2011-03-08 又換醫生

今天突然收到新的保險卡
說是換家庭醫生
一看 那個家庭醫生的名字像是墨西哥人
所以趕快打電話去改醫生  才發現   原來改了地址
因為所在的county不一樣,所以不能去看原本的醫生了
周四的超音波也不能照了
老大打電話給顏醫生被顏醫生罵了一頓
但是我們不想地址改來改去
所以只好在San Bernardino county找找看有沒有講中文的醫生
畢竟怕語言沒辦法溝通
找來找去,居然只有四個醫生講中文
後來選了Lee, Chang Li約了下周一的appointment
只好先這樣看看囉
Lee 只有週一跟週三看診

Lee, Chang Li
399 E. Highland Ave # 223, san bernardino, CA 924040
909-475-5200
http://www.leesotomedicaloffice.com/page30.php


家庭醫生也換了Chan, Bryan P. MD
1148 san bernardino rd # G102, Upland, CA 91786
909-920-3578

再來就是看到時候去看醫生問他接生的醫院的問題了

台式滷肉飯

[ 材料 ]

去皮五花肉 800 g (兩大條)
蒜頭 6 瓣
紅蔥頭 1/4顆
雞高湯 1罐(去豬肉腥味)

[ 調味料 ]

醬油 20 cc(我加的比較少,所以比較不鹹)
冰糖 50 g(我是用一湯匙)
鹽 1/2 茶匙
白胡椒粉 1 / 2 茶匙
五香粉 1 / 2 茶匙
油蔥酥 1~2湯匙

[ 做法 ]

1. 五花肉洗淨，放入沸水中 10 分鐘，撈起沖冷水。
2. 將蒜頭及紅蔥頭切末，五花肉切成小丁狀。
3. 放油入鍋中，將肉丁炒至焦色。(可以先去掉一些油膩感)
4. 原鍋爆香紅蔥頭末及蒜末，再加入肉丁拌炒均勻。
5. 加入高湯和所有調味料煮至沸騰。
6. 將所有材料倒入藍點快鍋煮到白線上升。

我所有的調味料都加比較少,肉煮好的顏色也比較淡~!
如果想吃重鹹一點,醬油加多點就好了
若想要顏色重一點醬油換成老抽~~!!!

煮好在加上醃好的小黃瓜~~!! 超下飯的

18-month vaccine timeline(下)

Influenza:流行性感冒

Why: In adults, this highly contagious viral infection of the nose, throat, and lunga costs you a few days home in bed. Bet infants who come down with flu often develop pneumonia(肺炎) and bronchitis(支氣管炎) require hospitalization. Rouhly 150 children die of influenza in the United State annually. The 2010-2011 flu vaccine cotains two seasonal strains plus H1N1 strain.

When: 6 months or later. The first time a child receives the flu vaccine, he needs two does separated at least fore weeks.

Side effects: pain, redness, and tenderness at injection site

MMR: (measles麻疹, mumps腮腺炎, rubella德國麻疹)

Why: You can catch measles  simply by being in a room an infected person recently left-it's that contagious. Children often leads to pneumonia, seizures, and brain damage. Mumps is spread in the air by a cough or sneeze from an infected person. In kids, mumps can lead meningitis(腦膜炎), encephalitis(腦炎), hearing los, or swelling of the testes, which can cause sterility(不孕). Rubella is usually a mind illness causing fever, swollen glands, and a rash that lasts about three days. But if a pregnant woman is infected., her fetus may suffer serious heart defects, intellectual disability, and loss of the hearing and eyesight.

When:between 12 to 15 months

Side effects: pain, redness, and tenderness at injection site; low-grade fever; mind rash

Varicella: (chicken pox) 水痘

Why:

When: between 12 to 15 months

Side effects: pain, redness, and tenderness at injection site; mind fever; rash

Hep A: (Hepatitis A) A型肝炎

Why:The liver infection is spread primarily through contact with the feces of an infected person.

When: Two doses are given at least 3 months apart between 12 to 23 months

Side effects: Soreness, a felling of warmth, or swelling at the infection site.



所有資料來源:American Baby Magazine January 2011 p53~56

18-month vaccine timeline(上)

*Birth: Hep B

*  1 mo: Hep B

*  2 mo: DTaP , Hib, Pneumococcal, Polio, Rotavirus

*  4 mo: DTaP , Hib, Pneumococcal, Polio, Rotavirus

*  6 mo: DTaP , Hib, Pneumococcal, Influenza, Rotavirus

*12 mo: Hib, MMR, Pneumococcal, Varicella

*15 mo: DTaP

*  6 to 18 mo: Hep B, Polio

*12 to 18 mo: Hep A

Hep B: (Hepatitis B) B型肝炎

Why:藉由血液跟體液傳染,會垂直感染,寶寶感染後會發展成嚴重的肝病

When: At Birth, between 1 and 2 months, and between 6 to 18 months

Side effects: pain, redness, and tenderness at injection site

DTaP: (Diphtheria, Tetanus, Pertussis)白喉, 破傷風, 百日咳三合一疫苗

Why: About 5% babies infected with diphtheria, an extremely contagious(接觸感染)bacterial disease, dies from suffocation(窒息) heart failure or suffers paralysis(麻痺). The illness causes a thick coating to form on the back of the throat that makes it hard to swallow and breathe. Tetanus (lockjaw) results from certain bacteria (sometimes found in soil) entering the baby through a cut or wound, causing painful spasms(痙攣) and muscle stiffness(僵硬). The initial symptoms of pertussis (whooping cough) are similar to those for the common cold: sneezing, running nose, low-grade fever, and cough. Pertussis is most serious for babies, who can suffer seizures, develop pneumonia, become brain damaged, or even die. Approximately two thirds of infants under 1 who get pertussis need to be hospitalized.

When: 2 months, 4 months, 6 months, 15~18 months.

Side effects: pain, redness, and tenderness at injection site; drowsiness(愛睏); fussiness

Hib: (haemophilus influenzae type b) 侵襲性b型流感嗜血桿菌

Why: Before the vaccine was introduced in 1987, Hib disease was leading cause of meningitis, usually striking kids younger than 5, and was responsible for more than 400 deaths every year in the United States. 

When: 2 months, 4 months, 6 months, 12~15 months.

Side effects: pain, redness, and tenderness at injection site; mild fever

中文資料:Hib就是B型流感嗜血桿菌，這種細菌的培養環境需要血液，它可以引起兒童嚴重的感染，如腦膜炎、敗血癥、肺炎以及中耳炎、會厭炎等。Hib感染主要見于1歲以下小兒。HIB不僅可引起小兒肺炎，還可引起小兒腦膜炎、敗血癥、脊髓炎、中耳炎、心包炎等嚴重疾病，是引起小兒嚴重細菌感染的主要致病菌。其中腦膜炎占Hib感染的2/3，之中3～5%死亡，15～35%留有神經系統后遺癥。

Pneumococcal: 肺炎球菌

Why: Pneumococcal disease is a bacterial infection that can cause blood infections (sepsis敗血症), pneumonia(肺炎), and meningitis(腦膜炎). Before kids started getting vaccinated 10 years ago, thousands suffered permanent hearing or vision loss or died due to Pneumococcal disease. 

When: 2 months, 4 months, 6 months, 12~15 months.

Side effects: pain, redness, and tenderness at injection site; mild fever

Polio: 小兒麻痺症

Why: Polio is an extremely contagious(接觸傳染) virus that leads to paralysis(麻痺) in about 1 in 100 cases.

When: 2 months, 4 months, 6~18 months.

Side effects: Slight pain, redness, and tenderness at injection site

Rotavirus: 輪狀病毒

Why: 秋冬常見因輪狀病毒感染而引起的腸胃炎，嘔吐、腹瀉、發燒是輪狀病毒的三大症狀，輪狀病毒是造成嬰幼兒腹瀉(diarrhea)最主要的原因之一，病童有可能三種症狀輪流出現，但也有病童只會出現嘔吐或腹瀉的單一症狀。與其它疾病不同的是，輪狀病毒的嘔吐或腹瀉症狀通常很劇烈，幼童有可能在半天的時間內即連續嘔吐3-4次，或一天內拉肚子次數超過10次，便樣呈水狀，形似蛋花湯，且有嚴重的酸味。6-24個月嬰幼兒為輪狀病毒高危險群。感染輪狀病毒的初起徵狀通常為發熱和嘔吐，隨後出現腹瀉及肚子痛。這些徵狀會在感染病毒1至3天後出現。腹瀉可持續4至8天之久。如腹瀉及或嘔吐嚴重和頻密，會令幼童脫水(dehydration)；如不醫治，或會致命。此外，接觸受感染幼童的糞便，例如處理尿布，便很容易傳播輪狀病毒。

預防:經常使用肥皂洗手，則最能防止輪狀病毒傳播出現腹瀉和嘔吐的小孩，不應到與其他幼兒接觸，直至腹瀉和嘔吐停止48小時後為止。

When: 2 months, 4 months, 6 months

Side effects: None

所有資料來源:American Baby Magazine January 2011 p53~56

寶寶背帶 Baby Bjorn vs. Ergo Baby sport Carrier

美國比較有名且比較多人推薦的就是這兩個牌子Baby Bjorn vs. Ergo Baby Carrier
但是這兩個牌子都蠻貴的,一個也要100多
所以我打算只買一種

在Amazon裡有很多評語可以參考

baby bjorn:
優點: 適合剛出生的寶寶,寶寶的頭可以面向媽媽也可以面向外面
缺點: 一旦寶寶體重超過12 lb以後,媽媽的背會很不舒服,甚至每次背個十分鐘就累了

Ergo baby carrier:
優點:  適合體重到達12 lb或是脖子已經硬的寶寶,
他的設計是把寶寶重量放在臀部,所以媽媽背的話,負擔沒那麼大
缺點:  不適合剛出生的寶寶
初生兒不喜歡ergo baby carrier 因為脖子還沒硬 寶寶會擠著

由於我只想買一個,考慮到因為寶寶剛出生的那一個月
我應該不太會用到,等真正會用到大概是寶寶三個月以後
從M那裏得到的訊息是(他兩種都有)
Baby bjorn比較適合剛出生的嬰兒 但是到了四個月以後用baby bjorn背會很累
由於ergo baby carrier如果要背較小的嬰兒  必須再買一個頭枕

最後我決定買Ergo Baby sport Carrier
剛好今天http://babysteals.com/
Ergo Baby sport Carrier特價57.75加運費8.79=66.54
整個比AMAZON便宜打了六三折

其實以後背寶寶一定是由老大來背
所以我考慮的也是老大背哪個比較舒服

2-12-2011 14周產檢

週數:14周6天
體重: 97 lb
血壓:
寶寶:7.8cm
這天產檢是第一個到達診所的
當時都沒有人在等候
醫生說 第一期的母唐氏症檢查機率是1/6600,另一個是1/100000

機率都很低 到時候結合第二次的抽血檢查
在跟我們說明~!
今天一樣先聽胎音
老大這次有把胎音錄下來
用超音波照寶寶的時候
老大問 為啥寶寶都不動阿
醫生就搖一搖我的肚子
寶寶就用小腳腳踢一踢
超級可愛的
我覺得寶寶早上都在睡覺
因為我平常都會睡到大概11點
每次產檢幾乎都是早上9點
所以不要炒他睡覺阿XD
然後我問了醫生上次我在網路上查的那些便秘藥可不可以用
醫生看了看說:都是可以用的
但是不可以灌腸XD
已經約好下一次在whitter hospital做第二次的高層次超音波
檢查寶寶體內的器官跟性別
期待下一次的檢查
3/6 超音波
2/24抽血

2-4-2011 便秘

從這禮拜一開始
不知道為啥就開始便秘
到了4號這天從中午就開始肚子痛
但是怎麼去廁所蹲,就是蹲不出來
而且肚子越來越痛,痛到冒冷汗
在老大回來前,忍著痛覺開始查些網路資訊
發現有種藥品可以用
Colace軟便劑
Sennokot S緩瀉藥:一種senna concentrate
Ducolax強的瀉藥:
Metamucil纖維粉:可以泡來喝