Sunday, December 30, 2012

1231. Hong Kong Dec 24-27 2012 stories & images

Hong Kong is a fascinating place to visit and for street photography if you look further than its shopping centres and its good food.

Up to Nov 2012, Hong Kong has 44 million visitors, up 16% from the same period last year, according to the Hong Kong Tourism Board. That means more revenue to Hong Kong's retailers, government and people.

Here are my observations on how Hong Kong has become more progressive:
1. Excellent communications with passengers.
Cathay Pacific Airlines staff would communicate their feedback to the passenger before the passenger leaves the plane. For some reason, I was given a feedback form and so I said that the "bacon and eggs" were of poor quality in that the bacon was not "real" bacon. It looked like ground meat with an even layer of fat in between. This roll would then be sliced to give the appearance of bacon. The English bacon and eggs will be the standard if the traveller knows it and so it was a poor quality breakfast. The manager told me she would speak to the food side. So this was immediate feedback on complaints. The overhead light was not working. One crew said I should have told her so that I could change seats or she could "reset" the light. Why not check before flying? This flight was an old Airbus (brushes like thick eyebrows seen at the emergency exit door for disarming or arming the door). The inflight stereo phone set had one plug instead of the usual two and so the adaptor for the head phone could not be used. Regional flights' passengers get poorer facilities.

2. Survey on efficiency
Wait times at the Immigration. There was a person who gave me an electronic counter at the start of the queue and at the end of the queue, I was to return the counter. There was a message saying that the waiting times are being surveyed. This would be good for feedback on management and be useful for any organisation interested in cutting down the waiting times.

3. Interest of the organisation in service staff
On Dec 25, I went to Peking Garden Restaurant for dinner. No prior booking. I was about to leave but the gentleman in charge said that I could eat if I could leave by 7 pm. It was 5.45 pm then. So, he was a flexible manager able to add revenue to his employer. I did not order the famous Peking duck as it was too big for me. The fish was great.

On Dec 27, I wanted to eat at Din Dang Fong near Regal Hotel Hong Kong. It was jammed packed with lunch people.  "It will only take a few minutes," the waitress said as I handed back the queue number. She had the interest of the organisation at heart as she could have not bothered. It seemed that F&B staff is highly motivated to increase the revenue for the company.
3. High rentals keep increasing.
Dec 24, 2012. I had dinner at the Sweet Dynasty Restaurant in Canton Street. The last day for the operator as the rentals were too high and the famous restaurant had relocated to Causeway Bay. "An Apple store" will be opening, according to one Langham Hotel staff.

Canton Street looks much like Orchard Road, only busier. It was closed to traffic on Christmas eve and there was a band playing. Crowds of few thousands stream from the subway and there was crowd control. Nothing like this in Singapore's Orchard Road on Christmas eve.

I saw some policemen towing away a scooter parked outside the shops on Haiphong Road near Canton Road at 5 pm. Serious business in crowd control. A few hundred thousands I would estimate for that Christmas Eve night.

4. Use of IT.
Hong Kong Tourism Board equips its staff with iPad at the branch outlets. More efficient as no staff can remember all info. The lady checked out opening times of Peking Garden Restaurant and location using her iPad. This was efficient and fast.

































1230. Posting to facebook of Stanley Veterinary Centre

Dec 30, 2012 From Singapore to Ms Rachel Woo with thanks
I am Dr Sing Kong Yuen, a veterinary surgeon from Toa Payoh Vets, (www.toapayohvets.com) Singapore. 

1230. Posting to facebook of Stanley Veterinary Centre

On Dec 27, 2012, I took a train and taxi to visit Stanley Veterinary Centre and was most impressed with its well designed layout and facilities and the friendly staff.
I write to say thank you to Ms Rachel Woo, Clinic Manager for her time and sharing of her vast knowledge of the various aspects of  practice management and veterinary medicine and the use of MRIs in Hong Kong. Hong Kong's veterinary services including SPCA's veterinary services appear to me to be most fascinating for closet writers, and more advanced at the MRI level compared to Singapore presently from my conversations with Ms Woo.    



On the way, I was shocked to see a mini-bus advertising a veterinary clinic ("Veterinary Light??) but before I could snap an image to prove that vets are allowed to advertise on buses, my taxi driver had zoomed downhill towards Stanley Village.

Could this be the new kid in Stanley Village, Ms Woo?
In Singapore, bus adverts by vets are prohibited and so I was much surprised to see one in Hong Kong. Ms Woo says they are permitted in Hong Kong.  
I wish Ms Rachel Woo all the best in the years to come Happy New Year. Keep up your good spirits

Friday, December 28, 2012

1229. Veterinary matters in Hong Kong - visit to HK on Dec 27, 2012

Dec 28, 2012  5.50 pm

I visited Stanley Veterinary Centre yesterday 11 am to 12 noon. It is a well designed basement clinic as no space is wasted for veterinary use.

Three consultation rooms, 1 cardiology cum ultrasound room, one operating room, one dental area, one X-ray area, one laboratory, one pantry, one office cum pantry and one room for the boss. I like the elevator which is reserved only for large dogs with some diabilities. A very nice place to work. The hours are incredible good.

"No for people or dog owners? I asked the Manager Rachel who told me that Hongkongers love their pets very much.
"No, no," Rachel said.  I was most surprised. Lifts are expensive to build and to maintain and this is a good idea.

1228. Two videos produced by an intern - Urolithiasis &

By just being an observer is not good for the interns.
Interns learn better when they are hands on and do research as shown by the two videos:

Urolithiasis
http://www.youtube.com/watch?v=x6K4z3VtaXY&feature=youtu.be

Hamster tumours

http://www.youtube.com/watch?v=W4tSj8ubAyQ&feature=youtu.be


It takes a lot of time to mentor the interns and there is much editing and time of over several hours involved just to produce the two videos. The videos are not perfect but these are excellent ones produced by the young man.




Old female rabbit has "breast" tumours

 
 
 
 
 
Dec 28, 2012  4.57 pm. Spoke to owner who wanted a second opinion.

The vet had taken a biopsy, checked under the microscope and had diagnosed tumour. Anaesthetic consent form needed to be signed and as the rabbit is 10 years old, the owner is worried. As to the $1,000 veterinary costs, I explained that much depends on the surgery time, blood tests and histopathology tests and any other medication that the vet would do and the costs could add up.

The vet had lanced the "infected tumour" and the rabbit stopped eating after being fed some medication. However, it was active and eating when medication was stopped. I advised review and if the tumours were small, the surgical costs  would be much lower. Will see him tomorrow 9.30 am.
-----------

Dec 27 (1 day ago)
to me
 
Hi Doc,

3 years ago I brought my rabbit to your clinic to clear matted fur. Now I want to bring it to you for medical attention again.
Rabbit was diagnosed to have 2 cancerous small breast tumours about 2 cm. I need your opinion and about how much for the surgery ? The young unexperienced vet nearby my house quoted 800 to 1k !!!!
Also,when is the earliest appointment I can make with you?

Regards
 
 

--- On Wed, 3/6/09, Kong Yuen Sing <99pups@gmail.com> wrote:

From: Kong Yuen Sing <99pups@gmail.com>
Subject: Re: Enquiry on Rabbit
To: "A...>
Date: Wednesday, 3 June, 2009, 6:14 PM

Thank you. Will see you tomorrow.

On Wed, Jun 3, 2009 at 4:10 PM, A...> wrote:
I just called up your clinic to make appointment for tomorro 3pm. Thanks for your prompt reply.
Kind Regards

--- On Wed, 3/6/09, Kong Yuen Sing <99pups@gmail.com> wrote:

From: Kong Yuen Sing <99pups@gmail.com>
Subject: Re: Enquiry on Rabbit
To: "A...>
Date: Wednesday, 3 June, 2009, 3:06 PM
Estimated cost including anaesthetic, cleaning, dematting and antibiotics, bathing and exam is around $150. Staying for 2 days is $20.00 Pl tel for appointment at 6254 3326.

On Wed, Jun 3, 2009 at 2:17 PM, A...> wrote:
--- Message ---
I have a 4 yrs old female rabbit which has thick hardened clumps of matted furs at bottom area, may i kn do you provide shave down and checkup service? What is the approx cost and earliest appointment available?

Thank you
 

Sunday, December 23, 2012

1226. Trip to Hong Kong

On Dec 24 to 27, 2012, I will be taking a short break to see how Hongkongers celebrate Christmas. I will be visiting the Stanley Vet Clinic on Dec 27, 2012 from 11 am to 12 am and I am looking forward to meeting some Hong Kong vets and learning more.

Every vet practice I visit teaches me some angles and processes of veterinary practice. In this visit, I would like to know more about skin diseases in Hong Kong dogs and cats and the allergen testings.

1225. New microscope at Toa Payoh Vets

Dec 22, 2012

A new microscope with software to take images for research and to show clients was purchased by me today. It is able to display the images on the laptop screen. Unfortunately, its software works only with Windows XP while my laptop has Windows 7.0.


So I had to find older versions and older laptops to use this software. My intern Vanessa going to Melbourne Univ  3rd year in 2013 was very hard working and keen in veterinary science. I hope she would be able to complete her "ringworm" project  as her last day would be Dec 25, 2012. We had been working on this project and others for the past week. At first we used the iPhone but the images were not good.

Yet with this microscope under high magnification of 100X, the images were not clear. She used Photoshop on her own initiative and we could see the structures of the hyphae, microconnidia, macroconnidia and more. Wait for her report.

Digital imaging will not be taught in vet schools and this project broadened her skills and expertise and see some "cool" creatures of the fungal family in the Tricophyton genus.       

1224. Dog transport man's service was undercut by a vet

Today, Sunday, Dec 23, 2012, I spoke to a dog transport man who had transported a Sharpei to be put to sleep due to the fact that the owner was a 70-year-old woman who got bitten whenever she tried to clean his ears. She has 2 Sharpeis and her children from the US were worried about her safety and ability to cope with 2 dogs since she would be in poor health.

I had spoken to her and said it was her decision as to whether she wanted to euthanase 2 Sharpeis or the biting one or none . We had not met before and so I could not say whether the biting Sharpei with the infected ears could be treated for once and for all or would need repeated treatments which would mean veterinary and transport costs. She decided to have the biting Sharpei put down and her son would accompany the ferocious dog to the vet to be euthanased.

According to the transport man, the vet who was handling this case at an outside practice that was not his, said that this Sharpei should not be euthanased as it was just an ear infection. The dog could be sent to the SPCA. Better still, he would treat the dog at his practice as he has a bigger veterinary practice and has his own transport man and facilities.

His remark of having his own transport man made the tranport man wonder why he would be "stealing" his business from him and the other practice. There are all sorts of characters in this world and from some characters, one expect such undermining practices.            

1223. Eye specialist with defective software?

On Monday Dec 17, 2012, I was referred by my GP to an eye specialist in the Gleneagles Hospital as I told him I could see some "bubbles" floating in front of my eyes and an arc of white lights flashing in the left eye at the left side. It could be retinal detachment or worse.

The eye specialist was an experienced person of over 70 years of age. The nurses did the tests for glaucoma (eye pressure), macular degeneration (flashing lights and focusing on a bright central light) and dilated my pupils. Then the specialist put a ring to widen the eyelids and scan my eye retina.

I had asked to see an image of my retina and he said OK. He checked my eyes and said they were OK. What I saw would be floaters due to softness of the inner aqueous humour. I asked to see the images on his scan. I seemed able to see some retinal blood vessel branches when he scanned me.

They were all blurred, like a rose bud closing. He said that the images were blurred. Somehow, this made me wonder whether his software was defective or do all eye specialists have this problem of not being able to show the images of the retina in this modern world?   

1222. Internship - video production educational videos for vet students and owners

Internship at toa payoh vets



 
Dec 23, 2012
 
Dear Gina

Pl get some videos completed with Vanessa while I am in Hong Kong from Dec 24 to 27, 2012. Vanessa will be completing her internship in 1 day's time. Pl let Vanessa see this email.

VIDEOS NEEDED ARE:

1. Microscopic examination of ringworm in the dog.
Similar format and narration as to what has been produced in the video below:







That means Vanessa has to illustrate (draw) normal hairs and infected hairs as well as show magnified images (1000X) from the new microscope of both types with reference to the Siberian Husky case.
 Include the following 4 images with your other images:


2. Swollen eyes in a red-eared slider in Singapore and the latest video on Dec 22, 2012.
DIAGNOSIS, DIFFERENTIAL DIAGNOSIS and TREATMENT of one case study must be clearly written and videoed. Seven images of feeding multivitamins to the slider by mouth are at: www.toapayohvets.com and they must be used as well as the videos. 4/7 are shown below:











OTHER CASES AT:
2.1  http://www.sinpets.com/F5/20110344swollen-puffy-eyes-red-eared-slider-singapore-toapayohvets.htm

2.2  http://www.bekindtopets.com/stories/20110435puffy-swollen-eyed-red-eared-slider-turtles-drsing-toapayohvets-singapore.htm
Use the images

In the CONCLUSION, provide advices on prevention of swollen eyes and also on "How to tell whether the slider is male or female and its life cycle e.g. male matures at ... years and females at ... years. Some research is needed.

3. Electro-surgery in a hamster. TOOLS, PROS AND CONS COMPARED TO SCALPEL BLADE EXCISION. Most young people will find electro-surgery as a dull subject as they have so many more interesting distractions. Therefore, produce a video fascinating and compelling to educate vet students and pet owners with images, audio and a strong  narrative.

USE THE FOLLOWING IMAGE AS A HOOK - THE HAMSTER WITH AN ARMPIT FULL OF TUMOURS
http://www.kongyuensing.com/cgi/20121133dwarf_hamster_warts_electrosurgery_toapayohvets.jpg

The case is at:
http://www.asiahomes.com/singaporetpvet/misc/0762dwarf_hamster_breast_tumour_Singapore.htm. Expand on this case. Is it a simple surgery?

There is another case of the nose swelling too. Use the images of electro-surgery.

How you are able to integrate the images and tell a good story depends on you.

TOOLS OF THE TRADE

PROS AND CONS COMPARED TO SCAPEL

CASE STUDIES OF INTERESTS (see URLs below) including a guinea pig case.

CONCLUSION. Electro-surgery will not electrocute the hamster or the persons involved. It is a safe technique for certain types of surgery where the scalpel blade cannot be used or used efficiently. If the vet knows how to use the equipment properly and has a sound knowledge of the electro-surgical process to avoid electrical burns and shocks to the persons or animals involved, electro-surgery is a very useful process in veterinary surgery.   

URLs of cases done  at Toa Payoh Vets


Cases and images should include:
3.1 A case to remove a hamster's ear tumour. Extract the essence of the technique and provide visual images. The case is at:
http://www.bekindtopets.com/animals/20100129Electro_surgery_dwarf_hamster_ear_tumours_ToaPayohVets.htm

3.2 Another case at:
http://www.sinpets.com/stories/20090621Electrosurgery_Hamster_Nose_Wart_ToaPayohVets.htm



An example of electro-surgery In another animal is the guinea pig operated by me at Toa Payoh Vets.   e.g. a guinea pig (illustrate with the following case study).
Electro-surgery in a guinea pig at Toa Payoh Vets.
http://www.sinpets.com/F5/20120246electro-surgery-tumour-ear-guinea-pig-singapore_ToaPayohVets.htm


3.2  Other cases done by me at Toa Payoh Vets. Get the "relevant" images onto the video. The images are at:

3.2.1  Scalpel blade excises the tumour
http://www.sinpets.com/hamsters/20121005dwarf_hamster_hand_tumour_toapayohvets.htm

3.2.2  Images of one case of electrosurgery at:
http://www.kongyuensing.com/pic/20110823warts-electro-surgical-excision-dwarf-hamster-toapayohvets-singapore.jpg

The case report is at:
http://www.sinpets.com/F5/201108028electro-surgery-excise-hamster-warts-singapore_ToaPayohVets.htm



3.2.3  A recent case of ear tumour removed by electro-surgery by Dr Daniel is at:





http://2010vets.blogspot.sg/2012/12/1215-are-dwarf-hamsters-dumb.html

Pl let me know by email if there are queries.