Category Archives: Dr Pixie says

Cried till expiration, didn’t breathe, turned blue, passed out!



I kid you not. This was what Caleb did a few days ago.

I was at work and Grandma called to tell me of this.

Apparently he was crying quite profusely. You know how at each Waaa… babies would then draw their breath for the next Waaa…? Well, he didn’t. So he turned blue in the lips, then in the face, and went limp.

Grandma had the shock of her life. She quickly stroked him, patted him on the body and face, and then Caleb woke up.

So, upon finding out this I quickly called Dr Pixie to tell her of this.


Is this a physiological condition?
An inherited condition?
A psychological condition?
Are there any dangers to this?
WHAT’S GOING ON??

Very calmly, Dr Pixie tells me that this is nothing new. Kids do this to get attention, to get things their way; that there is nothing to worry about.

The only thing she said was out of the ordinary was that Caleb is (already) doing this at such a young age of 9 months; my own niece / her own daughter did this once when she was 2.

She did say these words though: Do not give in to the boy’s demands. This is how kids become spoilt brats – they start getting adults to give into them and the trouble starts.

Most of the explanation and conversation revolved around behavioural attitude rather than anything medical.

You can imagine my astonishment at hearing all this. But then when I was hearing this explanation I was reminded of the saying about kids who “.. held his breath till he turned blue to get his way…” It all kinda clicked at the point.

I knew this boy was likely going to be a difficult child with that behaviour, but now with this incident, or shall I more accurately say, manipulative behaviour, we really have a troublemaker in our hands…..

I looked up the internet to research this. I did find a lot of the same things as what Dr Pixie said, plus more:

  • Not to worry because the body’s natural defenses will kick in, and the child will start breathing naturally again;
  • Lie them down when they “pass out” just to ensure that the blood flow continues into their brain;
  • Once the kid wakes up, pretend nothing happened. They do this to seek attention, and that is exactly what you should not give them. Running to them Are you okay? will only exacerbate the problem, and they will likely learn that this trick works and does it again, probably for more and greater demands. An example of nothing-happened are (to continue) reading your newspaper (but peer over the page), go about the household chores like usual. Another trick was to turn your back on them, use a mirror just to see if they are okay.
  • Here are some links which I visited:

    http://www.baby-medical-questions-and-answers.com/toddler-discipline.html

    http://www.baby-medical-questions-and-answers.com/child-behavior-management.html

    http://en.allexperts.com/q/Pediatrics-1429/Crying-Toddler-1.htm

    And at the end is an excerpt from the last link above.

    What a scare! Other than that quote above, none of us had ever heard of anything like this before, what more a 9 month old already starting to try manipulating the situation and people. Grandma still doesn’t believe this and asked to recheck this “condition”.

    In a lot of ways, it kinda shows that this could possibly be a very smart boy.

    I only hope that this genius will only use his power for good and not evil…..! Well at least be on his parents’ side! He already looks at his Daddee in a certain way!

    Breath-Holding Spells
    What is a breath-holding spell?
    A breath-holding spell is when your child holds his breath when he is suddenly injured, frustrated, angry, or frightened. Breath-holding spells begin between the ages of 6 months and 2 years. They occur only while the child is awake.
    During a breath-holding spell:
    • Your child may make 1 or 2 cries and then hold his breath in expiration until he becomes blue around the lips and passes out.
    • Your child may stiffen and may have a few twitches or muscle jerks.
    • Your child will breathe normally again and become fully alert in less than 1 minute.
    What is the cause?
    An abnormal reflex allows 5% of normal children to hold their breath long enough to pass out. Most children do not do this deliberately.
    Holding the breath (when frustrated) and becoming bluish without passing out is such a common reaction in young infants that it is not considered abnormal.
    How long does it last?
    Breath-holding spells usually occur from 1 or 2 times a day to 1 or 2 times a month. Children usually stop having breath-holding spells by the time they are 4 or 5 years old.
    Breath-holding spells are not dangerous, and they don’t lead to epilepsy or brain damage.
    How can I take care of my child?
    • Treatment during attacks of breath-holding
    These attacks are harmless and always stop by themselves. Time the length of a few attacks, using a watch with a second hand.
    During an attack, do not hold your child upright. Instead, he should lie flat. This position will increase blood flow to the brain and may prevent some of the muscle jerking. Put a cold wet washcloth on your child’s forehead until he starts breathing again. Don’t start resuscitation or call a rescue squad–it’s not necessary. Also, don’t put anything in your child’s mouth because it could make him choke or vomit.
    • Treatment after attacks of breath-holding
    Give your child a brief hug and go about your business. A relaxed attitude is best. If you are frightened, don’t let your child know it. If your child had a temper tantrum because he wanted his way, don’t give in to him after the attack.
    • Prevention of injuries
    The main injury risk of a breath-holding spell is a head injury. If your child starts to have an attack while standing near a hard surface, go to him quickly and help lower him to the floor.
    What can I do to help prevent breath-holding spells?
    Most attacks from falling down or a sudden fright can’t be prevented. Neither can most attacks that are triggered by anger. However, some children can be distracted from their breath-holding if you intervene before they become blue. Tell your child to come to you for a hug or to look at something interesting. Ask him if he wants a drink of juice.
    If your child is having attacks every day, he probably has learned to trigger some of the attacks himself. This can happen when parents run to the child and pick him up every time he starts to cry, or when they give him his way as soon as the attack is over. Avoid these responses and your child won’t have an undue number of attacks.
    When should I call my child’s health care provider?
    Call during office hours if:
    • More than one spell occurs each week.
    • The attacks change.
    • You have other concerns or questions.

    Caution: Call a rescue squad (911) if your child has a different kind of attack during which he stops breathing for more than 1 minute or turns white (not blue).

    Raising girls and daughters :: Part 3

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    I used to rollerblade, or more correctly, inline skate (Rollerblade is actually a brand name). I say used to ‘cos my middle-aged knee has been reminding me that I am not as young as I used to be; since something … Continue reading

    Daddee’s first big lesson in raising a girl

    For a few months now I have been having this pain when I pee- it’s not all the time, it’s only sometimes. I told Daddee about it, but he looked like he didn’t know what to do. He said to just make sure I continually washed after I pee; it’s usually Daddee who washes me at home after I pee.

    I think now he thinks he hasn’t been washing me properly. Poor Daddee, I think he feels sad and, what’s the word- Inadequate?

    So last Saturday Daddee took me to see TuaKor (Eldest paternal aunty, or Dr Pixie) for a few things: That I have (still) been having hard stools, that I don’t go poo-poo everyday, and also for this pain when I pee.

    So TuaKor examined me. I was so scared and I didn’t let her touch me. Daddee said it was okay; TuaKor needs to see why it’s been pain-pain when I pee.

    They were right; TuaKor only opened me up a little and that was enough to see some, err, inflammation; I think they called it, that it is pinky-red. They started talking about me, saying that to make sure I am washed inside and not just outside my skin area. Also, sometimes using only toilet paper to wipe is not enough. Daddee used this big word to say that he wasn’t familiar the girl body.. ana.. anatom-something. I think that first big word is how he feels about touching this ana-thing.

    So TuaKor asked Daddee to go buy this wash called Lactacyd, and to use it after each time I pee, for 3 days straight. TuaKor also said my no-poo-poo has something to do with my inflammation, but I think Daddee can’t see the connection either…. But I will continue making sure I eat lots of vegetables still.

    First few times he washed me it was so painful I cried. I don’t know why- it could be that the soap or it could be that Daddee was too hard. After a few times, Daddee thought to ask me to wash myself. That’s a good idea Daddee. He stood by with the shower head running and made sure I washed inside before spraying me while I continue washing.

    It’s been 3 days of use now; except when I went back to school after the holidays this morning. I think Daddee will insist I am washed with this wash tomorrow, and then that would be enough. I think NaiNai (paternal grandma) was also teaching Daddee that this wash is quite drying, but suggested to still use it once a week to ensure.. hy… hy… oh I give up.

    Daddee forgot to ask Dr Pixie what the adult-name is for my pain-pain.

    After the visit to TuaKor’s clinic, as promised, Daddee took me to the big underground aquarium at the twin towers KLCC to check out the sharks being fed… I think he felt bad to miss his friend Auntie Kathie and her 2 boys!

    :)

    “Do you have any children?”

    That is usually the question parents ask the detective, in cops & robbers shows on TV, when they speak about the mishaps regarding their kids.

    I never knew the implications until I now that I have my own kids. The writers of these shows know what they are talking about- about how parents feel about kids, and about how child-less folks not knowing what it feels like when mishaps befall (other people’s) children.

    I saw this article on The Star this morning. It saddens me that people can do this to children; and in this case, presumably by someone who’s not had kids of their own.

    What I had wanted to share in this post, mainly, is that I was reminded by Dr Pixie recently not to throw kids up in the air during play- you know, throw them up, and catch them by the armpits when they are falling.

    She said that in playing like this, there is a chance of busting a vein or vessel in the head.

    Presumably the same thing this abused child suffered “….. (sic) had suffered bleeding in the head probably due to a violent shake”…..

    Sigh…

    Baby fell off the bed!



    So he’s coming up to 6 months old already. He can prop himself up temporarily and hold his head up, looking for whatever caught his eye earlier, or looking for something to look at.

    He’s only been able to roll from his back to his front.

    Or so we thought.

    Last Friday night, at 7pm, we were in a rush to pack our stuff readying for a dinner appointment and the weekend away at my parents’. We left Caleb in the middle of the double bed in our spare bedroom, as usual, surrounding him with pillows to “box” him in. This was done many times before, when we need to change him and while fetching the talcum powder, new diapers, etc.

    Caitlin was also “busy”, walking around acting like she was also looking for stuff to pack. In our haste, we left Caleb in the room whilst we walked out to put/fetch more things, in different directions.

    I am usually conscious of where people (and most things) are in the apartment at most times. It’s just my secret wish to be like Jason Bourne- to be aware of potential hazards now that we have potentially hazardous-to-self kids. So I knew where Caitlin kinda was, and I also knew Caleb was on the bed.

    But I didn’t prepare for nor think about his growing abilities.

    Just as I paced outside the bedroom door either with something in my hand or looking for something else, I heard a thud. I already knew what it was- there was no one else in there but Caleb.

    As I almost-ran already expecting to find Caleb on the floor, he was already on his back, looking up looking very stunned, and started bawling one of the loudest bawls. I knew the thud was his left hand hitting an empty cardboard box beside the bed. Slowly swiftly I picked him up, knowing the “damage” was his head but checked his left hand first for abrasions / paper cuts. Nothing. Then I gently touched his head and the swelling had started, which quickly later became a ring-bruise.

    I can only imagine that he somehow rolled on top of the pillow, and rolled off the edge of the knee-height bed face first, and turned on the way down to land on his back / the back of his head, hitting his hand on the box, ending up the way I found him.

    As soon as Caitlin found out, she quickly realised the extent of the accident, and started exclaiming “Why did baby fall down why did baby fall down!?” with each sentence the tears welling in her eyes. I was walking around as I comforted Caleb. Caitlin was following me around making these exclamations, demanding answers to how her little brother got hurt, herself crying quite badly at the end.

    Caleb cried for a long time. Even though he was conscious and fidgeting during the cry / from the fright, I was still very scared. Even though it wasn’t a concussion (at least I thought at the time) I had heard of internal damage from such a fall.

    I started watching him for signs of nausea. I had heard this was what to look out for. After quickly speaking to Dr Pixie, she sternly corrected me that nausea would already be too late. Instead, we should watch to see if he behaves out of the ordinary: If he’s too noisy, too quiet, too fidgety, too calm; anything that’s not his usual behaviour.

    That’s what we did in the following hours. And somewhat gladly, he behaved predictably, albeit slightly teary from the presumably sore bump.

    For peace of mind, we visited Dr Pixie the following morning. He was his usual self- responding to my tongue-clucking, looking around at his surroundings wherever he went. Since it was already over 12 hours since the fall, and going by his body language, Dr Pixie gave her assurance that he’s fine.

    Dr Pixie then followed up with a call. Since he had hit the back of his head where the brain processes visual signals, asked that we do an eye test on Caleb, by alternately covering his eyes and getting him to track a movement (eg, moving the finger).

    He was able to.

    Did I feel like shit? Yes.

    Did I “fail” in ensuring safety for my kids, even a simple one like this? Yes.

    Could I have acted differently? Yes. I could have called Hot Mummee, and Dr Pixie a lot earlier, to learn what to look out for.

    We were lucky. Very lucky.

    China quake: Please help me..

    .
    I subscribe to BBC’s Global News podcasts. Since the China earthquake they have been covering it in every podcast episode.

    The latest episode (Global News 21 May AM edition) had a reporter covering the orphaned kids, reporting from a makeshift middle school, of only tents.

    One account was on a couple of kids. Both are too young to really understand what happened, with the older one still waiting for their parents to come pick them up. Their grandfather says he’s over 60 years old now, admits he cannot care for them, has to rely on the govt, and worries about their future.

    Another account is on a 14 year old boy who does know what’s going on. He was only recently reunited with his younger 8 year old sister. He wants to stay with his aunt and uncle, “but if they don’t want us, we will go.”

    Dr Pixie is looking to go there to give any assistance she can. But I understand that she is unable to obtain a Chinese visa. At the moment she and another Dr are looking for ways they can go.

    If anyone can help with “pulling strings” with Chinese visa, please let me know.

    Mind your p’s and q’s, young lady!

    This is a semi serious issue. One that needs to be nipped in the bud, but that wasn’t!

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