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Peter Pan

Peter is born 

"It was a fateful day in September 2010 during orthopedic posting when i suspected something was amiss when Ivan decided to tease me that day in the houseman room. We were resting after lunch when Ivan decided that he shall eat an orange in the small stuffy room. He peeled the skin and offered me a piece. I brushed him off saying that i feel nauseous at the smell of that orange and he being the cheeky guy that he is brings the orange even closer to my nose. Nausea started to overwhelm me and Ivan laughed saying that "Ney, i think you are pregnant again. See, the veins on your hands are so prominent. It looks like how it was when you were having Nana."

I replied " Very funny Van. Hahaha..." Then it struck me, this might be true... I don't easily feel nauseous and my period was running a bit late. I thought that it was normal since my period hasn't returned to the normal cycle since delivering Nana..."

Mei Ling," Da Jie (big Sis) did it again!"

Those were the excerpts from Karling's unfinished blog draft. Since we found out we were expecting a second child, it has been an eventful and hectic 9working months. Just to recap on the highlight, everyone panicked when Karling suddenly had 1st trimester bleeding at 11weeks off gestation while she was working. Perhaps given the nature of work and compounded by the fact that most obstetricians would term the 15months gap between our 1st and second child as "poor spacing", the early trimester bleeding episode serve as a warning to rest and recuperate.

Thank you God for saving and keeping our second child. So to put it bluntly, Karling had a threatened abortion, although nowadays most medical staff would prefer the less traumatic term of near miscarriage. Being the pessimist I was finding self-composure and already blaming myself while waiting for the 1 and only negative outcome. After a quick antenatal scan, we were relieved fetal echo was present inside an existing intrauterine sac.Mother was immediately given 10days medical certificate and ordered to stay away from the vicinity of her working hospital, being the workaholic she is.  

Proud Mami with her 1st son

..He looks so peaceful and calm, in the secure arms of Mami

Fast forward to 39th weeks of gestation...( this is like LOST, btw anyone get the ending of LOST? cos I'm still left hanging) Anyway, like I said, 39th week means Peter was born 1 week earlier, instead of his expected due date on May 12th which would have coincided with Chi Phoy's birthday.
Events leading to this was another nerve-wrecking episode. I rushed Karling to the hospital at 6am when she had premature rupture of membrane (I'm sorry, she broke her water). Worst still it was meconium stained, arguably light to moderate, which means there was on-going fetal distress.

Nana! Where to put her? Right, we placed her at the babysitter next door, gave a call to inform our private obstetrician, and rushed to the hospital in double time. Cardiotopography was indicating fetal distress, by that time mother was in labour and already contracting. Cervical os was full, liquor was moderate meconium-stained, Karling was urged to push on contraction, no vacuum assisted delivery this time, then out came Peter immediately crying, with umbilical cord around neck. What? That was definitely the culprit.

Nana has arrived, and she's asking, "Who's that?"

Our dear Nana, this is your new baby brother,
 no longer in Mami's tummy.

APGAR score at 1 and 5 minutes was 10, all physical parameters was normal, just slightly lighter than our 1st born. So here we are, all of us relieved and grateful. Both mother and child are in good condition. Peter sleeping soundly and Karling looks rested and joyful. My chirpy in-laws arrived to welcome the new addition to our family.

Nana? She looked confused, maybe a bit crestfallen at the same time. Karling and I have discussed about this, how Nana would feel and react to this new situation. We had to be tactful to smoothen the transition of Nana being the only child to a big sister now. Bringing them closer together, after a small introduction session, Nana gently caressed Peter's forehead. The key was to prevent Nana from feeling neglected or abandoned in any way.

he shall be your blood, your growing up companion, healthy rival. An unbreakable sibling bond is formed on this day. Therefore, he shall be your responsibility too, Nana.

Jie jie sayang Di di, sayang~ sayang~ (Gently does it.)

Everything worked out well so far,so we placed Nana on her mother's bed, while she observed mami breastfeeding Peter. To her credit, she was composed, respectful and well-behaved, making me proud to conclude that Nana was advanced for her age. Still curiosity got the better of her and she wanted to try mommy's breast milk, since it looked quite yummy from Peter's point of view. After all of us convinced her otherwise, she took us on our offer for her bottle full of chocolate milk. Poor Nana, they all grow up so fast...

Karling spent the night at the hospital, while I brought Nana back to make preparation, fixing up the baby bed court,etc. The next morning, together with Nana, we picked Po po (grandmother from Kelantan) up from the train station, then fetched home mommy and the new baby from hospital once they were discharged.

The understanding and sensitive Nana never barge in while Peter was breastfeeding. 
Our hearts just melt to witness such maturity and patience. 

I missed Mami's milk. Papa~, can i please have some.

Once at home, Karling started her confinement period, under the supervision of a confinement lady we hired for a month. Po po was there to help out too, watch and learn because she never had the luxury of a confinement lady when she had me and my 2 younger brothers. Peter will be placed safely in the bed court, while Karling lie on our bed beside him. Being the light-sleeper whom she is, the moment Peter even started fidgetting, she would be up to breastfeed him.

Every night Nana will sleep with her Po po. Po po loves her granddaughter and Nana is quite attached to her. The dutiful confinement lady will come attend to Karling and baby's need in the middle of the night. Part of her job was taking care of Karling's confinement meal which main ingredient consist of rice wine. She also gave sound tradisional chinese confinement advice in full consideration both of us hailed from modern medical education background.  

Welcome home Peter. From now on you shall stick with us.

My son, opening his eyes looking at his papa and me at him.

While Karling officially started her 3 months maternity leave, i took just few days off from annual leave since I'm not entitled to paternity leave.Being at home for the initial couple of days steadied the ship and helped everyone to adopt a calmer state of mind. I was also needed to chauffeur mother and son to their postpartum and neonatal check-up respectively. Not that Karling and I can't perform a routine examination, just that everyone prefers to consult specialists nowadays.

I'm just happy to get a boy. I've always wanted my 1st child to be a girl since i never grew up with any sister. Since then I had wished my second child to be a boy or else I would start to have serious doubt over my "Y" chromosomes. 6-7 months into pregnancy, under HD sonographic visualization, the obstetrician pointed us towards Peter's crown jewel and Hallelujah! I was relieved. I was gonna be a proud father of a pair of boy and girl child.

Nana is curious and constantly drawn to the sound of the new baby at home.

Don't cry baby brother, jie jie is here to play with you.

How was Nana so far? Splendid. She seem to have adapted well to life with a new brother. The moment she opened her eyes after sleep, she wandered into the room looking for di di(younger brother). I supposed she was curious to the sound of baby crying, studying the behavioral pattern of this tiny little creature and why was he on mommy's chest most of the time.

Throughout the time po po was at home with us for 1 week, and despite the arrival of Peter, Nana had lots of attention and love poured out onto her. Po po desired Nana so much so we didn't send her to the babysitter. In fact Nana was more cheerful and pleased when there was a small family crowd present in the house. Whenever Peter started crying, she would draw closer and attempt to pacify him, truly a reflection of Nana's sisterly instinct kicking in early.

Having to divide her attention for Di di, Mami make known to 
Nana that she's still her special one.

 This half boiled egg never tasted soo good (since Mami last fed me).

 Yea~,time for Peter's sun-bathing and stretching exercise.

Gradually, Peter's eyes adapted to the light of daytime as he opened up the windows to his soul more and more to witness the world. I bet the 1st thing he saw was mommy's face, as he grew accustomed to the loving sensation of mommy's hand, experiencing the warmness and security close to mommy's bosom.

Until then we still couldn't figure out who did Peter look like. We thought after a few more days when he's chubbier and more expressive we could be sure. So after day5 assessment, my non-biased opinion suggested Peter's features more closely resembled that of mommy's. 

He's still a bit camera-shy.

After feeding, we need to pat Peter's back to get the air out of his stomach...BUUURRRPPP!!

Aahh..what a relief. Better out than in.

Day 4 of life, I was already back to work. The community nurse from the local government clinic dropped by for a routine neonatal check-up. She confirmed Peter was having slight tinge of jaundice therefore should get his blood checked. Serum bilirubin level was elevated and Peter needed treatment in the form of phototherapy, which usually requires hospital admission. FYI this had never happened to Nana.

Upon consulting the private pediatrician from hospital, he offered the "bili-bed", a baby court device that emit blue illuminating photo-therapy, which reduced the physiological jaundice. The "bili-bed" was rented to us for Rm80 per day, and Peter's duration of treatment lasted 2 days. Papa himself had to prick Peter's vein to extract blood sample to make sure his serum bilirubin level has reached normal.

I am turning yellow? Is that something serious?

Peter is featured in an unprecedented local produced sci-fi  movie.

So what's all the fuss about jaundice ie hyperbilirubinemia? Causes of jaundice includes preterm, breastmilk, G6PD deficiency, ABO (mother & child blood group) incompatibility, Rh isoimmunisation, and sepsis.

Physiological jaundice usually appears by day 3-4, and follows a pattern of arising from the head and descending to the legs via the trunk. By the time this yellow discolourisation reaches the umbilicus, serum bilirubin would be more than 250 micromol/L and alarm bells should be ringing to admit the baby for phototherapy.

Jaundice that doesn't subside beyond 14 days in term babies and 21 days in preterm babies is called prolonged jaundice. This can complicate into Kernicterus, an irreversible neurological damage to the brain, which is the worst case scenario. The only way to prevent this is early detection and exchange transfusion.

Gotta know more?
Pathophysiology & causes of jaundice

Naruto Shippuuden's source of energy, his favourite Ramen

Since big brother is treating, shu shu flips the menu for dessert.

Shu shu, what song are you listening to, any children song?

On Day 9, (shu shu) uncles came to visit. It was second uncle's 21st birthday and adhering to Chinese custom it was auspicious because the birthday boy finally reached adulthood (contrary to 18years old in western cultures). When it comes to our family, we celebrate in moderation, nothing grandiose. We were content with Japanese sushi and ala-carte. Nana was glad to come along but again, Karling couldn't join us due to confinement.  

I love to lie on Mami's chest after a fulfilling feeding time.

Unlike papa's rock hard and ripped chest, Mami's is so soft and squashy.

Mami's friend came to visit and brought Peter some present.
Good that you don't have to wear Jie jie's clothes after all :-D

Ever wondered how Peter got his name? As unique as his sister's name, Peter's name was inspired by the biblical character of apostle Peter, a disciple of Christ who was more frequently mentioned among the 12 in the gospels of the New Testaments. Peter's name came from the meaning the "Rock", therefore it would be papa and mommy's hope that our son's good virtues, including faith and determination, would be rock-solid in days to come.

Apostle Peter showed great faith but also exhibited great failings. By the 11th hour before Jesus' crucification, Peter three times denied being a follower of Jesus, just as Jesus had predicted he would. Nevertheless, Peter redeemed himself and went on to become the leader of the early Christians. 

In a similar way, papa hoped that no matter how many times or how badly his son fail, he would bounce back and emerge stronger.

But Mami, pink mitten is for girls, doesn't make me macho nacho..*yawn*...Zzzzz

Hit Girl from the epic Kick-Ass comes to life.

She is here to protect her brother from the evil influence of the world

I supposed having a new brother is the next best thing that happened to Nana. They say a child should always have a sibling not too far of age, as a growing-up companion. I can foresee they will be close best friends, going to the same babysitter, attending the same kinder-garden and daycare, same music class albeit playing different musical instruments, excelling in the same sports, etc.

Blood is thicker than water therefore I hope nothing and no one can come between them disrupting their sibling bond, not even their teenage boy/girl friends. I wish Karling and me would strive to give them the best up-bringing, education and nurtured talent to fulfill their fullest potential. I can foresee that there will be dilemmas, even shortage of educational funds. However I gotta keep trusting, praying and have faith that God will provide. And when God provides, He always x2 provides the best for us. Amen.

What, pink socks again? But Mami, I told you...

Hehehe, Mami is dressing up Peter in my old clothes~

Peter opens his eyes more and more now, and he starts to follow moving objects.

Is our family complete now that we already have 1 girl and 1 boy? At the moment, Karling said she's done for. I am hopeful for more but have to be realistic and practical, what more with the cost of living and education rising exponentially. Time passes very fast, Nana is already 15months old and running. We are building this family block by block and hopefully papa and mommy be blessed with enough wisdom to always make the right decision.

Were we ready to parent Nana and Peter at an arguably young age given modern standard, and at an early stage of our demanding career? The answer doesn't matter now because priorities have shifted. From my part, its is no longer traveling, wave surfing, hanging out with friends and striving to be socially well-received that makes me happy. To be able to use my time and spend it with Nana and Peter, turning theirs into something fun, productive and fulfilling, being reflected by much joy, laughter and love, is what would make me content at the end of the day.

This is my super baby suit, but I don't need it to give me a heart of a lion. 

Po po treats me like the daughter she never had. Naturally she fancies me growing long hair.

It would be my therapy, no matter how downcast I am, to make them smile and be loved, nothing else that battered me matters anymore. Because I gotta be strong for them,they depend and look up to me, hence i wanna be a fine role model. Drawing wisdom from above, I pray You guide my every step, that i don't jeopardize the good that You have kept going for me. Thank you.

Taa Dah~!! Do you like my 2 sided-ponytails? 


Hospital Family Day

Here goes, papa said i look like him, mami said i look like her, other people have split opinions, and I just don't have a clue!!

Coming towards the end of my housemanship, I just couldn't foresee what my future holds. Having a family, I simply knew what I had to become, a stable bread winner to hold the financial pillar to not only lead a comfortable life, but also to enable a quality education and upbringing.

In the advent of my second child, and Nana reaching 15months old, its never too early to plan and prepare. What more with the new house around the corner (I wish it was a corner house), our current combined salary just doesn't cut it. So papa has to seek extra income elsewhere within the boundaries of the law, by bending it a lil' bit, and hope to make ends meet.
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Will tell you more later..

A busy day in emergency operation theater with back-logged cases from few days.

Orthopedic surgeons performing total knee replacement taking extra precautionary sterility method.

I had completed all the other housemanship posting except for one, which was Emergency department. Instead of going there, I was summoned to Anesthesiology department, where I was spared the relentless shift system of emergency department in HTJS. Here we hone our trades in operation theatre, where we learn how to anesthetize patient before undergoing a surgery. Other than that, we (try to) learn ventilator support for intensive care patient and carry out pre-operative assessment and measures for both elective and emergency operative cases.  

Papa, while you're working and missing me, mami took picture of me to show you Nana is ok.

...except that its kinda dark in grandpa's car and i can't quite see.

If papa was working weekend, grandpa and grandma would drop by to visit their granddaughter and sometimes bring the family to visit great grandma in Port Dickson or rarely relatives in Muar. At the front of grandpa's grand Toyota Camry, Nana sits like a queen and gets 1st class treatment. She has direct assess to the air-con and even gets to wear shades. I would request Mami to send me pictures of Nana because I was already missing my daughter and wanted to know what fun she was having.

Hmmm, so many unfamiliar faces but they all know my name..

Not that I'm missing anything, rather this would be great exposure for Nana to socialize and (try to) interact. After all, Nana would be the center of attraction among all the grown-ups since she is one of the 1st great grand child among my in-law. In my absence due to work-call, she will do well to represent me. Furthermore even if I'm not there to control her, surely a toddler would be forgiven for misbehaving, which Nana is not capable of besides just being moody.Next day, they would all return after spending the night.

I love dressing up real smart and going on an excursion in papa's big and comfy car

Huh~~, tired, and hungry and don't know what to eat.

Oh Wow~, whats that? Melaka's famous Mee Laksa

Given the less hectic and demanding nature of anesthesiology, the department has been able to hold their annual family day event. Thanks to the thoughtfulness (& perhaps empathy) of the long-standing head of department and other anesthesiologist bosses, they made it a point to commemorate and appreciate the contributions of all departmental staffs by raising sufficient funds to not only organize the event but also provide tele-match & lucky draw prizes.

Commendable attempt to make working under government health care more bearable. In my whole 2 years of health service and after completing nearly all my training rotation, this is the 1st time I'm attending a family day. Along the way there were some talk from previous departments of organizing one which never materialize.

Still haven't had enough of Melaka's food, I could still taste it on my fingers.

It doesn't have to be KFC to be finger licking good.

So here we are!!! HTJS Anesthesiology Department Annual Family Day 2014. I'm excited and can foresee it will be great fun because I don't have a yardstick from previous experience to compare it with. In fact, its our 1st time, Karling, Nana and me! We drove down 1 day earlier to visit Melaka and brought Nana for sight seeing. After satiating Mami's chicken rice ball and laksa craving, we spent the night in Melaka, then headed out to Waterworld Famosa Resort at Alor Gajah the next morning.  


Mirror mirror in the camera, who's the most charming girl of them all.

Look at me, I'm practically sitting on mami's tummy..haha.

The venue was about half an hour from Melaka city centre. All the familiar faces arrived at nearly the same time. Nana was still dazed and initially apprehensive of the strangers she encountered but later warmed up a little to our acquaintances. Her cheerful self gradually emerged to smile her charming sun burst smile in front of the various cameras. 

Hi there stranger, have you seen my papa and mami?

Papa papa I was lost, and this cute little jie jie found me. And I didn't cry~

Occasionally we placed her down to walk around and explore the place. With the new purple toddler shoes she rarely wears, Nana stamped her foot prints on the artificial beach as she felt the gritty sensation of fine sand entering her shoes. Besides staring up at the towering strangers who acknowledged her,  Nana would welcomed certain warm friendly personalities to carry her in their arms. I don't feel for once she had to endured any boring moments. 

The last time papa played tug of war was when he was 12 yrs old.

The level of fun is currently pointing downward.

While mami couldn't participate in any tele-match, Papa was eager to jump into some action. Big letdown was the only activity worthy enough for me to twitch a muscle was the tug of war. The other games were child play. That means I get to play with Nana and join her in adventure and discovery in "foreign land". Other bulk of the time was joining in the formality of socializing and not getting on a pregnant mami's nerve.

Then came prize giving ceremony. Up for grabs were DVD players and the usual home utensils and electrical appliances. Thanks to the generous donation of funds from both sponsors and organizer, nearly every1 didn't leave empty handed. Even i won 2 prizes in the form of a tupperware and jar & cups set. Hospital anesthesiology family day was over in a whisk,so it was down to free time at the water theme park.
  
Papa, could the pirates have buried their treasure underneath here?

Papa sure wished there was an instant way of getting rich fast.

It was the 1st time we donned Nana in her swimming suit and my did she look adorable and sexy at the same time. She was a bit apprehensive of the splashing water at the wave pool but after some coaxing wild horses cant stop her from having a whale of a time. Nana had both papa and mami's undivided attention and company.

Of course mami was too big to be clad in her swimming suit. Peter might already be feeling a little crampy inside mami's uterine sac and commenced the countdown to less than 2weeks. But that didn't stop mami from getting wet and being good sport. She got onto the float together with Nana as i pushed them around the leisure pool.

Mami, is this place what they call as a tropical paradise?

So much fun with just papa, mami and me!!

Nana was a squealing machine who couldn't get enough of the water. She didn't mind the splashing water getting into her eyes and would brace herself for more. Somehow in the presence of both mami and me, she was more courageous in being adventurous. At 15months old Nana was easily the youngest child playing in the pool and we kept her secured within our sight and grasp, all while submerging ourselves in a fulfilling quality family time.

I am, the most charming baby of them all.

Papa and mami, u are squeezing me like sandwich.

Pictures speak a thousand word. Somethings in life can't be bought and a close-knitted family bond is one of them. The youth of a child is a joy to behold and cherish, its somehow a second chance handed from God to rectify the mistake and void from my past. The things i wished i had done or haven't done, I could see them being realized in my little ones. Nana could possess, or become the best of both papa and mami's world, being the apple that didn't fall too far from the tree.

In many ways Nana is living my dream, i'm giving her what i never had and protecting her from enduring the less than ideal childhood experience that would eventually shape her personality. The best form of investment to a child's future is my time and companionship, to be a stern yet gentle at the same time fatherly figure, to complement a mother's love, so that Nana can be whole and complete.

...a turbulent time ahead, sacrifices has to be made, I have to be an anchor to steady the ship in the eye of many storms to come.

....so that my sweetheart can be at peace.