Kidz Doctor Tan Wan Ju

Kidz Doctor Tan Wan Ju Child specialist

Sometimes. telling a child to do something, or not do something, can be met with an angsty "No". When we try to say it a...
04/05/2026

Sometimes. telling a child to do something, or not do something, can be met with an angsty "No". When we try to say it again, even in a nicer way, we might even sound like a Nag to out kids. Worse if, the child is neurodivergent, and even a small request triggers a 'Flight or fight' response or worse, a meltdown. So, what do we do?
Try telling it in a story. Most kids love stories. Some imagine themselves to be the princess in the story. So, to help the child through a class, taking turns, or playing with friends, try using a social story.

This week we are thinking about turn taking!

Using a social story can help to explain turn taking to children. Here is a great example from Behavioral Perspective - BPI

In the past, autistic children was once called feral children. Before the name Autism was used, the children was diagnos...
14/04/2026

In the past, autistic children was once called feral children. Before the name Autism was used, the children was diagnosed with Infantile psychosis or childhood schizophrenia, and was institutionalized. It was thought that the autistic children would never talk nor learn. It took a mother who did not give up on her child, who persisted with endless therapies, that it helped a non-verbal, profoundly autistic child, to become a professor who modernized the cattle industry and helped the world to understand the autistic mind. Therefore, the biggest advocate for the autistic child is none other than their parents, who worked tirelessly with them, taught them, trained them at all hours of the day, celebrated all the small wins, and never once gave up when the going got extremely tough.

"The doctors looked at the 2-year-old girl who wouldn’t speak, wouldn’t make eye contact, screamed at the slightest touch, and delivered their verdict with cold finality.
“Your daughter has autism. Brain damage. She’ll never be normal. The kindest thing is to put her in an institution and let professionals care for her. She will never speak. Never read. Never have friends. Never live independently.”
It was 1950. Autism was barely understood. Doctors called it “childhood schizophrenia” or irreversible brain damage. The standard recommendation was simple and heartbreaking: lock the child away forever.
Temple Grandin’s father believed them. “The doctors know best,” he said.
Her mother, Eustacia Cutler, looked at her little girl and saw something the experts missed.
“No,” she said. “My daughter is different, not less. We are not giving up on her.”
That single word — “no” — changed everything.
Temple was born in Boston in 1947 into a wealthy family with a beautiful home. On the surface, everything looked perfect. Then she turned two, and the world shifted. She stopped talking. She avoided eye contact. She screamed for hours. Tantrums erupted over the smallest things. She hated being touched.
The fights between her parents grew fierce. Her father wanted to follow medical advice. Her mother refused. The marriage eventually collapsed under the strain, but Eustacia held her ground.
She found a neurologist willing to try something radical for the time: intensive speech therapy. “Try it for a year,” he suggested. “See what happens.”
Eustacia hired a speech therapist and worked with Temple every single day. Progress was agonizingly slow — tiny, almost invisible steps. Temple was two-and-a-half and still mostly silent, still screaming.
But the work continued, hour after hour, day after day.
At three-and-a-half, Temple spoke her first words.
The doctors had said she would never speak.
She was speaking.
Eustacia didn’t stop. She pushed Temple relentlessly but lovingly — art projects, cutting pumpkins for Halloween, making costumes, building things with her hands. She taught social skills, table manners, how to greet visitors. “You’re going to learn,” she told her daughter. “You’re going to be fine.”
Temple entered nursery school at four — a special program for speech therapy. Then regular school. Then another school when the first didn’t work. One school expelled her for throwing a book at another girl. Eustacia simply found a different school.
“We’ll keep trying until we find the right place,” she said.
By age ten, Temple could read and write. She was learning.
The doctors had said she would never learn anything.
She was learning everything.
At fifteen, Temple visited her aunt’s cattle ranch in Arizona. That trip changed her life forever.
She watched the cattle for hours. She noticed how they reacted to the same things that overwhelmed her — loud noises, sudden movements, shadows on the ground, objects dangling from fences. The animals panicked over details most people never even saw.
“I think like they think,” Temple realized.
Her autism wasn’t a defect on the ranch. It was a superpower. She could see the world through the cattle’s eyes — feel their fear, understand their confusion. She began observing with intense focus: why cattle refused to walk through certain gates (a shadow on the ground), why they balked in certain pens (they could see people moving ahead), why they fought the handlers (the handlers were unintentionally terrifying them).
Temple went to Franklin Pierce University and earned a bachelor’s degree in psychology in 1970. The girl doctors wanted to institutionalize had a college degree.
She didn’t stop there.
She earned a master’s in animal science from Arizona State University in 1975, then a PhD from the University of Illinois in 1989.
Dr. Temple Grandin.
The child labeled “brain damaged” was now a doctor.
Her doctoral research revolutionized livestock handling. She discovered that animals notice tiny visual details humans miss — a chain hanging on a fence, a reflection in a puddle, a coat draped over a railing, a person’s shadow. These details triggered panic, injuries, and bruising.
Temple designed better systems: curved chutes because cattle naturally walk in circles, solid walls to block distractions, non-slip floors, proper lighting that eliminated shadows and reflections, and layouts where animals couldn’t see people ahead.
The results were immediate. Cattle moved calmly and smoothly. Stress dropped. Injuries decreased. Bruising reduced. Operations became faster, safer, and more profitable.
Meat processing plants began calling her. “Can you redesign our facility?” “Can you fix our system?” “Can you train our workers?”
In 1990, she became a professor at Colorado State University, where she still teaches today. Her curved chute designs spread across North America. By 2000, roughly half the cattle in the United States and Canada were being handled in systems she created — millions of animals every year treated more humanely because one autistic woman understood how they perceived the world.
Temple didn’t just transform animal welfare.
She transformed how the world sees autism.
In 1986, she published Emergence: Labeled Autistic — one of the first books written by an autistic person explaining the condition from the inside. “I think in pictures,” she wrote. “My brain is like a video library.”
Before Temple, most experts assumed autistic people couldn’t describe or understand their own minds. She proved them spectacularly wrong.
She appeared on 60 Minutes, NPR, and The Today Show. She wrote bestselling books including Thinking in Pictures, Animals in Translation, and The Autistic Brain. In 2010, HBO released the award-winning film Temple Grandin starring Claire Danes, which won seven Emmys and a Golden Globe. That same year, Time magazine named her one of the 100 most influential people in the world.
Today, at 77, Dr. Temple Grandin still teaches at Colorado State University, still designs livestock facilities used worldwide, still gives powerful speeches, and still wears her signature Western shirts while speaking her mind with unflinching honesty.
She has written over sixty scientific papers and multiple bestselling books. Her designs are used across the United States, Canada, Europe, Australia, New Zealand, and beyond.
The 2-year-old doctors wanted to lock away forever became one of the most important voices in both animal science and autism advocacy.
All because in 1950, one mother looked at her daughter and said “no.”
One mother refused to believe the experts. One mother chose to fight when everyone else said surrender. One mother believed her daughter was different, not less.
That belief gave Temple the chance to prove the doctors wrong — completely, totally, and spectacularly wrong.
She didn’t just survive. She didn’t just succeed.
She revolutionized an entire industry. She changed how millions of animals are treated every year. She became a bestselling author, a world-renowned speaker, and a role model for autistic people everywhere.
The girl they wanted to hide away became Dr. Temple Grandin — the woman the whole world now listens to.
Different. Not less../
"

How many of us remember the time when we were young, and little things like the colour of our water bottle meant so much...
08/04/2026

How many of us remember the time when we were young, and little things like the colour of our water bottle meant so much to us? For children, little things can cause Big emotions. Getting a red Minnie Mouse backpack when we actually wanted a pink Princess Peach one can feel like the end of the world, because children can't see beyond the present moment. Some may throw tantrums, some may even have meltdowns. This is even worse if the child is neurodivergent, and have difficulty expressing their needs, wants and emotions.
However, it doesn't mean that we must give in to their demands all the time, though in a state of panic, that's what most parents would do, especially if the cries are loud enough to attract a lot of attention. So, for parents facing this situation, try to remember these few steps:
1. Calm yourself down first. Take a few deep breaths. Then prepare yourself mentally to face the situation. Inhale, slowly count 1 to 4, then exhale and count 5 to 8.
2. Connection before correction. In a state of extreme emotion, the child is unable to listen to any logic or reasoning. Hold your child, whether in an embrace or just holding hands, get them to breathe and calm down with you. Words of reason may not be necessary at this point, but you can repeat certain phrases, like "It's OK, It's alright", or count 1 to 10 together, if that's what your child prefers.
3. Give options, offer choice. This helps to create a sense of autonomy, especially if the child was not able to get what they wanted. Say, "they don't have the pink princess backpack now, would you like to get the red one, or would you like to go to another store to look?".

Of course, sometimes, people may be sceptical. Things are easier said than done. That is why practice is essential. When the steps are practiced in a safe environment like at home, it will be easier to implement when you are in a more stressful environment like a mall. Because practice makes perfect, especially when you have handled similar situations before.

Below are some other techniques to try to calm a dysregulated child.

How to help a dysregulated child.

Credit to the owner.

I've been sending my kids for swimming lessons for almost 2 months. They are still at the basic stage of 'take a breath ...
24/03/2026

I've been sending my kids for swimming lessons for almost 2 months. They are still at the basic stage of 'take a breath above the water, then breath out in the water'. Can't even do a proper kick with a swimboard. But persist, I insist. At least until they can float or at least, not drown. I feel it is an important life skill, because even though we try our best, we cannot be beside our kids 24-7 and watch every step they take, from infancy to adulthood. Therefore having skills are an important asset that no one can take away from them.
On the other hand, I have children on the autistic spectrum, who may be awkward when playing with peers, but once in the water, takes to it like a fish. They can somehow float, waddle, or even learn to swim by themselves, after spending hours in the water, refusing to leave even hours after their whole family are already tired out. I secretly hope that, coupled with communication skills, and exceptional swimming talent, maybe they can be swimming champions, swim coach or rescue lifeguards.
But back to the topic of swimming, one of the most common causes of death in children is accidental drowning. Their natural curiosity makes them want to explore, but their brain is not mature enough for them to identify danger. And in drowning, seconds matter, and can definitely save a life. Like many things to children, forbidden fruit taste more sweet. Instead, let them learn and conquer.

Anyone can drown, no one should.

Drowning prevention starts with you:
👀 Supervise children & don’t look away when they're near water.
🦺 Use safety equipment like life jackets & make sure they’re in place before going out on a boat.
🏊‍♂️ Learn to swim, or if you can’t swim, stay away from the water.
🌧️ Check the weather conditions, the depth of the water & the strength of the current before entering the water.
🚫 Don’t drink alcohol near water, it dulls your senses & can cause fatal accidents near water.

Remember! Drowning is often silent & goes unnoticed.
Watch for the signs when someone is struggling to stay afloat, it’s never too soon to respond.

Respiratory Syncytial Virus (RSV) is a common respiratory tract infection causing virus that spreads via air droplets fr...
12/03/2026

Respiratory Syncytial Virus (RSV) is a common respiratory tract infection causing virus that spreads via air droplets from cough/sneezes, direct contact from infected persons, or touching of contaminated surfaces. While it usually peaks during winter months in temperate regions, in Msia and S'pore, it usually circulates whole year round, with increased activity during rainy seasons.
An individual can get RSV infection multiple times, but generally the severity lessens with each reinfection. Thus, a healthy adult can have an irritating cough or a congested nose, but for a baby, RSV infection can cause breathing difficulty, irritability and even apnea (pauses in breathing). Those born premature can be severely hit as viral spread to the lungs causes pneumonia and bronchiolitis, which necessitates hospitalization. Studies show that hospitalization rates extend beyond the first year of life, and is associated with long term complications of recurrent wheeze, bronchial asthma and reduced lung function.
There is no specific treatment for RSV, only supportive and symptomatic treatments. Thus, preventive measures and exposure avoidance are so far the only ways to protect ourselves. For the vulnerable, recently available long-acting antibody injection, given in a single intramuscular injection, can offer protection up to 24 months, and reduce hospitalizations by 80%. Ask your paediatrician about Beyfortus today.

Infants born at

In today's world, we are bombarded everyday with types of "healthy, unprocessed, organic foods" that should be given to ...
09/03/2026

In today's world, we are bombarded everyday with types of "healthy, unprocessed, organic foods" that should be given to kids. Sometimes, to the point of shaming or correcting other parents for supposedly giving sausages, nuggets, fast food or ice-cream to their child. I wish to say that, sometimes, we may not know what other families are going through. I'm sure every parent want what is best for their child. I'm sure they have worked hard to provide the best food for their child. But some times, different children may want different things. Some like the novelty of trying new foods in new restaurants. But some will only eat what is familiar and safe. Some will only eat nuggets and dry crackers everyday. As a paediatrician, it is important for me to understand their situation and help them to solve the problem in a way that is safe, achievable, and able to be tolerated by their child. Sometimes, it may take a long time, and there is no shortcut or magic pill. But at least we celebrate every small win. For outsiders, if we are not able to help or offer any support, at least, please do not judge.

Recently a Singaporean friend raised a concern regarding the Tuberculosis situation in JB, asking whether she should avo...
02/03/2026

Recently a Singaporean friend raised a concern regarding the Tuberculosis situation in JB, asking whether she should avoid coming until the situation improves.
I wish to say that all newborns in Msia and Sg have been vaccinated with the Bacillus Calmette Gurrain (BCG) at birth. The vaccine contains an altered strain of Mycobacterium Bovis, so that it does not cause infection, but stimulates the immune system to make your baby resistant to the actual Mycobacterium Tuberculosis, which causes TB in humans. After administration of the vaccine a nodule may form on the injection site, which may ulcerate and may even discharge a yellowish pus like fluid. Do not worry. Soon, it will heal and form a scab and a small scar. However, picking at the scab may cause the formation of keloid scars, in susceptible individuals. This scar will be checked later when your child enters primary school. If there is no scar, your child would need to repeat his/her BCG vaccination.
Tuberculosis usually does not cause any symptoms in resistant individuals in a condition known as latent TB. However they may cause disease if the individual becomes immunocompromised, such as when they are taking certain chemo drugs, or if they are very old or very young, and weak.
TB is spread via close contact with infected individuals, usually staying together and sharing household items. Therefore, if a positive case is detected, their family and close contact will be screened for the disease. This involves doing a chest X-ray, a Mantoux (PPD) skin test and sputum culture.
Therefore, to my friends who still wish to come for their weekly shopping, I would say, if you are vaccinated (check for your scar) and healthy, chances of catching TB from a shopping trip is very low. In fact you would more likely to catch other viruses like RSV, HMPV and parainfluenza. Therefore, if you want to stock up on your groceries and essentials, please do practice basic hygiene such as handwashing and wearing a mask in crowded places to prevent catching any viruses.

Malaysians have been urged to stay vigilant. https://says.com/my/lifestyle/what-is-tuberculosis-is-it-dangerous

Malaysian children do not get enough sleep. It can't be stressed enough, how important is sleep to a child's growth and ...
24/02/2026

Malaysian children do not get enough sleep. It can't be stressed enough, how important is sleep to a child's growth and development. Aside from practicing good sleep hygiene, parents should also look out for signs and symptoms to suggest other underlying disorders that may be contributing to sleeping problems in children.

Sleep disorders in children may present as behavioral insomnia, night terrors, sleepwalking, teeth grinding, bed-wetting, or .

Recognizing symptoms, such as snoring, gasping, or persistent sleep difficulties, and implementing consistent bedtime routines can help address underlying issues and support .

https://bit.ly/3ZWpliD

Happy Chinese New Year and Happy birthday to all of us! Gong Xi Fa Cai! May this year bring abundance in joy, blessings ...
23/02/2026

Happy Chinese New Year and Happy birthday to all of us!
Gong Xi Fa Cai! May this year bring abundance in joy, blessings and wealth for everyone! 😍

Thank you so much. It's adorable. Love it. All the best to you too.
20/02/2026

Thank you so much. It's adorable. Love it. All the best to you too.

18/10/2025

Address

Regency Medical Care Center, G051-G054, Midvalley Southkey, Persiaran Southkey
Johor Bahru
80150

Opening Hours

Monday 09:00 - 18:00
Tuesday 09:00 - 18:00
Wednesday 09:00 - 18:00
Thursday 09:00 - 18:00
Friday 09:00 - 20:00
Saturday 09:00 - 04:00
Sunday 09:00 - 04:00

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