Friday Nov 17, 2017
The patient lives in Toa Payoh Lorong 3 which is a short 5-minute drive from Toa Payoh Vets. The vet can wait for the owner to be free or provide a free transport service to pick up the dog at 10 am today. I did the latter. "Business cannot wait for the service provider, the service provider waits for business."
I went to the surgery and forgot the appointment at 10 am to pick up the Corgi, as promised yesterday when the dog came in for vaccination. After all, there are the inpatients and other matters to distract the vet.
I had this reminder in a note taped to the front door so that I cannot miss reading it. The dog is now in the surgery after my assistant helped me to get him from the apartment in Lorong 3. A fine sunny morning.
Friday, November 17, 2017
3192. A 5-month-old Syrian hamster bit off her stitches on Day 2
Nov 16, 2017
Korean lady bought this Syrian hamster. Very gentle at home, but made a lot of hissing sounds when i handled him.
Big right inguinal swelling. It was an inguinal hernia which grew larger every day. See previous video.
On Nov 16, 2017, the owner phoned about stitch breakdown. I asked him to bring in quickly as guts may fall out if the hamster continued bitting off the inside muscle stitches.
Only the skin stitches were bitten off. A foul smelly pus inside. The muscle stitches were OK. I drained the pus, used 6% hydrogen peroxide and give oral antibiotics. Warded the patient.
Korean lady bought this Syrian hamster. Very gentle at home, but made a lot of hissing sounds when i handled him.
Big right inguinal swelling. It was an inguinal hernia which grew larger every day. See previous video.
On Nov 16, 2017, the owner phoned about stitch breakdown. I asked him to bring in quickly as guts may fall out if the hamster continued bitting off the inside muscle stitches.
Only the skin stitches were bitten off. A foul smelly pus inside. The muscle stitches were OK. I drained the pus, used 6% hydrogen peroxide and give oral antibiotics. Warded the patient.
3191. A 21-month-old dwarf hamster has a large neck lump - email query about surgery
29/10/2017, 18:55 - Messages to this chat and calls are now secured with end-to-end encryption. Tap for more info.
29/10/2017, 18:55 - Hamster query la: Hi there
29/10/2017, 18:56 - Hamster query la: There seems to be a growth near my hamster’s neck. She’s been struggling to drink water recently. Do you have an available appt on Tuesday 9.30am?
29/10/2017, 18:57 - Hamster query la: IMG-20171029-WA0005.jpg (file attached)
29/10/2017, 18:58 - Hamster query la: Can I check how much do you charge for consultation, lumpsectomy or euthanasia? Pebbles (my hamster) quality of life has dipped significantly and it’s v difficult to watch. So I want to know if there’s such an option
29/10/2017, 18:58 - Hamster query la: Thank your
29/10/2017, 18:58 - Hamster query la: *you!
29/10/2017, 20:31 - Sing Kong Yuen: Thank you for msg. Consult $40. Lumpectomy around $200 as tumour is large. Euthanasia $60
30/10/2017, 03:09 - Hamster query la: Ok. Can I make an appointment on Tuesday 930am? Typically what is the success rate of lumpectomy surgeries? My hamster is about 1y9months now
30/10/2017, 05:57 - Sing Kong Yuen: Appt 9.30am Tuesday ok
Success rate generally 100% in lumpectomy of tumours that are under the skin and not inside muscles or involve bones or joints and are less than 1 cm across. Hamster must be active and eating if he is over 2 years old.
30/10/2017, 06:07 - Hamster query la: Ok. Great, see you on tues. pebbles is moving fine (less than before tho) and still eating and drinking (we need to feed manually as she struggles to get to her water bottle). if we proceed with the surgery, will we be able to do it on the same day?
30/10/2017, 06:43 - Hamster query la: Sorry for asking so many questions, rlly appreciate your help and patience!
30/10/2017, 07:33 - Sing Kong Yuen: yes. on the same day
30/10/2017, 13:02 - Hamster query la: Sorry can I change the appointment to wed 0930 instead?
30/10/2017, 14:11 - Hamster query la: I was going to ask my Sister to bring pebbles over tomorrow but I’m going to fly home tomorrow instead. I’ve been in Australia for a holiday
30/10/2017, 18:51 - Sing Kong Yuen: ok
31/10/2017, 19:10 - Hamster query la: Hi we can cancel the appointment tomorrow. My hamster has passed on
31/10/2017, 19:13 - Sing Kong Yuen: ok
Tuesday, November 14, 2017
3190. Clinical research. X-rays. Red-eared sliders compared. 300pixels
Compare above 16-year-old slider, not eating 1 week, had swollen eyes 1 week, with the others below.
Monday, November 13, 2017
3189. A 16-year-old slider stopped eating for 7 days. Why?
Monday Nov 13, 2017
The woman in her late 40s love the two 16-year-old red-eared sliders. The bigger sized one eats and is still eating while the smaller one had stopped eating for the past 7 days.
"Both are females and are housed separately on the bathroom floor because they will fight," she told me.
"What do you feed them and how much?" I asked when she told me she fed pellets solely.
She was happy to WhatsApp 3 images from her mobile phone. Lots of pictures of the sliders showing how much she loves them.
I got the slider X-rayed. No eggs inside. So no cloacal obstruction of eggs.
Video of X-ray at:
Obstruction of alimentary tract?
The slider is lethargic as I can see she is stationery most of the time. She did open her mouth to try to bite me when I pulled her forelimbs to check her paws. No shell rot. Will give antibiotics.
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Compared to other sliders' X-rays
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-------------------------------------------------------------------------
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The woman in her late 40s love the two 16-year-old red-eared sliders. The bigger sized one eats and is still eating while the smaller one had stopped eating for the past 7 days.
"Both are females and are housed separately on the bathroom floor because they will fight," she told me.
"What do you feed them and how much?" I asked when she told me she fed pellets solely.
She was happy to WhatsApp 3 images from her mobile phone. Lots of pictures of the sliders showing how much she loves them.
I got the slider X-rayed. No eggs inside. So no cloacal obstruction of eggs.
Video of X-ray at:
Obstruction of alimentary tract?
The slider is lethargic as I can see she is stationery most of the time. She did open her mouth to try to bite me when I pulled her forelimbs to check her paws. No shell rot. Will give antibiotics.
----------------------------
Compared to other sliders' X-rays
Sunday, November 12, 2017
3188. Oxytocin in red-eared sliders and reptiles
Non-obstructive Egg retention
Use of Oxytocin in combination with calcium (calcium glubionae).
1) Calcium glubionate 10-50 mg/kg IM as needed until calcium levels back to normal or egg retention is resolved.
2) To induce oviposition:
1-30 IU/kg.
Case 2, Oct 19, 2018. RES, F, 7 yrs. Without oxytocin and calcium injections, but just after my X-rays.
Use of Oxytocin in combination with calcium (calcium glubionae).
1) Calcium glubionate 10-50 mg/kg IM as needed until calcium levels back to normal or egg retention is resolved.
2) To induce oviposition:
1-30 IU/kg.
10 IU/kg appears effective in many chelonians. Success means all eggs are laid with two injections. Egg laying usually starts around 60 minutes after the injection. Repeat a second injection 24-48 hours later, if there is still egg retention.
With 2 to 4 IU/kg, there may be success, but egg laying may take several hours.
With 2 to 4 IU/kg, there may be success, but egg laying may take several hours.
May repeat in several hours, but risk of oviduct rupture if cloacoa is obstructed or eggs cannot pass for other reasons. Take X-rays to check for obstruction.
CASE STUDIES
1. A 10-year-old red-eared slider cannot lay eggs
Oxytocin 2 IU/kg IM. Laid all 3 eggs within 4 hours.
https://www.youtube.com/watch?v=-3zfw0oh99M
OXYTOCIN USAGE IN 2 RED-EARED SLIDER CASES IN TOA PAYOH VETS, SINGAPORE
CASE STUDIES
1. A 10-year-old red-eared slider cannot lay eggs
Oxytocin 2 IU/kg IM. Laid all 3 eggs within 4 hours.
https://www.youtube.com/watch?v=-3zfw0oh99M
OXYTOCIN USAGE IN 2 RED-EARED SLIDER CASES IN TOA PAYOH VETS, SINGAPORE
Case 1, Jan 9, 2019. RES, F, 7 yrs.
With oxytocin and calcium injections,
All 5 eggs were laid within 2 hours. Less suffering (restless, anorexia, vocalising) and worries for the owner as compared to egg retention lasting several days in October 2018.
The owner prefers the injections as there is much to worry about the lethargy, restlessness and loss of appetite during the process of 2-3 weeks.
Case 3. Regular clutches of eggs every 2-3 weeks naturally. This frequency is normal in some red-eared sliders. Some lay clutches of eggs monthly or three times a year.
Egg binding/egg retention is caused by diarrhoea. After treatment for diarrhoea, the slider lays eggs naturally.
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