4065. Reyna. A vomiting Cairnhill Terrier has a swollen abdomen. Why?

"Vomited yesterday!" the guy said. "His stomach is bloated. What is the problem"
"How many times did he vomit?" I asked.
The guy phoned his domestic helper.
"3 times."
"What did he vomit out?" I asked.
"Food".
"Any other vomitus like gastric acid?"
"No, that's all."

I did an abdominal palpation. A firm large orange-sized swelling in the anterior part of the abdomen. Slight discomfort but no pain. Some gas, not so smelly, shot out from his rectum.

"Best to have an X-ray to check for gastric distension," I advised. "The diagnosis is likely to be gastric distension". X-rays were approved by the owner. The X-rays showed a stomach much distended 10 times with food.

4064. REYNA. Dog allergy tests - make a video on the blood test and show case studies

The scratching of various body parts as shown in the images above indicated a systemic allergy.
I advised a blood test for allergens (Reyna to discuss this test).

Reyna: Define anaphylaxis
allergy

4063. PHOTOS FOR SALE. LIZARDS IN SINGAPORE

PHOTOS FOR SALE

Oriental Garden Lizard survives in urbanised Singapore

                 Oriental Garden Lizard hiding in a tree 

 

Contact:  Dr David Sing 
+65 9668-6468
judy@toapayohvets.com
99pups@gmail.com
www.toapayohvets.com

 

Home

https://2010vets.blogspot.com/2020/08/3409-singapore-wildlife-seen-on-30-aug.html

4062. JAN 2020 CASE STUDY - A dwarf hamster is stressed out by two everted cheek pouches.

27 Jan 2020  3rd day of Chinese New Year

A young couple saw the everted cheek pouch yesterday afternoon. I asked "Did you feed the larger sized sunflower seeds?"

The wife purchased such seeds few days ago as to give the hamsters a good treat.
Had 2 other dwarf hamsters fed on same larger-sized sunflower seeds (1.5 cm long) but had no problems.

JAN 2020 CASE STUDY. VIDEO CONSULTATION

https://www.youtube.com/watch?v=Abp4Dd5ZLyQ

 

 

 

Above stressed hamster has the cheek pouches excised after a few days and had fully recovered.

UPDATE AT:
https://2010vets.blogspot.com/2020/01/4062-everted-cheek-pouch.html (THIS BLOG).

------------------------------------------

 

HOW IS THE EVERTED CHEEK POUCH AMPUTATED?

The video in the link below is meant for vets who have not operated on amputation of the everted cheek pouch. It shows surgical procedures. Viewer discretion is advised.

JULY 2015 CASE STUDY

Sticky food or large sharp seeds irritate the hamster who then pulls out the pouch. This surgical condition is known as everted cheek pouch.

This video shows how the hamster's everted cheek pouch is amputated under general anaesthesia at Toa Payoh Vets in July 2015.
https://www.youtube.com/watch?v=Hn97zvcI7E8


THIS VIDEO SHOWS SURGICAL PROCEDURES
VIEWER DISCRETION IS ADVISED.

TREATMENT: 

1. Reduction. Push the cheek pouch back inside the cheek and hope it will not come out again.
 

2. Amputation of the big everted cheek pouch. Amputation or surgical excision of the everted cheek pouch is the better option as compared to pushing back the pouch.

UPDATE AT BLOG:
https://2010vets.blogspot.com/2022/10/4150-2015-hamster-surgery-how-is.html

FOR MORE INFORMATION:
+65 254-3326, 9668-6468, 9664-0404
judy@toapayohvets.com

99pups@toapayohvets.com
www.toapayohvets.com

4061. REYNA. Anaesthetic worries of the owner of the old Miniature Schnauzer

VETERINARY STORIES

Oct 21, 2017

USE THIS FORMAT AND WRITE A SCRIPT

STORY TELLING USING THE 3D's
Details
Dialogue
Discovery
All wrapped up in Drama

Selling a product or service

--------------------------



The dog came in for his annual vaccination. Physical examination showed a large gum tumour or a carnassial tooth abscess of the right upper 4th premolar tooth.

"I got a vet to do dental work for my dog 2 months ago," the owner told me. "My friend scolded me for permitting such an old dog to undergo anaesthesia,

He looked drunk as he could not walk normally, " she said "He needed a week to recover from anaesthesia."

So she did not want any more anaesthesia to do dental scaling. "The dog is eating well and looks good. I wish to try antibiotics first," she requested."I will come 2 months later if the gum swelling is still there."

Antibiotics were given. The owner did not return for dental work.

----------------------------------------------------------------------------------------

https://2010vets.blogspot.com/2017/10/3154-12-year-old-miniature-schnauzer.html

4060. VET CASE. Story telling using the 3D's. The Jack Russell has two carnassial tooth abscesses

STORY TELLING USING THE 3D's
Details
Dialogue
Discovery
All wrapped up in Drama

Selling a product or service



VETERINARY STORIES by Dr Sing Kong Yuen Two Carnassial Tooth Abscess 27 Jan 2020 CASE 1
This 13-year-old dog suffers from a bleeding facial wound below the right eye. This wound does not heal despite cleaning and repeated antibiotics. Why? This is not the usual traumatic wound on the face. When you lift his right upper lip, you will see he also suffers from Periodontal Disease Stage 4. Stage 4 occurs when more than 50% of periodontal ligament connecting the tooth to the gum is lost to bacterial infections. Pus is formed around the 3 destroyed roots of the carnassial tooth. This is the big cheek tooth called the upper 4th premolar tooth. The pus collects around the roots to form the Carnassial Tooth Abscess. BLOOD WORK. The total white cell count shows an abnormally high number of total white cell count and the number of neutrophils. This blood test show that the dog has a blood-borne bacterial infection. ORAL X-RAYS. DONE. LOOK FOR THEM. GENERAL ANAESTHESIA. Many owners are worried about their old dogs dying during anaesthesia when the dog has dental work. In Toa Payoh Vets, we use only gas anaesthesia and no injectable sedative for old dogs. This is the safest method and least risky for old dogs. My observation during the past 30 years show that old dogs do not die from gas anaesthesia during dental work. UPDATE ON 27 JAN 2020. The tooth was extracted and the dog has recovered fully. In this case, the Jack Russell suffered from the left Carnassial tooth abscess and was successfully operated and has recovered fully.



TIPS AND ADVICES Tooth extraction is the most effective and least expensive treatment as compared to root canal treatment in the dog.
yearly dental check up for your dog is the best way to ensure that he does not suffer from carnassial tooth abscess or tumour as in another case. See video and images. FOR MORE INFORMATION (Image): TOA PAYOH VETS PTE LTD Block 1002, Toa Payoh Lor 8, 01-1477, Singapore 319074 +65 6254-3326, 9668-6468, 9664-0404 judy@toapayohvets.com 99pups@gmail.com www.toapayohvets.com

CREDITS ETC.

REYNA. Is the 14-year-old dog suffering from pyometra or not?

STORY TELLING USING THE 3D's
Details
Dialogue
Discovery
All wrapped up in Drama

Selling a product or service

--------------------------

DRAFT FOR REYNA

Pyometra in a 14-year-old Jack Russell

https://youtu.be/XREF37vbycg



What causes mammary tumors in dogs?
Mammary tumors develop because of spikes in female hormone (estrogens) that take place during a dog’s heat cycle. By spaying a dog at 6 months of age or before the first heat cycle, it virtually eliminates the risk of getting mammary tumors, which starts at only about 0.5%. Once a dog goes through one single heat cycle, the risk increases to 8%. After a second heat cycle, the risk shoots up to 26% (says the American College of Veterinary Surgeons).

If a dog is spayed after 2 years of age, then there is no more protection. Over 25% of non-spayed female dogs will develop mammary tumors. This is a huge percentage! Being obese or receiving hormones (estrogens, progesterone) can further increase that risk.

https://youtu.be/XREF37vbycg

4064. REYNA. Hamster with an inflamed right eye 3rd eyelid

STORY TELLING USING THE 3D's
Details
Dialogue
Discovery
All wrapped up in Drama

Selling a product or service



Thur Jan 23, 2020


Young lady came in to get her hamster's nails cut. She wanted to watch nail cutting.
"The best procedure is to put the hamster flat on the table, with the assistant clipping the nails while sitting on a chair!" I advised. Use a glove hand to prevent bitting.


A rare occurrence.  Lady owner said "no problem" or inconvenience of eyeball rubbing.
3rd eyelid swollen. Redness and inflamed.
Treatment: anti-inflammatory eyedrops for 10 days.

4063. REYNA. Veterinary Stories by Dr Sing Kong Yuen - Expatriates do have a sense of humour

(INTRODUCTION)

NARRATE: Singapore is a busy city-state where many multi-national companies set up
headquarters and employ expatriates to manage them. The Caucasian expatriates are
the niche market for Kenny, the pet taxi transport man. He knows how to interact with the newcomers by cracking
jokes. He tells me his secret in "Expats Do Have a Sense of Humour".

Kenny drives a big van (right) to Toa Payoh Vets for the health
check up of his client's dog

(PART 1). Narrate the text but do NOT insert these two Text Images. Insert at the "Conclusion". Use the existing video footage 99%. Great narration.

(PART 2)

(PART 3. CONCLUSION):  A great sense of humour is very important in servicing the Caucasian expatriates. Kenny makes them laugh and at ease. Hence he gets repeat and referral business in his niche market and is still in business when many Singapore pet taxi drivers have had given up.

INFORMATION ABOUT THE SCRIPT

CREDITS - Narration

This true story was written by Dr Sing Kong Yuen

--------------------------------------

NOTE:
Pronounce "grin" in British English. See google.

-------------------------------------------------------
Overall, the video is great and full of life. It is brilliant idea to use the video footage of the travellers and their Caucasian driver!












IMAGES TO BE USED IF APPLICABLE

Singapore expatriate families in Holland Village in Singapore

--------------------------------------





--------------------------------

USE THESE IMAGES IF APPLICABLE IN CONCLUSION OR ELSEWHERE 

4062. Butterflies and lizards at the Esplanade - Gardens on the Bay

WILDLIFE IN SINGAPORE
Butterflies and the Oriental Garden Lizards at The Esplanade - Theatres on the Bay
Dr Sing Kong Yuen, BVMS (Glasgow)
Jan 17, 2020

Forecourt Garden - abundance of flowers (see other video footages and clip some).

 During any morning visit, you will rarely see more than a couple of butterflies.

Oriental Garden Lizards - One or two on the tree or on the grounds dashing away from you.
Bees - a day or two.

Timing and luck. Not the main reason. Why? How?  Urban gardens.
Fogging - so no mosquitoes, dengue fever.


IMAGES OF ORIENTAL GARDEN LIZARDS SEEN EARLIER


Jan 17, 2020 video is too long.

Edit footage and use the following:
1:09 - 1:38   1:53 - 3:10    Tree 1. lizard seen. Compare to previous ones -- research earlier blogs

3:23 - 4:27                         Tree 2. No lizard today.

5:16 - 5:52                          Tree 3. No lizard today.

6:20 - 7:05   Gardeners upset the balance of environment
                     Fogging, pruning, hosing, trampling around the environment
                     Chemical pesticides affect the eggs laid in the soil or foliage, so very rarely do you see butterflies and bees although there are an abundance of flowers


Butterflies

https://2010vets.blogspot.com/2020/01/4054-butterflies-in-esplanade.html

4061. How an ear abscessed red-eared slider is treated.

BE KIND TO PETS VETERINARY STORIES
Dr Sing Kong Yuen, BVMS (Glasgow)
Ear Abscesses in red-eared sliders in Singapore
Jul 25, 2020



A WhatsApp Query to +65 9668 6468 on 23 Mar 2022:

Hi, My turtle has a abscess problem. Does your clinic treat this? Image as follows:

---------------------------------------------

TREATMENT OF EAR ABSCESSES IN RED-EARED SLIDERS at Toa Payoh Vets.

Most videos show the consultation video footages. It is not possible to provide videos of surgical treatments of every case seen at Toa Payoh Vets as it takes a lot of time to edit the videos. 

Basically, the surgical treatment is performed under isoflurane gas anaesthesia by mask. The abscess is lanced, curetted and drained. The pus is thick like cheese and will not flow out freely.
 
Hence 3 days of in-patient treatment to clear any residual pus with the cotton bud, application of antibiotics and anti-inflammatory. I find that the above-mentioned post-op procedure of 3 days ensure that the owner does not come back with the recurring ear abscess within a month. A happy owner is the best client.

THE FOLLOWING VIDEO SHOWS THE SURGICAL TREATMENT OF CASES SEEN AT TOA PAYOH VETS. 

Case 1.

Final video shows the treatment of ear abscess in the red-eared slider.

https://www.youtube.com/watch?v=JUNXSRwJTOQ

The blog is at:

https://2010vets.blogspot.com/2019/02/3424-how-to-treat-ear-abscess-in-red.html



Case 2. 12 Sep 2019.  Another video on surgical treatment of ear abscess.
Final video of surgical treatment of ear abscess at:
https://youtu.be/PPAym2vpA18

The following are the ear abscess cases seen over the years. 


Case 3. 23 Dec 2015.

Video shows the consultation only.
This slider has an extremely large ear abscess:

https://www.youtube.com/watch?v=DZjILVkxE8E

 
Case 4. 26 Feb 2017.  Ear abscess in several red-eared sliders
https://youtu.be/45t5ytGkI_0

Case 5 is a rare case as ear abscesses in the sliders had never ruptured when brought to Toa Payoh Vets in the past years.

23 July 2020 case - Ruptured ear abscess
This is a rare case of an ear abscess that is ruptured. A clod of pus of around 3mm x 3mm hung loose from the left ear.

The owner phoned Dr Sing Kong Yuen, being undecided as to whether to get it treated by a vet. "Is treatment needed?" she asked as her 6-year-old daughter could not bear to part with the slider.

"Yes, there are more thick pus inside the ear. The pus needs to be curetted out. I ward such cases for 3 days to continue expressing the pus and give medication."  She did not indicate whether she would come and came later in the afternoon.

VIDEO. DAY 1.