Wednesday, April 24, 2013

1390. Talk to the Raffles Society of Biological Students

Suzanne Ou
8:30 AM (21 hours ago)

to me, daniel
Dear Dr Sing,
I have checked with my teacher and you can come at 4.15pm to upload the video as the lecture theatre will be occupied at 3pm. As per arranged early, I can meet you at Manna Cafe beside the school visitor's carpark.
Would it also be possible for you to send us a short excerpt so that we can introduce you to the students? The students are also very eager to hear from a real vet and it would be good if you can share your experiences rather then have everything conveyed purely through the video.
Once again, we would really like to thank you for taking time off and agreeing to come down this Thursday, and look forward to it!
Regards,
Suzanne O
 -------------------------------------


Kong Yuen Sing <99pups gmail.com="">
6:19 AM (0 minutes ago)

to jasonxll, Suzanne, daniel
I missed this email till now, April 25, 2013. Will be present at 4.15pm. Pl phone me if there are changes.

Short excerpt and sharing of memories for the young ones of the Raffles Biological Society in RI Year 5-6 students April 25, 2013 talk.


------------------------------
----------------------------------------------------------------------
APRIL 25, 2013
Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS. 62 years old.
Founder of Toa Payoh Vets, Asia USA Realty (S) asiahomes.com, Be Kind To Pets, Design Travel Pte Ltd.


1962 - 1968. Raffles Institution from Sec 1 to Pre-U 2 (Year 1-6 nowadays?). I was in one of the two Pre-U Medicine classes. There were 14 classes for Secondary 1. Three boys from my Bukit Merah Primary School got places in RI.

The old RI probably attracted the top male students from all the Primary Schools in Singapore. The old RI did not have competitors like Hwa Chong Institution, if you don't count a rich man's school as competitor.

My father picked two other choices for me. They were Gan Eng Seng and Victoria Secondary Schools. I had never heard of RI when I was in Primary Six, showing how ignorant of the education system I was. How did I qualify for Sec 1 of RI?

My father had this motivation system for his 4 children. $5 if I top the class, $4 for 2nd position ... to increasing number of strokes of the cane for 40th position. I was not motivated by the money. I had good teachers whom I visited during Chinese New Year.

My motivation to study hard was the excitement of going up to receive a book prize for being the top 3 students annually in the primary school. I had a nemesis - a girl from Telok Ayer who would fight with me for being first in class. Competition is never absent.

The strive for academic excellence has been snuffed out by the government in 2013 as it does not want to "stress" the students and parents by publicising the top students and school performance. However, in real life, excellent academic results still open doors to choice jobs and top remuneration. So, do study hard. No free lunch.  .    

 
      
1969 - 1974  Glasgow University School of Veterinary Medicine. Colombo Plan Scholarship. 8-year-old bond with the AVA (Agri-food & Veterinary Authority).
1974 - 1976 Full-time National Service after graduation. SAF Provost Unit Officer & guard and tracker dog vet, This service is included in the 8-year-old bond.
1977 - 1982 Pig and chicken government vet for the AVA for nearly 8 years
1982 - 1990. Singapore Turf Club racehorse vet.
1982.  Started up Toa Payoh Vets at Blk 1002, Toa Payoh Lor 8, 01-1477
1991 - 2013 Dog & Cat vet at Toa Payoh Vets, www.toapayohvets.com.

Those who have benefited from the education system. It is important to give back to society. I started community education www.bekindtopets.com for vet students and pet owners in 1977 when the world wide web was introduced.

I have  started www.asiahomes.com and www.designtravelpl.com - respectively a licensed realty and travel agency focused on Myanmar travel and tours.  



--------------------------------
Veterinary Science Talk To:
Members of The Raffles Society of Biological Sciences
Students Year 5-6, Raffles Institution (Junior College)
April 25, 2013   5.30pm  - 6.30pm, Lecture Theatre 5

I am Dr Sing Kong Yuen, veterinary surgeon, Toa Payoh Vets, www.toapayohvets.com. 
Thank you for your invitation.

When I was taking my Primary School Leaving Examinations (PSLE) at Bukit Merah Primary School in 1966, I had never heard of Raffles Institution (RI). My father recommended RI as one of the 3 choices. RI was located where Raffles City is. There were 14 Secondary One classes.

All 640 male classmates from Year 1 to Year 6. The high walls of the Convent of the Infant Holy Jesus ensured that RI boys would not see any of the Convent girls and so RI boys studied hard without the distractions of puppy love and heart breaks, a situation I expect to exist in the Bishan campus.

In 2013, I had two female vet interns from RI Year 6. Both got straight As. For one of them, I asked her whether the tall young man meeting her for lunch in the restaurant behind my Surgery was her boyfriend. She did not sound committed to me. A tall, good-looking, intelligent and rich young man. Good looks and wealth. He may not win the girl of his heart. She has so many choices as she networks.  I feel that the odds are not in his favour as young love is a flitting butterfly. When I was in Year 6, I was trying to get a date via the "pen-pal" columns of student magazines as the whole of RI was a monastery.    

Back to the realities of the veterinary profession, your Chairman, Ms Ou Suzanne Xianran is well organised  as she wanted me to share my insights as a veterinary surgeon with reference to the five topics:

1. What lead you to choose veterinary medicine as my career?
2.  Challenges and joys of my career.
3.  Animals and conditions I come across commonly in my field, especially in Singapore.
4.  Relationship between veterinary medicine and veterinary medicine.
5.  Opportunities for aspiring vets in Singapore or overseas.


 1. What lead you to choose veterinary medicine as my career?My father was the sole breadwinner earning $600/month working for the Ministry of Culture. He would support his 4 children up to "A" levels. We could become teachers. I was in one of the two Pre-U Medicine classes in Year 6. All of us wanted to be doctors. Single-minded. No distractions from pretty young things.

At that time, doctors had to find jobs in Hong Kong and so no medical scholarships were offered. I applied for and received a Colombo Plan scholarship given by the British Government to study veterinary science in Glasgow University in 1969 at the age of 19 years old. My family in Redhill Close did not keep dogs but I used to share my bread with a nursing stray female dog making her den on the landing of the first floor of the Redhill flat. Now stray dogs are quite extinct in Singapore but they were being cornered and shot-gunned by the government in those days and I felt so sad for them.

2.  Challenges and joys of my career.
The challenges and joys of my career from 1974 - 2013, nearly 4 decades as a veterinarian are numerous and I will highlight 3 of each.



CHALLENGES

1. MORE PAY.  I had to serve an 8-year bond as an employee vet in the predecessor of the Agri-Food & Veterinary Authority (AVA) as a government vet. I had no choice as to where I wanted to work. I would like to work in the Animal Infirmary where the Kandang Kerbau Hospital is located, treating dogs and cats but there was no vacancies. The AVA's role was to regulate and provide veterinary services to the pig and chicken farmers at that time.  The annual increment was $50/month and promotions were few for the technical man.

Soon my wife earned more than me as she was in the Information Technology field at the Ministry of Defence. Most likely she is the corporate type. She was promoted into senior management responsible for 200 staff. I was just a technical guy and only in management can there be more pay. My wife told me frankly that I would never make it in the corporate world. Don't be a practising vet if you want to earn more but you must have what it takes to play office politics.


3. FUNDING TO START MY OWN PRACTICE.
No family wealth. I started Toa Payoh Vets with my own money unlike many of the younger vets nowadays. Their parents provide financing for their studies and for starting up a practice.  

4. PROXIMITY & INCREASING COMPETITION.
Most Singaporeans will visit a veterinary practice near their homes as they are time-pressed. When I started up, there were around 7 practices. Now there are over 50. So, the number of clientele must drop unless the practice is located where there are no nearby vets.

5. UNIQUE SELLING PROPOSITION (USP).  It will be hard for the average practice to have a USP.   





Joys

1. WORK-LIFE BALANCE AS A GOVERNMENT VET.
As a government vet, there was the half Saturday, Public Holidays, Sundays and two weeks' leave per year. This was great. DINK (dual income no kids). I would think of which model of car to buy every 3 years. A low-interest housing loan and prices of houses were much more affordable in the 1980s.



WORK-LIFE BALANCE AS AN OWNER OF A PRIVATE VET PRACTICE.
As the owner of a private practice, at Toa Payoh Vets, the hours must be long as clients work office hours and can only send their pets for treatment after office hours. The vet must be there or suffer loss of clients to the over 50 veterinary practices in Singapore.  Brand-name does attract the Singaporean pet owner who can pay the higher fees.



2.  OPPORTUNITY FOR MORE PAY. 
The Singapore Turf Club has a "Junior Veterinary Surgeon" vacancy in 1982. I got a job for 8 years and this was a unique situation.  Accommodation, car and private practice were part of the package. I could rent out my house and not have to maintain a car. In 1988, the Singapore Totalisator Board took over and I resigned as I was offered $5,000/month with no house and car. I went back to Toa Payoh Vets to build up the practice as I had neglected it since I was working in the Singapore Turf Club and had difficulty employing good vets. 


           
SUCCESSION PLANNING


ANIMAL WELFARE

RISING RENTALS AND INFLATION

SOPHISTICATED YOUNG LADIES OF THE INTERNET



DEBARKING   DECLAWING



Murdoch University 6 years   S$27,000 (S$34,380) x 1;  A$46,000x5 = S$58,576 x5.

Univ of Glasgow School of Vet Medicine   5 years.   GBP 24,000 x5.   (S$45,503) x 5.

Make A Difference -
Giving Back to the Community - Be Kind To Pets
Helping the Disadvantaged - Myanmar vets


Animals encountered by me
Pigs, chickens  - viral diseases
Racehorses, polo club horses  - lameness
Small animals - diarrhoea, skin diseases, ear diseases, tumours in dogs. cat falls, bladder blocked.

Vet med and human med
Zoonosis - ringworm and rabies
Difficulty for young vets - need to perform surgeries in sick pets esp. hamsters . 


Opportunities
Management and drug sales support
Private practice >50 small animal practices
Myanmar, Cambodia,
UK, USA - anti-foreigner visas




.









 .      




   

1389. Anti-social behaviour - barking dogs

EMAIL DATED APRIL 24, 2013 

Hi Doc Judy ,

I'm Cynthia.  I adopted a 5 years only beagles recently he bark non stop even for hours when no one home. I got anxiety medication from vet even dog trainer to teach him but is not useful as long as no ones home he bark and crying banging at out glass door our neighbors not happy and start to complained.

We thinking of return him to SPCA but we really do love him now especially my 5 years old girl so I google I found your website. Would like to know are you willing to help us to do the surgery and the cost? As we already spend 1k plus over Bobbi for the pass few months and his medication is 100 plus a month but I don't seem any improvement.
Kong Yuen Sing <99pups gmail.com="">
4:56 AM (0 minutes ago)

to daniel, Cynthia
I am Dr Sing from Toa Payoh Vets.

Debarking by surgery is an alternative. The cost is around $500 for ventral approach surgery which is more effective than the oral approach. The dog needs to be hospitalised for 3 days post-op. I will be overseas from April 26 to May 7. Will do the surgery when I am back

Tuesday, April 23, 2013

1388. Health screening - How to communicate the advices of tests?

Schnauzer, Male, Not Neutered, 9 years old. The owner wanted a health screening in addition to dental work. Dr Daniel extracted 7 teeth. Blood and urine tests are mandatory for health screening in dogs and cats. He then phoned the owner to tell him the results.

From what I see, the significant results are in the urine test.
pH 7.0  SG 1.042.  Cystals Amorphous phosphate  Protein +, Bacteria 2+.  But RBC and WBC negative.


So what to advise?

Each vet does his own way.  For me, I emphasized to the owner to feed the S/D diet to dissolve all crystals for 3 months. Then proceed to feeding C/D or some commercial diet for struvite stones as S/D and C/D are from vets only. "It is important that you get the crystals dissolved as Miniature Schnauzers are prone to bladder stones. Surgery to remove such stones will be expensive!"

I write down the advices so that there will be no dispute. It will be best to be in writing but vets don't do it.

Talk at Raffles Institution for "A" level students - videos

http://www.youtube.com/watch?v=ntHweZD49ec (FIV in cats).




http://www.youtube.com/watch?v=MsCnKcSHczE
The German Shepherd swallowed the maid's hairband - stomach surgery


http://www.youtube.com/watch?v=SqclWgPXw10
Dermaphytosis (Ringworm) diagnosis - good intern research


 http://www.youtube.com/watch?v=Rt2WJ5cIMeg&NR=1&feature=endscreen
eye ulcer in dogs - descemetocoele

 http://www.youtube.com/watch?v=ODSUlKygenc

Anal sac abscess in dogs

How much it costs to study vet science in UK, Australia and New Zealand

Your request for more information on Vet
Inbox
x

cms
5:48 PM (9 hours ago)


to me, Justin
Dear Dr Sing
We append below the Universities which offer Veterinary Science in Australia, New Zealand, England and Scotland. All require very high academic results to be eligible for entry.
Australia
England

Scotland

New Zealand

 Of the Universities in Australia:
1.University of Melbourne  
2. University of Sydney are graduate entry
3. University of Adelaide
The other 5 are undergraduate entry all very competitive due to limited places being available for international students. The most popular Universities in the Singaporean purview are:
1. Murdoch  University – 6 years (one year Animal Science tuition fees A$27,000 and five years Vet @ A$46,000 per year)
2. University of Queensland – 5 years annual tuition fees A$50,000
The fees charged by the other Universities are:
1. James Cook University – 5 years annual tuition fee A$46,000
2. Charles Sturt University – 6 years annual tuition fees A$48,000
Of the Universities in UK
1. University of Cambridge Veterinary School
are the most difficult to get in and thus I will not touch on their fees.
3.University of Bristol School of Veterinary Science – 5 years, annual tuition fees: Pounds 17,250
4.University of Liverpool Faculty of Veterinary Science – 5 years, annual tuition fees: Pounds 22,419
5,University of Nottingham School of Veterinary Medicine and Science – 5 years annual tution fees: Pounds 23,300. A 6 years course is also available which includes a  preliminary year
7. University of Glasgow School of Veterinary Medicine – 5 years annual tuition fees Pounds 24,000
New Zealand
Massey University Faculty of Veterinary Science – 5 years Fees for 1st year NZ$3,212.50 to NZ$6,562.50 and fees from 2nd to 5th
year  NZ$38,900 to NZ$52,500 per year depending on the units done.                                                                                                                                                                                            
Best regards
David Teo
Managing Director


CMS (Pte) Ltd
15 Enggor Street #07-01 Realty Centre
Singapore 079716
Telephone : (65) 6221-1666
Facsimile : (65) 6221-1106
Web : www.cmsedu.com


** Studying overseas made possible? Special interest rate for RHB Bank Education Loan for CMS students. Call us to find out more. **


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Justin Ma
5:59 PM (9 hours ago)

to me, CMS
Hi Dr. Sing

Just an edit on the fees for Massey University in NZ:

New Zealand

Massey University Faculty of Veterinary Science – 5 years.

Fees for 1st year NZ$38,900 to NZ$52,500 depending on the units done and fees from 2nd to 5th year NZ$52,500 per year. 







Best Regards,
Justin Ma
Administrative/Counselor

CMS (Pte) Ltd
15 Enggor Street #07-01 Realty Centre
Singapore 079716
Telephone : (65) 6221-1666
Facsimile : (65) 6221-1106
Web : www.cmsedu.com



---------------------------------------------------------------------------------------------

IN 2014, USING TWO UNIVERSITIES FAVOURED BY SINGAPOREANS,
TOTAL TUITION FEES ARE AS FOLLOWS:

1, Murdoch University - 6 years
lst year  A$27,000 = S$34,380
5 years  A$46,000/year = S$58,576/year. Total = S$292,880
Total tuition fees for 6 years = S$327,260

2.  Glasgow University School of Vet Medicine
5 years GBP24,000/year = S$45,503/year
Total tuition fees for 5 years = S$227,515






Monday, April 22, 2013

Follow up on cat which had bladder stones (calcium oxalate)

At 7.45 pm, the gentleman came in while his mother waited inside the car. He was in his usual rush to buy the feline CD for next 14 days.

"How's the cat?" I asked.
"Back to his naughty self. Scratching everywhere and jumping. He has put on weight. He still has loose skin below his belly."
"It is good news." I said. "I discussed your case with Dr Daniel recently comparing with another case of a Pomeranian with right perineal hernia of 2-3 months' duration. The Pomeranian had similar very high abnormal kidney disorders based on blood test.

"Your cat had a very high Blood Urea Nitrogen (Vet 2's machine could not read values as they were excessive) and creatinine >30+ (normal 0.3 to 2.1). Phosphorus was >20+ (normal 3.4-8.5). Dr Daniel said to me yesterday that this cat could not have survived the surgery! His creatinine level was >15X the higher range of normal!"

The gentleman was the one who was most worried about the serious kidney disorder and wanted immediate surgery. I had postponed the surgery for one day and given antibiotics. The cat survived and is very naughty.

"You can buy the C/D from the other vet near your house," I said as this man complained of distance of my surgery from his home. "You don't need a prescription letter from me. I am sure he will understand as he had treated your cat before. I don't stock up C/D as they expire soon. You are an exceptional owner in that most cat owners could not be bothered with feeding the special food and get recurrence of stones again!"

"You advised feeding 3 months of C/D" he said.
"If you do regular 3-monthly urine tests," I said. "You may be able to stop C/D. If not, give C/D. The cat is thriving on C/D. Perhaps, you can mix with dry C/D which is less expensive as one can of C/D costs S$5.00."

"It is a miracle," he said. "I prayed for him before surgery."
"Yes, it was a miracle as he had a serious kidney disorder and was operated early. I intend to produce an educational video to teach other cat owners." He said he would send me the video files of the naughty cat for me to produce my video.  

1384. Talk at Raffles Institution - Being a Vet in Singapore

Suzanne Ou
9:42 PM (9 hours ago)

to me
Dear Dr Sing,

This is a confirmation that Dr Daniel Sing will be speaking at Raffles Institution on 25th April 2013, Thursday, 5.30 - 6.30pm, to give a 30 minute presentation on veterinary sciences followed by a question and answer session. A laptop with internet access will be provided as well as a visualizer.

Dr Sing can park at the the Visitor's Carpark if he is driving, and I will meet him at Manna Cafe (beside the pick-up point at the carpark area) to bring him to the Lecture Theatre. 

Once again, thank you very much for agreeing to come down and we have many interested students who are looking forward to his presentation.

Regards,
Suzanne Ou
Kong Yuen Sing <99pups gmail.com="">
7:23 AM (6 minutes ago)

to Suzanne, bcc: me
Pl phone me 9668 6468 to let me visit your Lecture Theatre and have a test run of the videos so as to ensure smooth presentation.    

1383. Rabbit's eye discharge.

A difficult case to follow up. One eye has discharge. Entropion was one cause but the owner did not want surgery.

EMAIL REPLY FROM DR SING DATED APRIL 22, 2013

Eye discharge is due to several causes including infections and traumatic injuries. Best to see a vet. In the meantime, an Elizabeth collar prevents scratching of the eye, but many rabbits don't like wearing it.


---------------------------------------------------------------------
On Mon, Apr 22, 2013 at 12:17 AM,@gmail.com> wrote:
Hi,

This is C, Jenny's friend, again. I'm afraid I have distressing
news. In my previous email, I asked if my rabbit Or's eye condition
would be contagious as I have another rabbit at home. And right now,
I've noticed that my other rabbit (Holland-lop breed, name's H) is
showing a bad eye as well. But H's condition is different from
Orhpi's.

I described Or's as constantly tearing and clear discharge. But
H's case is built-up crusty YELLOW discharge right around the
eyelids (top and bottom) and is causing him immense discomfort,
especially when I take a cloth and clean the bad eye; he actually
flinches in pain. His eye seems to be bleeding a bit, and I'm not sure
if it's considered an emergency because he is still eating/drinking
and pooping/peeing normally. May I know what I can do to elevate his
situation before a vet's visit? Thank you!

(With regards to Or, I would rather not risk a surgery since he
isn't fully well as you defined. If possible I'll acquire more drops
to ease his condition. Otherwise his condition is still the same as
before, not worsening and neither really improving)

~C

-------------------------------------------------------------------------------
On 8 March 2013 02:28, Kong Yuen Sing <99pups@gmail.com> wrote:
> Mar 8, 2013
>
> It is difficult to know how the corneal ulcer was created. Whether it was
> due to trauma, infection or acquired entropion?
>
> It could be due to the irritation from the ingrowing eyelids at the medial
> canthus (acquired entropion), foreign body penetration, hair irritation from
> the surrounding and constant eye rubbing. Whether there is bacteria or not,
> a culture need to be done but you have already used the eye drops. As for
> the treatment, wearing an e-collar is still advised even though the rabbit
> dislikes it.
-------------------------------------------------------------------------------
>
> On Wed, Mar 6, 2013 at 1:27 PM, @gmail.com> wrote:
>>
>> Hi Dr Sing,
>>
>> Thanks for the clear diagnosis for my Or this morning. The previous vet
>> has informed me that I can pick up the previously x-rayed image of Orhpi's
>> head at the clinic itself, as they do not fax or email the image to
>> clients... When I have the image I will try to email it to you.
>>
>> One more thing I forgot to ask is, how would the ulcer in the cornea have
>> formed? Could it be a foreign particle that triggered its growth on the
>> cornea? I'm worried because I have another bunny at home, much younger, and
>> I don't want my other bunny to get the same condition. Also, the vet
>> previously told me that the eye condition would not be contagious and spread
>> to other rabbits, but now that it's something else I'm not sure. Please
>> advice, thanks!
>>
>> Regards,
>> C >>
>>----------------------------------------------------------------------------------
>> On 5 March 2013 07:38, Kong Yuen Sing <99pups@gmail.com> wrote:
>>>
>>> I am Dr Sing. Got your email.Thanks.
>>>
>>>--------------------------------------------------------------------------
>>> On Mon, Mar 4, 2013 at 10:29 PM, @gmail.com> wrote:
>>>>
>>>> Attn: Dr Sing KY
>>>>
>>>> Hi,
>>>>
>>>> I was recommended to your vet by a friend of yours, Jenny. I
>>>> have a 5 year old rabbit (Or) who is currently tearing from one eye
>>>> (since last year 2012). I've previously been to another vet over the course
>>>> of 5 weeks, and this is a summary of how they examined my Or:
>>>>
>>>> 15th Jan - first appointment, vet gives him duct flushing (NL Duct
>>>> Flush) and prescribes Ciprofloxacin (ciloxan) eye drops, see result one week
>>>> later
>>>> 22nd Jan - still no improvement, vet gives same duct flushing, suggested
>>>> to do xray to see if "teeth are causing the tear duct to flow"
>>>> 29th Jan - went for same flushing again, AND xray, xray reveals nothing.
>>>> Vet prescribes stronger drops called Acular Eyedrops for two weeks, see
>>>> results
>>>> 12th Feb - very slight improvement, vet says don't keep giving him
>>>> drops, only give once in a while. Also gave Protexin fibreplex because Or
>>>> was having diarrhea symptoms on and off.
>>>>
>>>> (Note: I am unable to obtain a report from the previous clinic as there
>>>> isn't enough time to do so by the upcoming appointment. I hope the above
>>>> information is detailed enough for the time being)
>>>>
>>>> I am a little apprehensive, as I know it's tougher to diagnose rabbits
>>>> due to their different anatomy structure, and I'm hoping you have a
>>>> different opinion about his condition. And also, a possible breakdown of
>>>> costs for the procedures that may occur.
>>>>
>>>> I have already fixed an appointment with Dr Sing, for Wednesday 10.30am.
>>>> Thank you, and let me know what you advice :)
>>>>
>>>> Regards,
>>>> C>>>

Sunday, April 21, 2013

Lateral Ear Resection: Good outcome with CKC

When ear problem started?
Around one year old
Used tissues and ear drops

Has a Jack Russell now 2 years old. No ear problems

July 7, 2010  Left ear resected by me. 2 years old.
Domitor 0.1 ml, Zoletil 0.1 ml & isoflurane gas. Electro-surgery

Sep 6, 2010. Right ear resected by my associate vet.
Domitor 0.2 ml IV & isolfurane gas

INTERVIEW WITH OWNERS TODAY

1. Left ear healing well.
2. Right ear. Warded 4 days. 13 days later, came back Stitches some problem. Got to hospitalise for 3-4 days from Sep 18 to 22, 2010. Owner's mother said she remembered because of the increase in medical costs due to hospitalisation.

REVIEW MEDICAL RECORDS
Oct 18 - 20 2010 warded 2 days. R and L ear smelly. Ear scratching & shaking head.

1381. TRUST & AUDIT CASE: Trapped bladder in perineal hernia in a Pom

Sunday Apr 21, 2013

Pom M, Not Neutered, 6 years, 9.7 kg. Perineal hernia, right present for 2-3 months. His father had perineal hernia on the right, the owner told me. Dog was operated by Dr Daniel on Apr 16 and went home on Apr 18, 2013 as I advised that he would be better cared for and eating home food. He had vomited post-op, once on the next day after surgery

I have written many case studies of perineal hernias in male dogs. This report will deal with the findings of a blood test as evidence of a Pom with a long-standing perineal hernia (purplish skin and as hard as an orange).

April 16, 2013

I first saw this dog. Bruised purplish hard swelling 8c m x 8 cm x 5 cm, right. Can't poop for 2 days. Can pee. Anorexic, not neutered. T=36.5 deg C which showed a danger of dying as temp is below normal. Dr Daniel decided on same day surgery with IV drip stabilisation before surgery.

Blood test showed:

Azotemic   Urea, creatinine increase,  WCC increase, ALT increase

SGPT/ALT  151 (<59 p="">Urea  67 (4-6)
Creatinine  1052 (89-177)
Total WCC  20 (6-17)
N= 76%, L=5%, M=18%, E=0.1%, B=1.3%


The interesting findings are:
1. M=18%. Normal values should be 3-10%.  This indicated a chronic inflammation. The hernia existed for 2-3 months and the trapped bladder and intestines must have caused a chronic inflammation. The skin of the hernia turned cyanotic and this showed cell death. Gangrene black colour would occur soon.

2. Azotemia. Bladder was trapped inside leading to obstructive flow of urine and so increase in urea and creatinine.

FOLLOW UP
The dog managed to stand on Day 3 but for short while. Sent back home by me yesterday as he would be better cared for at home. The biggest Pom at 9.7 kg although he was born as a runt, the owner told me.


Today Sunday 11.30 am, I phoned to follow up by phone.

"He has just passed away," the owner said. "At 5 am, he barked his usual time.