The breeder said, "No hope for the dam. She collapsed over 24 hours since yesterday. So, I will wait till midnight to do a C-section."
It was 6.45 pm and I was driving to a dinner invitation as Lunar New Year has 15 days starting from Jan 27, 2017 which was the eve.
"No waiting," I ascertained the dam had copious amount of milk and was 58th day pregnant. No vets like to C-section a dead dam and by then the puppies may be dead too. The breeder might have other plans as later at the Surgery, I noted he had attempted glucose IV. He might want to wait and see and did not let me know. The other vet charges around $300 for a C-section and he would prefer the less expensive option. "Your c-section can permit me 3-4 dams to be C-section by the other vet," he used to let me know. Breeders, like large corporations can demand and do get lowest rates.
Some 10 years ago, I charged $300 per C-section at any time of day or holiday. I neglected my private patients and failed to build up Toa Payoh Vets. When another vet offered cheaper rates, I was out. This is a fact of business life.
I cancelled my dinner and I felt great joy in seeing 8 puppies and dam alive. The reason this breeder uses my service is that I had not given him any dead dam or puppies during C-section and so he has had confidence in me.
Use isoflurane gas only. Stabilise the dam with IV glucose and Hartmann's or even add calcium an hour or more before C-section for weaker dams.
4 days later, I visited the patient. She recovered her appetite after 2 days and is ravenous and active. Her 8 pups are nursed by 2 other dams. Her nipple sizes are large and so the older Spitz puppies would be nursed by her although they are old enough to be eating solid food.
The surrogate dams are younger and accept the pups.
The breeder's desired outcome was a living dam and all puppies alive and vigorous after C-section. He was most happy and satisfied.
Videos.
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More images
"He bites the family members too," the couple said to me. This male, not neutered, 9-year-old Jack Russell X was treated by me some 6 months ago. Hair loss on both sides of the flanks (truncal alopecia, itchy armpits and paws and lots of scales.
"Not so much scales nowadays," the owners did not continue feeding the anti-allergic dry dog food. "We clip him bald and that is why the hairs do not grow back." The 2 images show the recent condition.
The armpits and paws were inflamed red. Hairs do not appear to grow on the body or were clipped bald. The owners did not come for a review one month later.
"You use some oil?" I asked.
"Yes, we use coconut oil."
I advised neutering. This dog is very aggressive and would bite anybody who stood near his lady owner, including her grandfather. Neutering could cool him down and might resolve the hairs loss problem if it was due to excessive testosterone levels.
2 years ago, operated to remove large bladder stones. Owner did not believe in prevention using prescription diet. Now leaking bloody urine. Stabilised with IV dextrose saline + baytril 4 hours pre op. Operated at 2.30 pm Sat Feb 18, 2017 by Dr Daniel.
Vomited fresh streaks of blood from the mouth.
Had bought a liquid medicine from pet shop to "increase appetite" when this 13-year-old tortoise stopped
eating. Syringe medicine into mouth. Vomited lots of fresh blood for last 2 days.
X-ray. No hook or sharp metallic objects inside throat. Died after vomiting more blood streaks.
New food
Milk bread causes irritation of gut --- diarrhea --- cloacal prolapse yesterday -- cloaca prolapse traumatic injury -- profuse bleeding and blood clots.
Today, no prolapse but foul smelling stools
Baytril 0.2 ml IM (1.4 kg), Oxytocin 0.1 ml IM and trimeth PO for gastroenteritis.
FOLLOW UP
Jan 14, 2017
Still has bleeding from cloaca but less. Active. Eats salmon with medicine, otherwise hard to medicate. Eats vegetables but not pellets. No eggs passed.
blood test NAD
urine test pH 9, bacteria, protein and triple PO4 crystals.
Follow up
After antibiotics, no haematuria
Now on Urinary S/O
This case presents evidences via X rays, urine and blood test.
However, some owners have economic or time constraints and so x-ray or urine test is done.
Chinese New Year lst day is Jan 28, 2017. The young lady contacted me to get the enucleation done as she must have researched the internet for a vet to perform the surgery.
An old dog said to eat normally and booked for surgery on Jan 30, 2017. The first time I had seen this dog. It would be risky as the eyeball had popped out for some weeks and could have been infected. Surgery should only be done on healthy dog. I suggested a blood test.
Blood test showed bacterial infection of the blood. So, I gave IV baytril and drip with amino acids and glucose and vitamins for 24 hours (2 bottles). Dr Daniel operated on Jan 31, 2017.
This is important as immediate surgery may lead to death on the operating table.
Gas anaesthesia only. The dog was alive at the end of operation and that was all the owner wanted even though she had been warned of anaethestic death. The dog had a small scar but lately, the eyeball had popped out and looked terrible.
Early vet treatment of corneal ulcers by tarshorraphy would have saved the eyeball and vision but it depends on the vet who may just advise eyedrops. .
Came in on Jan 15, 2017 not eating, right eyelids swollen
Hospitalised. Medication. 2 injection.
Eats little. Spit out usual Marsuri globular when observed feeding.
Jan 25 and 26. Prefers prawns.
Opened mouth - whitish plaques on sides of tongue and mouth. Fungal infections?
X-ray Jan 26, 2017
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Jan 27, 2017 Chinese New Year's Eve. Going home at 12 noon.
Today
Nibbles shrimps
Swallows and spits out pellets
Active
X rays yesterday
Images taken today, 12th day of hospitalisation
