Saturday, June 1, 2013

1443. Old webpage of Toa Payoh Vets


tpvets_logo.jpg (2726 bytes)TOA PAYOH VETS
toapayohvets.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
LINKS
COMMUNITY EDUCATION
By Appointment Only. 9.00 am - 12 noon usually daily & at other times Monday - Sunday and Public Holidays by Appointment Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS
11 am - 5 pm Saturday only Dr Jason Teo E-Shen, BVSc (Queensland)
Appointments & Emergencies
tel 9668-6469
12 noon - 8 pm
Walk-in & house-call
Monday - Friday except Saturday Dr Daniel Sing Zongzheng, BSc, BVMS (Murdoch)
10 am - 5 pm
Walk-in & house-call
Sunday & Public Holidays
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.

tpvets_logo.jpg (2726 bytes)6126 - 6134. The Yorkshire terrier is too light for surgery
tpvets_logo.jpg (2726 bytes)6135 - 6136. Bladder rupture in a 12-year-old Maltese tpvets_logo.jpg (2726 bytes)6137. Video production tpvets_logo.jpg (2726 bytes)6138 - 6141. Bladder crammed with stones
tpvets_logo.jpg (2726 bytes)6143. The runaway horse & other stories tpvets_logo.jpg (2726 bytes)6144.
Video production
tpvets_logo.jpg (2726 bytes)6145.

Perseverance
tpvets_logo.jpg (2726 bytes)6146. Mum's ferocious anorexic cat tpvets_logo.jpg (2726 bytes)6147 - 6148. Downtown Singapore rush-hour
tpvets_logo.jpg (2726 bytes)6149 - 6156. A bladder stone.
tpvets_logo.jpg (2726 bytes)6157. A Vesak Day's referrals
Prettied the Lhasa Apso for the vet? Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)6158 - 6164. Massive circum-anal tumours - 2-stage surgery advised tpvets_logo.jpg (2726 bytes)6165. In memory of a Lhasa Apso
miniature schnauzer, hairy ears, infection, head shaking, rubbing, smelly. singapore, toa payoh vets
tpvets_logo.jpg (2726 bytes)6166 - 6167. High anaesthetic risks on old dogs with testicular tumours tpvets_logo.jpg (2726 bytes)6168. Myanmar stories -The nursing aide tpvets_logo.jpg (2726 bytes)6169. A Schnauzer has fits
*Draft Case Studies: 2010vets Advert. Unique Singapore homes:
A heritage bungalow
Advert. Myanmar tours
Copyright © Asiahomes
All rights reserved.
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. 

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.

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?