Friday, July 14, 2017

3098. A 9-year-old Maltese has a gigantic perineal hernia. Mesh implant.













Consulted 3 vets. Too large a hernia for perineal herniorraphy. Mesh implant was done by me. Owner advised to return for neuter 3 weeks later. It is safer not to prolong anaesthesia by doing the neuter in one surgery as the owner will never forget or refer her friends to the vet if the dog passes away on the operating table. Neutered dogs rarely suffer from perineal hernias and hence neutering is advised. Some vets do neuter at the same time.


Video of mesh implant surgery performed at Toa Payoh Vets

Thursday, July 13, 2017

3097. A male dwarf hamster urine marks causing itchy lower body.

July 13, 2017

PUDDING, male, dwarf hamster, born June 2016. 

Today, the young man consulted me and said: "My hamster still has an itchy armpit after you had operated on her left elbow wart 5 weeks ago!"  I was surprised and got my assistant to video the new medical condition.

"5 weeks ago, I removed the left elbow wart which was 2 mm across," I said. "There was no elbow problem."

The hamster squealed twice as I examined the sore right armpit using a small torch-light.
"It is the right armpit," my assistant pointed out.. "The wart was on the left elbow!"

A rough red inflamed patch of loose skin around 4mm x 4mm was present on the right elbow. So this was a new condition.

HISTORY

Dec 28, 2016
Lives alone. Overweight 63 g. Urine spraying on exercise wheel, food bowl, corner and litter. Sleeps on urine.
1. URINE SCALDING. Whole lower body has no hair. Inflamed and itchy.   Diagnosed: Ventral dermatitis. Advised neuter.



2. Left ear wart 4mm x 4 mm. Electro-excised ear wart.

Jan 17, 2017
63g
Lethargic
Scratches both ears, flanks and bites paws. Hair loss. Paws inflamed.
Ventral and flank dermatitis.
Otitis externa both ears.  

Open vertical ear canals, irrigate
Clip bald under anaesthesia
Cleaning scent gland

Jun 8, 2017
68g
Left elbow wart 4 x3 mm across electro-excised.
No bleeding.

Jul 13, 2017
69g
Right armpit skin inflamed and biting the area.  5 mm x 5 mm.


CONCLUSION
Owner did not neuter as the hamster no longer urine mark.
Did not manage to reduce weight. No more sand bath.

Tuesday, July 11, 2017

3096. 16-year-old Cocker Spaniel had swollen abdomen

Blood test showed liver disease.
X-ray showed liver tumours from mammary gland tumours.
The dog had a swollen abdomen due to liver tumours. Passed away today.




The dog was much loved. 

3095. Final Videos - Be Kind To Pets Veterinary Educational Videos

A list of "Final Videos" done by Toa Payoh Vets



1. https://www.youtube.com/edit?video_id=NQftA3fW-Ic&video_referrer=watch
Penile Prolapse in a caramel red-eared slider. Penile amputation.


2.  https://www.youtube.com/edit?video_id=MLjDPpBwoYE&video_referrer=watch
A 14-year-old Miniature Schnauzer has a large neck abscess.


3.   https://www.youtube.com/edit?o=U&video_id=ToXHgDjcXiY
Corneal ulcer fluorescein eye stain test in a dwarf hamster

4. https://www.youtube.com/watch?v=UiwehKVtAio
Intervertebral disc disease in a Schnauzer with hind limb trembling

5.  https://www.youtube.com/watch?v=GIsQvDBszH8
Thrombocytopenia in a 12-year-old cat with bloody diarrhoea.


Tuesday, July 4, 2017

3094. Property Management Contract

   

Property Management Contract

     Responsibilities of manager
          A. Exclusivity of services
          B. Rent collection
          C. Scope of manager’s expectations
Agency Appointment
Limitation of Liability
Insurance
Manager Compensation
Terms and Termination
Property Management Agreement

Responsibilities of manager

Under the terms of this property management agreement, [Client], hereby referred to as “Owner,” authorizes [Sender], hereby referred to as “Manager,” to perform business-related transactions on behalf of Owner for the property at [Number.Street] in [City], hereby referred to as “Property.” Manager is given full authority to carry out all lawful necessary steps to fulfill this agreement.

A. Exclusivity of services

Manager has the exclusive right to manage Property for the duration of this agreement. Both parties agree that Manager has sole cause of any management of Property, whether made in writing or orally.

B. Rent collection

Manager will collect from tenants rent payments by cheque, unless payments are by electronic transfer,  on or before the due date, and issue receipts to tenants, if applicable. Owner will pay Manager monthly a management fee of S$300 and expenses incurred in the management of the Property. Manager will provide a monthly accounting of all rent payments for Owner’s records. Manager assumes responsibility of any rent payment disputes with tenants.

C. Scope of Manager’s expectations
  • Coordinates and oversees repair services deemed necessary by Owner, or contractually required under a lease; pay for services with Owner’s funds. Owner shall deposit S$1,000 as petty cash reserved for such services. 
  • At Owner’s expense, serves legal notices to tenants when necessary on behalf of Owner, with Owner’s prior consent, and hires attorneys when needed for eviction proceedings or rent recuperation. Owner agrees to be an interested party in such legal action, and Manager has full authority to settle claims on behalf of Owner.
  • Collects rent from tenants when due, making no guarantees as to regular payment from tenants.
  • At Owner’s expense and permission, hires collection agencies when necessary.
  • Maintains an accounting of rent payment receipts, expenses, and charges on a quarterly basis for Owner.
  • Hires and supervises contractors to repair and maintain Property.


Agency Appointment

Manager shall be considered an agent of Owner, given full authority to perform necessary actions to evict tenants and/or collect unpaid rent. Manager has the right to enter Property at any time during the length of this property management agreement.

Limitation of Liability

Manager, and all employees or independent contractors hired by Manager, shall have no liability under this agreement, including such liability related to injury to persons or damage to Property under Manager’s supervision, except in instances of gross negligence or willful misconduct by Manager.

Insurance

Owner is responsible for obtaining and paying for general liability insurance and other necessary insurance to protect the interests of Manager and all associated personnel.

Manager Compensation

Owner agrees to pay Manager under the following conditions:
  • The greater of 10 percent of the gross rental income due to be paid by tenants under existing or future rental agreements, or a flat dollar amount of S$300. Payment will be due by Owner to Manager on the 1st of each month based on tenant commitments the preceding month.
  • If Manager conducts property reviews for publication on instruction of Owner, Owner shall pay S$150  per review. Such reviews will include a written overview of Property and recommended preservation projects, including a preliminary cost estimate for each project.

Terms and Termination

Manager and Owner enter into this property management agreement on [Contract.Start.Date]. This agreement shall automatically renew after one year unless Owner provides 60 days prior notice in writing to Manager.

Property Management Agreement

This property management agreement begins as of [Day.Month.Year] and is entered into by [Client.FirstName] [Client.LastName], and [Sender.FirstName] [Sender.LastName] for the Property at [Number.Street] in [City].



Owner
Signature
Name and NRIC No.
Mobile Phone No.
Email.


Manager
Signature
Name and NRIC No.
Mobile Phone No.
Email.
Witness
Signature
Name and NRIC No.
Mobile Phone No.
Email.

Monday, July 3, 2017

3093. A 9-year-old cat coughs for 6 months but has excellent appetite

Vet 1.  Coughs a few times 6 months ago. Saw Vet 1.
Ausculated lungs and heart - normal. So owner did not bother with antibiotics. Gave cough drops.

Coughs more and more. Owner saws video in smartphone of coughing cat.
Consulted Toa Payoh Vets in Jan 2016. Why?












Sunday, July 2, 2017

3092. A 9-year-old Miniature Schnauzer has trembling legs


Hind limb trembling
L7 spurs
Recurrent bladder stones
Urine test done



11  months ago