3196. Red-eared slider, M, 4 years stopped eating for a few weeks. Why?

Emaciated red-eared slider

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Compared to normal red-eared sliders

3195. The cat's back leg was cut by the sharp pen knife

July 3, 2018

The owner decided to use his sharp pen knife to cut the Siamsese cat's backside hair. A 2-cm laceration wound of around 3 cm was made into the skin, exposing the muscles. So he used his Nova powder to treat the cut.

No closure of the wound as the cat would lick the powder away. 

He lived near Vet Central but the vet clinic was busy at 4 pm. So he googled and came to Toa Payoh Vets as he had to start work as a Deliveroo man.

In his 50s, he looks very fit. He has perfect eyesight and could climb 30-storey high crane tower to operate the crane. No fear of heights. "There was a crane that toppled," I asked whether he was working in the same area. "I was in the other crane. There was some miscommunication between the foreign workers, leading to this accident!". 

The cat is given antibiotics today and will be operated the next day.  He wanted me to clip a very small area to stitch up the wound, but this is not good for the cat as the wound is large. Debridement is needed to cut off the old edges. Cleaning and stitching.

3194. Lingzhi mushroom in a broken tree branch

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Original images seen on Jun 30, 2018

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Lingzhi mushroom seen by a lady (Yijun) in May 2018 in the similar area

3193. A cat fell from 3rd storey and fractured left femur

Jul 2, 2018

"It was during Hari Raya celebrations," the gentleman said his 3 cats usually sit on the ledge but would not fall downstairs."It was noisy and my cat disappeared upstairs to the 3rd floor and probably went into an apartment. He could have fallen out from theunit. "

Jul 3, 2018  10 am fracture repair

Day 3 after surgery. Still has bleeding from pin exit site

3192. Handsome couple with black fashion beret and hat

3191. Green berets are for the Infantry, Singapore Armed Forces

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Seen in Toa Payoh on Sep 15, 2018 (Saturday) bus interchange

3190. A leg wart irritates the dwarf hamster. Electrosurgery done.

Jul 1, 2018. Electro-surgical removal of the leg wart 4 to 5 mm across.

Electrosurgery is a term used to describe multiple modalities that use electricity to cause thermal destruction of tissue through dehydration, coagulation, or vaporization. The two types of electrosurgery most commonly used are high-frequency electrosurgery and electrocautery.

High-frequency electrosurgery refers to four different methods: electrocoagulation, electrodesiccation, electrofulguration, and electrosection. These methods involve high-frequency alternating current, which is converted to heat by resistance as it passes through the tissue.

 

What is electrosurgery used for?

Electrosurgery is a technique often used in dermatologic surgery to provide superficial or deep coagulation or cutting of the skin. The skin has poor conducting properties for the electrical flow of energy. Therefore, this energy builds up and is converted into heat.

Does electrosurgery hurt?

Electrosurgery cuts extremely rapidly when compared to a diode laser. When on the proper setting, hemostasis is almost immediate. Assuming the electrode is cleaned frequently while operating, the cutting consistency, speed, and depth of cuts are very good. After cutting, the wound is nearly painless.

How does electrosurgery induce tissue effect in surgery?

During electrosurgery, the back and forth movements of the high-frequency alternating current make the cellular ions oscillate to create frictional heat. Thus, electrical energy is converted to mechanical then to thermal energy intracellularly. Such generated heat produces the thermal tissue effects.