tpvets_logo.jpg (2726 bytes)TOA PAYOH VETS
toapayohvets.com
Date:   16 September, 2009
Blk 1002, Toa Payoh Lor 8, 01-1477, Singapore 319074. Tel: 6254-3326, 9668-6469

Focus: Small animals - dogs, cats, hamsters, guinea pigs & rabbits
SURGERY HOURS: 
*10 a.m - 5 p.m (Mon - Sun, except Sat). Dr Sing Kong Yuen. By Appointment Only.

*6 p.m - 10 p.m (Mon - Fri). 10am - 5pm (Sat). Dr Jason Teo. House-calls available.

Appointment preferred.
Tel: 6254-3326, 9668-6469
EMERGENCY AFTER MIDNIGHT
11 p.m to 6 a.m
Dr Jason Teo
Tel:
9853-1315,
9668-6469, 6254-3326
judy@toapayohvets.com
Fax: +65 6256 0501

Interesting case studies/pictures
Be Kind To Pets

Left Eye Descemetocoele & Ulcers. Shih Tzu, 7 years. Singapore. Toa Payoh Vets Left Eye Descemetocoele & Ulcers. Shih Tzu, 7 years. Singapore. Toa Payoh Vets
Dog looked OK after surgery. A large E-collar to be worn. Wait 7-14 days. Daily nursing. Atropine given. If things go well, the eyesight will be saved due to the relatively prompt attention from the owner as advised by her groomer in Bishan. If only treatment was sought 3 days when the eye was painful, there would be no need for this surgery and worry about blindness.    Illustration is best to explain what had happened. I don't permit the Shih Tzu to go home after surgery as many owners do not know how to nurse the dog. Give an advisory letter if the owner insists on bringing the dog home.  
Left Eye Descemetocoele & Ulcers. Shih Tzu, 7 years. Singapore. Toa Payoh Vets Left Eye Descemetocoele & Ulcers. Shih Tzu, 7 years. Singapore. Toa Payoh Vets
3 horizontal mattress 2/0 absorbable sutures stitch up eyelids to protect the corneal ulcers and give them time to heal without the irritation of breezes, light and dust. A Subconjunctival antibiotic injection was given. Antibiotic eye ointment given.      Xylazine 2% IM. After 10 minutes, mask onto the nose to knock down with 5% isoflurane. Then intubate. Isoflurane gas maintained at 1.5%. This is an old dog. Be careful. Uneventful anaesthesia. 
Left Eye Descemetocoele & Ulcers. Shih Tzu, 7 years. Singapore. Toa Payoh Vets Left Eye Descemetocoele & Ulcers. Shih Tzu, 7 years. Singapore. Toa Payoh Vets
Descemet's membrane (basement layer of the cornea) had protruded out from the ulcer and seal the leak. However blood from injured iris had shot out earlier (lots of bleeding seen by the owner). Free blood clots can be seen in the anterior chamber. These may cause glaucoma or disappear after a few days if there is no infection. If there is infection, the eyeball turns yellowish. Eye thoroughly flushed to get rid of the hairs and debri. Pull out the 3rd eyelid to flush any trapped dirt. I saw a  ripple in the cornea indicating collapse at 3 to 6 o'clock as aqueous from the anterior chamber leaked out. The eye did not collapse. I can see 2 ulcers. The deep corneal ulcer with the Descemet's membrane at the centre and another bigger concentric ulcer caused by the Shih Tzu's eye rubbing. Can you see them in the picture 2406 below? 
Left Eye Descemetocoele. Shih Tzu, 7 years. Toa Payoh Vets Left Eye Descemetocoele. Shih Tzu, 7 years. Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)2405- 2412. A very serious eye injury in a 7-year-old Shih Tzu in Singapore. Two corneal ulcers (one is deep and one is superficial), blood in the anterior chamber, leakage of aqueous from the anterior chamber and descemetocoele. The dog is likely to be blind due to delays in seeking eye treatment. Eye injuries have better prognosis when treated within 24 hours after injury. This case was at least 3 days later and bacterial infection would have gone inside the eye. Hope is all we have.  
  Wood shaving stuck onto cornea. Wood shavings used as bedding for Shih Tzu (left). Toa Payoh Vets
  tpvets_logo.jpg (2726 bytes)2404. Eye injury in a Shih Tzu puppy and toilet-training case in 2005. Updated.
tpvets_logo.jpg (2726 bytes)2400 - 2403. Veterinary anaesthesia is more important in this case than in being the most skilful surgeon. The vet or his assistant must know how to handle emergencies in cardiac arrest during anaesthesia. Before the dog dies. A dead dog is never appreciated by the owner. This surgery buys time for the old dog. I do not want to do a second anaesthesia and surgery as the dog is likely to die. The large tumour removed had grown explosively only during the last 6 months.

Get your vet to remove very small tumours rather than wait and wait till the tumours are inoperable or the dog is in grave danger.    
tpvets_logo.jpg (2726 bytes)2398 - 2399. Instantaneous Decisions. I passed by Plaza Singapore. The young ladies had posed for the first photographer friend (my left). I clicked the young ones of Singapore. Two girls had made instantaneous decision to make eye contact with me. Eye contact makes a picture interesting to the viewer because eyes of the posers "communicate" with the viewer.    

Using music like this anti-smoking rock concert is effective in attracting the attention of the young ones to the ill effects of smoking. Yet  there are young ones smoking beside the stage.       
Toa Payoh Vets - new flooring without hacking of the floor. Singapore Grassroots consumer survey on government agency services like the HDB, AVA, LTA and URA. Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)2397. The Case of The Disappearing IT Consultant tpvets_logo.jpg (2726 bytes)2396. One-to-one survey on the quality of government services was a surprise to me as I thought Singapore civil servants don't bother with grassroots consumer research.  
tpvets_logo.jpg (2726 bytes)2395.
Rabbit neutered. Toa Payoh Vets Rabbit Neuter. Toa Payoh Vets
Rabbit Neuter. Toa Payoh Vets Rabbit Neuter. Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)2391 - 2394. Why neuter the male rabbit? Zoletil 50 IM and Domitor IV dosage provided too short a duration of anaesthesia for this rabbit. Isoflurane gas top up for a few seconds anaesthesized him.
 
Thin Dwarf Hamster. Toa Payoh Vets Dwarf Hamster over 1 year. A goatee-type tumour. Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)2389 - 2390. Dwarf hamster looked younger and more handsome without the goatee tumour. He needed to put on weight. Owner was asked to revert to original brand and see what happens. 
Best time to spay your female dog is 2-4 months after bleeding. Toa Payoh Vets Large cancerous gum and hard palate tumour. Jack Russell, 10 years. Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)2388. A almost blood-less spay because the female dog was 2-3 months after the heat. tpvets_logo.jpg (2726 bytes)2387. Will electro-surgery kill the old Jack Russell?
New kid on the block. Toa Payoh Vets AMK Hub shopping mall. Saturday breakfast coffee, toast and eggs. Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)2386. AMK Hub Mall, Singapore. A New Kid On The Block? tpvets_logo.jpg (2726 bytes)2385. Queue: A Saturday breakfast of toast, egg and coffee at the AMK Hub Mall's Toast Box. 
  Student Dancer & Singer. Myanmar Student Organised Music and Dance, Singapore. Toa Payoh Vets
Myanmar songstress singing to a full house of Myanmar students & friends. Toa Payoh Vets Professional Songstress. Myanmar Student Organised Music and Dance, Singapore. Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)2382 - 2384. Song, Dance and Laughter for over 300 students and friends in Singapore.  
Scabies. Daily ear scratching for one month. Puppy. Toa Payoh Vets Canine Retrograde Uropropulsion. Chihuhua. 10 years. Male. Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)2381. Ear scratching every day for one month. Scabies mite seen on microscopic examination. tpvets_logo.jpg (2726 bytes)2380. What is Canine Retrograde Urohydropropulsion?
Re-touched picture looks better. Toa Payoh Vets Original Picture. Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)2378 -2379.  Cropping and removal of distracting people makes the a good picture of the young men in uniform.  
tpvets_logo.jpg (2726 bytes)2271. Asiahomes Advert
Wanted: 10 singles who are couples for a scenic Lake Inle Tour, Myanmar.

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Toa Payoh Vets