There is always a generation gap between old and young vets. However some young vets have this confidence to communicate with older vets and that is good for them. Young vets who naturally want to group around with their peers and age group. This is commonly seen.
On Jan 13, 2011, I visited two competitor vet practices. It was great that the two younger vets I met were good at communication. One was clean shaven in his head. "Are you helping 'Hair for Hope - Singapore'?" I asked him to be bald to raise fund for the Children's Cancer Foundation? I had not seen a young vet bald in Singapore and he was the first one.
The second vet has 9 years of experience and was excellent at communications. First class, I would say. She offered me a cup of coffee as she could get rid of me after some conversation. She shared some interesting cases of pyometra (photo with yellowish disc in a spleen of a dog with pyometra - splenic abscesses?). She showed me an X-ray of a dog with a 20-cent coin in the stomach in which the endoscope of a referred vet was ineffective. It still needed gastrotomy after endoscope failure. "Is an endoscope so expensive?" I asked her when she mentioned $100,000 for one. I do not think it would cost that much unless it is for racehorses.
I learnt a few veterinary communications and related matters from her and the other competitor. It is good to see other practices in Singapore and in other countries to upgrade oneself and know the industry's best practices as no one vet can have all the vet knowledge in this world.
Friday, January 14, 2011
302. Taking advantage of distressed art
Jan 13, 2010
Khin Khin phoned me to say that the artist was selling her artwork I like (Myanmar market scenes) at fire-sale prices. "Give her $150 per painting," she advised. "She needs the money to pay the rent."
It is not good to take advantage. "No," I said. "I want to hang the art on my Surgery walls or home. I don't want to see it as one that is bought from an artist in distress. It is just not what I will do."
Artists need to sell. Vets need to diagnose and treat. It is just sad that this artist could not sell her artwork internationally. Much promotion and creating awareness is needed. I think an art gallery sponsor or patron is what make some talented artists successful. Talents can only go a short distance.
Khin Khin phoned me to say that the artist was selling her artwork I like (Myanmar market scenes) at fire-sale prices. "Give her $150 per painting," she advised. "She needs the money to pay the rent."
It is not good to take advantage. "No," I said. "I want to hang the art on my Surgery walls or home. I don't want to see it as one that is bought from an artist in distress. It is just not what I will do."
Artists need to sell. Vets need to diagnose and treat. It is just sad that this artist could not sell her artwork internationally. Much promotion and creating awareness is needed. I think an art gallery sponsor or patron is what make some talented artists successful. Talents can only go a short distance.
Thursday, January 13, 2011
Follow up on maltese peeing just outside the pee tray
E-MAIL TO DR SING DATED JAN 13, 2011
Hi Dr Sing,
Above attached are the photos of my dog's pee tray and the surrounding of it.
The first pic is the tray.
2nd pic is the newspaper i put below it. And as you can see the urine patch there.
3rd pic is the floor where he will urine there at times, he will stand on the newspaper there and aim on the floor.
Btw, there is no change of environment or situation. Most probably i guess is because we hardly accompany him and hardly bring him for a walk.
Is there any effective ways to solve this problem? And, if i neutering him at the age of 3, will it be too late?
Thank you
Name of owner
REPLY FROM DR SING DATED JAN 13, 2011
You did change his routine by cutting down the regular outing. So he can't urine-mark downstairs and dare not urine mark the whole apartment (in fear of punishment). So, he made do with just outside the pee tray. I presume he will urine-mark the whole apartment if nobody is around and if he has not been confined to the crate.
Urine marking occurs in your dog due to deprivation of doing it outdoors. This is main reason as all dogs, like young children, are used to a routine and in some children's book, a routine makes a child feel more secure and happier.
Neutering may reduce this urine marking as the testosterone production is shut down. However, you still need to re-train the dog (routine to go downstairs after neutering for some weeks or months). Many still urine-mark but with reduced frequency. Neutralise the urine smell.
Go back to the routine or neuter. It is also possible that the pee tray is too small or the dog just does not want to dirty his paws. If only dogs can talk.
- Show quoted text -
E-MAIL TO DR SING DATED JAN 14, 2011
He will not urine-mark the whole apartment,only will pee outside the tray.
What should I do to neutralise the smell?
E-MAIL FROM DR SING DATED JAN 14, 2011
He may not do it now. If you leave him home alone in the apartment for the next few weeks, you may be surprised. That is why some male dogs in Singapore are crated when home alone or at night (to prevent urine-marking).
Try white vinegar + water at 1 part of vinegar to 3 parts of water and use tissues with this solution to wipe off all urine smells.
Hi Dr Sing,
Above attached are the photos of my dog's pee tray and the surrounding of it.
The first pic is the tray.
2nd pic is the newspaper i put below it. And as you can see the urine patch there.
3rd pic is the floor where he will urine there at times, he will stand on the newspaper there and aim on the floor.
Btw, there is no change of environment or situation. Most probably i guess is because we hardly accompany him and hardly bring him for a walk.
Is there any effective ways to solve this problem? And, if i neutering him at the age of 3, will it be too late?
Thank you
Name of owner
REPLY FROM DR SING DATED JAN 13, 2011
You did change his routine by cutting down the regular outing. So he can't urine-mark downstairs and dare not urine mark the whole apartment (in fear of punishment). So, he made do with just outside the pee tray. I presume he will urine-mark the whole apartment if nobody is around and if he has not been confined to the crate.
Urine marking occurs in your dog due to deprivation of doing it outdoors. This is main reason as all dogs, like young children, are used to a routine and in some children's book, a routine makes a child feel more secure and happier.
Neutering may reduce this urine marking as the testosterone production is shut down. However, you still need to re-train the dog (routine to go downstairs after neutering for some weeks or months). Many still urine-mark but with reduced frequency. Neutralise the urine smell.
Go back to the routine or neuter. It is also possible that the pee tray is too small or the dog just does not want to dirty his paws. If only dogs can talk.
- Show quoted text -
E-MAIL TO DR SING DATED JAN 14, 2011
He will not urine-mark the whole apartment,only will pee outside the tray.
What should I do to neutralise the smell?
E-MAIL FROM DR SING DATED JAN 14, 2011
He may not do it now. If you leave him home alone in the apartment for the next few weeks, you may be surprised. That is why some male dogs in Singapore are crated when home alone or at night (to prevent urine-marking).
Try white vinegar + water at 1 part of vinegar to 3 parts of water and use tissues with this solution to wipe off all urine smells.
300. Soliciting for a veterinary job - poor resume introduction
I got a resume by e-mail as follows:
EMAIL TO DR SING DATED JAN 13, 2011
Greetings!
Im XXX. I am applying as "Veterinary Assistant" in your good clinic. Attached here in with is my resume.Thank you very much and more power!
MY COMMENTS
I don't bother to reply. This is an example of a poor introduction in a resume. More power? Is she referring to the "People Power" toppling Marcos or the blue pill power for erectile dysfunction?
EMAIL TO DR SING DATED JAN 13, 2011
Greetings!
Im XXX. I am applying as "Veterinary Assistant" in your good clinic. Attached here in with is my resume.Thank you very much and more power!
MY COMMENTS
I don't bother to reply. This is an example of a poor introduction in a resume. More power? Is she referring to the "People Power" toppling Marcos or the blue pill power for erectile dysfunction?
Wednesday, January 12, 2011
DBS Corporate debit and credit card: 2nd opinions from the same bank
Jan 12, 2011
In Dec 2010, I opened a company bank account (Design Travel Pte Ltd, www.designtravelpl.com at DBS Toa Payoh. The helpful customer service officer told me that it was almost impossible to get a corporate credit card unless one is chosen. It was by invitation only. Two days ago, I asked her about a debit card in which I put money into the current account. She phoned the DBS banking somewhere and was told there was no such instrument. I was surprised that DBS is so provincial.
Then today, I went to DBS Bishan. Imagine my surprise when Ms Irene Foo there told me that there was no problem opening a corporate debit account for a private limited company and gave me the forms to sign and documents required. She said the corporate credit card might be given to a company with proof of income and a bank officer would check this.
So, I wasted 2 months believing there was no such thing as a DBS corporate credit and debit card.
This episode shows that one must be proactive to search for info. It is obvious that I was barking up the wrong DBS tree in Toa Payoh.
In Dec 2010, I opened a company bank account (Design Travel Pte Ltd, www.designtravelpl.com at DBS Toa Payoh. The helpful customer service officer told me that it was almost impossible to get a corporate credit card unless one is chosen. It was by invitation only. Two days ago, I asked her about a debit card in which I put money into the current account. She phoned the DBS banking somewhere and was told there was no such instrument. I was surprised that DBS is so provincial.
Then today, I went to DBS Bishan. Imagine my surprise when Ms Irene Foo there told me that there was no problem opening a corporate debit account for a private limited company and gave me the forms to sign and documents required. She said the corporate credit card might be given to a company with proof of income and a bank officer would check this.
So, I wasted 2 months believing there was no such thing as a DBS corporate credit and debit card.
This episode shows that one must be proactive to search for info. It is obvious that I was barking up the wrong DBS tree in Toa Payoh.
298. Toilet training email query
E-MAIL TO DR SING dated Jan 12, 2011
Hi,
I have 1 maltese cross, age 3 years old. He used to pee at the pee tray correctly. But for the recent months,he started to pee outside of the tray. We tried to place newspaper underneath the tray , but he will still pee outside the tray. Is there any solution for this problem? Will Neutering cure the problem?
kindly reply me asap as i need to solve this problem fast.
Thanks
XXX
E-MAIL REPLY FROM DR SING dated Jan 12, 2011
I am Dr Sing from Toa Payoh Vets. Most likely there has been a change of environment (new tray, room, etc) or situation (new pets, baby, dog next door or corridor etc) making him want to either get attention from you (by peeing outside the tray) or he wants to mark territory (outside the tray but can't do it further because of your scolding or spanking).
Neutering does help to reduce/stop territorial spraying when done at a young age. Pl email 2 images of your pee tray and surroundings. It is hard to advise without seeing the location and tools you use.
Hi,
I have 1 maltese cross, age 3 years old. He used to pee at the pee tray correctly. But for the recent months,he started to pee outside of the tray. We tried to place newspaper underneath the tray , but he will still pee outside the tray. Is there any solution for this problem? Will Neutering cure the problem?
kindly reply me asap as i need to solve this problem fast.
Thanks
XXX
E-MAIL REPLY FROM DR SING dated Jan 12, 2011
I am Dr Sing from Toa Payoh Vets. Most likely there has been a change of environment (new tray, room, etc) or situation (new pets, baby, dog next door or corridor etc) making him want to either get attention from you (by peeing outside the tray) or he wants to mark territory (outside the tray but can't do it further because of your scolding or spanking).
Neutering does help to reduce/stop territorial spraying when done at a young age. Pl email 2 images of your pee tray and surroundings. It is hard to advise without seeing the location and tools you use.
297. Jan 11, 2011. Resume is important
Jan 11, 2011
I met an old friend who used to have little time for me just to keep in contact. He was extremely hard working and had a lot of contacts. After retirement, he has more job offers and one important interview this Friday. "No need to bring a resume," he said. I advised him to do it as this is the way a corporation management can assess you. My reasons are as follows:
It was great meeting you yesterday and to know you have reduced weight since retirement.
Although your proven performance in your old company and your network is well known to the prospective recommending person in the same field of work as you were in, the general manager and other big shots know little about you and may be apprehensive as to whether you can perform for the new company. The advantage is that you have a proven track record and there is no need to hold your hands or worry about blunders.
A resume with relevant and excellent testimonials is important to carry along during the interview because it helps the general manager to approve financial compensation and benefits to you, without insulting you by under-paying nor over-paying you. A graduate degree is never important as many graduates actually can't perform in the field you are in.
A resume submission is part of hiring administration of a corporation. Resume should include your personal particulars and relevant work experiences (newspaper clippings, letters from bosses, customers, suppliers). Cases done per year and impact on the old organisation will be most relevant and useful. You just need to get your homework done and smoothen the path for your recommending person to hire you. I have young adults and veterinary undergraduate students who don't bother to submit a proper resume and assume that they will get the work attachment and internship based on their excellent academic grades or the fact that they are veterinary students.
The schools seem not to have taught them that excellent grades and in your case (experiences) open the door only to get you the interview. If you go to the interview without a resume, your behaviour implies an arrogance and that the world owes you a living. And since you are not hungry and have sufficient wealth, this may be true actually. If you are not hungry and do not need the income, why go for the interview? Just do nothing at home and smell the hibiscus flowers and let your brain cells deteriorate.
Best wishes.
I met an old friend who used to have little time for me just to keep in contact. He was extremely hard working and had a lot of contacts. After retirement, he has more job offers and one important interview this Friday. "No need to bring a resume," he said. I advised him to do it as this is the way a corporation management can assess you. My reasons are as follows:
It was great meeting you yesterday and to know you have reduced weight since retirement.
Although your proven performance in your old company and your network is well known to the prospective recommending person in the same field of work as you were in, the general manager and other big shots know little about you and may be apprehensive as to whether you can perform for the new company. The advantage is that you have a proven track record and there is no need to hold your hands or worry about blunders.
A resume with relevant and excellent testimonials is important to carry along during the interview because it helps the general manager to approve financial compensation and benefits to you, without insulting you by under-paying nor over-paying you. A graduate degree is never important as many graduates actually can't perform in the field you are in.
A resume submission is part of hiring administration of a corporation. Resume should include your personal particulars and relevant work experiences (newspaper clippings, letters from bosses, customers, suppliers). Cases done per year and impact on the old organisation will be most relevant and useful. You just need to get your homework done and smoothen the path for your recommending person to hire you. I have young adults and veterinary undergraduate students who don't bother to submit a proper resume and assume that they will get the work attachment and internship based on their excellent academic grades or the fact that they are veterinary students.
The schools seem not to have taught them that excellent grades and in your case (experiences) open the door only to get you the interview. If you go to the interview without a resume, your behaviour implies an arrogance and that the world owes you a living. And since you are not hungry and have sufficient wealth, this may be true actually. If you are not hungry and do not need the income, why go for the interview? Just do nothing at home and smell the hibiscus flowers and let your brain cells deteriorate.
Best wishes.
Tuesday, January 11, 2011
Work attachment for JC 2 students at Toa Payoh Vets
MONDAY JAN 10, 2010 - INTERESTING AND ROUTINE CASES
Nowadays, I don't accept Junior College students who have NOT been accepted by Vet colleges for internship as a lot of time and resources are spent on students coming for work attachments.
However, JC2 students with initiatives can still e-mail to me. Good work attitude, excellent testimonials from teachers and chances of getting into Vet colleges in Australia (must have at least 3 As in JC2 preliminary exam) may be accepted as is the author of the case study report below.
Last month, I rejected a student who had top grades. She did not have time to come for an interview as she had to study for her A levels. I was OK with that. After her exams, she did not bring in copies of her testimonials during the interview. She promised to do so personally but a few days later, text me to ask if she "could fax them." I told her not to come for the work attachment.
ADVICE TO THE YOUNG ADULTS
If you are NOT meticulous by forgetting to comply with requirements and is accepted, you will need to know that you have been given a 2nd chance. If you expect an organisation to suit your time management (by faxing and saving your precious time), you may not realise that you have a poor work attitude. Excellent academic results definitely opens doors to what you want to do, but the commercial world does not owe you a living. Therefore, be realistic and humble. It is not what the organisation can do for you as a Junior College student or undergraduate vet. It is your work attitude and what you can contribute to the organisation.
For this first day, the report of this Junior College 2 student who has not taken Biology during her A levels is good. The info is as follows:
Case studies with Dr Sing
1) 1-year-old female hamster with right breast tumour
Diagnosis
Lump under the armpit was ~0.8 - 1.0 cm in size. It weighed about 38g. It could either have an abscess or tumour. Without an operation, the skin would eventually tear, revealing a large open wound.
Treatment
Surgery was performed to remove the tumour. It was required to stay in the clinic for 7 days.
DR SING'S COMMENTS
Infection and death follows when the tumour enlarges and gets ulcerated due to friction and self-induced trauma.
NOT REQUIRED TO STAY. HOWEVER THE OWNER WOULD BE GOING TO JAPAN FOR THE NEXT 7 DAYS AND THERE WAS NOBODY TO NURSE AND GIVE MEDICATION POST-OP. SURGERY - Zoletil 100 given in 3 drops + SALINE. Effective. Excise at base of tumour. Continuous 5/0 absorbable stitches.
2) 1-year-old male guinea pig with paralysed hind legs
Diagnosis
Guinea pig’s hind legs were immobile and it was described to be lethargic. It registered a low temperature of about 37°C. It weighed about 777g and was eating and drinking normally. However, there was pain between the shoulders, indicating possible nerve damage.
Treatment
An injection was administered to relieve the pain.
DR SING'S COMMENTS
Traumatic injury most likely due to a fall inside the crate. Sudden onset.
I asked: "Any sudden loud noise?". The young lady said: "Yes, at 2 pm. I was sleeping. I saw my guinea pig running fast (pacing) and hoping energetically."
She had consulted Vet 1 earlier. The vet clipped the front teeth and probably could not find out what was wrong.
Sometimes, the 2nd vet gets the diagnosis due to the GP not getting so excited and the medication of the first vet.
I suspected sudden onset traumatic injury. Palpation of the spinal area is important in this case. The GP shivered when C3-C5 was pressed and squealed when the area between the shoulders was palpated. Paraparesis. No placing reflexes. GP hops instead of walks.
Besides anti-inflammatory injection SC to relieve the pain, the guinea pig was given electrolytes. Vet 1 had prescribed Fibreplex and the GP was able to move the bowels. Was eating and drinking normally but getting weaker.
3) 12-year-old crossbred male dog
Diagnosis
It weighed about 17.4kg. It was described to have been scratching its face and legs, as well as shaking and having difficulty in walking properly for the past few months. It also had skin and ear infections and dental problems, thus experiencing toothache and earache. It had a painful anal sac.
Treatment
Ear injection had to be administered for ear mites. A blood test was to be taken to check for kidney and liver problems. Complete shaving was needed before treating the skin infections.
DR SING'S COMMENTS
A 12-YEAR-OLD CROSS-BRED WITH PAINFUL MOUTH. Not groomed for several months. Ears full of black wax, inguinal area black. Mouth painful when touched (quite dramatic as the dog bites). This was due to dental decay esp. the upper PM4 teeth. A risky thing to do to open the mouth but this needs to be done as part of diagnosis. Quite smelly. The Junior College student has to be hands-on. But this dog is a gentle one and so I know he would not bite when I lifted his side muzzle to show the grey receding gum upper PM4 to the owners (father and young adult daughter).
The main point was missed by the Junior College girl. Dental treatment needs to be done after 2 days of IV drips with antibiotics and painkiller first.
4) Sterilisation of male stray cat
Diagnosis
Ear mites and a 0.5 cm wound were observed.
Treatment
It had just eaten; hence it was unable to be sterilized on the same day. It had to stay for at least 1 night and an injection was administered.
DR SING'S COMMENTS
Stray cats. Infected bite wounds, ear mites and skin infections need to be treated first before neuter. Economics is the big problem in cat activists. Toa Payoh Vets do give discounted rates.
5) Vaccination lump in puppy
Diagnosis
Small abscess observed in the vaccination area.
Treatment
It was massaged to reduce the size of the lump and antibiotics were administered.
DR SING'S COMMENTS
It would be some bleeding as the puppy moved a lot during vaccination. So the pet shop owner had to bring it in for free treatment. Antibiotics must be given.
Nowadays, I don't accept Junior College students who have NOT been accepted by Vet colleges for internship as a lot of time and resources are spent on students coming for work attachments.
However, JC2 students with initiatives can still e-mail to me. Good work attitude, excellent testimonials from teachers and chances of getting into Vet colleges in Australia (must have at least 3 As in JC2 preliminary exam) may be accepted as is the author of the case study report below.
Last month, I rejected a student who had top grades. She did not have time to come for an interview as she had to study for her A levels. I was OK with that. After her exams, she did not bring in copies of her testimonials during the interview. She promised to do so personally but a few days later, text me to ask if she "could fax them." I told her not to come for the work attachment.
ADVICE TO THE YOUNG ADULTS
If you are NOT meticulous by forgetting to comply with requirements and is accepted, you will need to know that you have been given a 2nd chance. If you expect an organisation to suit your time management (by faxing and saving your precious time), you may not realise that you have a poor work attitude. Excellent academic results definitely opens doors to what you want to do, but the commercial world does not owe you a living. Therefore, be realistic and humble. It is not what the organisation can do for you as a Junior College student or undergraduate vet. It is your work attitude and what you can contribute to the organisation.
For this first day, the report of this Junior College 2 student who has not taken Biology during her A levels is good. The info is as follows:
Case studies with Dr Sing
1) 1-year-old female hamster with right breast tumour
Diagnosis
Lump under the armpit was ~0.8 - 1.0 cm in size. It weighed about 38g. It could either have an abscess or tumour. Without an operation, the skin would eventually tear, revealing a large open wound.
Treatment
Surgery was performed to remove the tumour. It was required to stay in the clinic for 7 days.
DR SING'S COMMENTS
Infection and death follows when the tumour enlarges and gets ulcerated due to friction and self-induced trauma.
NOT REQUIRED TO STAY. HOWEVER THE OWNER WOULD BE GOING TO JAPAN FOR THE NEXT 7 DAYS AND THERE WAS NOBODY TO NURSE AND GIVE MEDICATION POST-OP. SURGERY - Zoletil 100 given in 3 drops + SALINE. Effective. Excise at base of tumour. Continuous 5/0 absorbable stitches.
2) 1-year-old male guinea pig with paralysed hind legs
Diagnosis
Guinea pig’s hind legs were immobile and it was described to be lethargic. It registered a low temperature of about 37°C. It weighed about 777g and was eating and drinking normally. However, there was pain between the shoulders, indicating possible nerve damage.
Treatment
An injection was administered to relieve the pain.
DR SING'S COMMENTS
Traumatic injury most likely due to a fall inside the crate. Sudden onset.
I asked: "Any sudden loud noise?". The young lady said: "Yes, at 2 pm. I was sleeping. I saw my guinea pig running fast (pacing) and hoping energetically."
She had consulted Vet 1 earlier. The vet clipped the front teeth and probably could not find out what was wrong.
Sometimes, the 2nd vet gets the diagnosis due to the GP not getting so excited and the medication of the first vet.
I suspected sudden onset traumatic injury. Palpation of the spinal area is important in this case. The GP shivered when C3-C5 was pressed and squealed when the area between the shoulders was palpated. Paraparesis. No placing reflexes. GP hops instead of walks.
Besides anti-inflammatory injection SC to relieve the pain, the guinea pig was given electrolytes. Vet 1 had prescribed Fibreplex and the GP was able to move the bowels. Was eating and drinking normally but getting weaker.
3) 12-year-old crossbred male dog
Diagnosis
It weighed about 17.4kg. It was described to have been scratching its face and legs, as well as shaking and having difficulty in walking properly for the past few months. It also had skin and ear infections and dental problems, thus experiencing toothache and earache. It had a painful anal sac.
Treatment
Ear injection had to be administered for ear mites. A blood test was to be taken to check for kidney and liver problems. Complete shaving was needed before treating the skin infections.
DR SING'S COMMENTS
A 12-YEAR-OLD CROSS-BRED WITH PAINFUL MOUTH. Not groomed for several months. Ears full of black wax, inguinal area black. Mouth painful when touched (quite dramatic as the dog bites). This was due to dental decay esp. the upper PM4 teeth. A risky thing to do to open the mouth but this needs to be done as part of diagnosis. Quite smelly. The Junior College student has to be hands-on. But this dog is a gentle one and so I know he would not bite when I lifted his side muzzle to show the grey receding gum upper PM4 to the owners (father and young adult daughter).
The main point was missed by the Junior College girl. Dental treatment needs to be done after 2 days of IV drips with antibiotics and painkiller first.
4) Sterilisation of male stray cat
Diagnosis
Ear mites and a 0.5 cm wound were observed.
Treatment
It had just eaten; hence it was unable to be sterilized on the same day. It had to stay for at least 1 night and an injection was administered.
DR SING'S COMMENTS
Stray cats. Infected bite wounds, ear mites and skin infections need to be treated first before neuter. Economics is the big problem in cat activists. Toa Payoh Vets do give discounted rates.
5) Vaccination lump in puppy
Diagnosis
Small abscess observed in the vaccination area.
Treatment
It was massaged to reduce the size of the lump and antibiotics were administered.
DR SING'S COMMENTS
It would be some bleeding as the puppy moved a lot during vaccination. So the pet shop owner had to bring it in for free treatment. Antibiotics must be given.
295. Permission to use photo from toapayohvets.com's dystocia case
Dear Judy,
I was reading with interest your website, and noticed this photo of a fox terrier pup stuck in the birth canal:
http://www.asiahomes.com/dogpix/030930tn_fox_terrier_dystocia_Singapore.jpg
I was wondering if it’s possible to get permission to use this in a first aid workshop in a remote community?
I work for a not-for-profit organisation that supports dog health in Australian Indigenous communities, and would like to use the photo to illustrate a discussion on birth problems and the benefits of desexing.
Please let me know if this is ok,
Sophie Constable
Education Officer
0418699627
cid:image003.png@01CB9B6A.8A6821F0 P.O.Box 1296 Ph (08) 8941 8813 DARWIN, NT, 0801 www.amrric.org
...I acknowledge the Traditional Elders, past, present, and future, on whose land I live and work...
Kind regards,
JAN 11, 2011. Permission has been given to use photo with acknowledgement as follows: Photo: toapayohvets.com
I was reading with interest your website, and noticed this photo of a fox terrier pup stuck in the birth canal:
http://www.asiahomes.com/dogpix/030930tn_fox_terrier_dystocia_Singapore.jpg
I was wondering if it’s possible to get permission to use this in a first aid workshop in a remote community?
I work for a not-for-profit organisation that supports dog health in Australian Indigenous communities, and would like to use the photo to illustrate a discussion on birth problems and the benefits of desexing.
Please let me know if this is ok,
Sophie Constable
Education Officer
0418699627
cid:image003.png@01CB9B6A.8A6821F0 P.O.Box 1296 Ph (08) 8941 8813 DARWIN, NT, 0801 www.amrric.org
...I acknowledge the Traditional Elders, past, present, and future, on whose land I live and work...
Kind regards,
JAN 11, 2011. Permission has been given to use photo with acknowledgement as follows: Photo: toapayohvets.com
Monday, January 10, 2011
294. Sunday Jan 9, 2010 interesting cases
Sunday Jan 9, 2010
Interesting cases
As Dr Vanessa Lin will be back on Monday, Jan 10 after 10 days' break, I will not be working usually from 9.30 am to 11 am and by appointment. Younger vets will need to take over so as to continue Toa Payoh Vets' vision and mission.
INTERESTING CASES
1. Open pyometra. Only isoflurane gas was given to the Jack Russell who had pus dripping from her vulva and was hospitalised for 2 days and given IV drip and antibiotics. "The faster the surgery, the better the chances of survival," I reminded my two assistants. "If the vet takes his time to operate an old or sick dog, the dog's heart may fail and the dog dies."
It is too easy to be complacent when the vet does such surgeries routinely. Pyometra is a serious illness and is not an ordinary spay. "No point using a spay hook," I said as my assistant looked for one. I noted that the vulval dicharge, though clearer (picture taken) was still copious. Therefore, the uterus must be quite swollen. Palpation could not reveal swelling. No x-ray was taken to save the owner some money. The history of recent heat and the purulent vaginal discharge of an unspayed female dog would confirm a diagnosis of pyometra.
Earlier I said a spay hook might create a smaller skin incision compared to the usual method of pyometra surgery which needed a big incision. The dog was spayed in 25 minutes. An incision sufficient to put a forefinger in to hook up one swollen uterine horn (3 cm wide, pic taken) was used. Double ligature of ovary with 1/0 catgut. Transfixing and ligature of uterine body. My assistant prepared sterile saline for me to flush the abdomen. "There is no need to do it," I advised. "All my pyometra surgery over the years are OK without this." I noted that some vets do irrigate the abdomen after pyometra surgery. It does not make sense. Why introduce something into the abdomen when there is no contamination and instead, the vet can introduce bacteria all over via the saline solution? Keep it simple and the dog will recover. After all, this dog had pre-op antibiotics and post-op.
The dog's anaesthesia was shut down when the muscles were stitched and only skin sutures remain. The dog woke up peacefully and fast. 15 minutes later, I could see her wagging her cropped tail, as if happy to see me. This was a very gentle Jack Russell and no wonder the daughter who had to work in the Shenzen area, China had come back to Singapore to get her admitted for surgery by a "cheap-po" vet as this was what Julia described me. Vets of my age should charge double due to some 30 years of experience but it does not work this way in veterinary practice. Lawyers and doctors in branded hospitals will be able to do it. The dog was alive and could go home the next day.
2. KIDNEY FAILURE. The thin 2-year-old Shih Tzu that vomited daily for the last 4 days died. Blood tests show very high creatinine and urea levels. X-rays showed enlarged kidney (left) and what appeared to be urinary bladder stone. But the main finding was the blood test.
"The dog could develop kidney failure when he grows older, due to hereditary reasons of not proper development. The kidneys could not cope with the clearing of the toxic urea waste anywmore and therefore becomes sick and vomits," I explained to the owner whose niece was sobbing. "That is the reason why this dog does not put on weight. It was a sad Sunday for me and everyone. Vets can't cure all diseases.
3. TOILET TRAINING A GOLDEN RETRIEVER. A nice family of two parents and two boys in primary school. The 2 boys were 2 years apart. "No online gaming for them or permit them one hour," I advised the young parents as I had not been strict on my two sons. "Online gaming is the heroin of young boys. They sleep late and fall asleep during school. My son's teacher has to phone up to tell me," I said. "They are permitted to play only during holidays." the mum said. "Read 10 books a week," I advised. The younger one did not do it. So his command of English was not so good.
As for toilet training, the father asked me advice. The puppy would pee on the pee grate but poop on the tile floor at the side when confined. The only solution is to increase the grate area by buying another grate if they want to do grate training. As for paper training, no use. The puppy shreds papers. As for going to the garden to poop and pee as for most big breeds, the parents did not want the grass to die from dog's urination. So the other solution would be to leash the puppy to a confined area. "But be aware that the puppy may get strangulated and die," I said. Buying a pee pan and putting some stool smells on the newspapers in the pee pan which is placed near the area where the puppy poops may be an alternative. That means the puppy will be trained to poop on the pee pan keeping the floor tiles clean. I wonder which solution the parents will use. Will ask them if we meet again.
ANAL SACCULITIS.
"Milk seen but a tiny drop from one nipple," I said. The dog was spayed by me in May 2009. That was strange as spayed dogs usually don't show milk. But the owner did not complain about bleeding or heat. Their complaint was that the dog was biting the backside and inside thighs. The wife wore a bright green dress which is an uncommon colour. The husband was casual and a foreign trained lawyer. "She is in a cool job," he said. Working in NGO or voluntary organisation is always a better work than in money-making enterprises. The dog had anal sacculitis. Grey particles and oily grey anal oil in abundance.
Interesting cases
As Dr Vanessa Lin will be back on Monday, Jan 10 after 10 days' break, I will not be working usually from 9.30 am to 11 am and by appointment. Younger vets will need to take over so as to continue Toa Payoh Vets' vision and mission.
INTERESTING CASES
1. Open pyometra. Only isoflurane gas was given to the Jack Russell who had pus dripping from her vulva and was hospitalised for 2 days and given IV drip and antibiotics. "The faster the surgery, the better the chances of survival," I reminded my two assistants. "If the vet takes his time to operate an old or sick dog, the dog's heart may fail and the dog dies."
It is too easy to be complacent when the vet does such surgeries routinely. Pyometra is a serious illness and is not an ordinary spay. "No point using a spay hook," I said as my assistant looked for one. I noted that the vulval dicharge, though clearer (picture taken) was still copious. Therefore, the uterus must be quite swollen. Palpation could not reveal swelling. No x-ray was taken to save the owner some money. The history of recent heat and the purulent vaginal discharge of an unspayed female dog would confirm a diagnosis of pyometra.
Earlier I said a spay hook might create a smaller skin incision compared to the usual method of pyometra surgery which needed a big incision. The dog was spayed in 25 minutes. An incision sufficient to put a forefinger in to hook up one swollen uterine horn (3 cm wide, pic taken) was used. Double ligature of ovary with 1/0 catgut. Transfixing and ligature of uterine body. My assistant prepared sterile saline for me to flush the abdomen. "There is no need to do it," I advised. "All my pyometra surgery over the years are OK without this." I noted that some vets do irrigate the abdomen after pyometra surgery. It does not make sense. Why introduce something into the abdomen when there is no contamination and instead, the vet can introduce bacteria all over via the saline solution? Keep it simple and the dog will recover. After all, this dog had pre-op antibiotics and post-op.
The dog's anaesthesia was shut down when the muscles were stitched and only skin sutures remain. The dog woke up peacefully and fast. 15 minutes later, I could see her wagging her cropped tail, as if happy to see me. This was a very gentle Jack Russell and no wonder the daughter who had to work in the Shenzen area, China had come back to Singapore to get her admitted for surgery by a "cheap-po" vet as this was what Julia described me. Vets of my age should charge double due to some 30 years of experience but it does not work this way in veterinary practice. Lawyers and doctors in branded hospitals will be able to do it. The dog was alive and could go home the next day.
2. KIDNEY FAILURE. The thin 2-year-old Shih Tzu that vomited daily for the last 4 days died. Blood tests show very high creatinine and urea levels. X-rays showed enlarged kidney (left) and what appeared to be urinary bladder stone. But the main finding was the blood test.
"The dog could develop kidney failure when he grows older, due to hereditary reasons of not proper development. The kidneys could not cope with the clearing of the toxic urea waste anywmore and therefore becomes sick and vomits," I explained to the owner whose niece was sobbing. "That is the reason why this dog does not put on weight. It was a sad Sunday for me and everyone. Vets can't cure all diseases.
3. TOILET TRAINING A GOLDEN RETRIEVER. A nice family of two parents and two boys in primary school. The 2 boys were 2 years apart. "No online gaming for them or permit them one hour," I advised the young parents as I had not been strict on my two sons. "Online gaming is the heroin of young boys. They sleep late and fall asleep during school. My son's teacher has to phone up to tell me," I said. "They are permitted to play only during holidays." the mum said. "Read 10 books a week," I advised. The younger one did not do it. So his command of English was not so good.
As for toilet training, the father asked me advice. The puppy would pee on the pee grate but poop on the tile floor at the side when confined. The only solution is to increase the grate area by buying another grate if they want to do grate training. As for paper training, no use. The puppy shreds papers. As for going to the garden to poop and pee as for most big breeds, the parents did not want the grass to die from dog's urination. So the other solution would be to leash the puppy to a confined area. "But be aware that the puppy may get strangulated and die," I said. Buying a pee pan and putting some stool smells on the newspapers in the pee pan which is placed near the area where the puppy poops may be an alternative. That means the puppy will be trained to poop on the pee pan keeping the floor tiles clean. I wonder which solution the parents will use. Will ask them if we meet again.
ANAL SACCULITIS.
"Milk seen but a tiny drop from one nipple," I said. The dog was spayed by me in May 2009. That was strange as spayed dogs usually don't show milk. But the owner did not complain about bleeding or heat. Their complaint was that the dog was biting the backside and inside thighs. The wife wore a bright green dress which is an uncommon colour. The husband was casual and a foreign trained lawyer. "She is in a cool job," he said. Working in NGO or voluntary organisation is always a better work than in money-making enterprises. The dog had anal sacculitis. Grey particles and oily grey anal oil in abundance.
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