year and above, give 2-3 servings of milk a day between 150-250ml per serving along with their meals or snacks.
Keep the milk, keep them strong, keep them growing!


Enfagrow A+ Malaysia

22/10/2025

Can you pick up what I really want to say? ๐Ÿ˜‚


With Deepavali celebrations and short school break almost over, let's be vigilant looking out for our children falling sick, which almost never come with a warning. Please don't be too quick to send them back to school.

Oh, and have you gotten your child immunised with the flu vaccine yet?

21/10/2025

October 2025. We are experiencing an influenza surge in Malaysia and here are some practical tips I want you to know so that your child gets diagnosed early, treated promptly and correctly and in doing so, help to reduce the spread to people around. I want you to be smarter than some of the doctors you see.

1๏ธโƒฃ Ask for the influenza test to be done. Don't take antibiotics unnecessarily!

I am quite fruatrated about this because I have had sooo many kids coming in after 5-6 days of unresolved fever who turn out having influenza and the common reason I get for their delay in coming is that they were given antibiotics by a different doctor but without flu test first being done. While what I am advising here is NOT a blanket statement for every month of the year but during this period when you get notification from school that 1/2 the class or over 100 kids in school are down with flu, you must agree with me that the diagnosis of influenza must be ruled out first so that we can be treated correctly. For influenza, unless there is evidence of a co-infection, antibiotics won't work. A specific antiviral called Oseltamivir does.

2๏ธโƒฃ Timing of the test done matters.

Here's an interesting fact for you. The flu rapid test that is commonly done at clinics (because it can give results quickly compared to other methods) can give a false negative result (ie says negative for influenza when in fact the patient does have it) when done too early, too late or if the swab specimen is of bad quality.

And so, again in the background of an outbreak in your community, if your first flu test is negative, please consider repeating it in 1-2 days, not 5-6 days later. Why? 3 main reasons:
- when tested too late, it can also be a false negative and cause a diagnosis dilemma
- if antiviral medication is required, it is more effective started earlier in the disease rather than later
- reduce spreading the virus when you can be diagnosed and treated earlier.

Got questions? Comment below or DM me.

I've got 2 more points. Will roll the video out soon.

27/06/2025

Cows milk. Another topic that is asked frequently on Wednesday AMAs.

Some of the terminology can vary a little in different parts of the world, but in the local Malaysian context, this is what you can recognise at the supermarkets and I hope the video will shed some light and clarity.

Below 1 year old, only breastmilk and infant formula are recommended as they meet the baby's nutrition requirements. Above 1 year old, the child's main source of nutrition should come from solid foods, not milk. So, cows whole (which means full-fat) milk should be a means of supplementing some energy, calcium and vitamins. Some full cream milk may be fortified with other vitamins too.

Drink it cold or warm? Either one is alright. No difference in nutrition. Most young toddlers prefer it warm, but nothing wrong giving it chilled.

Can I continue with breastmilk or follow-up milk formula? Sure you can. Breastmilk is recommended until 2 years old but sometimes it may not be enough especially if picky eating is an added issue. There may also be other factors like night oral hygiene, weight issues, added sugars in some follow-up milk formula or even the matter of convenience and toddlers' palatal preference that should weigh in as well.

Milk for 1 year old and above - what is your preference?

In last session of The Parenting Children Course (TPCC) under  which my hubs and I are attending, one of the exercises t...
11/06/2025

In last session of The Parenting Children Course (TPCC) under which my hubs and I are attending, one of the exercises that we had was to list household chores our children could do.

Am I hearing some of you go, "Whut?! Child labour!" or "Good luck with that! It's gonna be such a chore to make them do house chores." ๐Ÿคฃ

But the sciences and evidence say differently! Children who are given the opportunity to hold responsibilities at home thrive better in their development, cognition & problem-solving skills and even their self-esteem. They feel needed and validated when they get to perform tasks that actually, well, matter at home and to mommy (mostly, haha) and daddy! They actually grow up to be more mindful, respectful, responsible and successful.

I know this to be true because the children's favourite toy in the waiting area of my clinic is the broom and mop! ๐Ÿคฃ No cap (for those of you who know alpha gen language)!

So, don't wait too long before you start empowering your kiddos with age-appropriate responsibilities. Start it small, easy, straight-forward, add a dash of fun and a whole lot of grace!

Do you have house chores for your kids? Comment below with their age and what they are. I would love to hear about them! ๐Ÿ’›๐Ÿ’›๐Ÿ’›

โ€ผ๏ธ ๐™Š๐™ฃ๐™ก๐™ž๐™ฃ๐™š ๐™Ž๐™–๐™›๐™š๐™ฉ๐™ฎ ๐™›๐™ค๐™ง ๐™†๐™ž๐™™๐™จ - Part 3โ€ผ๏ธ Dropping the final part of this sharing. Honestly, with 3 kids in 3 different age c...
17/04/2025

โ€ผ๏ธ ๐™Š๐™ฃ๐™ก๐™ž๐™ฃ๐™š ๐™Ž๐™–๐™›๐™š๐™ฉ๐™ฎ ๐™›๐™ค๐™ง ๐™†๐™ž๐™™๐™จ - Part 3โ€ผ๏ธ

Dropping the final part of this sharing.

Honestly, with 3 kids in 3 different age categories sharing one space and co-shared devices, just organising my thoughts for these posts have helped me wrap my head around navigating the control of screentime and exposure of my kids to online platforms and social media. This last post is something I myself will be referring back to remind myself when my son becomes in a tween in just a couple more years.

If you haven't already noticed, alot of the hard work of keeping them safe online is actually OFFLINE. We have very little control over the external moving parts, but we certainly have a strong influence in the internal core of their beings. Water the seed well, and it may grow strong enough to weather any harsh environment.

Hope this will help you in some way or another.

Do me a favour, will ya? If you are reading this, take the poll below. Which part of navigating screen time and online exposure are you having most trouble in for your child?

ย  ย 

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B2-1-2 Publika Solaris Dutamas, No 1 Jalan Dutamas 1
Kuala Lumpur
50480

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Welcome to my crib!

Hi! Welcome to my crib!

I am a wife, a mother to two beautiful children #popiahndumplingyong (not their real names...lol!) and a community paediatrician at Baby & Beyond Child Specialist Clinic, Publika.

I am terrible at keeping journals, but the one year I did, I saw the fruition of that journey when I read what I had written and I felt immensely grateful. I felt that those years, even the mundane moments, had eternal value. Such is our human nature that we need tangible physical things to reliably serve as our memory.

Hence, this space. A journal to write my journey as a childrenโ€™s doctor and a momma. A platform to share my stories and my experience. An avenue to merge the medical sciences with practical parenthood and to share whatever knowledge I have in that realm. A way to connect with parents outside the four walls of my consultation room.