Thur 23 Sep 2021. Went to Paragon for sinopharm vacc today.
The Dark Brand Bush Brown is probably the most common and widespread amongst the Bush Brown species. It can be found in urban parks and gardens and even in pockets of greenery the vicinity of residential estates. The species' caterpillar host plants are grasses - Cow Grass (Axonopus compressus) and Buffalo Grass (Paspalum conjugatum).
The species is a drab greyish-brown upperside and a paler underside that features a white post-discal band across both wings (this band is much wider in the female compared to the male). There are usually two large ocelli on the underside of the forewing with some obscure smaller ocelli which can be variable in different individuals.
upperside of dark brand bush brown butterfly
blurry image 18-55 mm lens 23 Sep 2021
SS dark brand bush brown butterfly - this image is sharper posted to shutterstock
The young Javan myna (Acridotheres javanicus)and Asian Glossy Starlings (Aplonis panayensis) are united as a group to deter predators. Very rare to see both species of starlings in large numbers flocking togetherMoon Cake Festival, 8 AM, Yio Chu Kang Cres, Singapore
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When the young Javan myna (Acridotheres javanicus)and Asian Glossy Starlings (Aplonis panayensis) flock together, they look formidable to predators. Moon Cake Festival, 8 AM, Yio Chu Kang Cres, Singapore
"I work very hard to raise and educate 3 daughters," the 67-year-old optometrist who used to work from 9 am to 9 pm said to me. "Now, two are married and I don't get a cent from them!"
His 3rd daughter who is slim and good-looking, wearing dual-colour short pants laughed. "Do you really expect the younger generation to give parents some money from their earnings every month?"
"I read of many Americans living with their parents nowadays, owing to economic downturn," I commiserated with him. "They have different values as regards filial piety which includes caring for aged parents.
During a tour, the Norweigian tour guide told me that her son left home when he was 18 years old to share a rental apartment with friends. The government would employ him. She lived alone as a widow."
If they don't need your money as adults, you should consider yourself fortunate!"
Nowadays he closes his shop whenever he likes because his rental in downtown Orchard Road is around $4,000 while the other shop rentals in other malls were charging $8,000 - $20,000 rental per month.
"I do not charge clients who are poor," he declared to me. "There was one who asked me if he could pay by installments. His family member has cancer and so I said that he could pay me when he was able to do so."
"Would you be giving free spectacles if your rental was $15,000/month?" I asked.
"Well, the clients who need free spectacles will not step into such posh shops."
His 3rd daughter, in her late 20s had brought in a 13-year-old cat for me to remove an ingrown toe nail. She had phoned me at 10pm yesterday, as the cat's paw was bleeding. I had suggested that she bandaged the foot and bring the cat in today, in order to save on after-hour emergency bills which would come to over $300.
So, here she was, with her father. She would not bear to see her cat's ingrown toe nail being cut off in her presence. So she left the operation room when I did it.
"My cat claws me all the time at home," she warned me. So I expected a ferocious lion all ready to swing her claws at me. But she was as quiet as a church mouse, so there was no need for a sedative. She just lied quietly and patiently on the surgery table. I took the chance to take some images for this story.
"Since you have worked for so many years, you must have lots of clients," I said to the father. "Is your children taking over your business?"
"No, my children are not interested," he had already given up on his 2 older daughters and this younger one was working happily in an events marketing company in publishing.
"I am interested," the 3rd daughter said she had spoken to him and would not mind attending the compulsory optometry course to be accredited. He had not groomed the 3rd daughter.
"Rentals will not stay at $4,000/month forever," he had no confidence in his children to compete and bring his clientele business to a higher level.
"Have you got a website?" I scrutinised his name card as he said my spectacles were out-dated and old fashioned. "My spectacles are branded 'Gap'," I said. "The thick black frames were admittedly, not modern looking.
His 3rd daughter laughed as she knew that her father had no website. She is from this internet generation who appreciates websites and know the leveling power of the social media.
Maybe the father knows that one-man-operator optometrist practice is a dying business but I don't think so. Many such shops hire people who come and go and there is a niche for proprietors who provide personalised service and is available over the years as the family members grow up.
My baby-boomer generation has many who ignore social media for branding and marketing, but not the 3rd daughter who represents the internet savvy millenials and Generation Z.
"Of course, the internet generation may not be loyal clients when they shop for the cheapest product," I said to the father. "Some do go for fanciful renovations and pay high prices. I believe there is a place for a niche optometry personalised service with the same optrometrist servicing them. Nowadays some do value experience over glamourous set ups and this is where your daughter will shine"
The father was unconvinced. It is 2021 now. I don't know whether the 3rd daughter had become an optrometrist now that there are more competitive shops like OWNDAYS Optical Shops from Japan with simple all-in-one prices.
11 Sep 2021: Interesting case. Image 2/3: German Shepherd with swollen hind limbs. Updates will be at: https://2010vets.blogspot.com/2021/09/4019-3-interesting-cases-11-sep-2021.html
Video of presentation at:
11 Sep 2021: Many dwarf hamsters over 1 year of age develop tumours. Early detection and removal will help the hamster live a normal life as the tumour grows and become infected and itchy. Find a vet who does hamster tumour surgery.
11 Sep 2021: Swollen eyes start as closed eyelids. The red-eared slider stops eating when its eyes are swollen and closed. Early vet treatment saves eye sight. Updates will be at:
Date: Thu, 9 Sep 2021, 20:45 Subject: Big lump on hamster To: <judy@toapayohvets.com>
Dear Judy,
There is a huge lump on my hamster. Initially it wasn't obvious. It was only recently when she is not as active where I noticed the lump getting bigger. I tried locating vets near me but all do not treat hamster. Please do see the picture attached. Is this curable? How much are the fees?
10 Sep 2021: A very rare case. Two swollen hind limbs in a 5-year-old German Shepherd dog seen at the Royal Asia Veterinary Surgery, Yangon, Myanmar. I have had seen only one similar case in a German Shepherd in my over 30 years of practice.
The veterinarian will also need to perform some diagnostic tests, such as a chemical analysis, complete blood count, blood urea nitrogen (BUN), urinalysis, packed cell volume (PCV), liver panel, heartworm test, and a biopsy of the fluid from the affected area.
Also, a lymphangiography will be done by injecting dye into the lymph nodes before x-rays are performed. This is one of the most accurate tests in determining the reason for the lymphedema after the normal blood tests fail to find the cause. Additionally, the veterinarian may need to do an ultrasound, CT scans, or MRI for a more detailed view.
Differential diagnosis:
1. Degenerative myelopathy is a nerve disease that starts in a dog’s spinal cord. If your German Shepherd suffers from degenerative myelopathy, you’ll begin to notice them losing motor function in their hind legs. But their hind limbs are not swollen.
2. A heart affected by dilated cardiomyopathy is inefficient at pumping blood, and oxygenated blood is not adequately distributed through the body. The heart becomes enlarged, and its ventricular walls get thinner. In some cases, changes in heart rhythm will also be a result of the thinned chamber walls. Also, dilated cardiomyopathy can cause fluid to build up in the lungs. But their hind limbs are not swollen. If there is swelling, it will be both 4 limbs and body.
3. Lymphedema is a condition described as a collection of lymph fluid in certain tissues in your dog’s body because of obstructions in the lymphatic system (lymph nodes, vessels, and organs).
Most of the time, the cause of your pet’s lymphedema is caused by another illness or injury. For example, swelling of the abdomen or chest may be from cancer or heart disease, while swelling of the face, neck, or tongue could possibly be an allergic reaction.
Types
There are several types of lymphedema. The most common are:
Congenital aplasia – Defective or missing tissue or organ
Hyperplasia - Organ enlargement
Hypoplasia – Abnormally small tissue or organ
Neoplasia - Tumor
Radiation therapy – Cancer treatment
Higher occurrence in:
Certain breeds (Borzoi, Rottweiler, Bulldog, Poodle, German Shepherd, Tervuren, Labrador Retriever, Old English Sheepdog, German Shorthaired Pointer, Great Dane)
Injury or burn
Tumors
Infections
Heart disorders
Compromised liver function
Treatment depends on cause. Obstruction of lymphatic flow in the pelvic area, injury, neoplasia (cancer), chronic illness. There is no cure for lymphedema, but if the underlying cause is found and treated, the condition may simply go away as well.
THE SLIDER ATE 'FAKE' GRASS - RECTAL PROLAPSE IN A FEMALE RED-EARED SLIDER.
Veterinary Stories by Dr Sing Kong Yuen, BVMS (Glasgow).
A big globular body part slipped out from inside the pelvic area to outside the vent of the female red-eared slider (HOOK). The owner WhatsApp Toa Payoh Vets. The slider had vent prolapse - specifically rectal prolapse during defaecation. She WhatsApp me late at night apol0gectically.
The next day, Dr Daniel Sing was consulted. He washed the prolapsed rectum with normal saline and glucose thoroughly and pushed it back inside. In-patient treatment for 2 days at clinic. No rectal prolapse was seen (VIDEO 1 - 29 AUG 2021). The owner took her home.
The owner agreed to share her case study when I WhatsApp on Day 4 after treatment.
1. DAY 4 AFTER TREATMENT: The patient was leading a normal active life ON DAY4 AFTER TREATMENT (1 SEP 2021), as evident in the owner's TWO videos to me (two videos - create a HOOK FROM lst half of VIDEO 2).
2. THE OWNER WANTED THE SLIDER TO HAVE A PRETTIER BASKING PLATFORM BY BUYING FAKE GRASS FROM DAISO TO STICK ON THE SURFACE (Use images going to Daiso transportation)>
But the pet now has no more green platform WITH FAKE GRASS to bask. The platform was disposed of! (USE 2nd half as conclusion VIDEO 3 - 1 SEP 2021).
EARLY emergency veterinary treatment by pushing the slipped rectal tissue back prevented septic infections, gangrene and death of the beloved red-eared slider. Everyone is happy.
(Insert ONE videos. Edit the longer video to use it as a HOOK showing the slider has an excellent appetite when she can poop on Day 4.) Narrate "But on 28 Aug 2021, the owner had WhatsApp Dr David Sing at 9.53 pm.........(see below).
A Confounded emoji indicated a young lady who would have
had done internet research and know what her 7-year-old red-eared slider was suffering from. I advised her to wrap the prolapsed rectum in a wet towel to prevent traumatic injury from the kicking from the back legs
(title of story)
What is rectal prolapse? Define
Flashback to what occurred a few days earlier
Disembarked from subway train at Upper Thomson to go to the Daiso Japan store
which sells thousands of lifestyle items at S$2.00 per item.
Bought this fake grass to decorate the surface of the basking platform
This is the platform.
Her usual diet is pellets and vegetables. She ate the fake grass as she basks on the platform.
She could not poop as the fake grass impact the rectum since it
could not be digested. More pieces cause constipation. She strained
very hard to expel the fake grass lumps. In the process, the rectum slipped
out of the anus. It looked like a red blob of flesh. It is a rectal prolapse.
The owner had researched the internet and WhatsApp
Dr David Sing on 28 Aug 2021. She brought her slider
to Toa Payoh Vets on 29 Aug 2021 urgently.
Two options depending on the severity of the rectal prolapse.
Dr Daniel Sing used the conservative method - non-surgical
From case files, Dr David Sing showed his 2013 case
of rectal prolapse in another slider and his purse-string suture treatment
The stitches were removed on Day 7. No prolapse. The slider
was back to normal activity and appetite was good.
In 2021, Dr Daniel Sing treated non-surgically as the rectal prolapse was recent, within 24 hours.
Fully recovered with no rectal prolapse when checked on Day 4. Also excellent appetite. Show two videos on Day 4. Edit the longer video to 30 seconds to show eating.
*****(Insert two videos. The shorter video shows no rectal prolapse on Day 4. Edit the longer video to use it as a HOOK showing the slider has an excellent appetite when she can poop on Day 4 and also as part of this example of Day 4 fully recovered with good appetite.)
Insert credits
TIPS AND ADVICES TO CONCLUDE
-----------------------
VIDEO 1. IN-PATIENT 2 DAYS. No rectal prolapse. Show video 1 as you narrate. Went home on Day 3 on 31 Aug 2021.
VIDEO 2. 1 SEP 2021: Day 4 after non-surgical treatment. No rectal prolapse.
1. Use first half for HOOK
2. Use 2nd half for CONCLUSION
VIDEO 3. DAY 4 AFTER TREATMENT. NO RECTAL PROLAPSE SEEN. Owner had
difficulty turning slider upside down to show vent for more than a few seconds as the
slider was moving her hind legs clawing her hand. But you can see there is no red blob of
