Dr. Deenish - TSMC

Dr. Deenish - TSMC Consultant General Paediatrician/ Pakar Perunding Am Kanak-kanak

๐‡๐ข๐๐ซ๐š๐ฌ๐ž๐œ: ๐”๐›๐š๐ญ ๐˜๐š๐ง๐  ๐’๐ž๐ซ๐ข๐ง๐  ๐ƒ๐ข๐ฌ๐š๐ฅ๐š๐ก๐Ÿ๐š๐ก๐š๐ฆ ๐Ÿ’ฉ(bukan iklan berbayar ๐Ÿคฃ)Baru-baru ini, seorang ibu datang berjumpa saya dalam k...
08/11/2025

๐‡๐ข๐๐ซ๐š๐ฌ๐ž๐œ: ๐”๐›๐š๐ญ ๐˜๐š๐ง๐  ๐’๐ž๐ซ๐ข๐ง๐  ๐ƒ๐ข๐ฌ๐š๐ฅ๐š๐ก๐Ÿ๐š๐ก๐š๐ฆ ๐Ÿ’ฉ
(bukan iklan berbayar ๐Ÿคฃ)

Baru-baru ini, seorang ibu datang berjumpa saya dalam keadaan keliru.

โ€œDoktor lain cakap ubat cirit-birit Hidrasec ni tak elok โ€” tahan berak; nanti virus tak keluar dari badan.โ€

Saya faham kebimbangannya โ€” tapi itu ๐’•๐’Š๐’…๐’‚๐’Œ ๐’ƒ๐’†๐’๐’‚๐’“. Let me break it down with a simple analogy.

๐‘ฉ๐’‚๐’š๐’‚๐’๐’ˆ๐’Œ๐’‚๐’ ๐’–๐’”๐’–๐’” ๐’Œ๐’Š๐’•๐’‚ ๐’”๐’†๐’‘๐’†๐’“๐’•๐’Š ๐’‘๐’‚๐’Š๐’‘ ๐’‚๐’Š๐’“ ๐’…๐’Š ๐’“๐’–๐’Ž๐’‚๐’‰ ๐Ÿšฐ
Apabila anak cirit-birit, paip itu bocor โ€” terlalu banyak air keluar dari dinding usus masuk ke dalam najis.

๐‘ฏ๐’Š๐’…๐’“๐’‚๐’”๐’†๐’„ bukan ubat yang menutup atau menahan najis daripada keluar. Ia cuma kurangkan kebocoran air dari dinding usus, supaya badan anak tak hilang terlalu banyak air.

Anak masih membuang seperti biasa โ€” cuma najisnya kurang cair dan lebih terkawal. Jadi kuman dan virus tetap keluar seperti biasa, dan anak cepat pulih tanpa terlalu lemah / risiko dehydration ๐Ÿค’

Kadang-kadang orang keliru dengan ubat dewasa seperti ๐‘ณ๐’๐’‘๐’†๐’“๐’‚๐’Ž๐’Š๐’…๐’†, yang memang memperlahan pergerakan usus, menahan najis daripada keluar. Itu berbeza & saya memang tidak menggalakkan pemberian ubat ini kepada bayi & kanak-kanak.

So what does this mean?
๐Ÿ’Š ๐Š๐š๐ฃ๐ข๐š๐ง ๐ฆ๐ž๐ง๐ฎ๐ง๐ฃ๐ฎ๐ค๐ค๐š๐ง ๐‡๐ข๐๐ซ๐š๐ฌ๐ž๐œ ๐ฌ๐ž๐ฅ๐š๐ฆ๐š๐ญ, ๐›๐ž๐ซ๐ค๐ž๐ฌ๐š๐ง, ๐๐š๐ง ๐ญ๐ข๐๐š๐ค ๐ฆ๐ž๐ง๐ ๐ ๐š๐ง๐ ๐ ๐ฎ ๐ฉ๐ซ๐จ๐ฌ๐ž๐ฌ ๐ฉ๐ž๐ฆ๐ฎ๐ฅ๐ข๐ก๐š๐ง ๐ฌ๐ž๐ฆ๐ฎ๐ฅ๐š๐ฃ๐š๐๐ข.
๐ˆ๐š ๐ฆ๐ž๐ฆ๐›๐š๐ง๐ญ๐ฎ ๐ฆ๐ž๐ง๐ ๐ฎ๐ซ๐š๐ง๐ ๐ค๐š๐ง ๐›๐ข๐ฅ๐š๐ง๐ ๐š๐ง ๐๐š๐ง ๐ข๐ฌ๐ข๐ฉ๐š๐๐ฎ ๐ง๐š๐ฃ๐ข๐ฌ ๐ฌ๐ž๐ซ๐ญ๐š ๐ฆ๐ž๐ง๐ ๐ž๐ฅ๐š๐ค ๐๐ž๐ก๐ข๐๐ซ๐š๐ฌ๐ข โ€” ๐ญ๐ž๐ซ๐ฎ๐ญ๐š๐ฆ๐š๐ง๐ฒ๐š ๐›๐š๐ ๐ข ๐ค๐š๐ง๐š๐ค-๐ค๐š๐ง๐š๐ค ๐ค๐ž๐œ๐ข๐ฅ.
๐†๐ฎ๐ง๐š๐ค๐š๐ง ๐ญ๐š๐ง๐ฉ๐š ๐ฐ๐š๐ฌ-๐ฐ๐š๐ฌ (again, bukan iklan berbayar!)

๐ด๐‘›๐‘‘ ๐‘Ž ๐‘“๐‘–๐‘›๐‘Ž๐‘™ ๐‘›๐‘œ๐‘ก๐‘’ ๐‘ก๐‘œ ๐‘š๐‘ฆ ๐‘‘๐‘œ๐‘๐‘ก๐‘œ๐‘Ÿ ๐‘๐‘œ๐‘™๐‘™๐‘’๐‘Ž๐‘”๐‘ข๐‘’๐‘  ๐Ÿฉบ

๐‘‡โ„Ž๐‘’๐‘Ÿ๐‘’ ๐‘Ž๐‘Ÿ๐‘’ ๐‘š๐‘Ž๐‘›๐‘ฆ ๐‘ค๐‘Ž๐‘ฆ๐‘  ๐‘ก๐‘œ ๐‘ ๐‘˜๐‘–๐‘› ๐‘Ž ๐‘๐‘Ž๐‘ก. ๐พ๐‘–๐‘ก๐‘Ž ๐‘ ๐‘’๐‘š๐‘ข๐‘Ž ๐‘š๐‘Žโ„Ž๐‘ข ๐‘™๐‘Ž๐‘˜๐‘ข๐‘˜๐‘Ž๐‘› ๐‘ฆ๐‘Ž๐‘›๐‘” ๐‘ก๐‘’๐‘Ÿ๐‘๐‘Ž๐‘–๐‘˜ ๐‘ข๐‘›๐‘ก๐‘ข๐‘˜ ๐‘๐‘’๐‘ ๐‘Ž๐‘˜๐‘–๐‘ก ๐‘ค๐‘Ž๐‘™๐‘Ž๐‘ข๐‘๐‘ข๐‘› ๐‘๐‘’๐‘›๐‘‘๐‘’๐‘˜๐‘Ž๐‘ก๐‘Ž๐‘› ๐‘๐‘’๐‘Ÿ๐‘๐‘’๐‘ง๐‘Ž.
๐‘‡๐‘Ž๐‘๐‘– ๐‘š๐‘Ž๐‘Ÿ๐‘–๐‘™๐‘Žโ„Ž ๐‘˜๐‘–๐‘ก๐‘Ž ๐‘๐‘’๐‘Ÿโ„Ž๐‘Ž๐‘ก๐‘–-โ„Ž๐‘Ž๐‘ก๐‘– ๐‘๐‘–๐‘™๐‘Ž ๐‘š๐‘’๐‘š๐‘๐‘’๐‘Ÿ๐‘– ๐‘˜๐‘œ๐‘š๐‘’๐‘› ๐‘ก๐‘’๐‘Ÿ๐‘๐‘ข๐‘˜๐‘Ž ๐‘ก๐‘’๐‘›๐‘ก๐‘Ž๐‘›๐‘” ๐‘Ÿ๐‘Ž๐‘ค๐‘Ž๐‘ก๐‘Ž๐‘› ๐‘Ÿ๐‘Ž๐‘˜๐‘Ž๐‘› ๐‘™๐‘Ž๐‘–๐‘› ๐‘‘๐‘– ๐‘‘๐‘’๐‘๐‘Ž๐‘› ๐‘–๐‘๐‘ข ๐‘๐‘Ž๐‘๐‘Ž.
๐‘†๐‘’๐‘‘๐‘–๐‘˜๐‘–๐‘ก ๐‘˜๐‘Ž๐‘ก๐‘Ž ๐‘๐‘œ๐‘™๐‘’โ„Ž ๐‘š๐‘’๐‘›๐‘–๐‘š๐‘๐‘ข๐‘™๐‘˜๐‘Ž๐‘› ๐‘๐‘Ž๐‘›๐‘ฆ๐‘Ž๐‘˜ ๐‘˜๐‘’๐‘˜๐‘’๐‘™๐‘–๐‘Ÿ๐‘ข๐‘Ž๐‘› โ€” ๐‘‘๐‘Ž๐‘› ๐‘Ž๐‘˜โ„Ž๐‘–๐‘Ÿ๐‘›๐‘ฆ๐‘Ž, ๐‘ฆ๐‘Ž๐‘›๐‘” ๐‘Ÿ๐‘ข๐‘”๐‘– ๐‘–๐‘Ž๐‘™๐‘Žโ„Ž ๐‘˜๐‘’๐‘™๐‘ข๐‘Ž๐‘Ÿ๐‘”๐‘Ž ๐‘ฆ๐‘Ž๐‘›๐‘” ๐‘˜๐‘–๐‘ก๐‘Ž ๐‘ ๐‘Ž๐‘š๐‘Ž-๐‘ ๐‘Ž๐‘š๐‘Ž ๐‘–๐‘›๐‘”๐‘–๐‘› ๐‘๐‘Ž๐‘›๐‘ก๐‘ข.

๐ˆ๐Ÿ ๐ฒ๐จ๐ฎ ๐ž๐ฏ๐ž๐ซ ๐ฌ๐ž๐ž ๐ฆ๐ฒ ๐œ๐š๐ซ ๐ฉ๐š๐ซ๐ค๐ž๐ ๐ฌ๐ž๐ง๐ ๐ž๐ญ-๐ฌ๐ž๐ง๐ ๐ž๐ญ ๐ฅ๐ข๐ค๐ž ๐ญ๐ก๐ข๐ฌ ๐š๐ญ ๐ฌ๐จ๐ฆ๐ž ๐ฎ๐ง๐ ๐จ๐๐ฅ๐ฒ ๐ก๐จ๐ฎ๐ซโ€ฆ ๐ข๐ญ ๐œ๐š๐ง ๐จ๐ง๐ฅ๐ฒ ๐ฆ๐ž๐š๐ง ๐Ž๐๐„ ๐ญ๐ก๐ข๐ง๐ :๐„๐ฆ๐ž๐ซ๐ ๐ž๐ง๐œ๐ฒ.A few n...
05/11/2025

๐ˆ๐Ÿ ๐ฒ๐จ๐ฎ ๐ž๐ฏ๐ž๐ซ ๐ฌ๐ž๐ž ๐ฆ๐ฒ ๐œ๐š๐ซ ๐ฉ๐š๐ซ๐ค๐ž๐ ๐ฌ๐ž๐ง๐ ๐ž๐ญ-๐ฌ๐ž๐ง๐ ๐ž๐ญ ๐ฅ๐ข๐ค๐ž ๐ญ๐ก๐ข๐ฌ ๐š๐ญ ๐ฌ๐จ๐ฆ๐ž ๐ฎ๐ง๐ ๐จ๐๐ฅ๐ฒ ๐ก๐จ๐ฎ๐ซโ€ฆ ๐ข๐ญ ๐œ๐š๐ง ๐จ๐ง๐ฅ๐ฒ ๐ฆ๐ž๐š๐ง ๐Ž๐๐„ ๐ญ๐ก๐ข๐ง๐ :
๐„๐ฆ๐ž๐ซ๐ ๐ž๐ง๐œ๐ฒ.

A few nights ago, just as I was about to wind down, my phone rang. Nurse calling from the delivery room.
Her voice was shaky:

โ€œ๐‘ซ๐’๐’„๐’•๐’๐’“โ€ฆ ๐’ƒ๐’‚๐’ƒ๐’š ๐’ƒ๐’๐’“๐’ ๐’‡๐’๐’‚๐’•..."

No time to waste.
Grab keys. Run to the car. Drive like a man with a mission.
Park macam hero landing.

Inside, the situation was tense. A newborn struggling, chest rising poorly, meconium-stained everywhere. Classic picture of Meconium Aspiration Syndrome (MAS).

We moved fast โ€”
โœ… Clear airway
โœ… Suction
โœ… Support breathing
โœ… Assess tone
โœ… Stabilise
โœ… Repeat vital checks

Those few minutes always feel like hours.
Youโ€™re watching a tiny human fight to take those first proper breathsโ€ฆ and youโ€™re praying your hands are fast enough, your mind sharp enough.

And then โ€”
A cry; a strong one.
Pink colour returning. Vitals stabilising.

Thank God. No hypoxia. No respiratory failure. Baby is now well, breathing comfortably, and with mummy.

๐’๐จ ๐ฐ๐ก๐š๐ญ ๐ž๐ฑ๐š๐œ๐ญ๐ฅ๐ฒ ๐ข๐ฌ ๐Œ๐€๐’?
Meconium Aspiration Syndrome happens when a baby passes meconium (their first p**p) before birth and accidentally inhales it into the lungs.

๐–๐ก๐ฒ ๐ข๐ญโ€™๐ฌ ๐๐š๐ง๐ ๐ž๐ซ๐จ๐ฎ๐ฌ:
Meconium blocks the airways, causes inflammation & can lead to collapsed lungs. If untreated, it can cause severe breathing difficulty and hypoxia (low oxygen levels affecting important organs like brain & heart).

๐–๐ก๐š๐ญ ๐ฉ๐š๐ซ๐ž๐ง๐ญ๐ฌ ๐ฌ๐ก๐จ๐ฎ๐ฅ๐ ๐ค๐ง๐จ๐ฐ:
โœ… MAS is not caused by something the mother ate or did
โœ… It can happen even in normal pregnancies
โœ… Fast action during delivery makes a big difference
โœ… Many babies recover beautifully when treated early

Last nightโ€™s baby is safe because the team acted quickly, communicated clearly, and worked together like clockwork.

I'm grateful to have a complete set up here; from skilled obstetrician (Dr Azila Women Specialist Clinic - Tsmc) & Consultant Anaesthetist (Dr. Fauzy) to care for the mom; an excellent nursing team to back me up, as well as complete nursery and ICU facilities in Tawau Specialist Medical Centre should things turn difficult.

And yesโ€ฆ if you ever see my car parked like this again, just know:
Somewhere inside, a tiny life needs help โ€” and we donโ€™t waste a single second โค๏ธ

โœˆ๏ธ ๐‚๐ฎ๐ญ๐ข ๐‡๐ฎ๐ฃ๐ฎ๐ง๐  ๐“๐š๐ก๐ฎ๐ง ๐’๐ž๐ฆ๐š๐ค๐ข๐ง ๐ƒ๐ž๐ค๐š๐ญ!Ramai ibu bapa dah mula merancang percutian sekolah โ€” sama ada ke luar daerah, balik ...
28/10/2025

โœˆ๏ธ ๐‚๐ฎ๐ญ๐ข ๐‡๐ฎ๐ฃ๐ฎ๐ง๐  ๐“๐š๐ก๐ฎ๐ง ๐’๐ž๐ฆ๐š๐ค๐ข๐ง ๐ƒ๐ž๐ค๐š๐ญ!

Ramai ibu bapa dah mula merancang percutian sekolah โ€” sama ada ke luar daerah, balik kampung, atau ke luar negara ๐ŸŒด๐Ÿ–๏ธ

Today, I want to share with you guys the list of important ubats that you need to bring with you if travelling with children.

๐Ÿ’Š ๐พฬฒ๐‘’ฬฒ๐‘ฬฒ๐‘’ฬฒ๐‘Ÿฬฒ๐‘™ฬฒ๐‘ขฬฒ๐‘Žฬฒ๐‘›ฬฒ ๐ดฬฒ๐‘ ฬฒ๐‘Žฬฒ๐‘ ฬฒ ๐‘ƒฬฒ๐‘’ฬฒ๐‘Ÿฬฒ๐‘ขฬฒ๐‘ฬฒ๐‘Žฬฒ๐‘กฬฒ๐‘Žฬฒ๐‘›ฬฒ ๐ดฬฒ๐‘›ฬฒ๐‘Žฬฒ๐‘˜ฬฒ

1๏ธโƒฃUbat demam (Paracetamol / Ibuprofen โ€“ versi sirap & supositori kalau boleh)
2๏ธโƒฃGaram rehidrasi (ORS) โ€“ untuk cirit-birit atau muntah
3๏ธโƒฃUbat alahan (untuk gatal, ruam, gigitan serangga)
4๏ธโƒฃSemburan hidung garam โ€“ sesuai semasa hidung tersumbat atau selsema
5๏ธโƒฃUbat batuk / selsema (ikut umur dan dos sesuai)
6๏ธโƒฃZink atau probiotik โ€“ rawatan cirit-birit
7๏ธโƒฃAntiseptik & plaster luka โ€“ untuk luka kecil
8๏ธโƒฃLosyen / semburan nyamuk โ€“ penting terutama jika melancong di Asia Tenggara

Addition tips:
๐Ÿผ Simpan ubat dalam beg tangan, bukan beg check in luggage
๐ŸŒก๏ธ Semak tarikh luput & dos
๐Ÿฅ Catat klinik / hospital berhampiran destinasi anda
๐Ÿ“ฑ Simpan nombor doktor paediatrician anak anda ๐Ÿ˜‰

๐€๐ง๐ ๐ฆ๐จ๐ฌ๐ญ ๐ข๐ฆ๐ฉ๐จ๐ซ๐ญ๐š๐ง๐ญ๐ฅ๐ฒ, ๐๐จ ๐ง๐จ๐ญ ๐Ÿ๐จ๐ซ๐ ๐ž๐ญ ๐ฒ๐จ๐ฎ๐ซ ๐ข๐ง๐Ÿ๐ฅ๐ฎ๐ž๐ง๐ณ๐š ๐ฏ๐š๐œ๐œ๐ข๐ง๐ž ๐Ÿ’‰

Stay safe guys ๐Ÿซถ

According to legend, the tyrant Narakasura ruled with cruelty and arrogance, spreading fear and darkness across the land...
20/10/2025

According to legend, the tyrant Narakasura ruled with cruelty and arrogance, spreading fear and darkness across the land. He captured thousands and silenced those who stood for good.

Then came Lord Krishna, who rose to challenge him. After an epic battle, Krishna defeated Narakasura and freed the captives at dawn. The people lit lamps ๐Ÿช”in celebration, marking the victory of light over darkness, and good over evil.

That dawn became Deepavali, a reminder that ๐๐š๐ซ๐ค๐ง๐ž๐ฌ๐ฌ ๐ง๐ž๐ฏ๐ž๐ซ ๐ฅ๐š๐ฌ๐ญ๐ฌ ๐Ÿ๐จ๐ซ๐ž๐ฏ๐ž๐ซ โ€” ๐ง๐จ๐ญ ๐ข๐ง ๐ญ๐ก๐ž ๐ฐ๐จ๐ซ๐ฅ๐, ๐š๐ง๐ ๐ง๐จ๐ญ ๐ข๐ง ๐ฎ๐ฌ.

As a paediatrician, I saw that come true over the past week as we fought the worst rota/influenza outbreak of the year so far. We saw that same light every time a child got better, every time hope replaces worry. Itโ€™s a small Deepavali moment โ€” every single day.

Wishing everyone a bright, peaceful, and meaningful Deepavali. From all of us here at Tawau Specialist Medical Centre.

๐”๐๐€๐“ ๐ƒ๐„๐Œ๐€๐Œ ๐€๐๐€๐Š: ๐Œ๐€๐๐€ ๐’๐„๐‹๐€๐Œ๐€๐“, ๐Œ๐€๐๐€ ๐๐„๐‘๐‹๐” ๐„๐‹๐€๐ŠSaya ada terima whatsapp dari parents yang risau dengan perkongsian influe...
14/10/2025

๐”๐๐€๐“ ๐ƒ๐„๐Œ๐€๐Œ ๐€๐๐€๐Š: ๐Œ๐€๐๐€ ๐’๐„๐‹๐€๐Œ๐€๐“, ๐Œ๐€๐๐€ ๐๐„๐‘๐‹๐” ๐„๐‹๐€๐Š

Saya ada terima whatsapp dari parents yang risau dengan perkongsian influencer (Dr Izzar Anwari) berkaitan ubat demam.

Dengan peningkatan kes influenza sekarang, ada parents yang keliru โ€” terutamanya ubat punggung (suppository).
Isu ini timbul selepas amaran tentang NSAID suppository (contohnya diclofenac) yang mungkin ada kaitan dengan kes radang otak (ANEC) semasa jangkitan Influenza.

Mari kita perjelas satu-satu berdasarkan bukti semasa dan panduan rasmi (KKM & NPRA):

โœ… ๐Ÿ. ๐๐€๐‘๐€๐‚๐„๐“๐€๐Œ๐Ž๐‹ (๐๐‚๐Œ / ๐๐š๐ง๐š๐๐จ๐ฅ / ๐๐จ๐ซ๐จ / ๐˜๐’๐)

Bentuk: Cecair (syrup) & Suppository (cucuk punggung)

๐’๐ญ๐š๐ญ๐ฎ๐ฌ: โœ”๏ธ ๐’๐ž๐ฅ๐š๐ฆ๐š๐ญ & ๐๐ข๐ฌ๐ฒ๐จ๐ซ๐ค๐š๐ง ๐ฎ๐ง๐ญ๐ฎ๐ค ๐ค๐š๐ง๐š๐ค-๐ค๐š๐ง๐š๐ค ๐๐š๐ซ๐ข ๐ฌ๐ž๐ฆ๐ฎ๐š ๐ฉ๐ž๐ซ๐ข๐ง๐ ๐ค๐š๐ญ ๐ฎ๐ฆ๐ฎ๐ซ

๐Ÿ“˜ Tahap bukti: Kukuh & luas (bertahun-tahun digunakan secara selamat di seluruh dunia).

โœ… ๐Ÿ. ๐ˆ๐๐”๐๐‘๐Ž๐…๐„๐ (๐๐ฎ๐ซ๐จ๐Ÿ๐ž๐ง / ๐๐ซ๐ฎ๐Ÿ๐ž๐ง)

Bentuk: Cecair (syrup) sahaja di Malaysia

๐’๐ญ๐š๐ญ๐ฎ๐ฌ: โš ๏ธ ๐’๐ž๐ฅ๐š๐ฆ๐š๐ญ ๐๐ข๐ ๐ฎ๐ง๐š๐ค๐š๐ง ๐๐ž๐ง๐ ๐š๐ง ๐ฉ๐ž๐ฆ๐š๐ง๐ญ๐š๐ฎ๐š๐ง ๐๐จ๐ค๐ญ๐จ๐ซ

โžก๏ธ Diluluskan untuk kanak-kanak โ‰ฅ6 bulan.
โžก๏ธ Berguna jika demam tidak turun dengan PCM.

๐Ÿ“˜ Tahap bukti: Kukuh (digunakan secara global)

๐Ÿ”ด ๐Ÿ‘. ๐ƒ๐ˆ๐‚๐‹๐Ž๐…๐„๐๐€๐‚ (๐•๐จ๐ฅ๐ญ๐š๐ซ๐ž๐ง / ๐‚๐š๐ญ๐š๐Ÿ๐ฅ๐š๐ฆ)

Bentuk: Suppository

Status: โŒ Tidak diluluskan untuk rawatan demam pada kanak-kanak (off-label)

โžก๏ธ Ada kaitan dengan kes radang otak (sangat jarang tapi pernah dilaporkan)

๐Ÿ“• Tahap bukti: Terhad (beberapa kes dilaporkan, tiada kajian besar), tetapi cukup untuk wujud amaran rasmi KKM/NPRA โ€” jadi elakkan sepenuhnya.

๐Š๐ž๐ฌ๐ข๐ฆ๐ฉ๐ฎ๐ฅ๐š๐ง๐ง๐ฒ๐š: ๐๐š๐ซ๐š๐œ๐ž๐ญ๐š๐ฆ๐จ๐ฅ & ๐ˆ๐›๐ฎ๐ฉ๐ซ๐จ๐Ÿ๐ž๐ง (๐ฌ๐š๐ฆ๐š ๐š๐๐š ๐ฌ๐ฒ๐ซ๐ฎ๐ฉ ๐š๐ญ๐š๐ฎ ๐œ๐ฎ๐œ๐ฎ๐ค ๐ฉ๐ฎ๐ง๐ ๐ ๐ฎ๐ง๐ ) ๐Ÿ‘ ๐Ÿ‘๐Ÿ‘
Check the label always!

Nota kaki: Dulu Dr Izzar senior saya di University College Dublin โ€” memang handsome, genius & gentleman.
Saya pun hampir samaโ€ฆ cuma beza kat tiga benda tu je ๐Ÿ˜‚

Just landed from Penang.While lining up at Imigresen โ€” direct call from hospital.Four little ones already waiting.Fever....
12/10/2025

Just landed from Penang.
While lining up at Imigresen โ€” direct call from hospital.
Four little ones already waiting.
Fever. Diarrhoea. Vomiting.
Outbreak continues.

Dengan baju masih bau2 nasi kandar deen jelutong. Straight from airport to TSMC.
Some kids weak they had to be carried in.
Three positive for Rotavirus. One for Influenza.
Dangerous times indeed โ€” viruses are everywhere.

Exhausted but relieved theyโ€™re all stable now.
Starving, but first โ€” mandi dulu, baru makan.
๐Ÿงด๐Ÿงผ Please remember: hygiene saves lives.
Clean hands. Clean bottles. Clean water. Always.

P.S Clinic reopens tomorrow. See you all โค๏ธ๐Ÿซถ

โ€œ๐ƒ๐จ๐œ๐ญ๐จ๐ซ, ๐›๐š๐›๐ฒ ๐ฌ๐ฎ๐ฌ๐š๐ก ๐ง๐š๐Ÿ๐š๐ฌ ๐ฅ๐š๐ ๐ขโ€”๐‘๐’๐• ๐ฉ๐จ๐ฌ๐ข๐ญ๐ข๐Ÿ.โ€Iโ€™m sure you guys remember that post a few months ago sharing about the awfu...
11/10/2025

โ€œ๐ƒ๐จ๐œ๐ญ๐จ๐ซ, ๐›๐š๐›๐ฒ ๐ฌ๐ฎ๐ฌ๐š๐ก ๐ง๐š๐Ÿ๐š๐ฌ ๐ฅ๐š๐ ๐ขโ€”๐‘๐’๐• ๐ฉ๐จ๐ฌ๐ข๐ญ๐ข๐Ÿ.โ€

Iโ€™m sure you guys remember that post a few months ago sharing about the awful ๐‘๐’๐• ๐•๐ข๐ซ๐ฎ๐ฌ.

Ayat yang masih terngiang di telinga saya.
Too many times dah, bayi-bayi kecil datang ke hospital โ€” sesak nafas, bibir biru, paru-paru penuh kahak.
Dan setiap kali, rawatannya sama: oksigen, sedut kahak, doa.

๐ˆ๐ง๐ข ๐ค๐ž๐ซ๐š๐ง๐š ๐ฌ๐ž๐ฅ๐š๐ฆ๐š ๐ข๐ง๐ข, ๐ญ๐ข๐š๐๐š ๐ฎ๐›๐š๐ญ ๐š๐ญ๐š๐ฎ ๐ฏ๐š๐ค๐ฌ๐ข๐ง ๐ค๐ก๐ฎ๐ฌ๐ฎ๐ฌ ๐ฎ๐ง๐ญ๐ฎ๐ค ๐‘๐’๐•.

Kita hanya boleh menunggu dan berharap agar tubuh bayi cukup kuat untuk melawan virus itu sendiri.
Sebagai doktor, kita rawat sebaik mungkin โ€” tapi di hati tetap ada rasa cemas:
โ€œMampukah dia lawan?โ€

๐–๐ž๐ฅ๐ฅ, ๐ง๐จ๐ญ ๐š๐ง๐ฒ๐ฆ๐จ๐ซ๐ž! ๐Š๐ข๐ง๐ข, ๐š๐๐š ๐ฌ๐ข๐ง๐š๐ซ ๐›๐š๐ซ๐ฎ๐Ÿคฒ
๐๐ฎ๐ค๐š๐ง ๐ฏ๐š๐ค๐ฌ๐ข๐ง, ๐ญ๐š๐ฉ๐ข ๐ฌ๐ž๐œ๐š๐ซ๐š ๐ฅ๐š๐ง๐ ๐ฌ๐ฎ๐ง๐  ๐ฆ๐ž๐ฆ๐›๐ž๐ซ๐ข ๐š๐ง๐ญ๐ข๐›๐จ๐๐ข ๐ญ๐ž๐ซ๐ฎ๐ฌ ๐ค๐ž๐ฉ๐š๐๐š ๐›๐š๐ฒ๐ข.

Satu suntikan antibodi siap sedia, nirsevimab, kini mampu melindungi bayi sebelum virus menyerang.

Tahan berbulan-bulan, cukup untuk musim RSV yang paling aktif.

Untuk kali pertama, kita boleh mencegah sebelum ia terjadi โ€” bukan sekadar menunggu dan merawat bila sudah parah.

๐ต๐‘’๐’ธ๐’ถ๐“Š๐“ˆ๐‘’ ๐‘œ๐“Š๐“‡ ๐“€๐’พ๐’น๐“ˆ ๐’พ๐“ƒ ๐’ฏ๐’ถ๐“Œ๐’ถ๐“Š ๐’น๐‘’๐“ˆ๐‘’๐“‡๐“‹๐‘’ ๐“‰๐’ฝ๐‘’ ๐“๐’ถ๐“‰๐‘’๐“ˆ๐“‰ ๐’ถ๐“ƒ๐’น ๐“‰๐’ฝ๐‘’ ๐’ท๐‘’๐“ˆ๐“‰ ๐Ÿซถโค๏ธ

๐ƒ๐ซ. ๐ƒ๐ž๐ž๐ง๐ข๐ฌ๐ก
๐Œ๐๐€ ๐‚๐จ๐ง๐ ๐ซ๐ž๐ฌ๐ฌ ๐Ÿ๐ŸŽ๐Ÿ๐Ÿ“
๐๐ž๐ง๐š๐ง๐ 

Dear parents, Iโ€™m away for the Malaysian Paediatric Association (MPA) Congress 2025, but ๐š๐ฌ ๐š๐ฅ๐ฐ๐š๐ฒ๐ฌ โ€” ๐œ๐จ๐ง๐ญ๐š๐œ๐ญ๐š๐›๐ฅ๐ž ๐Ÿ๐จ๐ซ ๐ญ๐ก๐ž...
10/10/2025

Dear parents, Iโ€™m away for the Malaysian Paediatric Association (MPA) Congress 2025, but ๐š๐ฌ ๐š๐ฅ๐ฐ๐š๐ฒ๐ฌ โ€” ๐œ๐จ๐ง๐ญ๐š๐œ๐ญ๐š๐›๐ฅ๐ž ๐Ÿ๐จ๐ซ ๐ญ๐ก๐ž ๐ฌ๐š๐ค๐ž ๐จ๐Ÿ ๐ฆ๐ฒ ๐ฅ๐ข๐ญ๐ญ๐ฅ๐ž ๐ฉ๐š๐ญ๐ข๐ž๐ง๐ญ๐ฌ.

My phoneโ€™s been buzzing non-stop these past two days. Multiple kids with ๐ฏ๐จ๐ฆ๐ข๐ญ๐ข๐ง๐ , ๐๐ข๐š๐ซ๐ซ๐ก๐จ๐ž๐š, ๐š๐ง๐ ๐Ÿ๐ž๐ฏ๐ž๐ซ โ€” some already showing signs of dehydration. Iโ€™m really sorry I canโ€™t be there in person, but Iโ€™ll continue to guide however I can ๐Ÿ™

If your child seems weak or unable to drink, please go straight to TSMC Emergency Department โ€” itโ€™s open 24/7 as usual.

For everyone else, a few simple but important reminders:
โ€ข ๐„๐ง๐ฌ๐ฎ๐ซ๐ž ๐œ๐ฅ๐ž๐š๐ง, ๐ฌ๐š๐Ÿ๐ž ๐๐ซ๐ข๐ง๐ค๐ข๐ง๐  ๐ฐ๐š๐ญ๐ž๐ซ ๐Ÿ’ฆ
โ€ข ๐’๐ญ๐ž๐ซ๐ข๐ฅ๐ข๐ฌ๐ž ๐›๐จ๐ญ๐ญ๐ฅ๐ž๐ฌ ๐š๐ง๐ ๐ฎ๐ญ๐ž๐ง๐ฌ๐ข๐ฅ๐ฌ ๐ฉ๐ซ๐จ๐ฉ๐ž๐ซ๐ฅ๐ฒ ๐Ÿผ
โ€ข ๐๐ซ๐š๐œ๐ญ๐ข๐œ๐ž ๐Ÿ๐ซ๐ž๐ช๐ฎ๐ž๐ง๐ญ ๐ก๐š๐ง๐๐ฐ๐š๐ฌ๐ก๐ข๐ง๐  ๐ญ๐จ ๐ฉ๐ซ๐ž๐ฏ๐ž๐ง๐ญ ๐Ÿ๐ฎ๐ซ๐ญ๐ก๐ž๐ซ ๐ฌ๐ฉ๐ซ๐ž๐š๐ ๐Ÿงด

Letโ€™s stay vigilant and keep our little ones hydrated and safe.

Stay safe, Tawau ๐Ÿซถโค๏ธ

๐‘ป๐’‚๐’‰๐’–๐’Œ๐’‚๐’‰ ๐’‚๐’๐’…๐’‚, ๐’—๐’‚๐’Œ๐’”๐’Š๐’ ๐’‘๐’๐’†๐’–๐’Ž๐’๐’Œ๐’๐’Œ๐’‚๐’ ๐’•๐’†๐’๐’‚๐’‰ ๐’ƒ๐’‚๐’๐’š๐’‚๐’Œ ๐’ƒ๐’†๐’“๐’Œ๐’†๐’Ž๐’ƒ๐’‚๐’๐’ˆ ๐’”๐’†๐’‹๐’‚๐’Œ ๐’…๐’‚๐’‰๐’–๐’๐’–?Banyak juga pilihan vaksin pneumokokal di pasaran....
09/10/2025

๐‘ป๐’‚๐’‰๐’–๐’Œ๐’‚๐’‰ ๐’‚๐’๐’…๐’‚, ๐’—๐’‚๐’Œ๐’”๐’Š๐’ ๐’‘๐’๐’†๐’–๐’Ž๐’๐’Œ๐’๐’Œ๐’‚๐’ ๐’•๐’†๐’๐’‚๐’‰ ๐’ƒ๐’‚๐’๐’š๐’‚๐’Œ ๐’ƒ๐’†๐’“๐’Œ๐’†๐’Ž๐’ƒ๐’‚๐’๐’ˆ ๐’”๐’†๐’‹๐’‚๐’Œ ๐’…๐’‚๐’‰๐’–๐’๐’–?

Banyak juga pilihan vaksin pneumokokal di pasaran. Yang paling โ€œkolotโ€ hanya 7 โ€œvalentโ€(PCV7) kemudian PCV10, PCV13, dan kini yang lebih baru โ€” PCV15 serta PCV20.

๐‹๐ž๐›๐ข๐ก ๐ญ๐ข๐ง๐ ๐ ๐ข โ€œ๐ฏ๐š๐ฅ๐ž๐ง๐ญโ€, ๐ฅ๐ž๐›๐ข๐ก ๐ฅ๐ฎ๐š๐ฌ ๐ฉ๐ž๐ซ๐ฅ๐ข๐ง๐๐ฎ๐ง๐ ๐š๐ง๐ง๐ฒ๐š.
โ€œValentโ€ ibarat perisian antivirus dalam komputer.
PCV7 hanya kenal 7 jenis bakteria, tapi PCV15 boleh mengenal pasti & menghapuskan 15 jenis bacteria pneumokokal.

KEMENTERIAN KESIHATAN MALAYSIA sendiri sudah menghentikan penggunaan vaksin โ€œlamaโ€ (PCV10) sejak 2023.

Malangnya, masih ada klinik yang menggunakan vaksin lama โ€” mungkin lebih murah, tetapi perlindungannya tidak selengkap yang terkini.

Sebelum anak anda disuntik, tanyalah dulu:
โ€œ๐•๐š๐ค๐ฌ๐ข๐ง ๐ฉ๐ง๐ž๐ฎ๐ฆ๐จ๐ค๐จ๐ค๐š๐ฅ ๐ฃ๐ž๐ง๐ข๐ฌ ๐š๐ฉ๐š ๐ฒ๐š๐ง๐  ๐๐ข๐ ๐ฎ๐ง๐š๐ค๐š๐ง?โ€

Pilih yang terbukti & terbaik โ€” jangan biarkan anak anda dilindungi separuh jalan.

โ€” Dr Deenish Muniandy
MPA Congress 2025
Bayan Lepas, Pulau Pinang.

๐‘ณ๐‘ฌ๐‘จ๐‘น๐‘ต๐‘ฐ๐‘ต๐‘ฎ ๐‘ต๐‘ฌ๐‘ฝ๐‘ฌ๐‘น ๐‘ฌ๐‘ต๐‘ซ๐‘บDear parents, saya dalam perjalanan ke Pulau Pinang untuk menghadiri ๐Š๐จ๐ง๐ ๐ซ๐ž๐ฌ ๐๐ž๐ซ๐ฌ๐š๐ญ๐ฎ๐š๐ง ๐๐ž๐๐ข๐š๐ญ๐ซ๐ข๐ค ๐Œ๐š๐ฅ๐š...
08/10/2025

๐‘ณ๐‘ฌ๐‘จ๐‘น๐‘ต๐‘ฐ๐‘ต๐‘ฎ ๐‘ต๐‘ฌ๐‘ฝ๐‘ฌ๐‘น ๐‘ฌ๐‘ต๐‘ซ๐‘บ

Dear parents, saya dalam perjalanan ke Pulau Pinang untuk menghadiri ๐Š๐จ๐ง๐ ๐ซ๐ž๐ฌ ๐๐ž๐ซ๐ฌ๐š๐ญ๐ฎ๐š๐ง ๐๐ž๐๐ข๐š๐ญ๐ซ๐ข๐ค ๐Œ๐š๐ฅ๐š๐ฒ๐ฌ๐ข๐š (๐Œ๐๐€) ๐Ÿ๐ŸŽ๐Ÿ๐Ÿ“ yang bertemakan โ€œ๐•๐š๐œ๐œ๐ข๐ง๐ž๐ฌ ๐š๐ง๐ ๐„๐ญ๐ก๐ข๐œ๐ฌ ๐Ÿ๐จ๐ซ ๐‹๐ข๐Ÿ๐žโ€. Inilah himpunan terbesar pakar kanak-kanak di Malaysia, tempat kami bertukar ilmu dan pengalaman.

Tahun ini fokusnya pada latest developments dalam bidang vaksin serta isu etika yang timbul dalam rawatan kanak-kanak. Semoga ilmu baru yang bakal dipelajari akan membantu saya memberi rawatan yang lebih selamat, tepat dan berpandukan etika untuk anak-anak di Tawau.

Stay safe Tawau, I'll be back on Sunday!

๐Ÿฏโœจ ๐—ฅ๐—ผ๐—ฎ๐—ฟ๐—ถ๐—ป๐—ด ๐—ด๐—ผ๐—ผ๐—ฑ ๐—ป๐—ฒ๐˜„๐˜€ ๐—ณ๐—ผ๐—ฟ ๐˜๐—ต๐—ฒ ๐— ๐—ฎ๐˜†๐—ฏ๐—ฎ๐—ป๐—ธ ๐—ณ๐—ฎ๐—บ๐—ถ๐—น๐˜†!Weโ€™re now officially a Maybank Panel Hospital & Clinic ๐ŸŽ‰That means Maybank s...
01/10/2025

๐Ÿฏโœจ ๐—ฅ๐—ผ๐—ฎ๐—ฟ๐—ถ๐—ป๐—ด ๐—ด๐—ผ๐—ผ๐—ฑ ๐—ป๐—ฒ๐˜„๐˜€ ๐—ณ๐—ผ๐—ฟ ๐˜๐—ต๐—ฒ ๐— ๐—ฎ๐˜†๐—ฏ๐—ฎ๐—ป๐—ธ ๐—ณ๐—ฎ๐—บ๐—ถ๐—น๐˜†!

Weโ€™re now officially a Maybank Panel Hospital & Clinic ๐ŸŽ‰

That means Maybank staff & their dependents can enjoy ๐—–๐—”๐—ฆ๐—›๐—Ÿ๐—˜๐—ฆ๐—ฆ treatment with us โ€” no upfront payment, no pay and claim, no headaches!

๐Ÿ’› We canโ€™t wait to welcome you and your little ones to Tawau Specialist Medical Centre. When itโ€™s 5 โญ๏ธ treatment youโ€™re looking for, you can always ๐’ƒ๐’‚๐’๐’Œ on us ๐Ÿ˜‰

Hari Jumaat yang lepas, saya berpeluang berkongsi dengan rakan-rakan doktor tentang kajian terbaru dalam perkembangan ba...
29/09/2025

Hari Jumaat yang lepas, saya berpeluang berkongsi dengan rakan-rakan doktor tentang kajian terbaru dalam perkembangan bayi. Round table discussion (RTD) eksklusif ini dihadiri doktor pakar Pediatrik, doktor pakar jantung Pediatrik, doktor pakar O&G serta doktor-doktor GP dari Tawau & Kota Kinabalu; di mana fokusnya adalah untuk meningkatkan โ€œmielinasiโ€ otak bayi.

๐”๐ง๐ญ๐ฎ๐ค ๐ฉ๐ž๐ง๐ ๐ž๐ญ๐š๐ก๐ฎ๐š๐ง ๐ข๐›๐ฎ ๐›๐š๐ฉ๐š, ๐ฆ๐ข๐ž๐ฅ๐ข๐ง๐š๐ฌ๐ข = ๐ฉ๐ซ๐จ๐ฌ๐ž๐ฌ ๐จ๐ญ๐š๐ค โ€œ๐ฆ๐ž๐ง๐ฒ๐š๐ฅ๐ฎ๐ญ ๐ฐ๐š๐ฒ๐š๐ซ ๐ฌ๐š๐ซ๐š๐Ÿโ€ ๐ฌ๐ž๐ฉ๐ž๐ซ๐ญ๐ข ๐ฉ๐ž๐ง๐ž๐›๐š๐ญ ๐ค๐š๐›๐ž๐ฅ ๐ฌ๐ฎ๐ฉ๐š๐ฒ๐š ๐ข๐ฌ๐ฒ๐š๐ซ๐š๐ญ ๐›๐ž๐ซ๐ ๐ž๐ซ๐š๐ค ๐ฅ๐ž๐›๐ข๐ก ๐ฅ๐š๐ฃ๐ฎ & ๐ฃ๐ž๐ฅ๐š๐ฌ. Ia berlaku pantas dalam tahun awal dan penting untuk ingatan, pembelajaran & kemahiran sosial.

Saya juga kongsikan penyelidikan terbaru yang dibentangkan di ๐ˆ๐ง๐ญ๐ž๐ซ๐ง๐š๐ญ๐ข๐จ๐ง๐š๐ฅ ๐‚๐จ๐ง๐Ÿ๐ž๐ซ๐ž๐ง๐œ๐ž ๐จ๐ง ๐๐ฎ๐ญ๐ซ๐ข๐ญ๐ข๐จ๐ง & ๐†๐ซ๐จ๐ฐ๐ญ๐ก, ๐€๐ญ๐ก๐ž๐ง๐ฌ ๐…๐ž๐› ๐Ÿ๐ŸŽ๐Ÿ๐Ÿ“ (๐’๐œ๐ก๐ง๐ž๐ข๐๐ž๐ซ ๐ž๐ญ ๐š๐ฅ.) โ€” menunjukkan campuran nutrien tertentu boleh menyokong pertumbuhan mielin dan perkembangan otak awal.

Kesimpulannnya, pemakanan awal yang betul boleh bantu otak bayi โ€œberwayarโ€ dengan baik dan beri mereka permulaan terbaik ๐Ÿง . Speak to your friendly neighbourhood pediatrician if you would like to know more ๐Ÿ˜‰

Address

Suite 9, Tawau Specialist Medical Centre
Tawau
91000

Telephone

+60109887649

Website

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