Thursday, December 19, 2013

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!  

Tuesday, December 17, 2013

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


Sunday, December 15, 2013

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



Saturday, December 14, 2013

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

Friday, December 13, 2013

1261. Audit of case of kidney stones causing kidney failure


tpvets_logo.jpg (2726 bytes)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.