32 weeker premature baby were delivered via LSCS.
1st twin at 1.97Kg, 2nd twin 2.07kg. Apgar score for both were 9 at 1 minutes and 10 at 5 minutes.
both require minimum oxygen.
feeding were stepped up slowly. eventually touching full feeding at day 5.
sucking reflex establised at day 6.
discharged at day 7 of life.
Friday, April 13, 2007
Wednesday, February 21, 2007
The World's Fourth Smallest Baby Born in Miami
Miami, FL) - A child believed to be the most premature baby ever to survive is expected to go home from the hospital Tuesday.Amillia Taylor was born only 21 weeks and six days into her mother's pregnancy.She has spent nearly four months in the Neonatal Intensive Care Unit at Baptist Children's Hospital in Miami.Amillia overcame a number of problems ranging from under-developed lungs to lacerations on her skin. Her caregivers call her a miracle baby.She also happens to be the world's fourth smallest baby, weighing just under 10 ounces.
incredible.
incredible.
Monday, February 19, 2007
Tuesday, January 23, 2007
Juvenile Rheumatoid Arthritis
one 1 year + child presented with prolong fever for more than 1 month. Developed maculopapular rash over the neck, trunk. Diagnosed as JCA by my Professor.
I have high regard to my former teacher and he taught me to be through in my work as a professional.
thank you
I have high regard to my former teacher and he taught me to be through in my work as a professional.
thank you
Wednesday, November 01, 2006
baby sitting
my baby was delivered in august 2006. lovely girl.
weight 3.6kg. via caesarian section.
name her catherine.
Admiring and caring for her daily.
wish she will grow up well
weight 3.6kg. via caesarian section.
name her catherine.
Admiring and caring for her daily.
wish she will grow up well
Tuesday, July 25, 2006
ITP
saw one child with itp. 1 year plus presented with spontaneous bruises. increasing in severity. presenting platelt count 18 x 10^9/L. no hepatosplenomegaly. blood film normal.
give him 2g/kg of iv Ig. One vial 2.5g. total 12 vials as his weight is 15kg.
one vial per hour with iv lasix in between.
give him 2g/kg of iv Ig. One vial 2.5g. total 12 vials as his weight is 15kg.
one vial per hour with iv lasix in between.
Thursday, June 29, 2006
Thursday, March 30, 2006
plumeria cutting
after a thunder strom my plumeria obtusa crack and it form a cutting about 2 1/2 feet long.
I put the plumeria cutting into a sandy soil (mix 1/2 perlite 1/2 soil) and put some sand on top of the pot. And i layer a bed of river stone on top to prevent the cutting from moving.
i think rooting will occur in 2 to 3 weeks time. Just wait and see.
I put the plumeria cutting into a sandy soil (mix 1/2 perlite 1/2 soil) and put some sand on top of the pot. And i layer a bed of river stone on top to prevent the cutting from moving.
i think rooting will occur in 2 to 3 weeks time. Just wait and see.
Monday, March 20, 2006
Plumeria
recently i developed a special interest in Plumeria.
Therefore started a hobby of planting plumeria (frangipani). I have plumeria rubra (red colour), obtusa (white), and pink, and yellow.
the white variey i have two variant. one with bigger flower, the other one is smaller flower. Out of the 4 plumeria. The white one has very nice fragrant. The pink one has a sweet fragrant. Red one smell like rose.
Incidently i have spotted plumeria seeds in my old pink plumeria. Then i plant it in small pots. It has germinates within 2 weeks. I used 50% sand and garden soil. Plan to transplant it into larger pots when it is bigger.
Therefore started a hobby of planting plumeria (frangipani). I have plumeria rubra (red colour), obtusa (white), and pink, and yellow.
the white variey i have two variant. one with bigger flower, the other one is smaller flower. Out of the 4 plumeria. The white one has very nice fragrant. The pink one has a sweet fragrant. Red one smell like rose.
Incidently i have spotted plumeria seeds in my old pink plumeria. Then i plant it in small pots. It has germinates within 2 weeks. I used 50% sand and garden soil. Plan to transplant it into larger pots when it is bigger.
Sunday, March 19, 2006
Saturday, January 21, 2006
meet the parents
A girl asks her boyfriend to come over Friday night and have dinner
with her parents. Since this is such a big event, the girl announces
to her boyfriend that after dinner, she would like to go out and make
love for the first time.
Well, the boy is ecstatic, but he has never had sex before, so he
takes a trip to the pharmacist to get some condoms. The pharmacist
helps the boy for about an hour. He tells the boy everything there is
to know about condoms and sex.
At the register, the pharmacist asks the boy how many condoms he'd
like to buy, a 3-pack, 10-pack, or family pack. The boy insists on the
family pack because he thinks he will be rather busy, it being his
first time and all.
That night, the boy shows up at the girl's parents house and meets his
girlfriend at the door. "Oh, I'm so excited for you to meet my
parents, come on in!"
The boy goes inside and is taken to the dinner table where the girl's
parents are seated. The boy quickly offers to say grace and bows his
head.
A minute passes, and the boy is still deep in prayer, with his head down.
10 minutes pass, and still no movement from the boy.
Finally, after 20 minutes with his head down, the girlfriend leans
over and whispers to the boyfriend, "I had no idea you were this
religious."
The boy turns, and whispers back, "I had no idea your father was
a Pharmacist."
with her parents. Since this is such a big event, the girl announces
to her boyfriend that after dinner, she would like to go out and make
love for the first time.
Well, the boy is ecstatic, but he has never had sex before, so he
takes a trip to the pharmacist to get some condoms. The pharmacist
helps the boy for about an hour. He tells the boy everything there is
to know about condoms and sex.
At the register, the pharmacist asks the boy how many condoms he'd
like to buy, a 3-pack, 10-pack, or family pack. The boy insists on the
family pack because he thinks he will be rather busy, it being his
first time and all.
That night, the boy shows up at the girl's parents house and meets his
girlfriend at the door. "Oh, I'm so excited for you to meet my
parents, come on in!"
The boy goes inside and is taken to the dinner table where the girl's
parents are seated. The boy quickly offers to say grace and bows his
head.
A minute passes, and the boy is still deep in prayer, with his head down.
10 minutes pass, and still no movement from the boy.
Finally, after 20 minutes with his head down, the girlfriend leans
over and whispers to the boyfriend, "I had no idea you were this
religious."
The boy turns, and whispers back, "I had no idea your father was
a Pharmacist."
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