Tuesday, May 25, 2021

3595. A 2-year-old dwarf hamster has itchy left ear - a cluster of ear warts.

13 JUN 2021. 

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

My  comments on the draft video posted in YouTube:



13 June 2021. A concise vet educational video for hamster owners. This video is created by an intern with guidance from me (Dr Sing Kong Yuen). She is free to make mistakes as that is how she will learn better than being spoon-fed. Hence I had not edited her script before she created this video. My comments are: 1. All interns tend to go to exposition. It is important to think of a hook and then continue from there, otherwise, the video is just an ordinary dull power point lecture. 2. ERRORS: 2.1 incorrect link the credits: www.toapayohvets.com/videos.html with the "html" is erroneous. It should be https://www.toapayohvets.com/videos.htm 2.2 "abdominal tumour" was removed. It should be "abdominal SKIN tumour". 2.3. 1:08 - Image of condo where Mrs Johnson lived is actually image of Housing Board flats." 2.4. "tall, fair, lady" should be tall and fair lady. 2.5. HOOK in this video shows the SAME images as INTRODUCTION OF WHATSAPP message. it should have used the LATTER as hook instead. 3. The video footage on credits is much better than my previous ones as it is a video rather than slide presentation at the conclusion. 4. Do remember to use the "Hook" in next video production as video making is so much different from writing essays or expositions. 5. This video creation shows the importance of google docs in collaboration with me. If she had put up the script at google docs for me to read, she would not have erroneouly stated "abdominal tumour" was removed. It was an abdominal skin tumour. 6. UPDATED INFORMATION WILL BE AT: https://2010vets.blogspot.com/2021/05/3595-2-year-old-dwarf-hamster-has-itchy.html


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

To re-make the video:  

HOOK. Use this footage unless you have better ones.   





Then use FLASH BACK....WhatsApp, history of previous abdominal SKIN TUMOUR removal, not abdominal tumour removal (see your old video).

Give me the script in google docs. In that way, no worries about technical mistakes.





Ms Thompson






Wart excised
Follow up on 26 May 2021. Owner is happy. No bleeding. No warts seen.


MORE INFORMATION AT:

Monday, May 24, 2021

3594. How to raise a healthy red-eared slider in an apartment?

 24 May 2021.

INSTAGRAM

To create an educational video using two case studies

CASE 1. From internet query from Johor, Malaysia

Complaints:
1. White and black spots on shell
2. Soft shell in back area.
3. Gasping 

Metabolic bone disease (MBD) is a common disease in pet red-eared sliders.
Other terms which may be used include fibrous osteodystrophy, osteomalacia, secondary nutritional hyperparathyroidism, osteoporosis, and rickets. There is no single cause of MBD and the disease is not as simple as calcium deficiency. The primary problem is a disruption of calcium metabolism which causes a host of related problems.

MBD is almost always a result of poor husbandry but it is also generally preventable by providing a proper environment and diet specifically for your type of reptile. 




Prevention of metabolic bone disease

Proper husbandry is more than just providing the right diet. The following are important in both the prevention and treatment of metabolic bone disease:

  • A diet balanced in calcium and phosphorus, protein, energy and other nutrients. Buy a reputable brand with good supply of Calcium, Phosphorus and Vit D..
  • Exposure to UVA/UVB invisible light rays
  • Proper heat gradients - basking area heated at one end with heating lamp and UVA/UVB lights, the other end cooler temperature.
  • Adequate enclosure and/or room to exercise

HOOK







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






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
















UVA/UVB lights
Heating lamp at one end

Exercise area

Good quality diet - calcium:phosphorus ratio 2:1 and Vit D supplements

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




CASE 2. Toa Payoh Vets

Similar complaints of soft shell, shell rot and respiratory infection in the group of 3 sliders






 























Friday, May 21, 2021

3593. How does Toa Payoh Vets treat a gigantic hamster haematoma?


---------------------------------
FOR INSTAGRAM   





22 MAY 2021. DR SING'S VETERINARY STORIES - HOW TO TREAT A HAMSTER'S GIGANTIC HAEMATOMA? 24 IMAGES.

The 2-year-old female dwarf hamster’s chest had a big swollen bag of reddish-brown fluid. Ms Chong’s vet doesn’t perform hamster surgery. "I saw another hamster with a similar swelling," she told me that had surfed the internet. "The hamster was Pigu, treated at your surgery."

"Pigu's owner did not want any surgery as her hamster might die on the operating table.  I had earlier advised surgery. Soon the bulging haematoma ruptured. Blood and tissues splattered on the hamster's face and body, like gunk. She rushed to an emergency vet and came to me the next day.”

Death on the operating table worried Ms Chong too. "What if she dies under anaesthesia?" Ms Chong was aware of the high risks involved in operations. "What if she dies of bleeding under surgery?" 

The skin of the haematoma had stretched to the limit. It would break soon. Ms Chong opted for the surgery. Under gas anaesthesia, I aspirated around 2.0 ml of dark blood in a syringe. Then I used electricity to incise a 5-mm skin cut on the normal skin, distant from the stretched-out skin of the haematoma. From this incision, I drained all residual blood and extracted several small nodules wth forceps.  

The hamster was wide awake within 10 minutes and went home the next day. 3 days later, Ms Chong WhatsApp to me a video showing the electro-incision wound was clean and healing well. She did not want histology to check whether the nodules were cancerous or not. 

Early surgery is important as a gigantic haematoma may thin out, burst and smear the hamster with blood and gunk, stressing her badly, if the owner, fearing death on the operating table, procrastinates. 
@toapayohvets






------------------------------------------------------------------------------------------------
FOR VIDEO CREATION


Ms Chong's hamster, Mini

The 2-year-old male dwarf hamster’s chest had a big swollen bag of reddish-brown fluid. Her vet did not want to perform hamster surgery. So Ms Chong surfed YouTube. "I saw another hamster with the similar condition," she told me. "The hamster's name was Pigu."

*(Video footage of Pigu before and after rupture of haematoma). The owner had created a memorial video for Pigu. It is at:    


"Pigu's owner did not want any surgery as her hamster might die on the operating table.  I had earlier advised surgery.

"Soon the bulging haematoma ruptured. Blood 
and tumour tissues splattered on the hamster's face and body, like gunk. She rushed to an emergency vet and came to me the next day."

Death on the operating table worried Ms Chong too. "What if he dies under anaesthesia?" Ms Chong was aware of the high risks involved in operations. "What if he dies of bleeding under surgery?"   

I asked her to wait at the safe-distancing chair outside the clinic to think what she should do.

The skin of the haematoma had stretched to the limit. It would rupture soon. Blood would splatter all over the face and body.


 *(Video of chairs with safe distancing and thermal scanner inside the clinic). 





This video shows  
How does Toa Payoh Vets treat a hamster's gigantic haematoma? 





 

VIEWER DISCRETION





Ms Chong lives in a high-rise apartment in Singapore. As hamsters need little living space, she has two or more of them as pets. She hopes they can live more than 2.5 to 3 years which is the life span of the hamster. But some do develop tumours after one year old and need veterinary surgery.  





Ms Chong is a creative woman in her late 30s. She handcrafts unique products such as TraceTogether token pouches for sale at Shopee.sg.





TraceTogether tokens are used to do SafeEntry check-in at public places to monitor Covid-19 infections in people.




---------------------------
Ms Chong decided on surgery and signed the anaesthetic consent form.
Back to the dwarf hamster. 



PLANNING THE SURGERY










GASEOUS  ANAESTHESIA, OXYGEN GENERATOR
AND ELECTRO-SURGERY EQUIPMENT





oxygen generator










GASEOUS ANAESTHESIA






Zoletil injection was not used in this case, but may be used in some cases of large tumours  


SURGERY









HISTOLOGY
 
 is advised to check whether the nodules are cancerous or not..






POST OP AS IN-PATIENT FOR ONE DAY






FOLLOW UP 3 DAYS LATER

Video from owner. 





Ms Chong WhatsApp to me the following:
"Mini happens to be sleeping like this, so you can see (the electro-incised red skin wound) from the video.  The surrounding area seems ok.  
Just the red wound which is still healing". 

The red wound is the 5mm electro-incision I did to drain out the fluid 
and remove the nodules of tumours. I am happy that Ms Chong permitted anaesthesia and surgery to prevent blood smeared over the hamster's head and body from the rupture.
As at 2 weeks post-surgery, the hamster leads a normal life looking forward to the meal worm treat from Ms Chong daily.  (Image of meal worms).
   


CREDITS












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FINAL VIDEO:







  























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

20 may 2021.

Script from intern

HOOK:


"Hello doctor, I've brought my hamster to see you because of a strange-looking lump on his underside," said Miss Chong. "It has been there for a few weeks."
"Good morning, how is the hamster's appetite and activity level?
Is his urine and stools normal?" asked Dr Sing as he examined the hamster.

"Yea," Miss Chong said worriedly. "His appetite is normal but has smaller stools. 
Mini is active and eating, but drinks less water."

Miss Chong is a 25-year-old accountant.
During her adolescence, she worked part-time at a pet shop.
Ever since, she developed great fondness for these small rodents.

Miss Chong is now a proud owner of three dwarf hamsters.
Mini, the eldest, stood out from his siblings.
He was ever-ready to greet and show his affection to Miss Chong.
While the other hamsters shy away sometimes, Mini never did.

In the beginning of April 2021, Miss Chong noticed a small black lump on Mini's chest.
The lump was not affecting the hamster 
as he seemed to pay it no notice.

Weeks passed by and as the black lump rapidly grew in size, 
so did Miss Chong's worry.
She brought Mini to the nearby vet
but was told that the lump was too big to operate on.

Distraught, she searched the web for alternatives and found Toa Payoh Vets,
a clinic ran by veterinarians adept at surgery for hamsters.

During the consultation, Dr Sing palpated the lump on the hamster's chest.
The lump was 2cm x 2cm and soft on palpation.
Mini was rather thin with a prominent backbone and weighed only 51g.

"This is likely to be a haematoma, a blood-filled lump caused by blood vessel tumours.
The size of this large lump causes considerable discomfort and hinders movement. 
Hence, it is affecting the hamster's daily activities."

"Oh my, I didn't know Mini was in so much agony.
What can I do to help him now?"

"Surgery is necessary for a lump of this size.
But it is not without anaesthetic and surgical risks," Dr Sing explained.

"What are Mini's chances of recovery from surgery?
If we do without surgery, how long does Mini have left to live?"

"He is still active and eating well but he is quite old. 
Considering that the lump is about the size of his head, 
his true body weight is very low."
Dr Sing paused, "I would say his chances are 50%."

"That is a hard decision.
Please give me some time to consider."

"Take your time.
Ask me about anything if you'd like."

Miss Chong was faced with a decision that could mean life and death for her beloved hamster.
Her hamster was suffering and she just wanted the best possible outcome for him.
What was the treatment that she decided on?
Keep watching this video to find out more.

======

INTRO:

This is a BKTP veterinary educational video,
sponsored by TPV and is set in Singapore.
This video will show how haematoma in hamsters is being treated at TPV.

Singapore has a reputation as a Garden City, with bustling streets and busy people.
Hamsters are popular pets as they require little attention and space to keep.

Despite this, they do occasionally fall sick and require veterinary attention.

======

CONSULTATION:

On 29 April 2021, Miss Chong brought her 2-year-old male dwarf hamster to TPV for the lump on his chest.

This lump was diagnosed as a haematoma.
Surgery was an option, but the risks were high.
Miss Chong was determined to help her hamster.

"I would like to know how long Mini can wait before surgery.
I would like to spend more time with him before he takes the risk," she said. 

"This varies from the individual.
For the size of this haematoma,
it is advisable to do the surgery as soon as possible.
Delays may lead to eventual rupture of the haematoma soon.
When the blood-filled lump ruptures,
infections can enter the bloodstream directly.
Perhaps his body will also be weaker then.
The surgical risks will become much higher."

"I understand. 
I also really hate to see him suffer,"
Miss Chong sighed. 
"Thank you, doctor. 
I'll leave him in your hands."

Miss Chong signed the surgery and anaesthesia consent form. 
She went home and waited for the good news.

==============

To be written:

Brief summary of surgery: aspiration + electrosurgery

Post-op condition + medicine

Advice to hamster owners: find hamster vet, consult early

==============

Surgical details in another video

Monday, May 17, 2021

3592. canal fishes

PHOTOGRAPHY TIPS. Image 1/3. Original image of canal fishes in clean watersbackflow from the Seletar Simpang Kiri Riverto a drainage canal in Yio Chu Kang Crescent

PHOTOGRAPHY TIPS. Image 2/3. Adobe Lightroom image of canal fishes in clean watersbackflow from the Seletar Simpang Kiri Riverto a drainage canal in Yio Chu Kang Crescent

PHOTOGRAPHY TIPS. Image 3/3. Adobe Photoshop image of canal fishes in clen watersbackflow from the Seletar Simpang Kiri Riverto a drainage canal in Yio Chu Kang Crescent


@toapayohvets

3591. Script for hamster facial lump by intern

 FINAL SCRIPT BY DR SING KONG YUEN

Hook:

“A few weeks ago, this lump was only as small as a pea,” Mrs Tan place her 1-year-old Syrian hamster with a large facial mass on my consultation table. "I consulted my vet who lives down the road. He did not advise surgery as he does not do surgery of the hamster. I waited for some weeks but today, the facial lump is the size of his head and he has trouble eating. I surfed the internet and found Toa Payoh Vets." (The owner of this 1 year old Syrian hamster pointed to the lump on the hamster's cheek.

She had gone to the vet nearby but the vet did not perform hamster surgery. 

In the span of a few weeks, the small lump had become a heavy facial mass!

The lump was now as large as a golf ball- WRITE DIALOGUE. NOTE GOLF BALL IS MUCH BIGGER. HAVE YOU SEEN ONE? SHOW ME THE FOOTAGE OF THE HOOK OF OTHER HAMSTERS IF YOU DON'T HAVE THE REAL CASE STUDY.


This is a be kind to pets educational video sponsored by Toa Payoh Vets

This video contains graphic images. Viewer discretion is advised. SHOW ME THE TWO IMAGES YOU PROPOSE TO USE.


2.  

Intro: 

Many people in Singapore keep hamsters as pets as they take up little space.

SHOW ME THE IMAGE OF SINGAPORE APARTMENT YOU PROPOSE TO USE. A hamster's life span is around 2.5 to 3 years. Lumps on the face may appear at one year of age as in this Syrian hamster. Lumps can be benign or malignant tumours. This hamster's facial lump has grown rapidly within a few weeks and may or may not be cancerous. Surgical removal is the treatment of choice now as he can't live a normal life enjoying his sunflower seeds (SHOW IMAGES OF FOOD SEEDS ETC)..


Lumps are a common problem in hamsters.

A lump on your hamster could be one of several things.

The lump may be a tumour, which is an abnormal mass of tissue.

If the tumour has been rapidly growing in size, it’s likely to be cancerous. 

This hamster’s lump was malignant as it grew in size so quickly.


"Surgery to cut off the facial mass is the treatment of choice," I said. "It may already become cancerous and may recur. Your hamster may die on the operating table due to reactions to the anaesthetic. Bleeding to death may occur. Please take a seat in the waiting room to think what you want to do."  


ILLUSTRATION OF MRS TAN WORRIED AS SHE HELD HER HAMSTER IN THE WAITING ROOM. .


Middle:

The vet would have to surgically remove the lump.

Such tumours are high risks as there will be profuse bleeding during removal. 

The large blood vessels supplying nutrients to this tumour are difficult to find and ligate, unlike those of the dog and cat.

However, if the tumour was not excised, it would only grow bigger.

Knowing the risks, the owner decided that it was best to go forward with the surgery.

The hamster was sedated under gas anesthesia.

A scalpel was used to excise the lump from the hamster.


3.  A gigantic FIRM tumour was removed UNDER ANAESTHESIA. The surgery was a success. HE was no longer weighed down by the massive lump.


4. CONCLUSION. 



Conclusion:

Some vets don't operate on hamsters and may prescribe antibiotics and pain-killers. 

Some advise to wait and see.

However, time is of the essence as some lumps are cancerous. 

It is better to remove the lump earlier rather than later.

Hence, you may need to search for a hamster vet that does operations on hamsters.  

For more information, you can call our clinic or visit our website at toapayohvets.com     SHOULD HAVE SHOWN YOUR PROPOSED IMAGE.

SHOW THREE HAMSTER TUMOUR CASES - NOSE, BODY, LEG

DO NOT DO OTHER CASES OF TUMOURS. SHOW REPRESENTATIVE ONES. NOT GROSS IMAGES OF BLOOD OR POOR QUALITY IMAGES. SHOW 3 CASES WILL DO. THERE ARE MANY BUT YOU NEED TO LOOK FOR THEM. .

WRITE A NEW DRAFT CONCISELY     

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



DRAFT OF INTERNS SCRIPT

Here is the script for the hamster lump! Let me know what I need to change or add. Thank you!



Hook:

“A few weeks ago, this lump was only as small as a pea.”

The owner of this 1 year old Syrian hamster pointed to the lump on the hamster's cheek.

She had gone to the vet nearby but the vet did not perform hamster surgery. 

In the span of a few weeks, the small lump had become a heavy facial mass!

The lump was now as large as a golf ball


This is a be kind to pets educational video sponsored by Toa Payoh Vets

This video contains graphic images. Viewer discretion is advised.


Intro: 

Many people in Singapore keep hamsters as pets as they take up little space.

Lumps are a common problem in hamsters.

A lump on your hamster could be one of several things.

The lump may be a tumour, which is an abnormal mass of tissue.

If the tumour has been rapidly growing in size, it’s likely to be cancerous. 

This hamster’s lump was malignant as it grew in size so quickly.


Middle:

The vet would have to surgically remove the lump.

Such tumours are high risks as there will be profuse bleeding during removal. 

The large blood vessels supplying nutrients to this tumour are difficult to find and ligate, unlike those of the dog and cat.

However, if the tumour was not excised, it would only grow bigger.

Knowing the risks, the owner decided that it was best to go forward with the surgery.

The hamster was sedated under gas anesthesia.

A scalpel was used to excise the lump from the hamster.

A gigantic white tumour was removed.

Afterwards, the opening was stitched close.

Fortunately, the surgery was a success and the hamster recovered well.

It was no longer weighed down by the massive lump.

It is often better to excise the entire lump to prevent such tumours from recurring. 

Unfortunately, the cancer may have already spread by the time the first lump is removed.

In 2008, This two year old syrian hamster came in with a gigantic neck tumour. 

“I noticed a pea-like lump on the neck 3 weeks ago and vet clinic.

Today the lump is more than 20x its original size!”

Surgical removal was the only treatment for this huge lump.

The large neck tumour on the hamsters left side was removed without any issue. 

However, days later another fast-growing neck tumour on the right side appeared. 

It was as large as the one excised from the left side of the neck. 

The cancerous left neck tumour had spread to the right side. 

No surgery was done. 

The hamster was given palliative care by the owner.

Early removal of the tumour when it is smaller across may prevent the development of cancerous tumours. 

Smaller tumours will also result in less bleeding during excision. 

Thus, hamster owners are advised to seek a hamster vet to get any small tumours excised when they are much smaller.


A lump may also be an abscess.

An abscess is a pocket of pus that has built up within the tissue of the body. 

They are most often caused by bacteria infection.

How do you know if the lump is an abscess?

The lump will be red and swollen. It will also be sensitive.

A soft abscess may also feel fluid-filled.


In 2008, a Hamster with recurrent swollen eyelids came into the clinic.

"Doc, I will go bankrupt if I continue consulting you," the young lady was worried. "This is the 3rd time in 2 months I have to bring my hamster to be treated."

There were subconjunctival abscesses on the hamster’s eyelids. 

This abscess had already been drained twice before.

Under general anesthesia, the vet used a scalpel to cut the abscess. 

Then, the pus was drained.

The whole process took around 5 minutes. 

The hamster had to dig into a high feed bowl which is commonly used by Singapore hamster owners too. 

Dr Sing suspected that the food debris from the hamster's mouth contaminated the water bowl. 

The water had bacteria and since the hamster drank from the high water bowl, the bacteria got into his eyes and the eyelids.

Once the owner changed the water bowl to a water bottle, she happily reported that the abscesses did not recur.

Abscesses are more likely to form in dirty environments.

Recurrence is also more common if the environment is not clean.

Thus, the hamster’s cage should be kept clean to avoid bacterial infection. 




Conclusion:

Some vets don't operate on hamsters and may prescribe antibiotics and pain-killers. 

Some advise to wait and see.

However, time is of the essence as some lumps are cancerous. 

It is better to remove the lump earlier rather than later.

Hence, you may need to search for a hamster vet that does operations on hamsters.  

For more information, you can call our clinic or visit our website at toapayohvets.com