4414. Vet Case Study: Tele-consultation via Instagram

1. DATE OF TELE-CONSULTATION  VIA INSTAGRAM ON 1 OCT 2023

RY

Hi, I have 2 red eared sliders, one of which has been giving a wheezing sound for the past 2 days, which is quite worrying. May I know if I need to make a booking to send them in for a check up?

 

I would like to learn if my set up is good enough for them as well.

DR SING K Y

Please hone 6254 3326 for appointment to examine them. For your set up, please WhatsApp video of all 4 side views and top view to 96686468. Thanks

 

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2. DATE OF TELE-CONSULTATION  VIA INSTAGRAM ON 25 DEC 2024

RY

 
Hi, i know it is too late and it's a holiday tomorrow. But I noticed my RES doing this. He has not been eating well recently, but he basks normally. We have heated lamp and the set up should be fine. There is no wheezing nor puffy eyes.

DR SING K Y

Please send close up videos of him swimming and his eyes

Your earlier video is blurry.

RY

Wonder if he needs medical attention?

DR SING K Y

Sorry for late reply as I couldn’t find your post in WhatsApp.

Dry dock him overnight and if he eats in next 3 days gradually, wait and see. He looked like gasping in an earlier video

RY

Okay. Need heated lamp while dry docking?

Should I bring him over? Because he haven't ate for 2-3days already

Dr Sing K Y

Best to get veterinary check up. Please phone 62543326 tomorrow 10 am for appointment. No need heated lamp for dry docking

RY

Thank you! I will call tomorrow

Dr Sing K Y

What brands and types of food you feed him? Any meal worms, worms, prawns, chicken meat etc?

Any new food fed recently?

RY

Hikari Usually

Yes, on 19th of Dec I gave him some boiled pomfret. Not a lot, just a few bites

Dr Sing K Y

Please do not give other food now as some sliders get stomach upset and inflammation. I had a recent case.

RY

Got it, thank you.

4413. "Me Time" in Wuhan Lake, China

 

It is important for retirees and very busy people to connect with Nature

4412. PHOTOGRAPHY TIPS: Building. A good photo has no people or vehicles.

 

 PHOTOGRAPHY TIPS: Building. A good photo has no people or vehicles.

 8 Dec 2024: An image of the Pei Hwa Foundation building in Jalan Kayu, at around 8 am.

An interesting part of its history is that the whole of the lower floor was once rented out to a busy veterinary clinic for many years.  

It is one of the few Singapore foundations that disburses scholarships and bursary awards to around 300 students from primary school to tertiary levels, thereby giving a leg up to the young people who may need the financial help.

iPhone 15 Pro Max image

4411. PHOTOGRAPHY TIPS: Flowers in a backyard garden in Florrisa Park.

In May 2024, this particular property in Florissa Park, facing the Lentor Modern Condo construction, has a public space behind the backyard. This was used by residents to plant beautiful flowers such as the Dracena draco and Thunbergia erecta  as shown below. 

I took several photos and two plants as mentioned above are shown in this webpage.

As at 25 Dec 2024, the strip of public space had been concreted as a walkway, as Lentor Modern condos are being completed. So, there are no more flowers to bloom in this space. Fortunately, the "stump" of the Dracena draco is still present inside the backyard.

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WhatsApp 10 May 2024.

 Hi Dr Sing. This is Frederick Chuah here, at Florissa Park. Nice talking to you just now at my back yard..
Many thanks for planting so many beautiful plants.

You are most welcome.. Is good for our eyes and enjoyment, especially for our planet.. 😉

Good morning. According to the internet, this plant flowers once in a blue moon. I took the photo in July 2023 when it had so many golden yellow flowers. Today, it looks a "dead" stump!

SINGAPORE - 30 JUL 2023. Dracaena draco is an ornamental plant with sword-like leaves and clusters of yellow buds. It is spotted flowering in a back garden in Lentor Estate.

 

 

 

all the below pictures are by you?

https://www.shutterstock.com/search/lentor-estate-garden

Wow, you are good to locate so many flowers 🌹 taken by me. I only located two of your golden yellow flowers but you find many !

 

 

 like i said I am in the IT.

 

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11 May 2024. 

 

Rare to see a couple of Thunbergia erecta of two separate colours next to each other. Reminds me of an affectionate couple.
Good job in growing these two
Good morning! Wooo nice! 👍🏻

 NParks person must have loved Starfruits to plant this rare tree in Singapore. Fruits are 2/3 or 1/2 the usual sizes sold in markets
Got a new job?
Good morning Dr Sing, good catch..nice flowers!!

 

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 22 May 2024

 Pomegranates are believed by the Chinese to be auspicious plants. The plants are seen in some house gardens.
It seems “three” buds or things give balance to a photo as compared to one or two
May I ask whether you have good photos of pomegranate fruits?
Good morning. No I don't have.. this is a nice pic you took..

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Two Samsung 22 photos of Frederick's backyard garden.

 The white frangipanni looks sharp and young.
Your mobile phone can take such a sharp photo as there will be not much space for my big camera
😁 Is a Samsung.. I prefer Huawei, but there is no Google services, I have no choice to migrate to Samsung.
You use the latest model S27?
No mine is S22, the latest is S24

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25 Dec 2024.

Merry Christmas to you. I hope you have found a good job. Your back garden is now smaller.

Thank you Dr Sing, it has been awhile since the last time I saw you.. yes, I found a job. Thank you.. Yes, smaller garden 😅 looking forward to seeing you soon .

Good morning. Are you in software or hardware job?
Services, business process, and AI

 

 

 

 

 

 

4410. ChatGPT. Seniors have a Christmas Day lunch in Singapore by ChatGPT

 A group of Seniors who met during the Vietnam Tour meet for a Christmas lunch in Singapore, as imagined by me, by the sea, in an al fresco cafe surrounded by butterflies and pretty blossoms. ChatGPT created this image.

In real life, we will meet in Woodleigh Mall! No sea, flowers and butterflies.

 

 

4409. ChatGPT image Christmas Eve scene . Infant Jesus and 3 wise men.

23.12.24. I used ChatGPT to create a serene Christmas Eve when three wise men, guided by a big shiny star, visited the infant Jesus in a stable in Israel. Mother Mary and father Joseph were present.

ChatGPT created Mother Mary but father Joseph was a young lady. Above is the best of 3 images.

4408. Vet Case Study. Cat with left eye perforated corneal This procedure aids in protecting the corneal surface of the eye while promoting and accelerating the healing process. Tarsorrhaphies are classified as either temporary or permanent. If the tarsorrhaphy is temporary, the cornea is expected to heal within two to eight weeks.ulcer.

Vet Case Study. Cat with left eye perforated corneal ulcer.

TELE-CONSULTATION VIA WHATSAPP WITH DR SING KONG YUEN

19 NOV 2024:

Hi, Is this Toa Payoh Vets?

Yes

Hi, I'd like to make an appointment to seek 2nd opinion for my cat's eye condition.
According to the other vet, she has a ruptured eye.  She recommended to surgically remove her eye.

Please phone 6254 3326 for appointment. 

WHAT IS A PERFORATED CORNEA? 

A perforated cornea in a cat is a serious eye injury that occurs when all layers of the cornea are destroyed. It can lead to blindness or even the loss of the eye

CAUSE:

• Corneal ulcers: These can be caused by a variety of things, including scratches, dirt, exposure to chemicals, or a viral or bacterial infection. The most common cause is the feline herpesvirus (FHV). 
• Penetrating trauma: A foreign object or wound that completely passes through the cornea. 
• Cat claws: A common cause of corneal lacerations in cats.

 

 SYMPTOMS

 

• Pain
• A visible wound on the eye
• Involuntary closing of the eyelids
• Excessive blinking or squinting
• Discharge
• Redness and/or swelling around the eyes
• Cloudy eyes
• Rubbing and/or swiping at the eye

Diagnosis of Corneal Laceration in Cats
History of trauma to eye, Physical examination, Eye Test

A definitive diagnosis by taking an eye test and administering special eye drops that will temporarily dye the cornea, highlighting any damage present. 

 

 Fluorescein Dye Test. A drop of fluorescein dye or paper strip with fluorescein is placed between the eyelid and the eye for 5 minutes. Residue of green dye left on the corneal ulcer indicates the cornea is ulcerated. Normal corneas do not get stained green.

 

20 NOV 2024:

SINGAPORE: The left eye of the 17-year-old cat has a PERFORATED cornea causing pain and thick watery eye discharge. Cat was given eye drops, medication and e-collar by Vet 1.

 

 

 

 

24 NOV 2024:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

27 NOV 2024: Fluorescein Eye Test

 

 

 

 

 

 

30 NOV 2024:


 

 

 

 

 

 

2 DEC 2024:

 

 

 

 

 

 

 

20 DEC 2024:

VIDEO

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TREATMENT

How do you treat a ruptured cornea in a cat?

Mild cases can be treated with topical eye drops and medications, while more serious cases may be treated with surgery or eye removal. 

 Surgery:
What is tarsorrhaphy? Tarsorrhaphy is the joining of part or all of the upper and lower eyelids so as to partially or completely close the eye.

Temporary tarsorrhaphies are used to help the cornea heal or to protect the cornea during a short period of exposure or disease.

 This procedure aids in protecting the corneal surface of the eye while promoting and accelerating the healing process. Tarsorrhaphies are classified as either temporary or permanent. If the tarsorrhaphy is temporary, the cornea is expected to heal within two to eight weeks.

 Elizabethan collar. Do not allow your cat to continue to rub at the affected eye, as this may transfer bacteria to the eye, causing infection and worsening the condition.

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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CREATING THE STORY ARC
1. Cite the incident (the plot) telling what it is.

2. Build rising tensions toward the climax

3. Work towards the resolution (what it could be).

 

 Story arcs help readers and viewers understand the cause-and-effect connections between events, and provide a sense of purpose and meaning