Video like:
https://www.youtube.com/watch?v=VgQO9Kbdid0
HOOK
BKTP
INTRODUCTION
Settings - City
MIDDLE
Setback - economic depression, real estate crush, property values fall
CONCLUSION
Friday, July 17, 2015
Wednesday, July 15, 2015
2495. Angel the cat is admitted for dysuria
1. Monday, Jul 13, 2015. The cat was admitted as the owner said he had difficulty in peeing. Bladder and urethral stones were removed some 7 days ago. The cat was given IV drips on Jul 10 and 11 and I discharged him on Saturday Jul 11, 2015 since he was eating. I took out his stitched urinary catheter as it is not good for the cat to have it for more than 3 days, in my opinion, as it irritates the bladder. However, he ate little at home, the owner said and was worried.
Dr Daniel and I discussed his treatment. Perineal urethrostomy will be the last resort.
"There is bound to be inflammation in his urethra as he had urethral stones stuck at the bend of the urethra," I said. "The bladder is not much swollen as before, not as big as an orange. Pain killers and antibiotics will be needed."
The cat was given gas anaesthesia. Dr Daniel lavaged the bladder by sucking out the bloody urine (video). An injection of painkiller and antibiotic was given.
2. Tues July 14, 2015. The cat meowed when he saw me. His bladder was not swollen. He preferred to sit inside the litter box where there is sand, than outside the box. He ate when my assistant hand- fed feline C/D with water. The owner came to visit around 6 pm and was happy to see him.
This is a case of the intense inflammation inside the bladder and urethra as the owner had delayed seeking treatment, base on blood test result showing kidney failure and the much swollen and red bladder (image).
HISTORY
Ju1 2, 2015 Cannot pee, blood in urine. Surgery. urethral stones and bladder stones removed.
Jul 5 Dr Daniel sent home 2 days after surgery.
Jul 8 Vomiting and dysuria. Had kidney failure based on blood test of high creatinine and urea. Given 2 days IV drips
Jul 11 I sent home as he was eating.
Jul 13 Warded. Bladder lavage. urine analysis. Catheter not stitched.
Jul 15 Bladder swollen 1/3 size of orange. Cat eats when hand fed dry feline C/D + water. Bladder lavage. urine analysis. Catheter not stitched. Alert.
Jul 16 Bladder small like ping pong ball, painful.
Tuesday, July 14, 2015
2494. The most loved cat in the block has difficulty peeing
Previously able to run down 16 floors and climb up 16 floors after going outdoors. Last 2 months, would wait for the owner to come to look for her, maybe at the 3rd floor.
"Why would a cat climb up and down 16 floors of the apartment?" I was surprised. The slim lady owner in her late 50s do that. That was why.
Today, Jul 14, 2015, her busy son took her and the cat to me for treatment. The cat could not pee on the litter box, just squatting but could pee on the bed and blankets when lying down.
What was the problem?
1. Everybody loves this cat as he meows when fed and meows to "thank" the giver after eating. "Other cats would just eat and go silently," the woman had never stayed apart from this cat.
2. "This cat has a good memory of going to the vets," she told me. "He would avoid getting into the car."
"Why would a cat climb up and down 16 floors of the apartment?" I was surprised. The slim lady owner in her late 50s do that. That was why.
Today, Jul 14, 2015, her busy son took her and the cat to me for treatment. The cat could not pee on the litter box, just squatting but could pee on the bed and blankets when lying down.
What was the problem?
2. "This cat has a good memory of going to the vets," she told me. "He would avoid getting into the car."
Monday, July 13, 2015
2493. Animal Welfare. The smartest street dog in Singapore
Jun 11, 2015
"She gave birth to 2 litters," the woman who was active in trapping stray dogs and bringing them to SOSD showed me a cross-bred. "My husband and I just cannot get her! She will run away at the first hint of suspicious activity to trap her with a collar. Do you have the sleeping tablets? The last time you prescribed one was ineffective! "
"You did not stay long to see the effect," I said. "The effect starts 30 min to one hour after eating the tablet."
"Well, another stray dog barked. She was feeling drowsy after taking the tablet. On hearing this barking, she bolted into the dense forest!"
The couple wanted to catch this dog to spay her so that no litters would be born. 1/6 (a white one) of the puppies were adopted as they looked handsome, with the long nose of the bull terrier and the face of the Golden Retriever.
The wife stated that the shelter would not accept more sick dogs for medical treatment.
"There is a limit to the money any shelter will have," I said. "In any case, you sent one day at night for treatment. Heartworm was diagnosed". How much was the bill?"
"
"Your $1,250 bill from the vet could have paid for treatment of other strays." I admonished her.
"She gave birth to 2 litters," the woman who was active in trapping stray dogs and bringing them to SOSD showed me a cross-bred. "My husband and I just cannot get her! She will run away at the first hint of suspicious activity to trap her with a collar. Do you have the sleeping tablets? The last time you prescribed one was ineffective! "
"You did not stay long to see the effect," I said. "The effect starts 30 min to one hour after eating the tablet."
"Well, another stray dog barked. She was feeling drowsy after taking the tablet. On hearing this barking, she bolted into the dense forest!"
The couple wanted to catch this dog to spay her so that no litters would be born. 1/6 (a white one) of the puppies were adopted as they looked handsome, with the long nose of the bull terrier and the face of the Golden Retriever.
The wife stated that the shelter would not accept more sick dogs for medical treatment.
"There is a limit to the money any shelter will have," I said. "In any case, you sent one day at night for treatment. Heartworm was diagnosed". How much was the bill?"
"
"Your $1,250 bill from the vet could have paid for treatment of other strays." I admonished her.
Sunday, July 12, 2015
2492. The daughter-in-law does not want the shih tzu in her HDB
Sat Jul 11, 2015
"The daughter in law does not want the shih tzu to be inside the apartment," the matronly lady brought her dog for vaccination and said that the dog demanded a lot of time to be cared for. "She does not want any dog hairs inside the apartment as she has a baby." The son and his girlfriend bought the puppy but now leave him to mum.
"A bit fat but well cared for," I said in Hokkien as that was her dialect. "Some tartar in the back teeth. Next year, will need dental scaling." The dog was groomed regularly. Only that the groomer did not express the anal sac. Full of dark brown smelly oil.
"The daughter in law does not want the shih tzu to be inside the apartment," the matronly lady brought her dog for vaccination and said that the dog demanded a lot of time to be cared for. "She does not want any dog hairs inside the apartment as she has a baby." The son and his girlfriend bought the puppy but now leave him to mum.
"A bit fat but well cared for," I said in Hokkien as that was her dialect. "Some tartar in the back teeth. Next year, will need dental scaling." The dog was groomed regularly. Only that the groomer did not express the anal sac. Full of dark brown smelly oil.
2491. A kind family adopted a Beagle
Saturday, July 11, 2015.
As part of the adoption agreement, the family brought the neutered Beagle under the care of Voices For Dogs to Toa Payoh Vets for a check up. I showed Intern Gin the procedures involved as her 2nd semester in Melbourne Univ Animal Health course will have a module "Animal Welfare".
If she gets straight As in the 2nd semester as in the first, she should have no problem being admitted to the Vet course.
As part of the adoption agreement, the family brought the neutered Beagle under the care of Voices For Dogs to Toa Payoh Vets for a check up. I showed Intern Gin the procedures involved as her 2nd semester in Melbourne Univ Animal Health course will have a module "Animal Welfare".
If she gets straight As in the 2nd semester as in the first, she should have no problem being admitted to the Vet course.
2490. A kind cat owner with a caterwauling "spayed" cat.
Sunday Jul 7, 2015.
This lady was very kind as she did not sue the vet who spayed her cat. A few weeks after spaying, the cat caterwauled. The vet gave her a strip of Ovarid tablets to be given whenever the cat makes noises. This happened around 4 times per year and after 2 years of medication, the cat became fatter.
The lady was worried about prolonged use of hormones such as kidney failure.
"You have only one alternative to hormonal control of heat," I said. "Surgery to open and look for the ovary or ovarian tissues which are near the kidney or kidneys. When the cat is on heat, as she is now, it may be easier to spot the ovarian tissues and take them out."
"What if the cat still caterwauls?" the Sec 4 daughter asked.
"No more caterwauling, if the ovaries are removed entirely." .
The mother signed the Informed Consent form and op will be done tomorrow
Dr Daniel advised ultrasound to see whether the ovarian tissues can be found and near which kidney. Op is delayed till next heat.
HISTORY
1. Around Nov 2012, Vet 1 spayed this cat. In 2013, consulted Vet 1 as caterwauling started a few months after spay. She prescribed some Ovarid tablets, to give 1/4 tablet when caterwaul on Day 1 and Day 3.
2. Cat caterwauls 4x/year and next 2 years. Given tablet. Cat puts on weight. Sometimes clear vaginal discharge.
3. Last Ovarid given some months ago. Cat on heat now, Jul 12, 2015
This lady was very kind as she did not sue the vet who spayed her cat. A few weeks after spaying, the cat caterwauled. The vet gave her a strip of Ovarid tablets to be given whenever the cat makes noises. This happened around 4 times per year and after 2 years of medication, the cat became fatter.
The lady was worried about prolonged use of hormones such as kidney failure.
"You have only one alternative to hormonal control of heat," I said. "Surgery to open and look for the ovary or ovarian tissues which are near the kidney or kidneys. When the cat is on heat, as she is now, it may be easier to spot the ovarian tissues and take them out."
"What if the cat still caterwauls?" the Sec 4 daughter asked.
"No more caterwauling, if the ovaries are removed entirely." .
The mother signed the Informed Consent form and op will be done tomorrow
Dr Daniel advised ultrasound to see whether the ovarian tissues can be found and near which kidney. Op is delayed till next heat.
HISTORY
1. Around Nov 2012, Vet 1 spayed this cat. In 2013, consulted Vet 1 as caterwauling started a few months after spay. She prescribed some Ovarid tablets, to give 1/4 tablet when caterwaul on Day 1 and Day 3.
2. Cat caterwauls 4x/year and next 2 years. Given tablet. Cat puts on weight. Sometimes clear vaginal discharge.
3. Last Ovarid given some months ago. Cat on heat now, Jul 12, 2015
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