Saturday Jun 29, 2013
"The vet at Serangoon charges only $500," the home-breeder came yesterday. He had already X-rayed and knew he had 3 puppies. Now he was looking for a lowest quotation for a C-Section.
In the first birth, the dam had difficulty giving birth and a puppy had died. He still needed a C-section for the other puppies.
I used to charge $300 for every Caesarean section for the Pasir Ris breeders around 2006, but there was a vet who charged only $250.
Low surgical costs attract more customers. The costings must be done carefully. Otherwise, the vet loses money for every Caesarean section done. In the end, there is no profits to buy new equipment or upgrade, leading to a poor impression of the Surgery. Young Singaporeans love the glitz and the decor and if the vet does loss-making surgeries, he or she will need the volume. But at the end of the financial year, the net profits may be a loss.
So I told Dr Daniel that it is best not to perform C-sections at $500 as the time taken and complexity of this surgery as compared to a spaying of a female dog is much longer. We let the home breeder go. The associate vets must be some economic sense in working in a private practice so as not to make loss-making operations.
Sunday, June 30, 2013
1491. Unable to print out Post No. 1490. Testing Post 1489 with direct html copy of article
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DE-TICKING SERVICES FOR DOG OWNERS IN SINGAPORE The most common complaint in Singapore is heavy infestation of ticks in a dog. Sometimes, the spot-on insecticide, Frontline, is not effective for various reasons. There may be a need to use another brand. Ticks do cause fatal diseases like tick fever in dogs. Therefore, it is best to ensure that your dogs don't get tick bites.
TICKS IN MANY DOGS
 1. Lecture: Control of
Ecto-parasites in Singapore:
http://www.bekindtopets.com/dogs/20100196ectoparasites_control_dogs_ToaPayohVets.htm 2. A Cocker Spaniel has tick fever in 2011 3. A Great Dane had tick fever in 2008 4. A vet said that imizole is ineffective against Babesia gibsoni 5. Using non-chemical means to prevent tick infestation in your dog 6. Babesia canis in a Samoyed in 2012
 8. Blog - A Samoyed has tick
fever in 20128.1 http://2010vets.blogspot.sg/2012/07/tick-fever-in-singapore-dogs-from-drug.html 8.2 http://2010vets.blogspot.sg/2012/07/1074-sop-tick-fever-in-dogs.html 8.3 http://2010vets.blogspot.sg/2012/07/1062-acute-tick-fever-in-big-white-dog.html UPDATES WILL BE ON THIS WEBPAGE: http://www.asiahomes.com/army/2010067tick_control_bites_infestation-parasites-dogs-singapore-ToaPayohVets.htm |
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Update: De-ticking dogs at Toa Payoh Vets
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TOA
PAYOH VETSSaturday, June 29, 2013
Update on Jack Russell with 10 small bladder stones - Ear scratching, paw biting whole night
I had sent the dog back with a bag of U/D dry. "We can't sleep as he keeps scratching his ears and body the whole night," the wife said. I examined the dog. His right ear is swollen and full of paw scratches. His left ear had a few such marks too. Other than that he was OK.
"I prescribed U/D dry instead of canned U/D to save you money," I gave the usual anti-allergic injection IM and SC. "Since he is allergic to it, stop the feeding."
Coincidentally, a woman came in asking to buy 12 cans of U/D. She showed me a slip of paper with the case reference number. "My daughter asked me to come and buy the food," she said.
"Usually I see a man coming to buy regularly," I said.
"He is my husband and is not free today."
As the dog had recurrent oxalate stones and had two operations. Now, with canned U/D, the dog has no urinary tract problems. "It is better not to eat dry food," the woman said. This case illlustrates that there is a younger adult who is alert and wanting to prevent a 3rd bladder stone operation and that is the daughter.
CASE OF RECURRENT CALCIUM OXALATE STONES
Cocker Spaniel, Male, born in 2002
Two bladder stone surgery at Toa Payoh Vets on:
Calcium oxalate
May 26, 2011
Sep 4, 2012
Before lst operation, the dog was fed dry food.
After lst operation, fed cheap canned food
Now strictly on canned U/D. As at Jun 28, 2013 today, so far so good.
As for the Jack Russell, the wife said: "So troublesome." I gave her 50% back for the opened U/D diet and advised her just to feed home-cooked food. She wanted the Canned U/D and took 12 cans. If there is allergy, I will take back the cans.
"I prescribed U/D dry instead of canned U/D to save you money," I gave the usual anti-allergic injection IM and SC. "Since he is allergic to it, stop the feeding."
Coincidentally, a woman came in asking to buy 12 cans of U/D. She showed me a slip of paper with the case reference number. "My daughter asked me to come and buy the food," she said.
"Usually I see a man coming to buy regularly," I said.
"He is my husband and is not free today."
As the dog had recurrent oxalate stones and had two operations. Now, with canned U/D, the dog has no urinary tract problems. "It is better not to eat dry food," the woman said. This case illlustrates that there is a younger adult who is alert and wanting to prevent a 3rd bladder stone operation and that is the daughter.
CASE OF RECURRENT CALCIUM OXALATE STONES
Cocker Spaniel, Male, born in 2002
Two bladder stone surgery at Toa Payoh Vets on:
Calcium oxalate
May 26, 2011
Sep 4, 2012
Before lst operation, the dog was fed dry food.
After lst operation, fed cheap canned food
Now strictly on canned U/D. As at Jun 28, 2013 today, so far so good.
As for the Jack Russell, the wife said: "So troublesome." I gave her 50% back for the opened U/D diet and advised her just to feed home-cooked food. She wanted the Canned U/D and took 12 cans. If there is allergy, I will take back the cans.
Daughters of a Better Age
A good image will be well composed. Sunlight and contrast make it interesting. Practise and practise. I was in a car and had a second to snap this image before the traffic light changes to green. What do you mean by a "better age"? When is the age worse?
1487. Update on vasectomy German Shepherd X - Good surgical outcome
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1486. EMAIL QUERY. Recurrent UTI in dogs can be frustrating to the owner
On Sat, Jun 29, 2013 at 10:00 AM, ...@gmail.com> wrote:
> I've read your findings on the corgi with recurrent UTI. My dog has been having recurrent UTI also. Ultrasound and X-ray showed no bladder cancer or stones. She's been on C/D diet for at least 6 months, yet she has another UTI with Blood in urine and struvite crystals.
What should be the next step. I'm seeing my vet again but I'm losing some confidence in the doctor because his workload may be keeping him from being able to make an appropriate diagnosis. Any help will be greatly appreciated.
>
> Thank you,
>XXX
EMAIL REPLY FROM DR SING DATED JUN 29, 201
Thank you for your email. I am Dr Sing Kong Yuen from Toa Payoh Vets.
In recurrent UTI, you will need the dog to be examined again (physically and more lab tests to be done).
There are various causes of UTI other than stones and cancer in the bladder. The stones can be present in the kidneys, ureter and urethra in addition to the bladder or there may be developmental defects in the urinary system in which contrast radiography is needed. UTI may be due to management factors.
I presume the X-ray and scan were done 6 months ago and therefore outdated. Try to work with your vet or seek another opinion.
Best wishes
1486. Update: The red-eared glider with the popped out shell and swollen folds
The sister who loved this 8-yeared red-eared slider came with her mum to collect the urn. She appeared to be in her 30s and taller than the average Singaporean Chinese girl. Her fair complexion stood in contrast to her long black dress.
"Shall we throw the urn into the sea or just the ashes?" the mum asked me.
"Usually, the ashes are scattered into the sea," I said. "The urn is not but this is personal."
This terrapin would likely be given some drugged food with steroids as the popped out shell is rarely seen in normal terrapins and I have not seen such cases in my 40 years of practice. In the first place, there is only a handful of adult terrapins being sent to Toa Payoh Vets.
There was one adult terrapin that vomited blood after falling down and the owner phoned me. "There is nothing that can be done in such cases as there is internal injuries and bleeding."
Yesterday, a Sec 1 boy's baby terrapin came in. "Are you sure the terrapin still move?" I asked him. "The terrapin did open his mouth to gasp for air but that was only one time." I told the father that the chances of survival are very slim. The terrapin could have dropped from the table to the floor some 2 weeks earlier but the boy was not sure which one. He had two terrapins given as birthday presents by his friend. I ward it for observation.
"Shall we throw the urn into the sea or just the ashes?" the mum asked me.
"Usually, the ashes are scattered into the sea," I said. "The urn is not but this is personal."
This terrapin would likely be given some drugged food with steroids as the popped out shell is rarely seen in normal terrapins and I have not seen such cases in my 40 years of practice. In the first place, there is only a handful of adult terrapins being sent to Toa Payoh Vets.
There was one adult terrapin that vomited blood after falling down and the owner phoned me. "There is nothing that can be done in such cases as there is internal injuries and bleeding."
Yesterday, a Sec 1 boy's baby terrapin came in. "Are you sure the terrapin still move?" I asked him. "The terrapin did open his mouth to gasp for air but that was only one time." I told the father that the chances of survival are very slim. The terrapin could have dropped from the table to the floor some 2 weeks earlier but the boy was not sure which one. He had two terrapins given as birthday presents by his friend. I ward it for observation.
1485. The bleeding black throat skinned Chow Chow
"Skin diseases are expensive to treat and there need to be a review in 3 weeks," I said to the lady owner whose Chow Chow had skin disease for the last 2 years.
Previously, he had a lush coat as evident from her mobile phone images. She had sent the dog to the SPCA earlier but had changed her mind about putting him to sleep.
"The Chow Chow had recovered after treatment in March 2013 by me for ringworm and so I did not come for the review you wrote in the receipt to come 3 weeks later."
"Do you have any phone images of the dog recently?" I was told there was none.
Now the dog was very itchy and large areas of blood spots exist on both ears, behind the ears, on the backbone area and parts of the body. The skin below the neck and the ear flap were bald and black with pigmentation. The face was black.
"There are Chow Chow owners who shampoo the dog daily for the next 14 days and gave the medication on time and the dog recovers if the owner has time to treat him," I was told that this Chow Chow was bathed once a week. The anti-shampoo bottle I prescribed was still available and so I doubted that the dog was properly shampooed or medicated.
Medical costs are higher if the owner does not do the necessary home treatment. I had also prescribed an ear ointment but it was not used. The dog just would not cooperate and so the owner left him alone. Over the last 2 months, the itchiness exploded intensely resulting in large bleeding areas due to scratching.
Yet 2 years ago, the Chow Chow had a good thick coat, judging from the phone images. "A large black hairless area is present over the back in your image of 2 years ago," I said. Surprisingly, the mobile handphone images appear not to have any dates or we could not find the dates. There was visual evidence that the skin disease could have started on the bald backbone patch near the hips as that area should not be black pigmented and hairless. It is hard to say.
The owner would shampoo the dog daily and give the medication. As there was only one breadwinner in this family, it was difficult to budget for the dog's skin disease treatment.
Previously, he had a lush coat as evident from her mobile phone images. She had sent the dog to the SPCA earlier but had changed her mind about putting him to sleep.
"The Chow Chow had recovered after treatment in March 2013 by me for ringworm and so I did not come for the review you wrote in the receipt to come 3 weeks later."
"Do you have any phone images of the dog recently?" I was told there was none.
Now the dog was very itchy and large areas of blood spots exist on both ears, behind the ears, on the backbone area and parts of the body. The skin below the neck and the ear flap were bald and black with pigmentation. The face was black.
"There are Chow Chow owners who shampoo the dog daily for the next 14 days and gave the medication on time and the dog recovers if the owner has time to treat him," I was told that this Chow Chow was bathed once a week. The anti-shampoo bottle I prescribed was still available and so I doubted that the dog was properly shampooed or medicated.
Medical costs are higher if the owner does not do the necessary home treatment. I had also prescribed an ear ointment but it was not used. The dog just would not cooperate and so the owner left him alone. Over the last 2 months, the itchiness exploded intensely resulting in large bleeding areas due to scratching.
Yet 2 years ago, the Chow Chow had a good thick coat, judging from the phone images. "A large black hairless area is present over the back in your image of 2 years ago," I said. Surprisingly, the mobile handphone images appear not to have any dates or we could not find the dates. There was visual evidence that the skin disease could have started on the bald backbone patch near the hips as that area should not be black pigmented and hairless. It is hard to say.
The owner would shampoo the dog daily and give the medication. As there was only one breadwinner in this family, it was difficult to budget for the dog's skin disease treatment.
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