Follow-up on skin condition of the poodle with Ehmer Sling treatment 2 months ago.
This 14-year-old poodle developed a bad skin inflammation, with wet fluid and "pus" appearing after bathing, for the past few weeks before treatment with Apoquel. The owner gave up going to Vet 1 as the dog would get a steroid injection often when the skin inflammation flares up. Vet 1 had advised food allergy trial but the owner did not accept this.
Atopy is suspected. The dog was clipped bald by Toa Payoh Vets as the owner's groomer who went to the house did not clip the head and tail bald so that the dog would look pretty. Many groomers do not want to clip the dog bald from head to toe. The owner remarked to me that she saw rashes and scales on top of the shaved head after clipping.
OUTCOME
With 1/8th of a tablet of Apoquel 16 for the past 7 days, the skin recovers to its normal appearance. But it is not a cure yet. The allergens and infections must be removed. Many owners think the skin problem has been resolved.
There is still a need to check for food allergy, environmental allergy (e.g. grass), skin mites and inhalation causes. Most owners do not have time to follow up with the vet. Some vets prescribe the same steroid injection since the owner has no time for many follow ups. In the end, the dog is not cured as it needs medication.
TEXT MSG FROM OWNER.
[2:25 pm, 13/01/2023] +65 : Hi Dr Sing, good afternoon to you. [2:25 pm, 13/01/2023] +65 : There’s no discharge on skin, the rashes have mostly subsided, and the skin is no longer red, wet or smelly. Thank you Dr Sing for your diagnosis to her problem. [2:25 pm, 13/01/2023] +65 : 1) She is on 1/8 tablet of apoquel 16 daily only 2)Did not start dog on antibiotics. 3) Did not continue with Ketoconazole 200mg for now. 4) shampoo 2-3 times a week. 5) administered ear drops daily for 10 days
Atopy is suspected. The dog was
clipped bald by Toa Payoh Vets as the owner's groomer who went to the
house did not clip the head and tail bald so that the dog would look
pretty. Many groomers do not want to clip the dog bald from head to
toe. The owner remarked to me that she saw rashes and scales on
top of the shaved head after clipping.
OUTCOME
With 1/8th of a tablet of Apoquel 16 for the past 7
days, the skin recovers to its normal appearance. But it is not a
cure yet. The allergens and infections must be removed. Many owners
think the skin problem has been resolved.
There is still a
need to check for food allergy, environmental allergy (e.g. grass),
skin mites and inhalation causes. Most owners do not have time to
follow up with the vet as this takes several weeks.
Some vets
prescribe the same steroid injection since the owner has no time for
many follow ups which cost money. In the end, the dog is not cured as
the cause of atopy is not known. The owner stops treatment of the
dog, as in this case. The dog wears an Elizabethan collar 24/7 while
the owner bathes him with all types of shampoo, till the skin "leaks
with pus" after bathing. That was the time, this owner consulted
me, around 6 Jan 2023.
[2:26 pm, 13/01/2023] +65 : unfortunately after she’s back from the clinic, she walks with a slight limp. I observed dog is not putting weight on the right leg anymore (video below).
BUYING CHINESE NEW YEAR (CNY) PLANTS - 15 Jan 2023. 5pm
22 Jan 2023 is Chinese New Year. Plants like orange limes
and kumquats symbolising prosperity and wealth are purchased from
nurseries. Video of Goodwood Florist which is a spacious nursery
doing a brisk business in CNY plants. The usual small and big flowers
in red or reddish colours as red is an auspicious colour for the
CNY.
EU Holidays’ Tour Manager Andy Yuan, sportingly posed for me, a gift to his VIP customer during the busy & lively Private Sale, Sat 14 Jan 2023. shutterstock.com/g/toapayohvets
Sun 15 Jan 2023, 5.26 am.
On 14 Jan 2023, I attended the
4th Private Sale for VIP customers by EU Holidays, expecting it to be
the usual ordinary event with discounts if you book the tour on that
day. 8 days more to Chinese New Year.
How would the
management organise this event to make it memorable and fun for loyal
customers?
The event was very lively and crowded. The free
Gelato ice-cream was popular. A Goddess of Fortune led by another
young lady distributed oranges to all was a novelty as the God of
Fortune is traditionally much older and male. A noisy tour auction to
get cheaper tours e.g. the Netherlands Tulip Garden tour at
$10.00/bid drew a crowded room with serious bidders.
An ang
pow lucky draw on the office wall and a pretty mini suitcase filled
with Chinese New Year goodies for those who sign up for the tour in
addition to the travel discounts made the day for many who signed
up.
The experienced
and attentive Mr Andy Yuan, Tour Manager was kind enough to pose for
me to practise my indoor photography of him holding the mini suitcase
as he was serving his customer. Thank you to Andy for being so
sporting just to please another customer (me).
Here is the
photo for Andy Yuan with best wishes and good luck for his 10-year
career with EU Holidays. My wife and I had enjoyed two tours with him
pre-Covid 19 and look forward to the Mar 2023 Finland tour with him.
If I was the management, I will present him a Rolex
watch for 10 years of long service. An experienced Tour Manager in
the frontline brings in more business for the company and he
is certainly worth a Rolex watch. If not, an Apple in appreciation of
his hard work and sacrifices?
P.S. Andy's photo taken
using Canon R5, AV Mode, F/16, ISO 800. 3 shots were taken with no
2nd chance. Another person behind Andy flashed by.
The photo
surprisingly captured the busy scene around 4 pm. You can see the
Gelato ice-cream queue and the Auction Room behind the ice-cream
vendor. Do you see the red "Private Sale" poster which did
not cover the whole door as in the previous sales? Several customers
signing up for the tours?
Isha Foundation is a nonprofit, spiritual organisation founded in 1992 near Coimbatore, Tamil Nadu, India, by Sadhguru Jaggi Vasudev. It hosts the Isha Yoga Centre, which offers yoga programs under the name Isha Yoga. The foundation is run "almost entirely" by volunteers.The word isha means "the formless divine".
Isha Foundationis a non-profit spiritual organization founded & guided by Sadhguru Jaggi Vasudev. It focuses on human empowerment and social revitalization ...
The Hyundai Ioniq 5 First 100 is the first car to be assembled in Singapore in over four decades.
It isthe first EV to be built in Singapore– at Hyundai’s new HMGICS plant in Jurong. It looks like an ordinary Ioniq 5 but there are special “First 100” badges if you know where to look. The car itself has dual motors, a combined power output of around 321hp, and a 77.4kWh battery with a range of around 454km.
5 Jan 2023. This poodle has a bad skin
condition for many weeks. After bathing, the back areas under the
belly became wet with "pus". The couple told me that there
was no way the poodle could have had licked this area as she was on a
big elizabethan collar 24/7. I advised the dog to be completely
clipped bald and prescribed anti-fungal wash, antifungal tablets and
antibiotics. An anti-allergic medication is given for 14 days. 13 Jan
2023:
This poodle had a tight Ehmer Sling applied for her
right hip dislocation some 2 months ago. See:
https://2010vets.blogspot.com/2022/11/4405-old-female-poodle-keeps-licking.html
Now
she has wet skin condition which developed "pus" within one
day after bathing for over 2 weeks. So the owner finally decided to
consult me.
TWO separate videos shown during my 12 Jan 2023 night visit to AMK Hub mall.
TRAVELS SINGAPORE - 12 Jan 2023. Selling and buying Chinese New
Year decorations at AMK Central stalls at night on 12 Jan 2023. A
short video on the vendors. These stalls close after Chinese New Year
which falls on 22 Jan 2023. Covid-19 curbs were lifted in Apr 2022.
No need to wear face mask in public areas like this shopping area or
malls.
TRAVELS SINGAPORE - 12 Jan 2023. AMK Hub Mall is
crowded nightly as it is located next to the AMK subway MRT station
and bus interchange. I went to Challenger to buy a USB cable to
connect my Canon R5 to the laptop to download photos. I broke the
camera card cover this morning when my tripod with camera was knocked
down by my chair in the consultation room. Now, I have to wait for
Canon to bring in the replacement card cover card from Japan. A video
of some stalls in the busy mall.
VET CASE. Video 1/3, 2/3, 3/3. What to do when
you adopt a hamster with a leg fracture?
12 Jan 2023
Consultation.
"I adopted this hamster via a Facebook
advert which said that the owner had cats and could not keep this
hamster!" the courier lady in her late 30s told me. "He was
lame on the right hind leg, but I did not think it was serious."
"He
has a lower leg bone fracture," I told her. "I could feel
the sharp end of a broken bone protruding out of the skin!".
"It could just be hairs," my assistant commented based
on observation, without examination.
"The white piece
certainly looks like hairs," I replied. "However, I could
feel it and it was sharp at the end."
My assistant agreed it was a fractured piece of femoral-tibial
bone of the right hind leg. Physical examination is most
important.
"You have two options for treatment," I
said to the owner who has two Syrian hamsters. "Option 1 is
to amputate the infected painful foot below the knee. The hamster
will live normally with 3 good legs.
"Option 2 is to
treat the big infected swelling with medication - antibiotics and
anti-inflammatory. The chances of success are very slim as the bone
fragment had protruded out of the skin and infections had gone
inside, leading to a big red swelling."
The owner said,
"A dwarf hamster costs $20.00 only as compared to the surgery.
But I have had adopted him and will help him." She decided to
pay for the amputation surgery.
This was a very kind-hearted lady. Surgery will be done 2 days
later by Dr Daniel.
26 JAN 2023: The smelly left ear tumour was removed under
anaesthetic by Dr Daniel Sing 2 weeks ago. The lady owner did not
want the whole ear lobe plus tumour removed as advised by me. My
reason was that the large tumour looked cancerous and could have had
spread further. It will recur if cancerous. Removal of the ear lobe
and tumour would save the owner money and stress. Since no biopsy is
done pre-op and no histology of the tumour is done post-op (to save
medical costs), I cannot be 100% sure. If cancerous, the ear tumour
will recur within 8 weeks.
[11:29 pm, 04/01/2023] +65 6: Hi Dr Sing [11:29 pm, 04/01/2023] +65 6: Can I bring my hamster Latte to see you tomorrow? [11:40 pm, 04/01/2023] David Sing: Appointment at 11.30 am tomorrow [11:42 pm, 04/01/2023] +65 6: Latte want to cut teeth also, her ear need to check . [11:43 pm, 04/01/2023] +65 6: Okay [11:56 pm, 04/01/2023] +65 6: Sorry Dr Sing, can I see u at 12pm? 11:30am a bit rush for me. [5:33 am, 05/01/2023] David Sing: I have an appointment made at 12pm. If you can wait, come at 12.30pm [6:36 am, 05/01/2023] +65 6: Ok [6:36 am, 05/01/2023] +65 6: Thanks
[5:40 pm, 06/01/2023] David Sing: Good afternoon. How is Latte’s ear now? Any bleeding and scratching? Any bad smell? What was the cause of the white stools in Matcha in December 2022? Was it the food? [6:06 pm, 06/01/2023] +65 6: Matcha now ok after we remove the sand. Latte at my boyfriend house, now my boyfriend take care of her [6:08 pm, 06/01/2023] David Sing: I advise surgery to remove Latte's ear tumor because it will continue to grow bigger daily. Just to let you know (as your boyfriend came for consultation and did not want surgery) [6:10 pm, 06/01/2023] +65 6: Ok. Thanks for your concern! Will think about it n diccuss with my boyfriend fist. [6:25 pm, 06/01/2023] David Sing: Any sand bath for Matcha nowadays? [6:26 pm, 06/01/2023] +65 6: No more sand bath for matcha [10:07 pm, 07/01/2023] +65 6: Dr Sing [10:07 pm, 07/01/2023] David Sing: Hello [10:07 pm, 07/01/2023] +65 6: May I know if latte surgery have risk? [10:08 pm, 07/01/2023] +65 6: I saw latte ear redness n smelly [10:08 pm, 07/01/2023] +65 6: Can keep ear? [10:09 pm, 07/01/2023] David Sing: If eating, active, pooping 20 pieces, less risk [10:09 pm, 07/01/2023] +65 6: My heart like broken saw latte unwell [10:12 pm, 07/01/2023] David Sing: Ear - try to keep if you want. See similar case in www.instagram.com/toapayohvets… image of ear with a hole [10:20 pm, 07/01/2023] +65 6: If surgery remove the tumour need to take how long time? How much for the cost? Need to arrange to bring latte to surgery on Monday. As soon as possible [10:23 pm, 07/01/2023] David Sing: Is he eating and pooping 20 pieces per 24 hours? [10:25 pm, 07/01/2023] +65 6: Latte is female 😼 [10:26 pm, 07/01/2023] +65 6: Will call n make an appointment tomorrow. I’m off on Monday [10:28 pm, 07/01/2023] David Sing: Please give antibiotic as usual. Phone 62543326 for appointment tomorrow 10am [10:28 pm, 07/01/2023] +65 6: Ok thank you dr [5:50 am, 08/01/2023] David Sing: Good morning. Please send me a one-minute video of Latte inside her house and close up of her ear tumor [5:51 am, 08/01/2023] David Sing: Also another video of Matcha [8:49 am, 08/01/2023] David Sing: Many thanks
THE BOYFRIEND decided not to have the ear tumour operation and went home with medication as requested by him. I informed the girlfriend who is the owner.
[8:50 am, 08/01/2023] David Sing: Was there lightning? Video is dark [10:05 am, 08/01/2023] +65 6: No lightning, just now my boyfriend was sleep [5:34 pm, 08/01/2023] David Sing: Please take video with lightning if possible and thank you [5:39 pm, 08/01/2023] +65 6: Ok [5:43 pm, 08/01/2023] David Sing: Thanks again. Please give antibiotics to your hamster before surgery. Also let Dr Daniel know you want part of the ear lobe to remain as he will be doing your case. [5:44 pm, 08/01/2023] +65 6: Ok thanks [10:16 pm, 08/01/2023] David Sing: Thank you. Are there dusts or small fine sand particles inside cage? Please also video the cage of Matcha
[10:23 pm, 08/01/2023] +65 9823 6306: This is matcha [10:24 pm, 08/01/2023] +65 9823 6306: Should not have much dust, we change bedding every month, wash the cage and toys. Now never put sand in the cage for Latte already after her ear grow [10:25 pm, 08/01/2023] David Sing: Who has white stools earlier? Please send a video of stools and cage [10:25 pm, 08/01/2023] +65 9823 6306: Matcha [10:27 pm, 08/01/2023] David Sing: All 4 videos today are Matcha? [10:28 pm, 08/01/2023] +65 9823 6306: Pink cage is Latte [10:28 pm, 08/01/2023] +65 9823 6306: Black cage is matcha [10:30 pm, 08/01/2023] +65 9823 6306: Matcha. Stools are black now [10:49 pm, 08/01/2023] David Sing: Many thanks. Do you provide sand bath to slate? [10:56 pm, 08/01/2023] David Sing: Latte [11:12 pm, 08/01/2023] +65 9823 6306: Not anymore since her ear got growth [11:12 pm, 08/01/2023] +65 9823 6306: No problem [9:35 am, 11/01/2023] +65 9823 6306: Good morning dr sing [9:37 am, 11/01/2023] +65 9823 6306: Today latte have surgery at 11:30am. Can latte eat the first serving of food before surgery? [9:38 am, 11/01/2023] David Sing: Eat 3 pieces [9:40 am, 11/01/2023] +65 9823 6306: What the meaning? [9:45 am, 11/01/2023] David Sing: Eat a bit e.g 3 pellets or seeds [9:46 am, 11/01/2023] David Sing: Please send a video of ear tumour. About 1 minute video [9:58 am, 11/01/2023] David Sing: Hold hamster firmly. Take video left ear. Get camera lens closer to ear 60 sec [0:35 am, 12/01/2023] David Sing: Excellent images (of Latte's ear tumours and surgery). Thanks
----------------------------
4 Jan 2023. Above is Tele-video WhatsApp consultation between Dr Sing Kong Yuen and a young lady owner of two hamsters. Matcha used to pass pale "white" stools, but has now recovered.
------------------------------------------------
FINAL VIDEO. VET CASE. How to save
money on vet expenses in large ear tumour in a dwarf hamster
VET
CASE. A big smelly ear tumour. What to do? Dr Sing Kong Yuen, BVMS
(Glasgow). Toa Payoh Vets
The young lady had 2 dwarf hamsters.
Matcha, male, 2 years old passed pale "white stools".
Latte, female, 2 years old had a large inflamed red and smelly left
ear canal tumour.
This article reports on Latte. On 4 Apr
2022, the boyfriend, a slim tall man in his 30s, came on behalf of
the owner. "The ear canal tumour is large, over 5 mm across,"
I examined the tumour. "It is likely cancerous as it grows fast
and also the hamster is old. Older hamsters develop tumours. She was
2 years of age. I advise a surgery to cut off the whole ear lobe with
the embedded tumour."
"No removal of the ear lobe or
tumour," the boyfriend said. "Let me try treating it with
medication". The girlfriend had boarded this hamster with him.
As she was busy working, he brought the hamster to the clinic while
she made the appointment with me.
"Medication and washes
will not be effective as the tumour is growing. It has a hole
spilling out blood," I said. "Latte has had been scratching
it with her paw as it is itchy."
The boyfriend insisted
on medication against veterinary advice.
Two days later, I
WhatsApp the girlfriend to follow up. "Her ear tumour is red and
more swollen. There is bad smell from the ear," the girlfriend
messaged back. "Will anaesthetic be risky if she undergoes
surgery?"
"Much less risky as your hamster is
active, not losing weight and is still eating well," I replied.
"Let the vet know that you do not wish the ear lobe to be
excised."
Dr Daniel Sing operated on 11 Jan 2023, leaving
a large part of the ear lobe intact as that was what the lady wanted.
She was most happy seeing the hamster's ear. Beauty to her and many
hamster owners mean having two ears.
This Final Video shows
that Latte recovers well from the anaesthesia and surgery. He is
bright, alert and responsive today, 16 Jan 2023 compared to the
period prior to surgery.
Will the tumour recur? I
do not know for sure as the tumour was not sent to the laboratory for
histology to check whether it was cancerous or not, to save on
veterinary expenses. From my observation of the fast growth and the
old age of the hamster, I would rate this likely to be a cancerous
ear canal tumour. It will recur, but we will know if it reappears
within 2 months.
HOW TO SAVE MONEY ON VET EXPENSES IN THIS CASE? 1.
Early treatment when the ear tumour is smaller, less than 5 mm
across. 2. Prompt treatment which is surgery. Medications are
ineffective and permit the hamster to grow much bigger and redder. 3.
Loss of one ear due to possible cancerous growth of the ear canal
tumour. The loss of the ear lobe does not affect hearing. Only the
beauty of the hamster. If the growth is cancerous, there will need to
have another operation 2 months later.
The root cause of global warning must be addressed. This is the carbone emissions that continue to be pumped into the atmosphere at record rates using fossil fuels.bMajor emitters like China, the United States, India, Japan and Russia must transition successfully to a low-carbon economy.
Unprecedented floods and storms on one side and the deadly heatwaves and forest fires on the other, are alarm bells on two fronts.
Global warning causes extreme heat and bone-dry vegetation. This results directly from excessive carbon emissions that trap atmospheric heat.
Preventative measures include financial incentives, astute top-level signals and policy design and education campaign for a more sustainable economic growth pattern. Also to invest in substantial resource reallocation and technological advancement in energy production and consumption.
SINGAPORE – 12 FEB 2021: Climate Change Artwork to create awareness of the need to decrease the use of fossil fuels to lower global temperatures - "Waste Less, Recycle More, Drive Less, Walk More".
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