200. Use Facebook, blog and Flickr to help find a home for a stray cat, Singapore

Sep 26, 2010
Writing from Perth, Australia.
5.37 am Willeton

Facebook seems to be the great thing for undergraduates. They get to interact instantly and see beautiful people and pictures.

However, private individuals who are animal activists can use the facebook, blog and flickr to make a difference to the homeless cats and dogs in their neighbourhood.

Vets or vet students can use Facebook and Flickr to make a difference by helping homeless strays in Singapore.

I guess advocacy for homeless stray cats have not much appeal to most young adults with Facebook accounts. They usually have no worries about the next meal or suffer deprivations.

But they can use their bountiful energy and youthful idealism to make a difference, one stray cat at a time and learn about advocacy from the comfort of their homes.


For the baby-boomer generation of vets (old vets of my generation), it is tough for most of them as they find the technology difficult and time-consuming to learn.

Much now depends on the younger vets to be interested in finding homes for some stray cats recovered from illness. Unfortunately, younger vets may have other priorities. Still, if one of a hundred younger vets find the time to advocate for the homeless strays, it is still good. Advocacy for the homeless strays generates no revenue for the younger vets who treat some stray cats or dogs. However, try and help one or two within your time constraints. Unfortunately, good visuals are important as the young ones are also visual-biased. Do what you can.

I have started a Flickr account to help a homeless stray cat recently.

See my example at:

http://www.flickr.com/photos/33995662@N00/?saved=1

TWO PICTURES ARE POSTED IN THIS BLOG









Success in finding homes is unpredictable. If you have a positive mindset, you will find success in many ways even if you fail to find a home for your advertised stray. For example, success in learning how to craft a message to help the homeless and to take excellent pictures over time by being hands on.


COMMENTS
From my review of my pictures, I realise that I should have taken better compositions when the cat has had recovered from scabies treatment. I should have photographed the normal cat without the cage and show the cat in full (with legs intact and show paws free from scabies). This is what I mean by being hands on. You will learn from each case how to be a better advocate for the homeless strays next time.

In this situation, I photographed the stray cat outdoors on a bright sunny day. It must be crated just in case, it leapt away. I should photograph it indoors with lighting but I was busy. Definitely will do away with crates next time.

199. Health screening for adults

Sep 23, 2010 Perth, Australia

Health screening at SGH

"We practise evidence-based medicine," the nurse at the reception said to me when I asked her about health screening for people with no signs and symptoms of illnesses like heart disease or cancer. What is evidence-based medicine? Must a person be dying of heart attack first to be eligible for health screening in the Singapore General Hospital?

Recently I met Edwin, a good friend of a pastor whom I knew from my National Service some 30 years ago and who had died some 5 years ago. The pastor's son had become a doctor and was at the government polyclinic. Edwin told him that he came for a health screening as his sister-in-law was pestering him to do it. "Sorry, uncle," the doctor said. "I can't permit you to do it." Edwin who brought in his dog for health certification before export to Malaysia said: "I am glad that Pastor ... imparted values of integrity to his son." Edwin said: "What are the chances of meeting the pastor's son at a polyclinic? I don't even want a health check. It was my sister-in-law pestering me to do it. Now Pastor ... must be satisfied and happy from Heaven." I don't know what to say. This Pastor ... had many divine inspirations prolonging his life by a few years despite having heart diseases, kidney failure and diabetes.

It was not surprising therefore that the nurse at the reception rejected me. No choice but to go to the private hospital. A staff in violet uniform told me that I needed an appointment to consult the doctor for health screening. I was a walk-in prospective patient. "OK," I said. "I will make after I return from my holiday in Perth." I doubt I would bother as I have no health problems. I still would like a health screening for cancer as two older vets had been diagnosed with cancer and I was not a spring chicken at the age of 60.

I could not give a date for appointment and said I would call. This meant I would procrastinate. After all, evidence-based medicine is the excuse. I have no evidence of poor health. A bit tired nowadays. Due to stress of hectic pace of city living in Singapore.

As I was about to leave, a fair lady in black dress with some floral strip on one side of the neck came to the receptionist and said: "You can see the doctor today as somebody did not turn up." No show is common in Singapore as many don't have the courtesy to cancel their appointments.

"So now the walk-in cannot walk out?" I tried my hand at humour with the service staff. Nobody laughed but there were some smiles. "I wish to consult an old doctor," I said. "Don't you want to give young ones an opportunity to gain experience?" the receptionist said. "Well, at my age, I may not live long to be a guinea pig. I know every doctor learns from experience in handling cases but I can't afford to let young ones do it at my age. I need experienced doctors to tell me whether I am all OK."

"Don't worry," the lady in the black number assured me. "The doctor is the head of the department." It was my lucky day as I don't have any referrals for this health screening. People usually ask friends for referral but here I was, a walk-in who had starved for the past 12 hours and was trying my luck.

My health screening took about one day from 10 am to 4 pm. The following was accomplished.

1. Blood collection. Blood test must be done again if the previous one was more than 6 months if one wants to go for general anesthesia.
2. Urine collection. Clear light yellow urine as far as I could see.
3. Lung function test. Bit a plastic mouth piece and breathe out as much as I could.
4. Fat, water etc analysis of the body. I stood on a machine and pressed two thumbs on the handle. Can't figure out how it worked.
5. X-ray. Although I had X-ray 9 months ago, the nurse advised one as it was part of the package. "You will not get a refund if you don't do it," she knew many Singaporeans are the calculating type. "It is the radioactivity that I am worried about," I said. "The radiation dosage is very low," she said. OK. I went for it.

6. Eye pressure test. Some machine to check for glaucoma.



7. The doctor's consultation and tests include
7.1 History of past treatments as he keyed into the computer the report
7.2 Physical examination for hernias and palpation for abdominal growths
7.3 Eye-sight. Bright light shone onto my eyes. He said I have no cataracts. A few days earlier, an experienced optometrist said I have little bits of cataract. In any case, I trusted this doctor. It was good news.
7.4 Hearing test. 3 types of sounds I had to say "yes" when I heard it. "The last type is one which many people thinks they may have or have not heard it," the good doctor laughed when I told him that I could hear something but was not sure.
7.5 Explanation of the Treadmill test. (see para 8 below).

8. The Treadmill test. I had to sign a consent form in case I suffer a heart attack during the test. "Don't worry," the doctor took back the signed form. "My nurse is very experienced in detecting any heart attack and will stop the test." I was given the ECG leads and proceeded to walk slowly. The speed increased. "Stop," I said as I became breathless after the 7th minute. "I need the maximal rate to be 85%," the kind slim senior nurse said. "Do you have chest pains or cramped muscles?" I had neither. I was just breathless and did not want to over-exert myself. The machine must have had reached 85% as the nurse stopped the movement. It was past 9 minutes of threading. She printed out the graphs and did not seem too happy with the reading. The doctor would explain to me.

Bad news. "See the ECG," the doctor showed me. "ECG reading is normal before exercise." I could see the regular repetition of the PQRST complexses throughout the strip of paper.

"After exercise, the blood takes a long time to flow back to the heart, even after 5minutes. The ST curve did not rise up as normally as it should be. Indicating a blockage in the heart's coronary arteries."

Yet I had occasional chest pain like over-exertion but it was once in a few months. So I opted for a CT scan of the heart.

9. CT scan
Blood pressure taken at least 3 times and said to be normal although I could see that it was 138 at the upper value. I cannot remember the lower value. Maybe I should be 138 for my age of 60. I thought it should be less than 120. Must do some research.

BPS. This was below 50 beats per minute. "Exellent reading, so we don't need to give you sedatives as the CT machine dislikes people with high pulse rate," a nurse told me. I thought it was abnormal as bps should be 70. Need to do some research.

An experienced nurse tapped my right hand and inserted a long 23G catheter for the injection of radioactive dye when I went into the CT scan for X-raying.

"MRI would be better," another nurse told me. "There will be no radioactivity but it costs a few hundred dollars more."

10. Abdominal ultrasound scan for abnormalities of the liver, spleen, kidneys usually. This was done before CT scan. An experienced nurse put gel. I had to be scanned from above the abdomen, turned to the right and left side. "Can the ultra-scan detect bones in the stomach?" I asked the cheerful nurse. I knew of one vet who had advised ultrasound scan for foreign body the the dog's stomach to confirm what X-rays had shown some opaque foreign bodies. So I was interested in asking this nurse whether it could be useful. "No," she said. "Too much gas, movement in the stomach." I remembered she said about some fat affecting the results. "I have not done it." I need to do some research here. In foreign bodies in the dog's stomach, X-rays with or without contrast media are traditionally done. I am not convinced that ultra-sounds can pick up foreign bodies in a dog's stomach.

Will stop now. I recorded the above for reference. It is 8 am in Perth on a Sunday. Some Royal Show. Some flower show. The Queen's birthday on Monday. So a long week end. Bright sunshine, blue skies. Clear spring air at Willeton near Murdoch University. I have this sadness as my plane touched down at Perth Airport on Sep 24, 2010. There was a car accident on Sept 3, 2010 affecting a girl whom I had carried as an infant and whom I saw growing up.

198. Toilet training an adult male dog

EMAIL TO DR SING APRIL 2010

Hi Dr Sing,

I’ve been reading up your toilet training blog and find it very useful when toilet training my puppy. However, I still have a few queries. I’m a first timer raising up a puppy and hence has been quite stress up. I’ve accompanied my puppy for the first 3 days (almost keeping him within my sight) and observed the following:



My puppy is a mix breed of Chihuahua and Pomeranian, 3 months named Cookie. He was with us since 24 Apr 10.



The pet shop owner came with a crate with wire flooring and a pee pan below. Initially I try to carry Cookie to the bathroom after nap/food with newspapers laid on the floor but was unsuccessful. Cookie usually poos twice a day, 1 in the early morning and another one in weird timing. I realized that he only pees in the middle of the crate; I supposed it’s due to the urine smell. He pooed everywhere though.



Qn 1: Do you think Cookie will poo in the middle like where he used to pee if I spray those anti-pee/anti-poo spray (given by my friend) on those area that I don’t want him to do pee/poo? The spray has a strong smell and I'm contemplating to use it.



Qn 2: It seems like he’s trained to pee/poo in the crate. Is that a good idea? It’s ideal for us since we are working. However, if we bring Cookie out eg. to a friend’s place, will he pee/poo everywhere since there’s no crate?



Qn3: Cookie seems to be stepping hard on his own poo when all of us are asleep. He’s also seems to be shifting them around. I can see portions of it at different areas of the crate. We also caught him eating his own poo once. How do we prevent such action from happening especially when we are all asleep?



Qn4: When I let him out to play in the living room, will it be better to leave the crate door open and let him run to the crate to pee/poo? Or will it be better to lay newspapers on a pee pan (given by my friend) with Cookie’s urine smell at a corner so he can pee/poo when he’s out playing and need not rush back to the crate? I've let him out of the crate twice on 26 Apr and surprisingly, he climbs back to his crate when he's thirsty after running a few rounds. I see that as a good sign of recognising his own den?



Sorry for the long post and thank you for the time to read my email, I would be very much delighted to receive your reply J



EMAIL TO DR SING SEP 22 2010

Hi Dr Sing,
It's me again. I'm having some difficulties with Cookie's potty problem. He used to pee & poo in at the left side of his crate but recently, he totally stop this habit. Instead, he'll bear with it and wait till we let him out of the crate.

No choice, we had to place a pee pan at a designated area in the living room. Cookie will sometimes pee & poo on the pee pan but he still has accidents and forgot where he should do his business. We've been guiding him and telling him but it doesn't seems to work.

We also try to confine the area and let him out once a while and when we let him out, he'll eliminate elsewhere. Any suggestion what else we can do about it? Btw, he's coming to 8 mths, is he considered adult yet? Is it time to neuter him already?

Thanks for your time reading and replying to my email :)

Thanks & Cherers,



EMAIL FROM DR SING SEP 23, 2010



From your email, I have the following observations:

1. Cookie is an adult dog now. He can be neutered anytime.
2. As an adult male dog, he wants to keep his den (crate) clean and so he waits till you let him out to eliminate.
3. As a male dog, he wants to urine-mark his territory (natural instinct). So he pees everywhere. It is not that he "forgets" but that when you are around, he has to behave himself otherwise he may get punishment.
4. As a male dog, he may want to mark his territory with poop although most male dogs mark with urine.

5. Solutions:
5.1. Neutering as early as 6 months may reduce his urine-poop marking but you have delayed this. Still it is not too late although it may not be as effective.
5.2 Neutralise your flooring with white vinegar: water in 3 parts to 1 part respectively.
5.3 Confine the dog to his crate or to a small toilet area for the next 264 weeks after neutering.
5.4 Every day, twice a day, after meals, bring him outdoors to eliminate. Praise and reward with dog treat when he eliminates outdoors in an area not used by members of the public.
5.4.1 Pick up the poop with papers and dispose properly. Going outdoors is a positive "reward" and he will learn not to dirty the whole apartment which is his "den". This takes patience and time. Many owners find the above-mentioned tips to be useful.
6. Adult dogs are harder to toilet-train but you need to have a routine for him now. He must have realised that you are his "subordinate" and this is natural for dogs. Dogs need a firm leader and I believe you are gentle towards him when he is growing up. Now, he thinks you are his follower. Therefore, you need to be a leader and start with him going outdoors at least once a day (morning and/or evening).

197. Taking responsiblity for your pet's health

Sunday case
19th Sep 2010

"I will not be able to take it if my dog dies under anaesthesia," the lady had made an appointment to see me on this fine Sunday morning. Her Shih Tzu was 11 years old and her vet had told her that there should be no more yearly dental scaling for the past years.

A small globular under the skin behind the temporo-mandibular joint had now grown to 1.5 cm x 1.5 cm. "Why didn't your vet remove the tumour when it was small and when the dog was younger?" I asked.

"My vet advised me to wait and see," she said.
"There are slow-growing cancerous tumours," I said. "It is important that they be removed when they are small."

What the lady wanted was:
1. Dental work to remove the tartar and loose teeth causing bad breath without the dog dying under general anaesthesia. I auscultated the dog's heart. "Around 60% chances of survival," I estimated. "A blood test will be useful to assess the blood, kidney and urinary systems."

"My vet had taken the dog's blood some 8 months ago and said there was nothing wrong," she said.

"Do you have the blood test report?" I asked.

196. Toilet training an adult dog that lies on her own pee

E-MAIL TO DR SING DATE SEP 14, 2010


On Tue, Sep 14, 2010 at 3:04 PM, Eian T wrote:

Hi Dr Sing,

I was desperately surfing the website for help when I chanced upon your articles. Then I called your clinic and left a message.

My dog is currently not your patient and so I would like to ask if you provide any sort of advice/toilet training?

I just got a miniature poodle from the farm (I was told she was vaccinated by a vet in Toa Payoh, I need to check it out). The poor poodle must have been in the farm for the past 8 months as she is very comfortable eating, sleeping and doing her business in the same place. And she has no problem lying in her pee.

What I did was cordon her off in the kitchen with a pee tray (used by my older dog) and everytime I see her pee/poo, I carried her to the pee tray. It didnt help. She has this problem of whining til she pees when I go away. So I put the tray where she likes to stand so that if she whines and pees, it will end up in the tray. This is to keep the place clean since I have to work in the day.

Other problems - she hardly does it when I watch her but the moment I go away she will relieve herself. I take her down for long walks and she has not done it at all. When I other dog goes to the tray, the new dog doesnt learn as well.

I'm quite lost and wonder if you do provide some house visit on toilet training a dog like that?

Hope to hear from you.

Thank you.






E-MAIL FROM DR SING DATE SEP 17, 2010


1. Just read your e-mail today as I was busy attending the wake of my god-daughter who had an accident in Perth and had returned back to Singapore.

2. I do house-calls by appointment, but the best and less expensive method is to have a one-to-one discussion in the Q&A format at Toa Payoh Vets. There are many management factors affecting toilet training that cannot be written in your e-mail. This will take up around 30 minutes of discussion at Toa Payoh Vets. However, this may not be practical advice for you. In the meantime, I have written some guidelines for you and for other readers in your situation:

3. The following is my guideline for you as your dog is now an adult dog much conditioned to its environment in which she has lost her natural instinct to be clean. So she keeps lying on her pee. She does not want to eliminate on your other dog's tray or environment.

3.1 Buy a new big crate with a grated flooring and a pee pan below.
3.2 Confine this dog inside this crate when you work.
3.3 On half the floor area of this, put non-slip rubber mats for her as a sleeping and eating area.
3.4 On the other half is the grated floor. Below the grated floor, in the pee pan, there are newspapers lined on the pee pan. On the half that is below the grated floor, put this dog's urine onto the newspapers. The other half below the non-slip mats, you should not soil it with the dog's urine.
3.5 Try this method to restore the dog's natural instinct to be clean. Let me know. It will take 2-4 weeks. Pl make an appointment if you wish to discuss further with me as it takes a book just to discuss about toilet-training an adult dog! Each dog and owner have their own personality and that is why it is important to meet at Toa Payoh Vets (for economic reasons). The best way to contact me is to phone me directly and my receptionist will give you my phone number.

Let my receptionist know if you wish to make appointment to discuss further as there are 3 vets and many of my ordinary cases are handled by Dr Vanessa Lin.

195. Horse banged car in Brisbane

Sep 14, 2010
9 pm

"As I drove round the bend, a horse trotted across the road," Dr J said as he started eating the nuts and melon seeds. We were attending the wake of my god-daughter who had a car accident on Sep 3, 2010. He wanted to attend the wake and phoned me. My god-daughter had worked in his veterinary surgery for around one year before embarking on a second degree to become a veterinarian. She had worked as an intern in his practice around 2 months ago. She was 5 weeks before graduation and a car accident happened.

"What happened to the horse?" I asked. Kangaroos and deer do cross the road suddenly in Australia causing car accidents. I recalled an incident when a deer crossed the road suddenly in Scotland where I had studied veterinary medicine but the vet braked in time. This was the first time I heard about a horse.

"The horse slid up my car bonnet and smashed the wind screen," Dr J said. "You know that the bonnet usually has a curved front. After the accident, the bonnet was as flat as a pancake. The bonnet then sprung upwards."

"So what happened to the horse?" I was glad he lived to tell the tale. A draught horse would weigh over 600 kg. I imagined that the huge body of the horse would have killed Dr J if he had driven the usual small car.

"The horse had to be put down later," Dr J said. "My face was pock-marked with glass shards. The doctor had to extract the pieces. When Nellie (a vet student in the 3rd year while Dr J was in the 5th year in Queensland University in the 1960s) saw my face, she burst out laughing."

"What make of car were you driviing?" I was surprised that he did not suffer more serious injuries.

"A Holden" Dr J said. "A big solid car which is common in Australia but too expensive to be sold in Singapore". This explained why he was not killed in the accident as it seemed that the impact sent the horse's side body shooting towards him crashing into the windscreen. In Australia, the minimum speed for expressway is said to be 100 km/hr unlike lower speed in Singapore. So, drink-driving daccidents are common every weekend such that the trauma nurses in the Perth's hospital know exactly what to do when the helicopter flies in the accident victims.

"These trauma nurses would literally run towards the helipad when the announcement was made of the arrival of the helicopter," my god-daughter's mum told me when I visited her yesterday to comfort her. She had been hospitalised in Perth's major trauma hospital before her return to Singapore. "Is it like the TV show 'ER'" I had asked her. "Yes, very much like that."

As for Dr J, he was fortunate to be alive today as he had driven a big car. The car was around 8 years old but it protected him as it had a longer bonnet than the usual Japanese car.

"Did you get compensation?" I asked Dr J. "The laws said that in this accident, nobody is at fault. Nobody gets compensation. It was around 3 months before the final year examination. I had to go to various farms to do internship. So, I rushed to buy another car."

"Why would a horse be wandering around at 9 pm?" I asked Dr J.

"The farmer said that his horse had escaped." This was plausible. "When you are young, you tend to take risks. I was driving a motorcycle everywhere in Brisbane and up and down the expressways as a student."

"A young man thinks that he is invincible." I remarked. The testosterone surge in young men in their early 20s had led to a large number of fatal accidents in Singapore and all over the world. When I was a young man, I tested my Mini-Clubman on the Malaysian expressways, overtaking big lorries as much as possible driving from Singapore to Kuala Lumpur at night. I sped till the Clubman rattled at 120 mph and I thought it would split open. Fortunately the Clubman returned to normal status when I slowed down or I would not have lived to write this story.

As for Dr J, he went to Brisbane recently. "I looked at the GPS navigation system as I drove," he said to me. I had to hold the handset close to see the map and to drive as well. There is no need to check the map anymore."

Fortunately he lived again as this is a very risky way of driving in Australia. The country side roads are full of gravel and some expressways have pot-holes. "Drink-drivers are common," Dr J said to me. "You may need to be alert as they may hit you even though you are careful. As the expressway is long, you can fall asleep while driving."

194. Sunday case: Thousands of baby ticks & other interesting cases

Sunday Sep 12, 2010 6.15 pm recording of cases seen today.

VEXING CASE

"My Jack Russell went to the vet last week for nail clipping," the young couple said. "He peed on the grass. Now he has lots of ticks on the body and inside the ears. I used Frontline yesterday and today a tick wash sold by the groomer."

Examination & de-ticking.
1. Clipped bald. Hundreds of ticks paralysed and stuck on the body
2. Forceps to pick up ticks but then many smaller ticks still alive.
3. "I need to use the tacktic wash," my groomer said. "Otherwise the owner will not be happy when he sees more ticks after de-ticking. The owner did NOT use sufficient dosage of the insecticide (2 caps to 1 litre of water, unknown drug) and therefore the baby ticks are still alive.

Examination after de-ticking.
The owner complained one tick was seen in the left ear and one on the face (left side). He bites when the owner tried to pull out the hanging ticks.

"The procedure is incorrect in this case," my groomer said. "Should have given tick wash first at correct dose, then shave and the ticks will fall off."

We picked up all the very small baby ticks that were still alive. The dog bit the owner and so it was a time-consuming case to brush out all baby ticks. Took almost one hour.

Owner advised to use Frontline Spot on tomorrow as the apartment is full of ticks. Advantix from Bayer repels the tick but the owner was not keen and wanted to buy Frontline from the pet shop as this could be cheaper. "Repels" means preventing ticks from the surrounding kitchen and bathroom to attach onto the dog but the owner could not understand the difference.

CAESAREAN
Water bag burst this morning, some 6 hours ago, but the Westie home-breeder wanted me to examine and see what I can do. I was about to close at 5p.m. After waiting for over 40 minutes, I phoned. She said she could not find a taxi but this was not credible as Singapore's taxis are many nowadays. She wanted us to wait. Such cases were not genuine. She agreed that she would not be coming.

Advice: If no puppy is born within 1 hour of the water bag rupture, an emergency Caesarean is needed. Not wait and see as the pup would have had died and the mother could be in danger of possessing a smelly dead pup (if delays over 12 hours).

DENTAL SCALING
Cavalier King Charles had dental scaling and pro-heart injection. No problem.

CAT CONSTIPATED FOR ONE WEEK. It could be that he was made to wear an e-collar to prevent scratching of his left eye. He had a cat flu and was sneezing. Somehow his left eye was itchy. When the e-collar was taken off, he scratched his left eye again. What's the cause of the conjuncitivits? I had the cat under general anaesthesia and flushed off any foreign body from under the 3rd eyelid. "He was OK," the young lady said. "When I took off the e-collar, he started to rub his left eye." I checked the left ear. It was clean unless the horizontal canal had some debris. Ears were both clean.

I palpated. Constipated stools felt. Enema given. Cat passed out some stools within 5 minutes. I asked: "Has he been wearing the e-collar 7 days ago? He did not poop as he had to wear an e-collar."

"Most likely he disliked the e-collar as he could not clean himself after pooping," the lady diagnosed. Boarded one day to observe. Should go home tomorrow.

LATERAL EAR CANAL RESECTION. The parents and daughter came to visit him. "The wounds are still wet and bleeding 4 days after surgery," I said. "The surgical area looks very bad after surgery but will look good some 14 days later." I showed the owner where the horizontal canal opening was by putting a cotton bud inside the canal on the left ear. The Miniature Schnazuer with hairy ears did not bite me. He shook his head and the cotton bud got stuck outside his horizontal canal opening and I had to take it out. He was still on NSAID pain-killers and did not bite. But not ready to go home yet as the owner will not know how to clean the ear surgical area. Another 2 days.

9 kg. Male. Not neutered. 5 years.

--- INTERESTING HISTORY FROM MY FILES

26 Jul 2007 Right head tilt. Right ear. brown pus and ear powder. Otitis externa. Dog tranquilised and ear hairs plucked. Panalog for ear cleaning.

3 Jan 2010 Excessive ear hairs and otitis externa. Tranquilised and ear irrigation. Panalog.


25 May 2010 Wanted panalog and antibiotics.


8 Sep 2010. Lateral ear canal resection together with Dr Vanessa Lin.


STRAY CAT WITH ORAL ULCERS RECOVERING AFTER PREDNISOLONE
The expatriate couple said they would pick up the cat 3 days ago but did not turn
up. Ulcers will recur again. No permanent cue. Will e-mail the couple again.


RIGHT HIP JOINT DISLOCATION IN A CHOW CHOW X. 10 days after car accident. X-ray confirmed dislocation. Surgery advised by Vet 1. "Not likely to be successful in popping the bone into the joint now," I said.