FASAVA Congress 2023
Dr. Yong-Wei Hung, FASAVA - Hill's Practitioner of the Year Award 2023
#WeAreTheChampions🏆🏆
直接跳到47分…….
洪醫師講稿全文:
Ladies and gentlemen, esteemed colleagues, and distinguished guests,
I stand before you today with an overwhelming sense of pride and gratitude as the first Taiwanese recipient of the FASAVA-Hill's Practitioner of the Year. It is with great humility that I accept this prestigious honor, not as myself, but as the whole Taiwanese veterinary community. I would like to express my deepest gratitude to the FASAVA Executive Board for bestowing this recognition upon me. I am truly humbled and honored to be counted among the remarkable practitioners who have received this award in the past.
First and foremost, I want to extend my heartfelt thanks to the FASAVA organization for its unwavering commitment to advancing the field of veterinary medicine in the Asia-Pacific region and beyond. FASAVA's dedication to promoting excellence in veterinary practice has been a source of inspiration for me throughout my career, and I am grateful for the opportunities it has provided to connect with fellow veterinarians, learn from one another, and collectively improve the lives of the animals we serve.
I also want to express my deepest appreciation to my mentors, colleagues, and friends who have supported and guided me on this journey. None of us achieve greatness in isolation, and I am fortunate to have had the privilege of working alongside some of the most dedicated and talented individuals in the veterinary profession. Your wisdom, encouragement, and collaboration have been instrumental in my growth as a practitioner.
I must acknowledge the pivotal role that my family has played in my life and career. My father Wu-Nan, my late mother Shu Fan, my wife Kun Ying, my son Ming Tsung, and my daughter Sz Ying. Their unwavering support, understanding, and patience have allowed me to pursue my passion for veterinary medicine wh
15歲的MIRU是一隻超級可愛,但容易緊張的小馬爾。從2019年11歲時開始做心臟檢查已發現中重度瓣膜脫垂,但心臟擴張程度仍在B1期。由於檢查容易緊迫,之後都是每6-12個月追蹤一次,一直到2022年12月底都是B1期。仰賴家屬的細心,發現最近原本在家休息時的每分鐘心跳約70-80,逐漸上升到120以上且持續不下降。雖然呼吸次數都正常,且預期複診的時間未到,但飼主仍機警地帶MIRU提前回來做心臟檢查,果然發現心房與心室明顯擴大已進入B2期。藉由飼主的細心觀察,能在尚未出現心衰積水前及時發現開始用藥。
簡單小科普: 心輸出(cardiac output)等於心搏量(stroke volume)乘以心跳次數。當心搏量因心臟功能改變而下降時,身體可能會藉由加快心跳來維持心輸出。當然,造成心跳加快的理由很多,緊迫、內分泌疾病、癢、痛、等都有可能,未必表示心臟功能惡化,但如果其他因素都排除時,尤其是原本已知有心臟病的患者,應考慮心臟功能惡化的可能性。
#在家量心跳呼吸次數非常重要
#專心有許多神奇寶貝
#向所有辛苦照顧心臟病患的飼主們致敬
弟弟是一隻超帥的博美。去年剛滿8歲就因急性腱索斷裂與心房破裂引發心包積血。仰賴急診醫院處置得宜後轉診。感謝弟弟家屬細心照顧,最近一次複診心臟已明顯縮小,雖然因心房破裂後遺症仍有心房相關心律不整,勇敢的弟弟正努力朝著零利尿劑的目標前進!
註:上圖去年11月X光與心超來自 #布達羊急診動物醫院
#專心有許多神奇寶貝
#向所有辛苦照顧心臟病患的飼主致敬
#瓣膜性心臟病
豆豆在2016年7月被發現心臟病時已經出現肺積水的心衰症狀,由於住在花蓮路途遙遠,2017年2月才開始來專心接受治療。2017年當時的豆豆才9歲,心臟已經相當大了,由於年代久遠,X光與超音波只能回朔到2017年5月。豆豆是典型的瑪爾濟斯,會在8歲就因瓣膜性心臟病出現心衰並不讓人意外。這5年以來飼主對豆豆無微不至的照料,對洪醫師給的醫囑樣樣做到。但就算後來搬到新竹,離專心仍有一段距離,因此有問題時就來專心message留言,我們有空也會盡早回覆,並提出她該去當地醫院做哪些檢查的建議。中間經歷數次心衰事件,每每都逢凶化吉。之前發現因長期左心衰竭造成的第二型肺高壓,一直到今年8月都還是維持僅僅左心衰竭的症狀,到了11月終於演變成雙側心臟衰竭了。不放棄的飼主依然帶著豆豆勇往直前!
#專心有許多神奇寶貝
#向所有辛苦照顧心臟病患的飼主致敬
#馬爾濟斯
#瓣膜性心臟病
Feline heartworm X ray, Echocardiogram, and microfilaria 貓心絲蟲
這是貓感染心絲蟲後的胸腔X光、心臟超音波、與血液厚血片微絲蟲鏡檢。胸腔X光可見粗大的肺動脈;心臟超音波可見若隱若現的心絲蟲成蟲;血液厚血片鏡檢則可見扭動的微絲蟲。
許多家屬都知道心絲蟲在狗的感染風險,但仍有許多貓寶貝家屬以為心絲蟲是狗的專屬。請注意,只要有蚊子,就有機會將心絲蟲感染給貓咪。請給予貓咪心絲蟲的預防!
2020 美國心絲蟲學會最新貓心絲蟲的相關指導方針:https://d3ft8sckhnqim2.cloudfront.net/images/pdf/2020_AHS_Feline_Guidelines_11_12.pdf
專心動物醫院在2017年於寄生蟲重量級期刊 Parasites & Vectors 所發表關於台灣心絲蟲感染的現況( https://parasitesandvectors.biomedcentral.com/articles/10.1186/s13071-017-2435-7 )也指出,貓心絲蟲感染率雖不及狗,但也不罕見。可怕的是,目前沒有能安全使用在貓的心絲蟲成蟲殺蟲藥。尤其是在貓一旦感染心絲蟲,即使尚未進入成蟲期,也可能引發嚴重的心絲蟲相關性呼吸道疾病(Heartworm associated respiratory disease, HARD)。
#貓預防心絲蟲很重要
Feline arterial thromboembolism from severe HCM in a kitten less than 1 year old