3203. Temporary crown takes 2.5 hours to fix on Jul 16, 2018. Crown on Aug 6, 2018

Jul 16, 2018  Monday 8am to 9.30 am  National  Dental Centre, Singapore


Local anaesthetic
Lots of drilling. Can smell smoke.
Two thumbs to hold up mold on upper teeth.
Temporary plastic crown fixed. Chew and bite to seal it.
No flossing downwards or crown will be dislodged. Use floss brush from private dentist.
If crown is dislodged
3 weeks on Aug 6 will get permanent crown.



Aug 6, 2018. NDC, Rm 18, Dr Christina Sim
Permanent crown fixed today
Cleaned up teeth with scaler
Applied gold filling
Technician came in to re-adjust
To wait 45 minutes but was ready much earlier.

Bite, bite, bite
Cement on
Crown should not drop off.
No guarantee tooth will decay
Mirror into the mouth to show the gold filling to me.
Gentle hands, Excellent communicator


If worried about taurus, make appt with Dr Andrew Tay, head of Oral Dept.


Teamwork is excellent. 

1. Root canal treatment. Dr Lim S K
2. Gum treatment and crown lengthening. Dr Chee Hoe Kit
3. Crown. Dr Christina Sim Poh Choo

Dr Lim Sor Kheng

National Dental Centre Singapore

Clinical - Restorative Dentistry

Consultant

BDS (Singapore), MDS (Operative Dentistry)(Singapore), FAMS

Clinical Senior Lecturer, NUS Faculty of Dentistry
Department of Restorative Dentistry CFS

Cl A/Prof Sim Poh Choo, Christina

National Dental Centre Singapore

Clinical - Restorative Dentistry

Head (Dental Surgery Assistant Programme), Senior Consultant

BDS (Singapore), MSc (Conservative Dentistry)(UK), FAMS

Clinical Senior Lecturer, NUS Faculty of Dentistry
Department of Restorative Dentistry CFS

Dr Chee Hoe Kit

National Dental Centre Singapore

Clinical - Restorative Dentistry

Consultant

BDS (Singapore), MDS (Periodontology)(Singapore), MRD RCS (Edinburgh)

Clinical Lecturer, NUS Faculty of Dentistry
Department of Preventive Dentistry CFS

3203. A rare case of vulval tumour in a dwarf hamster

oJuly 13, 2018

Toa Payoh Vets treat at least one hamster a week for the past 2 years. Tumours are the No. 1 surgical condition. This is the first case of a vulval tumour in a dwarf hamster. Images are shown.

The tumour irritates the hamster. She became lethargic.  The tumour is excised and the hamster is OK.

DAY 2

Day 4.  Pus still oozes out. Pus also seen in vaginal discharge for this female Syrian hamster.

3202. New mushrooms on Jul 11, 2018 in the plantar box

Jul 10, 2018. 12 Thai boys, coach rescued from flooded cave.

3201. An 8-year-old Shih Tzu screams on standing up and shivers for the past 7 evenings.Why?

July 11, 2018

7 evenings of screaming on standing up followed by shivering body for some time. Why?
"Does it happen in the morning?" I asked the owner who said no.

Palpation of lumbar spinal area showed slight pain with a hunched back (video). Nothing serious like slipped disc. X-rays

3200. Images of Birds in Singapore

Oct 2017

3199. A 1-year-old Shiba Inu keeps coughing despite 2 weeks of antibiotics from Vet 1

Jun 26, 2018. 

"Day and night, keeps coughing!" the young caregiver who is a medical undergraduate told me. "Vet 1 had given a course of antibiotics for the past 2 weeks. Now there is some drooling too."

A very painful trachea. No abnormal lung sounds.
Is this a case of chronic kennel cough or infestation of parasite inside he trachea?

X-rays show lung congestion but there are no lung sounds ausculated.
A very painful trachea from pharynx to sternal area. A swelling could be seen but not obvious in the X-ray.  A persistent cough could be due to kennel cough as breeder does not vaccinate.


UPDATE
As at Jul 7, 2018, the dog has fully recovered.


COUGHING DOG OUTBREAKS IN PASIR RIS DOG FARMS
For the past months, many dogs in various breeding and boarding kennels cough. The AVA had investigated and there is a virus. A vaccine is reported to be available for the dogs.  This dog might be one of the dogs from the affected herd.

3198. Injured cats and birds

2 cases of cats with wounds
Stitching is needed to close the big wounds

Syringe feeding a rescued bird with food and water is important for its survival. The owner may not know how to do it properly.