Tuesday, July 27, 2021

3615. Guan Yin Dan 28 Jul 2021. Young monitor lizard and red dragonfly

28 Jul 2021.


Today is the enlightenment day of Guan Yin, known as Guan Yin Dan. I had a wish to take a photo of a red dragonfly at Yio Chu Kang Crescent secondary forest. For the past few months, it had been trimmed and cut much more by contractors and ferns had taken a great portion of the edge like invaders. So there are few wild flowers which means no food for butterflies and dragonflies. There are 3 or 4 dragonflies and butterflies today instead of over 20 at one time.

So, I was surprised to see a red dragonfly that posed patiently for me to take photos. Another red one could not stay still and flew off.  Also today is the first time sighting of a young monitor lizard grabbing a tree trunk. First time I saw it. Today is an auspicious day.













DIFFERENCES BETWEEN Rhodothemis rufa (Common Redbolt, Spine-legged Redbolt, Ruby Darter, Basespot small skimmer, Rufous marsh glider) and Crocothemis servilia. 

Male Crocothemis servilia is red from eyes, head, thorax and abdomen. Female and immature male is brown. Abdomen has a black dorsal line in both gender.  

The male Common Redbolt is often confused with Crocothemis servilia. The Common Redbolt does not have a black dorsal line along the abdomen and does not have red legs as it has black legs.  Female Common Redbolt is also red.  



VIDEO OF YOUNG MONITOR LIZARD



Thursday, July 15, 2021

3614. Cap for sale to National Geographic photographers

 




Fiddler cap in cotton dry fit fabric
Lightweight, washable 
Drip dry, you're good to go



18 Jul 2021. FASHION - FIDDLER CAP FOR SALE.  S$29.90
Suits men/ladies who want a LIGHTWEIGHT, not sweaty cap when going 
out under the hot and humid weather. Easy to wash. Drip dry. To cover the top of the head to 
look smart and younger. To be able to keep the cap 
inside the trouser pocket or handbag. 


TO BUY:
Contact Dr David Sing
+65 9668-6468  99pups@gmail.com   @davidsing1

Friday, July 9, 2021

3613. A 15-year-old cat cannot pee

Thur 8 Jul 2021.

A recumbent thin cat. Female spayed 15 years old.
Vomiting past 4 days after being hand fed canned food.
Fell from the bed. 


Painful twitch when moderately full bladder 3" x 3" or 2 golf-ball size is palpated.
 



Ng
SPAYED FEMALE Feline
19 Jun 2021 23 Jun 2021
Laboratory ID:
Age:
Breed: Received on:
E12326
15 yr
Domestic Short Hair 19 Jun 2021
LABORATORY REPORT - CYTOLOGY
Specimen received: EDTA blood
9BS00000SG Blood smear interpretation by pathologist Specimen
Total three slides received. Unstained blood smears x3 -> (s0-2) (labelled Bld Smr 19/6).

Clinical History
Chronic neutropenic and anaemia. Additional History on file.


Microscopic Examination
The erythrocyte density of the specimen appears moderately to markedly decreased. Polychromatophils are not observed. Erythrocyte morphology is otherwise unremarkable.
The leukocyte density of the specimen appears markedly decreased. Mature, segmented neutrophils are rare and are found mainly at the feathered edge of the smear. Mononcytes and small lymphocytes are similarly rare. Leukocyte morphology is unremarkable.
Platelet numbers appear markedly decreased. Platelets morphology is unremarkable.

Diagnosis
Peripheral blood, pancytopenia

Comments
Bone marrow evaluation, including core biopsy, is recommended if clinically warranted, as extramedullary causes of pancytopenia are few and uncommon. Bacterial sepsis, feline infectious peritonitis, and infection with Cytauxzoon felis may also be considered if consistent with this cats clinical presentation.

(FIV positive on test).


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

ULTRASOUND REPORT








Wednesday, June 30, 2021

3612. 1 Jul 2021. Briefing on video production

 1. Hook

2. Angle - Point of View. A short video 2-5 min cannot cover the whole topic of diagnosis and treatment.

3. Title - e.g. The Case of the hamster that cannot stop scratching - allergies?

4. In this video 1/2, we will discuss about the food allergy trial and fungal culture.


No fungus - no change of colour ....explain. Show a slide with red colour indicating fungus.

*5. Bacterial infection - had been on antibiotics. Unlikely but possible. (Bacterial culture is costly).


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


Video 2/2

In-patient treatment


Food allergy trial
Medication?

Ear drops - ear scratching by hamster
Anti-Mite drop


VIDEOS DAY 1,  DAY 7,  DAY 14  

Not fully recovered. Owner to continue feeding restricted types of seeds. Show photo. Review in 2 weeks. Active, very much less scratching but not fully recovered.. 

.
 


Friday, June 25, 2021

3611. You Tube Events APAC

 

YouTube Events APAC

Thu, Jun 24, 3:49 PM (2 days ago)
to me
Hello Dr Sing Kong Yuen

Thank you for verifying.
I'm afraid we cannot remove the questions from the registration form, 
so please proceed to submit your channel details as below when you register:

■ Channel name: Kong Yuen Sing
■ Channel ID: UCBEFtVObfcLkaM-HX5VGVfw
■ Subscriber number: 65800 
■ What type of content do you create on your channel? : Lifestyle

Please contact us again if you have any questions.
Hope to see you at the event!

Wednesday, June 23, 2021

3610. PHOTO STORIES. Cuba's 'John Wayne' street photographer. Photography tips. Amateur photographer

 Amateur Photographer  27 Mar 2021

Julio Munoz, Cuban documentary photographer

www.trinidadphoto.com 


He uses Canon EOS 750D, 28mm f/2.8 lens.  Very dependable, quick to use, light but robust.

In documentary photography, your subject s are humans. You are studying how they live, what they do, their hardships and triumphs. It gives the photographer the opportunity to better understand humanity, respect others and become a better person.

Monday, June 21, 2021

3609. Shutterstock. Changi Airport waterfall. 21 Jun 2021

 22 Jun 2021.

Changi Airport Jewel re-opens to the public, but T1, 2 and 3 are closed to the public. 

Took 3 videos of waterfall. Two are in Shutterstock. 

See https://www.shutterstock.com/g/toapayohvets 

      goto videos

 

 

Saturday, June 19, 2021

3608. A factory dog has yellow gums and eye whites. Jaundice.

 An emaciated factory dog stopped eating - yellow gums and eye whites.


This emaciated 6-year-old female factory dog stopped eating for the past few days. I checked her gums and eye white. They were yellowish, indicating jaundice. Blood test confirmed jaundice. Liver enzymes were elevated. ALT = 323 U/L - normal should be less than 59 normal. AST = 81 U/L normal should be less than 81. Although the total white cell count was normal, the neutrophils were 93.3%, absolute 9.89 x 10^9/L. Normal should be around 80%. The lymphocytes went down to 6%, absolute 0.65 x 10^9/L. Normal should be around 20%. There is a possibility of bacterial infections although the dog had no fever. X-rays showed hard lumps of stools which were palpable. The factory owner did not want further treatment other than Zentonil tablets for the liver and antibiotics. The dog was given IV drip with antibioitc. She ate during the one-day in-patient treatment and went home. UPDATES AT: https://2010vets.blogspot.com/2021/06/3608-factory-dog-has-yellow-gums-and.html


Friday, June 18, 2021

3607. THE CASE OF THE HAMSTER THAT CANNOT STOP SCRATCHING --- ALLERGIES? PART 1/2.

26 JUN 2021. BE KIND TO PETS VETERINARY STORIES. 

THE CASE OF THE HAMSTER THAT CANNOT STOP SCRATCHING --- ALLERGIES? PART 1/2.  Images          

Dr Sing Kong Yuen, BVMS (Glasgow) 


A 15-month-old female dwarf hamster keeps scratching her body and ears frequently for more than 8 weeks. She does it in my presence at Toa Payoh Vets too. What is the cure? Long-standing or chronic skin itchiness are likely caused by allergies. But it is not easy to detect the allergens as the hamster is too small to draw sufficient blood for allergen testing. The first step is stop the obsessive itch with a prednisolone injection. The second step is to treat the hamster as an in-patient for 1-2 weeks to facilitate monitoring and treatment. Many owners object to in-patient treatment and many vets do not provide such services. 


In this case, the owner consented to my advice. 7 days after in-patient treatment, the hamster's lower body skin was 90% less inflamed and red. The much swollen red right elbow has returned to normal size and is now wrinkled. However, she still scratches her body and ears once in a while and is on a food allergy trial. 


Video 1/2 video educates owners on the importance of in-patient treatment and shows vets who believe that injections will not kill the hamster if administered subcutaneously and in correct dosage, as evident in this case. UPDATES AT BLOG:https://2010vets.blogspot.com/2021/06/3607-how-did-toa-payoh-treat-very-itchy.htmlFINAL VIDEO:  toapayohvets.com/videos.htm  INSTAGRAM  @toapayohvets 











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

2.  FOR GINNY TO CREATE VIDEO

A 15-month-old female dwarf hamster keeps scratching her body and ears frequently and daily for more than 8 weeks. She does it in my presence at Toa Payoh Vets too. What is the cure?  
 
 

 

 

HOW DID TOA PAYOH VETS TREAT A VERY ITCHY HAMSTER? Video 1/2 

 ---THE CASE OF THE HAMSTER THAT CANNOT STOP SCRATCHING --- ALLERGIES? 
 

 

 

"I consulted Toa Payoh Vets two weeks ago," Ms Chan showed me the image of her hamster clipped almost bald. She continued: "Ham Ham was shaved and I gave her the medications for the next 10 days. Yet, she still cannot stop scratching and biting her body day and night!" 



"Dr Daniel is on leave today," I examined the hamster with my gloved right hand. "The hairs had grown on the upper half of the body as there is no skin inflammation. But the lower body is fiery red." The hamster sprinted away from me. I managed to grasp her and lifted her up to examine her from head to toe.  
"Look at her lower body---so red and filled with bite marks!" Ms Chan pointed to lower body as I turned the hamster upside down.  

"See her right elbow---it is swollen like an inflated tube of balloon seen at a kid's birthday party!" Ms Chan pointed to the right elbow that was now 10 times the size of the normal left elbow! 

"What is the cure?" Ms Chan asked. 

 
  

"The cause or causes of this skin problem need to be identified," I said. "Skin diseases are caused by allergies, infections or other causes. Some long-standing skin diseases take some days or weeks to find the cause. It is not practical to do blood tests in dwarf hamsters as they are so small. In the dog and cat, a sufficient amount of blood can be drawn for tests. A fungal culture of hairs will be done." 


"I will stop the constant scratching first. I will give a pred injection, otherwise the hamster will traumatise the body which will become infected and oozing with blood." 

 
 

 

The owner agreed to putting the hamster as an in-patient for the next 1 to 2 weeks. Most owners in Singapore do not want in-patient treatment, preferring medication to treat the hamster at home. Some vets do not want to ward the skin-diseased hamster too. 

 

In-patient treatment facilitate monitoring of the skin health by the vet. Skin cleaning of the body and ears and oral medication are professionally done by the vet nurses. In this case, allergy is suspected. There are many allergens such as dust mites, chemicals from sand baths and bedding, urine scalding due to a bad habit of sleeping on the urine spots.  


END VIDEO WITH DAY 13 OF IN-PATIENT TREATMENT. Food allergy trial. Still scratches occasionally but not every second as before treatment. Right elbow skin not red, swollen and wet now. Lower body skin is back to normal colour. Fungal culture results pending.



DAY 13 - IN-PATIENT TREATMENT. MUCH LESS INFLAMED BODY SKIN AND MUCH LESS ITCH.


 
 

UPDATES AT: 


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






Ms Chan, a very busy banker. She is single and in  her late 30. She loves the sea and the sun. 
She brings her nephew to the Palawan Beach in Sentosa whenever she
has the time. Both made sand castles and had a good time. 

She was careful to comply with the 
2-person permitted per social group during the recent Covid-19 restrictions from Jun 14 to mid July. 



DAY 1 BEFORE TREATMENT 


DAY 5 AFTER TREATMENT



DAY 1 BEFORE TREATMENT


DAY 5 AFTER TREATMENT






DAY 7 AFTER TREATMENT













Cleaning body with anti-septic wash to remove all debri









Video 1/2 video educates owners on the importance of in-patient treatment. It shows vets who believe that injections will kill the hamster as it is a very small creature compared to the dog. Given properly subcutaneously and in correct dosage, this is not true as evident in this case.    









CREDITS






    USE VIDEO FOOTAGE ESPECIALLY FOR THE HOOK


















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





DAY 1 OF IN-PATIENT ---- CONSULTATION AND EXAMINATION


DAY 1 OF IN-PATIENT   --- FURTHER  EXAMINATION
The whole body was clipped bald last visit at Dr Daniel's consultation
Skin disease quite a long time.


DAY 2 AFTER IN-PATIENT TREATMENT





DAY 4 AFTER IN-PATIENT TREATMENT
Around 75% less inflamed and itchy body. You can see skin is not red now.




To stop the hamster biting and scratching, an injection is better than oral. Within 24 hours, as this video shows, the inflammation and scratching had reduced by 50%. The hamster can live a more normal life. See Video 1/3 consultation to appreciate the outcome today.

Some vets may think injections will kill the hamster. You need to know the dosage.

UPDATES AT: https://2010vets.blogspot.com/2021/06/3607-how-did-toa-payoh-treat-very-itchy.html


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


1. INSTAGRAM  @toapayohvets 

1 JUN 2021. BE KIND TO PETS VETERINARY STORIES. . 
THE CASE OF THE SQUEAKING HAMSTER --- SHOW AND TELL 
Dr Sing Kong Yuen, BVMS (Glasgow) 



This 2-month-old male dwarf hamster’s fractured left hind leg was amputated at the knee level at Toa Payoh Vet 3 weeks ago. She consulted me on 27 May, as tele-consultations & photos were not as good as a proper physical examination.   

"Now Hammie has two unusual behaviours," Ms Thompson said. “Firstly, he squeaked loudly for some time on two occasions. Secondly, he used his right hind paw or both front paws to scratch his left ear vigorously every day!" 

"The intense squeaking suggested pain," I pointed to the bruised brown patch on the left scrotum. "Self-inflicted biting and friction on the bedding led to bruised genital and pain."  Ms Thompson was satisfied with my cause and effect explanation. 

“As for the inflamed left ear, frequent scratchings with the right hind paw to relieve ear itchiness were the cause,” I explained. “Some dirt or sand had lodged deep inside the left ear canal.  I showed her the close-up digital photos of the affected areas to account for the behaviours after I treated the itchy left ear via ear irrigation.  

SHOW AND TELL using CLOSE-UP PHOTOS gain the trust of the owner as the dwarf hamster's ear and scrotum are relatively small in area. Ms Thompson could see the inflamed areas clearly and she felt much happier after viewing the close-ups. “Please WhatsApp the photos to me,” she reminded me as she boarded her GrabRental taxi home to her Orchard Road condo to continue her work from home after lunch.