Thursday, Feb 3, 2018
"Skin diseases have many causes," I said to an owner whom I had not seen for more than 8 years as there are vets nearer to his home. He had seen one vet who said that there was no cure after only one consultation and no tests for allergies. So he just used ear drops from this vet over the years till today.
See video:
Thursday, May 3, 2018
Wednesday, May 2, 2018
3145.Ear Surgery. A poodle's right ear keep discharging pus every few days for one year. Lateral ear canal resection
May 2, 2018
"I have been to several vets," the senior citizen told me today. "They prescribed steroidal antibiotic ear drops, but the ear infection returned again after a few days." He is tired of cleaning up the right ear. "No more vets," he told me. "I used cocconut oil and water to clean the ear for the past one year!"
He had surfed the internet. He chanced upon Toa Payoh Vets video of an ear surgery to resolve this problem effectively, but he did not tell me at the time of consultation.
The only solution is to do ear surgery called Lateral Ear Canal Resection so that the floppy ear of this 10-year-old poodle can get ventilation and drainage. The dog was operated today at 1pm and went home at 6pm as the owner missed his dog if he was hosptialised for nursing.
Surprisingly, there was a horizontal ear canal tumour about 5mm x 10mm inside the horizontal canal. That accounted for the obstructed ventilation and drainage. A rare case as most ear tumours are in the vertical ear canal. "This is the first case I had seen," I told the owner who did not want histology to determine the cancer status of the tumour.
Below is the two videos of the case study.
Follow up on Mar 9, 2019
The owner has no complaints after the surgery
"I have been to several vets," the senior citizen told me today. "They prescribed steroidal antibiotic ear drops, but the ear infection returned again after a few days." He is tired of cleaning up the right ear. "No more vets," he told me. "I used cocconut oil and water to clean the ear for the past one year!"
He had surfed the internet. He chanced upon Toa Payoh Vets video of an ear surgery to resolve this problem effectively, but he did not tell me at the time of consultation.
The only solution is to do ear surgery called Lateral Ear Canal Resection so that the floppy ear of this 10-year-old poodle can get ventilation and drainage. The dog was operated today at 1pm and went home at 6pm as the owner missed his dog if he was hosptialised for nursing.
Surprisingly, there was a horizontal ear canal tumour about 5mm x 10mm inside the horizontal canal. That accounted for the obstructed ventilation and drainage. A rare case as most ear tumours are in the vertical ear canal. "This is the first case I had seen," I told the owner who did not want histology to determine the cancer status of the tumour.
Below is the two videos of the case study.
The owner has no complaints after the surgery
3144. A male dog cannot pee - urethral stone. Surgery: perineal urethrostomy
May 1, 2018
The lady owner rushed rhe dog to Vet 1 some 9 days ago as the dog could not pass urine at all. Not a drop. Vet 1 "scanned" the dog and said there was no urinary stones. Yet she could not pass the urinary catheter into the bladder. The dog objected and wanted to bite her. The dog pulled out the catheter. For around 3 days, Vet 1 tried catheterisation which cost around $300 including sedation. She also asked the owner to go to the Veterinary Specialists which meant high medical expenses.
The owner remembered me as I had treated her dog for stroke some 10 years ago and contacted me. She brought the dog over for a second opinion as Vet 1 wanted to neuter the dog on suspicion of prostate enlargement or disease causing dysuria. She also gave a Tardak injection for prostate enlargement. But the owner declined neutering. She wanted her dog to be able to pee normally.
Dr Daniel performed a urethrostomy and removed the sole urethral stone. X-rays post surgery revealed no other stones in the bladder, kidneys or urinary tract. So, it was only one stone. .
Owner wanted the dog to be discharged since he can pee normally for the past 6 days of hospitalisation. I will not advise it as the urethral opening may close up if the owner does not do a good nursing job.
The dog bites the nurses, hence the e-collar and the need for 2 nurses to clean his urethral wound daily for the past 6 days. Today he is wanted home.
X-rays after surgery to remove one urethral stone show no urinary stones
-----------------------------------------------------------------------------------------
Urethrostomy surgery
The urethral stone is lodged inside the perineal urethra, obstructing urine flow. So the dog had great difficulty urinating. This perineal urethra is opened up. The stone is taken out. The dog can now pass urine freely. X-rays were not done by Vet 1. Vet 1 said there was no stone after "scanning." Yet the urinary catheter could not pass into the bladder, meaning that there would be a stone stopping the passage of the catheter.
At Toa Payoh Vets, the urinary catheter was similarly stopped at the perineal urethra from entering the bladder. Urethostomy (opening up the urethra) enabled Dr Daniel to extract the stone, permitting free urine flow. The urethra was left open for the dog to pee from this location. No more difficulty in urination since surgery for the past 6 days before going home.
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Video shows the dog can pee after perineal urethrostomy surgery and hospitalised at Day 5 after surgery.
The lady owner rushed rhe dog to Vet 1 some 9 days ago as the dog could not pass urine at all. Not a drop. Vet 1 "scanned" the dog and said there was no urinary stones. Yet she could not pass the urinary catheter into the bladder. The dog objected and wanted to bite her. The dog pulled out the catheter. For around 3 days, Vet 1 tried catheterisation which cost around $300 including sedation. She also asked the owner to go to the Veterinary Specialists which meant high medical expenses.
The owner remembered me as I had treated her dog for stroke some 10 years ago and contacted me. She brought the dog over for a second opinion as Vet 1 wanted to neuter the dog on suspicion of prostate enlargement or disease causing dysuria. She also gave a Tardak injection for prostate enlargement. But the owner declined neutering. She wanted her dog to be able to pee normally.
Dr Daniel performed a urethrostomy and removed the sole urethral stone. X-rays post surgery revealed no other stones in the bladder, kidneys or urinary tract. So, it was only one stone. .
Owner wanted the dog to be discharged since he can pee normally for the past 6 days of hospitalisation. I will not advise it as the urethral opening may close up if the owner does not do a good nursing job.
The dog bites the nurses, hence the e-collar and the need for 2 nurses to clean his urethral wound daily for the past 6 days. Today he is wanted home.
X-rays after surgery to remove one urethral stone show no urinary stones
Urethrostomy surgery
The urethral stone is lodged inside the perineal urethra, obstructing urine flow. So the dog had great difficulty urinating. This perineal urethra is opened up. The stone is taken out. The dog can now pass urine freely. X-rays were not done by Vet 1. Vet 1 said there was no stone after "scanning." Yet the urinary catheter could not pass into the bladder, meaning that there would be a stone stopping the passage of the catheter.
At Toa Payoh Vets, the urinary catheter was similarly stopped at the perineal urethra from entering the bladder. Urethostomy (opening up the urethra) enabled Dr Daniel to extract the stone, permitting free urine flow. The urethra was left open for the dog to pee from this location. No more difficulty in urination since surgery for the past 6 days before going home.
Video shows the dog can pee after perineal urethrostomy surgery and hospitalised at Day 5 after surgery.
Monday, April 30, 2018
3143. Truncal alopecia in a poodle due to mounting by sibling poodle, both males
April 30, 2018
The owner had a pair of male, not neutered poodles. One mounts this one daily, causing truncal alopecia (hair loss in sides of flanks), hence causing traumatic injury to the hairs, according to this owner.
The owner had a pair of male, not neutered poodles. One mounts this one daily, causing truncal alopecia (hair loss in sides of flanks), hence causing traumatic injury to the hairs, according to this owner.
3142. New mushroom has sideway stalk instead of upright stalk
April 30,2018 8am
April 30, 2018 9am
A young mushroom on the left of the new mushroom has not bloomed yet.
Apr 30, 2018 6.30pm
May 1, 2018 4am
The mushroom with horizontal stalk has wilted by 4am
A new one has upright stalk
Original image
Sunday, April 29, 2018
3141. Unusual Cat story: The 5-year-olld cat kept meowing at night in Dec 2017
Cat, Male, 5 years
TP 46603
Dec 29, 2017.
Owner complained that the cat will meow after midnight for several nights. Why?
Gingivitis. Bad breath fishy smell. Urine has vinegar smell.
Dec 29, 2017
Blood test done
Apr 28, 2018 review
Urine not smelly. Bad breath. Fed some dry feline K/D in the morning. Steamed fish and chicken
Blood test done
Cat came in for a blood test to review health.
Liver normal.
Kidney normal. Urea 10.9 (7.2 to 10.8) Creatinine 162 (71-160). Advised feline k/d
Haematology .
Total white cell count 4.9 (5.5- 19.5).
N 51.0% (60-70%). Absolute 8.7 (3-11.5)
E 16% (2-10%). Absolute 1.11 (0.1 - 1.25)
B 1.2% (rare). Absolute 0.04 (rare)
Platelets 140 (300-800). Platelet clumping noted.
No more midnight meowing.
Had been fed dry feline K/D for the past 3 months. Owner started giving fish and chicken meat to supplement the dry food.
TP 46603
Dec 29, 2017.
Owner complained that the cat will meow after midnight for several nights. Why?
Gingivitis. Bad breath fishy smell. Urine has vinegar smell.
Dec 29, 2017
Blood test done
Liver normal.
Kidney failure Urea 13.4 (7.2 to 10.8) Creatinine 177 (71-160). Advised feline k/d
Haematology is normal.
Total white cell count 11.1 (5.5- 19.5).
N 78% (60-70%). Absolute 8.7 (3-11.5)
Kidney failure Urea 13.4 (7.2 to 10.8) Creatinine 177 (71-160). Advised feline k/d
Haematology is normal.
Total white cell count 11.1 (5.5- 19.5).
N 78% (60-70%). Absolute 8.7 (3-11.5)
L 8.3% (12-30%). Absolute 0.92 (1-4.8)
M 5% (3-10%). Absolute 3.3 (0.15 - 1.35)
E 16% (2-10%). Absolute 1.11 (0.1 - 1.25)
B 1.2% (rare). Absolute 0.04 (rare)
Platelets 285 (300-800). Platelet clumping noted.
Dec 29, 2017
Urinalysis
Amber, slightly turbid.
pH 6.5 (5-8)
SG >1.050 (1.005 - 1.030)
Protein + (negative)
Bacteria 2+
UTI. Urine has fishy smell
E 16% (2-10%). Absolute 1.11 (0.1 - 1.25)
B 1.2% (rare). Absolute 0.04 (rare)
Platelets 285 (300-800). Platelet clumping noted.
Dec 29, 2017
Urinalysis
Amber, slightly turbid.
pH 6.5 (5-8)
SG >1.050 (1.005 - 1.030)
Protein + (negative)
Bacteria 2+
UTI. Urine has fishy smell
Apr 28, 2018 review
Urine not smelly. Bad breath. Fed some dry feline K/D in the morning. Steamed fish and chicken
Blood test done
Cat came in for a blood test to review health.
Liver normal.
Kidney normal. Urea 10.9 (7.2 to 10.8) Creatinine 162 (71-160). Advised feline k/d
Haematology .
Total white cell count 4.9 (5.5- 19.5).
N 51.0% (60-70%). Absolute 8.7 (3-11.5)
L 26.8% (12-30%). Absolute 0.92 (1-4.8)
M 5% (3-10%). Absolute 3.3 (0.15 - 1.35) E 16% (2-10%). Absolute 1.11 (0.1 - 1.25)
B 1.2% (rare). Absolute 0.04 (rare)
Platelets 140 (300-800). Platelet clumping noted.
No more midnight meowing.
Had been fed dry feline K/D for the past 3 months. Owner started giving fish and chicken meat to supplement the dry food.
3140. BE KIND TO PEOPLE Stories by Dr Sing Kong Yuen. The Bangladeshi raconteur
39. April 28, 2018 Bangladeshi stories
April 28, 2018
RACONTEUR - a person who tells anecdotes in a skilful and amusing way.
- a person skilled at telling stories or anecdotes
- a person skilled at telling stories or anecdotes
The Bangladeshi raconteur
I met this man at a social dinner. He was a business man in his late 30s, slim built and sharp-eyed.
Here are some anecdotes from him.
1. The mother's police.
In this farm managed by his mother, there were 7 large German Shepherd dogs. In the daytime, these dogs would go outside the farm to scavenge and roam but they would be back in the evening to patrol and protect the farm and his mother.
1.1 During one thunderstorm, the dogs barked. One of the dogs that was close to his mother barked and gripped her sleeve to get her to the door. She went out to investigate. There were some intruders who apologised and left.
1.2 When he visited his mother, the dogs would not permit him to enter the house unless his mother came out.
2. His slim mother.
2.1 "My friends always ask me which of the 2 women in my house was my wife - the slim one or the fat one since my mother looks around my age of late 30s. They would invariably get it wrong. My mother is the slim one as she has to work hard managing the workers in the farm."
I met this man at a social dinner. He was a business man in his late 30s, slim built and sharp-eyed.
Here are some anecdotes from him.
1. The mother's police.
In this farm managed by his mother, there were 7 large German Shepherd dogs. In the daytime, these dogs would go outside the farm to scavenge and roam but they would be back in the evening to patrol and protect the farm and his mother.
1.1 During one thunderstorm, the dogs barked. One of the dogs that was close to his mother barked and gripped her sleeve to get her to the door. She went out to investigate. There were some intruders who apologised and left.
1.2 When he visited his mother, the dogs would not permit him to enter the house unless his mother came out.
2. His slim mother.
2.1 "My friends always ask me which of the 2 women in my house was my wife - the slim one or the fat one since my mother looks around my age of late 30s. They would invariably get it wrong. My mother is the slim one as she has to work hard managing the workers in the farm."
2.2 "Was it an arranged marriage for your mother?" I asked as I presumed his mother was married young. "How do I know?" he replied. "I was not born when she was married!" He laughed heartily at his own sense of humour. The way he laughed and swung his hands caused the other diners to laugh too. Dining could be a solemn affair with family members eating together as a routine and so, his anecdotes were a breath of fresh air.
His mother had married at 12 years of age, a practice now disallowed in Bangladesh. Hence at the age of 40 - 50 years and being slim and trim, she looked as young as his fat wife.
His mother had married at 12 years of age, a practice now disallowed in Bangladesh. Hence at the age of 40 - 50 years and being slim and trim, she looked as young as his fat wife.
3. The Villager who cried "Tiger"!
He related a story about a Bangladeshi man shouting "help me, help me, there is a tiger attaching me!" The villagers rushed to help him but there was no tiger. This man repeated this joke 3 times. When he shouted for help at the 4th time, no one bothered to help him. A tiger came and he was eaten.
"This was a Little Red Riding Hood story," the Bangladeshi raconteur said. Actually it was "The Boy who cried wolf". I did not correct him as it would be impolite.
4. Fate
"Accidents can occur anytime" he said. "Life is transient and when we die is fated. So do not be afraid to do the right thing. God will help you!"
He related a story about a Bangladeshi man shouting "help me, help me, there is a tiger attaching me!" The villagers rushed to help him but there was no tiger. This man repeated this joke 3 times. When he shouted for help at the 4th time, no one bothered to help him. A tiger came and he was eaten.
"This was a Little Red Riding Hood story," the Bangladeshi raconteur said. Actually it was "The Boy who cried wolf". I did not correct him as it would be impolite.
4. Fate
"Accidents can occur anytime" he said. "Life is transient and when we die is fated. So do not be afraid to do the right thing. God will help you!"
He invited us to visit his motherland to see his big farm. It had animals such as milking cows, hens laying eggs, ducks eating snails in the padi and 3 types of fruit trees.
He had this sense of humour which make the other person regret asking him questions or doing something awkward as he would not stop laughing at him. So the other diners listened but dared not engage him in asking questions about his anecdotes, for fear of being laughed at.
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