Monday, September 9, 2013

1125. How to give a killer presentation

Ref: Harvard Business Review Jun 2013  Pg 121- Lessons from TED - Chris Anderson

1. Frame your story
2. Plan your delivery
3. Develop stage presence
4. Plan the multimedia
5. Putting it together

The link is at:
http://hbr.org/2013/06/how-to-give-a-killer-presentation/






1124. The angry young man

On Sep 6, 2013, I had a biting poodle who came in for the annual vaccination. "My dog keeps scratching and scratching," the wife said. I muzzled the dog, asking the owner to put in the muzzle. The dog stopped biting.  He had very painful ears esp. the left one and had thining hairs on the left and right flanks. Hair loss on the elbows. "What is the cause of this skin scratching?" the wife asked.

"It is hard to know what is the cause," I replied. "There is a small area of crust on the left ear edge. It seems to indicate sarcoptic mange. Since you used Frontline, the mites could be killed but not all. So the only evidence was a 1-cum ear edge crustiness. Parts of the neck, muzzle and chest were hairless. I need to scrap the skin of the ear edge."

Skin scraping of one site showed no mites. Owners don't like another 2 sites to be scraped. Hair examination did not show fungus. I advised ear irrigation and clipping bald but to do a good job, I needed to sedate this poodle. The owners consented..  

Inside the cage, the dog pulled away the muzzle strings and could now bite."Next time, tighten the muzzle after the owner had put it on," I said to Naing.
"You said to ask the owner to muzzle the dog," Naine retorted in a tone that suggested he would not be blamed.


 

1123. The boy bites his fingers

Sep 6, 2013
His finger nails were absent and I thought he had kept short nails. "He bites his nails," the mum said.
"Why do you bite your nails?" I asked this slim sun-tanned boy who studied in Primary Two.
"I don't know," he replied. "Could be boredom."
"Is he the only child?" I ask mum.
"Yes,"
"Have you consulted a child development specialist?" I asked.
"No. He had earlier bitten his nails in kindergarten but stopped later."
"How did you stop it?" I asked.
"By applying some nail paint so that he will not bite his nails."
"We do have such medication for puppies that suck their paws," I replied.
"Of course, the teachers kept a close eye on him. But now he is big and so I don't apply the medication on his fingers now."
"Is there a big bully in your class?" I asked this boy who was able to converse like an adult.
"No,"
"A boy who kicks you?" I asked.
"There is one. He will suddenly kick me from behind."
"Why don't you run away?" Mum asked.
"I don't run away because I don't know when he is going to kick me."
"What's his name?" I asked.
"Roy," the boy said. "Sometimes he is kind."
"A boy with two personalities? Kindness and cruelty towards you unexpectedly."
"Yes," he replied.
"Did you tell your teacher or your Principal about him?"
"No," he said.
"Where do you sit inside the class room? In front or at the back?"
"I sit at the back as I am quite tall," the boy said.."I will block the view if I sit in front."
"Does Roy sit at the back?" I asked.
"Yes, far back, far far back as he is noisy."
Is this bully stressing this gentle boy who learns taekwondo and has a yellow belt.
"Why don't you use taekwondo when he kicks you?" I asked.
 "Taekwondo is for self-defence," he said.
"Are you home alone after school?" I asked since his father works overseas and his mum has to work too.
"Yes," he said.
Perhaps that is the reason he bites his nails. Being home alone and bored. Perhaps a dog or cat will be his companion.
"Dogs are messy," the mum said.
"How about a cat? A cat is clean and goes to her litter box to pee and poop." I said.
"Not at this time," mum said.
He has a hamster that he brought down for treatment today. The right elbow was itchy and red and hairless. So he did not want the skin problem to spread all over the body.

Is there a solution to stop nail biting? I saw a grown up doctor, a general practitioner with all his finger nails gone and the tissues abnormally lumpy. I could not figure why but this could be a case of nail biting from young in retrospective analysis.

Many dogs in Singapore bites their paws. All 4 paws. Some develop interdigital cysts.  Why? Could there be mental or social reasons? Boredom? Home alone. Mites? Allergies? It is hard to say but it is quite a common situation. As for nail-biting boys, I will not know the incidence as I am a vet. Something must be done to stop this boy from biting his nails but what is the solution? I did advise the mum to ask the teacher to seat the boy in front at the corner so that he would not block the others and be away from Roy.

"Nail biting becomes pleasureable with time," I said to the mum. "It is important you consult the child behaviour specialist."

Will mum follow up? I doubt it and so the nail biting will continue to adulthood. Just like stool-eating puppies carrying on the habit to adulthood, not because they.

 

Sunday, September 8, 2013

1122. Update on "cat fur mites" - images v. illustrations for clients & medical records


tpvets_logo.jpg (2726 bytes)TOA PAYOH VETS
toapayohvets.com

Date:   08 September, 2013  
 
Focus: Small animals - dogs, cats, hamsters, guinea pigs, turtles & rabbits
Images of the cat fur mites    
Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS
Date:   08 September, 2013  
toapayohvets.com 
Be Kind To Pets
Veterinary Education
Project 2010-0129

Sunday, September 1, 2013

1112. Sunday Sep 1, 2013 - Interesting case - The Bedok Ragdoll has hair loss in the groin

 
"Just the annual vaccination for the Ragdoll," the mother and a young adult son and teenaged daughter came on this bright sunny Sunday morning, all the way from Bedok.

From my observations, most Singapore cat owners don't bother to vaccinate their cats or do annual health examination, and so I was surprised to see them. The son used his handphone to take images of my vaccination jab. I checked the medical record. The spayed female cat, born in December 25, 2006 was vaccinated in October 2011 and Sep 2012.

The Ragdoll had a full thick coat. "Any fleas?" I noted no black spots or scales on the skin. "No," the owner said. I turned the cat upside down as part of the physical examination. Earlier I managed to open the mouth slightly as the Ragdoll wanted to claw me in objection. I asked my assistant Naing to give her two halves of a deworming tablet. He gripped the side of the mouth and put in the two halves and then closed the mouth. "Rub on the neck to make the cat swallow," I said. The owners had great difficulty in deworming this cat at home and so I asked Naing to do it to gain some experience in deworming since he was a new graduate.

Some vets will just do it but I usually give the dewormer to the owner to do it at home. Everybody was happy when the cat swallowed. Soon, one half of the tablet popped onto the consultation table. This Ragdoll had outwitted the human being causing laughter amongst the owner. "You get 50/100 for deworming," I said to Naing. Naing repeated again and was successful this time. The reason I had the tablet cut into two halves is to make them easier to swallow. Some 8 years ago, I saw a boarding kennel operator dose a cat with one tablet and the cat choked and died. Many vets give one tablet via the mouth without mishaps but I better not take chances. 

I was not expecting any hair loss since the cat looked great. "What are those red circular patches on the groin area?" I asked the owners. "They look like ringworm or some skin irritation from the litter sand."

"The hair loss is due to the cat grooming and licking as the skin is itchy," I said. "How long has these red skin patches been present?"

"This hairless area has been present for some 6 months. The cat grooms it more times."

I switched off the room lighting and asked my assistant to hold the cat upside down with the help of the owners. I asked intern Terrance to come in to see what I would do with Wood's lamp which is used to check for ringworm. Around 30% of the ringworm species will fluoresce green when exposed to the ultra-violet light from the Wood's lamp. If positive, a microscopic examination or fungal culture of the infected hairs can be done.

The teenaged bespectacled daughter did not want to see any feline procedure and looked towards the floor. I asked her to stand up and looked away while I switched on the light. No fluorescence of the hair edges at all. "Only 30% of ringworm will fluoresce," I advised. "I will check under the microscope."

I plucked some hairs at the periphery of the ring-like skin, stuck them on the tape and put the tape onto the slide. I examined the hairs under the microscope.  Surprising discovery -  I saw moving mites with brown heads and legs.

"I don't want to see," the teenaged daughter protested while her mum and brother saw the mites.
"It is good to acquire more knowledge by seeing the real things affecting your cat." She saw the mites under the microscope and in my illustration.
.
I asked them to bathe the cat with an insecticide but it was difficult to do at home as the cat would have no such nonsense as being wetted.
.
"How about those spot-on insecticide to apply on the skin to kill the mites?" the mum asked.

"Bathing first and then use them," I got the cat bathed in insecticide at the Surgery and prescribed Revolution spot-on insecticide to be used monthly for 3 months.

The cat fur mite, Lynxacarus Radovskyi is said to more common in hot and humid countries. They cling to the hair shafts and grasp them. Hence they are known as hair-clinging or hair-grasping mites. They are seen as black spots and cause itchiness and hair loss in cats.

In this Ragdoll, some months ago, I saw her backside losing hair on both sides, a condition known as bilateral symmetrical alopecia one year ago. This could be due to licking as this fur mite infests the back areas frequently. They are said to cause gingivitis and diarrhoea in some cats. This Ragdoll has gingivitis but overall, the coat does not have the black spots or hair loss except for the groin area. I had not done any skin hair analysis then.

As for today's case, I asked Intern Terrance to take images of the mites as his 2nd project so that he would benefit from being hands on writing clinical research projects rather than standing around to observe the vet. His first video project on the "Lemon Law Affecting New Pets" is still in progress. I had asked him to draw the mites as seen under the microscope but he could not do a good illustration. Some people just can't draw despite me telling him to use circles, squares and rectangles as perspectives. So, I asked him to take images.

Drawing of a hair mite from cat hair scrapping I am a bit more able to illustrate as seen on the left taken from another cat with fur mites seen under the microscope, in 2003. This is not as good as the real images but that was the best I could do without the present software in my old microscope. I had researched on "how to draw" by reading such books from the libraries and so you can see I have got the proportions rights.    

Terrence took some really good images from the software in my microscope. I did the Photo-shopping to produce sharper images for his video. He would be producing a video on the cat fur mites in a Singapore Ragdoll. He works on Sundays whenever he is off from National Service full-time obligations and will be studying veterinary medicine later. 

 
tpvets_logo.jpg (2726 bytes)6361 -6367. The Bedok cat has fur mites under the microscope. 2013 case study
Drawing of a hair mite from cat hair scrapping <--- 2003="" a="" as="" cat="" details.="" female="" finer="" from="" fur="" hair-clasping="" hair-clinging="" illustration="" in="" is="" it="" known="" lacked="" like="" looks="" mite.="" mite="" my="" or="" s="" td="" the="">
Many Singapore pet owners just want an annual vaccination to save on costs. It is best to do a general physical examination to screen the health of the pet and institute preventive disease measures. This will be good for the pet. "Show and tell" is a better form of client communication and education to retain client loyalty, than just announcing the diagnosis. The images engage the whole family. It is more time-consuming for the vet to do it, but his staff may be trained to do it.

Other article at:
http://www.asiahomes.com/singaporetpvet/1210hair_mites.htm
 
Updates will be on this webpage:
www.sinpets.com/F6/20130903fur_mites_cat.htm



More info at: Dogs or Cats
To make an appointment: e-mail judy@toapayohvets.com
tel: +65 9668-6469, 6254-3326
tpvets_logo.jpg (2726 bytes)Toa Payoh Vets
Clinical Research
Copyright © Asiahomes
All rights reserved. Revised: September 08, 2013

Toa Payoh Vets

Saturday, September 7, 2013

1121. Contemporary Dance - SMU INDANCITY - Beyond 2013

tpvets_logo.jpg (2726 bytes)TOA PAYOH VETS
toapayohvets.com

Date:   09 September, 2013  
 
Focus: Small animals - dogs, cats, hamsters, guinea pigs, turtles & rabbits
A full house for contemporary dancers    
Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS
Date:   09 September, 2013  
toapayohvets.com 
Be Kind To Pets
Veterinary Education
Project 2010-0129

1121. Contemporary Dance - SMU INDANCITY - Beyond 2013

 
It was full house at this SMU Indancity - Beyond 2013 on Friday Sep 6, 2013.
99% of young adults probably around 20 years old. Incessant chatter of the young and laughter made the atmosphere alive. 80% came on time. Some had to be admitted in between shows.

I sat at the recommended seat level, around 15 rows from the front, said to give the best views of the dancers as it was "premium seating"..

I could barely see their faces as it was distant. There was a dancer who invited me to the SMU Indancity Beyond 2013. I have not been to watch contemporary dances as it was not an area I was interested.

"Buy a bouquet of flowers for this dancer," I told the dancer's boyfriend. His mum had to pick up the large bouquet. "Give them to her at the end of performance. Run up to the stage before the curtains fall."

This was very romantic but not for Asians. This act would be too risky for this young man to do. All eyes would be on him. The dancer would be pleased with the gesture, I was sure. Big applause from the young ones in the audience, I was sure.

But this young man would not do it. It was a daunting task. More than 1000 pair of eyes from a full house would be on him. Who knows what the reaction from the audience would be? Would there be boos?

What if he stumbled? There was no way except to leap onto the stage. No side-kick to help him. No, it was just too risky.

So I took an image of the dancer from afar. Was she the one? She would be delighted with the this heavy bunch of flowers if this young man would be so adventurous as to risk jumping onto the stage and presented to her. If he stumbled, everyone would laughed and the dancer would be embarrassed! Too much of a risk and so the dancer got her flowers after the curtains fell and she had her briefing and came out.

The contemporary dance was choreographed by Mr Dan Kwoh and titled "Her Rite." The info from the brochure said that the dance "showed the struggles of women for freedom in third world countries, as they fight to change the seeming inalterability of their fates. They first have to overcome the shackles and binds of their own fears of discrimination and oppression."
 
tpvets_logo.jpg (2726 bytes)6369-6370. Contemporary dancing of "Her Rite" raise awareness of social issues affecting women
 
Updates will be on this webpage:
http://www.sinpets.com/F5/20130909
contemporary_dancers.htm


More info at: Dogs or Cats
To make an appointment: e-mail judy@toapayohvets.com
tel: +65 9668-6469, 6254-3326
tpvets_logo.jpg (2726 bytes)Toa Payoh Vets
Clinical Research
Copyright © Asiahomes
All rights reserved. Revised: September 09, 2013

Toa Payoh Vets

Friday, September 6, 2013

1120. To publish*****. Myanmar stories - Loss of diamond ring & Myanmar writers

On Sep 5, 2013, I visited Khin Khin Employment Agency in the afternoon. Khin Khin was shouting at her manager for submitting payment of her husband's tax in duplicate and thereby for being incompetent in his office work. She was wrapping something inside the tissue paper before discarding it into the dustbin.

"How much is it?" I asked as the shouting was so ferocious and loud. "$256," she showed me the tax statement which had a $256 (Credit). "The IRAS will not return the money."

"The IRAS does return the money if you write to them. Say you are desperate and broke. But it takes a few months to get the money back."  It can become destructive shouting at the manager who makes mistakes. He said: "I was paying so that you don't get fined by the IRAS." That was the excuse. This manager does not want to admit his errors but would talk his way out.

I went to see another Myanmar lady to make contact with Myanmar writers since I wanted to start a E-publishing business and met a retired editor of the old Myanmar government press - "The Light of Myanmar" or some equivalent name.

It will not be easy to get writers' work translated to English but she could do it. As to how good she is, it is hard to say as she does not have the track record. If a person has the track record, I cannot afford her services anyway. So it is a chicken and egg situation. Which comes first, the chicken or the egg? We had a good discussion. No high profile authors. The legal contract, the copyrights, the royalty payments and the connections. She knew a publisher in Yangon and would talk to him.

Khin Khin phoned to say she would be going home as she had lost her diamond ring. She was much upset. This ring could be worth some money as it had around 20 diamonds but I would not know the actual costs. Later her manager came to say she found it. Inside the dustbin beside her desk.

Fortunately she thought of rummaging there. I did see her wrapping something inside the tissue paper while she was scolding the manager and I presumed it was rubbish, not a diamond ring! "Finding the diamond ring means I have not been dishonest in my life," she commented later. She is a devotee to Buddha and had a picture of Buddha and flowers on the wall above her desk. "I don't relate how honesty is related to Buddha but if you believe, it must be true."   

1119. Crib for the Spitz puppy?

On Sep 4, 2013 8 pm, the Caucasian owner asked me a few times as I stared blankly: "Where do I buy a crib?"  He had come to take his 6-week-old puppy back home. He came in the afternoon as his puppy had fallen down when carried and could not walk normally. "No damage to the spines," I told him about the X-ray results. He wanted an X-ray which was done in the afternoon.

As it was closing time, I drove him to Toa Payoh Central to buy the crib as advised by Dr Daniel. This is the first time I hear of "crib" and I presume it is a playpen or crate in doggy terms. Each vet will use his or her own term. "Crib" is an infant bed and I guess it may be used for puppies too.

"There is one Pet Lovers' Centre shop in Toa Payoh HDB hub," I drove him there since he was unfamiliar with Toa Payoh, having resided in Selegie Road downtown. He had worked in Singapore  for the past 5 years.   "How are you going to carry the crib since you have a puppy and his medication?" I asked. "It is best you just confine the puppy in a small bathroom."

"The puppy sleeps in my bedroom," he said. "I will use some chairs to make a confined space for him." So he did not need to buy a crib. I dropped him at the taxi stand opposite the Public Library. He thanked me and said: "You are the first Singaporean to be kind to me." That surprised me as he had been working here for 5 years and there must be Singaporean employees in his office. I presumed his boss was one of those abusive types as he said he would be self-employed.