Friday, December 6, 2013

1243. Review of 2 Videos: Surgery of a Roborovski with 2 large subcutaneous tumours at Toa Payoh Vets

Dec 6, 2013
I have progressed from producing lesser quality amateur videos using Windows Movie Maker to much better ones in 2013.  The narrative must be compelling so that viewers don't fall asleep or click off. Interns are left to create the videos with briefing and discussions with me. An entertaining script is important and interns find that very difficult to do as the Singapore schools teach them more on exposition type of writing (documentary) than on compelling story telling. 


Video 1 by Intern Clara Chua is at:
http://youtu.be/6aPEZO3isbs




The above video has been edited more thoroughly by Intern Clara and her friend who voiced over and so took a much longer time to produce. The fonts used are hard to read.  Much more instructive as it takes much effort and creativity from the two young ladies using Video Studio Ultimate X6. 

Video 2 has more raw footage with client-vet conversation is filmed by Intern Daniel Low at Toa Payoh Vets.
The video below is produced by Intern Daniel Low with Windows Movie Maker which is limited in features than the aforementioned Corel which is a commercial paid software.


http://2010vets.blogspot.sg/2013/12/1243-video-surgery-of-roborovski-with-2.html
URL of this blog is:


Wednesday, December 4, 2013

45. Two new warts

Singapore has reached a gracious level where hamsters are treated kindly by young people. The aging baby-boomers in Singapore generally view them as cheap pets and when they fall ill, good luck to them. After all, veterinary fees for treatment can buy a few new ones. But the children who are now growing up view hamsters as family members and sometimes, this lead to conflicts in the family since the parents ignore treatment.

Yesterday was a bright sunny Sunday. I was surprised to see the fat hamster again as I had operated some 2 months ago. My intern Tanya placed him in a bowl onto the weighing scale. The reading was 88 g. "Has he put on weight?" the couple in their 30s, asked me. To me, the hamster had looked less fat. So I had him weighed again as I noted that Tanya had put the weighing scale on a slope of the consultation table. The veterinary consultation table has a grove at the edge to drain off any urine or liquid, unlike the ordinary flat writing desk.

After placing the hamster on the flat part, the weighing scale read 76 g. "He has lost 5 g," I said. "But your dwarf hamster should eat less and weigh around 50-60 g." The tall man who is an IT professional said, "Whenever Hammie's cup is empty, my wife tops up with the Japanese hamster food. Hammie will just eat. He sleeps the whole day, but makes a lot of noise exercising in his wheel at night. Sometimes we have to put him in the kitchen as he is so noisy."

"Hamsters are nocturnal creatures," I explained. "They are active at night. You may have to oil the noisy exercise wheel. Your hamster should eat less. Reduce the amount of his feed bowl by 50%."

This time, the wife had conscientiously examined the hamster by feeling his body for warts and had discovered two hidden under the lush grey coat which was 5 mm long. One wart was 2mm x 2mm on his right side behind the rib cage and the other was 1 mm x 1 mm above his tail on his backside. They would not be spotted if the wife had not examined them.

I gave Zoletil anaesthesia and excised them with a pair of scissors. "Why not use the wart removal freezing method?" Tanya asked me. "There is no need to do it," I said. "The warts are very small." Tanya had not seen freezing of warts being done. The applicator to apply the freezing chemical is already 8 mm in thickness and it would freeze too large an area. Electro-surgery used previously was not necessary as the warts were very small. It was good to note that the other 4 warts (pictured here) did not recur.



In February 2010, four warts in the dwarf hamster were detected. Warts need to be excised by your vet early as they don't disappear on their own. Electro-surgery excised 4 warts. 2 new small warts were felt by the wife in April 2010 and I had them excised. They were well hidden in the thick coat.

IT people had more knowledge of useful software than the ordinary people and I asked the husband whether there is a software to help his wife in her hobby of cross-stitching. The wife is a home-maker and has done cross-stitching for friends, giving them as Christmas cards. Some friends order them just as some Singaporeans order home-made cakes. "Why will Singaporeans want to buy cross-stitching cards, half the size of A4 paper, for $20.00 from your wife?" I asked the husband as I know the majority of Singaporeans are penny pinching by nature. There is a business opportunity in cross-stitched Christmas Cards if the husband knows how to do it and if the wife can produce the high quality embroidery.

"How long does it take to produce one if your wife works full time at 8 hours per day?" I asked. "3 days," the wife estimated. "My eyes can focus after a while. And my fingers get painful." To take 24 hours to generate a $20 sale may not be worth the trouble for the wife's labour.

So, this handicraft can never be commercially successful unless the work is done by poor villagers. "Why do your friends want to buy the cross-stitched Christmas cards?" I asked the Indonesian couple again. "They can just send e-cards which can even talk or buy one card from the shop." The husband said, " Well, they send it to their bosses or put inside the hampers." This certainly make sense. If the boss receives a hand-made cross-stitched card, he will remember the employee as the card is not easy to make. "Is there a software to produce original patterns for embroidery? For example, portraits or even your hamster exercising on the wheel with the words, 'Eat less, exercise more'?". He does have the software which digitalises the picture. Well, his wife is still cross-stitching his landscape photo for the past one year and is still doing it.

There are many small business opportunities in handicrafts as you can see from this couple. "How about using your software to making cross-stitch patterns of famous people like Mr Lee Kuan Yew, get the work stitched by your wife," I asked. "Then you market them to tourists at the Integrated Resorts? Tourists like to buy a piece of the place they visit."

"No, no, we can't do it," the husband laughed as his booming voice filled the small consultation room. "Why?" I asked. "It is too sensitive. Maybe Sentosa's Universal Studios will sell well."

Brain-storming is important in getting business ideas. "How about the Merlion in Sentosa?" I asked. "Nobody likes it," the husband said. "When they take photos, they can only take the paws." The Merlion in Sentosa is a gigantic tall structure of 3 stories high.

The Indonesian couple told me that Jakarta has a business man who had several small branches for cross-stitching and other products. Apparently, the wife finds that the quality of cross-stitching work produced by the staff in this Jakarta business was not up to standard and so she could not buy them for sale in Singapore, as suggested by me. "They could be doing the cross-stitches not out of passion or they could be doing too many," I speculated. Even in a hobby such cross-stitching, there is the matter of quality control and excellence too.

For the benefit of readers, the husband gave me a website, http://cross-stitchers-club.com/

1240. Intern Clara - Produce video - A hamster with 3 gigantic chest tumours

Hook


Body


Conclusion
Early surgery saves lives




Video - Consultation & informed consent
MVI 6970.Mov






Be Kind To Pets Images at:
http://2010vets.blogspot.sg/2013/11/1212-video-dwarf-hamster-has-3-gigantic.html



Use these images for the Myanmar Vet Conference video prodution





   

1239. Social media in vet practice - hamster blogs - 18 blogs started in 2008. Results.


Inoperable tumours - massive chest tumours covering 50% of lower body. Deaths highly likely. No surgeries done as the hamster would lose much blood and die on the operating table. Medication to relieve pain and antibiotics. Owner is

http://2010vets.blogspot.sg/2013/11/1212-video-dwarf-hamster-has-3-gigantic.html
Produce a short video on this case study

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I started blog in 2008 under 88pups@gmail.com. Then in 2010, I started another blog at 99pups@gmail.com

2008. lst blog on hamster cases at:
http://singaporehamsters.blogspot.sg/2008/01/1-hamster-surgery-at-toa-payoh-vets.html
18 hamster articles were written as follows:



0Comment count
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Top viewed article is:
http://singaporehamsters.blogspot.sg/2009/07/8-euthanasia-is-only-option-for-tough.html

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