Thursday, April 4, 2019

The stress through pseudomembranous conjunctivitis

All parents would never want their children to suffer, particularly the very young ones. I would rather be penning down my own experience rather than baby Yi's. After a bit bout of viral cold that affected baby Bing, we started to developed some symptoms. I had conjunctivitis of both my eyes which developed into keratitis. Mr husband had diarrhoea.


But baby Yi fared the worst. He's only 3 months plus. Initially he had hand foot and mouth with rashes everywhere. Luckily he didn't have mouth ulcers, no fever and was still feeding well and happy generally. Just as the rashes faded, the worst happened. I noted a red and teary left eye. Even though I started antibiotic ointment for him immediately, it quickly spreaded to his right eye in a day.


So I nervously referred him to the Opthalmology department. I thought the worst was over when he's diagnosed as uncomplicated conjunctivitis. I diligently applied eye drops and antibiotics for him. He remained his happy self.


The next afternoon, he started to have blood stained tears. But he was still my bubbly baby. As a doctor I was still surprised and worried about him. A visit to the opthalmologist confirmed the presence of pseudomembranous conjunctivitis which required manual removal under his lids.

In another 24hours, he started to refuse opening his eyes. So we were at the waiting room again. Corneal abrasions have started to develop in both his eyes! Even I winced with the foreign body sensation and photophobia with my keratitis. I can only imagine how painful it is for baby Yi.

I spent the whole night holding him in my arms to sleep. Because he was cranky and possibly in pain. The incessant crying and being inconsolable really broke my heart. His voice was hoarse by midnight.

His eyes drops round the clock. Have to pry his eyes to install them every 2hours.

I gave him syrup paracetamol and suppository ibuprofen which seemed to help. And I was glad to see his smiling face again the next day. But paracetamol alone is not enough. Once the effect of ibuprofen wore off, he started to wail again. Mind you, regular ibuprofen is not recommended in young children.


I have received yet another worse news the next day in the opthalmologist's office. Both the corneal abrasions have become bigger despite treatment. I read that they should heal within 24-72hours. So we have his right eye patched in hope it will heal faster. I had to put mittens on him because he kept wanting to peel the patch off.


We had to visit the opthalmologist everyday to remove his pseudomembrane and observe how corneal abrasions. And each examination meant heart wrenching and high pitch wailing. Also a teary grandmother outside the waiting room. My heart withered a bit each time just like this neglected plant outside the house.

We went through all these when Mr husband was in the UK for a work related trip. I couldn't get leave because of some administrative reason. I'm just so lucky that my parents are around to help out. Mom did the main bulk of carrying and lulling Yi to sleep during the day.

Pray for us. I hope Yi recovers without any sequelae on his vision. 

Wednesday, April 3, 2019

Refreshing shower gel | Dove Go Fresh


Dove is definitely gaining its momentum and place in the market. I remembered a decade ago, only Dove bar soap was available in the market because my then boyfriend now husband uses it. 

Subsequently, Dove started to produce shampoo, shower gel and antiperspirant. And I'm lucky enough to try their Go Fresh shower gel recently via www.tryandreview.com

Go Fresh Revive Body Wash

This is one out of the 3 Go Fresh Body Wash range. The other two are Energize (grapefruit and lemongrass scent) and Fresh Touch (cucumber and green tea scent). The Revive version comes with pomegranate and lemon verbena scent. Lemon verbena is a plant that can be used in cooking and made into tea as well.

The Go Fresh Revive body wash also uses Dove's NutriumMoisture™ technology to effectively deliver nutrients to the skin. It utilises the mild cleansing benefits of DEFI (Directly Esterified Fatty Isethionate) that reduces protein damage, and 100% skin-compatible natural moisturizers, including stearic acid, soybean oil and glycerin that are fully absorbed into the skin to replenish lipids lost during cleansing.


Gentle lather after moving the body wash with some water.

This is the whole ingredient list for the product.

Water,Sodium Laureth Sulfate,Cocamidopropyl Betaine,Glycerin,Sodium Cocoyl Glycinate,Perfume,Sodium Chloride,Sodium Cocoyl Isethionate, Acrylates/C10-30 Alkyl Acrylate Crosspolymer,Glycol Distearate ,PPG-9,Phenoxyethanol,Stearic Acid,Coconut Acid,Sodium Hydroxide,Lauric Acid,Cocamide MEA,BHT,Sodium Benzoate,Tetrasodium EDTA, Sodium Isethionate, Citric Acid ,Phosphoric Acid,Oryza Sativa(Rice) Bran Oil , Methylisothiazolinone, Punica Granatum Fruit Juice,PEG-40 Hydrogenated Castor Oil,Trideceth-9,Tocopherol,Methylchloroisothiazolinone,Potassium Sorbate ,Lactic Acid, CI 17200

Punica Granatum (pomegranate) Fruit Juice
provides UV protection and helps to repair sun damaged skin. It also has high levels of vitamin C and antioxidants which are great skin food.

Rice bran oil has lots of beneficial Omega 6 fatty acids that moisturises the skin, as well as Vitamin B and E with antioxidants.

Tocopherol aka vitamin E is a powerful antioxidant and anti-aging ingredient.

What does Dr Yingzangel think?


Dove Go Fresh Revive body wash is fairly gentle on the skin and doesn't dehydrate the skin after cleansing. After cleansing I can feel that my skin is softer. My hubby with ezcema could use this shower creme without his ezcema flaring up. I personally love the sweet scent the Go Fresh Revive body wash has that can last for at least half an hour.  For its price tag, it's an affordable brand and a body wash that is suitable for many.

But it may not be suitable for those with more severe eczema because it still contains laurate and stearate. Classic medical teaching advises ezcema sufferers to avoid these cleansing agents as they tend to dry the skin too much. The added perfume,  methylchloroisothiazolinoneand and benzoate as preservatives may also cause allergic reactions in those susceptible to it. So always do a patch test before using new products.

Overall, Dove is a quality product and is widely available at major pharmacies like a Guardian and Watson's.

Dove Go Fresh
Official website


Tuesday, April 2, 2019

Shapee Shapewear review |  2 way body shaper


Having delivered 2 children, my body is no longer what it used to be. No more flat tummy and push-up bras. Simply because it's much more convenient and practical to wear nursing bra instead for a breastfeeding and pumping mum. But I still want to look and feel fabulous at times, especially when there's a special occasion. That's when I'll dorn shapewear.

But those who do shapewear will know how unforgiving some of them could be. It can be very difficult to get into and get out off. I have friends who will even hold their urine just because they feel that it's too much to get out of their shapewear for a toilet trip. But the instant lifting and tucking is a great solution at times.


One of my favorite is Shapee shapewear series. And I have just tried their 2 way shapewear. 2 way means- U shaped wearing for bust lifting; V shaped wearing for bust concentration.

Besides this, it also has firm control on the tummy and is able to reduce waistline immediately. 


The straps are adjustable and convertible, allowing halter, cross back and classic style wearing. The material is thin and breathable, even in this extremely hot Malaysian weather, it remains comfortable to wear during the whole work day.


This photo shows how to get in the shapewear.

Shapee Shapewear can be machine washed but of course handwash will prolong it's shelf life. For a busy person like me, I love products that can be machine washed.

What does Dr Yingzangel think?

Shapee Shapewear is light and not stuffy. It is almost impossible to spot me wearing one from normal work clothes. Even working in non air conditioned environment doesn't make me too sweaty from wearing two layers.


It's also fairly easy to fit myself into the shapewear. I didn't have to wiggle about too much and I didn't feel "imprisoned"as it's not too tight. At the same time, it can still slim down the waistline and provide bust support instantly. It's doesn't make the tummy disappear completely but that's fine comparing with an extremely tight shapewear which can make breathing difficult.

I prefer Shapewear that's not the body suit type like this as well because it's easier to get out of, particularly for toilet break. Nude color also makes it easier to "hide" the shapewear beneath my clothes.

As for bust lifting and concentration, this Shapee shapewear provides a more natural boost so it doesn't appear too pushed up and "squeezed". My bust line is fairly small actually but this Shapewear managed to create a slight cleavage which is great. If you want more push-up effect, wear it with you push-up bra.

Interested?
Shapee Shapewear
Official website


Monday, April 1, 2019

Simple skincare routine | Sanny & Joleen Lifestyle cleansing cream and sun screen

Our whole family was down with a virus last week! But life still had to go on. And I'm glad that everyone is well enough to go back to work and school. And of course I have to restart my blogging momentum during my free time. 

The recent haze and hot weather has not been kind on my skin either. And I'm glad when these Sanny & Joleen products arrived in mail. I have recently used their antioxidant serum and reviewed about it here

The concept for Sanny & Joleen Lifestyle products is being down to earth. The packaging is simple and the ingredients are natural without unnecessary fragrance or additives. Therefore, there's no mineral oil, laurate, animal derivatives, alcohol and propylene glycol. Another proudly made in Malaysia product. 


Aloe vera is widely used in many skincare products because it's moisturising and heals the damaged skin. It gives the cleansing cream a cooling effect too. 

The active ingredients in aloe vera are

Saponins- gentle cleansing and exfoliating

Lignin- allow nutrients to penetrate directly deep into the skin

Inorganic elements- anti-inflammatory

Mono& Polysaccharides- regulate excessive sebum and minimise pores

Vitamins- nourish the skin and act as antioxidants

Essential Amino acids- enhance skin cell to be more resilient to the changing environment


The amount of sunlight that we are getting recently is getting excessive. So it's even more important to get good sun protection now. An SPF of at least 30 is essential for daily use. 

What's more interesting is the antipollution technology. 

Eisenna extract- promotes fillagrin and ceramide production which act as a barrier against pollutants

Bean sprouts extract- protects DNA against mutation due to free radicals

Centaurea cynus flower (corn flower)- promotes lymphatic endothelial cells function to remove pollutants

What does Dr Yingzangel think?

The cleansing cream clears the impurities and makeup residues on my face effectively. And it doesn't dry my skin too much. The consistency is slightly watery but easy to foam up. 


The sun screen is light weight and not greasy. Even though it does form a visible barrier layer. It is also water and sweat resistant, a very important criteria for sunscreen in hot Malaysian tropical weather. And the antipollution technology comes just at right time to combat effects of the haze. 

Sanny & Joleen Lifestyle
Official website
Facebook
Instagram @sannyjoleen

Antioxidant Serum by @sannyjoleen is now 15% when purchase on www.sannyjoleen.com. Save additional 15% storewide with code DRANGELHO. Free shipping in Malaysia, code valid till 20 May 2019

Friday, March 29, 2019

Essential oil for children featuring Audelia Naturals Mummy's Rescue Kit

Having 2 young children in tow means that I need all the help to get things going. I really enjoy weekdays because at least I get enough time for lunch because the youngest goes to the babysitter and the eldest to daycare. Weekends go by in a blur. I am lucky if both boys nap at the same time, just like today. So I get to do some work.

I got some new helpers from Audelia Naturals recently. This Mummy's Rescue Kit is indeed in time for rescue. . There are 4 roll on oils in this cute kit-- each tackles a different but common health concerns that parents have for their young ones. And it's proudly Malaysian owned.

Baby Bing loves the packaging- Bear for immunity. Cat for tummy, Sheep for bedtime and Bunny for sniffles.

These are the main essential oil blend used in the products.

Bear/Immunity- boswellia carteril oil
Roll on the feet at night

Cat/Tummy- peppermint oil, eucalyptus oil, lavender oil
Roll on the tummy/feet when needed

Sheep/ Bedtime- listed cubeba fruit oil, basil oil, eucalyptus, geranium oil
Roll on the feet/up the spine at night

Bunny/sniffles- orange peel oil, lemon peel oil, peppermint oil, eucalyptus oil
Roll on the chest/back when needed



Baby Yi is almost 4 months old now. He's all about chuckling and cooing when he is happy. But putting him down for sleep can be a real struggle. He tends to shriek and cry, even while breastfeeding. Some days, I just have to hold him and paced around the house. If I'm lucky, I get mom to help me for that while I settle the eldest. He can also be gassy with bad reflux on certain days. And this doesn't help his sleep at all. Therefore, he has been trying on Bedtime and Tummy Oils.

Baby Bing, on the other hand, is a very active toddler. Now that he has just started to attend daycare, virus is everywhere and it's so easy for him to catch a bug. He also has sensitive airway, just like what runs in our family. So early morning coughs are fairly common. Having weaned off from breastfeeding for1.5 months now, he needs the immunity boost. Hence, Immunity and Sniffles Oils are suitable for him.

What does Dr Yingzangel think?

Besides seeking medical help, sometimes tricks like these essential oils can really help. Studies have shown how essential oils can help people to relax and relieve common ailments like stomach discomfort. Parenthood can be crazy at times and I am glad that I don't have to figure it how to dilute and blend useful essential oils like this for my little ones. The roll on concept is great because I don't have time to diffuse it-- and risk toppling it! Or have the little ones accidentally ingesting them if they have simple caps.

The packaging is also cute. The size of the roll-ons are just nice 10ml which is also travel friendly. Most importantly, they do help!  3 of the oils are only lightly scented.

For those who have sensitive skin/allergy, please perform a patch test before using any products including Audelia Naturals. Just apply the oil at a small area, say at the back of the forearm and wait for a day. Discontinue if there's any reaction. 

Audelia Naturals
Official website
Instagram 
Facebook

Disclaimer: the opinion given is merely a personal experience and does not constitute formal medical advice. Please seek your medical professional's advice before using alternative products. Stop if discomfort or side effect ensues.
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Wednesday, March 27, 2019

Healthy instant meal under 5 minutes | Master Pasto Review


Most of my lunch hour is spent in a hurry. As a general physician, not only do I have to do ward rounds in the morning, but I also have to see patients in the clinic afterwards. And we do not have designated lunch hours. Depending on the work load, it can mean no lunch at all. But it's definitely not healthy because irregular meal times can make my gastritis play up.


Besides cash on delivery options, it's nearly impossible to get my hands on nutritious hot lunch. And being Asian, I prefer hot food than cold salad or sandwich anytime.
I'm glad that Master Pasto has produced convenient instant pasta so I can finally get yummy hot lunch under 5 minutes!


There are 3 main flavours available- spaghetti bolognaise, mushroom and aglo olio. These are the most popular pasta sauce that one can get from any decent Western restaurants.

Bolognaise is a tomato based sauce. An Italian classic that goes so well with chicken. The Master Pasto version is more on the sweet side.

The mushroom variety is served in carbonara sauce. This is a cream based sauce that comes with mushroom slices and some chicken. It's slightly sour in flavour.

Aglo olio is spicy in flavour with generous drizzle of olive oil. It goes well with seafood such at prawns and squid. But the Master Pasto version is more saucy with chicken pieces.

The pasta is of Angel hair variety because it's thinner and easier to reheat.
What's more, these instant pasta also have the halal stamp so I can share with my Muslim friends at ease. Great food is meant to be shared!

There are two ways of preparing these pasta.  I prefer the microwave option as it's easily available in my clinic's pantry.


There's no need to refrigerate the pasta even though it's already cooked. And there's no MSG or preservatives. Much healthier than my occasional Curry noodles or calorie loaded char kuay teow.

This is a short video showing the most basic way to cook the instant pasta. For your information, I managed to prepare dinner in 15 minutes only!


If I'm up to it, I can also add additional ingredients for the pasta such as carrots, tomatoes, chicken, extra mushroom, cheese and sausages. That will take up maybe another 5 minutes to prepare.

What does Dr Yingzangel think?

I love how convenient and fresh these Master Pasto pasta are. It even comes with proper meat and vegetables in the sauce. And it doesn't taste like instant pasta at all. The portion is just nice and even for a picky eater like Bing, he practically licked the plate clean and still asked for more. But we prefer to reheat the pasta for at least two minutes after adding some hot water because the pasta will be softer and less salty which is how we like it. 

So now I don't even have to pick up my phone and order for lunch/stress for dinner! All I need is less than 5 minutes. I can also easily get my supply from Master Pasto's website because delivery is free within Peninsula Malaysia


Master Pasto sites

Sunday, March 24, 2019

Is milk with A2 better than A1? | Diamond Pure Milk review


To be honest, I have just recently come across this milk with A1 vs A2 debate. Apparently it's a hype especially in Australia and New Zealand since 2000. I totally missed it even though I lived in Melbourne for 5 years! If you haven't heard about it. I'm here to explain it all.

What's A1 and A2?

A1 and A2 are different casein protein found in cow's milk. The proportion varies with the cow breed. The only difference between A1 and A2 is a difference in the 67th amino acid in the chain. When A1 is digested, it can create BCM-7. This was accused to be causative of certain diseases which has been proven untrue. It's very similar to the antivaxxer claims against vaccinations.

However, recent studies have shown some evidence that milk with A2 is easier to digest and more suitable for those who have gut discomfort after consuming milk with it without lactose intolerance. This is pending verification in larger scale studies.

Read more about the story behind this A2 milk movement on ABC.

Milk with A2 is generally more expensive as there's genetic modifications involved in its production. So the jury is still out there about this debate.

But, cow's milk is still a very important source of nutrition for us, especially calcium. 2 glasses of milk a day will cover our requirement and make our teeth and bones stronger.

Diamond Pure Milk


It's not easy to get milk that's only A2 here in Malaysia. Diamond Pure sources its milk from New Zealand and it's 100% milk with A2. The curious ones, now you know where to try milk with A2 out!

There are 4 main flavours-
Manuka Honey
Low fat milk with Manuka honey
Kiwi
Inulin fibre

Manuka honey is another fabulous food that you should know about. It has wonderful wound healing and antibacterial properties that we do use them in patients with diabetic foot ulcers in certain conditions. WebMD has it down in details here.

Inulin is a type of fiber found in certain plants such as chicory root. As with all fibers,  it helps to relieve constipation. Besides that, it also increases the growth of healthy bacteria in the gut which alleviates indigestion and maintain a healthy immunity. It has also been reported to lower the level of triglycerides. Read about inulin on webMD.

The other variety has natural kiwi fruit added. Kiwi is rich in vitamin C that's almost twice of other citrus. The presence of fibre and actinidain further helps with digestion. Besides vitamins and minerals, the kiwi fruit also contains Omega 3 fatty acids.

What does Dr Yingzangel think?

Even though there's no solid evidence that milk with A2 is definitely healthier, I love the taste of Diamond Pure milk. It's rich and fragrantly milky! The additional flavours were also pleasant and did not overpower the natural freshness of milk.


Baby Bing was so excited to unpack our fresh haul of milk cartons! This was the first successful attempt in getting him to drink cow's milk that's not chocolate or strawberry flavoured.

Since the milk comes from New Zealand, the quality of the milk can be assured as well. Just a gentle reminder that children younger than 1 year old should not consume cow's milk nor honey for health reasons.

Diamond Pure milk can be purchased from various specialty grocery stores listed on their website.


MISMIS: EMBRACE NATURE, NURTURE YOUR SMILE

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