Wednesday, 16 February 2022

Birthing diary + Charlie’s first 4 months of life

 


10 Oct, 2021

 

Labour pains record before arriving in hospital:

4:57am

5:07

5:27

5:57

6:15

6:30

6:40

6:53

7:07

7:17, called midwives 7:20

7:33

7:45

8:05

8:33

8:48

9:08

9:28

9:46

10:11

10:31

10:42

10:55

11:15

11:26

11:36

11:45

12:01pm

12:13

12:24

12:30

12:36

12:46

12:59

1:05

1:11

1:18

1:22

1:27

1:36

1:42

1:46

1:53

1:57

2:00

2:04

2:10

2:15

2:19

2:23

Arrived in hospital around 3pm.

Cervix check 4:10pm: 7cm dilated.

Why keep such a detailed record? Because the midwives wanted me to wait until I was cramping every 4 minutes before I actually go in the hospital!

 

So, our son decided to come out on 10/10/2021! Is he gonna be a revolutionary leader doctor like my husband’s great grandpa? (For those who don’t know Chinese history, 10/10/1911 was “the Chinese Revolution”/ the Wuchang uprising in Wuhan, when the Republic of China overthrew the Qing Dynasty).

 

North Shore Private maternity has been super busy because they are taking maternity patients from RPA and Mater. RPA had to make extra accommodations for COVID pts while Mater had a COVID outbreak. The postnatal classes such as the physio class, let’s discuss feeding class, and bathing and settling class, are no longer conducted in a group setting, but conducted on an one-on-one basis.

 

Baby Charlie was born 10/10 at 11:40pm.

Been a long birthing process. Woke at 4am on 10/10 with cramps every 15min. At 4pm cervix was dilated to 7cm but stopped at that because the waters didn't break. In terms of pain relief, I only used the TENS machine, the nitrous oxide gas and a warm bath. The reason was because I was concerned about the epidurals making my pushing less effective and increasing my chance of needing instrumental delivery, as well as the medication crossing the placenta to the baby. Broke the waters artificially at 8pm. Got too tired pushing at 10:10pm and used vacuum. 2o tear and quite a lot of bleeding. Finally baby was born 11:40pm!

 

In terms of my son’s name, there is a lot of Christian reasoning behind it: His English name Charlie means “a free man”, free from the bondages of sin. In terms of Chinese characters, they are like drawings, and if you are a Christian you’d realise there are lots of Christian revelations that can be seen in Chinese characters. For more details, please see:

https://letterstoamoderndayjob.com/2018/02/17/the-gospel-embedded-in-chinese-characters/

 

His Chinese name 義祥has two characters, both characters’ got “sheep” in it, the first character is composed of “sheep and I” and this word means “justice”, the second character is composed of “God and sheep” and this word means “blessing/good luck”.

 

我們的兒子在2021 10 10 就決定要跑出來了! 他該不會想學我先生的曾祖父做搞革命的醫生吧?

 

兒子10/10晚上11:40出生!

生產過程有一些長,因為10/10早上四點多就開始每15分鐘陣痛一次,下午四點子宮頸開到7公分羊水一直不破,有四個小時都停留在7公分。晚上8點搓破羊水力氣又不夠了,10:10用吸盤,撕裂比較嚴重,流很多血,終於11:40分才生出來。我是順產的,只有用笑氣來止痛,後來是用吸盤把嬰兒吸出來的(縫針時用局部麻醉針打在傷口而已)

 

他的英文名Charlie代表「自由的人」。他的中文名「義祥」: 羊和我,神和羊,因信稱義,有神的祝福。







 

12 Oct, 2021

 

Charlie had his hearing test today and that was normal. He also had his first bath today. So far, multiple midwives have commented that he has big feet.



 

14 Oct, 2021

 

Charlie was admitted into the special care nursery with jaundice today. It was quite scary because the jaundice made him very sleepy and this morning and he couldn't latch to my breast, whereas last night he was latching very well!

 

He had lost 350g, which was >10% weight, since he was born.

 

Based on the formula calculations, he needs 70ml of milk q4h currently.

 

When I used the breast pump, it made me realise I am only producing 10ml every time I try to pump my breast. This meant Charlie had been starving the last few days, which could be why he became dehydrated, jaundiced and sleepy. Furthermore, he could already be more sleepy than other babies due to the cephalohaematoma from the vacuum birth, whereby the blood clot (haematoma) will break down (haemolysis), which can also give rise to increased levels of bilirubin.

 

The first formula was given at 11:30am, to try and flush the bilirubin out of his system.


 

15 Oct, 2021

 

The paediatrician Dr. Hale said we might have to stay an extra night on Friday, depending on Charlie’s bilirubin results Friday afternoon. However, the ward clerk Emma says parental boarders will need to switch rooms to the Surgical Ward L2 as there is not enough bed in the maternity ward, and that will be $250/night, single bed. Fortunately we received news that Charlie’s bilirubin dropped to 175 in the afternoon, so we were discharged home.


 

16 Oct, 2021

 

It’s becoming hard to keep track of Charlie’s feeding and nappies. My clever husband started writing up excel spreadsheets with programming in it which allows me to keep track of things much more easily. It’s pretty fancy, there are even trend graphs! This makes life a lot easier. I also started writing up things about appointments, visitors, post-partum meals preparations etc., which allowed me to become more organised in this chaotic time. Having these in place is hard work initially as we had to keep adjusting the spreadsheets according to all the new tasks and trends we became aware of, but it saves up energy and increases efficiency in the long run. Today we had our first visitor since Charlie’s birth, Deborah and Jack, whose wedding anniversary was the same date as Charlie’s birthday!

 

Since our return home, I have been feeling very cold with pale lips, bad headache and had to open heater to keep warm. I still had inadequate amounts of breast milk, 20mL each expression. Started the post-partum DIY meal package today. This package is from “Windmill Wellness”, which includes soup medicine packs and drink packs. The Traditional Chinese Medicine doctor who founded this brand was the first female TCM doctor in Taiwan and the doctor of Michiko, the Japanese Empress of Japan. The brand advisor told me I can cook seven days’ worth of drink packs in one go, which makes things easier. For the soup, I can make it as simple as I want (eg. water and soup pack only), or as complicated as I want (eg. meat, various veggies etc).

 

18 Oct, 2021

 

Went to North Shore Private for follow up weight and blood check-up for Charlie's jaundice. His weight is now 3350, so he had regained most of the lost weight. His bilirubin is 222, which is not normal but ok.

 

Burnt the post-partum soup on the stove today. Looks like I need to supervise the soup carefully if I were to cook it on the stove.


 

19 Oct, 2021

 

Placed Charlie in the rocking chair for the first time. We place him in the sun room during that time so he could get some exposure to the day light and know there’s a difference between day and night.

 

Decided to cook the post-partum soup in the multicooker, so that the cooking process can be unattended. This ended up being very convenient. My body has recovered further today: Face and lip colour improving to normal and not feeling so cold. No longer needing to open the heater all the time.


 

21 Oct, 2021

 

Had our first phone consultation appointment with the Northern Sydney Local Health District’s Child and Family Health Nursing Service, Marsfield. Learnt a few things today. Hand sucking is a sign of good brain development. In fact, some babies don’t suck their hands until 2 months of age because they don’t realise they have hands. Charlie already started doing that frequently in the uterus since the late first trimester ultrasound! He is also scanning the environment/people with his eyes and making short eye contacts now: the nurse seemed a bit surprised as that usually happens a bit later than this age, and she said that’s also a good sign of brain development.

 

22 Oct, 2021

 

Charlie is opening his eyes wider and appears very mature in the way he looks at people.

My weight is 67.5kg today.


 

23 Oct, 2021

 

Highest record of milk expressed in one go was 88mL at 8am in the morning. Two other times in the 70s. Then 10pm 80.

 

24 Oct, 2021

 

Passed a 4cm round blood clot? from the vagina. Went to Baby Bunting because my husband has some questions about connecting the car seat capsule to the pram. My pelvic region felt sore when I stand for prolonged periods and it was windy. Looked at some photos taken while we were out: my face colour looked really bad with very dark undereye circles and triple chins. Without any help from the grandparents’ generation, and not wanting a stranger postpartum doula in the house, I pretty much have to be on my feet doing some daily chores in addition to caring for the baby and can’t really follow the “ideal” Chinese postpartum ways. Probably not a good idea to go out like this again until 1 month postpartum.

 

25 Oct, 2021

 

Noticed I am starting to have a waist again. My breast milk supply's been adequate the last few days. Latching is the biggest problem now. I find that after I put Charlie 15min to L. breast, 15min to R. breast, he can still take around 60-70mL expressed milk. This means he isn't get much when he's latched on. And my nipple shape comes up "lipstick-shaped" which is a sign of a not deep enough latch, and baby is starting to get quite angry when he sees the breast. I watched all these videos on latching and still get an angry baby at the breast and lipstick nipples. So I called up the early childhood centre to book a breastfeeding support session for tomorrow.

 

In the evening, the baby is starting to cry even when he seemed to be fully fed and the nappy looks ok. He seems to calm down when held. His abdomen looks distended with gas detected on percussion. I suspect he is starting to have colic/gas.

 

Meanwhile there’s not much PV bleed since I passed the huge clot yesterday.

 

26 Oct, 2021

 

Chaotic morning. Baby unsettled at 4am and initially we thought it was still colic, but turns out baby was truly hungry and we fed him after he had cried for quite a while. Had to feed baby again at 7am because we had to go out and do several things. Car servicing overdue by 20 days so had to drop the car in for servicing during rush hour at 8am. Traffic was bad during rush hour because of the reopening. Then had to rush off to the breastfeeding support at 9am, but was late by 20 minutes because of the tight schedule and bad traffic.

 

At the breastfeeding support clinic, Kate the nurse thinks Charlie is latching on ok, but relatively shallow because his palate is shallow and his mouth is small relative to my nipple. And that Charlie is probably getting lazy about feeding at the breast because it takes much less effort for him to take the milk from the bottle. Charlie’s weight gain is excellent, 3520 now, which is even heavier than his birth weight. My left breast seems to express more milk than the right side, and Kate thinks I can try pumping my right breast first before putting the baby to the right breast. She thinks feeding the baby at the breast 15-20min each breast is adequate. She suggest expressing 45min after breastfeeding because that’s the amount of time it takes for a recently drained breast to fill up again.

 

27 Oct, 2021

 

My breast milk supply is still increasing, with an average of approximately 100mL each expression. Fed baby 90mL midnight, then 102mL close to 3am, then 113mL around 8am. Seems to be heaps if we were calculating based on 150mL/kg. But then baby started crying at 9:30am. Initially I thought it was gas because I didn’t think he should get hungry again after having had so much milk, and was afraid I will burst his gut if I give too much. I did the cycling movements and he seemed calm when I was doing that but started crying as soon as I stop. Nappy was clean. Then, after seeing that he spits out his pacifier immediately after I put it in his mouth, I concluded he is probably still hungry. And indeed, he drank another 42mL of expressed milk! Then I looked up the normal ranges and found that babies can drink as little as 54 ml (1.9 fl oz) or as much as 234 ml (8.2 fl oz) of milk per feed and consume between 400-800 ml/day!

 

Had hot flushing and headache after my afternoon nap. Don’t know if it’s because the weather is particularly hot today, or a change in my physiology. But my temperature was normal when I checked with the thermometer. Since it’s uncommon for me to feel hot since giving birth and usually my headaches get relieved after I wash my hair, so I decided to take a shower and wash my hair, which is classified as a “no no” in traditional Chinese postpartum terms. Felt pretty good after doing that though.

 

28 October, 2021

 

Charlie continues to drink a lot and had a crazy bout of feeding cluster in the late evening until the early hours of the next morning, drinking huge volumes each time.

 

29 October, 2021

 

Fed Charlie again at 6am. The amount of milk he’s had in the last 24 hours is now 703mL! And for the rest of the day it went up further and became close to 800mL! Charlie had very scaly peeling skin when he was born. Most of the scaly skin have shed off already now. His head always tends to turn towards the left most of the time since he was born. I think he has torticollis. Furthermore, it seems like his head was already turned to the left when he was in my uterus, because his spine was always off to the right side of my belly. Today the weather is pretty hot, and Charlie looks quite red. My husband also gets quite red in hot weather and is looking red today. I don’t get red in hot weather. So I guess Charlie inherited heat intolerance from his dad!

 

30 October, 2021

 

I think there is something wrong with the breastfeeding, because Charlie seems to be very inefficient on the breast. But when I saw the breastfeeding support nurse in Lane Cove on Tuesday, she says everything seemed correct, maybe baby's palate is shallow and mouth small relative to my nipple so latch is not that deep. However, Charlie was very sleepy during that appointment so she didn't actually see Charlie feeding properly. I also watched all these videos on latching and tried to do what those videos say. Don't know why it's still like this. Yesterday I pumped my breast straight after breastfeeding, only got 40mL from both breast, so it probably meant baby removed approximately 40mL from my breasts in 30min, which is not that efficient, because when we give expressed milk we can get 90mL in him in 30min.

 

Another things is, when I pump one breast, I noticed quite a lot of milk leaking out of the other breast so I took a cup to catch the milk and saw that there were 20mL of milk leaking! Got my husband to buy a second breast pump, the cheap $39 K-Mart Anko breast pump, as an experiment.

 

2 November, 2021

 

Went to the Child and Family Health Nursing Service, Marsfield at 9am. Charlie had gained 370g in one week, which is too rapid. So now, Charlie is 3.89kg, 54cm tall, and has a head circumference of 37cm. Although the weight gain is rapid, he had only just caught up to the 50th percentile for weight today. The nurse couldn’t see anything wrong with my latching, but because I gave the expressed milk too fast when he became hungry in the clinic, and the baby became full rapidly, she wasn’t able to observe Charlie actually feeding from my breast. So we’ve made an appointment for the breastfeeding support clinic next Wednesday. Meanwhile, we noticed Charlie has been feeding less frequently as the day went on.

 

3 November, 2021

 

It seems like Charlie has passed through the current cluster feeding phase, which allows us to have a better rest. In fact, it seems as though he’s quite satisfied after feeding from my breast this morning. I wonder if he’s became a more efficient sucker and can empty my breasts better than before? The amount of milk pumped out on each expression is decreasing though, so the two main possibilities are: the bad Anko breast pump draining my breast inefficiently and making my milk supply decrease, or baby is better able to drain the breasts so there’s less milk to pump out. To be on the safe side, I decided to buy a better quality breast pump. Ended up buying the Ardo Calypso, which is a hospital grade pump that is available for hire from the Australian Breastfeeding Association, but I was able to buy it for $300 when it normally costs $400.

 

Went to the church home group for the first time since the lockdown, and the first time Charlie’s ever been to a home group. There are quite a few people in the home group with medical backgrounds. One of them is a midwife, who gave us lots of useful advice, and gave me two thumbs up for giving birth to Charlie vaginally because his head shape is actually the type that is very difficult to come out vaginally. In fact, Charlie’s head circumference at birth could be underestimated because his head got squashed by the vacuum at birth!


 

4 November, 2021

 

We noticed that Charlie is starting to have tears when he cries!

 

5 November, 2021

 

The Ardo Calypso breast pump arrived. However, there seems to be very little milk extracted, usually 10-20mL each breast only. I was expressing at the end of the breastfeeds and couldn’t tell whether it is because the baby is draining the breast well or my supply is going down rapidly. If the supply is going down rapidly, I’m quite concerned that it could be due to ineffective breast pumping. So I started using the Philips pump on one side again, since that was the machine which has been giving me the best volumes, and the Calypso on the other side.

 

6 November, 2021

 

Baby woke up a bit hungry around 9:15am. Fed him my left breast for 15 minutes and baby became relaxed and slept again. Couldn’t get him to feed further. Breast pumped using the Philips on my left side and Calypso on my right side. Actually got 55mL of milk on my right side, which is good for a breast that hasn’t been emptied from breastfeeding yet, so I guess the Calypso pump is ok after all.

 

Enrolled in a free breastfeeding course from the “Tinyhood” website. The course is amazing! It taught me a lot more than any of the antenatal classes I’ve done before (better than my health insurance funded online antenatal course and some online courses I found from the big maternity hospitals)! In fact, if I had seen those videos before, we might have avoided all the problems I had in the hospital during the first week, as well as some of the latching concerns I had later on. If I had gotten off on a good start in the first week, I probably would have avoided all this breast pumping and stuff. The breast pumps will still be useful for the future though, when I return to work and still need to express milk.

https://www.tinyhood.com/courses/breastfeeding-101

 

Went to Ikea. This was the first time Charlie’s visited a shopping centre. Had dinner at the Ikea food court and this was the first time we’ve dined out since the lockdown in the end of June as well as Charlie’s first time dining out in his life.

 

7 November, 2021

 

Today marks the end of my 4th week postpartum! Interestingly I am no longer feeling cold, despite the relatively cool and rainy weather today! Meanwhile my hands are getting quite sore from all the holding of the baby, household chores and pumping of the breasts. Hope I’m not getting osteoarthritis or tendonitis!


 

8 November, 2021

 

I haven’t been wearing the bra postpartum other than when I am pumping my breast. I thought I’d try wearing it all day today for better efficiency, so that I don’t have to keep changing into the maternity bra every time I pump. Towards the evening I realised my right lower breast is painful.


9 November, 2021

 

Joined the Marsfield community health mother’s group and met via NSW telehealth conference. It was difficult getting the technology going. Seems like the other moms encountered similar issues to me. They also experienced the overfilling of North Shore Private due extra maternity patients from the Mater and RPA. Many had worse breastfeeding issues than I do. Some people said they have to room share, and quite a few actually left the hospital earlier than the recommended discharge date because they just can’t stand being in the hospital! I have hand soreness but someone’s got hand soreness much worse than mine and had to wear a hand split already!

 

The nurse running the telehealth conference taught us a few tips:

Read a booklet called “The First 2000 Days.” The booklet emphasises that it is very important to talk to baby, with words in singsong voice. Reading to babies is important. Start reading to baby early, choose books with simple pictures. Babies stare at you and respond to you talking when they are born.

 

We just realised that when Charlie kicks his legs, it looks like he’s dancing in Gangnam style! Video recorded him kicking to the Gangnam style music, but he started crying! When we played the video again, he started crying again as soon as he heard the sound of his crying in the video! Seems like crying is contagious amongst babies!


 

10 November, 2021

 

Charlie is exactly 1 month old today! Had another check at community health centre and Charlie gained another 370g in one week, so I think he is getting more than enough milk! Therefore, sometimes he may be crying for reasons other than being hungry! The nurse thinks he’s having “purple crying”, and in fact some of the crying could be due to being overtired, as babies this age tend to get overtired when they are awake for longer than 40minutes!

 

Meanwhile, I noticed the amount of milk I’m pumping out is decreasing when I am using Ardo Calypso on both breasts, so I have switched back to using Philips on the left breast, and Calypso on the right breast, as that seems to be the combination that yields the greatest amount of milk.


 

12 November, 2021

 

It’s becoming increasingly difficult to settle Charlie into sleep recently, as he’s became more alert, especially during the night! So I’ve booked to join a “Supporting Sleep in Young Babies” education session with Tresillian next Monday. I think someone must have cancelled last minute because these sessions are very popular and booked out months in advance!

 

I’ve had a careful feel of his hands and realised that he’s double jointed like me! In exactly the same joints! And his left eye is bigger than his right eye, like me again.

 

13 November, 2021

 

Charlie cried nearly nonstop from midnight until 7am. The only times he’d stop crying is when he’s feeding. And he’d start screaming again soon after being taken off the nipple or bottle!! And we fed him a lot… it’s like as if his stomach is an endless pit. So say a few minutes after feeding is finished he'd cry again nonstop.. and spits out pacifier and only stops crying when feeding. This meant he drank 854mL in the last 24 hour period, which is a lot more than other babies of the same age! He finally seemed content after the 7am feed. Then he woke up at 9am crying. I fed him which stopped the crying but he continued crying after the feed.

 

I did a physical exam on him and he seemed normal... just prayed with him for a while since 10am and he calmed down quite soon when I was praying with him, but still highly alert... then I strapped him to my chest and he gradually fell asleep... I wonder whether it could even be a disturbance in the spiritual realm.

 

Charlie woke up crying for a feed again close to 1pm. Luckily, after the feed, he quietened down and fell asleep in the cot.

 

Meanwhile, the pain in my right lower breast has resolved.

 

14 November, 2021

 

Charlie still had frequent awakenings in the early hours of the morning, but at least he is consolable, so this is much better than yesterday.

 

15 November, 2021

 

Brought Charlie to Tresillian Canterbury, or what I would call “the sleep school” today. Feeling quite lucky that I made a last minute booking on Friday as his sleep started getting really bad from midnight Saturday where he was crying nearly nonstop unless he was being fed, and we knew he shouldn’t be eating so much so there must be other reasons for crying, but the only coping strategy we know of was to feed him!

 

The RN running today’s meeting was Leesa. There were two other groups of parents/babies today. I found this two hour session very helpful. It helped me differentiate the baby’s cues a bit better than before, and very hands on as all three babies were able to act as demonstrators for some of the techniques discussed. For example, I told Leesa that Charlie is sleeping too much during daytime and cry suddenly when he wakes up, without displaying any warning cues. She advised me that we should wake him every 3 hours in the day time if he's not waking by himself, otherwise he will give us trouble at night. Charlie happened to have slept more than four hours during the meeting so Leesa got us to wake him up. After waking him up and breastfeeding him, she could see how he’s like right after a feed, and taught us how to do the tummy time at the right timing. Charlie actually looked very happy during the tummy time today. He usually gets quite grumpy during tummy time at home. I also asked Leesa about Charlie sometimes having the behaviour of pounding my breast with hands, shake head side to side etc, and was told his is actually as sign of him displaying self-soothing and self-regulation.

 

Other things learnt: Be careful of overfeeding, especially at night. When the baby is 2.5 months, should not give any more snack feeding.

 

Normal awake times:

1 month: 1hr at a time.

2 months 1.5hr

4 months 2hrs

 

Hand rock baby to sleep in the cot: use 2 hands, one on chest, one on belly. Gently rock.


 

17 November, 2021

 

Charlie has been awake since 1:30am. Although I can settle him, but he just won’t sleep, and cries as soon as I put him down. The Tresillian class is very helpful in that we learn the techniques for settling, so we can calm him down using methods other than feeding, but his sleep cycle is still crazy and there are unpredictable periods where we just can’t get him to stay asleep in the cot. I was away for an appointment with the pelvic floor physiotherapist in the morning. When I got back, I strapped him onto the Ergobaby carrier around noon, and he went into a light sleep. After he woke and had a feed, his sleep was good for the rest of the afternoon and night.

 

19 November, 2021

 

Charlie started becoming very unsettled around 7am, with lots of fussing, crying, hunger signs and therefore has been fed quite a few times. He was awake until noon. Then we had to meet up with friends for lunch in a restaurant in Macquarie Shopping Centre. Strangely, he stopped fussing and fell asleep when placed into the car seat capsule. He was half awake/half sleeping in the restaurant. Then the fussiness seemed to have passed for the rest of the day.

 

20 November, 2021

 

Again, Charlie was unsettled between 6 to noon. I think it’s much easier for us this way then fussing in the early hours of the morning between midnight to 6am! However, after only sleeping for 1 hour, he woke up again at 1pm! I had to strap him onto the Ergobaby again so he can get some sleep. He woke again at 4pm and stayed awake until 6pm! When he slept, I slept. When I woke at 9:30pm, my right breast became blocked again, at a different site from last time though, in the R. upper inner breast. Seems like my right breast is particularly prone to blockage for some strange reason! Did things like massage with frequent feeding, and dangle pumping. Then saw on YouTube a physiotherapist saying ultrasound also helps break up the clog. So I used the fetal heart monitor on the breast, and it was actually very effective! Charlie remained quite sleepy, so it looks like we’re going to have a good sleep tonight.

 

21 November, 2021

 

My mom had arrived in Sydney and Charlie met his grandma for the first time. He studied her very carefully with his eyes. Initially my mom was afraid to hold him due to the floppy neck, but I taught her how to hold him and she’s ok with holding him afterwards. She’s bought Cookie Time from New Zealand, which Chris and I are very happy about!

 

Meanwhile, Charlie is making more different types of little sounds and smiling more intentionally at me. When we prayed before dinner, he made a little sound after the Amen that sounded like an attempt to talk.

 

22 November, 2021

 

Charlie had his 6 week vaccinations at the clinic where I work. His weight and height were both in the 50th percentile, so I guess we’re doing ok feeding him and do not need to worry about overfeeding. It is a bit disappointing that his height went from 85th percentile at birth to 50th percentile though. The head circumference recorded in the clinic was small, but he has a pretty big looking head so I rechecked it at home and it turns out to be in the 50th percentile. There’s slight asymmetry of his leg length so ultrasound of the hip was ordered. When he had his needles, he turned red as a beetroot! I bought baby Panadol in case he gets sick from the vaccines, but other than falling asleep more easily than usual, which is a very good thing for us. Everything else were normal and he did not get a fever at all!


 

23 November, 2021

 

It is said that baby go through some “stormy weeks” (or “wonder weeks” or “fussy weeks”).

https://www.thewonderweeks.com/babys-mental-leaps-first-year/

 

Charlie has become very easy to settle again, and falling asleep quite easily on his own. In fact, instead of just crying, he seems to have found different ways of communicating as he’s making these new little sounds. Hopefully he has just passed his stormy weeks! The next one will probably be coming in three weeks’ time!

 

During the mother’s group webinar, the nurse reminded us to do a lot of “Love Talk Sing Read Play” with our babies.

 

Meanwhile, Air New Zealand just cancelled more than 1000 flights between now and 31 December. Pretty glad my mom came on Sunday. Her flight might have gotten cancelled if she really do come o 1 December like she initially intended!

 

Saw some Karitane parent workshop webinars. While they are kind of helpful, it’s nowhere as helpful as a face to face workshop. Learned that when you want to put your infant to sleep, you should make slow soft sounds. If you were to make one of those tongue clicking sounds, you need to make the rhythm very slow.

 

Grandma and her de facto gave him a red packet during dinner and he grabbed it forcefully, as if announcing “this is mine!”


 

25 November, 2021

 

This is a restless day, with Charlie not sleeping for the whole afternoon and seeming to be hungry all the time.

 

26 November, 2021

 

Went to see my obstetrician for postpartum follow-up. The wounds are healing fine. The pelvic floor is neither great or bad. There is still a bit of suture left that is causing localised irritation. It was actually a rushed morning, as I had to pick up the Haakaa breast pump and 22mm Ardo Calypso flanges at the Nursing Angel warehouse before my obstetrician appointment. The 22mm flange really fits my nipple better and there is less nipple discomfort whilst pumping. The Haakaa breast pump collects the let down as well as express additional milk by natural suction! Got 30mL from my first use on my left breast while I was breastfeeding on my right breast at the same time! Pretty impressive!

 

When we bathed Charlie, he suddenly looked a lot bigger than the last time we bathed him! Previously my husband had to hold him carefully so he floats on the water and doesn’t drown in the small round plastic wash basin. Now he fills up the whole basin with his legs very bent and can no longer float as his buttock is already touching the bottom of the basin!

 

28 November, 2021

 

This was the first time Charlie attended church in person! Was out from 9:30am to 3pm. My breasts got really full, and I expressed heaps of milk when I got home. However, my breasts seemed to have really dried up in the evening. Hope my milk supply will come back soon.


 

29 November, 2021

 

Charlie has officially upgraded to size 2 nappies as we finished up all the size 1s already!

 

30 November, 2021

 

The SRC shorts I’ve ordered have arrived today. I started wearing it at noon. It seemed to have shrunken my abdomen when I checked in the mirror again in the evening. Heard it is very effective. Hope it will work well on me!




2 December, 2021

 

Charlie had his hip ultrasound done and the results were normal.



 

4 December, 2021

 

My right breast blocked up again since the afternoon. Got the church’s home group Christmas dinner in the evening. Charlie is quite alert during the dinner, and when the church sisters played with him, his eye contact seemed to be more intentional, where he’d look at someone and widen his eyes, fitting the following description: “Between 6-10 weeks, baby begins to direct her eyes more intentionally by looking directly at her caregiver and holding the gaze with eyes widening.” This description came from:

https://www.tinylove.com/us_en/articles/eye-contact-babies

 

5 December, 2021

 

This morning Charlie did some new gigs! He looked at me with bright eyes and started babbling some new sounds he’s never made before. He was smiley and I saw him laugh out loud for the first time, where he opened his mouth in a laugh and made a sound!

 

My right breast blocked up big time this time. I’ve tried everything I know that have worked before, including applying ultrasound on my breast, and it has only improved slightly, but still blocked. Did two additional tricks which I’ve never done before: massage gun (only touching very slightly so the skin gets vibrated) and lecithin supplement. Then the duct unblocked! If the blockage happens again, I might consider getting ultrasound of the breast to make sure there isn't a mass lesion or cyst that's making this breast block up recurrently!


 

6 December, 2021

 

This was supposed to be the start of another “wonder week.” Charlie didn’t go crazy, but he appears unsettled. He kept kicking his legs and turn red, and made “uh uh” sounds, which made us think he’s quite constipated. He was actually constipated though, because he hadn’t opened his bowels for 6 days, and finally opened his bowels today. However, when he was sleeping in the evening, he continued to make the “uh uh” sounds and kicked his legs. Maybe this is in keeping with the wonder week description: “Baby is beginning to recognize and create simple patterns in his world; he’ll practice moving his hands in the same way over and over, or make the same grunting sound again and again.”

https://www.babysleepsite.com/baby-sleep-patterns/wonder-weeks-chart-baby-toddler-sleep/

 

9 December, 2021

 

Charlie has been fussier than usual, probably due to him being in his “wonder week”. He feeds more frequently and often looks like he’s constipated or pooing, but isn’t. He is particularly fussy this morning so I tried using the swaddle on him for the first time. It works quite similarly to the baby carrier: initially he protested angrily and cried for a short while, then fell asleep. Better than what’s been happening for the last few days, where he just keeps grunting and kicking his legs and did not look like he had restful sleeps.

 

10 December, 2021

 

Charlie’s growing fast. His socks have become too small for his feet. The socks used to be so loose when he first started wearing them that he sometimes accidentally kicked them off.

 

14 December, 2021

 

I brought Charlie to have a blood test just to make sure all parameters have really normalised. Paediatric blood collection is by appointment only, and I made the appointment for this morning 11am. The Douglass Hanley Moir pathology is very short-staffed, with the paediatric collector suddenly being sent to do COVID PCR test, and they nearly changed Charlie’s appointment time, but as soon as I told them I can collect the blood myself because I’m a GP, they just did it.

 

Charlie is able to lift himself up really high during tummy time on the nursing pillow! And for quite a long time too!


 




16 December, 2021

 

I noticed Charlie looking up at his own reflection in the wardrobe mirror from his cot! I also just realised this is the third day that Charlie hasn’t had a formula top up! Last top up was 14 December 10:45pm! I gave a formula top up at 11pm tonight though, because I ran dry and Charlie still looked hungry, which marks the end of his 72 hours without formula. Nowadays Charlie enjoys watching me sing and play the piano. He is making more and more different sounds in his babbles. It’s becoming easier to make him laugh. Previously he always seemed to wake from hunger and cry angrily as soon as wakes up, but now he is awake for different reasons, eg. just wanting interaction. So it no longer seems like he’s hungry all the time! And he’s awake for longer periods of time. He’s striking at the different hanging objects from his play gym with his hands. He can even crawl when he’s lying on a flat surface on his back, because his legs are so strong that when he kicks it propels him upwards!

 


19 December, 2021

 

This is the most full on day ever. Had clinic Christmas buffet lunch at “the Feast” in Sheraton on the Park, then church carols in the afternoon to evening... So tired going out with the baby on a very hot day!


 








21 December, 2021

 

Around noon, I could hear Charlie making sounds so I went into the room and saw him happily “playing” with his own reflection! He’s actually turned himself 90o from his usual position! Normally the mirror is on the top of his head, but he turns to the point where he’s parallel to the mirror! It’s something I’ve never seen him do before so I guess this is a new milestone!


 

25 December, 2021

 

This is Charlie’s first Christmas! He’s very sociable today! At the Christmas Day church service, he was awake the whole time and sometimes making little sounds. During lunch, even though we put him in the pram with the shades pulled over, he kept moving and sometimes made little sounds. When we had two guests at night, he kept smiling and laughing out loud at them, showing no stranger anxiety. He is also “playing with his food” more often: sometimes he spits out my nipple in the middle of the feed and starts smiling, and then licks the nipple before sucking it again. And with the expressed milk, sometimes he simply refuses to drink the last mouthful that’s still in the bottle.


 

26 December, 2021

 

Charlie was very cranky today. He was sleepy or hungry most of the time, and not smiley like yesterday. This is coinciding with the start of his 12th week, which is another wonder week! This is the week when he’s supposed to develop smoother motor movements. I’m quite concerned that his neck is still quite floppy. Hope that will also improve this week! When I played the piano Charlie made many sounds, like as if he’s trying to sing! He also makes a lot of sound when he’s awake in the cot and chuckles quite a bit. And this morning my mom tried to get him to do tummy time better by lifting his body up slightly into the air, and this really improved his ability to lift his head a lot! And when we lowered him onto the flat surface, he started raising his head up more. He’s blowing more saliva bubbles and drooling more today!

 

28 December, 2021

 

Charlie was very cranky again, especially in the afternoon. The positive side to this is, he suddenly developed a new skill! So I gave him a bottle, and he touched the bottle with his right hand! Then my mom made some adjustments to his hands and he held the bottle independently with his own hands for a while!! His motor skills have developed further indeed! But the downside is, he’s starting to grab my hair with very good grip and pull it!

 

30 December, 2021

 

Been through many “first times” with Charlie this year, including his first wedding today! It was possibly the most romantically decorated wedding I’ve ever been to, on the Grounds of Alexandria. The current theme on the Grounds is “Beauty and the Beast”! Many people commented that Charlie’s growing very well. The groom’s mother commented that he looks like a “mixed race” baby! One of my aunts also said the same thing before. We only RSVPed for the wedding, as it is difficult to stay for reception with a baby so young, so it’s a bit of a pity that we couldn’t really catch up with that many people. But with 12,226 newly diagnosed COVID in NSW today, attending weddings and receptions are actually quite risky. Another thing we did today was to get rid of several trees in the garden, some of which were already starting to destroy the boundary fence! A lot more sunlight started flooding into the house as soon as these trees were removed, which made me quite happy!




 

31 December, 2021

 

Today’s newly diagnosed COVID in NSW has nearly doubled, to 22,577 today! Got notified by the church that 3 people attending the church on 26 December got diagnosed with COVID. Guess it was a good thing we watched the 26 December service online that day. My mom’s going back to Taiwan on 3 January, let’s hope she doesn’t test positive!

 

1 January, 2022

 

Charlie no longer fits the size 000 clothes! He’s grown out of this size faster than expected! He’s able to grasp things with his hands more precisely than before and when he hits the various dangling objects from the play gym, the hand movements appear smoother and more intentional! He is no longer having a closed fist all the time and moves his fingers individually rather than all at the same time! His cradle cap is getting quite bad though. Although it’s a harmless condition and will get better with time, I feel a compulsion to remove some of the scales from his scalp.

 

3 January, 2022

 

Charlie is getting fussy again since yesterday, latching and unlatching from the breast and feeding frequently. Maybe he’s going through another growth spurt! Meanwhile, my mom flew off to Taiwan today. It feels a bit depressing with less people in the house. Hope it won’t be too long before I next see her!

 

5 January, 2022

 

Although Charlie’s head is still somewhat wobbly, he is doing tummy time for longer periods and not slipping off the nursing pillow as easily. When I hold him, sometimes his head suddenly jerks forward, which makes me worried about him having infantile spasms/ West Syndrome! I wonder if I’m being overly anxious. Apparently for babies around Charlie’s age, the chest circumference is supposed to be the same as or even less than the head circumference. But his chest circumference is 42cm and head circumference 40.5cm, which means his head circumference is 1.5cm smaller than expected!! Charlie’s height is above the 80th percentile but his head circumference is in the 50th percentile! Both my head circumference and height are approximately in the 50th percentile of the Australian population. Both my husband’s head circumference and height are approximately in the 88th percentile of the Australian population. Charlie’s head circumference and height are not in the right proportion!!


 

9 January, 2022

 

Charlie seems to be attempting to roll these days. When he wakes up, he’s always not in the same position as before he fell asleep, with his feet moving towards his left-hand side and rotating counter-clockwise by 90o. And when I place him on the floor on his back, the position also changes in a counter-clockwise direction as he kicks. When I place him on his tummy, he rolls a bit onto the right hand side of his body, but he can’t turn over yet.

 

10 January, 2022

 

Charlie’s exactly 3 month old today! I witnessed him nearly rolling over from his back to his tummy in the cot. He was very close to succeeding. Maybe he will succeed in a few days’ time. However, his neck is still wobbly with head lag. And he has a clear right hand preference, where he is often trying to reach out for objects with his right hand, using his right hand to swing at dangling toys and scratch the seborrhoea off his scalp, but not doing it as frequently with the left hand. I’ve discussed the situation with a paediatrician friend and he agrees that I should get Charlie checked out. He recommended Dr Daniel Lin, who is a specialist that I’ve referred quite a few patients to myself. However, Dr Lin is booked out until June and his reception could only offer me an April appointment using the “follow-up appointment” slot rather than “new patient” slot.

 

14 January, 2022

 

I was told by our paediatrician friend that we can try booking paediatric neurologist Dr Sekhar Pillai instead, as we might get an earlier appointment w/ Dr Pillai, so I did, and got a booking today due to a cancellation. Thank God Dr Pillai didn't think it's infantile spasm. However, the right hand preference is a bit of a concern and something to monitor. He advised me to take Charlie to see a paediatric physiotherapist to do a HINE test and ordered a head ultrasound. I looked at the HINE checklist and briefly, and I think the chance of cerebral palsy based on that list is probably low, but will still try to get a paediatric physiotherapist to do a proper exam.



 

16 January, 2022

 

Took Charlie to the sea at Collaroy for the first time so this was his first time viewing the sea. Initially he was sleepy and bored and not paying attention. Then he became more awake and started looking far away at the sea! The weather was nice and Chris drove along the North Shore sea and forest areas. It felt really nice to catch some fresh air.

 



17 January, 2022

 

Got quite a few church friends to help pray for Charlie due to concerns about the right hand preference and cerebral palsy. Over the last few days, Charlie has been kicking vertically rather than horizontally, and his neck is becoming less wobbly. Thank God for that! And today, he made another major milestone! In the morning he rolled onto his right side, and remained lying on his right side. In the afternoon he rolled completely over, from back to tummy! But then he started crying as soon as he rolled over. The books say that babies tend to get very scared when they learn a new skill because it’s something they’ve never experienced before. I guess that could be why he was crying? Then, when I placed him on the floor, he was able to lift his head very high, but then he suddenly dropped his head and bumped against the floor and cried again! His head circumference is 0.5cm larger than three days ago. Thank God for all these reassuring signs. But this also means I can no longer swaddle him. I tried to use the Muslim wrap as a blanket, but he kicked it off immediately and couldn’t sleep initially.



 


19 January, 2022

 

I tried using a proper baby blanket since Charlie doesn’t seem to be well settled using the Muslim wrap as a blanket. In fact, I think the Muslim wrap is probably too thin to be used as a blanket. When he was swaddled, it is equivalent to having 2-3 layers of wrap  over him. But when it is used as a blanket, there is only 1 layer over him. Even though he still tends to kick the proper blanket off, he seemed to have a better quality of sleep with it. And I don’t think wearable blankets will work well on him because he disliked the Ergopouch sleeping bag and Love to Dream swaddles.


 

20 January, 2022

 

Charlie overnight sleep is record breaking long! From 11:30pm last night to 7:10am today! Amazing! Guess he’s gotten used to the blanket and can now sleep better in the blanket than the swaddle! Had a big day today though! I was long fed up with the old bathroom sink and vanities which has already cracked/corroded/smells very bad where the pipes are. Since we are planning to move to our newly built home in April, I might as well do some work on my house to improve my quality of life by a tiny bit for the next two months, and make the place more presentable for potential tenants! The plumber worked on the two bathrooms for a whole day. After the plumber and my husband left for dinner, guess what, our neighbour’s house caught fire! At that time, I was pumping my breast and heard some people yelling outside. I thought it was the neighbour from the back arguing with the neighbour next to us again. Then I received a phone call from my husband saying my tenant two houses away from us called him saying our neighbour’s house caught fire! So I held the baby/took a few essential items and walked out the house. As I walked past one of the bedrooms and glanced at the window, it was just all orange flames outside, which made me quite worried that the fire could also spread to our house, given how close the neighbour’s house is to us! When I stepped out of the house, it was already full of people and emergency workers, and they made us stay a certain distance away from the burning house. Charlie was wiggly and kept turning towards the burning house, looking curious and anxious. Got some church people to pray for us via social media apps. After half an hour or so, the emergency workers told me I could return to my house. Thank God the fire didn’t spread to our house, and that there was no one who got injured! Don’t know whether cutting down the overgrown trees in our garden last month had reduced the chance of fire spreading from the neighbour’s house to our house, but either way, I’m glad those trees were cut off as it gave our house a lot more sunshine!

 

火燒房! 昨晚鄰居家著火,差點燒到我們家! 當時我在用擠奶機擠奶,聽到外面有人在叫,我以為又是後面的鄰居在跟隔壁的鄰居吵架。接著我先生打電話過來說跟我們住同一條街的房客打電話跟他說我們隔壁著火了,我才知道! 當我抱著嬰兒離開房子前,望著面向隔壁的窗戶一看,只看到橘色火焰! 這讓我很擔心會燒到我們家,畢竟鄰居的房子離我們的房子非常近。所以離開房子後傳短信給幾位教會朋友讓他們代禱。消防人員、警察把我們趕到離火燒房有一段距離的地方。兒子在我懷裡扭來扭去,一直朝著火燒房的方向東張西望,看起來又好奇又緊張。半個小時後,他們就讓我回去了。感謝主沒燒到我的房子,也沒有人傷亡! 一個月前我請人把我家後院一些長得亂七八糟的樹砍掉。有一半的樹都已經長到鄰居的後院了,並且開始破壞地基了。不知道砍掉這些樹是否有幫助昨天鄰居火燒房沒燒到我家。無論如何,還是很高興有砍掉這些樹,因為這讓房子裡的光線變好了!





 

22 January, 2022

 

Charlie is sticking his tongue out a lot, even to the point of extrusion during breastfeeding, which actually interferes with his feeding! Then I found out it’s called the “extrusion reflex”, which often occurs in 3-4 month old babies! And he is now getting easily distracted during breastfeeding. Sometimes he just looks upwards in the direction of the ceiling, or when my mobile phone makes a sound he turns towards it. Maybe his vision is getting better now? He is now using both of his hands when he swipes at the dangling toys on the play gym, which is a good sign. He is also holding his head up a lot more steadily during tummy time on the mattress. But strangely, he now refuses to be put on the floor and cries hysterically when we try to have him do tummy time or simply just lie on the floor. So we could only do his play time on the bed mattress. Maybe he’s like his dad, who doesn’t like to lie on hard surfaces. Charlie attend his first wedding of 2022 today! The church people haven’t seen him for approximately a month and they all said he’s grown a lot! He was quiet and alert during the wedding, and my husband held him up so he could see what was happening in the ceremony! It’s interesting that Charlie is quiet in the public, and chatty at home.








 


24 January, 2022

 

Charlie had his head ultrasound today and it was all normal. They say early hand preference could be a sign of cerebral palsy, but it could also be a sign of giftedness. Let’s hope that he is a genius… haha. Meanwhile, the seborrheic dermatitis on his scalp has mostly disappeared and the ultrasound gel had rubbed off the last few flakes.




 


29 January, 2022

 

Charlie plays with his feet sometimes and likes to sleep on his side. Furthermore, he is no longer phobic of the floor now. All heading in the right direction so far! However, he’s got tongue tremor sometimes, which makes me worry about spinal muscular atrophy!




 

30 January, 2022

 

Charlie becomes increasingly easily distracted during breastfeeding and now starts making even more dramatic flailing arm movements! And sometimes when I feed him with a bottle he knocks the bottle away with his arm movements! Now I am worried about him having something along the lines of chorea! Charlie seems to be undergoing a sleep regression the last two days, where it is very difficult for him to fall asleep during day time, and his night sleep are back down to 4 hours before awakening instead of 7 hours straight.

 

2 February, 2022

 

Today is my Chinese Lunar calendar birthday, and there’s lots of 2s: 2/2/2022, day 2 of the Chinese New Year (which is when daughters return to their parents’ home to celebrate in the Chinese culture). Took Charlie to the Paediatric physio. She thinks everything is on track for a baby who is nearly 4 months old, and that his head lag is not really a head lag as the neck muscles are activated as she pulls him up into the sitting position, and the slightly abnormal appearance is due to his torticollis to the left side. Charlie can move his head in both directions, but the range of motion is just a bit less when he turns to the right than to the left, so she recommends I try to put toys on his right side and try to keep him off his back. She says the HINE test is more accurate at 5-6 months of age, so we didn’t end up doing that today, but she thinks there’s very low chance of him having any neurological problems just based on how he’s like today. She commented that Charlie is a very long (tall) baby, he’s making lots of different sounds, he’s able to do some 4 month skills such as reaching for objects, and some 6 month skills such as playing with his toes and help hold bottle during feeds. These are all very reassuring things to know before I return to work on my birthday in less than two weeks’ time! Had an outdoor dinner with the church home group tonight and the weather is pretty cool, so Charlie wore long sleeves for the first time in his life… Picked a cloth that was a gift for Charlie which arrived in our house on his birthday! But this 00 sized cloth which is meant for 3-6 month old babies is already getting quite tight!

 

今天是我的農曆生日,數字裡有好多二喔! 202222日、大年初二! 教會的小組聚會在戶外吃晚餐,天氣有些冷,所以第一次給義祥穿長袖。今天選的這件衣服剛好是在義祥生日的那一天寄到我們家的! 沒想到這件專門給三到六個月大的嬰兒穿的00碼衣服第一次穿就已經很緊了!



 

6 February, 2022

 

Charlie no longer have a head lag today! This is very reassuring! Then I looked at the Wonder Weeks book and realised Charlie is already in the “Wonder Week 19” phase, because this phase actually starts as early as 14 weeks and lasts approximately 5 weeks! No wonder he is so cranky, hard to keep entertained, and very distracted during feeds over the past 2-3 weeks! In fact, he sometimes goes nuts, making these really loud screams and hitting me with his fists!

 

7 February, 2022

 

Charlie continues to get stronger. When he lifts his head up during tummy time he uses his hands to grab the things in front of him and place them into his mouth! He is now turning in the clockwise direction when he’s on his tummy. I guess these are the signs that he is developing the muscles needed to roll from tummy to back and crawl. Charlie’s favourite toy is currently Sophie La Giraffe. I personally think the other toys appear more fun, such as the crab rattle that changes colour. Turns out lots of people got this giraffe for their babies! I looked up the product website and it does seem like a pretty good product!

https://www.sophielagirafe.fr/en/

 

Received an email from Morling College offering its alumni to study an auditing unit at the discounted rate of $50. Very enticing. Picked the “Principles of Hermeneutics.” Lectures start on 14 Feb, my birthday! What a nut I am, restarting work and studies on my birthday! Probably gonna join the classes mostly via livestream mode though, as it is very difficult to go on campus while breastfeeding a baby, and in the uncertainty of the COVID pandemic.



 




8 February, 2022

 

Charlie rolled over tummy to back for the first time today! It happened too suddenly for me to capture on video so I took a video of the second time he’s done it, which is just straight after. The frequency of his double eyelid crease appearing is also increasing, so there’s a possibility his eye shape may still change later on.

 

義祥今天第一次從肚子到背翻身!第一次翻來不急錄下來。接著翻第二次時就把他錄下來了。


 

9 February, 2022

 

Charlie was quite unsettled in the home group this evening, making some noises during bible study and doing a poo. Home group was done in an open garage for better ventilation but the mosquito repellent incense seemed to have irritated Charlie and made him cough. The home group was celebrating February birthdays and I happened to be the only one born in February. It was great to have a “birthday” photo with my husband and son.

 




10 February, 2022

 

Attended the Circle of Security course this morning via webinar. Hope it will help Charlie form a healthy attachment style to Chris and I. Charlie has been quite irritable lately. He is what Tracy Hogg calls the “textbook baby”. He was able to sleep 7 hours straight for a week or two in mid-January, then the Wonder weeks came and it shortened to 4-5 hour sleep again. Guess that’s what they call “sleep regression”. Now he’s even more irritable, showing the signs of teething, with swollen gums at the two lower central incisors. It’s harder to feed him, especially from the bottle compared to the breast, probably due to the discomfort of his gums and the nipples being softer than the bottle teats. Meanwhile, during tummy time, he is showing attempts to crawl, but just ends up turning in counter clockwise circles on the floor instead.

 

11 February, 2022

 

Charlie lost 100g compared to a few days ago. He appears hungry but his teething discomfort is interfering with his feeding at the same time. In fact he was even shaking during the noon breastfeeding session. I wonder if he was too hungry? He was more settled in the evening and slept quite a bit.

 

12 February, 2022

 

In the early hours of this morning, Charlie woke up quite a few times with blocked nose. Wonder if he is sick or got rhinitis? He doesn’t have a fever. No wonder they say parents can’t get enough sleep when their children get sick. And Charlie isn’t even that sick. Wonder what would happen if he really got struck down by a virus? He slept well when I propped him up on the pillow, probably because it helps unblock the nose. However, given the risk of SIDS, I have to stay awake and watch him when he’s sleeping on a pillow.

 

13 February, 2022

 

Since I am going back to work the following day, thought I’d try ingesting the placenta which I kept frozen since Charlie’s birth! (At my own risk, of course. If you’d like to try this, should get someone with a qualification in placenta encapsulation to do it.) I know the principle of placenta encapsulation etc. So I basically took the placenta out of the freezer to defrost it, then washed it. I got a tiny bit of placenta tissue and made it into a berry smoothie, because some people say some of the nutrients may get lost after cooking. I steamed the rest of the placenta for 30minutes with some herbs like spring onion, basils and chili. I ingested some of the steamed placenta and dehydrated the rest of them using the air fryer at 80oC for 3 hours. The steamed placenta tasted like goose liver. Interestingly, I felt quite different after ingesting the placenta! More energetic and happy! And I think my milk production increased: I can only say “I think” because you cannot see the amount which the baby drank from the breast, but there is more milk being pumped out by the breast pump than before! If I have another child in the future, I will probably take the placenta earlier post-partum, as it is useful based on my personal experience today.

 

14 February, 2022

 

8am to 2:30pm, 6.5 hours, that was the longest time my husband cared for Charlie alone, and the longest time I’ve been separated from Charlie since his first existence! Even during blue light therapy, I didn’t get separated from him for as long as 6.5 hours! Back to work on my birthday, a pretty busy morning! Although everything still felt very familiar, the main problem was me running behind time, and the added anxiety about how my husband and Charlie were coping at home especially since my husband is just working from home and not actually on any leave. Good thing is I got a time slotted in to express my milk, so my ducts don’t block up and I can create more stashes for my husband to use at home. My colleagues celebrated my birthday with a cake and birthday song, which was great. Rushed home and found that my husband and Charlie survived. Charlie was quite hungry but otherwise looked ok. Milk supply is still quite good despite being somewhat stressed this morning. My husband told me Charlie used his foot to turn the baby mobile switch button on and off multiple times today! Accident? Or too clever? Don’t know. While my husband isn’t the most romantic guy around, I was pretty satisfied with my birthday gift, which is a Samsung Galaxy Watch4! Had been wanting to monitor my oxygen saturation ever since the pandemic began!



 

15 February, 2022

 

Placed Charlie on his back on the floor at noon. Looked away for a minutes. Then looked back and saw he was on his tummy! So this is the second time he’s rolled from back to tummy, as his first time was 17 Jan (which was thought to be an “accident” as he did not repeat the manoeuvre again immediately afterwards like he did when he rolled tummy to back)! Then in the afternoon, I placed him on his back on the floor again. Suddenly he rolled from back to tummy and tummy to back! It happened so suddenly that I didn’t have time to record it! Then he did it again a few more times! So now I can be pretty sure this rolling is no accident!

 

Attended the Morling livestream lecture tonight. We have to open our cameras, and join discussions in breakout rooms at times. Doing this with a baby is more difficult than I thought, as Charlie tends to cluster feed and be agitated in the evenings.

 

16 February, 2022

 

Second day back at work this morning. Also time for Charlie to have his 4 month vaccines. Booked him in with our regular GP/colleague and got seen during my 30 min breast pumping break! Charlie made a long loud cry and turned red for a few seconds, then settled down immediately. My husband and I also received our COVID booster vaccines. Chris wanted AstraZeneca and that is approved as a booster in Australia and he does not like the idea of mRNA vaccines. I had Moderna. The injection went into my left arm and I gradually started feeling an ache as the day went on. There was a sense of head fullness initially, which gradually disappeared but I became pretty tired in the afternoon. I didn’t run late this time and actually felt less stressed at work today despite the relatively tight schedule! Charlie appeared very sleepy when I got home in the afternoon. I took a nap in the late afternoon and felt alright afterwards, but my left arm ache continued. Charlie had his first ever “frozen meal” tonight as I experimented with defrosting and heating up a milk stash I created on 8 November, 2021!

 

Looking at Charlie, his eyes looks like mine. So is the shape of his ears and the double-jointedness of his hands. Everything else looks like Chris: his eyebrows, nose, his hairline, the direction of his hair flow, the size of his ears, and his height. Not sure about the lips. Now that Charlie has passed the four month mark and I have returned to work, I will just be keeping track of his major milestones like when he sits up, when he starts solids etc. This diary will be something which I can refer back to when I have another child, as people say you often forget what happens if you don’t record things down. And I probably won’t have enough time to make such a detailed record with the next child, as my cousin warned me things will get much tougher with two!

 

Looking at my garden, I also felt a sense of accomplishment. Last year, it was an untended pest-filled non-harvesting shady garden with messy trees that had started breaking the foundations of the house. It would have placed us at great danger from the neighbour’s fire if I hadn’t decided to intervene. This year, we are harvesting various fruits and vegetables, including things like tomatoes, spring onion, chives, potato leaves, avocado plant, chili, silver beet, basils, figs, lemon, guava, etc. And the whole place is full of sunshine. Personally it reminded me of the parable of the wheat and weeds, and the fig tree. And coincidentally I had watched quite a few talks which are related to those topics recently. I think it serves as a warning about my spiritual state as well as a reminder to turn my focus back to God in the midst of my busyness. I wonder if I’d be willing to move to another country if there is a clear calling from God?

 















Wednesday, 2 February 2022

Pregnancy diary: symptoms and pregnancy progression

 


 

Wk5

5w1d: morning sickness on waking up.

5w3d: a different smell to my discharge, which is smelly to me but others cannot smell it.

5w4d: sudden wave of severe nausea.

 

Wk6

6w2d: waves of nausea and can still eat a lot. Very sleepy.

6w5d: strong fetal heartbeat on ultrasound scan.

 

Wk7

7w2d: brown vaginal discharge morning, severe nausea late afternoon.

7w5d: loss of appetite and worsening reflux.

 

Wk8

8w: my first obstetrician appointment. No appetite, everything tastes gross.

 

Wk9

Nausea improving.

 

Wk10

10w: very bad nausea late afternoon.

10w1d: morning nausea, very hungry late morning and ate lots of biscuits at work.

10w6d: brown and pink PV spotting all day.

 

Wk11

11w: ultrasound scan 50mm sized bouncy fetus consistent with 11w4d size, small subchorionic bleed.

 

Wk15

Noticed my waist disappeared at 15weeks.

 

Wk16

16w ultrasound: the fetus is double the size of last time and too big to bounce now. Just kicking his legs a lot! Saw something between the legs! He's sitting on the placenta and finding it a good cushion.

16w4d-6d: very dizzy on waking up.

16w6d: a sensation in the suprapubic region on and off, more towards the left side.


11 week, 12 week and 16 week ultrasounds:


 

Wk17

No more morning dizziness.

 

Wk18

18w4d: clearly feeling fetal movements in suprapubic region at times, and can palpate kicks.

 

Wk23

23w: very stressful day, fetus kicked a lot. 17 June mom obtained visitor visa to Australia and plans to come to Sydney late September.

 

Wk25

25w: cold-like symptoms, viral infection vs vasomotor rhinitis? The weather has been very cold, down to 3oC sometimes.

 

Wk26

26w: significant veins on breast and belly. My weight increased to 70kg!

26w5d: 2 red lines on my abdomen, stretch marks?! Quickly used horse oil and dermaroller on those lines!

 

Wk28

28w3d: 1st dose Pfizer 1pm. Fatigue and nap 3pm. Low grade fever on and off the next two days. Fatigue for the next few days but still able to work.

 

Wk29

29w3d: constantly feeling full, reflux.

29w4d: mild pitting oedema in shins.

 

Wk30

30w4d: headache since waking.

30w5d-6d: diarrhoea.

Baby kicking, visible from the outside:


 

Wk31

31w: severe diarrhoea once every 10 min in the evening, BP 128/94, HR 89, went to birthing suite for CTG, baby fine. Accompanied by severe anal skin irritation/tear, and urine frequency/ incomplete emptying. No sleep until 31w1d noon when diarrhoea is stretching out to once every hour.

 

Wk32

32w2d: the obstetrician ordered a repeat stool test which subsequently turned out to be Clostridium difficile w/ toxins detected. Low dose Metronidazole commenced 32w6d.

 

Wk33

33w3d: on 28 Aug second dose Pfizer. Meanwhile, it doesn’t look like my mom is coming in late September anymore, due to the worsening COVID situation and the cessation of the Australia New Zealand travel bubble.

 

Wk34

34w4d: feeling like an elephant. Pelvic floor pain, difficult to walk, lots of stretch marks suddenly appearing in suprapubic region and I no longer bother trying to use the dermaroller.

 

Wk35

35w1d: got my husband to take some maternity photos for me at home. My abdomen has become significantly larger.

Photo album:

https://photos.app.goo.gl/nZ3LEbgXN7DsYoEb7

 

Wk36

36w: sudden enlargement of abdomen, increasingly difficult to walk, left SI joint pains giving me a limp, baby movements more prominent due to larger size, 3100gm +/- 459gm on ultrasound.

 

Wk37

37w2d: Cervix 1cm dilated today, so if next week baby is too big, can potentially induce labour next week! But there’s possibility baby may even come out before that.

37w5d: severe leg cramp for a few seconds on waking.

 

Wk38

38w2d: my last day working, getting increasingly difficult to walk.

 

Wk39

39w1d: bad cramps at night and poor sleep.

39w2d: cervix >1.5cm dilated in the morning, a blood stained discharge in the evening: bloody show?

39w4d: labour 10 October

 

Friday, 10 September 2021

COVID diary 2021 part 5: Preparations to open up

26 August, 2021

The new case numbers have jumped to >1000 today!

 

28 August, 2021

Got my second dose Pfizer. This time, my left arm actually had a slight ache as soon as the injection went in. The arm was a bit sore for 3 days. I felt tired but had no fevers. There was an area of skin on my left back which felt numb, but I couldn’t see any skin lesions, and this symptom continued for a few weeks. I actually had less side effects with the second dose when compared with the first dose.


 

31 August, 2021

Now that the Pfizer rollout is open for 16-39y.o., we no longer have to check whether people fit the eligibility criteria so strictly, and have allowed  people aged 16-59y.o. to book the Pfizer vaccine appointments with our online booking system themselves! Finally, our clinic phone is no longer clogged up!

 

3 September, 2021

Received news that my grandpa suddenly passed away in Taiwan. Under “normal” circumstances, I would have flown back to Taiwan. However, with the COVID pandemic plus my pregnancy, I won’t be able to fly back. After all, even within Australia, many people were not allowed to go interstate to attend their relatives’ funerals.

 

7 September, 2021

Wedding anniversary. My husband was trying to use the COVID pandemic as an excuse not to do anything for the anniversary. He eventually went out and bought a nice lobster dinner from Mr Stone Pot after seeing how unimpressed I was.


 

8 September, 2021 

Even though the new COVID cases per day in NSW is not dropping (averaging around 1200-1500 new cases/day for the last few days), the state will start opening up on 18 October! And experts are predicting that October will be the “worst time” for intensive care units. Not exactly a pleasant thing for a pregnant woman with a due date in mid-October to hear.

I don’t know why some people are putting so much faith in the COVID vaccines, seeing it as the solution to everything. It’s just a desperate band-aid measure where we just hope we’re less likely to be hospitalised if we catch the illness, but people can still catch the illness. Just look at the highly vaccinated countries, the numbers are still increasing, which means the virus will have the opportunity to mutate into something worse! And Revelations do say that things will be turning worse before Jesus’ second coming.

Meanwhile, New Zealand seems successful in suppressing their recent Delta outbreak. And Taiwan seems to be entering into a Delta outbreak.

 

9 September, 2021

The weather’s been good lately! Just recording the bump before the baby pops out! Who would have known, that approximately two years after signing the marriage covenant, that I would be 15kg heavier, have a little human rolling around inside my abdomen, wear a face mask every day, consult with patients via the telephone every day, cut my own hair with surgical scissors, become a rookie farmer using the Woolies Discovery Garden seedling kit, and have a husband who's turned into a crazy curly beard caveman due to him working from home for the last 1.5years!







Saturday, 21 August 2021

COVID diary 2021 part 4: The Vaccine Frenzy

 


26 July, 2021

 

The next two days after the Pfizer was uneventful. Had low grade fever, mild fullness of the head and fatigue, but was still able to work normally. Still did not get arm pain.

 

28 July, 2021

 

Sent a warning to an old friend who works in a Campsie GP clinic that’s charging around $250 for Pfizer shots that they could get into trouble because there is an official government information page saying no one should be paying for their COVID vaccines, even non-Medicare card holders.

https://www.health.gov.au/initiatives-and-programs/covid-19-vaccines/is-it-true/is-it-true-do-i-have-to-pay-for-the-covid-19-vaccine

https://www.health.gov.au/initiatives-and-programs/covid-19-vaccines/getting-vaccinated-for-covid-19/getting-a-covid-19-vaccine-if-you-are-not-eligible-for-medicare

 

Then saw news about their clinic in the headlines right after sending the message! Around 100 people flooded the clinic’s google review and dragged the clinic to a 1 star rating! I guess if they had charge non-Medicare holders the normal consult fees of $70-90, they probably would have passed under the radar. Oh well.

 

A Youtuber gave the analysis that there is one group of people who may be willing to pay so much for vaccines: illegal migrants. These people want to be invisible and do not want to leave a mark in any government-related agencies, ie. a Commonwealth Vaccine Clinic. And yet, they are afraid of catching COVID and want to be vaccinated. So they might fish out the $250 in order to be vaccinated.

 

2 August, 2021

 

Monday is always a busy day for the clinic. Today, there is an overwhelming number of people enquiring about the Pfizer vaccines, including people who are not regular patients of our clinic. Furthermore, the rollout is restricted to people between 40-59 years of age, though there are a few exceptions for people in other age groups. So lots of people are being placed into telephone consultations with doctors to assess eligibility, as we don’t want ineligible people to book themselves in for the vaccination. However, I found that nearly all the 30 or so people booked in for telephone consultations today are enquiring about Pfizer. A few have kindly provided a health summary to us from their GPs, but most haven’t, so I had to spend quite a fair bit of time taking their histories and ask them to send us a health summary and their most recent blood test so we can book them in for the actual vaccination.

 

There are also some patients who are ineligible for Pfizer but keep trying to debate, thinking that through debating they might be able to change their eligibility status. This type of consultation is particularly tiring and really just feels like an argument. Some people even bring GP letters where the GP “recommends” Pfizer without listing any contraindications to AstraZeneca which are:

·       a history of cerebral venous sinus thrombosis

·       a history of heparin-induced thrombocytopenia

·       a history of splanchnic vein thrombosis

·       anti-phospholipid syndrome with thrombosis

·       Anaphylaxis to a previous dose of COVID-19 Vaccine AstraZeneca

·       Thrombosis with thrombocytopenia after the first dose of COVID-19 Vaccine AstraZeneca

·       Other serious adverse events attributed to the first dose of COVID-19 Vaccine AstraZeneca (these events should be reported to the local Public Health Unit)

 

If a person is ineligible, the person is ineligible, and yet I have to be careful not to sound rude when I tell them they simply cannot get the Pfizer and will have to consider AstraZeneca if they are keen to get vaccinated soon. It is also very straining for my eyes as I book eligible people into the appointment slots as there are so many grids in the appointment book that I had to be careful to not make any mistakes when I book patients into the slots.

 

6 August, 2021

 

The new case numbers continue to rise, with 291 new cases today. I guess getting vaccinated was the right decision. The number of people enquiring about Pfizer vaccines remain high, although not as high as on Monday. At least I am getting some consultations which are not about the Pfizer vaccine. The whole practice is getting quite sick of this, and one of our principal doctors tries to encourage us about the good works we’re doing to help the community as a COVID vaccination clinic. It is very important we stick strictly to the rules and firmly reject people who are ineligible for Pfizer, because if we do the wrong thing, we may be removed from the vaccine rollout program like that Campsie clinic. We have given 156 doses of Pfizer on the first weekend began administering the vaccines, and continued to administer hundreds of COVID vaccines to people each week.

 

13 August, 2021

 

Developed a mystery illness. Woke with headache on Sunday 8 August, and had diarrhoea since that evening. This unusual headache actually kept me awake during most of the night and did not subside until Monday afternoon.

 

The diarrhoea continued and became acutely worse on Wednesday evening where I was going to the toilet every 10minutes and sitting on the toilet for 5minutes each time, with severe anal pain, and also feeling bad bladder pressure and frequency. It continued throughout the whole night so I couldn't sleep and was worried about 1) listeria infection which can give a 50% fetus mortality rate, and 2) premature labour triggered by gastro, as I never gave birth before and couldn't tell whether the cramps I was having was gut spasms or uterine irritability contractions or premature labour contractions.

 

So I took Amoxicillin because I was worried about listeria, and ended up going to the North Shore Private birthing suite for CTG monitoring at 4am. Baby was fine, but I continued to have the diarrhoea. However, I was able to eat and appeared well, so the obstetrician wasn't too worried and I came home at 8am. However, I couldn't work that day because 1) the hospital did a COVID test on me as a precaution, and 2) I was still going to the toilet once every 10-20 minutes. Then at noon I finally had 1 hour of sleep as the diarrhoea became better. Diarrhoea happened 1 hourly until the evening, and less frequent on Thursday night so I returned to work today.


 

Strangely, the COVID test, stool test and urine test were all negative, with no infectious agents found. No one around me is sick, and my husband ate pretty much the same things as I did. My husband is now trying to blame the Pfizer, even though this mystery illness happened two weeks after my first dose Pfizer, which is probably a bit too long to be put down to the vaccine? However, the lady I saw in April developed the bleed in her brain after her second dose of Pfizer, so who knows? But I guess getting the diarrhoea illness is still better than actually catching COVID.

 

Anyway, one in four eligible Australians are now fully vaccinated for COVID 19.

https://youtu.be/jSU17QfeGJg


 

15 August, 2021

 

If there isn’t enough bad news worldwide already, today the Taliban has taken control over Afghanistan. Can only continue to intercede for the nations.

 

18 August, 2021

 

My husband still hasn’t cut his beard. It has grown so long that he looks like the Taliban... and he has developed a new habit of pulling his beard up and placing it into his mouth to chew on it.

 

The new case numbers have jumped straight from the 452 yesterday to 633 today… without even going through the 500s… 1 case two months ago to 633 now! Hope it doesn’t start going exponential! However, I personally think sooner or later this thing is just going to spread everywhere and it's just gonna be an affliction that the whole humanity has to endure. People will probably end up needing to get vaccinated every year. But I think lockdown does help buy some time, so that the unvaccinated population is not hit by COVID infections all at once.

 

I’ve heard an anti-lockdown person argue that argue that “it’s mostly the old people dying and old people are the ones who usually use up the health resources and are unproductive to the community, and having them die sooner actually saves the country money.” However I think this argument is ridiculous. Not only is this argument cruel/callous, but if you think about it, lots of young people will also catch the illness too if an uncontrolled sudden outbreak hits a large number of unvaccinated people. COVID infections have many long term consequences, and young unvaccinated people who catch it might become unproductive in the long run due to long term health issues. This will actually cost the country more money.

 

Meanwhile, Delta’s entered into NZ community now. Don’t know if my mom will end up having to do hotel quarantine in late September when she comes to visit me from NZ.

 

21 August, 2021


The new case numbers have jumped straight from the 644 yesterday to 825 today! Anti-lockdown protesters in Sydney and Melbourne gone into the city to protest again! Meanwhile my dose 2 Pfizer is being delayed to next week because my colleagues are feeling apprehensive about giving me the vaccine and wants my bowels to settle completely normalise before giving me the second dose.

 

Today, I took on the role of a “farmer” and started playing with the “Discovery Garden” packs I got from Woolies in 2019. Might be good to just plant some veggies, in case the pandemic gets so bad that food runs out! However, I’ve never been interested in taking care of plants and most plants die under my hands… Hope these veggies will survive.




 

Saturday, 24 July 2021

COVID diary 2021 part 3: The Storm

 


23 July, 2021

 

Sydney has been in lockdown for nearly a month now, and today is the highest daily total so far, 136 new cases, with 50 cases infectious in the community, which is more infected people out in the community than ever before. Looks like there are lots of idiots still roaming around in the community. Furthermore, NSW Health’s ongoing sewage surveillance program has detected fragments of the virus that causes COVID-19 at sewage treatment plants at West Lindfield. It is the first ever detection at the West Lindfield sewage network, which serves the areas where I live and work. Furthermore, medical practices and even COVID vaccination centres have had cases of people of COVID coming in and getting turned into hot spots. So I believe I do have a much higher chance of exposure to COVID than the rest of the population since I work in a medical practice that is also a COVID vaccination centre which has just given out 156 vaccines last weekend!

 

My obstetrician is inclining towards me having the vaccine this time, saying he doesn’t think it will be harmful and is comfortable with me having it. He says if there is no signs of the numbers going down in the next 1-2 weeks then I should really have it. He also mentions that there are many third trimester women who are sitting on the fence about this, because 32 weeks is when a baby can be delivered relatively safely if one really does catch COVID and they had to deliver the baby prematurely.

 

Meanwhile, further changes have been made with the national COVID vaccination guidelines today. Pfizer has been approved for 12-15 year-olds, and all pregnant women have been shifted into the category 1b of the rollout, meaning all pregnant women can choose to get vaccinated now.

 

The Australia NZ travel bubble is now suspended for two months. Meanwhile, there is news saying NSW will not get any extra Pfizer supply so second doses of Pfizer could be delayed in NSW. This news is what tipped me over towards having the vaccine. Seriously, I don’t want to end up not being able to get the vaccine at a time when I may really need it.

https://www.9news.com.au/national/coronavirus-australia-updates-prime-minister-scott-morrison-speaks-after-july-23-national-cabinet-meeting/3eb30778-48e0-41a5-8b0b-ee782bff5b14?ocid=Social-9News

 

Meanwhile, my husband went on a nonstop tirade at 2am about not wanting me to have the vaccine because he thinks the risk of catching COVID is too low to justify accepting the risk of the unknown long term effects of Pfizer and refused to shut up until things turned very ugly. I ended up not getting any sleep and going for the vaccine in a very angry and suboptimal state.

 

24 July, 2021

 

Received my Pfizer dose 1 at my clinic at 1:18pm. Stayed in the clinic for 20 minutes post vaccine, nothing happened, not even any soreness at the injection site!

 

Meanwhile, cases continue to rise, with 163 new cases, and thousands of idiots are out in the Sydney CBD protesting about the lockdown today. We’ve only just managed to not get an exponential increase in new case numbers, but after this protest, who knows.

https://youtu.be/bChMy4D6Q3A


 

3:30pm: Sleepy, not sure if it was from the lack of sleep or the effect of the vaccine, and took a nap.

6:55pm: Woke up from nap, quite fatigued, felt a bit cold, and had a mild sore throat. Symptoms subsided a few minutes after waking up.

 

Friday, 16 July 2021

COVID diary 2021 part 2: The Lockdown



29 June, 2021

Our clinic has decided to transition all patients to telephone consultations from 30 June until when the lockdown finishes. I’m very glad about this decision. After all, with patients who come in, when you ask them about whether they’ve got cold-like symptoms, you never know whether they’re tell the truth about their symptoms. Sometimes we get people who were previously advised to get a COVID test trying to come back without doing the test, saying their symptoms have resolved already so don’t think they need to do the test. Occasionally we even have to turn away people who try to get a face to face consult before their COVID results are out. Anyway, it does feel risky seeing patients face to face when the Delta variant is running wild in Sydney!

 

30 June, 2021

Someone posted a photo of him having the COVID vaccine at the Sydney Olympic Park. He booked 8:15am and the cue was very very long! There’s no social distancing, and he waited 40minutes before getting his shot! This makes me wonder whether people can catch COVID just in the process of lining up in a long cue like this. Could the reason why the mortality rate post-vaccination in Taiwan is so high be because people already caught COVID when they were lining up to get the vaccine?


 

3 July, 2021

Symptoms of nasal congestion, sore throat and voice change in the evening. This is the first time I’ve ever had cold-like symptoms, since the pandemic started. Guess a trip to a COVID drive-through testing centre is inevitable!


4 July, 2021

First time ever to get COVID-tested since the pandemic began! Woke early and went early to the 95 Epping Road Macquarie Park drive-through testing centre, as I don’t want to wait in a long cue or get any cross-contamination as the collectors test more people. At 7:40 am, I was the only car there. However, as soon as my engine is off, two or three cars came up behind me. Anyway, the swabbing process is very quick and I was out of there in approximately three minutes.

 


5 July 2021

Fortunately the COVID test was negative. In fact, the respiratory viruses swab was negative too. I wonder if I am having vasomotor rhinitis? It’s been extremely old in Sydney lately, sometimes down to 3oC!

 

8 July, 2021

Today, the NSW COVID numbers is the highest it’s ever been since the Sydney Delta variant outbreak! 38 new locally acquired cases! The lockdown will be extended! Just as I am starting to feel very tempted to get the Pfizer vaccine, suddenly came a young man who became unwell with chest pains after having Pfizer. Ran an ECG and sent him straight off to the ED, because the ECG showed ST changes suggestive of myocarditis/pericarditis.

The last time I felt particularly tempted to have the Pfizer was in late April, when GPs still couldn’t get the Pfizer vaccine, and our primary health network suddenly emailed us saying a limited number of appointments had become available at Westmead for GPs in our network to have the Pfizer vaccine. Suddenly, a middle aged health worker who suffered a small bleed in her brain after her Pfizer vaccine came in for review. She had no past medical history whatsoever before the shot. After getting the vaccine she felt unwell, her blood pressure shot up through the roof, and she was subsequently found to have a small bleed in her brain!!

About a week ago I had asked my obstetrician what he thinks about the COVID vaccine in pregnancy, especially now that the RANZCOG and ATAGI updated their recommendation in mid-June saying pregnant women are should be routinely offered Pfizer mRNA vaccine at any stage of pregnancy. His reply was like what I expected: he could not give a yes or no answer. He mentioned that “theoretically speaking” the mRNA vaccine shouldn’t do harm. However, everything needs to be around for at least ten years or so before we really know what’s going on, and mRNA is a new technology. The risk in Sydney is not that high at the moment but my occupation puts me at a higher risk than the rest of the population. So let’s see how things develop over the next few weeks.

Now, I’m not a fan of “theoretically speaking.” I am someone who take into account “lived experiences” seriously. And my “lived experience” is that I’ve personally seen two people with serious complications from Pfizer, but no one from AstraZeneca so far, despite our clinic having first hand experience as a vaccination centre of the AstraZeneca vaccine since April this year. Soon, more data will be on hand as our clinic give out the Pfizer vaccine to our regular patients from mid-July onwards.

Anyways, if I wasn’t pregnant I would have gotten my COVID vaccines already. Currently I do not know what will happen to the children of pregnant women who received the mRNA vaccine during pregnancy 5 years or 10 years from now. But if there is no clear and consistent downward trend to this Sydney outbreak within the next two weeks, I might just get the vaccine.






11 July, 2021



New COVID cases continues to rise every single day! 77 new locally acquired cases today! This morning, the RACGP sent a mass message to all its members urging GPs 1) to shorten the dosing interval of the AZ dose to 6 weeks, 2) to use telehealth or wear full PPE, and 3) to check that all GP staff have had a COVID vaccine.

As usual, our clinic was way ahead of the government/ Royal Colleges when it comes to COVID response. We had already been doing all of these since 29June! And remember how the government was slow to recommend masks last year? Staff in our clinic have been wearing masks every day since 28 Jan 2020!

Spent the rest of the day joining the annual Taiwan Association of Family Medicine online conference! Learnt some useful information.



 

12 July, 2021

 

Today’s new locally acquired cases are in 3 digits: 112! I’m really going to have to do telephone consultations only until the current outbreak is over!

Our clinic’s landline phone has been overwhelmed by people calling in about the Pfizer vaccine since the beginning of this month, but today it is totally non-stop! I couldn’t even use the clinic landline to do telephone consults and had to use my own mobile phone! In fact, people experienced so much trouble with the landline that they started trying to flood into our clinic reception to try and book their appointments!

 

14 July, 2021

The newly locally acquired cases are in 2 digits the last two days: 89 and 97. Lockdown is now extended until 30 July. I actually feel safer during lockdown, because once lockdown is lifted, I don’t know if I can keep doing telephone consults, and the flow of people will become more complicated again. If I am to get vaccinated in time for the opening up, I probably need to do so next week when I reach week 28, when the baby might be strong enough to endure the insult if I were to get sick from the vaccine. My mom was well after both doses of Pfizer, hope I’ve inherited the same response as her. Will ask my obstetrician again next week when I see him.

Meanwhile, telehealth is not without its troubles. As our landlines are being clogged up by calls about Pfizer, people who actually want to book phone consultations probably have difficulty doing that. Some patients are getting more agitated and aggressive due to frustrations about being unable to get through to our phone line and turn up at the reception quite angry. Furthermore, phone consultations take a longer time than the normal face to face consultations for me, because I can’t see the patient in 3D which means I don’t have the opportunity to do spot diagnosis, so I have to ask more questions, and it takes time to print and scan documents and email it back to patients etc. Medicare does not allow us to bill long consultations for phone consultations even if we go beyond 19 minutes. You earn more with face to face because you get a combination of normal length consultations and long consultations each day. It’s much easier to accidentally go beyond 19 minutes from face to face consultations because people have a greater tendency to go overtime face to face, but I can often catch up when because there are also some simple face to face patients who take up very little time.

 

15 July, 2021

News article: A nurse at Sydney’s Westmead Hospital has tested positive for Covid-19, despite being fully vaccinated and wearing full protective equipment.

https://www.news.com.au/world/coronavirus/australia/sydney-nurse-at-westmead-hospital-tests-positive-for-covid/news-story/dfd1af792008dc79e4d12cfee1872e9a

So don’t go around thinking you’re invincible once you’ve been vaccinated. I think vaccines are only a short-term fix. In fact, I am quite concerned that if people don’t continue to be careful after getting vaccinated, they can potentially catch the COVID but remain asymptomatic and keep spreading it to other people, which gives the virus more opportunity to mutate into something even more virulent in the long term.

 

16 July, 2021

The mystery box have finally arrived in our clinic at noon today. Why do I feel like this is the calm before the storm?



 


Sunday, 27 June 2021

COVID diary 2021

 


27 June, 2021

 

It’s 2021 and the COVID pandemic hasn’t ended. In fact, it’s getting worse globally now with the Delta variant. Life in Sydney had been pretty normal for us from August 2020 until two days ago. There was a short lockdown last December in the Northern beaches but that did not really affect us. However, my husband is getting so used to working from home that he no longer shaves. Nowadays his moustache is dropping into his mouth when he speaks and he has to spit it out. His beard is 4cm, longer than anyone of Chinese ethnicity I’ve ever seen! He looks like a Ming Dynasty man!  If this working from home thing continues for him, I wonder if he will accidentally choke on his moustache one day?

 

Now Greater Sydney is in lockdown for two weeks starting from 6pm yesterday, because of the infiltration of the Delta variant, and the Australia-New Zealand travel bubble has been suspended. The infiltration occurred on 17 June, when a limousine driver got infected. Then, pretty soon, from a CCTV footage at the Bondi Westfield, we saw how the virus spread from one person to another in a two second encounter as two people walked past each other 60cm apart without masks. New cases increased by 2 everyday until 21 June, and by then I was already getting pretty nervous, as I am working in a high risk setting as a GP, pregnant and had not been vaccinated against COVID yet. And by then, I already had a feeling that lockdown would be inevitable and already started topping up on the food supply from the supermarket before people made their last minute rushes, and ordered 25 boxes of My Muscle Chef ready-made meals. But I don’t understand people’s obsession about the toilet papers – that’s definitely not on the top of our shopping list. Then the daily case numbers started increasing rapidly: 5, 10, 18, 11, 29, 30.

 

The situation in Taiwan, my home country, is not good either. Community outbreak had already gotten out of hand by May, and my grandpa who has dementia got kicked out of the motel he was staying in. Luckily, the relatives found social housing for him, but his dementia deteriorated rapidly. Now Delta is in the community as well. Unfortunately the death rate in Taiwan is too high in proportion to the number of people diagnosed, which means there are lots of undiagnosed people around. I think they should stop mucking around and just lockdown! The annual Taiwan Association of Family Medicine conference has been changed into an online conference for the first time ever, which meant I could actually join this year’s conference online and collect CPD points for my Family Physician specialist registration in Taiwan.

 

I think Sydney’s lockdown had happened too late. Can only pray that things will be good enough for reopening in two weeks’ time.

 

Sunday, 23 May 2021

The Keys of Heaven



There is a prayer movement happening in Taiwan. The organisation that’s helping with this is the College of Prayer International, and the pastor helping Taiwan is Rev Donald Young:

https://www.collegeofprayer.org/our-team.html

 

Here are some videos related to the movement:

https://www.youtube.com/watch?v=LjNv30Ir1T0&list=PLaeSz8m8MXVUroc4gt_JugaZMLocfSYvl


 

Here is a compilation of songs that in one way or another relates to the Holy Spirit:

https://www.youtube.com/watch?v=6GGFb6LcX3U&list=PLaeSz8m8MXVXuFLWFgbultFplYeyDiZNo