1276. Travel Stories - Matching civilian and military fashion - Turkey

A rare image

 

 

 

 

 

 

 

Changing of the guard at the Ataturk Museum, Turkey

attracts some tourists to pose with the soldier. One Asian tourist told another that  the soldier

would feel irritated by their posing. What do you think? I think it is a peaceful distraction


We had to alight from the coach and walked through the X-ray machine minus our metallic objects left inside the bus. Then we would go up the bus. "Yet the coach is not searched," our guide said. Our coach's gear level suddenly froze and the driver could not move it. So fortunately, there were 2 coaches in this tour and the other coach driver picked us up to drive to the Museum. The luggage compartment of our coach was opened and the problem was resolved. Some tied up mechanical problem fixed at the luggtage area to free the clutch which was a long "manual" type lever unlike modern ones with short lever as in the other Mercedes coach. Ours was a Mitsubishi or some model.

Dec 24, 2013
Koru Otel

Small room, elevator has a door which opens outwards, but internet connections in the room excellent compared to other modern 5-stars

 

1275. Travel Stories - Young ones are risk-takers

1274. Travel Stories: Efes, Turkey

Dec 21, 2013

I visited the of the Virgin Mary and saw this squirrel who was being hand-fed a piece of bread by a person familiar to him. As a young tourist girl from Singapore walked towards him within 0.3 metre  foot, he grabbed the bread and scootered up the tree for safety.

Location plays a great part in getting customers. This stall is located next to the zebra crossing where the tourists, after visiting "Seven Sleepers" site in Efes (Ephesus) will walk to, to wait for their coach. So this stall gets all the business of my tour group buying pomengranate juice while the other 2 competitors on the left are quiet.  

Once in a while, I get a picture I appreciate. The sunlight is good. The modern Japanese or Korean woman faces the same way as the ancient woman or goddess.  Much has changed for the better for women in many countries.

My Turkish tour guide was quite frustrated with the Singaporean tourists who are more interested in taking pictures of the approved 180 street cats than listening to the wonderful history of the old days.  This feline distraction is common with other Asian tourists esp. the young ladies as in this photo of a Japanese or Korean girl eyeing the cat. Usually these cats have their left ear edge snipped or tipped to indicate they are "sterilized".  The cats add colour to dead archeological monuments. I doubt 5% of the Asian tourists are interested in the Ottoman or Roman imperial history.  

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

Pictures with explanation. My favourite is the one with "sunlight in her hairs"

Travel Stories: The man with the blue lips

Dec 22, 2103
Hotel Dinler, Room 447, Urgup, Turkey

This morning, I joined a couple from our packaged tour for breakfast at Hotel Dinler. I noticed that the 63-year-old man's lips are blackish as compared to every person's in the dimly lit dining room. I had talked to Mr Ci and another 63-year-old Mr On 2 days ago and discovered we three men were of the same age. Yet I did not notice Mr Ci's cyanotic lips at all.

"How about your conjunctiva?" I asked and he pulled down his lower eyelids. They were normal orange pink ones.

"Whenever I bring my grandchild to see the doctor for flu," he said. "The doctor would want to examine me first. At the hospital, all the doctors wanted to do is to use their stethoscope to listen to my heart. I was born a blue baby and many doctors had shaken their heads saying I would not live long!"

"Did you do National Service?" I asked as Singaporean men born after 1948 would need to enlist. He was born in 1950 and so was I.
"I was a blue baby," he said. "The Army did not want me!"
"Not even as a clerk?" I asked as Mr On worked as a signaller while I was an Infantry Officer.
"Not wanted at all!"
Now I could see clearly why. No one wants to take responsibility for his demise during military training.
"My mother brought me to the temple to pray as the doctor said I would not live long," he elaborated that the temple god adopted him.
"If I live past 16 years of age, I would survive."

So here he is, much alive. He is a very rare person with cyanotic lips due to an enzyme deficiency in his blood but does not know his medical term. For dogs, cyanotic lips are hard to see but a cyanotic gum is a great cause for medical concern. I wonder whether dogs have this medical condition or not.


We had a group photo on the last day and coincidentally I had an image of his blue lips. He is a very nice gentleman and I just can't believe his story of being born blue lips (with no hole in the heart or heart disease). All doctors will also not believe my story too. Just not medically possible to have no serious heart disease with blue lips! 

1272. Travel Stories: "Pretty Girl"

Dec 20, 2013
Hotel Tatlises, Kusadasi, Turkey
Room 1321. A bigger spacious room with balcony. Heating is good as the floors don't feel cold to the bare foot.

Yesterday, visited Troy which was built around 5000 years ago. Helen of Troy was the face that launched a thousand ships but Troy was a most important city economically, attracting conquerors.
My packaged tour group (flying by SIA) consisted of 38 people while the other group from the same travel agency (flying by Emirates) had 32 people and more younger people including good-looking girls. Hence, an aunty asked her 17-year-old nephew to tackle the "liang ray" (pretty girls in Cantonese) of his age in the other group.     

Good looks are much valued as in the days of Helen of Troy.  So are good photographs. Hundreds of images are taken by me, but only one shown below can be considered attractive.

What makes a very good travel photo?
1. The light is most important. Bright sunshine on a cold winter's day can be appreciated in this image.
2. The composition. Framed by trees, branches and leaves.
3. The people. A "pretty girl" who is well groomed and dressed on a winter's day never fail to attract viewing by most people.

I hope this image will inspire one of the young men who spent most of their spare time viewing movies and gaming learn how to take excellent images during travel.and for work to market themselves.

The original large images, not photoshopped is below:

The original image was snapped from afar using Auto focus. I find this camera lens mentioned below, good for videography at autofocus mode unlike my other lens which "clicked and whirled" to autofocus on various people, producing much more blurred video images. This image is best taken without video as this is only a few seconds before the travellers move to another spot.


Photoshopped images are below:

 

Compact cameras and handphones cannot improve one's imaging skills
The camera information I used for the above images are:

Canon EOS 700D
Canon EFS 18-135mm Macro Lens 0.39m/1.3ft
with image stabiliser
"P" program mode
"AF" autofocus


Many photographers prefer "MF" Manual focus, but with this image, the pretty girl would just disappear by the time one manually focus. So, I don't use MF! The lighting may change in seconds too.


COMPOSITION
This image is framed by the tree (right), branches (left), leaves (above), reading plaque (below). It manage to capture the intense seeking of knowledge by the man with the green iPad while the pretty girl has matching handphone cover, grey gloves and coat and sunshine from the 10am sun shines in her hair.


It is very difficult to capture good travel photos and this is a rare one out of thousands.
As to the pretty girl in this image, she flies Emirates while I took the SIA and so we never got acquainted. I doubt the aunty's advice to the nephew was taken seriously by her nephew too.

Message to all young men obsessed with gaming till 3 am daily and looking sleepy at work.
CREATE, NOT CONSUME. My advice to the young men in their late 20s. Make time to study digital photography and you will appreciate life and the world much more with digital photography skills. 







 

1271. Travel stories - Istanbul's kindness to stray dogs and cats: Let Sleeping Dogs Lie

http://youtu.be/HMe-SijdH3A


MVI 8003
Dec 19, 2013. 11.14am. Iris Otel Rm 209, Turkey.

Yesterday, visited Istanbul. Then by coach of over 4 hours to the Iris Otel which is located after the ferry crossed Gallipoli town river. Gallipoli is significant historically for ANZAC troops as many had died in battles there during the First World War.

This video shows that Istanbul is caring for stray cross-bred dogs although it is predominantly a Muslim city.

Outside the beautiful Blue Mosque where there were a few thousand international tourists on Dec 18, 2013, Bright sunshine and blue skies yesterday, unlike one week ago when there was fog and snow in Istanbul!

I saw  around 5 stray dogs with the left ear tagged. No barking. Some mingle with the tourists. They were friendly and don't mind being patted and would walk along with the tourists.

One veteran was seen sleeping at around lunch-time near the Sophia Museum. He reminds me of "Let Sleeping Dogs Lie" in my primary school English lessons, That was in 1962, a time when the English idioms and correct grammar were   seriously studied by Primary Six students in Singapore as we would be tested in the PSLE examinations to qualify for the top secondary schools.

Hence this video to "bring English idiom" alive to the viewer - "Let Sleeping Dogs Lie" .

There were around 2 stray cats outside the Blue Mosque and two at the Palace. They like to be petted by visitors and many visitors including Singaporean ladies have their photos taken. Many young Singaporeans nowadays care much for the disadvantaged stray cats and dogs unlike the baby boomer generation.

The stray cats looked in excellent health with the thick winter coat. It can be as cold as 5 deg C during daytime and freezing at night.  Their ears are NOT tipped unlike in Singapore and so it is not possible to see from afar whether they have been spayed or neutered
.
As for this Istanbul rusty-brown and white og, I let "sleeping dogs lie" and continued with my tour to see the racehorse track that existed around 500 years. It is presently a tiled rectangular area.

It will be a surprising change of mindset one day in the future if the Singapore Government & Tourism Board permits around 5 stray sterilized dogs to live around the Esplanade or Resort World area, enhancing the visiting experience of international tourists, many of whom do not have pets as they live a hectic city life, like many Singaporeans.

These strays are inexpensive to maintain and are not a danger to visitors. Certainly they add that contacting animal experience for the younger tourists living in urban jungles do not get and the make great photo opportunities.

If I remember correctly, I don't see such strays in famous historical sites in Paris or Rome. Singapore's stray dogs appear to be hiding during the daytime as the environment is apparently hostile towards them. There are also fewer stray cats seen in public places but one does encounter the rare ones.

A generation of urbanized Singaporeans has grown up without contact with animals as there was mass culling of strays using pest control companies at one period of time when town councils were all out to eliminate all stray dogs and cats. Now, there are "trappers" who bring them to vets for sterilization and the volunteers then feed them. Videos are still the best form of educating the young ones as compared to text and stories. The young just do not read much nowadays!  

1270. Video Husky eyelid tumour vet surgery

Video not made by previous intern owing to lack of time.
Pl get video created

D:\2013Pic_After_Sep13

D:\2013Pic_After_Sep13\20130920Husky_eyelid_tumour_video

MVI 1009, 1010, 1019, 1020, 1021, 1043

Title: Veterinary Surgery video; How a Husky's eyelid tumour is removed.

Date: September 2013 case study.

Breed, age, gender

1. Hook.  Irritating. Keeps rubbing right eye. Eye inflamed. Consult vet for advice.

Clara to draw an illustration of how the surgery is to be done. .

2. Anaesthesia gas by mask and sedation by injection IV. 

3. Cut 1 cm incision in the lateral canthus to enlarge operating area

4. Cut around upper eyelid tumour with electro-incision electrode.
    An inverted "V" skin incision is made to remove the tumour

5. Ensure as much of the tumour area is removed by cutting off irregular skin edges at the margins of the excised tumour area.

CONFLICT 1. Profuse bleeding. What to do?

6. Electro-coagulation electrode is used to seal off bleeding vessels

7. Undermine skin below eyelid to reduce skin tension and prevent stitch breakdown. 

The skin edges are stitched. Blunt edged scissors is used.

CONFLICT 2. 
8. Bleeding present again.  
9. Electro-coagulation takes longer time as bleeding is profuse. Increase coagulation power to No. 2 (vet's voice)

10. Swabs to clear operating area of blood for stitching

      Takes a long time to coagulate blood vessel as it is large. Continue electro-coagulation.

CONFLICT 3. Insufficient skin area to stitch eyelid area if a wider margin of the tumour is excised. A margin of 1 cm is advised in vet text books but this is not practical here as there will be no skin to stitch up.
.

11. Tumour excised. Check again for remnants of tumour. Trim edges to provide a straight regular skin edge to stitch up for proper healing.
.

12. Skin now stitched with 3/0 absorbable sutures. Two interrupted stitches.

13. The lateral canthus is stitched now with one stitch. isoflurane and O2 gas anaesthesis is switched off during the 2nd last stitch (vet's voice to switch off anaesthesia).

14. Dog recovery stage MVI 1043.  No complaints from owner for the past 3 months.

Operating surgeon; Dr Sing Kong Yuen
Assisting surgeon: Dr Daniel Sing

1269. The 17-year-old Shih Tzu vomited green stuff and had diarrhoea for 2 days

1267. Strands of caseous pus keep oozing out from the Pom's skin

Usually pus is liquid in a dog but cheesy in the rabbit as the latter is said not to have certain enzymes to liquefy the pus.

Below is a case of a caseous pus in a dog.

1266. Buying traditional cakes for a 92-year-old grandma

http://youtu.be/reEpbjKSp7c

A short video clip on what I did on Saturday Dec 14, 2013. I went to buy cakes for a 92-year-old grandma who would have eaten them from a young age and would therefore appreciate them.

1265. The itchy 6-year-old pomeranian has skin disease again

The itchy

Part 1
http://youtu.be/zPEi8ZIhMoo


Part 2
http://youtu.be/OmGpXpjr45A


Part 3

1264. Itchy ears in a young beagle and a poodle

Saturday Dec 14, 2013

"Floppy eared dogs like the beagle, cocker spaniel and poodle tend to have ear problems," I said to a young fair lady with a heart-shaped face. She would be in her mid 20s.

"This is because the ears are covered up, being floppy eared. So there is no ventilation. Water from the shampoo and broken hairs are trapped inside at the horizontal canal," I explained.  The dog also had anal sac infections with lots of dark brown oil expressed. 


This morning, I had another case of ear scratching using the back legs.

1263. "Judgement Day" for a closed-pyometra dog

http://youtu.be/ZykWoYi9imY

The video was produced by Intern Clara as part of her internship training to be a vet. Images are blurred for some technical reasons although most of the other interns do not have this problem..

She was not comfortable with the use of "Judgment Day" but that is the theme of the story. Judgment Day for Christians has a much different meaning but many phrases in writings have been taken from the Bible and they are not meant to denote the same interpretations.

A concise video clip. However, the 2nd and 3rd alternatives to make a judgment call by the owner were confusing and is given below.  

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

The old female dog had a bloated abdomen. Closed pyometra was diagnosed on history, palpation x-rays and blood tests.

The options for the owner were:
1. No operation. The dog will die from septicaemia.
2. Operation on the same day after I/V drip & medication of around 3 hours. Higher anaesthetic risk as the dog is lethargic and unfit for anaesthesia. But delay of several hours may result in the swollen uterus rupturing, spilling out the bacteria and toxins into the abdomen, killing the dog.
3. Operation on the next day after I/V drip & medication. This stabilises the dog's health as the drugs have time to take effect to kill off the bacteria inside the blood stream. However, the uterus is about to burst anytime and an emergency spay is strongly advised (Option 2) with its much higher risk of anaesthetic death on the operating table .

This is a judment call for the owner and the vet. The owner bears the responsibility for the dog's death. She selected took option 2. The dog survives the operation. She comes back on Day 11 for stitch removal. Everybody has a happy ending in this case but not all closed pyometra dogs survive.  Many die as the owner delays several days seeking veterinary treatment or the vomiting dog has had been mis-diagnosed for gastro-enteritis when the owner does not permit blood testing and X-rays. Spaying your dog young would have prevented pyometra, higher medical costs and much emotional distress when closed pyometra occurs and remain neglected resulting in the dog's untimely death.

1262. Two veterinary stories for video production/e-book

Two stories are as follows:

http://bekindtopets.blogspot.sg/2008/01/dog-that-singapore-tzu-chi-fundation.html

124. The dog that the Singapore Tzu Chi Fundation volunteers saved from lethal injection. Follow up to Case 110. Edit | View | Share | Delete

kongsing

0Comment count

1449View count

1/25/

http://bekindtopets.blogspot.sg/2007/11/110-20-year-old-dog-with-breast-cancer.html

110. A gigantic breast tumour in a dog Edit | View | Share | Delete

kongsing

0Comment count

234View count

11

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http://bekindtopets.blogspot.sg/2007/07/part-2.html

http://bekindtopets.blogspot.sg/2007/07/date-of-record-jul-10-2007-saving-swamp.html


http://bekindtopets.blogspot.sg/2007/07/5.html

http://bekindtopets.blogspot.sg/2007/07/chapter-3-looters-dr-sing-kong-yuen-toa.html


http://bekindtopets.blogspot.sg/2007/07/swamp-dogs-bobby.html



http://bekindtopets.blogspot.sg/2007/07/labrador-retriever-and-maid.html

1261. Audit of case of kidney stones causing kidney failure

TOA PAYOH VETS toapayohvets.com Date:   15 November, 2013     Focus: Small animals - dogs, cats, hamsters, guinea pigs, turtles & rabbits The Silkie had double kidney stones Dr Sing Kong Yuen, BVMS (Glasgow), MRCVSDate:   15 November, 2013   toapayohvets.com  Be Kind To Pets Veterinary Education Project 2010-0129 Silkie Terrier, F, spayed, 13 yearsFed dry food + bread since 5 years of age (adopted from another owner who migrated). 2 days ago, presented with vomiting and diarrhoea. I treated and advised blood tests and X-rays if the symptoms persisted. The dog came back yesterday, "dying" according to Dr Daniel who got the X-rays and blood tests done. A rare case of kidney stones in the 2 kidneys was diagnosed based on evidence. Dogs usually suffer from bladder stones. No urine tests done in this case.  Blood urea and creatinine are extremely high. The dog vomits dark brown fluid in the crate and has heavy abdominal breathing as at 11.14 am Nov 13, 2013 when the lady owner came to visit as I phoned her to say that the dog was suffering in pain and was on the last leg of his life. The dog vomited white froth on the reception room floor. The owner will bring home for today and had decided on euthanasia later in the day.   Two kidneys are packed with stones Vomiting and diarrhoea can be a sign of kidney failure although most cases are due to gastroenteritis. This dog was treated for gastroenteritis at the first consultation without blood test so as to reduce medical costs. As the vomiting persisted, I advised a blood test and Dr Daniel took it since I was out. This was a case of renal urolithiasis resulting in kidney failure.    Updates will be on this webpage: http://www.bekindtopets.com/dogs/20131114two_kidneys_ with_stones_Silkie_toapayohvets.htm Dec 13, 2013 I review the case medical records today to do a retrospective study. 41099 Silkie, Female, spayed, Born 2000. Aug 23, 2010. First consulted Toa Payoh Vets. 10 years old.                         Left ear tumour at base of ear and rotten teeth. Advised treatment. Just wanted antibiotic. Sep 3, 2010    Treatment done for above conditions. Nov 11, 2013  13 years old. Bloody diarrhoea. Vomited greenish stuff 2 days. Not eating and drinking. Does not want blood test (recorded in case file). Wanted I/V drip & medication.  Vet is myself (Dr Sing Kong Yuen) Nov 13, 2013 Respiratory distress. Dr Daniel Sing Blood test - severe azotemia ALT 73 (<59 br="">Urea 86  (4.2-6.3) Creatinine 1129 (89-177) Total white cell count 11.9 (6-17)  -- OK    Neutrophils 86%   Abs  10.18    Lymphocytes 6%   Abs 0.70    Monocytes  8.3%   Abs 0.99    Eosinophils 0%    Basophils 0.1% Platelets 459 ( 200-500) -- OK X-rays - calcified cores in both kidneys Owner elected euthanasia.

1260. Video: A blood-shot eyed rabbit. Practising evidence-based medicine

 http://youtu.be/YsUlZ-uqTNQ


PRACTISING EVIDENCE-BASED MEDICINE IN A RABBIT


The young rabbit's eye conjunctiva is dark red and swollen. Tears stream down the eye. In my experience, the grossly enlarged upper conjunctiva is cause by vigorous eye rubbing by the rabbit to relieve the pain and irritation. Something had fallen onto the cornea but on superficial examination, there seems to be no eye ulcer or abrasion caused by this foreign object.

The fluorescein eye stain test showed corneal ulcerations to be green. Almost 3/4 of the cornea is green with only the right sided cornea at 2-4 o'clock being clear.

Unfortunately Intern Clara edited and showed a very short clip of less than 2 seconds. She ought to show much more as this will illustrate clearly the evidence. The theme of this video is using evidence to aid in the diagnosis and the Intern must be aware of the theme and whenever possible, expands on this theme.

The raw footage of the green cornea clips is at another video. Goto:
www.toapayohvets.com/videos.htm   

1259. Videos: SOP for pregnant cat.

PREGNANT CAT SPAYED STANDARD OPERATING PROCEDURES (SOP)

http://youtu.be/E14zwal_yo4

Extra care is needed in operating a heavily pregnant cat. The ovarian and uterine blood vessels are much enlarged and if not properly ligated, there will be lots of bleeding in the surgical area and a possible bleeding to death post-op. A pre-op examination to ensure that the heavily pregnant cat is fit for surgery should be part of the SOP. This was done by me (Dr Sing Kong Yuen). Blood test was not taken owing to financial considerations. The dilemma is whether the heavily pregnant cat should be spayed or should she give birth first. it is extremely difficult to find new homes for the kittens and so spaying was the decision of the owner. The other concern of the owner was whether to starve the cat for 24 hours before surgery.

The cat had eaten 6 hours ago but there is no vomiting with the xylazine + ketamine IM sedation in my experience. No vomiting was present in this case. 

I advise the use of the 3-forceps method to clamp and ligate the uterine body with its engorged uterine blood vessels. The lowest 3rd forceps is clamped and then released, showing a grooved line caused by clamping. Ligate this groove and the ligature will not slip off as compared to ligation of the non-grooved smooth uterine body area. In this way, there is a guarantee of no haemorrhage. The uterine body is then incised between forceps 1 and 2, leaving a good area for the ligated stump to be released into the body.

This spay was done by Dr Daniel Sing using absorbable sutures.  Xyalzine 0.15 ml + ketamine 0.6 ml combined IM was given in this 3.6 kg cat. Isoflurane + oxygen gas top up was needed. There was no bleeding in this spay as the ligatures were properly placed and tight.  The cat was operated in the afternoon and went home in the evening.

A handing over inspection with the owner should be part of the SOP so that the owner can see that the skin stitches are properly tied. At that time, post-op instructions are given preferably by the vet to build good client relationships. Follow up 2 days later is advised by me but most vets do not bother. As at 7 days post-op, the cat is normal and the stitches should be taken out 14 days after surgery although they are absorbable monosyn.

Standard operating procedures are in place to maintain the highest standard of surgery. Handing over inspection of the surgical site with the owner is shown. The cat is OK as at 7 days post-op.

More instructional videos for vet students and pet owners are at www.toapayohvets.com/videos.htm..

This video was filmed and edited by Intern Clara Chua as part of her experiential learning at Toa Payoh Vets. Interns learn more by writing and making videos than by being an observer looking at the vet's working.

It appears to me to be well edited and has good music. My grateful thanks to Clara. I purchased the Corel software recently as the free Windows Movie Maker does not have many features.

1258. Follow through with rabbit owner on Day 3 by telephone

Dec 10, 2013
Rabbit, born Oct 22, 2013. , Male 1.5 months.

Right eye tearing and red upper conjunctiva - like intense eye rubbing had been done after some objects irritated the eye.

Video shows clearly the condition. 

Many vets do follow up but some don't bother to do so. Maybe the vet school has not emphasized this aspect as follow ups build good vet-client relationship. 

Dec 12, 2013 - Day 3 after consultation
By following up, the vet knows how effective his medication and injections are. In this case, I phoned the father and he went to check personally. He thought the upper conjuncitval swelling (blood-shot) was back to normal but soon phoned to say there was some redness. I asked him to email the images to me rather than WhatsApp.

E-collar not worn.
White stools yesterday but now brown stools as normal
Rabbit is active and eating all the past 3 days.

Owner had changed sharp bedding and ensure hay not sharp. I don't follow up all cases myself as some days are just too busy. But important cases ought to be followed through..

1257. Be Kind To Pets video image - flower in Paris + singkongyuen, niagara falls, flower, terrerir lame

1256, Saving a damsel in distress

Dec 10, 2013

"Many interesting case studies can be broken down into problems and solutions," I said to Intern Clara who had heard all the grass root stories of the Little India riots from my client who came to buy a bag of h/d for his wife's heart disease dog. She had writer's block in writing a good narrative for the Wired Haired Fox Terrier with a lame right fore limb.

"For example, what caused the Little India riots yesterday which was a Sunday? According to the client, it is the driver who drove over the worker and had not shown any concern."

"What's the solution?"
"The authorities want to ban the use of alcohol sales in Little India but he said that these could be purchased elsewhere to consume in Little India.  His solution is for the control of traffic entering this congested road. My solution is to close the road to traffic. He proposed closing to traffic on Sundays."

However, the memorable event was that this gentleman's wife was a 15-year-old young lady in distress some 10 years ago. "She remembered you for helping her Maltese who could not give birth," the gentleman said. "She was lost as she did not know what to do. You did a Caesarean section and saved her puppy."

"Yes, yes, I remember her," I replied. "Her Maltese had difficulty giving birth. She had a big pup. What's happened to the pup?"


"She gave it away. A very intelligent brown and white puppy. She was too young to take care of a puppy at 15 years of age!"

I saw the wife earlier when her other dog came for treatment, but she did not mention about this episode.

I could not recognise her now since she is an adult. 

Many of my old clients have disappeared as there are around 60 vet clinics and proximity will be important to most of them. This couple lived quite far from Toa Payoh and usually I don't have any clientele from that area.

Besides proximity, new attractive expensive renovations of a vet clinic attract the average Singaporean pet owner and Toa Payoh Vets cannot keep up with the new. There will be wear and tear and this clinic, being in existence for over 30 years does not look spring fresh as Spring time despite two renovations.

So I was very happy to have met her earlier after a separation of over 12 years or more and to know she is quite successful in her career, being seconded to freezing winter of 5 deg C in Germany for training now.

Syrian hamster, M, 19 months has a swollen abdomen

Dec 10, 2013

Owner wants to know cause of abdominal swelling. Normal, active, eating, drinking, peeing and pooping.


Abdominal palpation - no pain, no large mass
X-rays - intestines pushed to one side. May have liver enlargement

To observe 4 weeks

1254. Videos produced on Dec 10, 2013.

British shorthair vomits and loses weight
http://youtu.be/pXOHhT4CypY


The guinea pig has a large leg abscess
http://youtu.be/h2VBthR64T0



Spaying a pregnant cat - Part 3
http://youtu.be/O4gcxUXTDlo



Spaying a pregnant cat - Part 2
http://youtu.be/i6e3mAOKOYU



 
Spaying a pregnant cat - Part 1
http://youtu.be/jkXDAXSB-z8