July 28, 2016
Referrals are very important to a doctor. I thank this groomer for referring this case to me. The Jack Russell has large lymph nodes under his jaws, in front of his shoulders and back of his hind knees. This could be lymphoma or inflammatory.
A popliteal lymph node is excised and sent to the laboratory in the US for analysis. This takes around a week.
X-rays shows enlarged spleen which could be palpated as a lump of 10 cm across in the lower abdomen.
Blood test by Vet 1 showed increase in liver enzymes.
"This case is detected early," I said. "The blood values are normal except for the liver enzymes which are twice as high."
The owner will wait one week for the lab result. This dog meant a lot to him as he sought a second opinion from his trusted groomer,
Saturday, July 30, 2016
2897. A Shar-pei has acquired entropion
Jul 30, 2016
I have not seen a Sharpei for many years as they are rare in Singapore. There are around 80 vet practices and so the chances of seeing a Sharpei patient are much slimmer. So I was surprised when a Sharpei showed up.
"I want a second opinion," the gentleman with 3 Sharpeis did not want any blood test to screen the health of the dog. "I will speak to my family members regarding surgery and let you know if we want surgery."
This patient has eyelids closed and he had consulted a vet earlier. His friend had surfed the internet and he came to Toa Payoh Vets.
"Your Sharpei has acquired entropion of both upper and lower eyelids in both eyes," I said. "His eyes were normal when he was young. Hence the entropion is 'acquired.'"
Social media can bring in new clients if the surfer is convinced that the vet can do the job.
I have not seen a Sharpei for many years as they are rare in Singapore. There are around 80 vet practices and so the chances of seeing a Sharpei patient are much slimmer. So I was surprised when a Sharpei showed up.
"I want a second opinion," the gentleman with 3 Sharpeis did not want any blood test to screen the health of the dog. "I will speak to my family members regarding surgery and let you know if we want surgery."
This patient has eyelids closed and he had consulted a vet earlier. His friend had surfed the internet and he came to Toa Payoh Vets.
"Your Sharpei has acquired entropion of both upper and lower eyelids in both eyes," I said. "His eyes were normal when he was young. Hence the entropion is 'acquired.'"
Social media can bring in new clients if the surfer is convinced that the vet can do the job.
2986. A new successful Medial Patella Luxation surgery by Dr Kochi fujii
July 30, 2016
I read the below from a blog.
http://vetexchange.nobivac.com/blog.aspx
Every wednesday (the third day of my visit to Fujii-Vets) the clinic is closed. This gave us the opportunity to spend some time to discover the interesting Tokio-area. I’m very lucky having Dr. Kochi Fujii being my guide. He arranged an awesome program.
Dr. Fujii is a remarkable colleague. Not only is he (as British people would say) in every inch a gentleman, he’s also very innovative, open for new ideas and easy to communicate with. But above all, he’s a very intelligent and educated man. Besides DVM, he’s also a MBA and a PhD.
He developed a new, successful operation on MPL (Medial Patella Luxation). Instead of deepening the trochlea, he changed the kneejoint by taking a v-shaped piece out, turning it 180 degrees and putting it back in place. In this was the trochlear rim becomes higher, preventing the patella luxating. He came up with the idea while cutting an apple. He cutted out a v-shape piece, turned it half and placed it back. Eureka! Maybe Koichi is de next person becoming famous due to an apple, after Isaac Newton, Robin Hood and Steve Jobs
I read the below from a blog.
http://vetexchange.nobivac.com/blog.aspx
TOKIO-TOWER, TEMPLES AND APPLES
Every wednesday (the third day of my visit to Fujii-Vets) the clinic is closed. This gave us the opportunity to spend some time to discover the interesting Tokio-area. I’m very lucky having Dr. Kochi Fujii being my guide. He arranged an awesome program.Dr. Fujii is a remarkable colleague. Not only is he (as British people would say) in every inch a gentleman, he’s also very innovative, open for new ideas and easy to communicate with. But above all, he’s a very intelligent and educated man. Besides DVM, he’s also a MBA and a PhD.
He developed a new, successful operation on MPL (Medial Patella Luxation). Instead of deepening the trochlea, he changed the kneejoint by taking a v-shaped piece out, turning it 180 degrees and putting it back in place. In this was the trochlear rim becomes higher, preventing the patella luxating. He came up with the idea while cutting an apple. He cutted out a v-shape piece, turned it half and placed it back. Eureka! Maybe Koichi is de next person becoming famous due to an apple, after Isaac Newton, Robin Hood and Steve Jobs
Friday, July 29, 2016
2985. INTERN RI. Diagnosis of leptospirosis in dogs
Singaporean scenes - condos, people charity fund-raising
Dog parks, dog care facilities with swimming pool, boarding kennels, rivers, parks,
Dog parks, dog care facilities with swimming pool, boarding kennels, rivers, parks,
stagnant waters, pools, URINE, wildlife, rodents, infected dogs, bats
---------------------------------------------------------------------------------------------------------
--------------------------------
SNAP LEPTO TEST
ZOONOSIS
NOTIFIABLE DISEASE
procedures to AVA
procedures to AVA
1. Isolation kennel/Quarantine
2. Collect blood, urine
3. Dog has died
Cremation
Hygiene
Hygiene
OTHER TESTS
------------------
July 29, 2016
EMAIL REPLY TO AN AUSTRALIAN EXPATRIATE
1. Prozac or Lovan 20 - for your dog's nervousness. Did you find them effective?
2. Elbow sores in your Golden Retrievers (large breed) are very common. . The challenge is to prevent daily licking of the elbows which may become an obsession in many big breeds. The elbows become infected and more itchy and then black pigmented.
One way is daily cleaning and drying and applying moisturer. Also to wear an "elbow guard" to prevent further licking or contact with floor.
Or wear e-collar for few weeks of anti-inflam medication while the skin heals and hairs regrow. This is possible if the sore has not become thickened like crocodile skin. This is easier said than done as many dog owners in Singapore lead hectic lives or have too many distractions in life to monitor their beloved dog daily.
3. I don't know about your Australian vet's vaccination concept or whether he had given lepto vaccine. For Singapore, we use combined vaccines including 4 serotypes of Lepto and we advise yearly vaccination, not 3-yearly, individual vaccines as in Australia.
Singapore does not import individual vaccines e.g. Lepto only as it is too expensive. The Singapore Government needs justification and then imposes a hefty registration fee for every drug or equipment imported and many suppliers just cannot cope with these fees to import vaccines.
Wednesday, July 27, 2016
2984. INTERN RI - A repeat X-ray shows lung tumours have compressed the windpipe of the coughing Schnauzer
Tuesday July 26, 2016
This 15-year-old male Miniature Schnauzer was adopted as a 3-year-old and was much loved as evident by the couple seeking a second opinion at Toa Payoh Vets and following up with us to resolve the daily coughing.
"He did cough up blood 2 months ago. A dry hacking cough. I thought it was kennel cough and brought to Vet 1. Vet 1 did X-rays and said that there could be lung tumours. He proposed $4,500 to do surgery."
So, the couple came to Toa Payoh Vets for a second opinion as they were not convinced of Vet 1's diagnosis of possible lung tumours.
"The dog must have something inside his throat," the husband said yesterday as the dog came in collapsed and coughing. He was warded in a veterinary surgery with 24-hour nursing care overnight and brought back to Toa Payoh Vets today by me.
My vet proposed a broncho-scope to see inside the windpipe and a referred vet quoted $1,600 for the procedure.
"Are there lung tumours on not?" I asked as Vet 1 seemed to have said that lung tumours were present but the owner was not sure. I asked for the veterinary report from Vet 1 but the wife showed me the X ray images on her mobile phone.
X RAYS BY VET 1 AT THE ONSET OF COUGHING
As the white opaque mass on the left upper quadrant of the chest could not be determined to be lung cancer or note, Vet 1 proposed scan which would cost around $800 and referred to Vet 2 for the scanning. Vet 2 said scoping the lungs and MRI scan would cost $4,000 - $5,000.
So the couple googled "vets" and chose Toa Payoh Vets for a second opinion.
In late July, the dog's condition worsened. He coughed badly at night on July 25, 2016 and came to Toa Payoh Vets. My vet advised scope to check on "something in the throat" as suggested by the owner.
"It may be lung cancer. It is better and cheaper to get another X-ray done since the one done by Vet 1 was 2 months ago," I advised. The couple agreed and I got the dog X-rays done. Scoping would cost $1,600 from another vet.
The X-rays showed massive lung tumours and pushing up of the windpipe and narrowing of the windpipe.
"More coughing and lack of oxygen in the blood causing cyanotic tongue yesterday indicate that the lung tumours have badly affected this dog compared to 2 months ago," I could see the couples' smartphone video shown to me. The dog was not coughing, ate like a horse and was normal lifting is leg to pee in this video taken by the wife in May 2016. So, that was the reason the couple did not think that the dog had lung tumours.
The repeat X-rays shows the progress of the lung tumours. "It is likely lung cancer since the dog got much worse in the last 2 weeks, could not breathe well due to lack of oxygen in the red blood cells causing cyanotic tongue and nearly died from collapse yesterday. There is the windpipe being pushed upwards by the tumour in front of the heart as seen on the lateral X-ray."
"Is there a cure?" the couple asked.
"No permanent cure even with chemotherapy."
"With chemo, the dog will have a poor quality of life," the wife said. "How long will the dog live?"
"I can't say. Maybe 2 weeks. He had fits and probably metastasis to the brain causing minor strokes yesterday. I had given anti-fit IV for the past 2 nights and the fits were controlled. However the dog could not stand up and be normal."
July 27, 2016. Dog had seizures at night. Sent to emergency clinic. Decided that it was humane not to let him suffer more by undergoing ozone therapy as suggested by the vet. Euthanasia was the last resort and kindest to the beloved companion of 12 years. He lived to a ripe old age of 15 years without skin and ear diseases and urinary stones which affect many Schnauzers in Singapore.
Veterinary investigations like MRI scans can amount to over $5,000 and this is expensive for most owners.
--------------
12 years ago, found on void deck. Abandoned likely. Very thin. Very hungry and shaggy.
Nobody responded to advert on void deck to claim the dog
Sent to grooming
Still no response to advert.
Adopted.
No illness for the past 12 years till coughing in July 2016 and sent to Vet 1.
The owner brought the dog back to decide what to do. The dog had seizures again. He was sent to the emergency clinic for hospitalisation.
This 15-year-old male Miniature Schnauzer was adopted as a 3-year-old and was much loved as evident by the couple seeking a second opinion at Toa Payoh Vets and following up with us to resolve the daily coughing.
"He did cough up blood 2 months ago. A dry hacking cough. I thought it was kennel cough and brought to Vet 1. Vet 1 did X-rays and said that there could be lung tumours. He proposed $4,500 to do surgery."
So, the couple came to Toa Payoh Vets for a second opinion as they were not convinced of Vet 1's diagnosis of possible lung tumours.
"The dog must have something inside his throat," the husband said yesterday as the dog came in collapsed and coughing. He was warded in a veterinary surgery with 24-hour nursing care overnight and brought back to Toa Payoh Vets today by me.
My vet proposed a broncho-scope to see inside the windpipe and a referred vet quoted $1,600 for the procedure.
"Are there lung tumours on not?" I asked as Vet 1 seemed to have said that lung tumours were present but the owner was not sure. I asked for the veterinary report from Vet 1 but the wife showed me the X ray images on her mobile phone.
X RAYS BY VET 1 AT THE ONSET OF COUGHING
As the white opaque mass on the left upper quadrant of the chest could not be determined to be lung cancer or note, Vet 1 proposed scan which would cost around $800 and referred to Vet 2 for the scanning. Vet 2 said scoping the lungs and MRI scan would cost $4,000 - $5,000.
So the couple googled "vets" and chose Toa Payoh Vets for a second opinion.
In late July, the dog's condition worsened. He coughed badly at night on July 25, 2016 and came to Toa Payoh Vets. My vet advised scope to check on "something in the throat" as suggested by the owner.
"It may be lung cancer. It is better and cheaper to get another X-ray done since the one done by Vet 1 was 2 months ago," I advised. The couple agreed and I got the dog X-rays done. Scoping would cost $1,600 from another vet.
The X-rays showed massive lung tumours and pushing up of the windpipe and narrowing of the windpipe.
"More coughing and lack of oxygen in the blood causing cyanotic tongue yesterday indicate that the lung tumours have badly affected this dog compared to 2 months ago," I could see the couples' smartphone video shown to me. The dog was not coughing, ate like a horse and was normal lifting is leg to pee in this video taken by the wife in May 2016. So, that was the reason the couple did not think that the dog had lung tumours.
The repeat X-rays shows the progress of the lung tumours. "It is likely lung cancer since the dog got much worse in the last 2 weeks, could not breathe well due to lack of oxygen in the red blood cells causing cyanotic tongue and nearly died from collapse yesterday. There is the windpipe being pushed upwards by the tumour in front of the heart as seen on the lateral X-ray."
"Is there a cure?" the couple asked.
"No permanent cure even with chemotherapy."
"With chemo, the dog will have a poor quality of life," the wife said. "How long will the dog live?"
"I can't say. Maybe 2 weeks. He had fits and probably metastasis to the brain causing minor strokes yesterday. I had given anti-fit IV for the past 2 nights and the fits were controlled. However the dog could not stand up and be normal."
July 27, 2016. Dog had seizures at night. Sent to emergency clinic. Decided that it was humane not to let him suffer more by undergoing ozone therapy as suggested by the vet. Euthanasia was the last resort and kindest to the beloved companion of 12 years. He lived to a ripe old age of 15 years without skin and ear diseases and urinary stones which affect many Schnauzers in Singapore.
Veterinary investigations like MRI scans can amount to over $5,000 and this is expensive for most owners.
--------------
12 years ago, found on void deck. Abandoned likely. Very thin. Very hungry and shaggy.
Nobody responded to advert on void deck to claim the dog
Sent to grooming
Still no response to advert.
Adopted.
No illness for the past 12 years till coughing in July 2016 and sent to Vet 1.
The owner brought the dog back to decide what to do. The dog had seizures again. He was sent to the emergency clinic for hospitalisation.
2983. A British Bulldog cannot open his right side of his mouth
Tuesday Jul 26, 2016
A "miniature" gentle British Bulldog. The young couple came to Toa Payoh Vets for a second opinion. Vet 1 had X-rayed the mouth and declared nothing wrong with it. Yet the dog could not open his mouth fully.
"The problem started after he chewed a pig's ear," the wife showed me a video as evidence. "Vigorous chewing on the right side." This was great evidence.
"Soon the right eye became red," the wife continued. "The right cherry eye popped out of the eyelid later but went back into the eyelid again! So we rushed him to Vet 1. Vet 1 did suggest a genetic problem with the jaw. "
"Yes, there is a dog breed which is prone to TMJ disorder," I said.
Vet 1 proposed an MRI scan which would cost $1,800 but is the gold standard for TMJ disorders. The owners were not keen on the MRI. The dog was prescribed eye drops and meloxicam 10 ml bottle.
The dog could open his mouth around 5 degrees and still could eat and swallow despite this difficulty. So there was no need for a feeding tube nor massage recommended.
I requested Vet 1 to email me the X-ray as the owner was reluctant to get further X-rays of the TMJ (temporo-mandibular joint".
X RAYS FROM VET 1
An oblique X-ray would be more useful than the lateral one done by Vet 1. A dorsal-ventral view of the head would show whether the condyles were luxated or fractured but this was not done.
"At first he could only drool after chewing the pig's ear," the husband said. "That was why we quickly brought him to Vet 1. But Vet 1 said there was nothing wrong with the right side of the mouth."
.
I got a blood test to check for any toxin affecting the platelets or blood cells since this was not performed by Vet 1.
"It is likely that the pig's ear was preserved with chemicals which seeped into the right side of the mouth and facial muscles," I hypothesized. "The red eye became inflamed and painful. Then the right TMJ jaw joint was 'locked' by spasm of the muscles and nerve toxicity.
Or the vigorous chewing could have dislocated the TMJ partly causing intense pain, hence locking the jaw. The couple was more in favour of the chemical cause.
The dog went home with an anti-inflammatory injection and would be reviewed 2 weeks later.
Sometimes, it is hard to determine the exact cause. As for the MRI, the cost is very high and few owners want to do it as Vet 1 probably could not communicate the value of doing the MRI.
FOLLOW UP ON JUL 27, 2016
The dog was seen yesterday and was given a pred injection. The course of 10 ml of meloxicam was completed. The blood test showed liver disorder or inflammation with liver enzymes twice the normal level. The total white cell count was normal as were the neutrophils and lymphocytes. Why was the liver enzymes raised? Could the liver damage be due to the toxic chemicals in the pig ear affecting the dog? The owner would send me a video of the dog chomping vogorously on the pig ear for my intern to produce a video.
"The dog could open his mouth more and is more active," the wife told the husband as I enquired over the phone.
----------------------------------------------------------------------------
Good view of TMJ from another dog with no locked jaw. Mouth is closed.
A "miniature" gentle British Bulldog. The young couple came to Toa Payoh Vets for a second opinion. Vet 1 had X-rayed the mouth and declared nothing wrong with it. Yet the dog could not open his mouth fully.
"The problem started after he chewed a pig's ear," the wife showed me a video as evidence. "Vigorous chewing on the right side." This was great evidence.
"Soon the right eye became red," the wife continued. "The right cherry eye popped out of the eyelid later but went back into the eyelid again! So we rushed him to Vet 1. Vet 1 did suggest a genetic problem with the jaw. "
"Yes, there is a dog breed which is prone to TMJ disorder," I said.
Vet 1 proposed an MRI scan which would cost $1,800 but is the gold standard for TMJ disorders. The owners were not keen on the MRI. The dog was prescribed eye drops and meloxicam 10 ml bottle.
The dog could open his mouth around 5 degrees and still could eat and swallow despite this difficulty. So there was no need for a feeding tube nor massage recommended.
I requested Vet 1 to email me the X-ray as the owner was reluctant to get further X-rays of the TMJ (temporo-mandibular joint".
X RAYS FROM VET 1
An oblique X-ray would be more useful than the lateral one done by Vet 1. A dorsal-ventral view of the head would show whether the condyles were luxated or fractured but this was not done.
"At first he could only drool after chewing the pig's ear," the husband said. "That was why we quickly brought him to Vet 1. But Vet 1 said there was nothing wrong with the right side of the mouth."
.
I got a blood test to check for any toxin affecting the platelets or blood cells since this was not performed by Vet 1.
"It is likely that the pig's ear was preserved with chemicals which seeped into the right side of the mouth and facial muscles," I hypothesized. "The red eye became inflamed and painful. Then the right TMJ jaw joint was 'locked' by spasm of the muscles and nerve toxicity.
Or the vigorous chewing could have dislocated the TMJ partly causing intense pain, hence locking the jaw. The couple was more in favour of the chemical cause.
The dog went home with an anti-inflammatory injection and would be reviewed 2 weeks later.
Sometimes, it is hard to determine the exact cause. As for the MRI, the cost is very high and few owners want to do it as Vet 1 probably could not communicate the value of doing the MRI.
FOLLOW UP ON JUL 27, 2016
The dog was seen yesterday and was given a pred injection. The course of 10 ml of meloxicam was completed. The blood test showed liver disorder or inflammation with liver enzymes twice the normal level. The total white cell count was normal as were the neutrophils and lymphocytes. Why was the liver enzymes raised? Could the liver damage be due to the toxic chemicals in the pig ear affecting the dog? The owner would send me a video of the dog chomping vogorously on the pig ear for my intern to produce a video.
"The dog could open his mouth more and is more active," the wife told the husband as I enquired over the phone.
----------------------------------------------------------------------------
Good view of TMJ from another dog with no locked jaw. Mouth is closed.
2982. Searching for an entropion veterinary surgeon for a Chow Chow
Tuesday July 26, 2016
The 2-year-old Chow Chow was abandoned. He could barely open his eyelids to see and would bang into objects. Thick pus crusted his eyes. The couple who adopted him brought him to see around 6 vets. After consultation, the vets said they did not do entropion surgery.
"You phoned the vets by alphabetical order?" I asked. "Toa Payoh Vets would be at the bottom of the list."
"We googled entropion vets" the wife said. "We did consult an eye specialist but we need to wait for many weeks for our turn."
The 26-kg Chow Chow was particularly nervous and would not sit still for examination. Sedation with Domitor + Ketamine IM at 0.3 + 0.3 ml IM sedated him a bit and a blood sample was taken for health screening before the operation next week. The dog was given the first vaccination as I doubt he had been re-vaccinated since he was thrown out to the streets till adopted by this couple.
The 2-year-old Chow Chow was abandoned. He could barely open his eyelids to see and would bang into objects. Thick pus crusted his eyes. The couple who adopted him brought him to see around 6 vets. After consultation, the vets said they did not do entropion surgery.
"You phoned the vets by alphabetical order?" I asked. "Toa Payoh Vets would be at the bottom of the list."
"We googled entropion vets" the wife said. "We did consult an eye specialist but we need to wait for many weeks for our turn."
The 26-kg Chow Chow was particularly nervous and would not sit still for examination. Sedation with Domitor + Ketamine IM at 0.3 + 0.3 ml IM sedated him a bit and a blood sample was taken for health screening before the operation next week. The dog was given the first vaccination as I doubt he had been re-vaccinated since he was thrown out to the streets till adopted by this couple.
Sunday, July 24, 2016
2981. A 15-year-old Jack Russell vomits and has bloody diarrhoea
July 21, 2016
Two 15-year-old Jack Russells as patients.
CASE 1
Actie outdoors. Goes for walks. Had ticks. 2 days ago
vomitted many times and passed bloody diarrhoea. Lethargic. Cyanotic mucous membranes. . Rectal temperature 37.6 is below noraml. Had ticks - a big engorged one and smaller one.
Blood test showed high levels of urea, creatinine and ALT. Slightly higher total white cell count and neutrophils with decrease in platelets.
Recently, there are reports of leptospirosis (bacterial infection) in a pet care place's swimming pool and some cases in people. Leptospirosis is a notifiable disease.
1/18 cases was confirmed leptospira according to a Straits Times report on July 21, 2016. Dogs were either not vaccinated or had no updated vaccination.
This dog had no exposure to rats but had walked in parks. IV drips and antibiotics were given but the dog had fits due to kidney failure. The beloved dog was euthanased as the prognosis for full recovery was very poor.
X-rays showed enlarged liver and kidneys.
Negative for parvovirus.
"Does he catch rats?" I asked as there were some cases of leptosporosis in dogs and people reported.
I treated with antibiotics, anti-spasmodic and IVdrips for 2 days. The dog showed fits which was controlled by diazepam IV 24 hourly for last 2 days. But he was unable to stand up. The owner decided on euthanasia.
Vomiting and diarrhoea are very common conditions in dogs. This dog was not boarded but had been to parks. He would have picked up some bacterial infections causing septicaemia. Many owners would not vaccinate older dogs and some do suffer from diseases causing serious illness.
---------------------------------------------------------------
CASE 2
Went to other vets but no success in getting rid of the sourish smell from the right ear of this 15-year-old Jack Russell. Ear smear showed cocci bacteria. I had the ear irrigated and prescribed antibiotics and ear ointment 3 x per week.
Two 15-year-old Jack Russells as patients.
CASE 1
Actie outdoors. Goes for walks. Had ticks. 2 days ago
vomitted many times and passed bloody diarrhoea. Lethargic. Cyanotic mucous membranes. . Rectal temperature 37.6 is below noraml. Had ticks - a big engorged one and smaller one.
Recently, there are reports of leptospirosis (bacterial infection) in a pet care place's swimming pool and some cases in people. Leptospirosis is a notifiable disease.
1/18 cases was confirmed leptospira according to a Straits Times report on July 21, 2016. Dogs were either not vaccinated or had no updated vaccination.
This dog had no exposure to rats but had walked in parks. IV drips and antibiotics were given but the dog had fits due to kidney failure. The beloved dog was euthanased as the prognosis for full recovery was very poor.
X-rays showed enlarged liver and kidneys.
Negative for parvovirus.
"Does he catch rats?" I asked as there were some cases of leptosporosis in dogs and people reported.
I treated with antibiotics, anti-spasmodic and IVdrips for 2 days. The dog showed fits which was controlled by diazepam IV 24 hourly for last 2 days. But he was unable to stand up. The owner decided on euthanasia.
Vomiting and diarrhoea are very common conditions in dogs. This dog was not boarded but had been to parks. He would have picked up some bacterial infections causing septicaemia. Many owners would not vaccinate older dogs and some do suffer from diseases causing serious illness.
---------------------------------------------------------------
CASE 2
Went to other vets but no success in getting rid of the sourish smell from the right ear of this 15-year-old Jack Russell. Ear smear showed cocci bacteria. I had the ear irrigated and prescribed antibiotics and ear ointment 3 x per week.
Friday, July 22, 2016
2980. The cat had a tibial fracture 9 months ago and now walks almost normally after pinning at Toa Payoh Vets
July 21, 2016
The woman in her 50s feed 24 stray cats every evening all by herself.
"Cat food prices keep going up," she spent around $700 per month to feed 24 cats.
She brought this cat to me for fixing the fractured leg hind leg 9 months ago, being referred by her vet in Tampines.
An intramedullary pin was put in and the two bone pieces were aligned. I told her to return 6 weeks later to get the pin removed from the left hind leg. She did not come.
On Jul 2016, it was 9 months later. She phoned me as to whether the pin ought to be removed now and to bring the cat to see me.
She texted and sent the above-mentioned video:
"Princess had a left tibial fracture of distal 1/3 in the left hind leg 9 months ago fixed by you. The left hind leg sticks out when she is in the sitting position. Stilted gait. Does Princess need to take out d pins? She can jump n run (a little award). U can tell her gait is not normal unlike other cats. Don't think she is suffering."
Being over 50s, she had never WhatsApp videos. To save her time and money as she is stressed out with cat feeding after work, I asked her to WhatsApp the above video. The cat looks OK and is normal in daily life.
So, I replied: Wait till there is a problem like lameness or loss of appetite. Take care of your health."
She texted: "OK".
Feeding 24 cats every night till midnight without fail and cleaning the area is a considerable task for this working woman. Dry cat food prices and the cost of living has shot up again.
Nobody wanted to help her. She had a young lady who helped out a bit but now she has shifted house far away.
If she had a younger dedicated person to help her set up a blog to update and showcase her good work and provide proper accounting, I am sure she can get some of the monthly $700 in donations for the cat food from cat lovers.
For my part, I provided a listening year and this message:
Any kind soul willing to help her take care of the 24 stray cats or financially support part of the cat food purchase, please tel +65 9760 8313, Mdm Chua.
The woman in her 50s feed 24 stray cats every evening all by herself.
"Cat food prices keep going up," she spent around $700 per month to feed 24 cats.
She brought this cat to me for fixing the fractured leg hind leg 9 months ago, being referred by her vet in Tampines.
An intramedullary pin was put in and the two bone pieces were aligned. I told her to return 6 weeks later to get the pin removed from the left hind leg. She did not come.
On Jul 2016, it was 9 months later. She phoned me as to whether the pin ought to be removed now and to bring the cat to see me.
She texted and sent the above-mentioned video:
"Princess had a left tibial fracture of distal 1/3 in the left hind leg 9 months ago fixed by you. The left hind leg sticks out when she is in the sitting position. Stilted gait. Does Princess need to take out d pins? She can jump n run (a little award). U can tell her gait is not normal unlike other cats. Don't think she is suffering."
Being over 50s, she had never WhatsApp videos. To save her time and money as she is stressed out with cat feeding after work, I asked her to WhatsApp the above video. The cat looks OK and is normal in daily life.
So, I replied: Wait till there is a problem like lameness or loss of appetite. Take care of your health."
She texted: "OK".
Feeding 24 cats every night till midnight without fail and cleaning the area is a considerable task for this working woman. Dry cat food prices and the cost of living has shot up again.
Nobody wanted to help her. She had a young lady who helped out a bit but now she has shifted house far away.
If she had a younger dedicated person to help her set up a blog to update and showcase her good work and provide proper accounting, I am sure she can get some of the monthly $700 in donations for the cat food from cat lovers.
For my part, I provided a listening year and this message:
Any kind soul willing to help her take care of the 24 stray cats or financially support part of the cat food purchase, please tel +65 9760 8313, Mdm Chua.
Tuesday, July 19, 2016
2979. A young couple's terrapin gasps for breath 4 days ago
July 19, 2016
This terrapin with dark green pretty squarish patterned hard shell gasped for breath 4 days ago and was hospitalised. by me. The other two in the same tank (video) were normal and did not suffer from respiratory infection.
"It could be due to smoking by family members," Dr Daniel said.
The couple were smoking outside the surgery but they confessed they never did it in front of the tank.
"My brother did smoke near the terrapins," the husband recalled This terrapin could have inhaled the smoke and got respiratory infection or irritation.
"It is amazing that the other two terrapins are not affected," I said. After 4 days of treatment at Toa Payoh Vets, the terrapin ate and recovered. No longer open-mouthed.
I advised no live fishes in case of parasites and removal of the small stones in the aquarium.
The terrapin no longer gasps for breath (see video) but he has to live separately from the others for one month and given antibiotics for another 7 days.
The aquarium tank is well decorated and it is a pleasure to see the 3 terrapins swimming vigorously inside the tank. The couple had changed the filters and got rid of the smaller stones. As you can see in the video, the terrapin no longer gasps.
This terrapin with dark green pretty squarish patterned hard shell gasped for breath 4 days ago and was hospitalised. by me. The other two in the same tank (video) were normal and did not suffer from respiratory infection.
"It could be due to smoking by family members," Dr Daniel said.
The couple were smoking outside the surgery but they confessed they never did it in front of the tank.
"My brother did smoke near the terrapins," the husband recalled This terrapin could have inhaled the smoke and got respiratory infection or irritation.
"It is amazing that the other two terrapins are not affected," I said. After 4 days of treatment at Toa Payoh Vets, the terrapin ate and recovered. No longer open-mouthed.
I advised no live fishes in case of parasites and removal of the small stones in the aquarium.
The terrapin no longer gasps for breath (see video) but he has to live separately from the others for one month and given antibiotics for another 7 days.
The aquarium tank is well decorated and it is a pleasure to see the 3 terrapins swimming vigorously inside the tank. The couple had changed the filters and got rid of the smaller stones. As you can see in the video, the terrapin no longer gasps.
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