Tanya Dr. Low

30/04/2026

𝐊𝐚𝐝𝐚𝐧𝐠-𝐊𝐚𝐝𝐚𝐧𝐠, 𝐓𝐚𝐡𝐮𝐧 𝟏 𝐁𝐨𝐥𝐞𝐡 𝐓𝐮𝐧𝐠𝐠𝐮 (skrol ke atas untuk versi BM)

最近，我为一位特地从柔佛前来评估的孩子写了一封支持信。

孩子已经 7 岁了。这个年龄，大部分孩子都已经开始上一年级。

可是经过评估后，我们发现孩子目前还没有掌握一些基本的入学准备能力，包括专注力、坐定能力、沟通能力、听从指令、自理能力、社交互动、情绪与行为调节，以及基本的学习准备。

很多家长其实不知道，在马来西亚，孩子在特殊情况下是可以申请延迟进入一年级的。

教育部有相关的途径，让有特殊需要，或暂时还没有达到入学准备的孩子，申请延迟进入一年级。不过，这并不是自动批准的程序。通常需要由父母或监护人向州教育局提出申请，并附上相关支持文件，例如医生报告或评估报告。

为什么这件事重要？

因为对于一些有发展迟缓、自闭症、学习困难，或其他特殊需要的孩子来说，太早进入一年级，不一定会让他们进步得更快。

有时候，孩子反而会承受更大的压力。

家长也会压力很大。

老师在大班教学环境中，也可能很难给予孩子足够的支持。

延迟入学，不代表放弃教育。

也不代表孩子停止学习。

它的意义，是给孩子多一点时间，把学习所需要的基础能力建立得更稳。

在这段时间里，早期干预要继续。

治疗要继续。

家庭练习要继续。

入学准备训练也要继续。

我们可以继续帮助孩子加强沟通、专注、自理、行为调节、动作协调、社交互动，以及参与团体活动的能力。

身为父母，我们都害怕孩子“落后”。

但是，有时候太急着把孩子推到下一个阶段，反而可能让差距变得更大。

入学准备，不只是看年龄。

更重要的是，孩子能不能适应、参与、学习，并在学校环境中感到安全。

对于一些孩子来说，晚一点开始，可能是更温柔，也更合适的选择。

一年级可以等一等。

但是支持、治疗、学习和准备，不应该等。

我们的目标不是延迟孩子的未来。

而是帮助孩子在更有准备、更有信心、也有更多支持的情况下，走向他的未来。
________________________________________________________________________

𝐊𝐚𝐝𝐚𝐧𝐠-𝐊𝐚𝐝𝐚𝐧𝐠, 𝐓𝐚𝐡𝐮𝐧 𝟏 𝐁𝐨𝐥𝐞𝐡 𝐓𝐮𝐧𝐠𝐠𝐮

Baru-baru ini, saya menulis surat sokongan untuk seorang kanak-kanak yang datang dari Johor untuk penilaian.

Anak ini sudah berumur 7 tahun — umur di mana kebanyakan kanak-kanak sudah mula masuk Tahun 1.

Namun selepas penilaian, beliau masih belum mencapai beberapa kemahiran asas kesediaan sekolah seperti tumpuan, duduk dalam kelas, komunikasi, mengikut arahan, kemahiran kendiri, interaksi sosial, kawalan tingkah laku, dan asas pembelajaran.

Ramai ibu bapa mungkin belum tahu bahawa di Malaysia, penangguhan kemasukan ke Tahun 1 boleh dipertimbangkan dalam keadaan tertentu.

Kementerian Pendidikan Malaysia mempunyai laluan untuk penangguhan ke Tahun 1, terutamanya bagi kanak-kanak yang mempunyai keperluan khas atau belum mencapai tahap kesediaan yang sesuai.

Namun, ia bukan automatik. Permohonan biasanya dibuat oleh ibu bapa atau penjaga melalui Jabatan Pendidikan Negeri, bersama dokumen sokongan seperti laporan doktor atau laporan penilaian berkaitan.

Bagi sesetengah kanak-kanak dengan kelewatan perkembangan, autisme, kesukaran pembelajaran, atau keperluan khas lain, masuk Tahun 1 terlalu awal tidak semestinya membantu mereka maju lebih cepat.

Kadang-kadang, ia boleh menyebabkan anak lebih tertekan — begitu juga ibu bapa dan guru.

Penangguhan bukan bermaksud menyerah kalah.

Ia bukan bermaksud anak berhenti belajar.

Sebaliknya, ia memberi lebih masa untuk membina asas yang lebih kukuh sebelum masuk ke alam persekolahan formal.

Dalam tempoh ini, intervensi, terapi, latihan kesediaan sekolah, dan sokongan di rumah tetap perlu diteruskan.

Kesediaan ke sekolah bukan hanya tentang umur.

Ia juga tentang sama ada anak mampu menyesuaikan diri, mengambil bahagian, belajar, dan rasa selamat dalam persekitaran sekolah.

Untuk sesetengah kanak-kanak, bermula sedikit lewat mungkin pilihan yang lebih sesuai.

Tahun 1 boleh tunggu.

Tetapi sokongan, terapi, pembelajaran, dan persediaan tidak patut ditangguhkan.

Matlamat kita bukan untuk melambatkan masa depan anak.

Matlamat kita adalah membantu anak melangkah ke masa depan itu dengan lebih bersedia, lebih yakin, dan dengan sokongan yang lebih baik.

~Dr Low






#一年级可以等一等
#入学准备
#延迟入学
#特殊需要儿童
#早期干预

29/04/2026

A meaningful two days spent with educators who are directly shaping the classroom experience of our children.

Supporting children with special needs should never remain within the clinic alone. When teachers are better equipped with practical understanding and strategies, support can happen earlier, more consistently, and more meaningfully in the place where children spend so much of their daily life.

Grateful to have been part of this workshop in collaboration with the Malaysian Chinese Language Council, and thankful to all the teachers who came with openness to learn, reflect, and grow.

This is how inclusion moves forward — when awareness is translated into practical action in the classroom.

More than a workshop, this is a step towards a more supportive environment for many children and families.

23/04/2026

要让这些孩子获得更好的成长与学习机会，醒觉与理解也需要走进校园。除了认识孩子的特征与需要，更重要的是让教育工作者掌握实际可行的课堂应对技巧，包括如何支持学习、引导行为，以及处理情绪上的挑战。

很感恩这次能与马来西亚华文理事会合作，参与这项有意义的工作，一起把对特殊孩子的理解与支持，从诊室延伸到学校。

我将于明天，24/04/2026，参与这项工作坊培训，担任其中一位讲师。配合此次活动，诊所将休诊一天。

希望通过医疗与教育的携手合作，为孩子们创造一个更被理解、也更有支持的成长环境。
_______________________________________________________________

𝐒𝐮𝐩𝐩𝐨𝐫𝐭 𝐟𝐨𝐫 𝐜𝐡𝐢𝐥𝐝𝐫𝐞𝐧 𝐰𝐢𝐭𝐡 𝐬𝐩𝐞𝐜𝐢𝐚𝐥 𝐧𝐞𝐞𝐝𝐬 𝐬𝐡𝐨𝐮𝐥𝐝 𝐧𝐨𝐭 𝐬𝐭𝐚𝐲 𝐰𝐢𝐭𝐡𝐢𝐧 𝐭𝐡𝐞 𝐜𝐥𝐢𝐧𝐢𝐜 𝐚𝐥𝐨𝐧𝐞.

For these children to thrive, awareness must also reach the classroom. It is not only about recognising the signs and needs of a child, but also about equipping educators with practical ways to support learning, manage emotions, and handle classroom challenges more effectively.

I am grateful to be involved in this meaningful effort in collaboration with the Malaysian Chinese Language Council, where we work together to extend understanding and support for children with special needs beyond the clinic and into schools.

I will be involved as one of the trainers for this workshop tomorrow, 24/04/2026. In view of this, the clinic will be closed for one day.

A meaningful step forward for our children, through stronger collaboration between healthcare and education.

隆注册特殊学生人数5年增幅60%

(吉隆坡16日讯）

马来西亚华文理事会指出，过去5年吉隆坡注册特殊学生人数从约4500人增至7250人，增幅高达60%，然而特殊教育班的设立与师资并未同步增加，导致学额与教师严重不足，现有特殊班普遍出现超额情况。

马来西亚华文理事会主席拿督王鸿财指出，随着特殊学生人数逐年增加，吉隆坡华小特殊教育资源日益吃紧。华理会自去年起与吉隆坡教育厅特殊教育处合作，探讨吉隆坡特殊教育发展课题。

他说，目前吉隆坡42所华小当中，仅有3所学校设立特殊教育班，即三育华小、沙叻秀华小及冼都平民华小，共开办18个班级。

他说，根据教育部标准，这些班级原本应容纳126名学生，但因需求殷切，目前实际收纳人数已达208人，平均每班超出约5名学生。此外，仍有大批特殊儿童因名额已满，只能暂时被安排进入普通班上课。

根据调查，目前吉隆坡另外39所华小中，仍有约73名已被鉴定为特殊儿童的学生在普通班就读。这种情况不仅对学生带来挑战，也为教师增添压力。一般教师在未接受特殊教育培训的情况下，除了日常教学外，还需额外处理特殊儿童的学习与情绪问题，长期下来对教学形成负担。

为协助教师应对相关挑战，华理会将于今年4月为吉隆坡华小教师举办为期两天的“特殊儿童管理技巧及学习方案”培训课程。该培训由SPARK Child Development中心配合进行，由专业医生、导师及辅导员为教师提供相关技巧与教学模式指导，包括如何引导特殊儿童学习及处理其情绪问题。

王鸿财指出，特殊儿童人数增长速度惊人。2019年吉隆坡中小学注册的特殊学生约有4500人，至2025年已增至7250人。然而特殊教育班数量并未同步增加，导致班级普遍超额。

根据教育部指南，一个特殊教育班理想人数不超过7名学生，但现实中不少班级已超过10人，甚至有班级多达20人，对教师管理及学生学习皆造成影响。

他说，华理会目前也正与吉隆坡多所华小董事会及校长沟通，探讨在更多学校设立特殊教育班的可行性。目前已有数所华小向教育厅提出申请，教育厅将在评估学校设施与校方方案后，逐步批准设立特殊教育班。

此外，华理会近期也将与教育部特殊教育司总监会面，交流华小特殊教育发展课题，尤其是特殊教育师资不足的问题。

王鸿财表示，目前全国特殊教育班普遍面对师资短缺，不少学校虽有意开设特殊班，却因缺乏教师而无法获得批准。

他说，华理会将向教育部提出多项建议，并愿意提供资源与协助，与教育部携手推动华小特殊教育的发展，以缓解当前学额拥挤及师资不足的问题。

19/04/2026

𝐍𝐨𝐭 𝐒𝐮𝐫𝐞 𝐈𝐟 𝐘𝐨𝐮𝐫 𝐂𝐡𝐢𝐥𝐝’𝐬 𝐕𝐚𝐜𝐜𝐢𝐧𝐚𝐭𝐢𝐨𝐧 𝐈𝐬 𝐂𝐨𝐦𝐩𝐥𝐞𝐭𝐞? 𝐋𝐞𝐭 𝐔𝐬 𝐇𝐞𝐥𝐩 𝐘𝐨𝐮 𝐂𝐡𝐞𝐜𝐤.

After their child reaches 18 months old, many parents get busy juggling work, school, and family life. As a result, some booster doses or additional vaccines may be missed without parents realizing it.

This Immunization Awareness Month, you may send your child’s vaccination record to us for a simple screening.

Please WhatsApp:

* A clear photo of the vaccination record/booklet
* Child’s date of birth
* Child’s current age

We will help check what may be due, missed, or worth discussing, so your child can receive timely protection.

Signature Child Specialist Clinic
WhatsApp: wa.me/60102031724

17/04/2026

Honoured to contribute as an Malaysian Paediatric Life Support (MPLS) workshop trainer for KKM post basic nurses. Grateful for the opportunity to give back to the system that shaped me, and thankful to reconnect with old colleagues along the way. Clinic was closed for a day for this meaningful role.

13/04/2026

𝐍𝐨𝐭 𝐞𝐯𝐞𝐫𝐲 𝐜𝐡𝐢𝐥𝐝 𝐰𝐡𝐨 𝐬𝐩𝐞𝐚𝐤𝐬 𝐥𝐞𝐬𝐬 𝐨𝐫 𝐫𝐞𝐬𝐩𝐨𝐧𝐝𝐬 𝐥𝐞𝐬𝐬 𝐢𝐬 𝐚𝐮𝐭𝐢𝐬𝐭𝐢𝐜.


Recently, I saw a 1 year 7 month old child brought in for developmental consultation because the parents noticed 2 worrying changes:

she was no longer responding well when called
her speech had reduced

At first glance, many people may immediately think of autism, especially when a toddler shows reduced response and fewer words.

But the story became clearer after careful history taking.

This change only started about 1 month earlier.
Before that, she could turn to her name, was startled by loud sounds, and had already spoken more than 10 meaningful words.

That is an important clue.

When I entered the room, she noticed me immediately and cried. During the session, she was still able to play with her elder sister, share toys with her parents, and engage with her family. These were not the usual patterns we worry about in autism.

On examination, she had fluid trapped behind both eardrums, and there was a history of repeated ear infections, with the latest episode happening just before the regression began.

In other words, this was not simply a “developmental issue”.
There was a medical reason affecting her hearing, and that can affect speech, response, and communication.

This is exactly why early medical assessment matters.

Sometimes what looks like autism, speech delay, or social communication difficulty may actually be caused or worsened by an underlying medical problem that needs treatment.

If hearing is reduced for too long during an important stage of development, it can eventually affect speech and learning too.

So when parents notice a child is suddenly speaking less, responding less, or seems different from before, please do not just wait and see for too long.

Get the child assessed properly.

Early advice does not mean we are rushing to label a child.
It means we are trying to understand the real cause early, and help the child at the right time.

Not every developmental red flag means neurodivergence.
But every regression deserves attention.
____________________________________________________________________

最近，我接诊了一位1岁7个月大的孩子。父母带她来做发育评估，是因为注意到两个让人担心的变化：
- 叫她名字，她不太回应了
- 她说话变少了

乍看之下，很多人可能会立刻联想到自闭症——尤其是当一个幼儿出现回应减少、词汇变少的情况。

但仔细问诊之后，情况变得更清晰了。

这些变化，其实是一个月前才开始的。
在那之前，她听到名字会转头，对大的声音会吓一跳，也已经能说超过10个有意义的词。

这是一个非常重要的线索。

我进诊室的时候，她一眼就看到了我，然后哭了。在评估过程中，她依然能和姐姐一起玩，和父母分享玩具，和家人互动。这些都不是我们在自闭症中通常会担心的表现。

检查发现，她的双耳中耳都有积液，而且她之前反复得过中耳炎，最近一次发作就在语言倒退开始之前。

换句话说，这不是单纯的“发育问题”。
有一个医学上的原因影响了她的听力，而听力问题，确实会影响说话、回应和沟通。

这正是为什么早期进行医学评估如此重要。

有时候，看起来像是自闭症、语言迟缓或社交沟通困难的问题，实际上可能是一个需要治疗的基础医学问题所导致或加重的。

如果在语言发育的关键期，听力长时间受损，最终也会影响语言表达和学习能力。

所以，当父母发现孩子突然说话变少、回应变少、或者感觉和以前不一样了，请不要只是“再观察看看”，等太久。

请带孩子去做一次全面的评估。

早期求助，并不代表我们要急着给孩子贴标签。
而是意味着，我们想要尽早了解真正的原因，在对的时间，给孩子对的支持。

不是每一个发育上的“红色警报”都代表神经多样性。
但每一次能力的倒退，都值得我们认真对待。


#语言迟缓 #自闭症 #耳鼻喉科 #儿科医生 #成长筛查

09/04/2026

𝐕𝐚𝐜𝐜𝐢𝐧𝐚𝐭𝐢𝐨𝐧 𝐬𝐡𝐨𝐮𝐥𝐝 𝐧𝐨𝐭 𝐭𝐚𝐤𝐞 𝐡𝐚𝐥𝐟 𝐚 𝐝𝐚𝐲.

At Signature Child Specialist Clinic, our paediatric vaccine packages are designed for busy parents who want a more convenient way to keep their children protected and on schedule.

Why families choose our packages:
🔸Available at your neighbourhood paediatric clinic
🔸By appointment, vaccination and consultation are usually completed within 30 minutes
🔸Save up to 15% compared to our clinic’s à la carte pricing
🔸Reminder support for your child’s next vaccine due date
🔸Covers both KKM schedule and selected additional vaccines

Our package options:
𝐏𝐚𝐜𝐤𝐚𝐠𝐞 𝐀 (𝐍𝐞𝐰𝐛𝐨𝐫𝐧)
KKM Schedule + PCV15, with complimentary paediatric ECHO screening

𝐏𝐚𝐜𝐤𝐚𝐠𝐞 𝐁 (𝐈𝐧𝐟𝐚𝐧𝐭 𝐀𝐝𝐝-𝐎𝐧)
Rotavirus + Influenza

𝐏𝐚𝐜𝐤𝐚𝐠𝐞 𝐂 (𝐓𝐨𝐝𝐝𝐥𝐞𝐫 & 𝐏𝐫𝐞𝐬𝐜𝐡𝐨𝐨𝐥)
Chickenpox, Hep A, JE, Meningococcal

WhatsApp or call us to find out more.
https://wa.me/60102031724
Enrolment can be done during your appointment.

Signature Child Specialist Clinic, Rimbayu

09/04/2026

𝐂𝐥𝐢𝐧𝐢𝐜 𝐎𝐩𝐞𝐫𝐚𝐭𝐢𝐨𝐧 𝐔𝐩𝐝𝐚𝐭𝐞 | 𝐀𝐩𝐫𝐢𝐥 𝟐𝟎𝟐𝟔

Dear parents,

Please be informed that Signature Child Specialist Clinic will be closed for 2 days in April 2026 on the following dates:

𝟏𝟓 𝐀𝐩𝐫𝐢𝐥 𝟐𝟎𝟐𝟔
Dr Low will be involved as a trainer in a MOH life support workshop for nurses.

𝟐𝟒 𝐀𝐩𝐫𝐢𝐥 𝟐𝟎𝟐𝟔
Dr Low will be involved as a trainer in a workshop on inclusive education for primary school teachers.

Clinic services will resume as usual on the following day after each closure.

Thank you for your kind understanding as Dr Low continues to contribute to healthcare and education beyond the clinic, to serve our little ones and the wider community.

For appointments or enquiries, please contact us at +60 10-203 1724.
https://wa.me/60102031724

08/04/2026

This World Health Day, I’m reminded that child health is never built by one person alone.

It takes timely care, trusted guidance, science-based decisions, and a team working together.

Sharing this video from Signature Child Specialist Clinic as a small reflection of that journey.

02/04/2026

𝐀𝐮𝐭𝐢𝐬𝐦 𝐀𝐰𝐚𝐫𝐞𝐧𝐞𝐬𝐬 𝐃𝐚𝐲 𝟐𝟎𝟐𝟔
“𝐀𝐮𝐭𝐢𝐬𝐦 𝐚𝐧𝐝 𝐇𝐮𝐦𝐚𝐧𝐢𝐭𝐲 – 𝐄𝐯𝐞𝐫𝐲 𝐋𝐢𝐟𝐞 𝐇𝐚𝐬 𝐕𝐚𝐥𝐮𝐞”

This year’s theme reminds us of something simple yet important — every child matters, and every life has value.

In my daily practice, I meet children with autism who see the world differently,
and parents doing their best to support them.

Beyond awareness, what these children need is a community that recognises their worth —
in our schools, systems, and everyday interactions.

When we embrace inclusion, especially in education, we are not just helping a child cope - we are giving them the dignity to learn and belong.

Because humanity is not about sameness,
but making space for every difference.

~ Dr Low

Awareness starts the conversation.
Inclusion changes lives.

This World Autism Awareness Day 2026, let’s take real steps to support children with Autism at home, in school, and in our community. 💙

30/03/2026

Over the past few weeks, I have been sharing about developmental delay and learning difficulties from different angles.

We spoke about dyslexia.
We spoke about children whose “inattention” may actually reflect autism-related challenges.
We also spoke about the very real logistic difficulties many families face in getting a child to regular intervention.

To round up this series, I am sharing this podcast from the Signature Child Specialist Clinic page.

In this episode, Yuni shares her journey as a mother raising a daughter with ASD.
I will also walk through the step-by-step path many parents go through, from first noticing a difference, to seeking consultation, assessment, intervention, schooling, and available support for children with special needs.

For many families, this journey can feel overwhelming at first.
But parents do not need to have everything figured out from day one.
Very often, it is a step-by-step process, with the right support along the way.

I will also link the 3 earlier posts from this series in the comments.
They were written in Mandarin, but Facebook’s translation feature may help English-speaking readers follow along too.

Thank you for following this sharing series.
I hope it helps more parents recognise concerns earlier, seek help earlier, and build a more understanding community for children with special needs and their families.

30/03/2026

这一系列关于孩子发展迟缓与学习困难的分享，来到最后一篇。

这段时间，我们谈了
孩子在课堂上“跟不上”，背后可能是读写困难；
谈了表面像“不专心”，其实可能是自闭症谱系孩子在学校里的挣扎；
也谈了很多家庭在现实生活中，面对送孩子去干预时的种种不容易。

而这一次，我想用一集 podcast，陪大家把这条路再走一遍。

这一集里，Yuni 会以妈妈的身份，分享她一路陪伴自己女儿面对自闭症的真实经历。
从一开始察觉“好像有点不一样”，
到鼓起勇气求助、接受评估、开始干预，
再到后来面对上学、适应环境、申请政府/社会支援……
这一路，真的不只是孩子在努力，父母也在学习、在挣扎、在成长。

我也会在这一集里，系统性地和大家整理：
当父母开始怀疑孩子发展不太一样时，通常会经历哪些步骤；
应该如何寻求帮助；
评估后下一步是什么；
干预、学校安排、OKU/福利支援，又可以怎样一步一步走下去。

我知道，这条路对很多家庭来说，并不轻松。
它常常伴随着担心、无助、内疚，甚至对未来的不确定。
但我想说的是：
你不是一个人。
而且，很多事情也不需要一次过想完、做完。
孩子的成长，往往就是这样，一步一步走出来的。

希望这一集分享，能为正在这条路上的父母，带来一点方向，也带来一点被理解的感觉。
如果你身边也有正在面对同样挑战的家庭，欢迎把这集分享给他们。

也谢谢大家一路看完这一轮关于发展迟缓 / 学习困难的分享。
希望这些内容，除了帮助家长更早看见孩子的需要，也能让社会对这些孩子和家庭，多一分理解，多一点耐心。

#学习评估 #成长评估 #学习障碍 #成长迟缓 #自闭症 #过动症