Friday, October 14, 2022

4121. OCT 2022 CASE STUDY. A dwarf hamster is emaciated and has a smelly gangrenous everted cheek pouch. What to do?


AN EMACIATED DWARF HAMSTER HAS A GANGRENOUS MASS DANGLING FROM HER MOUTH - VETERINARY STORY by Dr Sing Kong Yuen, BVMS (Glasgow).

 

Thur 13 Oct 2022. Dwarf hamster, F, 1.5 years old. Emaciated, 33g body weight

The young lady was quoted $3000 for treatment of the black smelly gangrenous everted cheek pouch by Vet 1, so she phoned up several vet clinics. "Some don't perform hamster surgeries, others have a long waiting list", she said to me. "Finally I googled the web and found that Toa Payoh Vets had a video of everted cheek pouch surgery on hamsters."

"How long had the pouch been everted?" I asked.
"I saw it 1 day ago."
"The everted cheek pouch does not become black in just 1 day," I said. "Neither do dwarf hamsters become emaciated. A normal hamster weighs 40 - 50 g, but this weights 33 g!"


 
 
 

 15 OCT 2022: CASE STUDY

EVERTED CHEEK POUCH of the dwarf hamster had become black gangrenous and smelly over some weeks. Hamster is emaciated at 33g as the lower teeth had embedded in the pouch.

Hamster is active and eating after electro-excision of the pouch and trimming the teeth under gaseous anaesthesia. It was a high risk anaesthesia (video) as the hamster was motionless towards the end of surgery. But the hamster recovered fast from anaesthesia.

This emaciated hamster should weigh 45-50 g if normal. He is a tough cookie as gangrene and not able to eat and drink properly and painlessly should have killed him! SEEK A HAMSTER VET EARLY!

This owner told me she was quoted $3000 vet fees from another vet for the treatment of her hamster.

#evertedcheekpouch #dwarfhamster #singkongyuen #toapayohvets #singapore #shutterstock.com/g/toapayohvets

UPDATES AT:
https://2010vets.blogspot.com/2022/10/4121-dwarf-hamster-is-emaciated-and-has.html

 

 

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 INSTAGRAM STORY


 

15 OCT 2022: CASE STUDY

The EVERTED CHEEK POUCH of the female, 1.5-year-old dwarf hamster had become black gangrenous and smelly over some weeks. She was emaciated at 33g when normal bodyweights are from 45 – 55g. What to do?

“She is active and eating very well” reported the owner 3 days after my electro-excision of the pouch and trimming the teeth under gaseous anaesthesia. It was a very high risk anaesthesia as the hamster was motionless momentarily towards the end of surgery (see video). But she breathed and recovered fast when I thought she had passed away.

This emaciated hamster is a tough cookie as gangrene, not able to eat and drink properly and daily pain in the mouth due to the cheek pouch being embedded by the lower overgrown teeth and the curling upwards and inwards of the overgrown upper teeth should have caused her to die from malnutrition and sepsis.


This owner told me she was quoted $3000 vet fees from one vet for the treatment of her hamster. Other vets were not free or do not do hamster anaesthesia and surgery. She googled “everted cheek pouch” and found Toa Payoh Vets had treated some cases. Hence she WhatsApp me.


This was a happy outcome for the owner and for the vet. But it is better for many vets not to undertake such high risk anaesthetic cases as owners do not forget when anaesthetic death occurs.

SEEK A HAMSTER VET EARLY!

#evertedcheekpouch #dwarfhamster #singkongyuen #toapayohvets #singapore #shutterstock.com/g/toapayohvets

UPDATES AT:
https://2010vets.blogspot.com/2022/10/4121-dwarf-hamster-is-emaciated-and-has.html

 

 

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VIDEO SCRIPT ACCORDING TO SUGGESTIONS BELOW

 

HOOK. Owner's two videos to Dr Sing Kong Yuen on 12 Oct 2022 shows a big black
mass dangling from the left side of the hamster's mouth.
 



First video from owner WhatsApp to Dr Sing Kong Yuen. Not clear although
I can see the black everted cheek pouch.
 


2nd video was clearer. Everted cheek pouch normally should be pink
but this hamster has a gangrenous rotting black cheek pouch hanging out for some weeks
 
 
 
 
WHAT TO DO?
Dangling left cheek pouch for many weeks
Vet 1 quoted $3000 for treatment - Phoned other vets
Some vets too busy, some not treating hamsters
Internet search - "everted cheek pouch"
 
 
 
HOW TO DO SURGERY - Electricity to cut away the gangrenous cheek pouch. 
This procedure is called electrosurgery.
 
 
RISKY ANAESTHESIA - "Died" at end or anaesthesia (see video). Hamster is
emaciated, malnourished and in great pain - not fit for anaesthesia but there
is no choice as death will result soon.


HAPPY OUTCOME
Owner's video on 16 Oct 2022.
 

 
 


ADVICE
NO DELAYS IN SEEKING VETERINARY TREATMENT
$3000 FEE BY VET 1
INTERNET SEARCH FOR HAMSTER VETS - "everted cheek pouch".



 
 
 
 


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ORIGINAL VIDEOS at Toa Payoh Vets. 13 and 14 Oct 2022



Video 1/4. Consultation at Toa Payoh Vets

https://www.youtube.com/watch?v=Vlq8OX0QlHM


Video 2/4. Consultation and physical examination.
https://www.youtube.com/watch?v=Vmbqo2FwuUg



Video 3/4. Cheek pouch has been excised. Overgrown teeth have been trimmed.
https://www.youtube.com/watch?v=3Vp3y5qj-OQ


Video 4/4. Day 2 of inpatient. Fully recovered and active. Goes home.

https://www.youtube.com/watch?v=ejMClppQQs0

 
 
 
 
 
 
 
 
 








 
 
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FOUR VIDEOS DOCUMENT THIS CASE
 


 
 
 
 
 
 
 
 

Video 1/4. Consultation

https://www.youtube.com/watch?v=Vlq8OX0QlHM


Video 2/4. Consultation and physical examination.
https://www.youtube.com/watch?v=Vmbqo2FwuUg



Video 3/4. Cheek pouch has been excised. Overgrown teeth has been trimmed.
https://www.youtube.com/watch?v=3Vp3y5qj-OQ


Video 4/4. Day 2 of inpatient. Fully recovered and active.

https://www.youtube.com/watch?v=ejMClppQQs0


 
 
 


 


 
 
 



 
 
 
 
 

 






Thursday, October 13, 2022

4122. Sculptures. Aluminium. Urban People, 2009 by Kurt Laurenz Metzler

PHOTOGRAPHY TIPS
Canon R5. 105 mm. Handheld. Sit on bench to be stable.
1 PM sunlight. AV, ISO 100. Focus on "ION" text on white shopping bag 

 

SINGAPORE - 12 OCT 2022: URBAN PEOPLE, 2009 by Kurt Laurenz Metzler outside ION Orchard Mall. 6 aluminium characters to symbolise everyday life in the city e.g. The Lady Shopper and the Businessman.

#singkongyuen
#shutterstock.com/g/toapayohvets
#urbanpeople
#ionorchardmall
#kurtlaurenzmetzler


FOR UPDATES:

 https://2010vets.blogspot.com/2022/10/4122-sculptures-aluminium-urban-people.html






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PHOTOGRAPHY TIPS
Canon R5. 105 mm. Handheld. Sit on bench to be stable.
1 PM sunlight. AV, ISO 100. Focus on "ION" text on white shopping bag 

 

SINGAPORE - 12 OCT 2022: URBAN PEOPLE, 2009 by Kurt Laurenz Metzler outside ION Orchard Mall. 6 aluminium characters to symbolise everyday life in the city e.g. The Lady Shopper and the Businessman.

#singkongyuen
#shutterstock.com/g/toapayohvets
#urbanpeople
#ionorchardmall
#kurtlaurenzmetzler


TO BUY PHOTO:
www.shutterstock.com/g/toapayohvets


FOR UPDATES:
 https://2010vets.blogspot.com/2022/10/4122-sculptures-aluminium-urban-people.html





 
 
 




Wednesday, October 12, 2022

4120. Scale insects on plants

 


4120. Graves disease in a 60-year-old woman.

Graves disease is associated with pernicious anemia, vitiligo, diabetes mellitus type 1, autoimmune adrenal insufficiency, systemic sclerosis, myasthenia gravis, Sjögren syndrome, rheumatoid arthritis, and systemic lupus erythematosus. Graves ophthalmopathy is shown below. Graves disease


11 Oct 2022s

Met a lady. A lady in her early 60s with Graves disease believes in doing away with treatment which would be radio-active iodine etc. No weight loss or hand shaking, but eyes a bit bulging.

She eat 75% vegetables and 25% meat. Healthy eating. She drinks coconut water and eats the pulp. Careful with food. 

Gym exercise in condo gym. Looks fit.
7-hour sleep
Little stress

Upper eyelids droop. Consulted Orchard Road specialist. $10,000 quoted for surgery to remove "fat" inside the upper eyelids. Went to Jakarta to do the surgery. $3,000. No "fat" inside the swollen droopy eyelid. Lateral canthus surgery - surgeon created double eyelids.

Autoimmune disease.  Chronic illness.

 

Tuesday, October 11, 2022

4119. Vietnam travels. Rice terraces Mt Fansipan CABLE CAR VIEW. Pagoda complex Mt Fansipan


TRAVEL VIDEO: CABLE CARS of Fansipan Mountain, Vietnam.
.
15- 20 Sep 2022: Cool weather. Drizzle and some rain. The world's longest three-rope  cable car system in Lao Cai province, Vietnam. It connects Muong Hoa Valley with Fansipan Mountain which is dubbed the "Roof of Indo-China". The peak is about 3184 m above sea level.

Video shows greenery from our cable car which accommodated 19 travellers from Singapore and one local guide who is narrating in Mandarin.

UPDATES AND MORE IMAGES AT:
https://2010vets.blogspot.com/2022/10/4119-vietnam-travels-rice-terraces-mt.html

Some stock photos are for sale at:
www.shutterstock.com/g/toapayohvets

 

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PHOTOS OF 18 TRAVELLERS AND TOUR MANAGER IN TOUR  15-20 SEP 2022.

 


 

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Aerial view of rice terraces in the valley as seen from my Mt Fansipan cable car ride with 19 travellers during the 17 Sep 2022 tour. View was hazy in real life as the car window was misted and there was a drizzle.

Rice Terraces photo below has been rejected by shutterstock as NOT sharp. 



 
 
PAGODA COMPLEX
MT FANSIPAN


Mt Fansipan Cable cars in Sep 2022
 





 
 
 
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 VIDEO OF THE BUDDHA AND GODDESS OF MERCY
 
 
 
 
 
Furnicular Train




36 streets at night  from Chan and family visit in Oct 2022


 
 
 
 


Egg coffee at shop by Chan and family in Oct 2022
we went in the afternoon in Sep. No video

 





 

 





4117. Yio Chu Kang moths - Magpie moths

Nyctemera baulus is a moth of the family Erebidae

https://www.singaporegeographic.com/insects/moth/magpie

 

 

 

4118. Singapore moths in Yio Chu Kang. Marbled white moth.

Nyctemera lacticinia

marbled white moth

 Nyctemera lacticinia is a species of moth of the Arctiidae family

 

 

(c) Jit-Leang Foo, some rights reserved (CC BY-NC), uploaded by Jit-Leang Foo

 

4116. Singapore Moths in Yio Chu Kang Crescent Gesonia

(c) Jit-Leang Foo, some rights reserved (CC BY-NC), uploaded by Jit-Leang Foo

4115. PHOTOGRAPHY TIPS: Triangular-striped moth Chalciope mygdon. Semi-looper moth Trigonodes hyppasia. Use tripod.

 4115. PHOTOGRAPHY OF MOTHS. Triangular-striped moth in Yio Chu Kang Crescent.

1. Chalciope mygdon is a moth of the Noctuidae family.

 Larva is a very slender pale bluish-grey semi-looper. Fine darker longitudinal lines present. The larvae feed on Phyllanthus species.

 

  

2.  Trigonodes hyppasia is a moth of the Noctuidae family as classified by some people. No consensus of new family Erebidae.  The triangles or semi-looper.

 

 

 

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3. The Triangular-striped moth (Chalciope mydgon) is rarely seen in Yio Chu Kang Crescent secondary forest.
23 Dec 2024: Night time. Flew into Lentor Plain house.

I took many photos, using tripod. A tripod is needed to get a sharper image.

Chalciope mygdon, the triangular-striped moth, is a moth of the family Noctuidae. The species was first described by Pieter Cramer in 1777. It is found from the Oriental region to Sundaland.

Its wingspan is about 36–40 mm. Head and thorax dark red brown. Abdomen greyish fuscous. Forewings purplish grey. Costa ochreous. A large red-brown patch occupying the white wing except the costal and outer area, and crossed by an oblique ochreous band. Its costal and outer edges bordered by reddish ochreous, and their angle almost joined by a red-brown streak from the apex. There is a sub-marginal specks series present. Hindwings fuscous. Cilia grey below apex and at outer angle.[1]

Larva is a very slender pale bluish-grey semi-looper. Fine darker longitudinal lines present. The larvae feed on Phyllanthus species.[2]

 


 


 

23 DEC 2024:


The Triangular-striped moth is very rare and difficult to photograph. Internet searches do not show its eyes as the moth is small and will not stay long. This moth came to my house ON 23 DEC 2023 at around 8 pm, stayed on the wall for a long time. Only a tripod will you be able to capture its eyes. Still it is not a perfect photo.




TO BUY PHOTOS:
www.shutterstock.com/g/toapayohvets




UPDATE:
https://2010vets.blogspot.com/2022/10/4115-triangular-striped-moth-chalciope.html