Thursday, December 14, 2023

5010. VET CASE STUDY. Short video. How to save money on vet costs. An old Maltese has a foul smelling ear. Chronic otitis externa

VET CASE STUDY. 2013. Lowest mortality rate. An old Maltese has a foul smelling ear. Chronic otitis externa 

 

SHORT VIDEO SCRIPT

How to save money on vet costs. Short video 1/2.
Vet Case Study: Long-standing ear infections in an old Maltese

1. Ear infections that last many weeks despite vet treatment.
2. Chronic otitis externa is a common medical condition in dogs.
3. Old dogs - ear infections and/or ear tumours. One vet case study is Video 2/2.
4. Vet costs - multiple visits or vets for medical treatment, but no cure.
5.  Owner stresses - ear scratching at night, smelly ear, soiling apartment.
6. Anaesthetic risk of death on operating table. Old age, heart, liver and kidney disease, blood infection
7. A case study of an old Maltese with ear tumours in Video 2/2. 



How to save money on vet costs. Short video 2/2. 


1. Save vet costs on multiple visits - early surgical treatment. Lateral (Vertical) ear canal resection or removal.
2. If don't do surgery - infections to middle and inner ear to death.
3. Prognosis - good in most cases. Dog lives a normal pain-free life. Owner not stressed out in cleaning the dog's ears and soiled housing.


HOT TO ACHIEVE THE LOWEST MORTALITY RATE IN ANAESTHESIA AND SURGERY

1. "shortest door to balloon time" is for procedures in interventional cardiology which is treatment of patients with coronary artery disease.

2. highest volume of patients treated annually (applies to national heart centres and universities)

3. lowest mortality rate.

For this case study, the dog is very old. Therefore the lowest mortality rate also depends on shorter duration of anaesthesia and surgery.

HOW TO SAVE ON VET COSTS – CHRONIC EAR INFECTIONS IN AN OLD DOG

 1. "Just removing the tumour below the skin will not resolve the problem of ear scratching," I said to the young lady owner of the 14-year-old female spayed Maltese. She had consented to ear canal removal surgery today, 13 Jun 2023. 
 
1.1 Since 30 May 2013, her dog had 3 weeks of treatment. Now the skin tumour on the right side of the ear looked almost normal and the right ear had considerably less bloody discharge and no foul smell. See image.   


2. Abigail was now a young career woman while her Maltese had aged. Her dog grew up with her during her school years and was her best friend. She had consulted a few vets to treat the persistent ear scratching, foul blood and pus discharge, bad odour and pain. They gave her ear medication and cleaners. But there was no cure.

3. Her dog had very high anaesthetic risks. Old age, blood infections and heart disease due to murmurs. She could just die of heart failure on the operating table.

4. Diagnosis was chronic otitis externa. A long-standing bad infection of the ear canal which had several rotting bony tumours.

5. Treatment was ear surgery to remove the vertical ear canal with the bony tumours.

6. Anaesthetic risks were very high for 3 reasons. 

7. Prognosis is good after surgery in most cases.

8. No surgery. Infections would spread into the middle and inner ear. Swollen lower cheek filled with pus. Pain, loss of appetite and death.

9. Informed consent. Surgery took 50 minutes, but the dog survived. She lived to a ripe old age. Abigail was able to enjoy her Bintan holidays and other travels stress-free now.

10. To save on vet costs, surgery to remove the ear canal and its tumours at first consultation would have been preferred. 

11. For ear surgery appointments, Toa Payoh Vets.

 
UPDATE:
https://2010vets.blogspot.com/2023/12/5010-vet-case-study-old-maltese-has.html

 

PASSING ON what the experienced vet or doctor has learnt and acquired to the next generation, so that they don't take so long to hone their skills, they don't have to commit so many mistakes.

 





 
 
 
 
 
 

 
 
 
 

 


 
 
 
 
 
 
  
 
 
 
 

 
 
 
 
 
 
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IMAGES FOR VIDEO 1/2 AND 2/2
 
 



 








 
 
 
 



 
 
 



 

 


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