Tues Oct 12, 2015
Today, the mother and son came to me with this Siamese cat that dribbled urine and lived with 2 other cats in the Singapore aparatment. She had consulted Vet 1 Toa Payoh Vets in 2012, then Vet 1 who started her own practice in West Singapore in 2013. The urinary problem recurred and Vet 3 in East Singapore was consulted in Sep 21, 2015.
Vet 3 treated the cat was an in-patient for 3 days at $50/day with the total bill approximately $600 (ultrasound - lots of sediment in thickened walled bladder; urine test pH 6.5, SG >1.050, Lecuo 3+, Protein +, Blood 3+, . struvite crystals 3+
Vet 3 catheterised the bladder and flushed 2X/day for 3 days. The cat urinated normally and went home on medication of curam antibiotic, phenoxybenzamine 10 mg at 1/8 cap sid, bethanechol 10 mg at 1/8 tablet with 1 tab in 2 ml water and giving 0.25ml.
The cat completed the medication. But today, Oct 12, 2015, the cat had difficulty peeing and so I was the Vet 4 to consult as the medical expenses were deemed high.
Medical costs can add up when the cat has recurring urinary problem as in this common medical condition known variously by different vets as FIC, FUS or FLUTD.
What are the solutions?
EXAM
I palpated the bladder. It was full as an orange. The prepuce was swollen and the penis bright red instead of the usual light pink. Slight kidney pain.
FEEDING
In 2014, no urinary problem. The cat was fed on Urinary S/0 dry food and canned food. Two new cats were introduced in July 2015 and the cat had to be crated inside a cage with his own litter box and water. "He is aggressive towards the new cat and did not drink much water," the mother said.
I did not do any test like X-rays owing to economic considerations. I prescribe antibiotics and painkillers meloxicam for 4 days course. The owner is to syringe water.
.
Tuesday, October 13, 2015
Friday, October 9, 2015
2324. Alms to 2700 monks
Oct 7 and 8.
Benefactors Drs Thein Tun Aung and Thin Thin Soe donates food and rice to 2700 monks, the 25th year of donation from the family.
2323. Myanmar travels - Hinthada - primary school
Sep 10, 2015
Room 205, Hotel Royal Golden View, Myanmar
I checked in late at night after a long drive from Hinthada to Yangon from 1 pm to 9 pm. The sole driver Dr Thein Tun Aung was very sleepy and so we had a few stops rather than encounter an accident. I had a chance to video a riverside village while he had a 30-minute nap inside the car. A chance to appreciate the village way of life. (Video).
August to October, in Buddhism are the months of donations in Myanmar. Benefactors will offer alms to monks and nuns during this period. There are two towns where the practice is performed. One in Hinthada and the other in North Myanmar.
From Oct 5 - 10, I was in Myanmar and got an opportunity to witness and understand this practice in Hinthada by participating in Dr Thin Thin Soe's 25th donation to the Myint Kway Monastery. I offered to present exercise books and pencils to a Government Primary School via Dr Soe. She contacted the Head monk who made the arrangements. The monks play a significant role in the community and they do help out the very poor children to be educated. If benefactors want to donate to the school, it is best to contact the Head Monk or collaborate with a local organization rather than giving money.
The headmaster said that a water tank was more pressing need to give the children filtered clean drinking water instead. Dr Soe got my permission and so that was how a water tank was presented.
I prefer to remain anonymous as it was such a small gift but August to October are the months of donations in Myanmar. The school had requested a water storage tank instead of my proposed books and pencils for the primary school children. As I was visiting Hinthada to witness Dr Soe's donations of food and rice to 2,700 monks, I was asked to be present in this school.
The school was re-built with private donations. It would be the typical old one with zinc roofs and sandy floors. Now it has concrete floors with 165 school children from Grade 1 to Grade 6, all housed in one building and having lessons next to each other. These are chhildren from the surrounding villages. The head monk said some words and the children repeated after him. Only one child in Grade 1 was indifferent and did not stand up. She just remained seated. After the recitals, the donors including me were asked to distribute 2 exercise books and a packet of soft drinks to the 165 children.
At the end of the presentation, I noticed that this girl who remained seated was crying her heart out, with her face on her desk. I asked what happened. "She's has some mental problems and so the teachers did not present her the two exercise books," Dr Soe said.
Due to practicality and a shortage of funds to buy exercise books, the teachers would rather keep the 2 exercise books for the other normal children.
Illiteracy and poverty are bed fellows in many villages and exercise books are a premium. I persuaded the teacher to give this little girl the two exercise books but her tears would not stop flowing. This was a sad ending for me. I was the one who wanted to donate books to all children and for practicality, this little girl did not get her present.
Room 205, Hotel Royal Golden View, Myanmar
I checked in late at night after a long drive from Hinthada to Yangon from 1 pm to 9 pm. The sole driver Dr Thein Tun Aung was very sleepy and so we had a few stops rather than encounter an accident. I had a chance to video a riverside village while he had a 30-minute nap inside the car. A chance to appreciate the village way of life. (Video).
August to October, in Buddhism are the months of donations in Myanmar. Benefactors will offer alms to monks and nuns during this period. There are two towns where the practice is performed. One in Hinthada and the other in North Myanmar.
From Oct 5 - 10, I was in Myanmar and got an opportunity to witness and understand this practice in Hinthada by participating in Dr Thin Thin Soe's 25th donation to the Myint Kway Monastery. I offered to present exercise books and pencils to a Government Primary School via Dr Soe. She contacted the Head monk who made the arrangements. The monks play a significant role in the community and they do help out the very poor children to be educated. If benefactors want to donate to the school, it is best to contact the Head Monk or collaborate with a local organization rather than giving money.
The headmaster said that a water tank was more pressing need to give the children filtered clean drinking water instead. Dr Soe got my permission and so that was how a water tank was presented.
I prefer to remain anonymous as it was such a small gift but August to October are the months of donations in Myanmar. The school had requested a water storage tank instead of my proposed books and pencils for the primary school children. As I was visiting Hinthada to witness Dr Soe's donations of food and rice to 2,700 monks, I was asked to be present in this school.
At the end of the presentation, I noticed that this girl who remained seated was crying her heart out, with her face on her desk. I asked what happened. "She's has some mental problems and so the teachers did not present her the two exercise books," Dr Soe said.
Due to practicality and a shortage of funds to buy exercise books, the teachers would rather keep the 2 exercise books for the other normal children.
Illiteracy and poverty are bed fellows in many villages and exercise books are a premium. I persuaded the teacher to give this little girl the two exercise books but her tears would not stop flowing. This was a sad ending for me. I was the one who wanted to donate books to all children and for practicality, this little girl did not get her present.
Monday, October 5, 2015
2322. A photographer's pictures of Daniel and Jason
The left diamond stud caused mum considerable emotional distress. What's next?
Will he be getting tongue and belly studs? Tattoos on his biceps and legs?
A wish from Dad in 2009.
"Create" when you have spare time
Make this world a better place
Happy Birthday when Dad and Mum visited this undergraduate in Perth, Australia.
Dad is reminded of the song in his era. This song is about love, "Smoke Gets In Your Eyes".
I doubt Dan has ever heard of it.
3. Picture June 2011
Dad is reminded of the song in his era. The song is about love, "I can't find the words to say goodbye."
4. Picture 2012 at the cousin Vincent's wedding dinner. Vincent and his bride.
Who amongst the 3 cousins is the most handsome
For Dad, the most important value for a man is "Who is the kindest to his parents, his family members, to animals and to disadvantaged people?"
5. Picture June 2011 of Daniel.
In the traditional Chinese family in the 1960s, "Words of love from the Dad don't come easy". No hugs and kisses at bed-time unlike the many Caucasian families in UK and the USA. So when the Chinese children grow up, it is extremely difficult to get hugs from them. This reminds Dad of another love song, "Words Don't Come Easy" by F R David.
6. Picture Oct 2010. Daniel as an undergraduate.
Visit by mum and dad in Perth. This waiter knows how to communicate with the diners and make the dining fun.
7. Picture of Daniel as an undergraduate. Sep 2010.
When life was just passing examinations in Perth. No worries in this aspect.
8. Picture of Daniel's mum in Hong Kong. Aug 2011.
A bus flashed by. This image reminds Dad of a love song "Sunlight in Your Hair" by Lionel Richie
Lean and muscular young men escorting their mum to a function in Perth. The one on the right looks mean. Not a gram of fat in their pectorals and abdominal muscles. Trim and solid muscles.
Mum's "knights in shining armour", protecting her against any bad people. Actually, on the way to an animal and flower fair in Perth.
Readers who love reading English Romance Novels and King Arthur may appreciate why I name the picture "My White Knights In Shining Armour". For those who don't care about romance, this image shows a mother who once takes good care for the toddlers is now towered over by two young adult sons who love her very much and are now her protectors - her "knights in shining armour". The caption should read "My Knights In Shining Armour" on 2nd thoughts.
Mum and Dad are always aware of sibling rivalries. With both now graduates, the parental responsibilities have been fulfilled and each son has to achieve their dreams. Also to make the world a better place. All these cannot be achieved without hard work.
10. Picture of Daniel's younger brother. Sep 2010.
Saturday, October 3, 2015
2321. Legally threatened
Oct 2, 2015
"I will make a complaint," the dog owner threatened when I said I would not pay for the bills of another vet (Vet 2) who had hospitalised and treated her dog for paraplegia on Sep 30.
On Sep 30, 2015, at around 11 am, I had given a subcutaneous injection of antibiotic and anti-inflammatory above the neck area as the dog had multiple skin lumps. The owner attributed the lumps to a new shampoo. The dog had painful ears and I prescribed an ear ointment to be given at home. The dog was normal on leaving the clinic and at home.
In the afternoon, the owner phoned me to say that her dog was lame in the left hind leg. I advised her to wait and see as she had no time to bring the dog in for an examination. In the evening, the dog was lame in the right hind leg. She phoned and said that it must be my injection hitting a nerve, hence causing the dog to be paralysed. "I don't trust you," she declined my advice to bring the dog for an examination.
I referred to Vet 2. She phoned me again to say that Vet 2 would charge for after-office hours. Then she suggested that I examine the dog. I did not retort that she had shouted that she did not trust me. Now she asked me to examine the dog.
I went to the clinic to examine the dog at 9.30 pm with Dr Daniel. The dog was paralysed in the hind limbs. I palpated the spinal area. There was a pain reaction on the T10-L4 area. The husband could see the reaction. The dog's hind legs had no placing and pain reflexes.
"There must be a traumatic injury to the back," I said. "Some heavy objects had fallen on her back or she had fallen down injuring her back."
The husband recalled that the dog had struggled vigorously when ear drops were applied onto the ears.
"Was the dog on the floor when you applied the ear drops?" I asked.
"Yes," the husband demonstrated how he held the dog around the back of the rib cage area with his hands to apply the ear drops.
He accepted the referral to Vet 2 who took X rays and warded the dog overnight with a drip.
The dog tried to stand on her left hind leg the next day but not on the right hind leg.
The owner then phoned me demanding that I pay for Vet 2's fees. When I said no, as my injection was not the cause of this hind limb lameness, she threatened me legally. She said that the dog was normal before my injection and wanted to show me proof.
"No need to show me the pictures," I replied. "Your dog was normal at the clinic and when leaving the clinic walking to your car. She was normal at home till the late afternoon."
As the owner was insistent that I was the cause of the dog's lameness, it was best for me to shout up and not provoke further anger. I had not given any injections in the hind limbs. The dog had pain in the back spinal area. Vet 2's X-rays did not show any slipped disc and he had told the owners that my injections are commonly given by vets without any injection causing paraplegia.
When an owner said "I don't trust you", I should have asked her to seek a second opinion. I did not charge for the after-hours evening examination when she did not want to consult Vet 2 so as not to pay Vet 2's fees. Now, she threatened to make a complaint. This is one of the sad cases all vets must handle with empathy with the interest of the dog in mind.
"I will make a complaint," the dog owner threatened when I said I would not pay for the bills of another vet (Vet 2) who had hospitalised and treated her dog for paraplegia on Sep 30.
On Sep 30, 2015, at around 11 am, I had given a subcutaneous injection of antibiotic and anti-inflammatory above the neck area as the dog had multiple skin lumps. The owner attributed the lumps to a new shampoo. The dog had painful ears and I prescribed an ear ointment to be given at home. The dog was normal on leaving the clinic and at home.
In the afternoon, the owner phoned me to say that her dog was lame in the left hind leg. I advised her to wait and see as she had no time to bring the dog in for an examination. In the evening, the dog was lame in the right hind leg. She phoned and said that it must be my injection hitting a nerve, hence causing the dog to be paralysed. "I don't trust you," she declined my advice to bring the dog for an examination.
I referred to Vet 2. She phoned me again to say that Vet 2 would charge for after-office hours. Then she suggested that I examine the dog. I did not retort that she had shouted that she did not trust me. Now she asked me to examine the dog.
I went to the clinic to examine the dog at 9.30 pm with Dr Daniel. The dog was paralysed in the hind limbs. I palpated the spinal area. There was a pain reaction on the T10-L4 area. The husband could see the reaction. The dog's hind legs had no placing and pain reflexes.
"There must be a traumatic injury to the back," I said. "Some heavy objects had fallen on her back or she had fallen down injuring her back."
The husband recalled that the dog had struggled vigorously when ear drops were applied onto the ears.
"Was the dog on the floor when you applied the ear drops?" I asked.
"Yes," the husband demonstrated how he held the dog around the back of the rib cage area with his hands to apply the ear drops.
He accepted the referral to Vet 2 who took X rays and warded the dog overnight with a drip.
The dog tried to stand on her left hind leg the next day but not on the right hind leg.
The owner then phoned me demanding that I pay for Vet 2's fees. When I said no, as my injection was not the cause of this hind limb lameness, she threatened me legally. She said that the dog was normal before my injection and wanted to show me proof.
"No need to show me the pictures," I replied. "Your dog was normal at the clinic and when leaving the clinic walking to your car. She was normal at home till the late afternoon."
As the owner was insistent that I was the cause of the dog's lameness, it was best for me to shout up and not provoke further anger. I had not given any injections in the hind limbs. The dog had pain in the back spinal area. Vet 2's X-rays did not show any slipped disc and he had told the owners that my injections are commonly given by vets without any injection causing paraplegia.
When an owner said "I don't trust you", I should have asked her to seek a second opinion. I did not charge for the after-hours evening examination when she did not want to consult Vet 2 so as not to pay Vet 2's fees. Now, she threatened to make a complaint. This is one of the sad cases all vets must handle with empathy with the interest of the dog in mind.
Thursday, October 1, 2015
2319. Follow up: The young neck-extended chihuahua develops more red spots on her shoulders.
Sep 30, 2015
The young lady in her early 30s came to buy 2 bottles of multivitamins for her Chihuahua who had presented with her nose pointing skywards some 4 weeks ago. (Another blog).
"How's the dog's neck extended posture now?" I asked.
"No more problem," she replied. "I have had stopped the heart medication for a week and she has no problem sleeping at nigh. A few soft coughs now and then."
"How about the ringworm on your wrist?" I asked.
"No more inflamed," she showed her right wrist. "I don't get ringworm now even when I held my dog. But more red spots appear on my dog's shoulder area!"
Some 2 weeks ago, the dog had generalised ringworm and she had her left wrist skin infected too.
I did not prescribe anti-ringworm medication as she was concerned about more medication since her dog was on heart drugs. I advised clipping bald to remove all contaminated hairs. She would be giving the anti-fungal wash and cream daily.
She had asked the groomer to clip the body but not the head. She clipped recently and saw more red spots.
Many owners do not bring their dog in for reviews and so what she said about the red spots could be ringworm or could be clipper burns or other reasons . A month had passed. Most of my cases of generalised ringworm had cured but this dog had more red spots.
"It is best for me to review and check on the multiple red spots, with the dog present," I explained.
For various reasons, many Singaporean dog owners do not come for a review and in this case, she wanted to buy the multivitamins and do-it-herself treatment of the ringworm with the antifungal wash and cream.
She would bring the dog in for examination as it is not possible to confirm whether ringworm had spread or not.
The young lady in her early 30s came to buy 2 bottles of multivitamins for her Chihuahua who had presented with her nose pointing skywards some 4 weeks ago. (Another blog).
"How's the dog's neck extended posture now?" I asked.
"No more problem," she replied. "I have had stopped the heart medication for a week and she has no problem sleeping at nigh. A few soft coughs now and then."
"How about the ringworm on your wrist?" I asked.
"No more inflamed," she showed her right wrist. "I don't get ringworm now even when I held my dog. But more red spots appear on my dog's shoulder area!"
Some 2 weeks ago, the dog had generalised ringworm and she had her left wrist skin infected too.
I did not prescribe anti-ringworm medication as she was concerned about more medication since her dog was on heart drugs. I advised clipping bald to remove all contaminated hairs. She would be giving the anti-fungal wash and cream daily.
She had asked the groomer to clip the body but not the head. She clipped recently and saw more red spots.
Many owners do not bring their dog in for reviews and so what she said about the red spots could be ringworm or could be clipper burns or other reasons . A month had passed. Most of my cases of generalised ringworm had cured but this dog had more red spots.
"It is best for me to review and check on the multiple red spots, with the dog present," I explained.
For various reasons, many Singaporean dog owners do not come for a review and in this case, she wanted to buy the multivitamins and do-it-herself treatment of the ringworm with the antifungal wash and cream.
She would bring the dog in for examination as it is not possible to confirm whether ringworm had spread or not.
2318. Ticks in Singapore dogs - email queries from one owner.
Sept 30, 2015
EMAIL TO DR SING
Hi
I've a mid sized dog (Singapore special 15kg)
Noticed she had black sesame seeds falling off her which had blood when burst on Sunday. Suspected ticks.
Searched online and apple cider vinegar wash was recommended.
Did it for 2 days. Seemed to repel the bugs. More fell off. Pet store recommended me carrington dog wash (which I diluted with more water - the instructions said 2 cap full to 1L water, I used 5 caps to 3L). I tried that, combed off some. Not all dead. Some articles mentioned dogs would salivate but she didn't.
I was told to put frontline plus 48 hours after carrington. Or should I take her in to see the vet? And is it necessary to test for tick disease?
All along she's eating well, active and alert without scratching much, only shakes body occasionally, so we didn't realize she has ticks.What do you advise?
Hope to hear from you soon.
Best Regards,
M
-----------------------------
EMAIL REPLY
My advice is to get your dog examined by your vet, get a blood test done to screen the health of your dog. Another test to check whether your dog has tick-borne diseases.
Tick infestation is the most common ectoparasitic disease in Singapore dogs.
EMAIL TO DR SING
Hi
I've a mid sized dog (Singapore special 15kg)
Noticed she had black sesame seeds falling off her which had blood when burst on Sunday. Suspected ticks.
Searched online and apple cider vinegar wash was recommended.
Did it for 2 days. Seemed to repel the bugs. More fell off. Pet store recommended me carrington dog wash (which I diluted with more water - the instructions said 2 cap full to 1L water, I used 5 caps to 3L). I tried that, combed off some. Not all dead. Some articles mentioned dogs would salivate but she didn't.
I was told to put frontline plus 48 hours after carrington. Or should I take her in to see the vet? And is it necessary to test for tick disease?
All along she's eating well, active and alert without scratching much, only shakes body occasionally, so we didn't realize she has ticks.What do you advise?
Hope to hear from you soon.
Best Regards,
M
-----------------------------
EMAIL REPLY
Thank you for email. I am Dr Sing K Y from Toa Payoh Vets.
My advice is to get your dog examined by your vet, get a blood test done to screen the health of your dog. Another test to check whether your dog has tick-borne diseases.
Tick infestation is the most common ectoparasitic disease in Singapore dogs.
Wednesday, September 30, 2015
2318. Coincidences A Rottweiler and a cat - tibial fractures
Sep 30, 2015
Just 2 days ago, I had breakfast with a senior vet of over 70 years old at Potong Pasir. We ate laksa which is high cholesterol. I did not drink the soup. He drank every drop, ate the clams which I gave my portion to help and would leave the egg yolk uneaten. Yet he had no high cholesterol levels due to his medication.
He mentioned that a Malaysian vet phoned him about infections in a Rottweiler with tibial fracture and what are the options? Amputatation of the leg? Euthanasia? I suggested Antirobe antibiotics.
Today a cat came in with tibial fracture. The stray cat activist is a woman in her late 50s and had been feeding stray cats for the past 20 years. Her monthly feeding bill using mainly Iams cat food, is around $800.
"I have 6 cats now. This cat is around 3 years old and came flopping down in front of me. I had no intention of adopting another cat."
Her cats would watch the birds from the windows every day. She had wire-meshed all her windows except the one in the kitchen. So, this newcomer fell 8 storeys down. Vet 1 had given this cat the painkillers, antibiotics and an IV drip. He had an abdominal X-ray which showed no ruptured bladder or kidney damage. The other 2 X-rays were emailed to me.
The solution was to insert a pin of appropriate diameter to join the 2 tibial fractures together.
"I can only afford to feed the stray cats," the retiree told me that her cat food bill was a large amount. "I can't help them when they are sick."
"I do have volunteers sometimes,": she mentioned one lady who would not contribute any money to buy the cat food.
"Is she working?" I asked.
"Yes,"
"It is hard to find volunteers and so you are fortunate," I said.
"She does not want to pay for the cat food, but she feeds a particular cat every day from my supply."
The commercial dog and cat food costs keep going up every year as Singapore faces higher labour and rental costs every year. The government also increases rentals of commercial premises every year and so these escalating costs eat into the savings of this retiree.
It is a difficult world for the stray cat feeders. This cat's fracture of the tibia was in mid-shaft. A pin was inserted and will be taken out 6 weeks later. A small 2 mm of the pin protruded
From the X-rays and observations on the 2nd day after surgery, the cat was normal. Hence, the kidneys and bladder were not affected by the cat falling 8 floors in a Singapore apartment.
AN ALBATROSS ROUND MY NECK
"Should I join my friends on a China tour?" the retiree caregiver asked me. "My family vet says that it will take months for the fractured tibia to heal."
She had not taken holidays for many years since she started caring for 30 stray cats and her own 6 cats every day.
I had told her that the pin needed to be taken out 6 weeks after surgery but she had another opinion from her family vet who said a few months. Her planned travel was 7 weeks from the surgery.
She was just worried about the 30 community cats in Tampines being deprived of food.
"Can you get the other lady volunteer to help you?" I asked. The lady volunteer would only feed a particular cat with food provided by her. She must ask her and make it convenient for her to do it.
"As for your own stray cats including the one who fell 8 storeys, can you find a pet sitter?"
"Yes," she replied. "She charges $35 per day."
"Can you find somebody who charges cheaper?"
"Looking after so many cats is like an albatross round my neck," she had done a very good job. But she is from the earlier baby boomer generation who does not know how to use social media to get donations and volunteers. So she is all alone with no interest in travelling.
I assure her that her leg fractured cat will have healed by 6 weeks as her travel would one week later.
"Take a break," I told her as she was worried about the stray cats.
Just 2 days ago, I had breakfast with a senior vet of over 70 years old at Potong Pasir. We ate laksa which is high cholesterol. I did not drink the soup. He drank every drop, ate the clams which I gave my portion to help and would leave the egg yolk uneaten. Yet he had no high cholesterol levels due to his medication.
He mentioned that a Malaysian vet phoned him about infections in a Rottweiler with tibial fracture and what are the options? Amputatation of the leg? Euthanasia? I suggested Antirobe antibiotics.
Today a cat came in with tibial fracture. The stray cat activist is a woman in her late 50s and had been feeding stray cats for the past 20 years. Her monthly feeding bill using mainly Iams cat food, is around $800.
"I have 6 cats now. This cat is around 3 years old and came flopping down in front of me. I had no intention of adopting another cat."
Her cats would watch the birds from the windows every day. She had wire-meshed all her windows except the one in the kitchen. So, this newcomer fell 8 storeys down. Vet 1 had given this cat the painkillers, antibiotics and an IV drip. He had an abdominal X-ray which showed no ruptured bladder or kidney damage. The other 2 X-rays were emailed to me.
The solution was to insert a pin of appropriate diameter to join the 2 tibial fractures together.
"I can only afford to feed the stray cats," the retiree told me that her cat food bill was a large amount. "I can't help them when they are sick."
"I do have volunteers sometimes,": she mentioned one lady who would not contribute any money to buy the cat food.
"Is she working?" I asked.
"Yes,"
"It is hard to find volunteers and so you are fortunate," I said.
"She does not want to pay for the cat food, but she feeds a particular cat every day from my supply."
The commercial dog and cat food costs keep going up every year as Singapore faces higher labour and rental costs every year. The government also increases rentals of commercial premises every year and so these escalating costs eat into the savings of this retiree.
It is a difficult world for the stray cat feeders. This cat's fracture of the tibia was in mid-shaft. A pin was inserted and will be taken out 6 weeks later. A small 2 mm of the pin protruded
From the X-rays and observations on the 2nd day after surgery, the cat was normal. Hence, the kidneys and bladder were not affected by the cat falling 8 floors in a Singapore apartment.
AN ALBATROSS ROUND MY NECK
"Should I join my friends on a China tour?" the retiree caregiver asked me. "My family vet says that it will take months for the fractured tibia to heal."
She had not taken holidays for many years since she started caring for 30 stray cats and her own 6 cats every day.
I had told her that the pin needed to be taken out 6 weeks after surgery but she had another opinion from her family vet who said a few months. Her planned travel was 7 weeks from the surgery.
She was just worried about the 30 community cats in Tampines being deprived of food.
"Can you get the other lady volunteer to help you?" I asked. The lady volunteer would only feed a particular cat with food provided by her. She must ask her and make it convenient for her to do it.
"As for your own stray cats including the one who fell 8 storeys, can you find a pet sitter?"
"Yes," she replied. "She charges $35 per day."
"Can you find somebody who charges cheaper?"
"Looking after so many cats is like an albatross round my neck," she had done a very good job. But she is from the earlier baby boomer generation who does not know how to use social media to get donations and volunteers. So she is all alone with no interest in travelling.
I assure her that her leg fractured cat will have healed by 6 weeks as her travel would one week later.
"Take a break," I told her as she was worried about the stray cats.
2317. A cat stills caterwauls just after spaying
Sep 27, 2015
EMAIL TO DR SING
Hello Judy,
I spoke to Dr Sing on the phone this evening regarding Greedy's active meowing at night even after sterilisation.
Attached is a voice clip of her meowing that Dr Sing has asked me to send him, would he be able to tell if this meowing comes from the remaining hormones of being on heat?
It's disturbing my sleep daily.
Thank you so much!
A
-------------
REPLY FROM DR SING
Meowing is due to the effects of the residual female hormones in the cat. The cat had been caterwauling for a few nights before spay. Within a week, there should be no more meowing due to the heat period. Alternatively, come for the Ovarid tablet to stop the meowing.
EMAIL TO DR SING
Hello Judy,
I spoke to Dr Sing on the phone this evening regarding Greedy's active meowing at night even after sterilisation.
Attached is a voice clip of her meowing that Dr Sing has asked me to send him, would he be able to tell if this meowing comes from the remaining hormones of being on heat?
It's disturbing my sleep daily.
Thank you so much!
A
-------------
REPLY FROM DR SING
Meowing is due to the effects of the residual female hormones in the cat. The cat had been caterwauling for a few nights before spay. Within a week, there should be no more meowing due to the heat period. Alternatively, come for the Ovarid tablet to stop the meowing.
2316. A 6-month-old cat has no scrotum but has nightly erections
Tuesday Sep 29, 2015
The young fair lady in her late 20s wanted her male cat to be neutered urgently. She did not say why and I did not ask. I thought it would be caterwauling as the male cat has matured. The loud meowing and crying would disturb her sleep and that of the neighbours.
I examined this greyish-white Persian X cat pre-op. He was a bit overweight and was fit for anaesthesia. He had a normal prepuce and penis but no scrotum. I asked my assistant to clip off the long hairs in the area between the anus and the penis. No developed scrotum and therefore no descended testicles. This was rare in cats. I checked the inguinal areas as sometimes, the testicles were lodged there. None were present.
So, there was no neutering unless the lady agreed to my opening the abdomen to take the abdominal testicles out.
"Is your cat making a lot of noises at night, wanting to go out?" I asked when she returned to pick up the cat one hour later.
"No, no," she said. "But over the past 2 weeks, I noticed that he humps the pillows and his penis is erect every night. That is why I wanted to neuter him."
In this modern age, she showed me her smartphone clip of the red and engorged penis. She had not told me earlier as this was not a topic for a young lady to talk about. It was only when I told her that the cat had no descended testicle that she volunteered the information.
"This nightly incident may be due to the cat licking his penis as he may be suffering from FIC (Feline Interstitial Cystitis). FIC is an inflammation of the bladder. The cause is said to be due to stress leading to bladder mucosal changes and painful and difficult urination."
"But I do not see him as having difficulty in urination," the lady said..
"You work the whole day and so you may not know. Has he got his own litter box since you have had got a younger male cat?"
"The younger male cat does not stress him," she said. "At first, he was hissing at the new arrival and so I separated them. Later, he befriended the younger cat and both share one litter box."
She showed me an image of the younger cat and also his scrotum which was obvious and well developed to around 1 cm across as compared to 3 mm across in this cat with no scrotum.She showed a 5-second video clip of both of them playing and biting each other.
"Stress could be due to the arrival of another cat," I said. "It could be due to the need to share a litter box and to share space. Cats are more sensitive than dogs to such matters."
The lady was doubtful. However she said, "This cat is a very timid cat, just like the one my mother had in Beijing. He will freeze like a statute if I take him outdoors."
So, this was a nervous cat that would be more susceptible to stress than the normal one. Based on this history, I would say that he is suffering from the early stages of FIC. His bladder was full as well but then the owner said she had taken him out early to Toa Payoh Vets and therefore he had no time to pee. The sedated cat released pale clear urine on the consultation table and the lady took several pieces of tissues to wipe off the urine.
"It is a coincidence that you have a timid cat as well as your mother. Did your mother's cat suffer from difficulty in urination?" I asked.
"Yes, at one time, her cat had to be catheterised by the vet in Beijing so that he could pee."
As the lady did not want any abdominal surgery to take out the retained testicles, I prescribed meloxcam at 0.03ml/kg orally for 4 days to relieve the pain. This cat was 3.3 kg and so he will take around 0.1 ml per day for 4 days. The lady will phone me as regards the penile erection behaviour. The cat would be separated from the other cat and has his own litter box.
I will need to follow up 4 days later
The young fair lady in her late 20s wanted her male cat to be neutered urgently. She did not say why and I did not ask. I thought it would be caterwauling as the male cat has matured. The loud meowing and crying would disturb her sleep and that of the neighbours.
I examined this greyish-white Persian X cat pre-op. He was a bit overweight and was fit for anaesthesia. He had a normal prepuce and penis but no scrotum. I asked my assistant to clip off the long hairs in the area between the anus and the penis. No developed scrotum and therefore no descended testicles. This was rare in cats. I checked the inguinal areas as sometimes, the testicles were lodged there. None were present.
So, there was no neutering unless the lady agreed to my opening the abdomen to take the abdominal testicles out.
"Is your cat making a lot of noises at night, wanting to go out?" I asked when she returned to pick up the cat one hour later.
"No, no," she said. "But over the past 2 weeks, I noticed that he humps the pillows and his penis is erect every night. That is why I wanted to neuter him."
In this modern age, she showed me her smartphone clip of the red and engorged penis. She had not told me earlier as this was not a topic for a young lady to talk about. It was only when I told her that the cat had no descended testicle that she volunteered the information.
"This nightly incident may be due to the cat licking his penis as he may be suffering from FIC (Feline Interstitial Cystitis). FIC is an inflammation of the bladder. The cause is said to be due to stress leading to bladder mucosal changes and painful and difficult urination."
"But I do not see him as having difficulty in urination," the lady said..
"You work the whole day and so you may not know. Has he got his own litter box since you have had got a younger male cat?"
"The younger male cat does not stress him," she said. "At first, he was hissing at the new arrival and so I separated them. Later, he befriended the younger cat and both share one litter box."
She showed me an image of the younger cat and also his scrotum which was obvious and well developed to around 1 cm across as compared to 3 mm across in this cat with no scrotum.She showed a 5-second video clip of both of them playing and biting each other.
"Stress could be due to the arrival of another cat," I said. "It could be due to the need to share a litter box and to share space. Cats are more sensitive than dogs to such matters."
The lady was doubtful. However she said, "This cat is a very timid cat, just like the one my mother had in Beijing. He will freeze like a statute if I take him outdoors."
So, this was a nervous cat that would be more susceptible to stress than the normal one. Based on this history, I would say that he is suffering from the early stages of FIC. His bladder was full as well but then the owner said she had taken him out early to Toa Payoh Vets and therefore he had no time to pee. The sedated cat released pale clear urine on the consultation table and the lady took several pieces of tissues to wipe off the urine.
"It is a coincidence that you have a timid cat as well as your mother. Did your mother's cat suffer from difficulty in urination?" I asked.
"Yes, at one time, her cat had to be catheterised by the vet in Beijing so that he could pee."
As the lady did not want any abdominal surgery to take out the retained testicles, I prescribed meloxcam at 0.03ml/kg orally for 4 days to relieve the pain. This cat was 3.3 kg and so he will take around 0.1 ml per day for 4 days. The lady will phone me as regards the penile erection behaviour. The cat would be separated from the other cat and has his own litter box.
I will need to follow up 4 days later
Subscribe to:
Posts (Atom)