https://www.facebook.com/103021672668472/

Dr. Deenish - TSMC, Suite 9, Tawau Specialist Medical Centre, Tawau (2025)

20/11/2025

𝐖𝐡𝐲 𝐜𝐡𝐢𝐥𝐝𝐫𝐞𝐧 𝐡𝐚𝐯𝐞 𝐚 𝐬𝐩𝐞𝐜𝐢𝐚𝐥 𝐩𝐥𝐚𝐜𝐞 𝐢𝐧 𝐦𝐲 𝐡𝐞𝐚𝐫𝐭.
(karang sendiri OK, not chatgpt 😂)

Because they are genuine — a sick child looks sick, a well child looks well. They never pretend.

Because they are resilient — even the sickest child can still find a smile when they see you.

Because they love completely. Without conditions, without hesitation, and without fear of giving too much.

And above all… because everything I’ve learned from them is far more than any paediatric textbook could ever teach me.

From all of us at Tawau Specialist Medical Centre

Happy Children’s Day. ❤️

17/11/2025

Staying back late today. The reason? 15 borang notifikasi influenza positif hari ini sahaja.

𝐘𝐚 — 𝐥𝐢𝐦𝐚 𝐛𝐞𝐥𝐚𝐬.

Dan ini hanyalah daripada kes yang saya sendiri terima dan sahkan hari ini.

Tak hairan ramai ibu bapa mula panik dan bertanya:

“𝐃𝐨𝐤𝐭𝐨𝐫, 𝐩𝐞𝐫𝐥𝐮 𝐤𝐚 𝐬𝐚𝐲𝐚 𝐭𝐢𝐝𝐚𝐤 𝐡𝐚𝐧𝐭𝐚𝐫 𝐚𝐧𝐚𝐤 𝐩𝐞𝐫𝐠𝐢 𝐬𝐞𝐤𝐨𝐥𝐚𝐡 𝐝𝐮𝐥𝐮?”

Jawapan jujur dan paling penting untuk difahami:

👉 𝐓𝐢𝐝𝐚𝐤 𝐞𝐟𝐞𝐤𝐭𝐢𝐟 untuk mengelakkan influenza dengan tidak hantar anak ke sekolah jika mereka sebenarnya sihat.

Kenapa?

𝟏. 𝐈𝐧𝐟𝐥𝐮𝐞𝐧𝐳𝐚 𝐛𝐞𝐫𝐣𝐚𝐧𝐠𝐤𝐢𝐭 𝐬𝐞𝐛𝐞𝐥𝐮𝐦 𝐬𝐢𝐦𝐩𝐭𝐨𝐦 𝐦𝐮𝐧𝐜𝐮𝐥
Individu yang positif boleh menjangkiti orang lain 1–2 hari sebelum demam bermula.
Jadi walaupun anak sihat hari ini, pendedahan mungkin sudah berlaku.

𝟐. 𝐒𝐞𝐤𝐨𝐥𝐚𝐡 𝐛𝐮𝐤𝐚𝐧 𝐬𝐚𝐭𝐮-𝐬𝐚𝐭𝐮𝐧𝐲𝐚 𝐩𝐮𝐧𝐜𝐚 𝐣𝐚𝐧𝐠𝐤𝐢𝐭𝐚𝐧
Anak bergaul di tuisyen, bas sekolah, pusat jagaan, mall, taman permainan, dan melalui adik-beradik.
Mengelak satu tempat sahaja tidak memutuskan penularan.

𝟑. 𝐌𝐚𝐣𝐨𝐫𝐢𝐭𝐢 𝐤𝐚𝐧𝐚𝐤-𝐤𝐚𝐧𝐚𝐤 𝐚𝐤𝐚𝐧 𝐬𝐞𝐦𝐛𝐮𝐡 𝐝𝐞𝐧𝐠𝐚𝐧 𝐛𝐚𝐢𝐤
Ya, demam mungkin tinggi. Anak mungkin batuk kuat.
Tapi kebanyakan pulih sepenuhnya dengan rehat, hidrasi dan pemantauan.

𝟒. 𝐌𝐚𝐭𝐥𝐚𝐦𝐚𝐭 𝐮𝐭𝐚𝐦𝐚 𝐛𝐮𝐤𝐚𝐧 𝐮𝐧𝐭𝐮𝐤 ‘𝐥𝐚𝐫𝐢’ 𝐝𝐚𝐫𝐢𝐩𝐚𝐝𝐚 𝐢𝐧𝐟𝐥𝐮𝐞𝐧𝐳𝐚
Apa yang benar-benar melindungi:
✅ Vaksin influenza tahunan
✅Bersihkan tangan guna sanitiser & amalkan pemakaian mask
✅Pantau tanda bahaya
✅Rehat di rumah hanya jika anak memang SAKIT

𝟓. 𝐓𝐢𝐝𝐚𝐤 𝐡𝐚𝐝𝐢𝐫 𝐬𝐞𝐤𝐨𝐥𝐚𝐡 𝐭𝐚𝐧𝐩𝐚 𝐤𝐞𝐩𝐞𝐫𝐥𝐮𝐚𝐧 𝐛𝐨𝐥𝐞𝐡 𝐛𝐞𝐫𝐢 𝐤𝐞𝐬𝐚𝐧 𝐥𝐚𝐢𝐧
Ketinggalan pelajaran, rutin terganggu, tekanan kepada anak, dan beban kepada ibu bapa.

Jika anak sihat, aktif, makan minum seperti biasa dan TIADA demam — mereka selamat hadir ke sekolah walaupun semasa wabak.
Jika mereka tidak sihat, biarkan mereka berehat.

Remember how we got through the dark days of COVID? .

Infections come and go.

Yang penting: tindakan yang rasional, bukan panik. 💪

08/11/2025

𝐇𝐢𝐝𝐫𝐚𝐬𝐞𝐜: 𝐔𝐛𝐚𝐭 𝐘𝐚𝐧𝐠 𝐒𝐞𝐫𝐢𝐧𝐠 𝐃𝐢𝐬𝐚𝐥𝐚𝐡𝐟𝐚𝐡𝐚𝐦 💩
(bukan iklan berbayar 🤣)

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

“Doktor lain cakap ubat cirit-birit Hidrasec ni tak elok — tahan berak; nanti virus tak keluar dari badan.”

Saya faham kebimbangannya — tapi itu 𝒕𝒊𝒅𝒂𝒌 𝒃𝒆𝒏𝒂𝒓. Let me break it down with a simple analogy.

𝑩𝒂𝒚𝒂𝒏𝒈𝒌𝒂𝒏 𝒖𝒔𝒖𝒔 𝒌𝒊𝒕𝒂 𝒔𝒆𝒑𝒆𝒓𝒕𝒊 𝒑𝒂𝒊𝒑 𝒂𝒊𝒓 𝒅𝒊 𝒓𝒖𝒎𝒂𝒉 🚰
Apabila anak cirit-birit, paip itu bocor — terlalu banyak air keluar dari dinding usus masuk ke dalam najis.

𝑯𝒊𝒅𝒓𝒂𝒔𝒆𝒄 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 — cuma najisnya kurang cair dan lebih terkawal. Jadi kuman dan virus tetap keluar seperti biasa, dan anak cepat pulih tanpa terlalu lemah / risiko dehydration 🤒

Kadang-kadang orang keliru dengan ubat dewasa seperti 𝑳𝒐𝒑𝒆𝒓𝒂𝒎𝒊𝒅𝒆, 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?
💊 𝐊𝐚𝐣𝐢𝐚𝐧 𝐦𝐞𝐧𝐮𝐧𝐣𝐮𝐤𝐤𝐚𝐧 𝐇𝐢𝐝𝐫𝐚𝐬𝐞𝐜 𝐬𝐞𝐥𝐚𝐦𝐚𝐭, 𝐛𝐞𝐫𝐤𝐞𝐬𝐚𝐧, 𝐝𝐚𝐧 𝐭𝐢𝐝𝐚𝐤 𝐦𝐞𝐧𝐠𝐠𝐚𝐧𝐠𝐠𝐮 𝐩𝐫𝐨𝐬𝐞𝐬 𝐩𝐞𝐦𝐮𝐥𝐢𝐡𝐚𝐧 𝐬𝐞𝐦𝐮𝐥𝐚𝐣𝐚𝐝𝐢.
𝐈𝐚 𝐦𝐞𝐦𝐛𝐚𝐧𝐭𝐮 𝐦𝐞𝐧𝐠𝐮𝐫𝐚𝐧𝐠𝐤𝐚𝐧 𝐛𝐢𝐥𝐚𝐧𝐠𝐚𝐧 𝐝𝐚𝐧 𝐢𝐬𝐢𝐩𝐚𝐝𝐮 𝐧𝐚𝐣𝐢𝐬 𝐬𝐞𝐫𝐭𝐚 𝐦𝐞𝐧𝐠𝐞𝐥𝐚𝐤 𝐝𝐞𝐡𝐢𝐝𝐫𝐚𝐬𝐢 — 𝐭𝐞𝐫𝐮𝐭𝐚𝐦𝐚𝐧𝐲𝐚 𝐛𝐚𝐠𝐢 𝐤𝐚𝐧𝐚𝐤-𝐤𝐚𝐧𝐚𝐤 𝐤𝐞𝐜𝐢𝐥.
𝐆𝐮𝐧𝐚𝐤𝐚𝐧 𝐭𝐚𝐧𝐩𝐚 𝐰𝐚𝐬-𝐰𝐚𝐬 (again, bukan iklan berbayar!)

𝐴𝑛𝑑 𝑎 𝑓𝑖𝑛𝑎𝑙 𝑛𝑜𝑡𝑒 𝑡𝑜 𝑚𝑦 𝑑𝑜𝑐𝑡𝑜𝑟 𝑐𝑜𝑙𝑙𝑒𝑎𝑔𝑢𝑒𝑠 🩺

𝑇ℎ𝑒𝑟𝑒 𝑎𝑟𝑒 𝑚𝑎𝑛𝑦 𝑤𝑎𝑦𝑠 𝑡𝑜 𝑠𝑘𝑖𝑛 𝑎 𝑐𝑎𝑡. 𝐾𝑖𝑡𝑎 𝑠𝑒𝑚𝑢𝑎 𝑚𝑎ℎ𝑢 𝑙𝑎𝑘𝑢𝑘𝑎𝑛 𝑦𝑎𝑛𝑔 𝑡𝑒𝑟𝑏𝑎𝑖𝑘 𝑢𝑛𝑡𝑢𝑘 𝑝𝑒𝑠𝑎𝑘𝑖𝑡 𝑤𝑎𝑙𝑎𝑢𝑝𝑢𝑛 𝑝𝑒𝑛𝑑𝑒𝑘𝑎𝑡𝑎𝑛 𝑏𝑒𝑟𝑏𝑒𝑧𝑎.
𝑇𝑎𝑝𝑖 𝑚𝑎𝑟𝑖𝑙𝑎ℎ 𝑘𝑖𝑡𝑎 𝑏𝑒𝑟ℎ𝑎𝑡𝑖-ℎ𝑎𝑡𝑖 𝑏𝑖𝑙𝑎 𝑚𝑒𝑚𝑏𝑒𝑟𝑖 𝑘𝑜𝑚𝑒𝑛 𝑡𝑒𝑟𝑏𝑢𝑘𝑎 𝑡𝑒𝑛𝑡𝑎𝑛𝑔 𝑟𝑎𝑤𝑎𝑡𝑎𝑛 𝑟𝑎𝑘𝑎𝑛 𝑙𝑎𝑖𝑛 𝑑𝑖 𝑑𝑒𝑝𝑎𝑛 𝑖𝑏𝑢 𝑏𝑎𝑝𝑎.
𝑆𝑒𝑑𝑖𝑘𝑖𝑡 𝑘𝑎𝑡𝑎 𝑏𝑜𝑙𝑒ℎ 𝑚𝑒𝑛𝑖𝑚𝑏𝑢𝑙𝑘𝑎𝑛 𝑏𝑎𝑛𝑦𝑎𝑘 𝑘𝑒𝑘𝑒𝑙𝑖𝑟𝑢𝑎𝑛 — 𝑑𝑎𝑛 𝑎𝑘ℎ𝑖𝑟𝑛𝑦𝑎, 𝑦𝑎𝑛𝑔 𝑟𝑢𝑔𝑖 𝑖𝑎𝑙𝑎ℎ 𝑘𝑒𝑙𝑢𝑎𝑟𝑔𝑎 𝑦𝑎𝑛𝑔 𝑘𝑖𝑡𝑎 𝑠𝑎𝑚𝑎-𝑠𝑎𝑚𝑎 𝑖𝑛𝑔𝑖𝑛 𝑏𝑎𝑛𝑡𝑢.

05/11/2025

𝐈𝐟 𝐲𝐨𝐮 𝐞𝐯𝐞𝐫 𝐬𝐞𝐞 𝐦𝐲 𝐜𝐚𝐫 𝐩𝐚𝐫𝐤𝐞𝐝 𝐬𝐞𝐧𝐠𝐞𝐭-𝐬𝐞𝐧𝐠𝐞𝐭 𝐥𝐢𝐤𝐞 𝐭𝐡𝐢𝐬 𝐚𝐭 𝐬𝐨𝐦𝐞 𝐮𝐧𝐠𝐨𝐝𝐥𝐲 𝐡𝐨𝐮𝐫… 𝐢𝐭 𝐜𝐚𝐧 𝐨𝐧𝐥𝐲 𝐦𝐞𝐚𝐧 𝐎𝐍𝐄 𝐭𝐡𝐢𝐧𝐠:
𝐄𝐦𝐞𝐫𝐠𝐞𝐧𝐜𝐲.

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:

“𝑫𝒐𝒄𝒕𝒐𝒓… 𝒃𝒂𝒃𝒚 𝒃𝒐𝒓𝒏 𝒇𝒍𝒂𝒕..."

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 —
✅ Clear airway
✅ Suction
✅ Support breathing
✅ Assess tone
✅ Stabilise
✅ Repeat vital checks

Those few minutes always feel like hours.
You’re watching a tiny human fight to take those first proper breaths… and you’re praying your hands are fast enough, your mind sharp enough.

And then —
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.

𝐒𝐨 𝐰𝐡𝐚𝐭 𝐞𝐱𝐚𝐜𝐭𝐥𝐲 𝐢𝐬 𝐌𝐀𝐒?
Meconium Aspiration Syndrome happens when a baby passes meconium (their first p**p) before birth and accidentally inhales it into the lungs.

𝐖𝐡𝐲 𝐢𝐭’𝐬 𝐝𝐚𝐧𝐠𝐞𝐫𝐨𝐮𝐬:
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).

𝐖𝐡𝐚𝐭 𝐩𝐚𝐫𝐞𝐧𝐭𝐬 𝐬𝐡𝐨𝐮𝐥𝐝 𝐤𝐧𝐨𝐰:
✅ MAS is not caused by something the mother ate or did
✅ It can happen even in normal pregnancies
✅ Fast action during delivery makes a big difference
✅ Many babies recover beautifully when treated early

Last night’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 yes… if you ever see my car parked like this again, just know:
Somewhere inside, a tiny life needs help — and we don’t waste a single second ❤️

28/10/2025

✈️ 𝐂𝐮𝐭𝐢 𝐇𝐮𝐣𝐮𝐧𝐠 𝐓𝐚𝐡𝐮𝐧 𝐒𝐞𝐦𝐚𝐤𝐢𝐧 𝐃𝐞𝐤𝐚𝐭!

Ramai ibu bapa dah mula merancang percutian sekolah — sama ada ke luar daerah, balik kampung, atau ke luar negara 🌴🏖️

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

💊 𝐾̲𝑒̲𝑝̲𝑒̲𝑟̲𝑙̲𝑢̲𝑎̲𝑛̲ 𝐴̲𝑠̲𝑎̲𝑠̲ 𝑃̲𝑒̲𝑟̲𝑢̲𝑏̲𝑎̲𝑡̲𝑎̲𝑛̲ 𝐴̲𝑛̲𝑎̲𝑘̲

1️⃣Ubat demam (Paracetamol / Ibuprofen – versi sirap & supositori kalau boleh)
2️⃣Garam rehidrasi (ORS) – untuk cirit-birit atau muntah
3️⃣Ubat alahan (untuk gatal, ruam, gigitan serangga)
4️⃣Semburan hidung garam – sesuai semasa hidung tersumbat atau selsema
5️⃣Ubat batuk / selsema (ikut umur dan dos sesuai)
6️⃣Zink atau probiotik – rawatan cirit-birit
7️⃣Antiseptik & plaster luka – untuk luka kecil
8️⃣Losyen / semburan nyamuk – penting terutama jika melancong di Asia Tenggara

Addition tips:
🍼 Simpan ubat dalam beg tangan, bukan beg check in luggage
🌡️ Semak tarikh luput & dos
🏥 Catat klinik / hospital berhampiran destinasi anda
📱 Simpan nombor doktor paediatrician anak anda 😉

𝐀𝐧𝐝 𝐦𝐨𝐬𝐭 𝐢𝐦𝐩𝐨𝐫𝐭𝐚𝐧𝐭𝐥𝐲, 𝐝𝐨 𝐧𝐨𝐭 𝐟𝐨𝐫𝐠𝐞𝐭 𝐲𝐨𝐮𝐫 𝐢𝐧𝐟𝐥𝐮𝐞𝐧𝐳𝐚 𝐯𝐚𝐜𝐜𝐢𝐧𝐞 💉

Stay safe guys 🫶

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 🪔in celebration, marking the victory of light over darkness, and good over evil.

That dawn became Deepavali, a reminder that 𝐝𝐚𝐫𝐤𝐧𝐞𝐬𝐬 𝐧𝐞𝐯𝐞𝐫 𝐥𝐚𝐬𝐭𝐬 𝐟𝐨𝐫𝐞𝐯𝐞𝐫 — 𝐧𝐨𝐭 𝐢𝐧 𝐭𝐡𝐞 𝐰𝐨𝐫𝐥𝐝, 𝐚𝐧𝐝 𝐧𝐨𝐭 𝐢𝐧 𝐮𝐬.

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. It’s a small Deepavali moment — every single day.

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

14/10/2025

𝐔𝐁𝐀𝐓 𝐃𝐄𝐌𝐀𝐌 𝐀𝐍𝐀𝐊: 𝐌𝐀𝐍𝐀 𝐒𝐄𝐋𝐀𝐌𝐀𝐓, 𝐌𝐀𝐍𝐀 𝐏𝐄𝐑𝐋𝐔 𝐄𝐋𝐀𝐊

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 — 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):

✅ 𝟏. 𝐏𝐀𝐑𝐀𝐂𝐄𝐓𝐀𝐌𝐎𝐋 (𝐏𝐂𝐌 / 𝐏𝐚𝐧𝐚𝐝𝐨𝐥 / 𝐏𝐨𝐫𝐨 / 𝐘𝐒𝐏)

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

𝐒𝐭𝐚𝐭𝐮𝐬: ✔️ 𝐒𝐞𝐥𝐚𝐦𝐚𝐭 & 𝐝𝐢𝐬𝐲𝐨𝐫𝐤𝐚𝐧 𝐮𝐧𝐭𝐮𝐤 𝐤𝐚𝐧𝐚𝐤-𝐤𝐚𝐧𝐚𝐤 𝐝𝐚𝐫𝐢 𝐬𝐞𝐦𝐮𝐚 𝐩𝐞𝐫𝐢𝐧𝐠𝐤𝐚𝐭 𝐮𝐦𝐮𝐫

📘 Tahap bukti: Kukuh & luas (bertahun-tahun digunakan secara selamat di seluruh dunia).

✅ 𝟐. 𝐈𝐁𝐔𝐏𝐑𝐎𝐅𝐄𝐍 (𝐍𝐮𝐫𝐨𝐟𝐞𝐧 / 𝐁𝐫𝐮𝐟𝐞𝐧)

Bentuk: Cecair (syrup) sahaja di Malaysia

𝐒𝐭𝐚𝐭𝐮𝐬: ⚠️ 𝐒𝐞𝐥𝐚𝐦𝐚𝐭 𝐝𝐢𝐠𝐮𝐧𝐚𝐤𝐚𝐧 𝐝𝐞𝐧𝐠𝐚𝐧 𝐩𝐞𝐦𝐚𝐧𝐭𝐚𝐮𝐚𝐧 𝐝𝐨𝐤𝐭𝐨𝐫

➡️ Diluluskan untuk kanak-kanak ≥6 bulan.
➡️ Berguna jika demam tidak turun dengan PCM.

📘 Tahap bukti: Kukuh (digunakan secara global)

🔴 𝟑. 𝐃𝐈𝐂𝐋𝐎𝐅𝐄𝐍𝐀𝐂 (𝐕𝐨𝐥𝐭𝐚𝐫𝐞𝐧 / 𝐂𝐚𝐭𝐚𝐟𝐥𝐚𝐦)

Bentuk: Suppository

Status: ❌ Tidak diluluskan untuk rawatan demam pada kanak-kanak (off-label)

➡️ Ada kaitan dengan kes radang otak (sangat jarang tapi pernah dilaporkan)

📕 Tahap bukti: Terhad (beberapa kes dilaporkan, tiada kajian besar), tetapi cukup untuk wujud amaran rasmi KKM/NPRA — jadi elakkan sepenuhnya.

𝐊𝐞𝐬𝐢𝐦𝐩𝐮𝐥𝐚𝐧𝐧𝐲𝐚: 𝐏𝐚𝐫𝐚𝐜𝐞𝐭𝐚𝐦𝐨𝐥 & 𝐈𝐛𝐮𝐩𝐫𝐨𝐟𝐞𝐧 (𝐬𝐚𝐦𝐚 𝐚𝐝𝐚 𝐬𝐲𝐫𝐮𝐩 𝐚𝐭𝐚𝐮 𝐜𝐮𝐜𝐮𝐤 𝐩𝐮𝐧𝐠𝐠𝐮𝐧𝐠) 👍 👍👍
Check the label always!

Nota kaki: Dulu Dr Izzar senior saya di University College Dublin — memang handsome, genius & gentleman.
Saya pun hampir sama… cuma beza kat tiga benda tu je 😂

12/10/2025

Just landed from Penang.
While lining up at Imigresen — 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 — viruses are everywhere.

Exhausted but relieved they’re all stable now.
Starving, but first — mandi dulu, baru makan.
🧴🧼 Please remember: hygiene saves lives.
Clean hands. Clean bottles. Clean water. Always.

P.S Clinic reopens tomorrow. See you all ❤️🫶

11/10/2025

“𝐃𝐨𝐜𝐭𝐨𝐫, 𝐛𝐚𝐛𝐲 𝐬𝐮𝐬𝐚𝐡 𝐧𝐚𝐟𝐚𝐬 𝐥𝐚𝐠𝐢—𝐑𝐒𝐕 𝐩𝐨𝐬𝐢𝐭𝐢𝐟.”

I’m sure you guys remember that post a few months ago sharing about the awful 𝐑𝐒𝐕 𝐕𝐢𝐫𝐮𝐬.

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

𝐈𝐧𝐢 𝐤𝐞𝐫𝐚𝐧𝐚 𝐬𝐞𝐥𝐚𝐦𝐚 𝐢𝐧𝐢, 𝐭𝐢𝐚𝐝𝐚 𝐮𝐛𝐚𝐭 𝐚𝐭𝐚𝐮 𝐯𝐚𝐤𝐬𝐢𝐧 𝐤𝐡𝐮𝐬𝐮𝐬 𝐮𝐧𝐭𝐮𝐤 𝐑𝐒𝐕.

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

𝐖𝐞𝐥𝐥, 𝐧𝐨𝐭 𝐚𝐧𝐲𝐦𝐨𝐫𝐞! 𝐊𝐢𝐧𝐢, 𝐚𝐝𝐚 𝐬𝐢𝐧𝐚𝐫 𝐛𝐚𝐫𝐮🤲
𝐁𝐮𝐤𝐚𝐧 𝐯𝐚𝐤𝐬𝐢𝐧, 𝐭𝐚𝐩𝐢 𝐬𝐞𝐜𝐚𝐫𝐚 𝐥𝐚𝐧𝐠𝐬𝐮𝐧𝐠 𝐦𝐞𝐦𝐛𝐞𝐫𝐢 𝐚𝐧𝐭𝐢𝐛𝐨𝐝𝐢 𝐭𝐞𝐫𝐮𝐬 𝐤𝐞𝐩𝐚𝐝𝐚 𝐛𝐚𝐲𝐢.

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 — bukan sekadar menunggu dan merawat bila sudah parah.

𝐵𝑒𝒸𝒶𝓊𝓈𝑒 𝑜𝓊𝓇 𝓀𝒾𝒹𝓈 𝒾𝓃 𝒯𝒶𝓌𝒶𝓊 𝒹𝑒𝓈𝑒𝓇𝓋𝑒 𝓉𝒽𝑒 𝓁𝒶𝓉𝑒𝓈𝓉 𝒶𝓃𝒹 𝓉𝒽𝑒 𝒷𝑒𝓈𝓉 🫶❤️

𝐃𝐫. 𝐃𝐞𝐞𝐧𝐢𝐬𝐡
𝐌𝐏𝐀 𝐂𝐨𝐧𝐠𝐫𝐞𝐬𝐬 𝟐𝟎𝟐𝟓
𝐏𝐞𝐧𝐚𝐧𝐠

10/10/2025

Dear parents, I’m away for the Malaysian Paediatric Association (MPA) Congress 2025, but 𝐚𝐬 𝐚𝐥𝐰𝐚𝐲𝐬 — 𝐜𝐨𝐧𝐭𝐚𝐜𝐭𝐚𝐛𝐥𝐞 𝐟𝐨𝐫 𝐭𝐡𝐞 𝐬𝐚𝐤𝐞 𝐨𝐟 𝐦𝐲 𝐥𝐢𝐭𝐭𝐥𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭𝐬.

My phone’s been buzzing non-stop these past two days. Multiple kids with 𝐯𝐨𝐦𝐢𝐭𝐢𝐧𝐠, 𝐝𝐢𝐚𝐫𝐫𝐡𝐨𝐞𝐚, 𝐚𝐧𝐝 𝐟𝐞𝐯𝐞𝐫 — some already showing signs of dehydration. I’m really sorry I can’t be there in person, but I’ll continue to guide however I can 🙏

If your child seems weak or unable to drink, please go straight to TSMC Emergency Department — it’s open 24/7 as usual.

For everyone else, a few simple but important reminders:
• 𝐄𝐧𝐬𝐮𝐫𝐞 𝐜𝐥𝐞𝐚𝐧, 𝐬𝐚𝐟𝐞 𝐝𝐫𝐢𝐧𝐤𝐢𝐧𝐠 𝐰𝐚𝐭𝐞𝐫 💦
• 𝐒𝐭𝐞𝐫𝐢𝐥𝐢𝐬𝐞 𝐛𝐨𝐭𝐭𝐥𝐞𝐬 𝐚𝐧𝐝 𝐮𝐭𝐞𝐧𝐬𝐢𝐥𝐬 𝐩𝐫𝐨𝐩𝐞𝐫𝐥𝐲 🍼
• 𝐏𝐫𝐚𝐜𝐭𝐢𝐜𝐞 𝐟𝐫𝐞𝐪𝐮𝐞𝐧𝐭 𝐡𝐚𝐧𝐝𝐰𝐚𝐬𝐡𝐢𝐧𝐠 𝐭𝐨 𝐩𝐫𝐞𝐯𝐞𝐧𝐭 𝐟𝐮𝐫𝐭𝐡𝐞𝐫 𝐬𝐩𝐫𝐞𝐚𝐝 🧴

Let’s stay vigilant and keep our little ones hydrated and safe.

Stay safe, Tawau 🫶❤️

09/10/2025

𝑻𝒂𝒉𝒖𝒌𝒂𝒉 𝒂𝒏𝒅𝒂, 𝒗𝒂𝒌𝒔𝒊𝒏 𝒑𝒏𝒆𝒖𝒎𝒐𝒌𝒐𝒌𝒂𝒍 𝒕𝒆𝒍𝒂𝒉 𝒃𝒂𝒏𝒚𝒂𝒌 𝒃𝒆𝒓𝒌𝒆𝒎𝒃𝒂𝒏𝒈 𝒔𝒆𝒋𝒂𝒌 𝒅𝒂𝒉𝒖𝒍𝒖?

Banyak juga pilihan vaksin pneumokokal di pasaran. Yang paling “kolot” hanya 7 “valent”(PCV7) kemudian PCV10, PCV13, dan kini yang lebih baru — PCV15 serta PCV20.

𝐋𝐞𝐛𝐢𝐡 𝐭𝐢𝐧𝐠𝐠𝐢 “𝐯𝐚𝐥𝐞𝐧𝐭”, 𝐥𝐞𝐛𝐢𝐡 𝐥𝐮𝐚𝐬 𝐩𝐞𝐫𝐥𝐢𝐧𝐝𝐮𝐧𝐠𝐚𝐧𝐧𝐲𝐚.
“Valent” 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 “lama” (PCV10) sejak 2023.

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

Sebelum anak anda disuntik, tanyalah dulu:
“𝐕𝐚𝐤𝐬𝐢𝐧 𝐩𝐧𝐞𝐮𝐦𝐨𝐤𝐨𝐤𝐚𝐥 𝐣𝐞𝐧𝐢𝐬 𝐚𝐩𝐚 𝐲𝐚𝐧𝐠 𝐝𝐢𝐠𝐮𝐧𝐚𝐤𝐚𝐧?”

Pilih yang terbukti & terbaik — jangan biarkan anak anda dilindungi separuh jalan.

— Dr Deenish Muniandy
MPA Congress 2025
Bayan Lepas, Pulau Pinang.

08/10/2025

𝑳𝑬𝑨𝑹𝑵𝑰𝑵𝑮 𝑵𝑬𝑽𝑬𝑹 𝑬𝑵𝑫𝑺

Dear parents, saya dalam perjalanan ke Pulau Pinang untuk menghadiri 𝐊𝐨𝐧𝐠𝐫𝐞𝐬 𝐏𝐞𝐫𝐬𝐚𝐭𝐮𝐚𝐧 𝐏𝐞𝐝𝐢𝐚𝐭𝐫𝐢𝐤 𝐌𝐚𝐥𝐚𝐲𝐬𝐢𝐚 (𝐌𝐏𝐀) 𝟐𝟎𝟐𝟓 yang bertemakan “𝐕𝐚𝐜𝐜𝐢𝐧𝐞𝐬 𝐚𝐧𝐝 𝐄𝐭𝐡𝐢𝐜𝐬 𝐟𝐨𝐫 𝐋𝐢𝐟𝐞”. 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!

Dr. Deenish - TSMC

20/11/2025

17/11/2025

08/11/2025

05/11/2025

28/10/2025

20/10/2025

14/10/2025

12/10/2025

11/10/2025

10/10/2025

09/10/2025

08/10/2025

Address

Telephone

Website

Alerts

Contact The Practice

Shortcuts

Share

Category