Friday, July 29, 2011

524. Survey on post-op licking of wound by a male Yorkshire Terrier after neuter

Surveys are important to assess the efficacy of the pain-killer tolfedine which I usually prescribe for dogs after surgery e.g. neuter and spay. Tolfedine is a NSAID. It has anti-fever effects as well as pain-killer. Below is one survey by e-mail feedback from the owner.

E-MAIL TO DR SING DATED JUL 12, 2011
On Tue, Jul 12, 2011 at 6:39 PM,

Dear Judy,
I have a one year old Yorkie that we want to neuter. Please advise how much will the procedure be and when is the earliest time that we can bring him down. You can reach me at .... if you need any further info.

Thank you.

Best regards,
Name of owner

E-MAIL REPLY FROM DR SING DATED JUL 12, 2011

Thank you for your email I am Dr Sing from toapayohvets.com

The cost of anaesthesia, surgery and post-op pain-killer and antibiotic injection is estimated to be around $150-$200 for dog breeds less than 5 kg and without surgical complications and have two descended testicles. You have a choice of 3 vets, namely myself, Dr Vanessa Lin and Dr Jason Teo.

If you want me to neuter him, please bring him down at 9.30 am from Monday to Friday. No food and water after 10 pm the evening before surgery. Phone 6254-3326 for appointment. The dog will be operated at 10 am and goes home around 12 noon or later in the day if you are not free. The dog should preferably be vaccinated within one year and in good health. Bathe the dog first and clean up his lower area.

Best wishes.

E-MAIL TO DR SING DATED JUL 16, 2011

Hi Dr Sing,

Can I book an appointment with you this coming Thurs? I'll bring him down at 930am and pick him up later part of the day. Look forward to your confirmation.

Best regards

E-MAIL FROM DR SING DATED JULY 16, 2011

Thank you for your email. Thursday 9.30 am will be OK. Will see you this Thursday.

E-MAIL FROM DR SING DATED JULY 23, 2011

Hello
I could not contact you by phone to enquire the post-operation situation in your dog. Please let me know whether your dog is recovering well with no bruising trauma to his operation area and when you give the medication of tolfedine.

Best wishes.

E-MAIL TO DR SING DATED JULY 23, 2011

Hi Dr. Kong,

He is doing well except that he looks kind of tired which I expect from the op. Please advise when can we remove the plaster from the op area. Thanks.


Cheers.
E-MAIL FROM DR SING DATED JULY 25, 2011
Plaster can be taken out on Day 7 and clean wound. He should be OK, not tired after Day 3.

E-MAIL FROM DR SING DATED JULY 25, 2011

Further to my email, please let me know whether your dog has tried to lick his surgery area and the dosage of painkiller tolfedine and duration (at what time) you give to him as your sister was the one present at the Surgery. This is because I am gathering some info on the usefulness of tolfedine on Yorkshire terriers. If he does not lick his surgery area, then it is effective.

Best wishes

E-MAIL TO DR SING DATED JULY 25, 2011

Hi,

Even with the neck guard (not sure what is the term for it), he have managed to find ways to lick his wounds….He is recovering well but seems that the antibiotic did not work well as he does want to lick his wounds.. His plaster came off last night. Wound area seems to be quite okay.

Cheers
E-MAIL FROM DR SING DATED JULY 27, 2011

Can you let me know the estimated times per day and how long you gave him the tolfedine painkiller tablets?


E-MAIL TO DR SING DATED JULY 27, 2011

Estimated times per day in terms of licking the area? I am not too sure but based on what my maid told me… As much as possible when he can push the collar off in the position where he can lick it. The painkiller was given as instructed.


Cheers

E-MAIL FROM DR SING DATED JULY 28, 2011
Thank you for the feedback. I am glad he has no big problems.

CONCLUSION

Two Yorkshire Terriers of similar ages were neutered at around the same month. Both had normal testicles inside the scrotum. No post-operation complaint. As the dogs were given 2/0 absorbable stitches, I don't get to see them 14 days after operation as in the old days as the stitches will drop off after 21 - 28 days usually.
Tolfedine is given once a day for 4 days at 4mg/kg orally from Day 2. From Day 1, after the operation, the dog will be given a tolfedine injection as well as a baytril injection SC. In the above Yorkshire, I advised tolfedine oral twice a day for Day 2.

As for adult male dogs trying to lick the surgical area, this is a common post-operation behaviour. Tolfedine, an NSAID and anti-fever drug reduces the pain and inflammation and much less post-operation licking in most dogs, in my experience. Sometimes, the owner forgets to give on time, and this may result in vigorous licking and bleeding.

Surveys after surgery and from customers are very important for any enterprise. When I went to visit Malacca on a Saturday July 23, 2011, I noted that the tourists were given some survey forms. I post a picture of two pretty tourists writing their opinions on a form for readers to appreciate the beauty of the two English roses.


Updates and pic are at:
http://www.sinpets.com/F5/20110731survey-tolfedine-post-op-Singapore-ToaPayohVets.htm

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