Friday, January 31, 2020

4068. A good dental care enables the dog to live a healthy life.



"Remember, You neutered my dog when he was very young," the man with his head shaved bad said. "Now, I have come for his annual vaccination".

"Has your dog any dental scaling?" I asked.
"No", the clean-shaven happy bald gentleman said.
My assistant tried to open the mouth for me to examine. The dog shook his head and clamp his jaws. "Your dog does not want his mouth opened," I tried to open his mouth, but without success. "There are hard brown tartar on the back teeth. He has some oral pain due to decaying teeth.

"We will do a blood test first," I told the owner who agreed to dental work.


The dog's front teeth looked much cleaner. Most likely, the groomer had provided dental scaling.




"Normally, old dogs can take isoflurane gas anaesthesia safely," I had done many cases. "Provided the heart, liver and lungs are normal."


-----------------
VIDEO




Old dog with premolar 4 tartars (show some images of cases)
and carnassial tooth abscesses

blood test showed bacterial infections

gum tumours


4067. Reyna: A rabbit grinds her teeth and has body odour. - likely pyometra. Pt 1/2. .

Jan 30, 2020

The 82-year-old grandpa brought this rabbit for consultation. "The rabbit has lost appetite and grinds her teeth," the teenaged grand-daughter said. "She has a strong body odour."

"I hope the fees will not be a few hundreds," the grandpa told me. His generation has lived through the horrors and deprivations of World War 2 and he wanted the least cost to get his rabbit diagnosed and treated. I noted sticky yellow-white pus on the inflamed private parts. "The rabbit could be suffering from a urinary tract infection or pyometra which is an infection of the womb,"

DIFFERENTIAL DIAGNOSIS:
1. Dental malocclusion. Molar spurs. X-rays of molars.  Drooling - body odour. salvia stains.  No X-ray consent given.
2. Female - pyometra - yellowish-white vaginal discharge seen
3. Female - uterine tumours.
4. Urinary tract infection or urolithiasis. No x-ray consent given. Uine test.
5. Gastrointestinal stasis (Ileus). Rabbit is eating. No X-ray consent given









A urine test was need. 




Older rabbits do develop uterine tumours. This could result in pus leaking out from the uterus to the outside. The rabbit groomed herself and the smell of pus and blood soiled her coat. Hence, the bad body odour.

As the owner wanted the least cost treatment, no ultrasound or X-ray was done to confirm the uterine tumour or bladder and kidney stones.


UPDATE:






Kay Dudman
Kay Dudman, Caring for guinea pigs for over twenty years




4066. Reyna. A Silkie Terrier has a hard firm backside lump - left anal sac abscess. Pt 1/2














Abscess "ripened" after prednisolone injection. Ruptured overnight inside kennel.

Thursday, January 30, 2020

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.



Wednesday, January 29, 2020

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






Sunday, January 26, 2020

4062. Reyna: A dwarf hamster tries to pull off its everted cheek pouch. Pt 1/2

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.


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



UPDATE AT:










------------------------
OTHER CASES




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.




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4060. REYAN. 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.









Wednesday, January 22, 2020

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 












Monday, January 20, 2020

4062. REYNA. To edit this video footage. Not much wildlife in 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 seen
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






Sunday, January 19, 2020

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
Jan 20, 2020



Red-eared slider 1
Video shows the consultation only.
This slider has an extremely large ear abscess:

https://www.youtube.com/watch?v=DZjILVkxE8E
Treatment is the same as for red-eared slider 1.



Red-eared slider 2


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








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

3. Red-eared slider 3.

Final video of surgical treatment of ear abscess at:

https://youtu.be/PPAym2vpA18


4. Ear abscess in several red-eared slider videos





4060. REYNA. Ear abscess, Male terrapin. Complete the video by showing the surgery.



Reyna
You need to search the Pt 1, 3 etc of the videos in Youtube to find the surgery and combine with this video. Complaint of viewers is that they don't see the treatment and are fed up..



If not possible, add this link in to show how ear abscess is treated.




Saturday, January 18, 2020

4059. REYNA. Video creation. Do dogs suffer from toothaches?. Carnassial tooth abscess


BE KIND TO PETS VETERINARY STORIES

DO DOGS SUFFER FROM TOOTHACHES?
The Carnassial Tooth Abscess
Dr Sing Kong Yuen, BVMS (Glasgow)




Dogs do suffer from toothaches. I will say that the most painful one must be the carnassial tooth
abscess. The canine carnassial tooth is the upper 4th premolar tooth. When there is chronic gingivitis or tooth fracture, bacteria infects and destroys the tooth. They create a carnassial tooth abscess. An abscess is a collection of pus.

Carnassial tooth abscess is a common disease in the older dog that has poor dental care. It is very painful. The presenting sign is a festering facial wound below the eye. Pus and blood seep out daily like an active volcano spewing hot lava and ash daily.

Most owners think this is just a traumatic wound. 
Home remedies like antibiotic powder and silver spray or antibiotics are ineffective. A case of the 4-year-old Pomeranian seen at Toa Payoh Vets in 2007 is presented in this video. 






“I am sick and tired of cleaning this wound for the past many weeks,” Mrs Jaswant Singh pointed to the wound below the Pomeranian’s left eye. “I pour antibiotic powder and also gave antibiotics, but the wound keeps discharging dirty blood daily! My cat could have scratched my naughty baby causing this wound or something sharp had poked into his face!”







“This wound is a result of a tooth root infection,” I took out the Hills’ illustrated drawings of this common dental disease in dogs in Western countries. It is easier to show than to tell. 


(Reyna - Take photos of Hills' Vet book showing carnassial tooth abscess. Better if you can video this page and elaborate using pointers)


I lifted the dog’s left upper cheek, but the carnassial tooth showed thick tartar and an inflamed gum. No pus and blood leaking out from the gums. “The permanent cure is to extract the rotten carnassial tooth. Antibiotics will not resolve the problem.”

“Just get on with the tooth extraction,” Mrs Singh showed me her dog’s discharge stain in her silk black sari with big red flowers. “My saris are very expensive as I buy them from New Delhi in India, not from the shops in Little India here! My baby keeps soiling them. I have to clean the soiled bed, sofas and mop the floor to remove her discharges for the past weeks! I have no maid to help me.”

“Hey, wait, wait, wait,” Mr Singh interjected. “Are you sure our dog suffers from carnal, cunning or whatever?”  As this was their first visit to Toa Payoh Vets, the husband eyed my diagnosis as money-making.

This doctor is talking nonsense,” Mr Singh whispered, not too softly in his wife’s ear. “The tooth and the wound are so far apart and separated by the sinus bones. How can infection travel so far? He must be nuts and out to make money from us!”

“I can take an X-ray to show you that the root or roots of the carnassial tooth is infected,” I said when Mr Singh turned towards me. “No need to do it,” the husband put up his hand. “Thank you very much. We will let you know if we want you to pull out the tooth.”






Around 2 months later, Mrs Singh consented to the dental extraction. There is the root canal and associated treatment, but it will be expensive. I extracted the loose left carnassial tooth and the first molar. 








ADVICES TO DOG OWNERS:  
In the blink of an eye, 6 years passed by when Mrs Singh had her Pomeranian treated for bad teeth. “My dog’s facial sore healed within 10 days,” Mrs Singh reminisced. “Hence, I do not see you.”



She did not get her dog’s teeth checked yearly as advised by me. Her dog had not suffered another carnassial tooth abscess in the right side but now had several loose and decayed teeth extracted.

Carnassial tooth abscess is also known as malar abscess or oro-nasal fistula. Some vets do mis-diagnose this disease as allergies or infected traumatic wounds. A spot-on usually accurate diagnosis is made if there is a festering non-healing facial wound below your dog’s eye. Dental extraction is the least expensive effective treatment. Yearly dental check ups will prevent most of your dog’s teeth from decaying so that your dog has teeth up to old age.











FOR MORE INFORMATION: Phone 6254-3326, 9668-6468, 
judy@toapayohvets.com, www.toapayohvets.com


Reyna -
Try to make an entertaining fun educational video for pet owners and vet students.
you need to narrate the text in the images eg. X ray, in not a monotonous tone



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

Reyna to note:

STORY TELLING USING THE 3D's
Details

Dialogue
Discovery
All wrapped up in Drama

Selling a product or service
















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

TEXT

BE KIND TO PETS VETERINARY STORIES

DO DOGS SUFFER FROM TOOTHACHES?
The Carnassial Tooth Abscess
Dr Sing Kong Yuen, BVMS (Glasgow)




Dogs do suffer from toothaches. I will say that the most painful one must be the carnassial tooth
abscess. The canine carnassial tooth is the 4th premolar tooth. When there is chronic gingivitis or tooth fractures, the bacteria destroys the periodontal ligaments attaching the tooth to the gums. Bacteria destroys the tooth and forms a carnassial tooth abscess. An abscess is a collection of pus.

Carnassial tooth abscess is a common disease in the older dog that has poor dental care. It is very painful. The presenting sign is a festering facial wound below the eye. Pus and blood seep out daily like an active volcano spewing hot lava and ash daily. Home remedies like antibiotic powder and silver cream or antibiotics are ineffective. Most owners think this is just a traumatic wound. But this open facial wound never heals, despite medication and cleansing as shown in this case of a 4-year-old Pomeranian seen at Toa Payoh Vets in 2007. 




“I am sick and tired of cleaning this wound for the past many weeks,” Mrs Jaswant Singh pointed to the wound below the Pomeranian’s left eye. “I pour antibiotic powder and also gave antibiotics, but the wound keeps discharging dirty blood daily! My cat could have scratched my naughty baby causing this wound or something sharp had poked into his face!”

“This wound is a result of a tooth root infection,” I took out the Hills’ illustrated drawings of this common dental disease in dogs in Western countries. It is easier to show than to tell. I lifted the dog’s left upper cheek, but the carnassial tooth showed thick tartar and an inflamed gum. No pus and blood leaking out from the gums. “The permanent cure is to extract the rotten carnassial tooth. Antibiotics will not resolve the problem.”

“Just get on with the tooth extraction,” Mrs Singh showed me her dog’s discharge stain in her silk black sari with big red flowers. “My saris are very expensive as I buy them from New Delhi in India, not from the shops in Little India here! My baby keeps soiling them. I have to clean the soiled bed, sofas and mop the floor to remove her discharges for the past weeks! I have no maid to help me.”

“Hey, wait, wait, wait,” Mr Singh interjected. “Are you sure our dog suffers from carnal, cunning or whatever?”  As this was their first visit to Toa Payoh Vets, the husband eyed my diagnosis as money-making.

This doctor is talking nonsense,” Mr Singh whispered, not too softly in his wife’s ear. “The tooth and the wound are so far apart and separated by the sinus bones. How can infection travel so far? He must be nuts and out to make money from us!”

“I can take an X-ray to show you that the root or roots of the carnassial tooth is infected,” I said when Mr Singh turned towards me. “No need to do it,” the husband put up his hand. “Thank you very much. We will let you know if we want you to pull out the tooth.”

Around 2 months later, Mrs Singh consented to the dental extraction. There is the root canal and associated treatment, but it will be expensive. I extracted the loose left carnassial tooth and the first molar.

ADVICES TO DOG OWNERS:  
In the blink of an eye, 6 years passed by when Mrs Singh had her Pomeranian treated for bad teeth. “My dog’s facial sore healed within 10 days,” Mrs Singh reminisced. “Hence, I do not see you.” 
She did not get her dog’s teeth checked yearly as advised by me. Her dog had not suffered another carnassial tooth abscess in the right side but now had several loose and decayed teeth extracted.

Carnassial tooth abscess is also known as malar abscess or oro-nasal fistula. Some vets do mis-diagnose this disease as allergies or infected traumatic wounds. A spot-on usually accurate diagnosis is made if there is a festering non-healing facial wound below your dog’s eye. Dental extraction is the least expensive effective treatment. Yearly dental check ups will prevent most of your dog’s teeth from decaying so that your dog has teeth up to old age.

FOR MORE INFORMATION: Phone 6254-3326, 9668-6468, 
judy@toapayohvets.com, www.toapayohvets.com

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