Aug 20, 2020.
The young lady owner had consulted two vets about the tumour near the left eye. She chose Vet 1 for the surgery. The dog had a blood test done showing low white cell count and low lymphocytes. A PCR test for Babesia was positive. So, Vet 1 prescribed a 10-day course of anti-tick medication to be followed by a 6-week course of another drug.
The dog had vomiting and diarrhoea after 3 days of the 10-day course, but Vet 1 insisted on continuation of the medication and began to hospitalise it.
Vet 1 suspected pancreatitis. The dog was exhausted and dehydrated and had breathing difficulty. The owner's father took the dog out from Vet 1's inpatient service. The father consulted me on Aug 20, 2020. The dog was given SC drips for at least 7 days and 3 injections of baytril. No oral medications.
Aug 27, 2020,
I did a house-call to see the dog.
The dog had stood up to see me. He pants when he moves and has no appetite. He is fussy about the water quality before he drinks it. The owner said that his teeth were chattering when he returned from an inpatient at Vet 1's practice (a toilet room was used to house him).
His inguinal area was inflamed with urine scalding (pampers by Vet 1) and his anal skin area was raw. The owner's father had pulled him out from Vet 1's inpatient treatment for tick-fever.
The diagnosis of tick fever was based on positive PCR Babesia. He had vomiting and diarrhoea after 3 days of anti-tick medication but Vet 1 insisted on completion of a 10-day course. He was given IV drips and was an inpatient for some days till the owner's father pulled him out.
I took a photo from inside my car, parked outside the house. My car was at a lower level than the house entrance.
The owner's car was parked on an elevated ground, hence it looks blurry (bokeh). The dog looks as if he had been photoshopped and pasted onto the photo in front of the car. eye contact iwht the dog. This is a rare shot.
This dog is likely to recover, but it is hard to be sure as his immune system is not good. He had liver and kidney disorders prior to consulting Vet 1 on the eye tumour and his total white cell count and lymphocytes were low.
The blood test taken when I saw him at Toa Payoh Vets were high total white cell count and lymphocytes, with increases in liver and kidney enzymes.
This photograph looks so unusual, as if the dog has been pasted onto the car. It was taken with a zoom lens, focused on the dog's eye. The dog was on elevated grounds while I was inside the car on the lower road surface. You can still see the skin tumour on the left eye area and the IV drip scars from Vet 1.
The urine scalded inguinal area and the anal area are no longer inflamed.
No skin tumour removal yet as the dog is still recuperating. Much less panting. The owner's father prefers to feed his own food. So I have not advised the therapeutic L/D or K/D diet for such cases with liver and kidney disorders.
Sept 6, 2020.
Phone the owner's father. The dog is better but has not fully regained his appetite and zest to bark loudly when people come to the gate or when the squirrel jumps on the tree branches near the house. The owner's father sent me a video of the squirrel that will hop on the branches daily. It is great to have Nature in his backyard. He has green fingers and have planted trees and small plants in his house.
DETAILS OF THE DOG'S CASE OF ADVERSE DRUG REACTION ARE AT:
Part 1
https://www.youtube.com/watch?v=203zY0ssIYE
Part 2
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