tender touch children hospital

28/04/2021

Basic of vaccination.
Facts and myths of covid 19 vaccination.
Starts after 15 minute.

14/04/2021

Corona care for kids..
Remote care available...

12/01/2021

Q1. How can we make our homes safer and prevent physical injuries in children?

Some areas and objects in the house are more prone to cause injuries to a child. Be aware of such possibilities
to avoid accidents.

♤ Staircase: When your child starts crawling, install safety guards across entries to stairs and balconies.

♡ Balconies and parapet walls/grills: The
parapet wall should be tall enough and wide
enough to prevent the fall of a child trying to look down over it. Ensure that there are no objects near the parapet wall that a child can climb to then climb on to the parapet wall or the balcony grill. The grill design should not make it easy to climb (not have climbable horizontal bars).

◇ Windows: When your child starts climbing, lock windows—particularly upper-story windows—restrict window openings or shield them with grills or nets having a widest opening of 4 inches.

♧ Furniture: It should be sturdy and stable—a child should not be able to pull it down
or knock it. Any sharp projecting ends or
corners should be rounded or padded or
covered with corner protectors. Children
may run into drawers left pulled out and can get injured. Install drawer guards, if available.

♤ Flat screen televisions should be fixed to a clamp, or to the wall.

♡ Glass: Install safety glass in windows and doors or apply shatter-resistant film to windows and doors.

◇ Tools and weapons: Lock away tools like saws and drills. Keep lawn mowers, chain saws and other sharp tools and guns or knives strictly out of reach of all children and adolescents.

♧ Baby cots: Cots or beds for small children should not have horizontal bars or footholds that your baby can use to climb out. Space between bars should be 5–9.5 cm (gaps wider than 9.5 cm could trap your child’s head or let your child fall out of the cot) and at least 60 cm tall. The lock must not be openable by the child. Check that the mattress is firm.

♤ Light: Leave a hall light on at night or use sensor lights.

♡ Floor: Whenever possible, avoid multiple levels or steps on the same floor. A nonslippery floor texture is desirable.

◇ Bathroom and the kitchen: These are the most accident-prone areas in the house. Whenever, not in use, please lock them. Train the child from a very early age to keep away from the kitchen platform.

♧ Locks: All locks should be above the level of 4 feet so that a child does not accidentally lock someone in the bathroom/any room nor open it by himself before he becomes self-reliant.
Dr. Hemal shah
(Source: Iap pediatrics)

17/07/2020

As Corona pandemic is stretching ,Video consultation is now available at Tender Touch Children hospital. One can confirm appointment on 9106911205.
For further information call on the above number. This may not replace full in person consultation but we can help you upto a certain extent.

12/07/2020

Good compilation by one the best intensivist of India.

03/07/2020

Hand hygiene in kids.

Although washing hands with soap and water, when available, is preferred for hand hygiene, alcohol-based hand sanitizer is safe for use in children when the sanitizer is of particular standard like alcohol based with atleast 60% concentration.

When one should use hand wash with Soap and water?

• Before, during, and after preparing food
• Before eating food
• Before and after caring for someone
who is sick
• Before and after treating a cut or wound
• After using the bathroom, changing
diapers, or cleaning up a child who
has used the bathroom
• After blowing your nose, coughing,
or sneezing
• After touching an animal, animal food or
treats, animal cages, or animal waste
• After touching garbage
• If your hands are visibly dirty or greasy(do not use sanitizer in this condition. It is must to wash the hands with soap)

How should I wash hands with Soap and Water?

1. WET your hands with clean running water (warm or cold) and apply soap.

2. LATHER your hands by rubbing them
together with the soap.

3. SCRUB all surfaces of your hands, including the palms, backs, fingers, between your fingers, and under your nails. Keep scrubbing for 20 seconds. Need a timer? Hum the “Happy Birthday” song twice.

4. RINSE your hands under clean,
running water.

5. DRY your hands using a clean towel or
air dry them.

When to use alcohol based sanitizer:


• Before and after visiting a friend or a loved one in a hospital or nursing home, unless the person is sick with Clostridium difficile (if so, use soap and water to wash hands).
• If soap and water are not available, use an alcohol-based hand sanitizer that contains at least 60% alcohol, and wash with soap and water as soon as you can.

There is no cause for concern if children eat or lick their hands after the hand sanitizer has fully dried .

However, because ingestion of even a small amount of liquid hand sanitizer can cause alcohol poisoning in children (including hypoglycemia), children younger than six years should be supervised when using alcohol-based hand sanitizers, and alcohol-based hand sanitizers should be kept out of the reach and sight of children.

How to use Alcohol-Based Hand Sanitizer?

Use an alcohol-based hand sanitizer that
contains at least 60% alcohol. Supervise
young children when they use hand sanitizer to prevent swallowing alcohol, especially in schools and childcare facilities.

• Apply. Put enough product on hands to
cover all surfaces.
• Rub hands together, until hands feel dry.
This should take around 20 seconds.

Note: Do not rinse or wipe off the hand
sanitizer before it’s dry; it may not work
as well against germs.

DR. HEMAL SHAH
D.PED, MD(PEDIATRICS)

02/07/2020

27/06/2020

Six months into the coronavirus crisis, there’s a growing consensus about a central question: How do people become infected?

It’s not common to contract Covid-19 from a contaminated surface, scientists say. And fleeting encounters with people outdoors are unlikely to spread the coronavirus.

Instead, the major culprit is CLOSE-UP, person-to-person interactions for EXTENDED periods. CROWDED events, POORLY ventilated areas and places where people are talking LOUDLY—or SINGING, in one famous case—maximize the risk.( simple speaking or singing can produce large droplets and when they lodges on nose,mouth or eye -virus can enter the body and replicates. The silverline is there this droplets can't go farther and it rapidly settels on ground. Sarscov-2 can be transferred by small minute aerosoles also that remains in air for longer time. So proper ventialtion is must.)

So what's important take from this.
1. Glass Barriers are now erupting in offices and buissness

2. Going to office by walking or on cycle or in private vehicle is better option.

3. Stay especially away when people are speaking loudly(happens in gym,musical nights,wedding parties,birthday parties or whatever place where background music is playing) or singing. In short avoid laoud back ground music time being.

4. If possible avoid crowded and poorly ventilated areas.

5. Stay away and maintain physical distancing in public malls and places.

6. Avoid elevators/lifts as far as possible.

7. Wear masks is must while in public venue.

8. Hand washing and sanitizer only when you need to use. Avoid touching face,mouth,nose and eyes. Too feequent hand wash and sanitizer also can cause skin problems.

9. Avoid exposure of more then 15 minutes to any unknown persons if possible.

10. Being outside without close contacts is better then being indoor in closed space.

11. Exercise in outdoor without close contact is better then gym for time being.

So this is unlock time.
Mostly no government will impose lock down again.
So onus is on us to be safe and keep our dear and near safe.
Learn to live Happy and Healthy life.
Dr. Hemal shah.

22/05/2020

Gloves during your travelling or excursions.
-potentially hazardous.. for you and the community both...... why? Read the article..

These days many people are seen wearing nitrile or latex gloves when they go out. It can, so called, give them sense of protection but on an average they are the superspreader of any infection, not only corona.(I do not want to hurt by telling them superspreader)

Gloves are meant to protect during surgeries to transfer infection of wearers to the patient. They are protective to the wearer also by limiting exposure to their hands by blood, or aerosol or droplet. ( here I am limiting myself to surgical gloves only).

But for routine use of gloves consider them as a part of your body. Means if you touch anything the virus or bacteria attached to your gloves(like to your hand if you don't wear gloves). Now you touch any where with that gloves, you can transfer same virus and bacteria to any where and if you touch your nose, mouth or eyes with same gloves then it transfer the same particles to you also.
So It's very futile or even I can say dangerous to wear gloves while moving in public places. It just give you the sense of protection nothing else.

Frequent hand washing with soap and water, or sanitizer(in absence of soap and water), social distancing and respiratory etiquette are the only saviours for you.. not this hand gloves.

Yes it can be helpful ,transiently,when you are handling dangerous material like potty, urine or cleaning some s**t but change as soon as you finish your task and do not touch, I repeat do not touch anything else with gloves while performing such tasks.

And if still you want to wear it consider sanitization frequently as you do with your hands.. but Do not rely on gloves to save you... or your community....

Dr. Hemal shah
Tender Touch children hospital.

14/05/2020

Keep Your Mind Positive:
Be ready to fight corona.

A. Live in the present, not the future. The future is where your needless worries live. Stay positive.

B.Use a mantra to reduce your fears, such as *"I am strong".*

C. Go to a park if you have one. Being in nature is good for your immune system.

D. As long as they are well, hug your children and partner frequently. Speak to them in a kind and loving voice. Love strengthens your immune system.

E. Use regular phone calls and video chats to stay in touch with those you love.

14/05/2020

*Keep Your Body Strong:*

A. Get your body ready to fight the COVID-19 virus.

B. *Get enough sleep* (very important)

C. Keep your heart strong. Walk or exercise every day. Take the stairs. Caution: avoid physical exhaustion.

D. *Stay well hydrated.*

E. *Eat healthy meals*. Avoid overeating to deal with your fears.

F. Avoid the over-use of anti-fever medicines. Fever fights infections and ramps up your immune system.