What does (s) he understand?
- His or her complexity of understanding keeps extending. He / She now understands simple WHO? WHAT? And WHERE? Questions and hears you when you call from another room.
- This is the crucial age where hearing difficulties may become evident. If you are in a doubt of his/her hearing, it’s wise to consult an audiologist.
What does (s) he speak?
- (S)he talks about many things to you, what happened in preschools, what type of play they did, how is teacher to him/her, what are his/her friends, what funny, and new (s)he experiences, and also his imaginations.
- His/her sentences are becoming longer and longer as (s) he combines four, five or more words. His /her speech is usually clear and fluent and easily understood by the strangers most of the time.
- They become very loud and unstoppable.
How can I help my child?
- Mix categories e.g. mix animals with picture of baby, cookies, ice cream. And make the child to sort them out and show what doesn’t belong to the category. Tell him/her that he is correct baby doesn’t belong to cat, dog, category because baby is not an animal.
- Draw, glue a car without wheels, favorite cartoon with a mistake, glue a dog in driving seat and talk about how silly the pictures and encourage him/her to talk about what is missing, and what is correct.
- Act out typical scenarios with the child like going to doctor with the pet, teacher and student, acting like the mother at home, cooking food, making baby dress up, superman. Allow her/him to guide you in acting. Be the student and let your child teach a lesson. Ask the child questions; make him repeat if you have not understood completely.
- Expand the child’s vocabulary by acting, storytelling, singing, filling the blanks. Talk about new games, new ideas you and your child can do and have fun.
- Find out a simple and interesting story book read line by line, ask simple WH questions (what, Where, Who, Why).Talk about favorite part in the story, in the cartoon. This is the best time to talk about favorite things with the child talk about his/her favorite game, food, rhymes and tell him/her also your choices.
- Bring your family album to the bed. Talk about the photo and ask the child can you remember this photo. Help him to explain what happened.
- Do silly mistakes in game, apologize for your mistakes, and ask his/her help to play correctly.
It is important for these people to see a Surgeon at the earliest to enable an accurate diagnosis and initiate early treatment to prevent further complications. Over the counter medications and creams are of limited use as almost all of these conditions present with more or less the same complaints, however the treatment is completely different for each one of them.
These however, need to be performed by experienced Surgeons who have undergone extensive training in this specialty and have the know how and technical expertise.
Approximately 20% of the UAE population suffers from Chronic Sinusitis. Symptoms range from stuffy nose, nasal blockage, headache, facial pain, postnasal discharge, cough and bad breath. These are all symptoms of chronic sinusitis. The weather in UAE plays a significant role in the development of these symptoms. Fine sand in the air, humidity, allergies, sudden temperature changes too trigger it. Deviation of the nasal septum and nasal polyps too can lead to chronic sinusitis.
Visual inspection, nasal endoscopy and CT scan, paranasal sinuses can help screen for chronic sinusitis. A CT scan can accurately diagnose chronic sinusitis. Once diagnosed, it is treated with nasal decongestants, steroid nasal sprays, antihistamines, antibiotics etc.
Pain may be classified into different types based on the origin, duration, periodicity and nature of pain. Accordingly, Pain management can broadly be classified as acute and chronic pain management. While acute pain deals with perioperative pain, pain in labour, trauma, burns etc., and the latter includes a diverse group of patients in the outpatient setting. The management of acute pain is primarily therapeutic. Chronic pain management requires various pharmacological and non pharmacological approaches to tackle the multidimensional components of pain. At International Modern Hospital we take a holistic approach so as to not only treat the underlying cause but also provide psychological support and rehabilitation to ailing patient.
Pain management largely comprises of pharmacological and non-pharmacological modalities, commonly being medication, counselling, relaxation techniques, electrical stimulation and local anaesthetics. Few Prescribed medications include anti-depressants and systemic local anaesthetics.
At International Modern Hospital we undertake Interventional modalities which include diagnostic and therapeutic nerve blocks, facet blocks, epidural steroids, intra articular injections, trigger point injections for myofacial syndromesetc. Therapeutic adjuvants include Psychiatric counselling, physiotherapy and electrical stimulation. Unrelieved and inadequate relief of pain is continuing to be a global health problem and serious efforts have to be taken to provide pain treatment as it is definitely a basic human right.
The World Health Organization estimates that over 800,000 people die by suicide each year – that’s one person every 40 seconds. Up to 25 times as many again make a suicide attempt. There are many, many more people who have been bereaved by suicide or have been close to someone who has tried to take his or her own life. ‘Connect, communicate, care’ is the theme of the 2016 World Suicide Prevention Day. These three words are at the heart of suicide prevention.
Social connectedness reduces the risk of suicide, so being there for someone who has become disconnected can be a life-saving act. Connecting them with formal and informal supports may also help to prevent suicide. Individuals, organisations and communities all have a responsibility here.
Open communication is vital if we are to combat suicide. We need to discuss suicide as we would any other public health issue if we are to dispel myths about it and reduce the stigma surrounding it. Equipping people to communicate effectively with those who might be vulnerable to suicide is an important part of any suicide prevention strategy. Showing compassion and empathy, and listening in a non-judgemental way is very important.
All the connecting and communicating in the world will have no effect without care. We need to ensure that we are caring ourselves. We need to look out for others who may be struggling, and let them tell their story in their own way and at their own pace.
Watch for signals of eye problems– Parents should be alert to symptoms that could indicate an eye or vision problem, such as complaints of eyestrain, headaches and squinting when reading or performing other common activities like regular rubbing of the eye etc. Other symptoms to look for include a white or grayish-white coloring in the pupil, one eye that turns in or out, or eyes that do not track in sync together.
For school-age children, a vision screening, which is less comprehensive than a dilated eye examination by an ophthalmologist,can be performed by a pediatrician, family physician, nurse or trained technician during regular checkups. If the screening detects a problem, the child may need to see an ophthalmologist — an eye physician and surgeon.
Beware of television on hand held devices– It is now becoming more and more common for children to suffer from eye strain after staring at screens for hours and hours. This is sometimes known as computer vision syndrome. Watch out for dry, red and sore eyes. Sometimes, children may experience blurry vision and have problems with words moving on the screen because their eyes are not properly aligned. You can avoid eye problems setting in at an early age by making sure that sessions involving near screen work are limited to 30 minutes a time. Make sure that there are plenty of breaks and that outdoor activity is not neglected.
Introducing your baby to solid foods – sometimes called weaning or complementary feeding – should start when your baby is around six months old.
