Thursday, October 11, 2018

3314. A 21-month-old dwarf hamster has a fast-growing purplish tumour

Oct 11, 2018

Over 80% of the Singapore residents live in high rise apartments. Hamsters are favoured as pets as they occupy little space.





This hamster has a fast-growing purplish tumour around 5 mm x 4 mm x 4 mm. The owner was very worried.











-------------




"No vet can guarantee that there is no anaesthetic risk of death," I told the couple. The wife wanted a guarantee before surgery.

The hamster recovered from anaesthesia and goes home on the same day.

Wednesday, October 10, 2018

3313. Google Auto Ads replaces Page-level ads

star
Auto ads replaces Page-level ads. If your pages are using page-level code you don't need to add code again.

Copy and paste this code on your pages


copy code snippet

Tuesday, October 9, 2018

3312. RESEARCH FIC. TO FOLLOW UP 3 MONTHS LATER. An 8-year-old male cat has blocked bladder again. Why?

Oct 6, 2018. Pasir Ris cat

Last night, vomited, cannot pee. Feeding dry and wet food.

Blood test - Total WCC 14 (5.5 - 19.5). No bacterial infection. Platelets 210 (300 -800). Toxicaemia?
                    Glucose 8.2 mmol/L    (4.4 - 8). May be due to illness and stress of FIC, FUS

Urine test   pH 8 (5-8), SG 1.0 (1.005 - 1.030)
Protein 4+, Blood 4+, Bacteria +, Crystal Nil.  WBC more than 900 (/ul).  RBC  more than 1800 (/uL)


Urinary catherisation. Inpatient 3 days. Baytril and tolfedine injections x 2 days.
Goes home on Day 4 with baytril tab, meloxicam syrup (4 days) and ACP 12.5mg (1/4 tab per day for 4 days for anti-spasmodic effect).


Advise: Royal Canin Urinary S/0 (no pork)  wet and dry


--------------------
History

June 10, 2017. Blocked bladder 5 days ago. Treated at Toa Payoh Vets. Urinary catherisation.

No blood test or urine test to lower cost. I advised Royal Canin Urinary S/0 feeding. No urinary problem from June 2017 to Oct 2018. The couple stopped feeding the S/0 6 months ago. The commercial canned and dry cat food were less expensive and the cat loved it.


------------------------
"This cat will come to me to be tickled," the husband said when he took the cat home on Oct 9, 2018 at 6 pm. I made a short video clip from my handphone.

"He is afraid of the female cat but is friends with the other male cat," he told me. "So, I kept him in my bedroom all the time. The female cat will attack him."

In this multple household, this cat is timid and prefers the husband.
"I googled for cat vet to treat my cat with difficulty in passing urine," he told me when I asked why he did not go to the nearest vet in North East Singapore. "I viewed your You-tube video of you cleaning a cat's ears and so I came to Toa Payoh Vets."

He felt more comfortable at Toa Payoh Vets than at the neighbourhood clinics. So he took the trouble and expense to come here when the cat has difficulty in peeing again.

"The day before, he suddenly let go a lot of urine," he told me. "Then the next day, he just could not pee. So I quickly rushed him to see you!"




I spoke to the busy working wife who returned my phone call. "Yes, you did advise me to feed Urinary S/O to prevent this urinary tract infection. I stopped feeding the Urinary S/O 6 months ago, as the cat loved the commercial food more. Now, I understand and learnt my lesson."

The owners will continue feeding this cat the Urinary S/O which acidifies the urine, preventing urinary tract infection.This cat owner loves his cat very much and will take the trouble and expense to find a cat vet he has confidence in, no matter how distant is his clinic.

 

3311. Intern Images. Jutland horses from Carlsberg Museum, Copenhagen


IMAGES - FOR MORE INFORMATION


Back to Main Page:
https://2010vets.blogspot.com/2018/09/3282-interns-be-kind-to-pets-images-sep.html









Back to Main Page:
https://2010vets.blogspot.com/2018/09/3282-interns-be-kind-to-pets-images-sep.html



Monday, October 8, 2018

3310. Query from Thailand - 2nd opinion on prevention of Calcium oxalate stones in a Pom

o judy, me
Dear Judy (TOA PAYOH VETS)

Greeting from Bangkok. I am seeking the second opinion about stone in dog's bladders. My dog has CaOx stones in his bladders and already operated 2 times

I wonder whether Dr Sing Kong Yuen can give me the advise about how to prevent or reduce the recurrence of the stone. FYI, I already manage to give urinary dietary (Hills C/d)  and also drink lots of water (500ml). So i just want to explore more other ways to prevent it in detail

If Dr Sing Kong Yuen can give the advice about this, can I meet him on Sat Oct 13 around  3.00 pm?

Can I also know how much is the consulting fee?

===================================================
Below is the summary of my dog's profile
1. My dog’s profile
Age: almost 7 years
Breed: Pomeranian
Sex: Male
Weight: 6.8 kg
2. Stones in Urinary bladder’s Timeline
·         1st Operation: 15 June 2018
o   Stone analysis: Calcium Oxalate Stone
o   Bacteriology Test: test from urinary bladder’s wall, result NO GROWTH
·         After 1st Operations (15 June –Aug 22)
o   Dietary: Vet recommended to take Royal Canin S/O (Canned Food)
o   Water: 400-450 ml per day
o   **dog is fed small piece of apple (but not every day, each time not more than 1-2 small pieces)
·         22 Aug, 2018 (only 2 months after 1st operations)
o   Ultrasound and found 2-3 stones (size 0.4 cm)
o   **after found, STOP feed apple to dog
o   Strictly feed only urinary food, **but change to Hills C/D (Canned food)
·         20 Sep, Decided to have the 2nd operations to remove 2-3 stones form urinary bladder
o   Stone analysis: Calcium Oxalate Stone
o   Bacteriology Test: test from urinary bladder’s wall, result NO GROWTH


---------------------------


Urine pH  7.0
USG  1.020 




15.6.2561
Urine pH  7.5
USG 1.020





25.6.2561
Urine pH  6.5
USG 1.025




23.8.2561
Urine pH  6.05
USG 1.015


 25.??.2561   Thai calender
Urine pH  6.5
USG 1.005




Blood test - no anaemia or leucocytosis

Stone analysis on 21.6.2018  Calcium oxalate


Ultrasound   22.8.2018          3 small cystic calculi in urinary bladder  2-3mm

-------------------------------------














ADVICES

To prevent URINARY stones recurring:

 1.  the dog should be regularly monitored, using urine testing and either X-rays or ultrasound examination to look for new small stones. These small stones can be removed by voiding urohydropropulsion or treated with diet to dissolve them (e.g. struvites), without surgery.

 2. Most prescription diets are safe for long-term feeding but a few are low in certain nutrients like calcium. Regular blood test is necessary. 

3. For dogs predisposed to urate stone formation, e.g. Dalmatians with high uric acid, dogs with liver shunts,  a low purine prescription diet e.g. U/D must be fed.  








Saturday, October 6, 2018

3308. Nami-Maid Ferry














-----------------------------------------------------------













-------------------------------------------------------------------




3307. Electronic cigarette

Oct 4, 2018