Dr Thomas - Baby and Children Specialist Kemena Pacific Hospital Bintulu

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Dr Thomas - Baby and Children Specialist Kemena Pacific Hospital Bintulu Share knowledge on childhood diseases and illnesses, parenting tips, learning & development, social skill, breastfeeding & infant care

How Bad Can RSV Bronchiolitis Be?A Real Clinical Story From Last WeekI want to share a real case that reminds us why RSV...
18/11/2025

How Bad Can RSV Bronchiolitis Be?

A Real Clinical Story From Last Week

I want to share a real case that reminds us why RSV bronchiolitis is not “just a flu” in young infants — especially newborns.

Last week, I discharged a 1-month-old baby with home oxygen.

Diagnosis: bronchiolitis.

This was a full-term baby, healthy at birth. Unfortunately, he caught RSV from adults around him — a very common situation.

🗯How it started
He first had two days of cough and runny nose, which rapidly worsened. By the time he came to hospital, he had:
👉🏻Fast breathing
👉🏻Repeated coughing spells
👉🏻Episodes where he turned blue

This is the part that scares every paediatrician.

In neonates (

Case Sharing: Why Scalp Fungus in Children Must NOT Be Treated with Cream Alone(Tinea Capitis & Kerion)Today I saw an 8-...
17/11/2025

Case Sharing: Why Scalp Fungus in Children Must NOT Be Treated with Cream Alone
(Tinea Capitis & Kerion)

Today I saw an 8-year-old boy who had been having scalp rashes for about 3 weeks after playing with a cat that had a known fungal infection.

At first, he was treated only with topical antifungal cream by multiple doctors. But the rashes worsened — becoming swollen, boggy, painful and even oozing pus, with obvious hair loss patches.

This condition is called Tinea Capitis with Kerion, a severe inflammatory reaction caused by fungal infection of the hair roots.

🔍 Why did the cream not work?
Because scalp fungus affects the hair shaft and follicle, which creams cannot reach.
This condition NEEDS oral antifungal medication.

Topical cream = ❌ Not enough
Oral antifungal = ✔️ Needed to cure

🩺 What happened after proper treatment?
After starting oral antifungal medicine, the boy improved significantly within 1 week:
👉🏻Swelling reduced
👉🏻Discharge stopped
👉🏻Healing started
👉🏻Hair expected to regrow

If left untreated, tinea capitis with kerion can lead to permanent scarring & permanent hair loss.

🐱 Exposure to pets matters
Cats and dogs with ringworm can pass fungus to children.
If the pet is infected:
👉🏻Bring them for veterinary treatment
👉🏻Clean bedding, brushes, and soft toys
👉🏻Avoid sharing pillows/hats among children



Recently, my 2 years 10 months old is a little bit worried.He said (in Foochow dialect), “jin gin diong… jin giang meh A...
14/11/2025

Recently, my 2 years 10 months old is a little bit worried.
He said (in Foochow dialect), “jin gin diong… jin giang meh ABC…”
(Nervous… afraid I don’t know ABC.)

His friends at daycare can already recognize their ABCs, and he feels scared because he can’t. I just laughed off his anxiety, but of course, as an Asian parent, I started teaching him ABCs...

However, I realised something important from this: our parents are feeling pressured to teach academic skills, way before their children are ready, some as early as 3 months old.

The truth is, at this age, ABC recognition is not the real priority.
What truly shapes a child’s future are the invisible skills developing quietly underneath—skills far more important than early academics.

The 3 Core Skills That Matter Most Before Age 5:
1. Focus
A child who can concentrate, play deeply, and stay with a task learns faster later on. Activities like drawing, stacking blocks, pouring water, or playing pretend build this far more effectively than memorising letters.

2. Language — the foundation of learning
Talking, narrating, and taking turns in conversation grow the architecture of the brain. Every time we describe what our child is doing (“You’re building a tall tower… now it wobbles… you fixed it!”) we expand their vocabulary, social skills, and confidence.

3. Confidence — the engine for independence
Children thrive when they feel safe to explore, try, fail, try again, and discover their abilities. Confidence—not early academic success—is what predicts resilience and problem-solving later in life.

My child may not recognise all his ABCs yet.
But he is learning how to focus, how to express himself, and how to keep trying even when something feels hard.

And these are the foundations that truly matter.

🌿 Protecting Your Baby from RSV: What You Need to Know About BeyfortusMany parents have been asking — “Is Beyfortus a va...
06/11/2025

🌿 Protecting Your Baby from RSV: What You Need to Know About Beyfortus

Many parents have been asking — “Is Beyfortus a vaccine?”
👉 No, it’s not a vaccine, but it works to protect your baby from RSV (Respiratory Syncytial Virus) — a common virus that can cause serious lung infection, especially in infants.
👉 It is a monoclonal antibody

💉 What is Beyfortus?
Beyfortus (Nirsevimab) is a long-acting antibody injection that gives your baby ready-made protection (passive immunity) against RSV for about 5 months — just enough to cover one RSV season.

Unlike vaccines that teach the body to make antibodies, Beyfortus directly provides the antibodies your baby needs to fight RSV immediately.

?
💰 The Cost Perspective
What attracts me is the cost effectiveness of this antibody.

Let me break it down for you:
💸 Beyfortus injection: around RM2000
🏥 RSV hospitalisation: 3–7 days × RM1000/day = RM3000–7000+, not yet taking into consideration of the potential long-term lung damage caused by RSV, especially for those less than 3 months old.

💡 In short:
“One dose of Beyfortus can save your baby from a week in the hospital — and protect their tiny lungs for the whole RSV season.”

Talk to your paediatrician to see if Beyfortus is right for your baby.

🌟 Happy (Belated) National Doctor’s Day! 🌟(Yes, we know it was on 10/10… we were busy saving lives + dealing with Influe...
14/10/2025

🌟 Happy (Belated) National Doctor’s Day! 🌟
(Yes, we know it was on 10/10… we were busy saving lives + dealing with Influenza outbreak😉)

At Kemena Pacific Hospital, our doctors come in different specialties — but share one heart: to care for you. ❤️

From our very own “F4” male specialists who could star in a medical drama series 🎬👨‍⚕️ to our power-packed lady doctors who balance compassion, precision, and professionalism — every one of us makes healing both a science and an art.

Thank you for making Kemena Pacific Hospital a place of care, hope, and compassion. 💙

🍭 Sugar, the Brain, and Our Children’s Behavior 🍭Yesterday evening, something unexpected happened at home.After coming b...
10/10/2025

🍭 Sugar, the Brain, and Our Children’s Behavior 🍭

Yesterday evening, something unexpected happened at home.
After coming back from work, I found my eldest son revising for his exam. Everything was going well—until we asked him to do his corrections. Suddenly, he threw a tantrum, rolled on the floor, and cried loudly.

This was far beyond his usual behavior.
I was puzzled — what could have caused such a big reaction?

After all the HUHA, when we all finally settled down, and during our “post mortem” review, my daughter says, gor gor cannot sleep after his ice cream (and a sweet drink). That moment made me pause and wonder — can sugar really affect children’s behavior?

As a doctor, I went to look up the science. Here’s what I found:
🔹 Research evidence:
Studies show that sugar itself doesn’t directly cause hyperactivity. The famous JAMA meta-analysis (1995) found no consistent link between sugar and behavior changes in children.

🔹 But… there are indirect effects:
• Sugar and Adrenaline link:
A study by paediatric researchers of Yale University confirmed the connection between sugar and adrenaline. The study showed that in a few hours healthy children who took high doses of sugar, on an empty stomach, produced high levels of adrenaline. The variation in the levels of this hormone caused tremor, anxiety, excitement and concentration problems.

• Sugar spikes and crashes: A sudden rise and drop in blood sugar can make children irritable, tired, or emotional.

• Sleep disturbance: Evening sugar intake can delay melatonin release and affect sleep, leading to crankiness the next day.

• Gut–brain connection: Too much sugar can alter gut bacteria, which influences mood and focus.

So while sugar may not instantly turn kids “hyper,” it can affect their energy level, mood, and self-control — especially:
• In sensitive children (which I consider my boy to be the sensitive one)
• When taken in excess
• When timing is poor (e.g., before study or bedtime)

💡 Parenting takeaway:
Try to avoid sweet drinks or snacks before study time or bedtime.
Even small changes in what our children eat can make a big difference in how they feel and behave.

Sometimes, real-life experiences — like that one evening at home — help us understand what science has been saying all along. ❤️

🌙 When Sleep Isn’t Truly Restful: A Story About Childhood Sleep Apnea 😴This is not just a snoring story.Recently, I saw ...
07/10/2025

🌙 When Sleep Isn’t Truly Restful: A Story About Childhood Sleep Apnea 😴

This is not just a snoring story.
Recently, I saw a 9-year-old girl who had been struggling for years — loud snoring every night, frequent pauses in breathing, restless sleep, and daytime sleepiness. Her teachers noticed she couldn’t concentrate well, and her mother often stayed awake, anxious, watching her daughter stop breathing in her sleep.

A sleep study confirmed the diagnosis — her Apnea-Hypopnea Index (AHI) was 83, meaning she stopped breathing or had shallow breathing 83 times per hour! 😥

Together with our ENT surgeon, we decided to start her on CPAP (Continuous Positive Airway Pressure) while preparing for adenotonsillectomy (removal of tonsils and adenoids).
On the very first night using CPAP, her snoring almost disappeared — and both mother and daughter finally had their first peaceful sleep in a long time. 🌤️

💡 What is OSA (Obstructive Sleep Apnea)?
OSA occurs when the airway collapses or gets blocked during sleep, leading to repeated pauses in breathing.

👀 Common signs include:
👉Loud, habitual snoring
👉Pauses in breathing or gasping during sleep
👉Restless sleep or night sweats
👉Morning headaches
👉Daytime sleepiness, poor focus, or hyperactive behavior (often mistaken for ADHD)
👉Poor school performance

🚨 Why it matters:
Untreated OSA can lead to:
💢Growth failure and obesity
💢Poor academic performance
💢Behavioral problems
💢High blood pressure and heart strain
💢Long-term metabolic complications

✅ How to address it:

Diagnosis: Confirm with a sleep study (polysomnography) — the gold standard for OSA.

Treatment: Depending on cause and severity — adenotonsillectomy, weight management, or CPAP therapy can be life-changing.

Sleep is not a luxury — it’s essential for a child’s growth, health, and happiness. 🌙💖

If your child snores loudly or seems tired despite a full night’s sleep, talk to your doctor. Early detection and treatment can transform their life — and yours.

👩‍⚕️ Mini Case Quiz 👨‍⚕️A 6-year-old boy presents with a well-demarcated 5-6 cm erythematous patch on the anterior neck....
03/10/2025

👩‍⚕️ Mini Case Quiz 👨‍⚕️

A 6-year-old boy presents with a well-demarcated 5-6 cm erythematous patch on the anterior neck. Initial working diagnosis: dermatophytosis (fungal skin infection).

🔹 One week later: no improvement, and instead, multiple new erythematous papules appear on the back and trunk.

❓What is the most likely diagnosis?

Answer: Pityriasis rosea – classically begins with a “herald patch” followed by widespread secondary eruptions, often along skin cleavage lines.

👉 玫瑰糠疹 (méi guī kāng zhěn)

💡 Reminder: Always revisit the diagnosis when lesions do not respond to first-line therapy and monitor disease progression. Pityriasis rosea can mimic dermatophytosis but has a characteristic evolution and distribution pattern.

Yesterday I met a patient, a five-month-old baby boy. Because of muscle development problems, he is still unable to lift...
01/10/2025

Yesterday I met a patient, a five-month-old baby boy. Because of muscle development problems, he is still unable to lift his head, and his arms, legs, and body are weak. We sometimes call this a “floppy baby.”

To find out the cause, we arranged a genetic test called WES – Whole Exome Sequencing. In simple terms, this test looks at the important parts of the baby’s genes, the “instructions” that control how the body develops and functions, to see if there are any changes that might explain his condition. The result confirmed the diagnosis of Congenital Myopathy.

When I explained this to his parents, I could clearly see the sadness and helplessness in their eyes. As a doctor, I also felt heavy-hearted, because at present there is no cure for this disease, and the prognosis is often not very good. This is very difficult for any family to hear and to carry.

Still, I want the parents to know: even if we cannot cure this condition, we can still walk this journey together. Through supportive care—helping with breathing, nutrition, rehabilitation, and daily care—we can do our best to improve the child’s quality of life. The medical team will not give up; we will continue to support you and your baby.

And I also want to say to the parents: you are already very brave. This diagnosis is hard to accept, but your love and presence are the greatest strength for your child. I hope you can continue to stay strong. We will be by your side, walking with you on this difficult path.

29/09/2025

New Assessment Tool Available!

We are excited to announce that Kemena Pacific Hospital now offers the 𝐖𝐞𝐜𝐡𝐬𝐥𝐞𝐫 𝐈𝐧𝐭𝐞𝐥𝐥𝐢𝐠𝐞𝐧𝐜𝐞 𝐒𝐜𝐚𝐥𝐞 𝐟𝐨𝐫 𝐂𝐡𝐢𝐥𝐝𝐫𝐞𝐧® 𝐅𝐢𝐟𝐭𝐡 𝐄𝐝𝐢𝐭𝐢𝐨𝐧 (𝐖𝐈𝐒𝐂-𝐕). WISC-V is the gold standard tool for assessing intelligence in children and adolescents aged 6 years 0 months to 16 years 11 months.

The WISC-V provides:
✅ An overall measure of intellectual ability (IQ score)
✅ Insights into five specific cognitive domains that influence learning and classroom performance
✅ Identification of intellectual and learning disabilities
✅ Assessment of giftedness
✅ A clear picture of a child’s cognitive strengths and areas that may benefit from support

Understanding your child’s unique learning profile can guide tailored educational strategies and recommendations for further assessment or intervention.

How to get started:
Book an initial consultation with our Clinical Psychologist to discuss your concerns and explore whether this assessment is right for your child.
📞 | 011-1674 7273 https://wa.me/601116747273

-V

👩‍⚕️ 新专科医生介绍 👨‍⚕️我们非常高兴地欢迎 -- 余医生 —— 加入我们的医疗团队!余医生是一位物理医学与康复医学专科医生(Physiatrist),专门帮助病人通过非手术方式改善身体功能、减轻疼痛,并提升生活品质。科普一下。🌿 ...
22/09/2025

👩‍⚕️ 新专科医生介绍 👨‍⚕️

我们非常高兴地欢迎 -- 余医生 —— 加入我们的医疗团队!

余医生是一位物理医学与康复医学专科医生(Physiatrist),专门帮助病人通过非手术方式改善身体功能、减轻疼痛,并提升生活品质。

科普一下。
🌿 康复医生的专长包括:
1️⃣中风后康复与功能恢复
2️⃣脊椎与关节疼痛管理
3️⃣脑损伤、脊髓损伤康复
4️⃣儿童与成人的运动障碍(如脑瘫)
5️⃣截肢后康复及义肢训练
6️⃣老年人行动能力及防跌训练

💡 为什么选择物理医学与康复医学?
它不仅仅是“治疗疾病”,更是帮助患者重拾独立、自信与生活的能力。

🎉 我们相信,余医生的加入,将为社区带来更多希望与祝福!

👩‍⚕️ Introducing Our New Specialist Doctor 👨‍⚕️

We are delighted to welcome Dr. Jee to our medical team!
Dr. Jee is a Specialist in Physical Medicine & Rehabilitation (PM&R), also known as a Physiatrist. Their focus is on helping patients restore function, reduce pain, and improve quality of life — all through nonsurgical treatments and holistic care.

🌿 Rehab physician areas of expertise include:
1️⃣Stroke rehabilitation & functional recovery
2️⃣Spine, muscle, and joint pain management
3️⃣Brain injury & spinal cord injury rehabilitation
4️⃣Pediatric and adult movement disorders (e.g., cerebral palsy)
5️⃣Amputation rehabilitation & prosthetic training
6️⃣Elderly mobility enhancement & fall prevention

💡 Why PM&R?
It’s not just about treating disease — it’s about helping patients regain independence, confidence, and the ability to live life to the fullest.

🎉 We believe Dr. Jee’s presence will bring new hope and healing to our community!

Kemena Pacific Hospital is delighted to introduce Dr. Jee Rou Chen, New Visiting Physical Medicine & Rehabilitation Physician.

𝐂𝐥𝐢𝐧𝐢𝐜 𝐒𝐞𝐬𝐬𝐢𝐨𝐧:
Date: 26th September 2025 (Friday)
Time: 1.00 p.m.

Dr. Jee Rou Chen holds an MD (CMUH, Taiwan) and a Master of Rehabilitation Medicine (UM). His expertise focuses on helping patients improve function and quality of life through rehabilitation care.

For appointments or inquiries, please contact us at:
General line: 086-251 888
Email: customercare.bintulu@kemenapacific.com

04/09/2025

Address

Paediatric Clinic, Kemena Pacific Hospital
Bintulu
97000

Opening Hours

Monday 09:00 - 12:00
14:00 - 17:00
Tuesday 09:00 - 12:00
14:00 - 17:00
Wednesday 09:00 - 12:00
14:00 - 17:00
Thursday 09:00 - 12:00
14:00 - 17:00
Friday 09:00 - 12:00
14:00 - 17:00
Saturday 09:00 - 12:00

Telephone

+6086251888

Website

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