The 4 birds were perched inside a carrier in harmony. They were less than 1 year old and were raised together at a young age by this lady owner.
Sunday, October 15, 2017
3156. A love bird, budgie and 2 cockatiels live in harmony
Sat Oct 15, 2017
The 4 birds were perched inside a carrier in harmony. They were less than 1 year old and were raised together at a young age by this lady owner.
The 4 birds were perched inside a carrier in harmony. They were less than 1 year old and were raised together at a young age by this lady owner.
3155. A rabbit stops eating suddenly - molar spurs and tongue plaque
The owner came early for treatment a few hours after the rabbit stopped eating.
"Likely to be dental problems," I pried open the front lips. "The front teeth are normal and not overgrown. I suspect the problem is molar spurs which are sharp edges of the cheek teeth cutting the underside of the tongue. I need gas anaesthesia to examine the cheek teeth."
The owner gave consent and signed the form. "I detect a small lump of around 4 mm in the abdomen and this could be hair ball. Has the rabbit been grooming excessively?" The owner was not sure.
Gas anaesthesia. Dental instruments. Molar spurs on the lingual side of the tongue on both left and right cheek teeth. I got them filed.
The next day, the rabbit eats and poops. The 3rd day of inpatient, the rabbit is OK and eating and pooping. Sent home. Evidence of more than 20 faecal pellets and the above images sent to owner. .
Saturday, October 14, 2017
3154. Rabbit hip dislocation X-rays & cat and dog hip dislocation
Will a femoral head osteotomy work in rabbit hip dislocation? This case did not have the surgery.
TP46483
Rabbit. Peanut. 3 yrs old. Left hip dislocation
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A 3-month-old rabbit hip dislocation. No surgery.
-------------------
TP50133
In the dog, the operation is generally successful in permitting the dog to walk almost normally as seen in the video of Kobe post op some months later.
Oct 13, 2017. Surgery on Aug 7, 2017. The happy owner sent a video to Toa Payoh Vets on Oct 13, 2017 as follows:
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Cat hip dislocation. Closed reduction. The owner does not come back for review.
Case at:
http://2010vets.blogspot.sg/2015/08/a-cat-has-dislocated-right-hip.html
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TP 43447
Left hip pain
TP46483
Rabbit. Peanut. 3 yrs old. Left hip dislocation
-------
A 3-month-old rabbit hip dislocation. No surgery.
-------------------
TP50133
In the dog, the operation is generally successful in permitting the dog to walk almost normally as seen in the video of Kobe post op some months later.
Oct 13, 2017. Surgery on Aug 7, 2017. The happy owner sent a video to Toa Payoh Vets on Oct 13, 2017 as follows:
-----------------------
Cat hip dislocation. Closed reduction. The owner does not come back for review.
Case at:
http://2010vets.blogspot.sg/2015/08/a-cat-has-dislocated-right-hip.html
-----------------------------------------------------------------------------
TP 43447
Left hip pain
3153. My family dentist. Molar amalgam fell off on Oct 12, 2017
On Oct 12, 2017, I felt a large hole inside my left upper molar. This was due to the falling out of the mercury amalgam covering my large cavity over 50 years ago. I could feel the sharp edges and a large hole, but no pain. This meant that the pulp cavity was not there or the tooth was "dead."
On Oct 13, 2017, I walked in to my family dentist who said: "Your cavity is large and challenging. I will do my best to plug it. If you feel the pain later, you will need a root canal treatment. I will refer to you a specialist in Takashimaya Shopping Centre as I don't do this treatment."
I sat on the dental chair. The dentist educated me on the anatomy of the tooth by showing me a chart of illustrations. "The pulp is where the nerve is," she said. "If my treatment of plugging up the cavity cause pain later, that means there is pressure on the pulp and you will need a root canal treatment."
"Why don't you extract the molar since the crown is 90% cavity?" I asked.
"It is best to save the tooth," she said. "Hence the root canal treatment. Do not worry."
Some drilling of the tooth. Suction. Rinse my mouth. More drilling. Only a short time of mild pain during drilling, all to my surprise. Is the tooth dead?
"It has been some years since 2009 since I saw you," the dentist checked the records. "If I depend on you for dental services, I will need to close down," she joked. Two new dental clinics have now opened.
"How many dental clinics are there now?" I asked.
"When I started, it was 300," she reminisced. "Now there are over 1,000."
"I ask my children not to go into private medical practices," she said. "The big private medical groups need to make more money every year. It is better to work for institutions."
She advised me not to go to private practices as they need to justify their bottom lines and therefore will recommend unnecessary treatments to generate revenue. Large groups are now formed from mergers and acquisitions of smaller groups and so they must make more money for the shareholders. That means more unnecessary treatments.
"The younger generation is not loyal," my dentist said.
"Most of the young is time-pressed and wants convenience of proximity, immediacy and low price," I said. "So, there is no loyalty.
We spoke on family. Her son is a medical undergraduate overseas. "The senior consultant is good," she said. "He has many important clients. That day, he told the other younger doctor to get out as this doctor came to work without a tie."
She is pro-family as she said that a married couple should have children soon after marriage. "Some wives may want to achieve success in their new careers and motherhood meant being side-tracked," I said.
"The Chinese saying: ''Suffer hardship early (in life), enjoy sweetness later (in life)," she told me that I was westernised in advocating a married woman's right to choice of career over motherhood. If the wife is ambitious in being top in her profession, let her do it. It is not possible to have both although there is "work-life" balance being advocated and there are domestic helpers to look after children. It is her personal choice and the husband has better accept it.
"What would you do if you have a person who says he has no money but insisted vehemently to be treated by you?" she had such a male aggressor. "If he was poor, I can reduce the charges." This person just wanted free services by being aggressive and hope to get away with it.
"There are such people in life," I said. "Some years ago, I have a case when a young couple had no money for deposit. I did a Caesarean section for their Jack Russell and never received a cent from the couple!"
My filling needed two tubes. I had to bite on some paper tissues to confirm the grip. Then I was not supposed to eat or drink for 2 hours. No hot and cold food and drinks for 2 months. Is my tooth dead? Will I need root canal treatment which will be costly if down by the downtown specialist whom she says is good and has excellent bedside manners, from her feedback? Only time will tell.
On Oct 19, after Deepavali, I have a 8.30 am dental scaling appointment with her. She is busy but not overwhelmed nowadays. The two new competitors open till 8.30 pm but she closes in the evening. So, it is her choice for family and to bring up the children well. .
The two children are now undergraduates overseas and they prefer to come home rather than going around Europe during holidays. "They want the family to holiday together," she told me. It is such a joy to to have such filial children, well brought up and able to study to university level.
On Oct 13, 2017, I walked in to my family dentist who said: "Your cavity is large and challenging. I will do my best to plug it. If you feel the pain later, you will need a root canal treatment. I will refer to you a specialist in Takashimaya Shopping Centre as I don't do this treatment."
I sat on the dental chair. The dentist educated me on the anatomy of the tooth by showing me a chart of illustrations. "The pulp is where the nerve is," she said. "If my treatment of plugging up the cavity cause pain later, that means there is pressure on the pulp and you will need a root canal treatment."
"Why don't you extract the molar since the crown is 90% cavity?" I asked.
"It is best to save the tooth," she said. "Hence the root canal treatment. Do not worry."
Some drilling of the tooth. Suction. Rinse my mouth. More drilling. Only a short time of mild pain during drilling, all to my surprise. Is the tooth dead?
"It has been some years since 2009 since I saw you," the dentist checked the records. "If I depend on you for dental services, I will need to close down," she joked. Two new dental clinics have now opened.
"How many dental clinics are there now?" I asked.
"When I started, it was 300," she reminisced. "Now there are over 1,000."
"I ask my children not to go into private medical practices," she said. "The big private medical groups need to make more money every year. It is better to work for institutions."
She advised me not to go to private practices as they need to justify their bottom lines and therefore will recommend unnecessary treatments to generate revenue. Large groups are now formed from mergers and acquisitions of smaller groups and so they must make more money for the shareholders. That means more unnecessary treatments.
"The younger generation is not loyal," my dentist said.
"Most of the young is time-pressed and wants convenience of proximity, immediacy and low price," I said. "So, there is no loyalty.
We spoke on family. Her son is a medical undergraduate overseas. "The senior consultant is good," she said. "He has many important clients. That day, he told the other younger doctor to get out as this doctor came to work without a tie."
She is pro-family as she said that a married couple should have children soon after marriage. "Some wives may want to achieve success in their new careers and motherhood meant being side-tracked," I said.
"The Chinese saying: ''Suffer hardship early (in life), enjoy sweetness later (in life)," she told me that I was westernised in advocating a married woman's right to choice of career over motherhood. If the wife is ambitious in being top in her profession, let her do it. It is not possible to have both although there is "work-life" balance being advocated and there are domestic helpers to look after children. It is her personal choice and the husband has better accept it.
"What would you do if you have a person who says he has no money but insisted vehemently to be treated by you?" she had such a male aggressor. "If he was poor, I can reduce the charges." This person just wanted free services by being aggressive and hope to get away with it.
"There are such people in life," I said. "Some years ago, I have a case when a young couple had no money for deposit. I did a Caesarean section for their Jack Russell and never received a cent from the couple!"
My filling needed two tubes. I had to bite on some paper tissues to confirm the grip. Then I was not supposed to eat or drink for 2 hours. No hot and cold food and drinks for 2 months. Is my tooth dead? Will I need root canal treatment which will be costly if down by the downtown specialist whom she says is good and has excellent bedside manners, from her feedback? Only time will tell.
On Oct 19, after Deepavali, I have a 8.30 am dental scaling appointment with her. She is busy but not overwhelmed nowadays. The two new competitors open till 8.30 pm but she closes in the evening. So, it is her choice for family and to bring up the children well. .
The two children are now undergraduates overseas and they prefer to come home rather than going around Europe during holidays. "They want the family to holiday together," she told me. It is such a joy to to have such filial children, well brought up and able to study to university level.
Friday, October 13, 2017
3152. A 10-year--old cat vomited greenish brown for 1 wk
Ferocious cat had vomiting for one week and is not eating now.
Kidney disease is one possible cause in older cats. But how to collect blood?
Sedation needed. Injection IM via the carrier.
Blood test showed slight elevation of creatinine and urea.
Cat was treated with antibiotics and recovered fully.
"He starts to scratch his scratching post and nudging me," the owner was happy when I phoned up one week later.
Kidney disease is one possible cause in older cats. But how to collect blood?
Sedation needed. Injection IM via the carrier.
Blood test showed slight elevation of creatinine and urea.
Cat was treated with antibiotics and recovered fully.
"He starts to scratch his scratching post and nudging me," the owner was happy when I phoned up one week later.
3155. A Sheltie had ticks and dental scaling
The young Sheltie was referred to me for tick infestations. The owner requested health screening via blood test and dental scaling as the cheek teeth were stained with brown plaques. See picture of plaque.
Tuesday, October 10, 2017
3154. A Chow Chow was lame on Left fore and now lame on Right hind
Oct 9, 2017
X rays done by Vet 1. Dog was lame on left fore 5 days. Now the dog is lame on right hind.
"As in the racehorse, the Chow Chow bears weight on the right hind when the contralateral leg i.e. the left fore is very painful," I said. "So now the right hind is lame."
What is the cause of the left fore lameness?" A large swelling on the wrist area. Vet 1 had X-rayed left fore (above) and prescribed meloxicam and tramdol and probiotic (dog had drunk some detergent).
Dog did not like tramadol and antibiotics.
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More than a year ago, I advised entropion surgery on scarred and closed eyes. Now eyes are open and this is the first time I get to see the outcome. Owner is satisfied with the outcome. The eyes need cleaning.
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