Daddee Yah!

A working Daddee learning to cope in a big big world

A quick update.

I took this photo last night, and sent it to Dr Pixie.

Not as painful as it looks

It’s not as painful as it looks. In fact the only feedback I get now is that it is ticklish!

It looks shiny because of the flash on my camera. It is actually dry, but the “new” skin is smooth and dry, effectively giving it a sheen.

Dr Pixie replied saying that it looks like it is healing “cleanly”, but that it is likely to leave a lighter pigmentation as a result of scarring. I initially enquired if I could apply Eurax on the site, since Caitlin has been complaining that it is very itchy, and we don’t want her to be scratching the area at all!

She said no, which was also my initial reaction; general reaction, to letting things heal as naturally as possible.

Dr Pixie did say to continue using the SSD though, which we did because it does have antiseptic properties in it, and since there are still skin areas that need peeling but which may likely be peeled by itchy fingers leading to hey-I-am-not-ready-to-be-exposed-yet new unready skin being open to infection….

Caitlin is already asking when she can go (back to) swimming… I’d like to bring her too. She needs the break.

Talk about sitting on it.

About a month or so back, due to bad parenting on our part, we had neglected to ensure Caleb was changed quickly and often enough.

It’s “interesting” that being in contact with urine long enough creates such a reaction on human skin. At first we weren’t too sure what the ultimate cause was.

Our guess was confirmed upon Dr Pixie’s first look / impression.

The affected reddened skin covered from between the butt cheeks, forward toward the scrotum, and stopping between that and the you-know-what (I don’t want spam bots picking up that keyword). That last bit (pun?) was the giveaway sign, given how the liquid is trapped in these crevices under the diaper. There was nothing wrong with the skin on the upper side of the ahem and upwards.

Dr Pixie also confirmed that the area would hurt; probably sting is a better description. This explained Caleb’s discomfort in those days. He was a real pain in ass to feed, manage etc, because he had a pain in his ass ha ha.

Here’s what Dr Pixie prescribed.

No more talcum powder on the groin / area; at least for now. When changing, wash / rinse the area as you would but no soap. Soap would only aggravate the area and the sting. Dab / pat dry- again, rubbing dry would also be painful on the skin. And go get this concoction: Hydrocortisol and Zinc oxide; to be applied on the reddened skin after each wash / change.

Hot Mummee and Grandma went out looking for this. Apparently the pharmacist they went didn’t have this, but was able to mix it. I don’t know if it was expensive, I doubt it was though.

That last treatment really helped our little man (another pun?) In probably 6 hours or 2-3 changes later he was feeling almost normal, and the area cleared up not long after.

Sharing my kids-treatment record with you here.

Caleb did.

When he first developed the fever on Sunday, we didn’t think much about it, only perhaps he’d caught something; maybe from his sister.

But you wouldn’t know it.

Caleb has been running around being his cheeky self, toddling around in circles at tv jingles, walking after HM when he sees her, playing and demanding the toys that Caitlin is playing (and Caitlin demanding it back). If you didn’t touch him, he certainly wasn’t showing any of the visual signs of suffering from fever.

Naturally worried, we took him to the nearby children’s clinic Tuesday evening- yup, it was already 36 hours since the fever started. The pediatrician kinda went “Yup, fever”, poked a spatula making Caleb puke on his floor, “Yup, sore throat, and stuffed nose too” and charged me RM80 for making us wait for him almost 3 hours (when we registered him we were told to come back in an hour. We did, and still had to wait our turn), and prescribed paracetamol and rhinothiol, two of which you can already buy from your neighbourhood pharmacy, and also what Dr Pixie‘s already prescribed before.

Yesterday, Wednesday, his fever had subsided. Again, you wouldn’t know it because of his still normal (ie high!) level of energy. Last night in the lift on the way upstairs, HM was carrying him. He had knocked out- and I still thought Why not, he’s probably lethargic from the fever. I had noticed Caleb had rashes starting from his jawline going down under his pj’s collar. Since he was already asleep I didn’t endevour to examine him, and subsequently forgotten about checking him at all when he did wake for a while.

I made a conscious decision not to administer any more medication, since the fever was going away, and let his own defenses fight the other symptoms.

Today at work Grandma calls me and says the rashes seem to be getting worse. Since HM was mobile today, I left it to her to administer to the little man.

Tonite, after coming home from work and a work-related function, HM tells me that she had spent some time looking for another children’s clinic, and was about to go to a further suburb when Dr Pixie returned call (Dr Pixie’s hours were later in the evening, at the other side of KL, during very peak rush hour). Spoke to Dr Pixie about Caleb’s condition, and without mentioning beyond “Caleb’s got a rash and he’d just recovered from fever”, Dr Pixie correctly asked questions related to all the above conditions-

“Did he have fever for 3 days?”
“Did he otherwise act all normal?”
“The rash doesn’t seem to be annoying him in anyway, right?”

She called it roseola infantum

Without reading all the contents of the above link to Wikipedia, HM says Dr Pixie said:

  • that kids aged under 3 get it;
  • there’s really nothing we can do;
  • nor need to do, and
  • it will go away eventually; probably also in 3 days.

Good thing Caleb left his mess on the dr’s floor. Honestly that was our second visit to that clinic with Caleb, both times the 2 different dr’s got their diagnosis wrong.

There are a few things in life that you kinda expect to happen to you; and when you are a parent- to your children.

You expect them to fall down once a while.
You expect them to get hurt once a while.
You expect them to get a bump on the head, a cut there, a bruise here.

But you don’t expect them to be scalded.

At dinner tonite, Grandma was serving up dinner. Caitlin was seated already next to me, at the far side of the table against the doorway into the dining area. Grandma was coming in with bowls of hot soup. She makes them really hot. She reached forward to put a bowl down infront of Caitlin for her, and it slipped out of her hand, away from her, towards Caitlin.

Without really thinking I made the mistake of trying to sweep away the soup from her lap; thinking to remove the hot element from skin.
Grandma comes in to carry her off the wet seat.
I went to get some cloth- anything, to wet with cold water to put over the area.
Grandma says NO.
By which time Mummee was rushing down after hearing the scream. She was shouting DO NOT GET ICE.
My wet cloth was ignored. I could see some peeled skin. It looks like what it’d be like a few days after being sunburnt.
Mummee came with toothpaste, and we all started to spread it over the area.
Caitlin starts to settle.

The old school Chinese old wives way was NOT to encourage quick contraction after a hot expansion. My basic first aid was ignored. We then remembered some ointment bought from China by either grandparents, which had quickly healed the assistant’s hands during the sideshow (more like freakshow) demo, where he applied the ointment immediately after grasping red hot iron bar- don’t ask.

4-5 hours later we are back at our apartment, our regular routine, ready for bed. Mummee’s gentle dabs removed the toothpaste ready for another application of Chinese ointment. Cleared, we could see the damage. Blisters. Multiple of them. Bigger and smaller than peanuts. And the roll of broken skin.

I called Dr Pixie to ask what else we could do other than to air it. She said to go get sulphur silver diazine. It would help with the burn, and it is also antiseptic.

In the conversation I related the whole ordeal, whether it was likely to scar- YES. Provided the blisters aren’t popped during this whole time. but definitely there will be different pigmentation during / after healing.

But I made the worst mistake. I effectively already removed some skin when I swept her lap. It would be those area that is guaranteed to scar; don’t even talk about popping the blisters, I had already effectively done that.

I went to the only 24 hours pharmacy I could think of- Pantai Hospital, not too far from here. Got 60g of the cream, at RM12.40. They call is Flamazine

She is sleeping now with Mummee.

In the coming days these are what I am anticipating:
– her in her school uniform- how do we ensure the area is kept medicated?
– her in her school uniform- how do we ensure she doesn’t get the area accidentally bumped / scraped / pop the blisters?
– her in regular clothes- to remove them to go pee? Who’s gonna help her removal?
– her in bed- same precautions as above?

I feel like shit. I feel much worse actually.

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

Read the rest of this entry »

Caitlin took this shot, among others, after the last post regarding the burn site’s blister bursting.

Blister popped

I think it should get easier managing the site now, since there is nothing left to burst! It wasn’t easy ensuring the site was kept safe from bumps and other small mishaps. We’ll just have to make sure it is kept clean.

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?

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:

    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).