3106. Be Kind To Pets images

3104. Can the large urethral stones be removed via the bladder?

"Stones are large and inside the os penile urethra," I said to the senior vet. "Can they be flushed back into the bladder and removed via the bladder?"

A few hundred surgeries had been performed by the senior vet.
"Yes," he said confidently. "It can be done."

Urinary cathether + 20 ml syringe =
general anaesthesia
The syringe of water pushed the 2 stones into the bladder. They were removed.

Stones were about 5 mm x 5 mm and rough.
To be sent for analysis.

Shih Tzu is Ok and will go home on Day 3. 

3103 A Maltese has closed pyometra for one year

Dog in distress, panting.  Vaginal discharge over one year.
Stabilised with furesemide and IV drip for 1 day before spay.

One uterine horn
is bursting with pus. Unusual case.
The other one had partial pus swelling.

The dog had heart disease which gave rise to coughing without phlegm. Heart medication was given 24 hours before surgery. Furesemide IV was given. The dog was spayed the next day and survived. She went home on Day 3 and is OK.

Advice:
Do not delay spaying your female dog if she has slight vaginal discharge over the past year. This would be closed pyometra, with the cervix closed. So pus cannot discharge out normally and after one year, as in this case, the dog's right terine horn was about to rupture from overdistension with pus.. 

3102. An 18-month-old male hamster has swollen abdomen - Abdominocentesis

Within 7 days, abdominal distension. Active and was eating till yesterday. Consulted 2 vets. I advised abdominocentesis under gas anaesthesia, which is risky.

Body Weight  64 g
Body weight after aspirating >4 ml pinkish fluid from abdomen  54 g.
Lots of serosanguinous fluid flowed out. Palpated a solid mass or cyst 8mm x 8m
Hamster is much loved. Prognosis poor. May live for few more days unless the mass is not cancerous.

3101. Fashion designs

July 19, 2017


Reference: 50 Women's Fashion Icons that changed the world
Lauren Cochrane,
The Design Museum's mission is to celebrate, entertain and inform.


Helps you to wear something different


1. Debbie Harry (1945 -   )queen of downtown. Face of punk-pop band Blondie.
Her stage wear uses colour and texture to pack a punch.
Collaborate with designer Stephen Sprouse who was responsible for her asymmetric dresses.
Play with colour including the signature hot pink. Red thigh-high boots and matching red tunic. Peroxide hair and black kohl always present. Still performing. A key reference for young women who want to be a girl in a band and look the part.


2. Tina Chow. Jap mother X American father. Died of AIDS in 1992, aged 41. Lagerfield credited her with minimalism. Concentrate on designing jewellery, furniture and sculpture towards the end of her life. Her cult appeal continues. Photo shows her design -  her own bracelets (transparent plastic?),


3. Rei Kawakubo (1942 -  ). Her label, Comme des Garcons established in 1969 now at vanguard of fashion. Annual turnover 164 poungs. Dover Street Market dept stores in Tokyo, London and New York. She believes in creating a brand. Cult of her style continues apace.


 

Printing Images- what file size do you need

From: 
http://www.urban75.org/photos/print.html

Printing images - what file size do you need? A guide to required file sizes for printing out photos [Updated Feb 2016]
Image size Pixels (Virtual Size of Scans)	Megapixel rating	Print size (inches) at 200ppi	Print size (inches) at 300ppi
640  x  480	0.3	3.2 x 2.4	2.1 x 1.6
1,024 x 768	0.8	5.1 x 3.8	3.4 x 2.5
1,280 x  960	1.2	6.4 x 4.8	4.2 x 3.2
1,504 x 1,000	1.5	7.5 x 5.0	5.0 x 3.3
1,632 x 1,224	2.0	3.3 x 6.1	5.4 x 4.1
2,000 x 1,312	2.6	10.0 x 6.6	6.7 x 4.4
2,240 x 1,488	3.3	11.2 x 7.4	7.5 x 5.0
2,275 x 1,520	3.5	11.4 x 7.6	7.6 x 5.1
2,272 x 1,704	3.9	11.4 x 8.5	7.6 x 5.7
2,590 x 1,920	5.0	13.0 x 9.6	8.6 x 6.4
3,008 x 2,000	6.0	15.0 x 10.0	10.0 x 6.7
4,256 x 2,848	12.1	21.3 x 14.2	14.2 x 9.5
4,536 x 3,024	13.7	22.7 x 15.1	15.1 x 10.1
5,782 x 3,946	22.8	28.9 x 19.7	19.3 x 13.2
Professional/online printing Some professional services specify lower resolutions for image sizes, so you could get away with smaller image sizes. Kodak, for example, suggests these resolution/file sizes: For a 4" x 6" print, the image resolution should be 640 x 480 pixels minimum. For a 5" x 7" print, the image resolution should be 1024 x 768 pixels minimum. For an 8" x 10" print, the image resolution should be 1536 x 1024 pixels minimum. For a 16" x 20" print, the image resolution should be 1600 x 1200 pixels minimum. For a 20" x 30" print, the image resolution should be 1600 x 1200 pixels minimum. For a Wallet-size print, the image resolution should be 320 x 240 pixels minimum. Quality vs file size This guide shows you the kind of quality you can expect when you're printing out your photos.

Digital camera resolution vs print quality
Capture Resolution	Video Display	Print Size
		2x3"	4x5"/4x6"	5x7"	8x10"	11x14"	16x20"	20x30"
320x240	OK	Good	OK	Crap	Crap	Crap	Crap	Crap
640x480 0.3Megapixel	Good	Excellent	Good	Crap	Crap	Crap	Crap	Crap
800x600	Excellent	Photo Quality	Very Good	Reasonable	Crap	Crap	Crap	Crap
1024x768	Excellent	Photo Quality	Excellent	Good	OK	Crap	Crap	Crap
1280x960 1 MP	Excellent	Photo Quality	Photo Quality	Very Good	Good	Crap	Crap	Crap
1536x1180	Excellent	Photo Quality	Photo Quality	Excellent	Very Good	OK	Crap	Crap
1600x1200 2MP	Excellent	Photo Quality	Photo Quality	Photo Quality	Very Good	OK	OK	Crap
2048x1536 3 Megapixel	Excellent	Photo Quality	Photo Quality	Photo Quality	Excellent	Good	OK	OK
2240x1680 4 Megapixel	Excellent	Photo Quality	Photo Quality	Photo Quality	Photo Quality	Very Good	Good	OK
2560x1920 5 Megapixel	Excellent	Photo Quality	Photo Quality	Photo Quality	Photo Quality	Excellent	Very Good	Very Good
3032x2008 6 Megapixel	Excellent	Photo Quality	Photo Quality	Photo Quality	Photo Quality	Photo Quality	Excellent	Very Good
3072x2304 7 Megapixel	Excellent	Photo Quality	Photo Quality	Photo Quality	Photo Quality	Photo Quality	Excellent	Excellent
3264x2448 8 Megapixel	Excellent	Photo Quality	Photo Quality	Photo Quality	Photo Quality	Photo Quality	Photo Quality	Excellent
10 Megapixel +	Excellent	Photo Quality	Photo Quality	Photo Quality	Photo Quality	Photo Quality	Photo Quality	Photo Quality

Crap	Horribly pixelated blocky mess, like something out of 1987
OK	Looks reasonable enough, but nowhere near photo quality
Good	Pretty good all round, with a fair bit of detail
Very Good	This will be fine for most uses, unless you get up reeeeal close
Excellent	As good as a photo for most purposes
Photo Quality	Woohoo! Fantastic quality print, full of detail and perfect for your picture frame or for your showing off your very best shots.

3100. A 16-year-old Maltese has a large left perineal hernia recurred some 7 years after repair.

Another case of a gigantic perineal hernia. The owners had consulted Vet 3 some months ago and was referred to a vet specialist who would be more costly.  So a friend referred them to me.

Some 7 years ago, Vet 1 had operated but the hernia recurred some months later. Vet 1 referred to Vet 2 who operated but the hernia recurred. So Vet 2 did muscle transposition surgery,cystopexy and colopexy. This last operation lasted around 6 years. The dog was neutered young and this is a rare case as 99% of the perineal hernias in male dogs are not neutered. The owners did not want to go back to Vet 2 for some reasons although his fees were reasonable at around $1,500 7 years ago.    


July 2017.
"Your dog is very old, at 16 years and has heart disease," I advised against any surgery to repair this hernia. "She can pee. She eats like a horse."
"But she cannot poop for the past 5 days," the mother and adult daughter said. "Her swelling is very painful too."
"She needs to be anaesthesized for me to evacuate the stools manually," I said there would be anaesthetic risks but the owner had no choice. She signed the consent form.  Anaesthesia would be short as I used fingers to extract the semi-hard stools from the rectum. Dog was OK and stayed one day inpatient.


X RAYS

NO SURGERY


"Your dog is not fit for surgery as he has heart disease," I said. "Surgery using mesh implant will take around one hour. He can live another 2 years or more if his heart disease is controlled by medication."


1. Reduce the swelling 6 times a day so that the rectum does not get trapped.
2. Give lactulose daily for 7 days, then alternate days for week 2 and 3.
3. Switch to Prescription Diet W/D as it has higher fibre content. If W/D works, no need to give lactulose.  
4. Heart disease medication daily for 2 weeks first and review.

FOLLOW UP
1. Much less coughing after heart medication is given
2. Oral 3 ml lactulose per day. Passed stools, not watery.
3. Swelling is there, but the dog is not constipated as before evacuation.

TIPS
The hernia had recurred some 6 years after the 2nd surgery but the dog was able to poop.
The vet refused to prescribe more lactulose without examination and so the dog got constipated after a while.

   

3099. An unusual Sunday emergency caesarean section - mummified foetuses.

Sunday Jul 16, 2017 


Emergency C-section phone call at 9 am. 2-year-old Corgi, 61st day pregnant, lst litter, passed out viscous blackish vaginal discharge.

So, rushed down to clinic. Breeder was there.
"This Corgi is the daughter of the Corgi that died after C-section by Vet 1," the Myanmar assistant told me. "This is her first litter. She was active yesterday, but today, passed out black vaginal discharge."  Breeders never forget any death after C-section and would avoid the vet. As for me, I had no deaths so far.


Unusual C-section.
The left uterine horn was filled with viscous black liquid enveloping 4 below-normal sized puppies. All 4 puppies were mummified and dead. One was very small in size. The right uterine horn had 3 well-formed pups but the placentas had "melted" and so the pups detach easily from the uterus. I gave them to the breeder who is hands-on and prefers to revive the pups himself as he said he is most experienced. Some vets would not permit him to do so.


Only isoflurane gas using cone first, before size 7.5 endotracheal tube intubation.




TIPS
The dam fought against cone anaesthesia vigorously. This is expected. "Take off the cone when the dam struggles, " I said to my assistant Judy. "Sometimes, the dam is choked. Let her breathe without the cone and put in again.  She did this. The dam was not struggling and became anaesthesized soon.


At my 2nd last stitch, the dam appeared to "choke". I said, "The endotracheal tube may be irritating the trachea, pull it out a bit." It is hard to know what causes this behaviour as she was on smooth anaesthesia. I stitched up the last stitch and got the tube out.

3 live vigorous crying puppies. The breeder saw the mummified puppies and was satisfied with having 3 live ones. As to the cause of 4 mummified puppies in one uterine horn, it is a mystery. In any case, the 3 normal puppies would have died if the breeder proscratinate another hour as the placentas had detached and melted especially for 2 of them. See video.  







 

3098. A 9-year-old Maltese has a gigantic perineal hernia. Mesh implant.

Consulted 3 vets. Too large a hernia for perineal herniorraphy. Mesh implant was done by me. Owner advised to return for neuter 3 weeks later. It is safer not to prolong anaesthesia by doing the neuter in one surgery as the owner will never forget or refer her friends to the vet if the dog passes away on the operating table. Neutered dogs rarely suffer from perineal hernias and hence neutering is advised. Some vets do neuter at the same time.

Video of mesh implant surgery performed at Toa Payoh Vets

3097. A male dwarf hamster urine marks causing itchy lower body.

July 13, 2017

PUDDING, male, dwarf hamster, born June 2016. 

Today, the young man consulted me and said: "My hamster still has an itchy armpit after you had operated on her left elbow wart 5 weeks ago!"  I was surprised and got my assistant to video the new medical condition.

"5 weeks ago, I removed the left elbow wart which was 2 mm across," I said. "There was no elbow problem."

The hamster squealed twice as I examined the sore right armpit using a small torch-light.
"It is the right armpit," my assistant pointed out.. "The wart was on the left elbow!"

A rough red inflamed patch of loose skin around 4mm x 4mm was present on the right elbow. So this was a new condition.

HISTORY

Dec 28, 2016
Lives alone. Overweight 63 g. Urine spraying on exercise wheel, food bowl, corner and litter. Sleeps on urine.
1. URINE SCALDING. Whole lower body has no hair. Inflamed and itchy.   Diagnosed: Ventral dermatitis. Advised neuter.



2. Left ear wart 4mm x 4 mm. Electro-excised ear wart.

Jan 17, 2017
63g
Lethargic
Scratches both ears, flanks and bites paws. Hair loss. Paws inflamed.
Ventral and flank dermatitis.
Otitis externa both ears.  

Open vertical ear canals, irrigate
Clip bald under anaesthesia
Cleaning scent gland

Jun 8, 2017
68g
Left elbow wart 4 x3 mm across electro-excised.
No bleeding.

Jul 13, 2017
69g
Right armpit skin inflamed and biting the area.  5 mm x 5 mm.


CONCLUSION
Owner did not neuter as the hamster no longer urine mark.
Did not manage to reduce weight. No more sand bath.

3096. 16-year-old Cocker Spaniel had swollen abdomen

Blood test showed liver disease.
X-ray showed liver tumours from mammary gland tumours.
The dog had a swollen abdomen due to liver tumours. Passed away today.

The dog was much loved. 

3095. Final Videos - Be Kind To Pets Veterinary Educational Videos

A list of "Final Videos" done by Toa Payoh Vets



1. https://www.youtube.com/edit?video_id=NQftA3fW-Ic&video_referrer=watch
Penile Prolapse in a caramel red-eared slider. Penile amputation.


2.  https://www.youtube.com/edit?video_id=MLjDPpBwoYE&video_referrer=watch
A 14-year-old Miniature Schnauzer has a large neck abscess.


3.   https://www.youtube.com/edit?o=U&video_id=ToXHgDjcXiY
Corneal ulcer fluorescein eye stain test in a dwarf hamster

4. https://www.youtube.com/watch?v=UiwehKVtAio
Intervertebral disc disease in a Schnauzer with hind limb trembling

5.  https://www.youtube.com/watch?v=GIsQvDBszH8
Thrombocytopenia in a 12-year-old cat with bloody diarrhoea.

3094. Property Management Contract

   

Property Management Contract

     Responsibilities of manager
          A. Exclusivity of services
          B. Rent collection
          C. Scope of manager’s expectations
Agency Appointment
Limitation of Liability
Insurance
Manager Compensation
Terms and Termination
Property Management Agreement

Responsibilities of manager

Under the terms of this property management agreement, [Client], hereby referred to as “Owner,” authorizes [Sender], hereby referred to as “Manager,” to perform business-related transactions on behalf of Owner for the property at [Number.Street] in [City], hereby referred to as “Property.” Manager is given full authority to carry out all lawful necessary steps to fulfill this agreement.

A. Exclusivity of services

Manager has the exclusive right to manage Property for the duration of this agreement. Both parties agree that Manager has sole cause of any management of Property, whether made in writing or orally.

B. Rent collection

Manager will collect from tenants rent payments by cheque, unless payments are by electronic transfer,  on or before the due date, and issue receipts to tenants, if applicable. Owner will pay Manager monthly a management fee of S$300 and expenses incurred in the management of the Property. Manager will provide a monthly accounting of all rent payments for Owner’s records. Manager assumes responsibility of any rent payment disputes with tenants.

C. Scope of Manager’s expectations

• Coordinates and oversees repair services deemed necessary by Owner, or contractually required under a lease; pay for services with Owner’s funds. Owner shall deposit S$1,000 as petty cash reserved for such services. 
• At Owner’s expense, serves legal notices to tenants when necessary on behalf of Owner, with Owner’s prior consent, and hires attorneys when needed for eviction proceedings or rent recuperation. Owner agrees to be an interested party in such legal action, and Manager has full authority to settle claims on behalf of Owner.
• Collects rent from tenants when due, making no guarantees as to regular payment from tenants.
• At Owner’s expense and permission, hires collection agencies when necessary.
• Maintains an accounting of rent payment receipts, expenses, and charges on a quarterly basis for Owner.
• Hires and supervises contractors to repair and maintain Property.

Agency Appointment

Manager shall be considered an agent of Owner, given full authority to perform necessary actions to evict tenants and/or collect unpaid rent. Manager has the right to enter Property at any time during the length of this property management agreement.

Limitation of Liability

Manager, and all employees or independent contractors hired by Manager, shall have no liability under this agreement, including such liability related to injury to persons or damage to Property under Manager’s supervision, except in instances of gross negligence or willful misconduct by Manager.

Insurance

Owner is responsible for obtaining and paying for general liability insurance and other necessary insurance to protect the interests of Manager and all associated personnel.

Manager Compensation

Owner agrees to pay Manager under the following conditions:

• The greater of 10 percent of the gross rental income due to be paid by tenants under existing or future rental agreements, or a flat dollar amount of S$300. Payment will be due by Owner to Manager on the 1st of each month based on tenant commitments the preceding month.
• If Manager conducts property reviews for publication on instruction of Owner, Owner shall pay S$150  per review. Such reviews will include a written overview of Property and recommended preservation projects, including a preliminary cost estimate for each project.

Terms and Termination

Manager and Owner enter into this property management agreement on [Contract.Start.Date]. This agreement shall automatically renew after one year unless Owner provides 60 days prior notice in writing to Manager.

Property Management Agreement

This property management agreement begins as of [Day.Month.Year] and is entered into by [Client.FirstName] [Client.LastName], and [Sender.FirstName] [Sender.LastName] for the Property at [Number.Street] in [City].

Owner

Signature

Name and NRIC No.

Mobile Phone No.

Email.

Manager

Signature

Name and NRIC No.

Mobile Phone No.

Email.

Witness

Signature

Name and NRIC No.

Mobile Phone No.

Email.

3093. A 9-year-old cat coughs for 6 months but has excellent appetite

Vet 1.  Coughs a few times 6 months ago. Saw Vet 1.
Ausculated lungs and heart - normal. So owner did not bother with antibiotics. Gave cough drops.

Coughs more and more. Owner saws video in smartphone of coughing cat.
Consulted Toa Payoh Vets in Jan 2016. Why?

3092. A 9-year-old Miniature Schnauzer has trembling legs

Hind limb trembling

L7 spurs
Recurrent bladder stones
Urine test done



11  months ago

3091. A 13-year-old cat had sudden onset bloody diarrhoea

Fresh red blood passed with watery stools. Why?
Apartment cat loves to eat lizards.

Blood test - thrombocytopenia.
Sudden onset bleeding inside the stomach and intestines. Not clotting.
Bit own tongue inside crate - lots of bleeding.

Cause of death - owner did not want autopsy. Unable to confirm cause.

3090. A 9-month-old dwarf hamster has an itchy eye. Why? Show and tell. Corneal ulcer