Cutie: Flash Glucose Monitoring System For Diabetic Pets

Joette with Cutie

how did cutie come into your life?

I was leading a busy and stressful life in the corporate world. The only thing I loved to do was visit the pet farms during my free time. I saw Cutie during one of my visits. She was at the back of the viewing room – her eyes so sorrowful. We both looked at each other for a long time. I could not stop thinking about her. Two weeks later, we brought Cutie home.

living with skin problems

When Cutie developed skin problems, we went to the vet very often but it just got worse. Then I met Dr Simon Quek at one of his talks. We did a skin allergy test to find out what Cutie was reacting to (e.g. pollen, dust mites, tobacco). It can be difficult to avoid exposure to certain environmental allergens. We started Cutie on immunotherapy and it has been working well.

living with blindness

Last year, Cutie was diagnosed with diabetes. Her condition worsened rapidly and within a month, she developed cataracts in both eyes. Cataract surgery was successfully performed by Dr Heng Yee Ling but unfortunately, Cutie developed glaucoma.

It was a very painful and difficult decision to go ahead with enucleation to remove both her eyes. You will find this silly – I actually let Cutie choose from 2 pieces of paper: ‘keep’ or ‘take out’. She kicked the paper with the words ‘take out’.

“We got the Muffin’s Halo to help Cutie get around. Now she is familiar with the surrounding – we do not move or add in new furniture – she can find her way around and even climb up and down the stairs. I guess she ‘activates’ her other senses and decided to move on with life.”

“I learnt something from Cutie: We don’t need a pair of eyes to see the world. We just need a heart to feel it.”

living with diabetes

We are very fortunate to meet Dr Nathalee Prakash and her team – their dedication, patience and commitment. To reduce stress in Cutie, Dr Prakash introduced us to a glucose monitoring device that is implanted into Cutie’s neck – no more poking of needles to draw blood.

Application of the sensor is relatively quick, painless and well-tolerated by diabetic patients.

“Now we can monitor Cutie’s blood glucose with ease at home. Cutie is the first dog to use this sensor!”

flash glucose monitoring system 

Effective blood glucose (BG) monitoring is essential for the management of dogs and cats with diabetes mellitus. BG readings can be affected by stress, food consumption and exercise. BG testing in a vet clinic can be stressful for our pets, especially cats. Under stressful conditions, the values obtained may not be an accurate reflection of the BG curve on a typical day.

A novel Flash Glucose Monitoring System is now available to measure interstitial tissue glucose levels every minute via a disposable sensor with a small catheter inserted under the skin. It can be worn for up to 14 days and eliminates the need for repeated blood tests at the vet clinic. The readings are collected, registered and stored automatically. Email mpvc@mountpleasant.com.sg or call 6251 7666 to find out more.

For patients living with diabetes, consistent, unchanging and constant are keywords to remember for lifestyle, diet and treatment.

Ideally, a diabetic dog or cat should be fed the same type of food, same amount, at the same time each day. A regular schedule will help minimise fluctuations in blood glucose so that the amount of insulin needed remains the same. Once the diabetes is properly regulated, our diabetic pets like Cutie can live relatively normal lives.


We always welcome medical stories of your animal friends which can educate and inspire others. Email us at comms@mountpleasant.com.sg if you have a story to share. Meanwhile, be part of Mount Pleasant community over at our Website and Facebook.

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Happy Father’s Day Cary!

He may first appear to be a man of few words. Get to know him better and you will see the limitless knowledge he carries within. And a big genuine heart that wins over colleagues, clients and patients. In the words of his team mates at Mount Pleasant (Farrer), this man is patient, reliable, humble yet comical. He is not just a colleague but a counsellor, father figure, living encyclopaedia and Captain America! Happy Father’s Day Cary!

” I believe, with my role, I can make a difference and touch the lives of not only our patients but also their owners.” ~ Cary with Big Man

“Aaahhh…with that special touch, you can ‘cary’ me all day long!” ~ Blue

“The best part of my job is the ability to help our patients feel or get better. Another thing I love about my job is the people I work with.”

“Our life priorities completely change after starting a family.”

Jennifer and two bundles of joy!

“To be a good father, you need patience. Lots and lots of patience. When life gets tough, you just have to roll with the punches!”


Now here are tributes from some of Cary’s team mates at Mount Pleasant (Farrer)!

“Cary is reliable and understanding. He is our Captain America!” ~ Nelson

“Cary is just like a father to us.” ~ Kerry May

“Cary is such a patient and good teacher. He is also very humble.” ~ Dr Daphne Low

“Cary is a great fatherly figure in the clinic! Knowledgeable and trustworthy, but grounded and comical. Someone we can always count on!” ~ Dr Teo Jia Wen

“Cary is an excellent team leader and father figure to our team.” ~ Dr Heng Yee Ling

“Cary is not just my colleague and senior but also my adviser, my counsellor. I don’t only ask him about work matters but also seek his advice on personal matters like how to handle a growing kid. He is one of a kind. When it comes to knowledge, he is a living encyclopaedia – he knows every single thing! That’s our Cary.” ~ Emz

Thank You Thelma & Kerry May!

“It is very rewarding when a sick animal puts his or her entire trust in us. We do not share the same language but with our actions, we hope they understand we are doing them no harm.” Today we say THANK YOU to Thelma and Kerry May of Mount Pleasant Animal Medical Centre (Farrer)!


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“I joined Mount Pleasant in 2002, with our very first hospital at Whitley Road. I’m a registered medical technologist and also a respiratory therapist when I was in the Philippines. I am curious and intrigued by animals – there are so many species and sizes!” ~ Thelma of Mount Pleasant Animal Medical Centre (Farrer)

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“As with any job, it is always rewarding to feel appreciated and respected.”

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“I believe in thinking positive. Someday, everything will make perfect sense. For now, laugh at the confusions, smile through the tears, and always keep reminding yourself that everything happens for a reason.” With Big Man who was rescued by Noah’s Ark CARES after he was hit by a truck. He is now the resident bouncer, greeter, food taster, dancer and Mount Pleasant Hero!

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“I enjoy cross-stitching and making trinkets and giveaways. If I can be anything in the world, I would be an astronaut – I want to see the universe!”

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“In the beginning, cute furry animals were the appeal. As time goes by, it becomes apparent that as stewards of this earth, it is our responsibility to take care of helpless animals.” ~ Kerry May

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“I joined Mount Pleasant in October 2015. Working with animals is a challenge I enjoy taking on. It is very rewarding when a sick animal puts his or her entire trust in us. We do not share the same language but with our actions, we hope they understand we are doing them no harm.”

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“If I can be anything in the world, I would be an animal whisperer! To understand the needs of animals. If I did not have this opportunity to work with animals, I would most probably be a chef.”

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“We adopted Teddie about 2 years ago. He’s not the most well behaved fur sibling I could ask for but I cannot imagine life without him now. He taught me patience, which is especially helpful when I deal with nervous patients.”

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At a farm in Taiwan

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“My colleagues are my inspiration. Their passion and love for their jobs and animals is my motivation. (We all know what is Big Man’s motivation!) I believe in giving my best in all that I do.”

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A common – make it very common – scene during meal times!

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Part of the big happy family at Mount Pleasant Animal Medical Centre (Farrer)!

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Opening ceremony of Mount Pleasant Animal Medical Centre (Farrer) in March 2015!

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Team bonding!

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Forest Adventure!

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Dr Heng Yee Ling and her team have a special interest in veterinary ophthalmology. The clinic is equipped to treat a variety of eye conditions like glaucoma and corneal ulcers. Dr Heng also performs cataract surgeries.

Hershey Says “Thank You Dr Heng Yee Ling”

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First week after Hershey’s cataract surgery, praise God! She is recovering really well. And beginning to be more active than usual. I love how she walks more confidently now.

Thank you everyone for your continuing prayers and support. Big thank you to Dr Heng Yee Ling of Mount Pleasant (Farrer) for her professional care post-op! We are truly blessed and grateful.

Dom and Hershey

Pansy’s Day At Mount Pleasant Animal Medical Centre (Farrer)

We have a special friend named Pansy here with us at Mount Pleasant (Farrer). She walks in blind this morning. We hope, before the end of the day, she will walk out of our doors, able to see again.

Formerly at Redhill, Mount Pleasant Animal Medical Centre (Farrer) is now located at Blk 3 Queen's Road, #02-141, Singapore 260003. 

Formerly at Redhill, Mount Pleasant Animal Medical Centre (Farrer) is now located at Blk 3 Queen’s Road, #02-141, Singapore 260003.

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The team at Mount Pleasant (Farrer) comprises of Dr Heng Yee Ling, Dr Ang Yilin, Dr Teo Jiawen, Dr Daphne Low & Dr Joanna Goh.

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Pansy was a sorry sight when she was rescued by SOSD in April.

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After a few months of TLC by fosterer Audrey & family, Pansy has blossomed. One of the sweetest girls we have ever met.

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Fosterer Audrey, her son Josh & SOSD volunteer Teresa with Pansy. Today is her cataract surgery with Dr Heng Yee Ling. Her left eye is already completely blind. But we can restore sight in her right eye.

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Dr Heng gives Pansy another round of eye check before admitting her for surgery.

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Checking the Intraocular Pressure (IOP) in Pansy’s right eye, the eye that will be operated on.

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10.20am: All set for the surgery that would give Pansy the gift of sight. Special eye drops will be administered on Pansy’s eye regularly in the next hour before surgery commences.

Dr Heng prepares Pansy's eye for cataract survey.

Dr Heng prepares Pansy’s eye for cataract surgery. Under general anaesthesia, the eyeball usually rolls back into the socket, making it inaccessible to the surgeon. An intravenous nerve block is administered which makes the eyeball rotate to the centre.

The lens is a clear structure inside the eye that focuses light & images on the retina. It is made up of clear protein surrounded by a very thin and elastic capsule. A cataract is an opacity or cloudiness that forms within the lens.

The lens is a clear structure inside the eye that focuses light & images on the retina. It is made up of clear protein surrounded by a very thin & elastic capsule. A cataract is an opacity or cloudiness that forms within the lens.

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Pansy has a hypermature cataract which has become very hard. It takes a longer time for such cataracts to be broken apart by a procedure called phacoemulsification.

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A small corneal incision is made to gain entry into the eye & a blue dye injected to stain the lens to make it clearly visible. Then a small window is created in the lens capsule through which the cataract is broken apart & removed via a procedure called phacoemulsification.


Pansy’s cataract surgery went well. Here is more info on Cataract Surgery

And the surgery is complete. Waiting for Pansy to wake up from general anaesthesia.

The surgery is completed. Waiting for Pansy to wake up from general anaesthesia.

Pansy's cataract surgery went well. Look at how clear her right eye is compared with her left.

Hello Pansy! Can’t wait for you to see your rescuers soon.

Here are some highlights of Pansy’s surgery and day at Mount Pleasant (Farrer)  -> 

Dandelion’s Enucleation (Eye Removal)

Dandelion (formerly named Baileys) the Shih Tzu was bought from a petshop as a puppy. When she developed pneumonia and severe ulceration of her left cornea, her family wanted to give her up to a shelter.

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One night, Baileys could hardly move & was rushed to Mount Pleasant After Hours Emergency Clinic. Baileys’ family did not want her anymore. Thankfully, she was adopted by Ms Wong Fang Juin & for a new beginning, renamed Dandelion.

The cornea is the outermost covering of the eye. Corneal ulcers are painful wounds to one or more layers of the cornea. They are often caused by abrasions or scratches. Read more about corneal ulcers here

Other causes of corneal ulcers include:

  • entropion (rolling in of eyelashes)
  • ectopic cilia (abnormal eyelashes rubbing on cornea)
  • keratoconjunctivitis sicca (dry eyes)

When deep ulcers cause scarring or perforation of the cornea, the eye may need to be surgically removed. The eye may also need to be removed due to other conditions like:

  • uncontrolled painful glaucoma (increased pressure in the eye)
  • severe trauma or injury (puncture or perforation of eyeball)
  • cancer of the eye

The surgical removal of an eyeball is called enucleation.

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Brachycephalic breeds like Shih Tzus, Pekingeses, Bulldogs & Persian cats are more vulnerable to corneal damage due to their flat faces, shallow eye sockets & prominent eyes.

Symptoms of corneal ulcers include:

  • red or watery eyes
  • squinting
  • eye discharge
  • rubbing eyes with paws (which causes further trauma)
Some of you have asked if little Emma's right eye is still any good. Here you can see the extent of scarring on her right cornea. There is no reflex to light or objects.

Another Shih Tzu, Emma, was rescued from a breeding farm 3 years ago. Due to deplorable conditions & lack of veterinary care, dogs like Emma live with various health issues left unattended. You can see the extent of scarring on her right cornea. There is no reflex to light or objects.

Little Emma, we thought maybe, possibly, you still have some sight in your eyes. But today it is confirmed that you are totally blind. Your left eye is dead and dried up like a prune. You need special eyedrops for your bulging right eye, to bring down the pressure.

Dr Heng Yee Ling, Mount Pleasant Animal Medical Centre (Farrer), examined Emma. Her left eyeball has already ruptured & shrivelled up. Due to increasing intraocular pressure in her right eye, Emma later went through enucleation to remove both eye balls.

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(Dandelion) In surgery, the eye is removed & the eyelids are permanently sutured closed. An Elizabethan collar should be put on to prevent rubbing or scratching of the area. The stitches are removed 10 to 14 days post-surgery.

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(Emma) There will be swelling and bruising of the eye area which will subside with time. Some owners will choose to have a sterile prosthetic sphere inserted into the eye socket (orbit) mainly for cosmetic reasons. It is not recommended for patients with eye infections, cancer or very shallow eye sockets.

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Over time, the swelling will subside & the socket will flatten out. Hair will grow back over the area.

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Pets like Emma will need some time to adjust to their blindness & learn to find their way around. Avoid startling them. Be patient & let them know you are approaching by calling their names or lightly clapping your hands. Cats who have gone through enucleation should be kept as indoor pets.


LOSING AN EYE OR TWO doesn’t seem to matter much to Dandelion, Mei Mei or Emma. Life goes on for them, happily, one day at a time!
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“Dandelion adapted well. She doesn’t seem to know that she has lost an eye.” ~ Ms Wong

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“I have adopted another Shih Tzu, Yuki, 13 years old She is also blind in her left eye like Dandelion.” ~ Ms Wong

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“If you have blind dogs, you should not have too much furniture in the house. Avoid moving the furniture around.”  ~ Ms Wong

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Most blind dogs and cats learn to form a mental map of their environment. Help them adjust with the following tips:
  • Keep your blind pets safe in smaller areas until they are more comfortable to explore.
  • Remove extra furniture or potentially hazardous objects.
  • Keep the layout of your house constant. Avoid moving furniture around.
  • Leave food, water bowls and litter trays (for cats) at the same place.
  • Water fountains may be helpful. Your pets can hear and locate the water source more easily.
  • Use scent markers or tactile clues (floor mats) at certain areas.
  • Before petting or picking up your blind pets, let them know you are approaching by calling their names or clapping your hands.
  • Create a quiet and safe spot where your blind pets can retreat.
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Mei Mei the one-eyed Pekingese. Her enucleation was performed by Dr Sandhya Nair, Mount Pleasant Animal Clinic (North).

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Emma may not be able to see the world but she is having a wonderful life with Florence Bong. We are inspired by adopters who go beyond looks & age when it comes to adopting a best friend. Emma was 8 years old when Florence gave her a home.

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Emma is a very spunky gal with a hearty appetite & good sense of humour. Watch the video of her taking a walk outdoors!

Helping Nala See Again

Cataract is the leading cause of blindness, especially in senior dogs. Once a cataract has developed,  no eye drops or medication can reverse it. Thankfully, surgery can remove cataracts and help blind dogs see again.

what is a cataract?

The lens is a clear structure inside the eye that focuses light and images on the retina. It is made up of clear protein surrounded by a very thin and elastic capsule.  A cataract is an opacity or cloudiness that forms within the lens.

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Very small cataracts would not affect vision too much. However, as the cataract progresses, it can cause uveitis (inflammation in the eye), retina damage or glaucoma, leading to permanent blindness. Signs of uveitis include increased eye redness, squinting, excessive tearing and light sensitivity.

WHAT IS NOT A CATARACT? 

Senile Nuclear Sclerosis is commonly seen in dogs 7 years and older. Lens fibers are continuously being produced. As older fibers are compressed in the nucleus, the lens take on a bluish-grey hue. No treatment is required as light can pass through a sclerotic lens. The cloudiness does not impair vision.

Mount Pleasant Newsletter - Apr to Jun 2015

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Coco the Jack Russell Terrier, 5 years old. When the cataract is mature, the lens becomes opaque. It is like looking at the world through frosted glass.

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Bebe the Poodle, 8 years old, adopted from SOSD. Poodles are prone to retinal detachment if the cataracts have been present for a long time.

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“We adopted Nala 6 months ago. Because of her cataracts, she knocks into things, especially white walls or chairs, and when she gets excited playing ball.” ~ Rachel Tan

What Causes Cataracts?

When cataracts occur in younger dogs (less than 6 years of age), it is usually hereditary. Cataracts can also develop from:

  • diabetes: early detection and surgery is especially important with diabetic cataracts which can progress rapidly
  • old age
  • nutritional deficiencies
  • toxins
  • trauma
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If your dog’s eyes look cloudy or bluish-grey, have her examined by a veterinary ophthalmologist. A series of diagnostic tests will be performed (e.g. check tear production, measure intraocular pressure (IOP), stain the eye with a fluorescein dye to evaluate ocular surface).

 

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Advanced testing may include electroretinography (ERG) to evaluate the electrical activity of the retina. If the retina is not functioning properly, cataract surgery will not visually benefit your pet.

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Nala the Dachshund, 3 years old. Her cataracts developed when she was just 1. A year later, she was blind.

“My mom insisted on Nala having cataract surgery. It is costly. But knowing Nala will regain her vision is more important to my family. My mom, sis and I saved over 6 months for this surgery.”

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“We started performing cataract surgery once a week but due to an increase in demand, we have to create more slots for surgery. Many of our patients are Toy Poodles and Miniature Schnauzers.” ~ Dr Heng Yee Ling

Preparing The Eye For Cataract Surgery  

Under general anaesthesia, the eyeball usually rolls back into the socket, making it inaccessible to the surgeon. An intravenous nerve block is administered which makes the eyeball rotate to the centre.

Staining The Lens Before Phacoemulsification

A small corneal incision is made to gain entry into the eye and a blue dye injected to stain the lens to make it clearly visible. Then a small window is created in the lens capsule through which the cataract is broken apart and removed via a procedure called phacoemulsification.

http://www.youtube.com/watch?v=KC6bTpOamq4

Inserting The Intraocular Lens (IOL)

Once the cloudy lens material is removed, the capsule is cleaned and polished. An artificial replacement lens is then inserted into the lens capsule. This will improve the vision of the patient tremendously.

http://www.youtube.com/watch?v=rj09QI1yf6E

Ref: discovery eye.org

Suturing The Corneal Incision

After the corneal incision is closed up with absorbable sutures, the patient is monitored closely as she recovers from anaesthesia. Post-operative eye medications are administered. Intraocular pressure (IOP) is measured at regular intervals to ensure it is within normal range.

http://www.youtube.com/watch?v=7rTBpgPyyfs

how do i Care for my pet after surgery?

Vision usually improves within 24 hours and continues to improve over several weeks. Your pet will require the following:

  • oral medication
  • medicated eye drops
  • an Elizabethan collar to prevent self-trauma to eyes
  • re-examination of the eyes within 1 to 5 days, then 1 week after surgery, and again 2 weeks after surgery. Thereafter, the schedule for reviews is determined by the vet and progress of your dog’s recovery.
Before & after cataract surgery. Rachel & family has not only given Nala the gift of a new home, they have given her the gift of sight. We will follow up to see how Nala progresses over time!

Before & after cataract surgery. Rachel & family has not only given Nala the gift of home, they have given her the gift of sight!

“When Nala got home last night, she started barking at everyone, probably because she has never seen us & our house before. We comforted her with our voices which she is familiar with. Today, she is much calmer.” ~ Rachel

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Teamwork at Mount Pleasant Animal Medical Centre (Farrer)

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Whether it is Xiao Hei the bunny, Noah the Cocker Spaniel, Nala the Dachshund, Bebe the Poodle, Ming Ming the Chihuahua or Coco the JRT, there is something comfortingly the same – you can feel it in the air. The guardians love their pets. So very much.

No matter what our pets are living with, Dr Stanley says it beautifully: “We humans may feel sorry for ourselves. These animals, they just make the best of every situation.” But what a wonderful gift it is, to be able to help the blind see again!


Dr Heng Yee Ling, Mount Pleasant Animal Medical Centre (Farrer), graduated from the University of Edinburgh. During the course of her studies, she realised her interests in soft tissue surgery and in particular, veterinary ophthalmology. In 1997, she completed the Post Graduate Foundation Course in Veterinary Ophthalmology and has been performing cataract surgery for the past 3 years.

Dr Robin Stanley graduated with first class Honours from the University of Melbourne in 1984. He undertook an ophthalmology residency from 1987 to 1989, and in 1990, obtained his Fellowship of the Australian College of Veterinary Scientists in the field of ophthalmology. Dr Stanley is registered as a veterinary eye specialist and works in a dedicated ophthalmology-only practice in Melbourne. He consults and performs eye surgeries at Mount Pleasant Animal Medical Centre (Farrer) every quarter. Contact 6271 1132 for more info.

Till We Meet Again, Condo!

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When this boy was rescued by Pei Jiun and Rosalind, no one thought he would survive the next few weeks. He had chronic kidney failure, Feline Immunodeficiency Virus (FIV) and Feline Leukemia Virus (FeLV). 

But lived on he did. Way past everyone’s expectations. Since last August, he had been staying at Mount Pleasant Animal Medical Centre (Farrer), under the care of Dr Ang Yilin and team.

This is our little tribute to a little fighter. His name is Condo. 

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Condo was found in a condominium, hence his name.

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Condo was really a good boy – big heart, fine manners, got on well with everyone, including Big Man the resident dog!

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Sometimes….just sometimes…Condo did feel a bit embarrassed by the dog’s eagerness to please. Or rather, eat.

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Happy moments that linger in the hearts of the team at Mount Pleasant (Farrer).

Condo left us on Wednesday, 1 July 2015.

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“Dear Dr Ang & team, thank you so much for showering Condo with love, care & compassion for the last months of his life. I could not ask for a better team to see him through this. I have no doubts he spent his happiest moments with you all. Thank you for your kindness.” ~ Pei Jiun

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“It was a sad day as we bade farewell to one of our longterm patients & boarders, Condo cat. He showed us what a true fighter he was, having battled kidney failure for the past 2 years, enduring needles daily for the past 10 months. We salute his carers, Pei Jiun, who willingly took on the hefty medical bills of a stray cat & Aunty Rosalind who travelled back & forth to get Condo his medications & brought him his favorite steamed fish. Thank you for trusting us to take care of him. RIP Condo. You will always be in our hearts.” ~ Dr Ang Yilin & all at Mount Pleasant Animal Medical Centre (Farrer)

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They say “Courage doesn’t always roar. Sometimes courage is the little voice at the end of the day that says, I will try again tomorrow.”

Thank you for teaching us to be brave. To be grateful to all who help us along the way. And no matter what we are going through, to try again tomorrow.

Enjoy the boxes, toys, steamed fish and catnip up in heaven, Condo. We will meet again.

Nelson Lee: Be Who You Really Are

This young man seemed an unlikely candidate for Vet Nurse. He studied Biomedical Engineering. Has no experience working with animals. And used to be afraid of dogs!

HOW DID YOU start WORKING WITH MOUNT PLEASANT?

I have always loved animals. After graduation, I knew I wanted to work with animals. So I searched through the employment ads, was interviewed by Dr Heng and landed the job with Mount Pleasant Animal Medical Centre about a year ago.

WE HEAR THAT YOU used to be FEARFUL OF DOGS. IS THAT TRUE? 

Yes! I am more of a cat person. Whenever I am free, I feed and spend time with the community cats in my neighbourhood. There is this very friendly stray cat living at the void deck of my girlfriend’s flat. It didn’t take us long to decide to adopt him!

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Dong Dong now stays with Nelson’s girlfriend.

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Nelson likes birds as well. This little one was fortunate to be rescued, hand fed & then released back to the wild.

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Feeding the rainbow lorikeets at Jurong Bird Park.

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Having Big Man around would help anyone, including Nelson, overcome any fear of dogs! Big Man is the most handsome & heroic resident at Mount Pleasant Animal Medical Centre (Farrer).

WHAT KEEPS YOU GOING AT WORK?

I am fortunate to have very experienced Vet Technicians to guide me from day one. They taught me many things , way beyond feeding and cleaning.

What keeps me going? My passion for animals. And knowing that I’m able to lighten the workload of my colleagues! Learning never stops. There is always something different and interesting to experience every day.

Working at a vet clinic can be emotionally challenging. how do you handle a difficult day?

Usually when I’m doing something, I will think about my next task. This keeps my mind occupied so I won’t dwell on the difficulties of that day. 

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so there is this little kitten who caught your eye…..

Few weeks ago, a rescue group brought in a stray kitten who was bitten by a dog. He could not walk on his hind legs. Due to constraint of resources, his rescuer did consider euthanasia. We decided to keep him. I named him Flash. We massage his legs daily and he is steadily regaining mobility. Hopefully one day he will be running fast like Flash!IMG_3908

Due to the injury, Flash has problems pooling on his own. Emz shows Nelson how to express Flash's bowel daily.

Because of his injury, Flash has problems pooing on his own. Emz shows Nelson how to express Flash’s bowel daily.

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“This old lady used to bring her old cat for reviews regularly. Recently her cat passed away & she gave me a lovely hand-made cat carrier. When Flash is better & can be left alone for longer periods of time, I hope to bring him home. In that hand-made carrier.”

Nelson is proof that the most important qualification for any job is not a certificate, connections or even years of experience. As Dr Heng Yee Ling believes, the right person is someone honest. Sincere. And doesn’t pretend to be who he is not.

No matter how tough the day gets, you don’t have to struggle alone. Honour your strengths and weaknesses. Learn to work as a team.

Here are the great folks from Mount Pleasant Animal Medical Centre (Farrer) at their team bonding day!

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[FRONT] – Dr Daphne Low [MID] – Nelson, Michelle, Dr Joanna Goh, Thelma, Dr Heng Yee Ling, Big Man acting shy in new tee, Emz [BACK] – Dr Ang Yilin, Bryan, Cary

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Dr Heng and team used to be at Redhill. Now they are located at Mount Pleasant Animal Medical Centre (Farrer), HDB Block 3, Queen’s Road, #02-141, S260003. Next to Farrer Road MRT station (Circle Line) and opposite St Margaret’s Secondary School. See hi to Big Man when you visit!

Megan’s Excessive Tears

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Megan the super friendly Lab came to Mount Pleasant Animal Medical Centre (Farrer) to check on her excessive tearing.

Epiphora is an abnormal overflow of tears from the eyes. It is usually caused by:

  • obstruction of tear drainage system.
  • overproduction of tears, often due to irritation or inflammation of the eye.
How are tears drained from the eyeS?
  • Two small openings called punctae are present at the inner corners of each eye.
  • Tears flow down these drainage holes into the lacrimal sac.
  • From this sac, a small tube called the  nasolacrimal duct carries the tears into the nose.
  • The tears then drain to the outside through the nose.

If the tear ducts are blocked (like a blocked plumbing system), tears in the eye back up and overflow down the face, usually from the inner corner of the eye.

Tears are drained through the nasolacrimal duct (tear duct) into the nose. The tears also help to keep the nose moist. Reference: http://www.merckvetmanual.com

 HOW DO I KNOW IF MY DOG’S TEAR DUCTS ARE BLOCKED?
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A piece of blotting paper containing fluorescent dye is applied to the surface of Megan’s eye.

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A fluorescein eye stain can also reveal any corneal ulcers or lacerations.

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The dye will be left in Megan’s eyes for about 5 minutes before Dr Heng Yee Ling assesses if the tears are flowing normally through the tear ducts.

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After 5 minutes, the dye applied to Megan’s eyes has flowed through her tear ducts and can be clearly seen in her nose. Her tear drainage system is functioning properly.

A thorough examination shows that Megan’s eyes are looking good. The excessive tears could be due to a temporary irritation. For senior dogs like Megan, it is advisable to see the vet twice a year for a general health check.

what can be done for a blocked tear duct?

If your dog does have a blocked tear duct, the vet can perform a nasolacrimal flush. Eye drops may be prescribed. If the problem persists, a nasolacrimal catheter (small plastic tube) can be passed through the tear duct into the nose under general anaesthesia.

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Megan is well and healthy. most importantly, happy! It is her birthday tomorrow. So from all of us AT MOUNT PLEASANT, HAPPY 10TH BIRTHDAY BEAUTIFUL MEGAN! 🙂