 TOA PAYOH
VETStoapayohvets.com Blk 1002, Toa Payoh Lor 8, 01-1477, Singapore 319074 Tel: 6254-3326, 9668-6469, judy@toapayohvets.com |
Focus: Small animals - dogs, cats, guinea pigs, hamsters, turtles & rabbits | |||||||||||||||||
INTERESTING
CASE STUDY |
SURGERY HOURS
9 am - 8 pm. Monday to Friday. 9 am to 5 pm. Sat, Sun and Public Holidays. Appointments preferred |
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COMMUNITY EDUCATION | |||||||||||||||
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Our 3 vets work as a team. All enquiries, house-calls & appointments: tel: 6254-3326, 9668-6469. Appointments are preferred as we may be doing surgeries. Please let us know your choice of the 3 vets early. |
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6126 - 6134.
The Yorkshire terrier is too light for surgery
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| 6135 - 6136.
Bladder rupture in a 12-year-old Maltese
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6137. Video
production
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6138 - 6141.
Bladder crammed with stones
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| 6143. The runaway horse & other stories
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6144. Video production |
6145. Perseverance |
6146. Mum's ferocious anorexic cat
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6147 - 6148.
Downtown Singapore rush-hour
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6149 - 6156. A
bladder stone.
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6157. A Vesak Day's referrals
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6158 - 6164.
Massive circum-anal tumours - 2-stage surgery advised
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6165. In memory of a Lhasa Apso
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| 6166 - 6167.
High anaesthetic risks on old dogs with testicular tumours
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6168. Myanmar stories -The nursing aide
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6169. A Schnauzer has fits
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| *Draft Case Studies: 2010vets | Advert. Unique Singapore
homes: A heritage bungalow |
Advert. Myanmar tours | ||||||||||||||||
Saturday, June 1, 2013
1443. Old webpage of Toa Payoh Vets
Friday, May 31, 2013
KPI - neutering a normal poodle using IV anaesthesia Dom + Ket
May 31, 2013
"Double ligation is better," I said to my assistant Naing. "Sometimes the ligature slips and the dog bleeds leading to a much swollen scrotal sac. But most vets will ligate once." I was giving Naing, a young vet graduate from Myanmar some tips.
KPI
How long it takes me to neuter a poodle? For knowledge gathering purposes, I record the times.
Poodle, M, 1 year, two normal descended testicles, 4.85 kg.
Anaesthesia - Domitor + Ketamine 0.2 + 0.25 ml IV, one syringe.
"No need to prepare isoflurane," I said to Naing who was getting ready to switch on the oxygen and isoflurane. "The dosage is sufficient if the vet is fast."
1.47 pm Injection IV Dom + Ket
1.56 pm First skin incision. 2 testicles removed, double ligation per testicle into grooved clamped area
2.12 pm Skin stitched. Dog started to move legs at this time.
Surgery time - 2.12 - 1.56 = 16 minutes
Duration of surgical anaesthesia without isoflurane top up 2.12 - 1.47 = 25 minutes.
Dog is young and healthy but thin.
Goes home at 4 pm, no problem.
"What's the black area?" the man asked.
"Actually it is part of the scrotal sac. The other part is not black due to continuous licking. It becomes pink and hairless.
A little girl came. "This poodle is her dog," the mum said. "The old Schnauzer with heart disease you put to sleep on Vesak Day is my dog."
"How old is she?" I asked as she had cried that day when she was not allowed to see the dog after euthanasia. Fair complexion, big eyes and bright.
"3 years old," she said.
"I thought she is 6 years old," I replied.
"Double ligation is better," I said to my assistant Naing. "Sometimes the ligature slips and the dog bleeds leading to a much swollen scrotal sac. But most vets will ligate once." I was giving Naing, a young vet graduate from Myanmar some tips.
KPI
How long it takes me to neuter a poodle? For knowledge gathering purposes, I record the times.
Poodle, M, 1 year, two normal descended testicles, 4.85 kg.
Anaesthesia - Domitor + Ketamine 0.2 + 0.25 ml IV, one syringe.
"No need to prepare isoflurane," I said to Naing who was getting ready to switch on the oxygen and isoflurane. "The dosage is sufficient if the vet is fast."
1.47 pm Injection IV Dom + Ket
1.56 pm First skin incision. 2 testicles removed, double ligation per testicle into grooved clamped area
2.12 pm Skin stitched. Dog started to move legs at this time.
Surgery time - 2.12 - 1.56 = 16 minutes
Duration of surgical anaesthesia without isoflurane top up 2.12 - 1.47 = 25 minutes.
Dog is young and healthy but thin.
Goes home at 4 pm, no problem.
"What's the black area?" the man asked.
"Actually it is part of the scrotal sac. The other part is not black due to continuous licking. It becomes pink and hairless.
A little girl came. "This poodle is her dog," the mum said. "The old Schnauzer with heart disease you put to sleep on Vesak Day is my dog."
"How old is she?" I asked as she had cried that day when she was not allowed to see the dog after euthanasia. Fair complexion, big eyes and bright.
"3 years old," she said.
"I thought she is 6 years old," I replied.
1440. Ascites
Yesterday, the 6-year-old Jack Russell came in with a huge tense abdominal swelling. "He still runs and eats," the owner and a young man said. "What is the problem?"
I examined it. Percussion. An abdominal exudate needs to be collected and examined.. Will do the basic tests of blood and urine as the owner has a budget.
I examined it. Percussion. An abdominal exudate needs to be collected and examined.. Will do the basic tests of blood and urine as the owner has a budget.
1439. NIMBY Syndrome - A polluting generator with an exhaust pipe at the back of Toa Payoh Vets
Friday
March 31, 2013
After assuring me that the company would relocate this generator with a blue-smoke exhaust pipe away from the space between the back of my surgery and the restaurant's cooking area, the Filipino staff installed a 10-foot high pipe to re-direct the smoke upwards to the 2nd floor.
"This should be OK," he said.
The smoke is now more visible and the air blew it into the units in floor one.
"I was told that the unit will be relocated just yesterday by the managing agent but obviously, this company has no intention of doing it."
The smoke had drifted into the back of the surgery and into the kitchen of the restaurant. I do eat in this restaurant. But nobody cares about eating polluted food. 20-30 years many Singapore cars and lorries emit such blue smoke from the exhaust pipes but now you seldom see any. But this generator does it. It would be at least 2 months of smoke. Imagine yourself breathing such smoke from the vehicle's exhaust pipe for a few hours a day.
The managing agent, the contractor and the supplier of this generator would be the parties involved.They did not see the effects of the smoke on the kitchen cooking, poisoning the staff and food for the workers.
I followed up again and again. The supplier wanted to meet me at 11 am today to "seek my solution" but was tardy. I had to postpone one surgery to wait for him. The Filipino man said that he would get a crane and relocate the generator by Monday 12 noon. The long black pipe to re-direct the smoke was not long enough and in any case, the smoke just settled downwards again.
NIMBY means "not in my backyard" happens to everybody. If the company can erect a pipe 10 stories high, it may be possible to resolve this problem, not just 10 feet high. Electricity generators are smoky but are there ones with no smoke? Just like the cars, buses and lorries in Singapore nowadays?
1438. A well loved dog passed away
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1439. A 10-year-old Schnauzer has fits and collapses suddenly
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Thursday, May 30, 2013
1441. Facebook condemns a vet in Myanmar - vomiting pug with blood in the urine. UTI or urinary stones?
May 29, 2013
A Myanmar vet was condemned by the Facebook posting as the pug he treated for urinary tract infection died. I saw the image of the pug although I could not read the Myanmar postings. According to my assistant Naing, the vet said there was just urinary tract infection and no bladder stones. The owner had consulted Vet 1 who diagnosed bladder stones from ultra sound and so the owner brought the dog to Vet 1.
When a dog dies, the postings can be very sharp. The dog had been vomiting. So was there bladder stones or not?
"It is possible there is renal failure causing vomiting, but blood tests were not done to show the health of the kidneys. An X-ray could have been done to confirm the bladder or kidney stones."
Based on urine microscopy of "no crystals," the vet came to a conclusion there was no stones despite Vet 1's ultrasound stating there were stones.
Although no autopsy was done to find out the cause of death, the Facebook posting would be harmful to the reputation of the vet practice as the postings spread around the world. .
It is best that a process is used whenever a vomiting dog with haematuria is presented. Blood tests, urine tests and X-rays are mandatory unless the owner declines them. Practise defensive medicine but be compassionate if the owner has financial difficulties.
A Myanmar vet was condemned by the Facebook posting as the pug he treated for urinary tract infection died. I saw the image of the pug although I could not read the Myanmar postings. According to my assistant Naing, the vet said there was just urinary tract infection and no bladder stones. The owner had consulted Vet 1 who diagnosed bladder stones from ultra sound and so the owner brought the dog to Vet 1.
When a dog dies, the postings can be very sharp. The dog had been vomiting. So was there bladder stones or not?
"It is possible there is renal failure causing vomiting, but blood tests were not done to show the health of the kidneys. An X-ray could have been done to confirm the bladder or kidney stones."
Based on urine microscopy of "no crystals," the vet came to a conclusion there was no stones despite Vet 1's ultrasound stating there were stones.
Although no autopsy was done to find out the cause of death, the Facebook posting would be harmful to the reputation of the vet practice as the postings spread around the world. .
It is best that a process is used whenever a vomiting dog with haematuria is presented. Blood tests, urine tests and X-rays are mandatory unless the owner declines them. Practise defensive medicine but be compassionate if the owner has financial difficulties.
1440. Anal sac swelling in a 3-year-old Pom
May 30, 2013
The accountant had to rush here at 7.30 pm after work to get her Pom treated.
"Dr Daniel is in Bangkok today Friday," I said as she asked for him. Dr Daniel had expressed the anal sac in February and she had instructed the dog groomer to do so soon after. Now the dog was not happy with his backside.
"Is there tail chasing or biting?" I asked. "You can consult Dr Daniel as he will be back on Sunday."
However she could not wait and asked me to teach her how to express the anal sacs. They were swollen at around 1 cm x 1 cm but quite deep inside and so I asked her to feel the swelling with her fingers. "At 4 and 8 o'clock deeper in. Pinch the area outwards. Don't let the anal sac oil splatter onto your face or dress as this had happened to my assistant Niang and myself."
So, she had to be careful as this lady in her late 20s had a blue office dress and wanted to know how to do it.
My assistant was present to help hold the dog which is muzzled. After confirming she is right-handed, I said: "Lift up the tail with your left hand, place the tissue to cover the anal opening and press with you right hand's thumb and forefinger."
It was easier said than done. She could not do it.
"You use your fingers to feel the swelling and press while I cover the anal opening with the tissue paper," I said. "Hold the tail upright."
She pressed the anal swellings. The male not neutered Pom growled. He had been patient for some minutes and this was painful.
She squeezed the area.
"The tissue paper has 6 x 6 mm of brown oil contrasted on the white surface. You had success but you took out less than 1%. Let me do it."
The Pom was getting fed up with being a guinea pig.
I expressed an impressive amount of grey granules spreading an area of 5 cm x 4 cm.
"Did Dr Daniel express this much in February when he vaccinated your Pom?" I asked.
"Much more but blacker in colour."
"The anal sacs are still inflamed and the oil still solidifies," I said. I gave a course of medication and asked her to express the sac with her bare fingers to massage it, during the weekly bath.
Education of the client is important but takes a lot of time. Many vets don't have the patience to do it and it is not so easy for a dog owner to do the anal sac expression as in theory.
The accountant had to rush here at 7.30 pm after work to get her Pom treated.
"Dr Daniel is in Bangkok today Friday," I said as she asked for him. Dr Daniel had expressed the anal sac in February and she had instructed the dog groomer to do so soon after. Now the dog was not happy with his backside.
"Is there tail chasing or biting?" I asked. "You can consult Dr Daniel as he will be back on Sunday."
However she could not wait and asked me to teach her how to express the anal sacs. They were swollen at around 1 cm x 1 cm but quite deep inside and so I asked her to feel the swelling with her fingers. "At 4 and 8 o'clock deeper in. Pinch the area outwards. Don't let the anal sac oil splatter onto your face or dress as this had happened to my assistant Niang and myself."
So, she had to be careful as this lady in her late 20s had a blue office dress and wanted to know how to do it.
My assistant was present to help hold the dog which is muzzled. After confirming she is right-handed, I said: "Lift up the tail with your left hand, place the tissue to cover the anal opening and press with you right hand's thumb and forefinger."
It was easier said than done. She could not do it.
"You use your fingers to feel the swelling and press while I cover the anal opening with the tissue paper," I said. "Hold the tail upright."
She pressed the anal swellings. The male not neutered Pom growled. He had been patient for some minutes and this was painful.
She squeezed the area.
"The tissue paper has 6 x 6 mm of brown oil contrasted on the white surface. You had success but you took out less than 1%. Let me do it."
The Pom was getting fed up with being a guinea pig.
I expressed an impressive amount of grey granules spreading an area of 5 cm x 4 cm.
"Did Dr Daniel express this much in February when he vaccinated your Pom?" I asked.
"Much more but blacker in colour."
"The anal sacs are still inflamed and the oil still solidifies," I said. I gave a course of medication and asked her to express the sac with her bare fingers to massage it, during the weekly bath.
Education of the client is important but takes a lot of time. Many vets don't have the patience to do it and it is not so easy for a dog owner to do the anal sac expression as in theory.
Tuesday, May 28, 2013
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