June 30, 2015
Today, I spent much time discussing "Professionalism in veterinary surgeon" with Intern Ms Poh, intern who is in her first year of animal health studies in Melbourne University. The veterinary degree is a second degree in this University.
PROFESSIONALISM IN VETERINARY SURGERY.
To prepare a video. She had to do her research and produced a report. Finally, I gave her a flow chart with the main subheadings as follows:
1. Hook - An old rat with large breast tumours. To operate or not?
2. Theme. BKTP - Professionalism in Veterinary Surgery
Client education - Financial costs of op
Health screening costs (blood tests, x-rays, urine tests, ultrasound)
Informed consent form signed. Old rat - high risks
Correct treatment - surgical excision rather than drugs and painkillers
Referral to other experienced vets
Ligation of the caudal superficial epigastric artery and vein. Less than 3 mm across in the rat unlike in the dog. Bleeding continuously if cut off without ligation.
No major nerves resected in this location
Speed - Knowledge of vet anatomy, skills and experience. Focus - no cracking of jokes.
Accuracy - Ensure correct tissues removed, blood vessels ligated
Completeness - all the tumours excised. 1-inch margin around tumour ideal but no practical in the rat.
No distractions during anaesthesia and surgery by cracking jokes.
5. Post op.
Painkillers and antibiotics
Histology report advised
Post-op complications - bleeding, infection, stitch breakdown, pain
6. Impact - financial costs, social costs, worries about anaesthetic deaths
7. Conclusion - What happens to this rat?
Veterinary surgeon operating on the rat: Dr Daniel Sing
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