Sunday, November 23, 2014

Ear haematoma in a Beagle

Nov 24, 2014

Questions asked:

1. To operate or not?
Operation is to remove the blood clot. If no operation, the swelling may become larger as the dog keeps rubbing his ear. Ear gets injured. Bacterial infection - smelly and bloody. Flies lay eggs - maggots in large numbers. Painful and smelly. Ear amputation may be needed. The medical costs would be much higher.

It takes several weeks for the swelling to subside and the ear becomes distorted. The dog has to endure weeks of pain.   

2. What if I use the e-collar?
The dog will still try to rub the painful heavy ear against the walls or chairs, sofas etc.

1112. The cleaner at One Fullerton burst out laughing loudly

On Nov 22, 2014, I went to the bathroom in One Fullerton. The slim cleaning lady in white blouse and black slacks advised me to put salt on my limping right lady to cure myself. "I have the oil from Japan," I showed her the bottle and she was satisfied.

"You look very young, without a strand of white hair," I said. "Yet you had lost some of your front teeth."

"I am 67 years old," she replied. "I do not dye my head black as my hairs are not greying. Unfortunately, I lost my teeth as I binged on chocolates after I retired. Day and night, I ate chocolates. My son bought chocolates when he came back from Australia. I was so fat that I had difficulty breathing and walking!."

I was most impressed at her losing so much weight. Now she is so slim that she would be a model for the advertisers of slimming saloons. But none would use senior citizens as advertising models as they prefer young celebrities.

The cleaning lady had Indian-Chinese parents and looked very much sun-tanned. She had worked as a happy cleaner foe the past 3 years and was chatty with anyone who would take the time to talk. Her old boss had referred her to this job. At 2.30 am, her husband of 75 years would drive by to take her home while she started work at 6.30 pm in this One Fullerton place, facing the Marina Bay Sands.

"So you walked like a duck when you ate too much chocolates," I demonstrated with my legs stretched out sideways and my left hand on my sore left hips. I was much surprised when she burst out laughing out loudly. It is always good to connect with the service providers and make them appreciated as the cleaning service line can be quite boring and repetitive. 


Saturday, November 22, 2014

1111. Testimonial for Ms Shan Ling Tan

Nov 23, 2014


FROM: Dr Sing Kong Yuen, Founder and veterinarian, Toa Payoh Vets,, Singapore

Ms Shan LingTan had a short period of attachment in Toa Payoh Vets from July 8 - 24, 2014. To acquire more knowledge and skills required in the veterinary industry, she had actively looked into available veterinary-related attachment programmes. She was given an opportunity to be a student attached to Toa Payoh Vets Singapore since she followed up on her application.  

She is a well-mannered and diligent young lady who has shown a keen interest and aptitude in veterinary science as well as animal welfare.

During her attachment, she was given many opportunities to observe and assist in consultations, clinical examinations, diagnostic tests and analysis as well as in surgery and medication.

She pro-actively seized every opportunity given to try and assist in various procedures such as physical examination, dental care, medical treatment, surgery as well as educating and communicating with owners.

Despite the rigorous and heavy workload, she displayed a strong sense of responsibility and took pride in all tasks assigned with great professionalism and dexterity. She performed well in hands-on activities and delivered quality work.

Shan Ling was also tasked to research on several case studies and complete online videos meant to educate owners about the common diseases associated with their pets.

This e-mail confirms that Ms Shan Ling Tan had edited and created 3 veterinary educational videos of cases assisted by her, during her attachment at Toa Payoh Vets. I am most happy with the qualityof her videos which demonstrated her understanding of the surgical techniques and provide good veterinary information to vet students and pet owners.

Toa Payoh Vets provides a community education service to vet students and pet owners at the website for the past 10-15 years. These educational videos will be of great interest to the younger vet students as they prefer visual aids as compared to reading text.

Shan Ling's videos and the youtube links are as follows:

1. Vertical ear canal ablation

2. Rectal prolapse in a Roborovski hamster

3.  Spaying a cat and how to prevent stump pyometra

From my observations, Shan Ling was an effective team player who is humble enough to take criticism and mature enough to withstand the idiosyncrasies of others who might have a differing opinion from her. She had proven to be a highly driven individual who was willing to go the extra mile learning from our veterinarians as well as other staff regarding topics where she is uncertain of. 

Presently, she has picked up some basic knowledge about the common diseases and showed confidence in appropriate animal handling skills for domestic pets in Singapore. Her experience will help her explore into greater depths under the guidance of your esteemed group of lecturers and teachers.
The above shows that Shan Ling displays a strong personality and high standard of commitment. She is an exemplary benchmark for her generation and deserves every support possible to reach her potential ability. She is a far-sighted individual who keeps a clear mind for her vision, and she exemplifies this in both the academic and non-academic fields.

I am very optimistic that Shan Ling will add value to your university, using her intellect and bubbly personality to exert a positive influence in the community that she is in, touching and changing the lives around her. It is with these qualities of Shan Ling’s in mind that I wholeheartedly recommend her for your consideration.

I believe she will make a great veterinarian and I wish her all the best in her undergraduate studies. Please contact me, tel: +65 96686468 if you have any queries. 

Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS
Founder and veterinary surgeon
Toa Payoh Vets

Sent by e-mail and by post
Nov 21, 2014

Dinner at 1 Fullerton Palm Beach

Dinner with 3 ladies from the X Generation and a couple from the Pioneer Generation (71 years old and fit to travel).
We met on a Spain-Portugal tour in October and PK, one lady organised a dinner to meet again.

The 3 X generation ladies were very hard working. As regards the tour, Poh Kuan is the type who would research the places visited or to be visited. Dora and I would not be bothered. I did not ask Wendy as she was seated further away. 

D said that it is harder to find printer for the images as she would print around 40. Disk storage could be not compatible in future and she would be deprived of the memories. I checked my hard disk and found some photos of D and a video of the 3.  

better not touch him

Wednesday, November 19, 2014

Rabbit has painful left hip

Nov 19, 2014
2-month-old dwarf rabbit was carried but fell. Reluctant to walk. Painful left hip on examination (video). I can see him hopping.

No fracture or dislocation of the left hip

A thin young Chihuahua has diarrhoea for 7 days

"He likes to eat anything on the floor?" I asked.
"Yes, yes," the lady said."Newspapers and even the cotton bud I dropped accidentally!"
Diarrhoea for 7 days as many as 6 times yesterday and 5 times today. No vomiting. Still eats.

The active dog whimpered when I palpated her back half of the abdomen which was filled with gas. The front half was full like a big bag of clothes. 

What's the cause of diarrhoea and what's the solution? 

James Herriot in one of his stories in "Vets In Harness" mentioned about the use of sedatives and tranquilisers to let the dog suffering from long periods of diarrhoea sleep and recover. He used Nembutal in one poodle successfully.

Tuesday, November 18, 2014

1107. INTERN RGS for VIDEO Generalised ringworm infections in an American Cocker Spaniel

Nov 19, 2014

Two interns from RGS, Sec 3 and 4 on their 3 day of internship to produce this video.

A monthly review is important but many clients do not turn up. Some will go to another vet when the skin diseases still prevail.

In this case, the couple did turn up for a review at 9 am today via SMS to me.

The neutered black and white American Cocker Spaniel was muzzled as he will bite anyone, except the couple, who touches him or pats his head. Some friends had ignored the couple's warning and were bitten.  It was kind of the couple to adopt this 4-year-old as normally he would be put to sleep for biting over 10 people in the past. Yet, with love, this dog would not bite the couple and even shake hands with the owner (video) at the end of consultation.

In June 2014, the couple consulted a vet twice in May and July for the skin disease on the top part of the body. There was hair loss and some flakes. Skin cytology revealed bacterial cocci and yeast. The vet prescribed anti-fungal tablets for 20 days, antibiotics and a shampoo.

But there was no improvement and so, I was consulted in Oct 2014. Ultraviolet light showed fluorescence of the bald circular skin patches but microscopic exam of the hairs were negative for ringworm as the dog was under treatment. VIDEO MAY BE AVAILABLE SHOWING UVL EXAM. Check hard-disk

Generalised ringworm and bacterial infections are very difficult for the owner to treat. I had the dog's clipped bald from head to toe under sedation. Daily anti-fungal washes for 1 month. Anti-fungal medication for one month

Today, the owner came as scheduled. There was sparse hair growing on the back spinal area. The head and legs were full of hairs. Generalised ringworm need to be treated thoroughly by clipping the coat of the whole dog to get rid of infested hairs, preventing re-infections from the combs, brushes, towels and harness and reviewing the skin one month after infection.

Client Education & Correct Diagnosis.

The vet must spend a lot of time educating the owner on how to wash the body and to advise a monthly review. Negative findings for ringworm in this case would not mean no ringworm as the owner had used her over the counter cream (black circular spots) before seeking vet treatment.    

Cocker Rage
In my experience, there are some male Cocker Spaniels who will bite anybody except the owners. This behaviour has been mentioned as Cocker Rage. We have road rage in some Singaporeans who will look for a fight with the other driver or swerve in front of the other driver and brake suddenly to teach the latter a lesson. "Count to 10," is my advice. "If I count to 10, the other driver would have driven away!" the person said to me.