TOA
PAYOH VETS
Jan 28, 2013.
Older women with
high cholesterol and
high blood pressure
could suffer from
strokes. When the
mother could not get
up in the morning
unlike previous
times, I suspected
an early stroke.
Nausea, Head-ache. I
got her a pail as
she vomited white
water. Dizzy.
I instructed her son
to send her to
Singapore General
Hospital. "Mount
Alvernia is nearer
and less traffic
jam," he said.
Proximity is what
the young generation
wants. I believe in
capability and I
believe SGH has
better care and
treatment. It is
also branding and
perception.
At SGH, a CAT scan
and ECG etc. Not
allowed to go home.
Doctors are careful
nowadays as there
are cases of
litigation. An
overnight warding
for observation
revealed nothing
abnormal. So, it was
good news and the
patient went home at
1 pm yesterday. She
was tired and sleepy
as nurses kept
waking her up every
hour to take
temperature and
check on her in Ward
45 Room 10 Bed 2.
Noisy. No complete
rest.
But today, Jan 30,
2013, the mother
feels headache on
one side. So, what's
the diagnosis? I
still believe it is
an early stroke and
so no changes are
seen in CAT scan
etc.
Recently I had two
dogs. A female
unspayed Maltese 6
years old, head
tilted to right.
Cannot stand up. A
13-year-old with
full cataracts had
right head tilt but
was able to stand.
So, what are the
causes? Some lesions
affecting the brain.
A stroke? For the
Maltese, her male
progeny usually
pounced on her and I
suspected trauma to
one part of the
brain. "Don't charge
me too high. I come
to you because the
breeder refers me to
you," said the lady
with diamond ear
rings and Mercedes.
The Maltese was hand
fed and given IV
drips and medication
for 3 days. She
could lift up her
head but was unable
to stand. No spinal
pain. Has strong
pain reflexes from
the paws. Blood
tests showed nothing
abnormal.
The Terrier X owner
wanted the dog home
24 hours later.
Blood test done. It
is hard to diagnose
what caused the
right head tilt as
there is a
reluctance of owners
to pay for tests. A
specialist has the
CT scans which would
cost $1,000/scan.
These two dog owners
will not want to pay
for these tests.
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