Showing posts with label Dr Ngiam Thye Eng. Show all posts
Showing posts with label Dr Ngiam Thye Eng. Show all posts
Wednesday, December 18, 2013

Updates on Rachel


Rachel had her jabs at the paediatrician this morning. At 18 months, she is 9.44 kg and about 78 cm tall.

Some information to share:

Rachel's nanny has been giving her some of Ryan's formula milk. She says that warm milk helps Rachel to sleep. As long as this does not affect Rachel's intake of solids, I don't have issue with this. I was, nevertheless, a little concerned about Rachel taking formula milk which is supposedly for 4 year olds, so I checked with Dr Ngiam on this. Dr Ngiam says it's not a problem. He told me that, formula milk for one year and above will yield the same benefits, despite all the marketing talk. (For infants below one year old on formula milk, they should take infant formula, and not formula/milk for older kids, as infants below one year old should not be taking full cream milk.)

So according to Dr Ngiam, no problem with sharing the formula milk since Rachel is already almost 18 months old. Since she is breastfed in the morning and at night, he says a bottle of formula is enough and if she doesn't want it, it's fine too, don't force her. (If not breastfed at all, he says two to three bottles of formula milk a day is enough.) Importantly, give her a good varied diet of solids.



At home, Rachel has been busy investigating, exploring and playing with/irritating her brother. I try to offer her sensory experiences and open-ended materials to play with, like the cardboard box (above) and the kinetic sand (below). Her small motor skills are excellent - she can feed herself with a spoon and she can even hold a pen correctly.

She loves holding her brother's hand and leading him on walks. It always puts her in a good mood (although Ryan is not always receptive!) and it is a cute sight to see the two of them hand-in-hand walking about.


In other news, we will be making some changes to the children's weekend schedules from next month/year. It's time to take stock and see what is working and what is not; and move on from the old so that we can make space for the new. I'll write an update soon.

Thursday, September 26, 2013

Updates on Rachel


We brought Rachel to see Dr Ngiam on Tuesday for her jab and 15-month wellness check. She was a little sleepy so I was expecting her to fuss but she took the jab without issue.

Babydoll is 9.06 kg, which is right on track. Her birthweight was 2.98 kg and the guide is to have it tripled at 12 months. From then, a good weight gain is 2 kg a year. We didn't measure her height.


We asked about food and Dr Ngiam said she should be on three meals a day of soft solids. That's pretty much what she has at the moment, so all well and good.

We asked about some marks on her legs and Dr Ngiam said that they were from mosquito bites. He said that's how their skin reacts at this stage and the reaction will become less severe as the skin "learns". The marks will stay for quite a while but will eventually disappear. There has been quite a lot of construction around her nanny's place recently hence the mosquito bites.


Nothing much else. It was a quick consultation - the best kind.

Tuesday, June 11, 2013

Updates on Rachel

We have been very busy lately, which means lots of updates on the blog but not enough time to post! Well, as Lao-tzu said, a journey of a thousand miles begins with a single step, so let's get going bit by bit, and we'll get there. 


For today, an update on Rachel. Rachel had a jab and checkup on Tuesday at Dr Ngiam's clinic, one week before her 1st birthday. All is well. She can say a few words and is starting to walk, and Dr Ngiam said that is fast. She is 8.39 kg and 74 cm tall. We didn't have any questions so the visit was very short.


For her meals, apart from latching, I am feeding her baby yoghurt every morning. Her nanny feeds her porridge with meat and veggies, as well as my expressed breastmilk from a bottle. In the evening, she takes dinner with us. I usually prepare some grains with either fruit or veggie (in the form of cereal) plus we give her lots of finger food, which ranges from fruit to veggies to meat to biscuits to bread to french fries and nuggets, or whatever we are eating ourselves.

There aren't any hard rules in terms of how much she has to eat or what she has to eat. She sleeps better if she has had enough to eat, so if she takes less than her usual portions, we know that she is going to want another meal or snack before she goes to bed for the night. This means, for example, if she's had a tiring day and falls asleep at 8 plus without having had her dinner, we won't wake her up. We will expect her to wake up around 10 or so to eat before really settling in for the night, so we will wait for that. This sort of thing doesn't happen very often. Still, in general, we do try to be flexible and just go with the flow.


We have been making some plans for Rachel's birthday. Richard's sisters, Margaret and Mary, have been doing all the real work - booking the venue and ordering the cake - we are really thankful to have their help. We are having a dinner at a Chinese restaurant in Malaysia, with family and a couple of close friends, just as we did for Ryan. That will be this Saturday, which means more travelling for us!


In other news, Rachel has been shortlisted to do a TV commercial - keeping our fingers and toes crossed that she will be selected! It will be together with Ryan, a brother and sister pair, so that would be an awesome experience and memory to keep. Praying hard!

Friday, December 14, 2012

The Nasty and the Party

Yesterday, Rachel had to make a trip to the paediatrician. She had a nasty post-flu/cold rash. Apparently quite common and harmless, it will take a few days to dissipate.  I say flu/cold because I'm not sure which! She had a bit of a sniffly nose on Monday but no fever/cough, and we weren't at all thinking that she was ill. She was her usual cheery self. Ryan wasn't feeling too good on Saturday/Sunday - he kicked it after a good sleep. Perhaps it was the same virus, only Rachel's system dealt with it differently?

Anyway, I noticed Rachel's rash when I brought her home from the nanny's on Monday evening. Richard also said that she seemed a little fussy and we were quite clueless why. I checked with the nanny the next day and she suggested it might be a reaction from insect bites. I doubted that was the reason since nobody else in the family had any bites but nevertheless went into action immediately to air out all her bedding. The rash just got worse and I was getting quite despondent so Richard decided we should get her checked out. He brought her to see Dr Ngiam who said it was just a normal post-flu rash which should clear up in a few days. Dr Ngiam prescribed some anti-histamine to relieve any itching but apart from that, there's nothing that can be done. We have to let the thing run its course. The flu bug has gone now and we are over the worst of the rash; we are just waiting for it to clear completely. Dr Ngiam also told us to keep her cool as heat will aggravate the rash.

I was so happy and relieved to know that it is just a harmless rash that will clear soon. I felt so helpless and depressed as I watched the rash spread all over her body and onto her face. Thank God it is nothing serious. I must say that I'm pretty impressed at how strong Rachel's system is - no fever, no cough, just a little (and I mean, very little) sniffly. So much so that nobody even suspected she was sick and at most, she was only sick for a day on Monday. Or was she sick on Sunday? Pretty amazing. Ryan too - he battled the bug over Saturday night and was well enough for Shichida on Sunday and for filming on Monday. Our super babies!  

I'm not going to post photos of the rash here, don't worry! However, I did take some photos for reference so if you suspect your baby has the same thing and would like to verify, you can email me to see the photos!


Richard had to make a trip to the doctor himself on Thursday. He's the last one in the family to succumb to the flu! It got us all! I packed him off to the good doctor for a course of antibiotics and with some rest, he should be good.

On a happier note, today Ryan's class had their end-of-term party! All the parents came bearing food and we had a nice get together. Richard and I brought some food from Old Chang Kee and, as always, we brought too much and had to "tah pau" some.


It was also the last time that we would see the teachers until next year, so some of the parents (including us) chipped in to buy them Christmas gifts - some TWG tea.

Ryan also received a sweet Christmas gift from his teacher, which we found in his cubby!


I spent the rest of the day at home with the two littles. Here's Ryan - back to track-building again! He hasn't been building tracks for a while, preferring his puzzles instead, but it looks like he can still do it! He did this completely on his own.






This is after he finished the outside track. After this, he added some landscape features, like a tunnel and some buildings, but I didn't get a photo of that.


Ok, so this is me signing off, have a good weekend everyone!

Tuesday, December 4, 2012

Rachel's visit to the PD


Rachel went to see Dr Ngiam this morning for her 6-month check up and vaccinations. She is 6.83 kg and 64.5 (almost 65) cm. Head circumference is 42 cm. Next vaccinations will be when she is one year old.

Dr Ngiam said to start Rachel on solids - cereal in the mornings for a while then add on porridge for dinner and, by the time she hits seven months old, she should be on three meals a day. I mentioned to him that I hope Rachel is not going to be as picky an eater as Ryan and Dr Ngiam said that it's good to be picky and selective. He said that, in any case, the important thing to note is not how much she eats but whether she gains enough weight. He said that some people eat a lot but don't grow much whereas some people eat very little but still grow well - it's a matter of how the body processes and utilises the food.


I mentioned that Rachel is moving about a lot and learning to crawl and he told us that, yes, at this stage, children need and demand a lot of attention, always moving about and always wanting to be carried. I also told him that she is still dropping some hair and he said that it will continue until she is two years old, although it will be less between one and two years old.

Dr Ngiam also said that, at this time of the year and for her age, we should keep her away from crowds as it is the flu season and it's particularly nasty this year. He advised us to stick to parks and playgrounds rather than crowded places.


So, everything is good and normal. Babydoll is doing well! 

Wednesday, November 7, 2012

Rachel's Visit to the PD


We brought Rachel to the PD yesterday for her routine vaccinations (two jabs and one oral). As usual, we didn't have any questions to ask, and it was over fairly quickly. It was a casual consultation - the main purpose was to do the vaccinations. We did get her weight - 6.65 kg - but not her length/height. Dr Ngiam also told us that we can start her on solids in about a month's time.

I'm not sure how long I want to continue with breastfeeding. With Ryan, the issue never really came up because I knew I was going to breastfeed Rachel anyway. Now, if we stop at two, then I will have to make a (hard) decision as to when to stop breastfeeding. Ah well, I'll cross that bridge when I come to it. It won't be for some time yet.


At the moment, I'm latching both of them, sometimes simultaneously, although Ryan only at night and when he wakes up in the morning. I have to say that I don't like tandem nursing and I try not to if I can. In all the years that I nursed Ryan at my breast and now Rachel, I have always found our sessions a time to cherish and a time for cherishing my children. I have never felt like a "cow" or a milk bottle. However, when I tandem nurse, I feel exactly like a "cow". I can't move; I just sit there and focus on making sure that the two of them are comfortable, that they are not getting in each other's way, and able to access the breast comfortably to achieve a good latch. There is not a lot of focus on bonding. To me, it feels purely functional and I don't like it.

In other more uplifting news, Rachel has been crawling with her bottom off the floor! She has been at it for a couple of weeks now. A step up from leopard crawling!

Friday, October 5, 2012

Rachel's checkup at the PD


I am so happy that it is Friday. I've had a lot on my mind this week and, while I'll still be carrying my thoughts around for a while more, I'm glad that I can put them aside for the weekend at least. We have plans for the weekend that involve a lot of good quality family time and I'm looking forward to that.

Rachel had her 3-month check-up on Tuesday. She is slightly more than 3.5 months old now. Got her vaccinations done and ticked off her milestones. She is 5.99 kg and 60 cm. The guideline is for her to double her birthweight at 4 months. She was 2.98 kg at birth, so she's doing fine.

She did have a period of about two weeks where she wasn't drinking her milk during the day at her nanny's - that was the first two weeks that she was there. She would start fussing when she saw her nanny walking towards her with the bottle, even before the bottle reached her mouth. The funny thing was that she was completely content to sleep and play throughout the day and didn't fuss at all. She only fussed when her nanny approached with the bottle! She simply did not want to drink her milk. When I brought her home at the end of the day, she latched on as normal and drank as normal. She didn't seem excessively hungry.

We explored a few possibilities, eg. bottle rejection, type of bottle, unfamiliar environment, etc. but we weren't very concerned and trusted that things would work out in time and, after two weeks, she started drinking normally. Coincidentally, the day that she started drinking normally was the first day we changed her bottle (from NUK to MAM) so it would appear that it was because of the bottle. Still, I had my suspicions that it was not due to the bottle at all. I remembered that, there was one occasion during my maternity leave when we left her with the nanny for half a day (Ryan had a photoshoot) and she drank from the NUK bottle without any issue.

True enough, when I asked Dr Ngiam about it, he said that babies naturally know when to slow down (and the parents shouldn't push them to drink more). Despite not drinking during the day for nearly two weeks (not counting the weekends), her weight is perfectly fine now. In fact, she is still a little ahead of where she needs to be. Basically, she slowed down to the point where she needed to be, and then started drinking normally. In other words, my little 3-month old was dieting!

Anyway, all's well that ends well. Rachel is doing fine now at her nanny's and her nanny has already fallen in love with her. When I go to fetch Rachel home in the evenings, Rachel is always wearing a new outfit and her nanny is constantly singing praises about how easy Rachel is to look after.

Ok, happy weekend, everyone! See you back here next week!

We brought Ryan to see his paediatrician yesterday morning for his Hepatitis A booster. This concludes all of Ryan's vaccinations up till the age of 6 years old. He took the jab in his arm, and he was all smiles. Darling boy.

We had a short chat with Dr Ngiam as usual before the jab and here's a run down of what we discussed.


We talked about Ryan's growth - he is 11.1 kg and 87 cm tall. We were wondering if he was too small but Dr Ngiam said he's fine for his age. He said that, from now on, Ryan should put on 2 kg every year.

We mentioned that Ryan is still taking a lot of milk. Dr Ngiam advised us to reduce this and increase his solids and make sure that he is eating three meals a day. At Ryan's age, milk (whether breastmilk or formula), should be regarded as only a supplement or a beverage, like say coffee or tea. He explained that, as there is only so much that the child's tummy can hold, we have to maximise the nutrition in that small space. While there is nutrition in milk, it is still mostly water. He said that, in terms of nutritional value, one bowl of porridge is equivalent to five bottles of milk (whether breastmilk or formula) and Ryan certainly can't hold five bottles of milk in his tummy. He told us not to let Ryan fill up, or even half-fill, his tummy with milk because then Ryan will lose out on the chance to take in nutrition-packed solids.


I did say that we are gradually cutting down on the milk (more on that in a separate post) but Dr Ngiam said that we should do it fairly quickly and not drag it out. He also said we should definitely cut out the night feeds as this may lead to tooth decay as traces of milk stay in the mouth the whole night. Dr Ngiam suggested preparing solids that are more on the crunchy side, which Ryan can hold and bite into, like nuggets, pan-fried fish, wedges, and of course rice and noodles. No more mushy food - he described it as "pig's food" - hahaha!

Actually we have never prepared mushy food for Ryan and we have never bought jars of pureed or blended baby food. Initially, when we ate out, especially in Chinese restaurants, we did cut up the veggies and the meat for him in bite-sized portions but he refused to eat them like that, so we stopped bothering. After all, he is capable of eating and swallowing, he just wants to know what it is that he is eating so destroying it into little pieces isn't going to help him identify it. I have seen parents who cut the veggies and the meat smaller and smaller every time the child refuses to eat and I always wonder why they do that - does the child not know how to chew/swallow, does cutting the food up make it taste better? (Actually, Richard and I are horrified whenever we see a parent fish out a pair of scissors to cut food at the dining table - I have never seen a pair of scissors make an appearance at the dining table anywhere else in the world - why can't they use the eating utensils? What in the world are they teaching their children? But that's another story.)


Ok, next we discussed sending Ryan to pre-school. Let me digress a little here. I've heard some parents say that, if it's a half-day programme, it's pre-school and not childcare, and if it's full-day, then it's childcare and not pre-school - this is absolute nonsense. Pre-school is actually a form of childcare - other forms include a nanny, a parent/grandparent, an au pair, day care, etc. It's all childcare. As long as it's not school, it's childcare. Plus, PRE-school is not school - it's PRE-school, ie. the stage before school.

Anyway, you might remember that when we saw Dr Ngiam in December last year, he advised us to keep Ryan at home until he is at least 4 years old. So yes, today he maintained his view that, at this age, Ryan should be cared for at home, in a loving family environment. If this is not possible, then childcare will have to do, but between childcare and a loving family environment, the better choice for Ryan's age will always be the loving family environment.


I asked Dr Ngiam whether going to pre-school and being with other children would help speed Ryan along in his speech development. Dr Ngiam said no. He said that, at this age, it is not because of pre-school or any enrichment that the child speaks sooner - if the child's speech development is going to be slow, it will be slow and if it's going to be fast, it will be fast, regardless of whether the child goes to pre-school/enrichment or not. This reminded me of my thoughts on Bilingual Playclub at Julia Gabriel - I noted that Ryan has developed over the one year he was there but I was not convinced that the development was because of Bilingual Playclub; it's just natural.

I should clarify that we think that Ryan's speech development is fine and we are not worried about it. It's just nice to get the "ok" from a professional.


Dr Ngiam again reminded me that we should not be concerned about socialisation at this stage and, in any case, there are lots of things to learn in a home environment, including socialising with people. If Ryan is lucky enough to be able to be in a loving home environment, then we should not deprive him of that precious time and opportunity. That made a lot of sense to me. It also reminded me of what I'd read and researched - that, historically, the very purpose of early childcare was to get children AWAY from the influence of their feckless parents. Not to be presumptuous but I think Richard and I are quite safe for Ryan to be around.

I suppose Dr Ngiam's point is that, at this age, there is so much in the child's world that is new and exciting and whatever is not there is not necessary at this point in time. There is no need for the child to receive extra "stimulation", which is what many parents worry about, and there are more important things in a home environment which your child should be exposed to. So, unless there is nobody to take care of your child, there is no need to send him/her to pre-school.


Unfortunately, in academics-crazy Singapore, parents of toddlers are already concerned about making sure their little ones are not left behind and that their little brains are constantly "stimulated". I could go on and on preaching about how important it is for the child to spend these important first years spending time as part of a family and learning the rhythm of a household - watching the postman come around at noon everyday and the garbage truck at 3 in the afternoon, seeing the laundry being hung on the line, smelling lunch on the stove, hearing his parents talk lovingly to each other, building his sense of security and his sense of identity and self - all this generally falls on deaf ears in Singapore. They send their two year olds to pre-school for half a day then the child sleeps away the other half at home, missing out on the good stuff. The parents don't care about the stuff that happens in real life, they want their two year olds to "go to school" to learn stuff which they think their children can't learn at home. What this stuff is, I don't know. Whenever a parent tells me about what his/her two-year old did "in school", the thought that always springs to my mind is, "Ryan learnt that or can learn that at home".

It is also easy to forget that it is important for our children to have lots of "down time", just to be quiet and calm. We have the mindset that it is not acceptable for a two year old to lounge about at home. By insisting that they are always "stimulated", we're creating these hyper-people who have short attention spans, who don't know how to be calm, who are always restless and who don't have time to reflect. It's great that they can play, but to play all day is another thing altogether. In the long-term, it means one thing - stress.



So we will stick to Dr Ngiam's advice to wait till Ryan is at least four years old before considering enrolling him in pre-school. The more we think about it, the more we talk it through logically, the more it makes sense and we are happy with our present arrangement. It is perfect for our circumstances and for Ryan's needs, plus it fits in with how we want to raise our children.


[All photos taken at Casa Verde on 19 June 2011.]

Sunday, February 27, 2011

Visit to the PD and other updates

Hello dearies. I have been falling behind on my posts and I do have quite a bit to update. It's been sort of a struggling week for me - I've had a few family issues to sort out, which has been very draining on me mentally. I'm looking forward to life getting back to normal next week.

Anyway, some updates on our adventures.

On Friday morning, I brought Ryan and my mum to NAFA Arts Kindergarten for a tour. Looks good. I'll do a separate post on our visit.

In the afternoon, I brought Ryan to the paediatrician to get his vaccinations up to date. His regular paediatrician, Dr Ngiam, was on leave so we consulted Dr William Yip instead, at the same clinic. Dr Yip has attended to Ryan a few times before (including when Ryan was born), so we are quite familiar with him.

As usual Ryan took both his jabs well, with no fussing or crying. Dr Yip was amazed and said that he was so brave. Dr Yip also did a wellness check for Ryan and certified his development as normal. Ryan is 10.6 kg and 83 cm. (There was no post-jab fever.)

I took the opportunity to ask Dr Yip about weaning Ryan off breast milk. I also mentioned that Ryan isn't always keen on his solids. Dr Yip said that it's fine if Ryan prefers breast milk as breast milk has plenty of nutrients and calories (Dr Yip was very impressed (shocked, even) that we were still breastfeeding!). He said that, if I do wean Ryan off the breast, the real substitute for breast milk is solid food, not formula or milk, and he said that it's perfectly fine if I choose not to give Ryan formula or milk. His point is that there is no rule that Ryan's nutrition must be delivered through formula or milk, and formula/milk is just another form of food. Of course, if I do want to provide a milk substitute, he said there are a variety to choose from - soy milk, cow's milk, etc. So Dr Yip basically gave me the same advice as Dr Ngiam did.

For dinner that evening, we went to the buffet at AquaMarine, Marina Mandarin Hotel. Wrapped up the day with a movie on DVD.

The next day, Saturday, we had a simple lunch at Beach Road Prawn Noodle, at East Coast Road.

Enjoying the jumbo prawn noodle, while Richard is having the pork ribs noodle.
Don't be misled by the photo - Ryan isn't able to handle the chopsticks yet. Nevertheless he always wants a pair for himself and we do let him hold them and do what he likes with them. He does know that they must always stay in a pair and he is always very careful to keep them that way.

In the afternoon, there was PlayClub and this week was Daddies' Week. As usual, we were asked to come in similar father-and-son outfits. We brought out the shirts that Richard and Ryan wore for Daddies' Week two terms ago. Looks like Ryan can still fit into his, although the label states that it's for 12 months.

There was a birthday celebration in class today so there was cake for everyone.


Outdoor activity was sandplay. I get the feeling that this is not one of Ryan's favourite outdoor activities (or maybe that's me), so I'm glad that he gives it a go anyway.



While Ryan's class was finishing up their sand play to go into the classroom for music, the other PlayClub class came outdoors for swimming. The Mandarin teachers in the other PlayClub (Ryan's ex-teachers) called out to Ryan and tried to lure him to the swimming pool. It was very amusing because Ryan's Mandarin teacher then tried to entice him to go back inside for music, so they were literally fighting over him! Of course, the swimming won in the end. Ryan walked over to the pool area (Ryan's ex-teacher was delighted to open the gate for him and take his hand) and he even tried to climb into the pool! Haha!

In the evening before dinner, we hung out at Parkway Parade for a little while. Ryan got into this coin-operated ride (a hot dog truck) and discovered for the first time ever, that it actually moves! There were some children in the front of the truck and their parents put a coin into the ride while Ryan climbed into the back. He was quite intrigued when it started moving and he sat quietly at the back for the entire ride. After that, we felt obliged to put in a coin (to contribute our share) so Ryan got to go again!


I think he thought that the child in front was really "driving" the truck - when the ride ended, and the "driver" got off, he got up and walked to the front and called for another driver, and when another child boarded the truck, he quickly sat back down at the back! Hahaha!

Ryan fell asleep on the way home, which was about 7.30 pm. Amazingly, he slept until 9.30 am the following morning! He must have been completely wiped out. While he slept, Richard, my mum and I had a barbeque dinner on our upstairs terrace.




Will post our Sunday update next!

We brought Ryan to his paediatrician yesterday for a booster jab and a wellness check. We had a long wait but it was worth it in the end.

Ryan hasn't put on any weight or grown any taller since his last visit, although he was squirming quite a bit when the measurements were taken, so they may not be accurate. He took the jab in his thigh without reaction, he didn't flinch or cry, just quietly observed what Dr Ngiam was doing. Just amazing.

Dr Ngiam asked us if we had any questions or concerns and we did raise a couple of issues. We told him that Ryan is extremely sticky nowadays, always needing to have physical contact. Dr Ngiam was pleased to hear that! He said that this shows that Ryan is a well-adjusted child. He said it's absolutely normal, Ryan is right on track and that this phase will last until Ryan is about three years old. Dr Ngiam said that Ryan has formed a strong bond with us, which is the way it should be at this stage. He also explained that there is a hierarchy of people whom Ryan has bonded with and Ryan will stick to each person according to his order. In Ryan's case, mummy is first and daddy is a close second. So if mummy is not around, Ryan will stick to daddy. It would be an issue of concern if Ryan does not show any attachment to any particular person, even in a roomful of people whom he knows, as it may mean that Ryan is having problems forming strong relationships and strong bonds. I asked Dr Ngiam if we should be concerned about letting Ryan be more independent and he said it's too early to expect Ryan to be independent.

Well, we were happy and relieved to hear that! It has given us a new perspective and has made us a lot more patient and tolerant of Ryan's stickiness, seeing that it is a sign that all is normal and going well. It has also given us encouragement that we're doing all right at this parenting thing, heehee.

Next, we asked Dr Ngiam whether we should be considering sending Ryan to school yet. Dr Ngiam said that, if Ryan is being looked after and we don't need to send him to school as a form of childcare, then we should wait until after Ryan turns four. His reason was that children below four fall sick easily. He said, at Ryan's age, the emphasis should be on spending time with the family. He also pointed out that there are lots of things to learn at home.

Actually, I'm not too concerned about Ryan falling sick (Ryan is an extremely healthy boy), my only reason for sending Ryan to pre-school is to socialise with other children. I told Dr Ngiam that Ryan seems quite shy sometimes and I asked him whether he should be socialising with other children. Dr Ngiam said that the shyness is normal, socialising will come later and we shouldn't be wanting him to be a social butterfly now.

That was wonderful news to us because, just last week, Richard and I were discussing whether we should wait until Ryan is older before sending him to pre-school. Ryan is turning two very soon and we haven't come close to choosing a pre-school for him. We were getting a bit worried because most of Ryan's peers have already got places in pre-schools. Some are even starting next week!

In Singapore, most children go to pre-nursery in the year that they turn two years old. After one year, they do two years of nursery before advancing to kindergarten for another two years, before finally starting primary school. All this is completely voluntary as pre-primary education is not compulsory. Still, it is a pretty well-established system, which most parents adopt.

When we first learned about the Singapore system, and all the frightening waiting lists, we took action pretty quickly. I did some research and we visited a few pre-schools to check them out. But for us, the fever died down just as quickly as it started as we were not persuaded by any of the pre-schools that they offered anything that we couldn't do without. Some had better facilities, some had bigger playgrounds, some had better curriculum than others. We could picture Ryan being happy at one or two of them, but Ryan is also perfectly happy being at home. Basically, at each visit, we were waiting for the feeling that Ryan would lose out if he wasn't a student there, but that feeling never came.

So there is a huge chunk of motivation missing, which is also due to the fact that neither Richard nor I went to pre-nursery or nursery. I only did two years of kindergarten and Richard says he thinks he did one year of kindergarten (he can't remember much about it). Did we lose out? Well, I could read and play the piano even before I entered kindergarten and Richard says he can't remember learning anything in kindergarten. Both our mothers were housewives, which is similar to Ryan's setup - his nanny is also a housewife and when he is not with his nanny, he is with us all the time. When Ryan is at his nanny's and when he is at home, he is always involved in what is going on. He is free to wander about and investigate anything he wants (under supervision of course) and there is always someone talking to him, engaging him and playing with him.

Every time we discussed the issue of sending Ryan off to pre-school, we delayed it a little more. When Ryan was about to turn 18 months, Schoolhouse by the Bay called us up (a follow up from our visit) and asked if we were still interested in enrolling Ryan. We told them we wanted to keep him at home a while more. We told ourselves, let's wait till Ryan is two. Last month, we happened to visit Etonhouse, and we thought about the topic again - we decided to wait till Ryan was 2.5 years old. Last week, we said, let's wait till he's three.

We definitely felt the pressure to follow what other parents were doing but somehow, deep down, we must have known it was not the right decision for us, which is probably why we made no progress on the issue. We were just not brave enough to make a decision once and for all.

So, I'm happy to say that we have decided to hold off pre-school and wait till Ryan is four years old before we consider the issue again. Then, we will see if we want to wait until he is five, in which case he will go straight into kindergarten, just as Richard and I did. In the meantime, we will make sure that Ryan's time at home is spent productively and fruitfully, with lots of play, cuddles and kisses along the way.

Now that finally sounds perfect to me.

Wednesday, October 6, 2010

Fun at eXplorer Kid and Check-up at the PD

Two weekends ago, we met up with some friends (Kenny, Belinda, Matthias and Chris, Alicia and Brayden) at E!Hub at Downtown East for some fun at eXplorer kid's indoor children's playground followed by lunch. Ryan was especially interested in the ball pits and the Mega Play at the indoor playground. The Mega Play is a large 3-level obstacle course - Ryan slid down the tubes, climbed up the nets and crawled through the tunnels and Richard and I took turns to slide, climb and crawl along with him. It was quite tiring for the adults because we had to crouch down and kneel/squat to fit in the spaces, but it was fun. Here are some iphone photos of Richard and Ryan in the ball pit with the changing lights. I didn't manage to take photos while we were in the Mega Play, it's tough enough keeping up with the children in there!






I think Ryan enjoyed himself a lot. We picked up a membership for him so we'll be back!

In other news, I brought Ryan to the PD two Mondays ago. Nothing to worry about, just his routine check-up and vaccinations.

Ryan's PD is Dr Ngiam Thye Eng at International Child and Adolescent Clinic at Gleneagles. Dr Ngiam is quite a popular doctor, so we usually have a bit of a wait for our turn. While we waited, we got Ryan weighed and measured (he is 10.22 kg and 80 cm tall) and I ticked off the developmental checklist in the health booklet. The checklist was for children up to 18 months - Ryan is 20 months - the check-up was way overdue!

When we got into the consultation room, Dr Ngiam asked me if I wanted Ryan to take the vaccination for MMR (measles, mumps and rubella) together with the varicella vaccination, or if I preferred to have the vaccinations done in separate jabs instead. Of course, I don't want Ryan to be jabbed again, so I said we'll take the MMR plus varicella in one shot. So, Dr Ngiam administered the jab on Ryan's arm and Ryan was so good - he sat so still and was so calm, he didn't cry at all. Dr Ngiam was so amazed. I am thankful that Ryan is normally very good with jabs and that he is also one of the lucky children who do not suffer a fever after a jab.

Dr Ngiam checked Ryan's senses and responses (sight, hearing, etc.) and we chatted a little about Ryan's development and wellbeing. Dr Ngiam assured me Ryan is of good weight and everything looks good. He asked if Ryan was speaking any words yet and I told him, yes, Ryan does know and speak quite a number of words. Dr Ngiam said, "That's fast".

Nothing much else, we were in and out in under ten minutes and we then went for tea with Sheri and Jousy. We are due to go back in 6 weeks for the next routine vaccination.

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