VET CASE STUDY. 2013. Lowest mortality rate. An old Maltese has a foul smelling ear. Chronic otitis externa
SHORT VIDEO SCRIPT
How to save money on vet costs. Short video 1/2.
Vet Case Study: Long-standing ear infections in an old
Maltese
1. Ear infections that last many weeks despite vet treatment.
2.
Chronic otitis externa is a common medical condition in dogs.
3.
Old dogs - ear infections and/or ear tumours. One vet case study is Video 2/2.
4. Vet costs - multiple
visits or vets for medical treatment, but no cure.
5. Owner stresses - ear scratching at night, smelly ear, soiling apartment.
6. Anaesthetic risk of death on
operating table. Old age, heart, liver and kidney disease, blood infection
7. A case study
of an old Maltese with ear tumours in Video 2/2.
How to save money on vet costs. Short video 2/2.
1. Save vet costs on multiple visits - early surgical treatment. Lateral
(Vertical) ear canal resection or removal.
2. If don't do surgery - infections to middle and inner ear to death.
3.
Prognosis - good in most cases. Dog lives a normal pain-free life.
Owner not stressed out in cleaning the dog's ears and soiled
housing.
HOT TO ACHIEVE THE LOWEST MORTALITY RATE IN ANAESTHESIA AND SURGERY
1. "shortest door to balloon time" is for procedures in interventional cardiology which is treatment of patients with coronary artery disease.
2. highest volume of patients treated annually (applies to national heart centres and universities)
3. lowest mortality rate.
For this case study, the dog is very old. Therefore the lowest mortality rate also depends on shorter duration of anaesthesia and surgery.
HOW TO SAVE ON VET COSTS – CHRONIC EAR INFECTIONS IN AN OLD DOG
1. "Just removing the tumour below the skin will not
resolve the problem of ear scratching," I said to the young lady
owner of the 14-year-old female spayed Maltese. She had consented to
ear canal removal surgery today, 13 Jun 2023.
1.1
Since 30 May 2013, her dog had 3 weeks of treatment. Now the skin
tumour on the right side of the ear looked almost normal and the
right ear had considerably less bloody discharge and no foul smell.
See image.
2. Abigail was now a young career
woman while her Maltese had aged. Her dog grew up with her during her
school years and was her best friend. She had consulted a few vets to
treat the persistent ear scratching, foul blood and pus discharge,
bad odour and pain. They gave her ear medication and cleaners. But
there was no cure.
3. Her dog had very high anaesthetic
risks. Old age, blood infections and heart disease due to murmurs.
She could just die of heart failure on the operating table.
4.
Diagnosis was chronic otitis externa. A long-standing bad infection
of the ear canal which had several rotting bony tumours.
5.
Treatment was ear surgery to remove the vertical ear canal with the
bony tumours.
6. Anaesthetic risks were very high for 3
reasons.
7. Prognosis is good after surgery in most cases.
8. No
surgery. Infections would spread into the middle and inner ear.
Swollen lower cheek filled with pus. Pain, loss of appetite and
death.
9. Informed consent. Surgery took 50 minutes, but the dog
survived. She lived to a ripe old age. Abigail was able to enjoy her
Bintan holidays and other travels stress-free now.
10. To
save on vet costs, surgery to remove the ear canal and its tumours at
first consultation would have been preferred.
11. For
ear surgery appointments, Toa Payoh Vets.
UPDATE:
https://2010vets.blogspot.com/2023/12/5010-vet-case-study-old-maltese-has.html
PASSING ON what the experienced vet or doctor has learnt and acquired to the next generation, so that they don't take so long to hone their skills, they don't have to commit so many mistakes.
