2922. INTERN. VETERINARY FILES FROM MYANMAR. A Yangon cat cannot pee again.

HOOK

VETERINARY FILES FROM MYANMAR

TITLE

INTRODUCTION

MIDDLE

CONCLUSION

CREDITS

FOR MORE INFORMATION

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In 2016,  more cats are being treated for difficulty in urination (dysuria) at the Royal Asia Veterinary Surgery. Male cats are mainly affected. Vets refer to the medical  condition as FLUTD (Feline Lower Urinary Tract Disease) or FUS (Feline Urological Syndrome). Vets report that stress as a main cause of this dysuria in most cases.


However, for the distressed cat owner, a permanent solution is needed to prevent his cat from not peeing normally. The cat keeps going to the litter box and either urinates blood in the urine in small amounts or not at all. The cat loses appetite and becomes lethargic. The cat may be treated by a vet and pees normally for a few days. Then, the cat cannot pee.

VETERINARY FILES FROM MYANMAR

TITLE

The Yangon cat cannot pee again

INTRODUCTION

1. Some vets will not perform surgery as it is a more complicated surgery. Some vets may have insufficient surgical experience.

Dr Sing Kong Yuen from Toa Payoh Vets ask Dr Thein Tun Aung of Royal Asia Veterinary Surgery to share his experiences with numerous surgical cases done by him for recurring urolithiasis in cats in Yangon.

VIDEO ABOUT T T AUNG AND HIS CASES

MIDDLE

VIDEO ABOUT T T AUNG ILLUSTRATING THE SURGERY AND CAUTION THAT THE OPENING MUST BE AT LEAST 0.5 INCHES WIDE TO PREVENT CLOSURE OF THE URETHRAL WOUND. If the wound closes as it is too narrow, the cat cannot pee again.

CONCLUSION

CREDITS

FOR MORE INFORMATION

2 VIDEOS FOR RI INTERNS - Cat tibial fractures and how to create BKTP Videos for future interns

Sep 8, 2016
From: Myitkyina, Myanmar
Hotel Madira, Room 303


Email instructions as below:

Pl review my 2 case reports in my blog 2010 and website and youtube. You may need to search "cat tibial fractures".

Use timelines of 2 cases.

1. CASE 1. A stray cat jumped down from sofa? X rays confirm fracture.

2. CASE 2. A cat fell from apartment. X-rays.

TREATMENT. Same. Use of intramedullary pin. Do more research on various types of fractures (google tibia fractures) e.g comminuted fractures etc. So, what type of fracture these 2 cats have?

Is it possible to use plates and screws? Why not?

OUTCOME

6 weeks post op.

CASE 1 did not go to the referral vet for pin removal 8 weeks after surgery. She phone me some 3 months later. I asked her to send video clip  (check my you tube). Cat is OK. No pin removal

CASE 2. Vet sent a reminder card to come 6 weeks post op for check. X-rays done. (see blog and download and comment with Dr Daniel). What decision did Dr Daniel make?

Do show more images of pin etc (in my websites).

USE BKTP images from my website

ALWAYS GIVE "Credits" and "FOR MORE INFORMATION....". See my other video done by RI intern recently.

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CASE 3.

HOW TO CREATE A BKTP Veterinary Education Video.

Create a video for me to present to all interns so that I have consisten format, structure and no more worries about copyright infrigement of music and images. I will get this video posted by your RI teacher for future interns as I spend so much time correcting mistakes.

See some videos done by other interns as regards this subject matter.

INCLUDE

1. Your Chow Chow video as A REAL  example of WHAT NOT TO DO and what to do.

Basically, the video should be:

1. An exciting hook. For example, the Chow Chow banging into doors as he can't see clearly and that is what the owner said. Do drawing and  illustrations with coloured pencils etc. Your hook is not so good and is too brief.

2. BKTP IMAGE

3. Title of the video and what is its objective.

4. INTRODUCTION

5. MIDDLE     3-6 POINTS  e.g. what happens if you don't do surgery, why must you do surgery. The 5Ws and 1 H. What evidence to support vet diagnosis

6. CONCLUSION     Outcome. Other similar cases

7. ADVICES TO PET OWNERS

    Advices to vet students

8. CREDITS preferably with a Singapoean  video scene

9. FOR MORE INFORMATION  (IMAGE)

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FOR INTERNS

1. No copyright infringement esp.music and images and video

2. Subtitles  not to be all capitals

3. Subtitles to have black text on white background strip

4. Narration NOT to be monotonous

5. Narration to be loud if a point is to be heeded

6. Use of copy-right audio (from you tube) to make video more interesting

7. Around 10 minutes of content

8. Use hand drawn illustrations with colour to illustrate surgery  or procedures

9. Do more veterinary  research  on title of video and discuss with vet

10. Use mind maps, not just scribble notes on papers. It seems 99% of the interns in the past years  do not use mind maps and so waste a lot of time writing and re-writing.

11. Write script before producing video. Script in 2 columns. Left column is text. Right column is where you want to insert video, images etc in the relevant text

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Use this image:

2920. Cat - tibia fracture review 6 weeks after pinning

Sep 3, 2016

X-ray taken.
Cat with right hind leg tibial fracture
Pin was put in 6 weeks ago. The owner came to check whether pin can be removed.

Not fully healed at 6 weeks.
Repeat x-ray 2 months later

Cat can walk normally.

2919. 20 minutes to spay a caterwauling 7-month-old cat

Tuesday Aug 30, 2016


I was demonstrating spay to an RI Intern. RI sends 3 batches of Sec 4 interns to Toa Payoh Vets based on their interest in veterinary medicine.

Today, I demonstrated the pre-op and operation of a 7-month-old cat being spayed by me.  

How long does it take for an experienced vet to operate a 7-month-old caterwauling cat?
Incision to end of stitching = 20 minutes.

The time is longer as the cat was moving on incision and I had to top up with 3 minutes of isolfurane + O2 gas, hence prolonging the surgery.

I tried a tested anaesthetic formula used by the other vet who sterilize at least 20 stray cats per day.
the formula is as follows:

Cat 2.6 kg
Xylazine 20 = 0.26 ml IM. Wait 5 minutes.
Ketamine     = 0.16 ml IM 
Surgery with top up gas if necessary.

I tried this formula but combined in one syringe xylazine and ketamine IM instead of separately in 2 syringes. Waited 15 minutes. But the cat showed signs of movement on incision but the anaesthetic gas was effective.

A video is produced by my RI intern.

2918. Image to inspire a 16-year-old to study hard

A 16-year-old terrapin limpson right hind and has bruised right hind leg - x rays subluxated r hip

2916. Review of 2-year-old pug with urticaria

August 21, 2016

The 10-kg pug started to itch again. Pustules and red skin between the thigh and belly area (video).
Rashes in armpits. Several rashes at left and right sides of the body. Ears no longer inflamed and painful as the owner had used a steroidal ear ointment but the hair loss and shorter hairs of the flanks tell a story of ear itchiness.

"The hind legs start to hammer at the flanks when the dog has ear pain or itchiness," I told the young couple as this hair loss area is commonly seen in other dogs with ear canal infections. (video).

"The 4 paws are also itchy now," the lady said after the end of medication with the white tablets. These were anti-fungal tablets. In reality, the pug was itchy despite the Royal Canine Hypoallergic diet soley fed..

The allergy test report from the US had arrived 1 week ago. said that the dog is allergic to chicken, corn, oatmeal, malassezia but not allergic to beef, pork, turkey, carrots , milk, eggs or two dust mites.

PLAN
1. Home-cooked pork + brown rice + carrots
2.  E-collar 14 days 24 hours per day
3. Amitraz wash for the rashes
4. Review in one months
5. Medication for rashes
6. Ear ointment once a week and massage


ADVICES
1. Anal sac expression weekly before bathing (grey oil seen/expressed today)
2.Lateral ear canal resecetion and tail fold surgery advised in 6 months.
3. No treats and other food for next 3 months except the above-mentioned diet of pork + brown rick and carrots.