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Help! My child does not want to go to school

Preschool offers a myriad of opportunities for kids to interact with others and learn valuable life lessons. It also prepares them for kindergarten, primary school and beyond. As such, it’s incumbent that children get the necessary education as soon as possible.

However, not all children are excited to attend school. They might feel anxious entering a new environment filled with unfamiliar kids and teachers, and of course, might not want to part ways with their parents. Find out more about preschool in Singapore at https://ourfirststeps.com.sg/admiralty/.

Here are a few ways to help your child get ready for school:

Ease your child’s fears

To prepare your child for school, spend time talking about it before the semester starts. Gradually introduce your child to activities that typically occur in a classroom week or even months before school. This way, your child will not have a difficult time acclimatising between home and school. For example, a child who’s used to colouring on paper with crayons will find it comforting to discover the paper and crayons in the preschool classroom.

To ease worries about unfamiliar territory, if possible, visit the preschool a few times with your child before school starts. This not only prepares them mentally for school but might also get them excited. These visits are also a chance for you to meet your child’s teacher and ask questions about common activities and routines. You can introduce some of these routines at home so that your child becomes familiar.

While in the classroom, allow your child to observe the environment and interact with the teachers and other kids. This helps them to familiarise themselves with the people and the classroom. While at it, take the opportunity to ask the teacher how first days are like — will the first week be dedicated to creating a smooth transition? What happens if the kids cry?

During this transition, it’s important not to emphasise too much on the change too as it could make your child’s anxiety worst. Be careful not to exhibit any signs too — children can pick up on parents’ nonverbal cues, so if you feel guilty or worried, your kids can probably sense that too. In other words, the more calm and assured you are, the more confident your child will be too.

Make a good first day

The first day is going to be difficult, but there are some ways to get through it. First, reintroduce the teacher to your child, and then allow them to bond and form a relationship. By endorsing the teacher, you are showing your child that he or she is safe in the teacher’s care. Say a loving goodbye and leave promptly. Do not sneak out. It might be tempted to sneak out so you don’t have to deal with the goodbye, but leaving without a word can make children feel abandoned. A long goodbye on the other hand might also make your child cling more and give the impression that a school is a bad place.

As a tip, some parents practice consistent farewells when dropping off their kids to school every day. This could be waving from outside the classroom window or making a funny goodbye face. Most preschools begin with a daily ritual, such as sharing sessions. Young kids tend to respond to this kind of predictability, and a routine can ease the transition from home to school.

Most importantly, make sure a school staff member is ready to welcome your child when you arrive. Some kids may gel in and adjust immediately, but others might need a private cuddle from a caregiver first.

Regularly communicate with your children and their teachers

Ask your children what they like and dislike about school and focus on them. For example, they may like colouring sessions or playing with their classmates. Constantly remind them of these things so they look forward to school more. If there’s anything they dislike, find out what the problem is and try to help. Be involved and show that you care and notice and try not to criticise. The first few years of a child’s education are crucial as they shape how he/she views school in the future.

Since teachers are the ones looking after your little ones most of the time in school, they may have observed certain activities your children are good at. You may reinforce these interests at home.

Teach your kids the importance of friendship

Having friends can be excellent motivation for kids to enjoy school. When everyone gets along well and have fun with each other, the school will definitely be a much more enjoyable environment. Encourage your children to meet new friends, teach them appropriate manners and tell them the importance of sharing. These are things that will put them on the path of establishing good relationships with others.

 

First Steps Preschool @ Admiralty
701 Woodlands Drive 40
Singapore 730701
6365 6535

HIFU Singapore – A Doctor’s Perspective on Why You Should Get a HIFU Facelift

Would you like to look younger and have smoother skin? Why not try getting a facelift with HIFU in Singapore? High intensity focused ultrasound or HIFU is a relatively new technology that can be used to improve skin quality by stimulating the production of collagen underneath the skin. The increased collagen production leads to better skin quality, tighter and firmer skin and gives it a smoother texture.

One of the uses of HIFU technology is for facelifts. Readily available at various medical aesthetic clinics such as Veritas Medical Aesthetics, it’s usually used to treat patients with saggy skin, and the best thing is that it has almost no side effects. It is also an effective and non-invasive method of reducing adipose tissue and cellulite. The ultrasound energy is focused on the targeted tissue and the energy released increases the local temperature just enough to destroy the targeted cells.

HIFU is not a replacement for a healthy lifestyle and exercise and will not in any way help you lose weight. Rather, it is an easy and quick way to help you get slim in the areas you desire and achieve a healthier-looking body.

What are the benefits of HIFU?

A HIFU procedure provides long-lasting results and eliminates the huge risks of undergoing a surgical facelift. Besides that, it is also relatively cheaper compared to traditional facelift procedures.

Some of the benefits you can expect from a HIFU facelift include:

  • reduction of facial wrinkles, especially on the forehead, neck, and eyes
  • a lifting effect on the cheeks, eyelids, and eyebrows
  • enhancing your jawline
  • tightening of saggy and loose skin on the neck (also known as a turtle neck)
  • tightening of a woman’s décolletage (the neck, shoulders, back and upper chest)
  • smoothening of the skin texture

Who are suitable candidates for HIFU in Singapore?

Beautiful woman looking her face into the mirror

This treatment should not be used for patients having less than 1.6 cm of adipose tissue under a chosen skin depth. This is also not for people who have already been treated by liposuction, abdominoplasty, or those who have a loss of sensitivity.

It is contraindicated in patients with cancer, severe disease, or women who are or may be pregnant. It should not be used in patients with a bleeding disorder, those that use anti-coagulant drugs, or who wear an implanted electrical device, such as a pacemaker.

How does a HIFU facelift work?

Ultrasound, which is a form of an acoustic wave, is bombarded against the skin through a handheld device and destroys the fat contained in the cells. One of the main benefits of using ultrasound is that it can be performed on the whole body. It is a safe and widely used technology in many medical applications, particularly in medical imaging.

Compared to regular ultrasound machines HIFU is about four times more powerful. By concentrating the ultrasound energy, an accumulation of heat is obtained on selected areas of the adipose tissue, resulting in the disappearance of adipocytes (fat cells) that make the skin droop or sag. Ultrasonic energy only damages the fatty tissue without the risk of damage to neighbouring structures. The body then gradually and naturally eliminates the damaged fat cells out of the body. Besides the face, you will also be able to treat other areas with a volume of sagging skin: belly, thighs, back, arms.

What can you expect during and after a HIFU facelift procedure?

HIFU treatment on female face

Before the procedure, I will first clean the area where you want to generate a lifting effect. A topical anaesthetic is then applied to the target area to reduce the discomfort you may feel from the ultrasound pulses. I will then apply an ultrasound gel to assist in the HIFU procedure. Ultrasound energy is then applied to the target area using a special handheld device attached to the HIFU machine. You may feel a tingling sensation while the HIFU is being applied throughout the area. This is done for about 30 to 60 minutes depending on the size and severity of the saggy or loose skin.

After the procedure, you may notice some effects instantly. There’s almost no downtime, so you can resume any of your daily activities after the procedure. There may be some slight redness or swelling but this should not be a hindrance to your normal activities. The whole HIFU treatment may require 2 to 3 sessions and can vary depending on the severity of skin sagging and the size of the treatment area. Full results from the HIFU treatment is expected about 2 to 3 weeks after the final session.

Are there any side effects?

Most often, there is none. Only a few people told me that they felt aches in their thighs or arms the day after the session. This little discomfort was very bearable and disappeared after 48 hours. There are also cases where there may be some bruising, but this should disappear naturally within a week.

Double Eyelid Singapore – Which Type of Double Eyelid Procedure is Best Suited for You?

It is no secret that double eyelid surgery is the most popular cosmetic procedure in Singapore and other Asian countries. There’s really nothing wrong medically with having single eyelids or monolids. Having monolids doesn’t make your vision worse or give your eyes less protection.

Every year, thousands of men and women born with monolids go to aesthetic clinics to get a double eyelid in Singapore.  If you are thinking of getting double eyelid surgery, then read this article from trusted doctors at Ubiqi to learn more about the procedure.

Why is Double Eyelid Surgery Very Popular?

Before and after double eyelid surgery

Many Asian men and women still get double eyelid surgery because double eyelids are believed to be more attractive, especially in Asian cultures like Singapore. Double eyelids also give the eyes a more alert and lively appearance compared to monolids. Also, since a lot of Singaporean women use eye makeup or eyelid tape regularly to achieve that double eyelid look, getting double eyelid surgery is a logical next step for a more permanent result.

Besides these cosmetic reasons though, there are also other reasons that a person may seek double eyelid surgery. For example, there are cases where a patient has a monolid on one eye and a double eyelid on the other one. Due to the asymmetry of their eyelids, patients decide to get double eyelid surgery to make their eyes look even and symmetrical.

Two Types of Double Eyelid Surgery (Blepharoplasty)

Double eyelid surgery is a delicate procedure, and depending on the patient, he/she may have different goals with the procedure. For example, some patients want to have a quicker and less painful experience while some want results that last for a lifetime. Depending on what they want, patients could choose from two types of double eyelid surgery:

  1. Non-Incisional Double Eyelid Surgery
  2. Incisional Double Eyelid Surgery

Each of these two types has its own advantages over each other, and there are certain cases where one is preferred over the other. Read on to learn their differences.

Doctor surgeon hand on patient face

Non-Incisional Double Eyelid Surgery

This type of double eyelid surgery is also known as the stitching method (Dream Plastic Surgery performs both this and the incisional method). This method uses sutures that are stitched through cuts along the top eyelid which are then pulled and tightened to form the desired eyelid crease.

Before the stitching, you will first be administered some anaesthesia to reduce your discomfort during the procedure. Your eyelid will then be measured and marked carefully. After this, multiple tiny punctures are made along the marks. These sutures are then stitched through these punctures, which will not be visible on your eyelid. There’s no need for you to have these sutures removed in the future.

The procedure is done in about 15 to 40 minutes depending on the complexity. There may be some mild swelling and bruising around the eyelid area, which should disappear in a few days. When it comes to downtime, it usually only lasts for about a week for the recovery of most of my patients. The full results should also appear around a month after the procedure and will last for 1 to 2 years.

Although the effects of this procedure aren’t permanent, many patients prefer this due to the quicker procedure, shorter recovery time and being a reversible process. This method also requires better care and discipline so take note of this before making a decision.

Incisional Double Eyelid Surgery

The other method of doing double eyelid surgery is by making an incision on the eyelid to create the crease. In addition to creating the eyelid crease, extra fat from the eyelids is also removed. Once this is done, the incision is then stitched to form the desired crease.

Similar to the non-incisional method, you will be put under anaesthesia as well. The whole procedure takes about an hour to finish, and you will have to get the sutures removed after about 4 or 5 days. There will be a longer downtime compared to the stitching method, lasting about 2 weeks to a month.

One advantage of this method over the stitching technique is that it can also be used to fix other eyelid problems such as extra skin and droopy eyelids. Take note that the effects of the incisional double eyelid surgery are permanent and irreversible. If you want a tighter-looking and more defined appearance of your double eyelids, then you’ll want to get the incisional method.

Which Type Should You Choose?

As mentioned, there are distinct differences between the two methods of double eyelid surgery.

Experts at Ubiqi recommend the non-incisional type to patients who:

  • want to try out a double eyelid look but wants the fallback of being able to reverse the effects
  • want a quicker recovery time and lesser downtime
  • don’t want any visible scars
  • have thin eyelids

On the other hand, the incisional type is recommended to patients who:

  • want a clearly defined eyelid crease
  • want results that last permanently
  • have thick layers of eyelid fat
  • have asymmetrical eyes

Heel Pain Treatment: What You Need to Know

If you are a fitness buff, then you may have heard of the “10,000-step goal.” This is actually promoted by Fitbit as a way to get an individual to achieve the150 minutes minimum of weekly moderate exercise recommended by the Centre of Disease Control of the US to keep a healthy body.

Whether you are able to successfully accomplish this on a daily basis or not, the part of the body that does most of the hard work often gets the littlest care. Unlike the other parts of the body, our feet do not always get some sweet loving and pampering as much as they need. Probably, the only time they get attention is when they get injured or suddenly feel discomfort.

One of the common complaints that patients have is heel pain. If you have tried whatever home remedies recommended online to ease your heel pain and are looking for a more effective alternative, then you have stepped into the right place. This article by PhysioActive will tackle things you need to know about heel pain treatment.

Causes of Heel Pain

Heel pain can be caused by different factors. It is important to know what the root cause is exactly in order for treatment to be planned out accordingly. Your heel pain may be due to the following:

  • Achilles tendonitis
  • Ankylosing spondylitis
  • Bursitis
  • Fracture
  • Osteochondroses
  • Plantar fasciitis
  • Reactive arthritis
  • Sprains and strains

Among the causes listed above, the most common causes of heel pain are Achilles Tendonitis and Plantar Fasciitis.

In this article, we will focus more on the heel treatment for Plantar Fasciitis.

What is Plantar Fasciitis?

Plantar Fasciitis

Plantar Fasciitis is a condition that affects the plantar fascia causing it to become inflamed and feel pain. The plantar fascia is a part of your foot that is composed of a thick band of fibrous ligament that connects the front of the foot to the heel. It serves as a shock absorber whenever activities that require weight to be put on the foot are done, such as jumping, walking, and running.

What is the cause of heel pain in the plantar fascia?

The real cause is yet to be determined, although a study done in 2003 and published in the National Centre for Biotechnology Information of the US National Library of Medicine proposed that the cause of heel pain to the plantar fascia may be linked to chronic degeneration rather than inflammation.

What are the factors that can lead to the degeneration of the plantar fascia causing heel pain?

Some of the factors that can lead to the plantar fascia’s degeneration are:

  • Biomechanical irregularities
  • Conditions affecting the muscle, such as weakening or tightening of tissues
  • Flat feet or overpronation
  • Inappropriate or poor choice of footwear
  • Obesity or recent weight gain

What are the symptoms of heel pain?

Patients who complain of plantar fasciitis or heel pain often mention the following symptoms:

  • Burning pain in the heel that reaches the bottom of the foot
  • Dull or sharp in the heel’s bottom
  • Dull or sharp in the mid-foot area

Who are most likely to be at risk of experiencing heel pain?

Anyone can experience heel pain, but those who are at high risk of developing this condition are the following:

  • Adults that are within the age of 40 and 70 involved in active lifestyles
  • Individuals that have flat foot or feet
  • Individuals with foot that have high arches
  • Individuals with jobs that require standing for long hours
  • Individuals that are overweight or obese
  • Individuals that have tight Achilles tendons
  • Pregnant women

Also, heel pain or plantar fasciitis is observed more in women than men.

What heel pain treatment can be considered to address this condition?

Heel pain treatment

Chronic heel pain can be a hassle. Aside from the discomfort it brings, it also affects a person’s daily productivity and overall wellness. It is vital that heel pain is addressed during its early stages as this brings more chances of a successful recovery.

There are two effective ways used by PhysioActive for heel pain treatment. These are:

  • Orthotics
  • Shockwave Therapy

Orthotics remains to be the first option for heel pain treatment. Orthotics is a form of medical device prescribed by doctors that is designed to be worn inside the shoes in order to improve any biomechanical issues or pain affecting the foot. This is usually used together with treatments, such as muscle exercises and stretches to be even more effective.

Shockwave Therapy, on the other hand, makes use of clear high-energy sound waves that are produced by a shockwave generator. When applied to the foot, the sound waves bring rapid extreme pressure to the treatment area, which is then followed by negative pressure. Throughout the treatment, a patient will feel a pulsating sensation on the areas where the shockwave device is administered to. This can be uncomfortable for some, but the discomfort is rather mild and tolerable.

Conclusion

Heel pain or plantar fasciitis is curable. Most feel pain resolve on their own within two days. If your case does not go away after a 48 hours and is already causing you too much pain and discomfort, then it is strongly recommended that you see a doctor immediately as chronic heel pain that is not addressed immediately can lead to long term injury.

 

PhysioActive
Camden Medical Centre #11-05
Singapore 248649
+65 6235 2647

Pap Smear Singapore: How much does it cost?

Among women, cervical cancer is the 4th most frequent cancer globally, with almost 600,000 new cases each year. That’s approximately 7% of all cancers in women, and cervical cancer is responsible for almost 300,000 deaths every year. In Singapore alone, 400 women are diagnosed with the disease with 200 deaths each year. This is very problematic but if detected early, the cancer is preventable and curable.

One of the most effective ways to detect early-stage cervical cancer is the Papanicolaou test, more commonly known by its shortened name, the Pap test or Pap smear. It was developed by Georgios Papanicolaou, a Greek physician who was one of the pioneers in early cancer detection.

The Pap smear is a widely accessible and affordable test and is crucial in the detection and prevention of early-stage cervical cancer. According to research, women whose cervical cancers were detected by a Pap smear had a cure rate of 92% – compare that with the 66% cure rate among women who were diagnosed through symptoms alone. It is undeniable that a Pap smear is an essential medical test that every woman should undergo.

For the benefit of Singaporean women, I have discussed the procedure and costs of a Pap smear in Singapore. I hope that this article will, in one way or another, help save the lives of women who are unaware that they may have cervical cancer.

Pap smear – what is it?

Gynecologist taking womans cervix sample

A Pap smear, also called a Pap test, is a medical procedure that detects cervical cancer in women. The procedure involves the collection of cells from a woman’s cervix, which is the opening of the uterus nearest the vagina.

During the test, some of your cervical cells will be carefully scraped which are then examined if they exhibit any growth abnormalities. This is usually done at in-office and I can guarantee that it is a quick and safe test. Besides cervical cancer, a Pap smear can also help detect infection, inflammation and specific sexually transmitted diseases (STDs).

Should you get a Pap Smear?

I usually recommend to my patients that they should get a Pap smear at least once every three years beginning at age 21. When it comes to risk factors, the most at risk of having cervical cancer are:

  • women who have a human papillomavirus (HPV) infection
  • women who have a weakened immune system, such as those with the human immunodeficiency virus (HIV)
  • women who have genital herpes
  • women who smoke regularly
  • women aged 21 and above
  • women who have regular sexual intercourse and/or with multiple partners

If you belong to any of the groups above, then I suggest you undergo a Pap smear as early as possible.

On the other hand, if you have had a hysterectomy, which is the surgical removal of the uterus for noncancerous reasons, then you most likely no longer need to get a Pap smear. Also, if you are 65 years old or above, then you no longer need to get a Pap smear as cervical cancer rarely develops around this age.

How do you prepare for a Pap smear? And what can you expect from the procedure?

Woman holding menstruation calendar

For a Pap smear to be highly effective, I suggest my patients do the following preparations:

  1. Schedule the Pap smear on a day where you don’t have your menstrual period. Menstruation can muddle the results so it’s best to avoid these days for the test.
  2. Avoid sexual intercourse and/or the use of any vaginal medicines or spermicidal creams at least two days before having a Pap smear. These activities can wash away abnormal cells and the test may give you a false negative result.
  3. If you are pregnant, then it is safe to have a Pap smear up to 5 or 6 months in your pregnancy. Any later, and it may become painful for you.
  4. If you have just given birth, you should wait at least 3 months before getting a Pap smear.
  5. Relax and stay calm before and during the procedure.

When it comes to the procedure itself, it may be a bit uncomfortable, but it usually doesn’t take long and will be over in just 5 minutes. First, you will be asked you to lie down on an exam table with your knees bent. Then, a small device called a vaginal speculum will be inserted into your vagina, which will give a better view of your cervix. After this, cells from your cervix will be carefully scrapped using a special Pap smear brush and then the test is over. Easy and quickly as that. There may be some discomfort after the test but should disappear within a few hours.

The cell samples will be sent to our laboratory for analysis and you’ll be advised you to return to the clinic when the results are ready.

How much does a Pap smear cost in Singapore?

  • Pap smears are free if you can arrange an appointment by calling the Singapore Cancer Society.
  • As an alternative, if you are a CHAS (Community Health Assist) cardholder you can get a Pap smear done for just $2. Also, thanks to the Health Promotion Board, women can get the test for only $5 for citizens and $12.25 for permanent residents if you qualify.
  • You can also get a Pap smear from almost any health clinic and hospital in Singapore from $15 to $100.

There are also speciality clinics like DB Clinic where you can get a Pap smear. Here, our services are geared to improve not only women’s health but of men and the whole family as well. If you have already decided to get one, contact us at DB Clinic to arrange an appointment. We’ll be happy to give you a quotation and assist you in every way we can.

Conclusion

I would like to reiterate that a Pap smear is very important because early-stage cervical cancer usually does not display any symptoms. Thus, if you have early-stage cervical cancer but don’t get a Pap smear, then most likely you will only detect the disease once it displays symptoms and has advanced to a stage where it is harder to treat. Remember that early detection is key to the success of your treatment.

 

DB Medical: Women’s & Men’s Health Clinic
290 Orchard Rd, #14-10 Paragon Medical Centre,
Singapore 238859
+65 6733 7122