Monday, June 20, 2022

4122. A rare case of cavity in the Carnassial Tooth causing oro-nasal fistulas




20 Jun 2022. A RARE CASE OF CAVITY CAUSING ORO-NASAL FISTULAS
Dr Sing Kong Yuen, BVMS (Glasgow) 

A rare case of cavity in the Carnassial Tooth causing oro-nasal fistulas in a poodle. The vast majority of cases affecting the Carnassial Tooth or 4th premolar tooth is infection of the roots of the tooth, causing pus to migrate to the nasal sinuses. There will be swellings below the lower eyelids. Soon, the swellings ruptures into holes or facial wounds.

Many dog owners think the dog has suffered some traumatic injuries resulting in facial wounds with oozing pus or blood and pus. Some vets may misdiagnose these oro-nasal fistulas are facial wounds.

However, such wounds do NOT heal despite medication. The only treatment is EXTRACTION of the decayed loose carnassial tooth.

In this case of cavity in the crown of the tooth, ROOT CANAL TREATMENT will be the treatment of choice, but it will be expensive compared to DENTAL EXTRACTION.  

Goto: www.toapayohvets.com to read up on several cases seen in the past decades.

MORE INFORMATION AT:
 https://2010vets.blogspot.com/2022/06/4122-rare-case-of-cavity-in-carnassial.html


4121. An old dog with 3 seizures. What is the cause?

16 June 2022. An old dog had 3 seizures. Why?

The owner wanted a 2nd opinion on why her dog had a 3rd seizure. She had consulted a vet who took a blood test and said there was liver disorder. He wanted further blood tests to check whether the old dog had Cushing Disease. The owner did not wish her dog to undergo more tests and so declined. 

"Blood tests are needed to check whether the dog really has Cushing Disease before prescribing medication," I told the lady owner who had consulted me when her dog was a puppy. "There are effective medication from the vet for Cushing Disease in the dog."

She had shifted far away and was busy at work. So proximity to vets was important and Toa Payoh Vets was distant from her home. So I had not seen the dog.

She ordered online two herbal supplements. One claimed Cushing Disease "treatment" and the other claimed "Skin disease" treatment. 

"Since the blood test was done one year ago," I advised a recent one to check the liver disorder. "There are many causes of seizures or fits in the older dog," I told her.  Many of the younger generation do their research on the internet and some may buy the herbal supplements to treat their dogs. In this case, I advised stopping the herbal supplements as seizures still persisted. The "skin disease" herbal supplement were of no use, as the old dog had developed a few skin warts which are part of ageing in some dogs. Warts are caused by papilloma viruses.

A blood test is accepted by the lady. She wanted vaccination for her dog. "Vaccination is best done after blood test', I advised. "The big cherry eye caused intense discomfort. Your dog has tartar on his teeth, but he has panting occasionally. No heart murmurs but the dog may have heart enlargement."

"If the old dog has good dental health and prevention of diseases, he will live another 2 years. Some small breeds live up to 20 years in Singapore," I said. 

The dog has a swollen abdomen. "He passed gases often," the owner said. The dog did pass gas during my palpation of his tense swollen abdomen.  

We will wait 7 days to ensure that the dog has his antibiotics before dental scaling. Vaccination and removal of skin warts and cherry eye procedures will be done. The owner will stop feeding beans in her home-cooked food for her dog as they may cause flatulence or farting.  We will observe for seizures to know more about the cause.

UPDATES IN THIS BLOG:
    

 https://2010vets.blogspot.com/2022/06/4121-old-dog-with-3-seizures-what-is.html


 

Sunday, June 19, 2022

4120. A culture of good F&B Service from The Erasian Restaurant

Sunday 19 Jun 2022: Father's Day at The Erasian Restaurant. This is my 3rd visit.

Not so crowded as the music band played only on Fridays and Saturdays.
Waiter Mr Febrego,  about 40 years old, originally from Portugual had worked for 4 months. He would recommend food combinations e.g. the sour achar to go with pork belly. 

He was a Grab delivery man but now he works in F & B as he gets CPF (pension contributions) and working background if he were to live in Canada. A very jovial person in grey face mask!  His younger colleague wished me "Happy Father's Day" when we were in the gents' room.  This Restaurant has a culture of personalised service with a heart.  

A short shower. Hot and humid inside the non-air con restaurant. A good Father's Day celebration. Kat was present too.



Big families dine on Father's Day



Mr Febrego (L) with customer

 



4119. Photographing the daylight moon tips

 






19 Jun 2022. Sunday. Father's Day.
I took a photo of the moon at 7AM at the Esplanade, after sending LP to Gateway Theatre by 6.30 am.

www.instagram.com/toapayohvets



19 Jun 2022. 

COMPARE THE SHARPNESS OF THE MOON IMAGES TAKEN IN 2022 AND 2018.


Practice makes perfect. I show my 2 images of the moon seen at daylight in Singapore in 2018 and 2022.


In 2022, I place the camera on top of another DSLR camera. Both cameras are placed on the ledge on the partition wall of The Esplanade car park entrance. The DSLR Canon EOS 90D 18-200 mm lens camera points at the moon skywards.


I then touch the LIVE view LED screen. That means no clicking of shutter and much less shaking of the lens.


I will say that the 19 Jun 2022 image of the daylight moon is much sharper than the 2018 image which would be handheld or placed on a car roof top. The shutter button would be pressed to click...causing vibrations and less sharp image of the moon.

A tripod is best but I seldom use it.









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

how I positioned the camera













4118. ADVICES FOR YOUNG PEOPLE. You can take good photos with handphones or smart phones

19 JUN 2022: ADVICES FOR YOUNG PEOPLE. You can take good photos with iphone 11 pro



Smart handphone images are as good as professional camera images.

1.  iphone 11 pro takes good photos too, but you need to acquire digital imaging skills like how to take good photos with the "rule of threes" and how to edit them using a good software like Lightroom.

You can use the photos 

  1. to sell as STOCK PHOTOS on commercial websites. For example, the following photos have been approved by www.shutterstock.com after I have had edited them. You can buy them from www.shutterstock.com/g/toapayohvets



2.  to market your products or services on social media or online platforms like Etsy, Shopee, Carousell etc.

2.1 to market products, for example, made by your elderly mother if she does dress making for dolls.

Some iphone 11 images are shown below.

MORE INFO AT:
https://2010vets.blogspot.com/2022/06/4118-taking-good-photos-with-iphone-11.html








Stock photo REJECTED by shutterstock.com/g/toapayohvets



Stock photo of shutterstock.com/g/toapayohvets

Stock photo of shutterstock.com/g/toapayohvets





Home-made reusable face masks


















2. Handphone photos

SINGAPORE - 21 JUN 2022: Senoko Power Station is a power generation plant with a licensed capacity of 3,300 megawatts and supplies about 20 per cent of the nation’s electricity needs.






23 Jun 2022: Many believe that smartphone photos can not be good enough. The following two photos prove otherwise.

Smartphone photo NOT taken by Dr Sing Kong Yuen.

Such a beautiful morning photo with blue skies, white clouds and blue seas with Johore in the background .

The Senoko Power Station is a power generation plant designed by human beings. 

The sun may be said to be a power generator whose sunlight enables plants to do photosynthesis which sustains life on earth. Who design the sun?



3. Apple iPhone 11.




Moon above The Esplanade Forecourt Garden, 7 AM, 19 Jun 2022Apple iPhone 11Wide Camera 26 mm f1.88 MP, 2160 x 3840, 2.2 MBISO 32, 30 mm, O ev f 1.8, 1/666sBack camera lens 4.25mm f 1.8 





I stabilise the Canon DSLR EOS 90D on top of another
Point the camera to the moon. I do NOT press the shutter button
I pressed the LCD screen which does not vibrate
Hence the sharpness of the moon from high above


Friday, June 17, 2022

4117. Photography Tips - Vegetables in a supermarket.

 PHOTOGRAPHY TIP by Dr Sing Kong Yuen. Where do you focus in this case?


I focus on the brocoli in the centre of the view. I use single central focus on my DSLR Canon EOs 90D Camera, using P Mode.


This photo has been cropped as the bigger photo shows apples on the upper side. So the mid point of the photo where I focus on the brocoli will be not at mid point in this image. 


Practise makes perfect. I do not know whether this image is acceptable by www.shutterstock.com yet. 



Is asparagus a vegetable, a fruit, or an herb? Have you wondered too? 


Often seen as a sign that spring has come, asparagus is a delicious addition to many springtime dishes, including salads and veggie-filled frittatas. 


Asparagus (left, bottom) is a nutrient-dense perennial vegetable that grows in temperate climates around the world.





Thursday, June 16, 2022

2022 Advices For Young People - create, not consume series.

UPDATED BLOG written in  4 Dec 2020.
https://2010vets.blogspot.com/2020/12/3925-advices-for-young-people-create.html


"Create, Not Consume," I would advise young employees. It is easier said than done for 80% of the employees as they have priorities and responsibilities or just want to have fun after work. Some are not aware that many bosses have to cut business costs as employees demand pay increases yearly, but the net profits of the business decreases for various reasons. There is a shortage of employees after 2 years of Covid-19 pandemic, but that does not mean that the boss can pay higher salaries if businesses cannot sustain this situation.       


CREATE, NOT CONSUME 

1.  NEW SKILLS. If you are an employee, do know that your boss will hire a younger and less expensive replacement in time to come as intense competition lowers business profitability as one competitor will underprice, give cut-throat pricing and discounts.   

Make use of every second of your free time to acquire new skills by creating products or services, rather than spending a lot of time on computer gaming, watching movies or consuming entertaining services provided by others. An example in 2022 will be Tik Tok videos.

2.  TRAVEL INSIGHTS.  When you travel, be aware of the culture and businesses, rather than go from one point to another sight-seeing. 

For example, headwear sales in Chaung Tha Beach in Myanmar. The average tourist will do sight-seeing. 

However, if you look deeper, you will see the business aspects of the headwear sales---niche marketing.  How such sales person can earn a living. You have the sales strategy. Those people sells just one product or diverse products, doing cross-selling a related product and what customers are targeted.   


Young people to create, not just consume for their future 
when they are no longer young and strong to be an employee


Beach goer with children


Focus on one product to sell




More sources of revenue hopefully




Beach goers---younger generation and families




Different category of products for beach wear



Beach goers


Create your products to sell.
Focus on a niche market e.g. headwear in this example
Know who are your competitors and customers 
Product diversification
Cross-selling
Don't expect instant success. Many failures.
Hard work and perseverance

There is no guarantee of success but you will learn 
from failures and start another venture.