Wednesday, December 4, 2013

1228. 2008 blogs

In 2008, I wanted to have blogs for separate species but this is too time-consuming and so the 2010 blogs replace the ones below:

2008 blogs

Veterinary Surgery articles
http://veterinarysurgerydrsing.blogspot.sg/

Singapore hamsters
http://singaporehamsters.blogspot.sg/

Singapore cats and kittens
http://singaporecatskittens.blogspot.sg/

toilet training articles
http://puppytoilettraining.blogspot.sg/

Create, Not Consume
http://puppytoilettraining.blogspot.sg/

1237. Femoral fracture in a cat

What is the solution?
Amputation or repair? Financial costs

1236. Edited video "A Golden Retriever is lame"

http://youtu.be/ZZ1tqqqMUfI


An active 8-month-old male Golden Retriever had a painful left shoulder 3 weeks ago. He is examined for lameness again. There are 2 processes: 1. walking and trotting. 2. Joint manipulation of flexion, extension, abduction and adduction shown in this edited video. There are loud "clicks" heard from the left shoulder joint manipulation. There appeared to be pain seen from the right shoulder joint briefly when the dog reacted. The right knee joint was stiff. Overall, the dog was slightly lame in the front limbs. X-rays of the left shoulder joint is advised to confirm subluxation.

Dec 4, 2013  Videography and video production is part of hands-on experience for interns Daniel Low and Clara Chua at Toa Payoh Vets

TIPS for interns
1.  No music should be in a video with narration as it is distracting as the vet is discussing the case to educate vet students and there is somebody singing in the background.
2.  Copyright violation issues with songs, leading the video being deleled by YouTube. The whole site is suspended if there are 3 violations effecting erasing the hard work of other interns.
3.  Interns to review final video meticulously before submission to me. This is to save time.
4.  The younger generation of Singaporeans in general is well educated but many do not do work as directed by me, resulting in much time wasted in re-ediring the video. For example, I specified no songs to be inserted and yet there is a song "Don't worry, Be Happy" after I uploaded this video. This is copyright violation and now the whole video has to be edited again. Much precious time had been wasted.

   
More Be Kind To Pets vet educational videos are at:
www.toapayohvets.com/videos.htm

Monday, December 2, 2013

1235. To publish*****. Crime fiction - A lawyer who advised buying Residential Property

"All Due Respect" is a crime zine seeking stories. 1000-5000 words.
Its output is "fiction about crime". Not solving crime. Not bemoaning crime. Fiction about people who are criminals and why they are criminals. Strong characters and criminal minds are favoured.

E-publishing format ie. block paragraphing, single spaced with a line of white space between paragraphs, no paragraph indents. email queries/submission to:  allduerespectcrimeblog@yahoo.com
www.all-due-respect.blogspot.co.nz. Payment is NZ$10/story.



"Have you ever been committed of crime in a court of law?" the Presiding Judge interviewed the lawyer whose application to be re-instated was being reviewed.  Mr Madison, the one-man legal firm owner, was barred from practice for the last 5 years as he had advised a foreigner to buy a bungalow in Singapore.

Foreigners, unless approved by the Residential Act 1988, are not allowed to buy landed properties but this lawyer advised him to buy in the name of the banker who disbursed the loan. The banker signed a trust deed and the foreigner kept it. If the property shoots up in price, the banker would get some %. Nothing but capital gains were predicted.

However the Gulf War erupted. Property prices plunged. "I have lost $300,000 in the property value," the foreigner complained. His trading businesses were slimming down too. He needed to liquidate to cut loss but the banker would not release the title deeds. What can this foreigner do? He asked the Prime Minister for help.

Investigation showed that the lawyer was dishonest in advising the foreigner to act illegally. He ought to know better. His licence to practise was revoked and he had to sell his 3 Mercedes, 1 Maserati and 1 Lamborginis as he could no longer earn fees as a lawyer for convenyancing. His wife left him.

A friend asked him to work for a firm but he wanted a pay of $10,000/month. The firm would not pay him this amount. In any case, he could not practise legally. An in-house counsel might be legimitate but he would not be paid that much as he could not perform.

One day, he went shopping and stole an expensive coat by wearing it. He was caught and had a criminal record.

Over 5 years of in the wilderness, he asked for re-instatement of his licence. The Court asked him to submit an affidavit. He declared he had no criminal records. He appeared before the Presiding Judge who asked him again: "Have you ever been committed of crime in a court of law?"

Mr Madison looked at the eyes of the Judge. He had not stated his shoplifting criminal record and now it was too late. He said; "I wish to withdraw my submission." So he was back to square one.

Would he be given the licence had he been honest in his submission? Possibly as he had stolen when he was depressed. There are many medical precedents of adults shop lifting when their lives turn upside down in situations such as a legal personal assistant's  husband who went womanising and drinking. Once caught, the person cannot work in a law firm or be a lawyer.

But under such circumstances, the Presiding Judge would be compassionate. If the lawyer asking for re-instatement had been honest in his application for a licence to practise, he could have been re-instated.

1234. Intern's videography - roborovski with big abscess below the ear

videography by Intern Daniel Low. Not edited. Hands on experience for interns is better than being an observer. I hope he has retained some knowledge on hamster diseases before going to vet school in 2014.

1233. VIDEO. Educate, Engage & Entertain. The cat with a swollen left eye

Dec 2, 2013
Videos produced recently are:


 http://youtu.be/NpNRVkQuE5M
Roborovski  has a large swelling below the left ear


http://youtu.be/mDlwfKAYWaw
A 13-month-old terrapin has closed eyes for past 2 weeks


http://youtu.be/d7knxz96byg
A young Golden Retriever is lame again - Part 2

http://youtu.be/8ERMV-DjLCw
A young Golden Retriever is lame again - Part 1


http://youtu.be/RUUSFRubv2k
A guinea pig had a large leg abscess

A dwarf hamster had a large groin tumour excised - 16 hours post-op
http://youtu.be/9ZQNlF6J03s

http://youtu.be/790t75qM5JQ
A cat has back ache

A roborovski has two below body tumours 
http://youtu.be/L2D50ARD5wM

A dwarf hamster has gigantic chest tumours
http://youtu.be/NVaxCDTtlPE


http://youtu.be/MCDXtqTMMss
The cat has a swollen left eye




------------------------------------------------
http://youtu.be/MCDXtqTMMss
The cat has a swollen left eye









Educate, Engage, Entertain. Is it possible to do all these 3 in veterinary practice?

A swollen left eye in a domestic shorthair cat.

EDUCATE. A thorough physical examination includes opening the eyelids, using a torchlight to check for foreign bodies and corneal ulcers. The 2nd part of the external eye examination should be the fluorescein eye stain test. This involved the use of fluorescein eye drops to confirm the absence or presence of ulcers as was done in this case (Educate). Green corneal surface indicates corneal injuries or abrasions.

ENGAGE. The two lady owners used their smartphones' torchlight to shine onto the left eye (engage the customer). Explain the fluorescein eye stain test (educate the customer). The vet visit seemed enjoyable for the two ladies when one of the owner's smartphone's torchlight app malfunctioned (entertain the customer). The vet may use his own torchlight app to be efficient and productive, but there would be no "memorable torchlight malfunction" as in this case.

I gave the cat an anti-inflammatory injection and he should recover the next day. E-collars to prevent eye rubbing  are not practical in some cats and is not necessary in this case.

Intern Clara Chua did an excellent videography by closing up the relevant area of examination of the cat in the Toa Payoh Vets' consultation room. This makes the video fun to watch rather than a boring documentary on "how to examine the injured eye of a cat".






More vet educational videos are at www.toapayohvets.com/videos.htm

Sunday, December 1, 2013

1232. Sunday's interesting cases. The woman who had "shingles", a Roborovski had a big swelling.

Sunday Dec 1, 2013's interesting cases.

Case 1. The woman who had shingles.
"You can still remember my shingles?" the woman in her late 50s had brought in her older Miniature Schnauzer that had been scratching her right cheek area below the right eye. A circular patch of around 3 cm x 3 cm, with yellow pus appeared.

"I remember because not many of my clients had suffered from shingles," I read about shingles when my sister had them. "Those snake-like tracks in your skin are caused by the virus. You consulted a specialist skin doctor who had mis-diagnosed it or something. Have you recovered?" I remembered her interesting story of her Jack Russell who avoided her as he was dying. I need to search for this story written some years ago.
"Yes, yes,'" she replied. "Now my Schnauzer had this skin problem. A few months ago, she had dental done at any clinic."
"Why didn't you send the dog here?" I asked since we could communicate as friends and I had treated her dogs several times.
"The vet was nearby my house," she said. I could understand that Singaporeans prefer proximity of service providers.

I examined this dog. I noted that Vet 1 had done an excellent dental scaling job as the teeth were all shiny snow white in this 8-year-old. It was done recently anyway.

"The roots of this right upper premolar 4 are exposed and this tooth is shaky. The dog could have rubbed his right cheek which is located near this tooth as it may be painful. Extraction will resolve this problem.

"I don't want any tooth extraction," she said as many owners have the misperception that it is better to have loose teeth causing tooth ache rather than no tooth in an old dog. "I will be going to Japan soon anyway."

"OK, I will prescribe antibiotics and if the skin disease recur, then you may wish to consider this option.

"My domineering loud barking Jack Russell kept licking it," she said.
"Dogs do help to groom each other, to lick the other's wounds," I said.
"Did the Jack Russell bite her?" I asked.
"It is possible."
Some itchy skin wounds don't heal when licked or scratched frequently. This could be a ringworm lesion but it was hard to tell. Skin scrapings and microscopic examination was negative.  
"Did the dog keep scratching it like mad, with her right hind legs many times a day?" I asked the Filipino maid. The owner was surprised when she affirmed.. 

The dog was given medication and an injection and I would see what happens in 2 weeks.

Case 2. The Roborovski has a big globular swelling below her right ear.
"I discovered this lump around 2 days ago," the young slim lady in her late 20s said.
"You are sure it was not around longer than that?" I asked.
"Maybe," she replied and held up a maize seed. "I could have ignored it as she likes to hide all the seeds inside her pouch. She eats only  maize seeds in my presence."
"Did she eat the same amount as usual?" I asked.
"I don't know as I fill her feed bowl to the full every day and there is always some seeds and pellets left behind."
Hamster owners tend to over-fill the feed bowl.
"How many faecal pellets she passed a day? Did she pass the same amount?"
"I don't know but you can see a few in this plastic container I carried the hamster to the clinic. She has her own cage."

So it is hard to know whether the hamster had been eating or not. She is still active and her big black eyes were bright against her light yellow face. I could not assess the anaesthetic risks but the owner was aware and consented to the surgery of this firm lump which could be an abscess or tumour.

Dr Daniel gave Zoletil 50 IM and pus oozed out. He stitched up the wound. The hamster was lively and so this was a happy ending. I asked Intern Daniel and Clara to do some videoing.