November 2023

Source：Pediatric Specialist Doctor, Chiu Cheung Shing

When children get sick, some parents may become very anxious and immediately take their child to the doctor or give them medicine. However, some parents believe that if they wait for a while, the child will naturally recover. In reality, this approach is somewhat correct to a certain extent. For mild illnesses like the common cold or cough, allowing the child to rest can help them develop some antibodies that can protect them from future infections. However, parents should be aware that not all illnesses can be treated this way.

For some strong bacteria, waiting for a natural recovery can be dangerous. For example, with bacteria like Streptococcus pneumoniae or Neisseria meningitidis, if you wait for natural recovery, there can be serious consequences. Within 24 hours of infection, 1 in 10 people may die. Even if death doesn’t occur, 1 to 2 individuals may end up with lifelong disabilities or complications. So whether you wait for natural recovery or not depends on whether the illness is mild or severe.

Secondly, in the case of some illnesses, even if a doctor can diagnose the condition, the effects of medication may not necessarily be immediate. As mentioned earlier, with bacteria like Streptococcus pneumoniae, there can sometimes be antibiotic resistance. That’s why there’s a saying that “diseases are shallow in Chinese medicine.” Doctors may not always prescribe medication; what’s most important is whether you develop complications or have any hidden risks.

On the other hand, taking medication is symptom management, which may not always be the most critical factor. Whether you wait for natural recovery depends on your luck. If it’s just a mild illness, waiting for natural recovery is fine, but if it’s a severe illness, it could lead to regrets. So from a doctor’s perspective, it’s always better to be cautious, meaning that life should never be used as a gamble.

Parenting Articles

November 2023

Source: Psychiatrist, Dr. Leung Yuen Shan

Several months ago, a girl began refusing to go to school. Initially, it was just a reluctance to attend school, but after a few weeks, she started hiding in her room, experiencing issues with eating and sleeping. Later on, she became very irritable, had negative thoughts, and even had difficulty breathing, shortness of breath, and started feeling anxious. She also couldn’t sleep at night and wanted her mom to be with her, but her mother had to work and couldn’t stay with her, so she sought medical advice. A child’s refusal to attend school is causing a lot of anxiety for many parents. Skipping school for a day or two may be acceptable, but not attending for one to two months can result in falling behind in studies, and the child may miss exams, potentially leading to grade retention. This is a problem that many parents find distressing.

In fact, not attending school is just a symptom, and the most important thing is to understand the underlying reasons. There can be several reasons for not attending school, such as social issues, bullying, shyness, academic problems, or attention deficit problems. Additionally, anxiety and depression could be bothering the child, and in some cases, it may go unnoticed for years.

If these issues are not addressed in a timely manner, they can build up, and the child may eventually become unable to cope and refuse to go to school. A child’s reluctance to attend school can also be linked to family issues, changes in family dynamics, or changes in the home environment as a way to seek attention.”

These various reasons could all lead to him not going to school. The most important thing for us is not to jump to conclusions and the next judgment. If parents point out directly that he is lazy, unwilling to face, and wants to avoid going to school, it will only put more pressure on the child. Instead, we should approach it with empathy and help the child gradually break down the issue. Many times, the difficulty lies in the fact that they may not be willing to speak out because they may not even know the reasons themselves. When you ask him, he won’t say, or he may answer that he doesn’t know, which can be challenging for parents. Parents should not give up in this situation, and they should not use a critical approach.

Parents must not excessively force him. Try to have a conversation with him in a friendly manner and guide him to reveal the underlying reasons and the specific challenges he faces. Because it is crucial to have this information, if you force him, he will shut down and not communicate with you, making it even more challenging later on. I’ve encountered many cases where parents tried everything to get their child to school, and when they finally did, the child blamed their parents for forcing them to go to school, which made them even more afraid later.

First, we should avoid using intense actions to force him and try to understand the reasons behind his behavior. If he starts to gradually open up and talk, that’s a good sign. But if you feel that it’s too difficult to get through to him, and he’s becoming increasingly resistant to going to school, that’s when we recommend seeking professional help to identify the root causes of the problem.