Tuesday, November 6, 2018

3338. Extensive eye ulceration in an old Chihuahua


The lady with the blond hair had several adopted dogs including this Chihuahua. "With blond hair, I need not go for monthly hair dyeing as the grey hairs do not show so clearly," this Grab taxi driver told me. Her friend had a mixture of blond and gold brown hair.

The Chihuahua had such an itchy eyeball rubbing his left eye on the bedside, despite an e-collar. "I researched the internet that eyeball removal is the best solution," she had been consulting the eye specialist for the past 2 years but the dog's eye condition did not improve.  









Sunday, November 4, 2018

3336. Clouds Images Singapore

Sunday


Nov 4, 2018

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Nov 15, 2018  morning driving to work









3335. TRAVEL - South Korea - Oct 5 2018. A Korean gave me his umbrella







I asked a gentleman in a delivery man for directions to the subway. It was drizzling. A long walk.
I had no umbrella and carried a camera - hence a tourist. He gave me his umbrella insisting I took it. He left in a van driven by a lady. A last morning in South Korea Airbnb accommodation.

3334. Advices to Young People. Ageing Parents

Sunday Nov 4, 2018

Some young adults who travel tend to forget updating their parents of their whereabouts thinking that no misfortunes will hit them.

It does not cost a child much time to post travel photos to his aged parents. The photos are peace of mind and a sign of gratitude for parental sacrifices giving him the opportunities he now enjoys.

Friday, November 2, 2018

3333. Entrepreneurs Singapore - Women-led start-up. Straits Times Sep 15, 2018 B9

1. KinderPass - subscription based, offers on-demand service for parents looking for children's activities. Children up to age 6.



2. Eainchat - top prize - leading digital food media platform in Myanmar. Step-by-step video tutorials on cooking Myanmar and other countries' food. Hope to create a mobile app.


3.  Fast Track Trade, SG digital trade platform for SME

4. My Health Care - Myanmar start-up matches people with health concerns to healthcare service providers who answer their questions online.

Thursday, November 1, 2018

3332. *****2018 Case Study. A 12-year-old male neutered Shih Tzu has bladder stones again - recurring bladder stones

Nov 1, 2018 review of case of dysuria again one year after bladder stone removal by Vet 2.



Oct 27, 2018. Recurrence. Consulted Toa Payoh Vets
The owner regretted that she did not accept the advice to feed struvite prevention therapeutic diet
as advised one year ago when Vet 1 operated and removed the big stone and small ones. Vet 1's report from the University of Minnestoa Urolith Centre's stone analysis indicate a Magnesium Ammonium Phosphate (struvite) with ammonium urate stone.



 
Oct 27, 2018 
Came to Toa Payoh Vets
Urine test
pH 7.0  (5-8)
SG 1.033  (1.005-1.030)

Protein 2% Ketones +, Blood 4+ , Bacteria +, Crystals are triple phosphate +, Amorphous phosphate 3+. 

Dr Daniel catheterised the urinary bladder. Irrigated and remove multiple small stones. No X-rays were done to save owner the medical cost.



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FLASH BACK - ABOUT ONE YEAR AGO

Sep 23, 2017
The dog had great difficulty peeing and dribble urine all over the apartment. The owner went to Vet 1 whose X-rays did not show urinary stones clearly. Vet 1 advised ultrasound to be done by Vet 2 but the owner declined the offer.





Sep 26, 2017. The crying dog had great difficulty in peeing and the abdomen was much swollen.
Rushed to Vet 2 who X-ray and saw a big stone.







Ultrasound guided cystocentesis drew out stinking urine. Quoted $4,000 for surgery. The owner went back to Vet 1 who charged around $1,600.