Thursday, July 22, 2010

139. The Chihuahua bites the vet

"Why can't Frank write down the terms and conditions for the sale and purchase of diesel?" Khin Khin asked me a few times today July 21, 2010. "He is the Seller's agent and should provide the info in writing."

Khin Khin wants to be a successful businesswoman doing big deals. She had stopped being an employee veterinary technician for the past two years. But the mega deals seem to be elusive. Meetings after meetings are a common occurrence in commerce. She would invite me to attend some meetings to help her close. But for the past two years, she had no mega deals in commodities. In business, performance counts. There must be a deal closed. Otherwise, time would have passed and there would be no income for the year.

"It is possible that Frank does not write or know how to write the terms and conditions," I said. "I will phone him and ask for the details." I don't get involved in this wheeling and dealing as it takes up too much of my time. But it seems that Khin Khin does not know how to close. The first thing is to know what is the problem.

THE PROBLEM
The Buyer wants to buy diesel at the lowest price, far below market rates monthly at a fixed price every month.

THE SOLUTION
The Buyer's wishes cannot be fulfilled. "Walk away from this deal," I advised Khin Khin. "It is a waste of time and I get fat when you order oily food for me to eat when I attend your meetings."

PERSEVERANCE
But Khin Khin would not give up. If the deal is closed, she gets commission. At least 40 times more than a veterinary technician earning $2,500 a month. That is for one deal.

MY SOLUTION
I wrote the following sales procedures for Khin Khin's buyer after talking to Frank who was lamenting and cursing that Khin Khin's buyer keeps asking for old prices. "If the Buyer had bought 2 months ago, the prices were much lower and he could have made US$150,000!" I provided a listening ear as Frank who is around my age had 4 heart by-pass. I noted that the scar on his left hand where a vein was taken for his heart had healed almost 90%.

This is my e-mail to Khin Khin:

1. If you want to buy at a fixed price every month for 12 months, but pay only by monthly payments when you receive the diesel, the Seller does NOT do business this way.

2. The Seller wants a 12-month contract and a Letter of Credit (LC) which must be paid to the Seller's Bank in the full amount of 12 months. The Bank will only release the money to the Seller monthly when the Buyer takes delivery of the diesel.

3. If you want to buy diesel one month at a time, you will have to pay spot prices) depending on market prices. You will not get a fixed price as it is given only for a long-term contract such as 12 months with pre-approved LC.

4. When the LC is shown to the Seller, then the terms and conditions of the contract will be given to the Buyer. For example, how long the diesel will arrive at Yangon and any other questions will be answered.

5. The problem here is that diesel prices keep going up monthly but the Buyer's agent in Singapore wants to buy at old prices 2 or 3 months ago saying that they can get the price at such low prices in Myanmar.

6. If this problem can be resolved, then there will be business for both parties.

To: The Buyer
If you want to buy diesel at a fixed price for one year, the following procedure from the Seller is as follows:

1. Open a transferable LC with (XXX - Name of Company) in a Singapore Bank.
2. When the price of diesel is agreed by the Buyer, XXX will transfer the LC to a Singapore Bank of the Seller.
3. A contract of sale will be given to the Buyer only when the LC with XXX is shown. This is to make sure that the Buyer is serious.
4. The Seller's Bank will release the money monthly to the Seller only when the documents of sale are in order. If not, no money will be released.
5. The Seller's Bank holds the one-year amount for this one-year fixed price locked-in contract.
6. If the price is not agreed, XXX keeps the LC or returns the LC to the Buyer.
7. In this situation, the LC costs around $4,000 - $5,000. This will need to be paid by the Buyer and will be his loss if there is no transaction.
8. Without proof of the LC in XXX, no other paperwork will be prepared as the Seller considers that the Buyer is not serious in this purchase.

I hope the above will be easy to understand. 

If the price is lower in Myanmar, the Seller is not agreeable to lower or to match the price in Myanmar. Therefore, it will be a waste of time negotiating for previous low prices. Diesel prices have gone up a lot and so the Seller will not be selling at old prices. 
THE BEST SOLUTION
Direct oral communication with the real Buyer in Yangon to know what his worries are as the money to be given to the Seller is in large amounts. Writings can be mis-interpreted.

DOG ATTACK
I was at the apartment of Khin Khin's friend and business partner to type the e-mail during lunch-time. The friend had adopted a Chihuahua given up by the first owner.

The Chihuahua had stayed in my Surgery for some time in 2009 when he was ill and was neutered. He kept barking at me with the full force of a lion, knowing that he had a big mama to protect him. Khin Khin's friend had to take the dog away from me but the dog persevered in barking at me.

As I left the apartment after writing the e-mail, the dog found his chance, sprang up and nipped my right leg trousers just as I stepped out from the main door.

"It is lucky that I wear long pants," I said to Khin Khin's friend. "Otherwise I will get a nasty bite." Both businesswomen had no sympathy for me nor do they reproach the dog. They simply laughed at this little dog who had exacted his revenge on a vet who had injected and neutered him when he was younger. It was no laughing matter for me. Such are the hazards of being a free lance unpaid consultant to Khin Khin and in going to a apartment of a Chihuahua who dislikes me. The image shown here is the Chihuahua with his first owner. It is good to know that he is well loved by Khin Khin's friend in Toa Payoh. To the extent that he is allowed to bite the vet!

Tuesday, July 20, 2010

138. Separation anxiety in a 6-month-old Bichon Frise

2010 CASE: THE 6-MONTH-OLD BICHON FRISE HAS A VERY PAINFUL MOUTH AND SEPARATION ANXIETY
Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS
20 July, 2010 toapayohvets.com
Be Kind To Pets
Veterinary Education
Project 2010-0129

SEPARATION ANXIETY.
A young couple purchased a Bichon Frise at around 2 days ago. The dog barked a lot when the couple went to work. He has "separation anxiety," I said. The couple had tried all solutions from the internet including placing a clock. "The neighbour downstairs now close their windows. They do not do that," the wife said. How to solve the problem?

1. Spend time with the dog but this was not possible. Spending time means changing clothes to go out to work but comes back in 5 minutes, then 15 minutes and gradually increase the time of outing. These need several days to be effective.

2. Bring dog outdoors more often. Not practical advice. "The dog seemed afraid of going out, afraid of the drain grates and just wanted to sniff around," the man said.

3. Get another puppy. Not practical as the HDB apartment regulations prohibit more than one.

4. "Get a rabbit," I wanted to let him adopt a rabbit on a trial basis as I have one. "The dog will kill him," the man said. "Put the rabbit inside the cage," I said. The couple rejected this idea.

5. "Come back for lunch daily," I said. This was not practical.

6. "There is no solution," Mr Aung said when I asked him. "De-bark the dog." This was not acceptable by the owner.

7. "Give Kong balls with dog treats inside the holes," I suggested this method to occupy the dog's attention while the owners are at work. In theory, the dog tries to pull out the favourite treats hidden inside the holes of the Kong balls." The couple had tried but the dog was not interested. This was before I examined the dog's mouth and found that he had this rare gum abnormality. His gums practically cover all his back teeth from the four sides of the jaws. So, how could he shear or chew on dog treats? See pictures at:
http://www.asiahomes.com/singaporeaur/0703hunting_4_5k.htm

8. There is one impractical solution. Place the dog with a house-hold where there is always somebody at home. But this is not a practical solution as the couple will have to give away this dog free of charge to a friend.

In any case, I had just excise the enveloped gingival epithelium of this quiet Bichon Frise so that his covered back teeth are now exposed. We will wait and see whether he is happier now as he can eat hard food and now ignore his chew toys or treats.

Pictures of my gingiva (gum) electro-excision is at:
http://www.asiahomes.com/singaporeaur/0703hunting_4_5k.htm

137. BEHAVIOUR. Golden Retriever is frightened when it rains

July 20, 2010

I went to the National Library, Victoria St to research on bird nest production. It is a secretive business apparently as demand for high quality bird nests is great, sales of which can be as much as RM$4,000/kg or S$2000/kg.

One officer suggested checking out nature.com. "How's your abalone book?" he asked and encouraged me to use the internet. "Not much info about the hundreds of species in this world in the internet," I said. I expect the same paucity of information from the internet with the technical aspects of bird nest production.

BEHAVIOUR OF DOG
I asked about his dog. "Still the same behaviour. My main door has a big hole now. I have to board it up." For the past 6 years, whenever there is rain, lightning or thunderstorm, this 6-year-old female spayed Golden Retriever will paw at the main door to be let inside the house. Once inside, she will pace up and down.

SOLUTIONS
1. Play CDs of thunderstorm and lightning. One Filipino vet technician advised him to download from the internet .wav files. He went to google, type ".wav + lightning." Then he would play the CD which lasts about 10 minutes for one hour per day for 7 days.

"Any success?" I asked him.
"The Golden Retriever just listened in boredom."
"So, it is a failure?" I said.
"Yes," the man with greyish hair said. "There needs to be the environment - the change of temperature before the thunderstorm. I don't have time to wait for such ambience to play the CD."

There is never any time for working adults to train a dog not to be afraid of thunderstorms and lightning. In any case, the total experience of climate changes was not produced. So, now the owner is resigned to the door damage.

2. SPECIFIC TREATS TO BE ADDED INTO THE FOOD. "It costs me $25.00 to buy the treats from ... (a dog farm in Pasir Ris) and this product was on sale. It would cost $40.00normally.

"Does it work?" I asked.
"No," he said. "The dog appears drowsy. I must feed it with this product every day."
So, it was money down the drain.

3. DOG PHEROMONES. I mentioned that there is one product which I believe has been used in the UK for the past few years and not available in Singapore. But how effective dog pheromones are to calm dogs during thunderstorm, I do not know. So, I dare not advise him to spray it onto the dog's nose prior to thunderstorms.

It seems that this poor owner would have to replace several main doors as the Golden Retriever is outdoors and rain is quite common in Singapore nowadays.
Readers who have successful solutions, please e-mail to me at judy@toapayohvets.com

Sunday, July 18, 2010

Success factors in a fashion business

Saturday July 17, 2010 10 p.m Cathay Cineplex

It was nearly 10 pm on a Saturday which was my day off. Most senior citizen mothers in the middle class would be enjoying themselves, playing mahjong, singing at karaoke or entertaining.

I had come back from the National Day Parade Rehearsal at the Padang to get my car at the Cathay Cineplex car park.

Earlier, a kind lady had given me a red entry ticket to view the rehearsal from the Padang. She approached me as I was standing on the ledge of the fencing of St Andrew's Cathedral at 5.30 pm dangerously with one hand grabbing the railing and the other hand taking pictures. She asked me if I wanted a spare red ticket she had. I said yes. I did not apply for such rehearsal tickets as they were in great demand and I could not be bothered. With this ticket, I was near the centre of action and could take some good pictures in this bright evening

I was surprised that this mother was still manning her son's small fashion retail shop. She worked 7 days a week. Push-carts at the ground floor would have changes of shift workers but for her, she was the only saleswoman as the previous employee had not be honest.

Her eyes were about to close as she sat behind the counter. Julia had bought some T-shirts from her previously but could not find any interesting apparel in her shop. "Just

135. Sunday Case: Stray cat salivates and has bad breath

"Like some people, this cat looks haggard due to his lifestyle. He may be younger than 5 years of age," Mrs Bell said when I estimated the thin stray cat as 5 years but probably older. Most of his teeth had fallen out. This male neutered cat would not permit me to open his mouth without showing his claws.

My groomer Mr Aung wrapped the cat in a white towel and put the cat on the consultation table. I did not think of using the towel at that moment. I presumed Mr Aung remembered the house-call he attended with me very well as I had suggested a white towel to wrap a house cat. The fortunate well cared for cat adopted by a Caucasian expatriate in this case is recorded at:


Going inside a lion's den
The stray cat was not fortunate as he has lost so many teeth. Now he was very weak and Mr Aung used a string to anchor to his lower jaw to pry open his saliva-stained mouth.

I found ulcers in the middle and both lower sides of his tongue, on his hard palate and in his upper front gums.

"This cat had been living in my neighbourhood for a long time," Mrs Bell said. "He has this salivation for the past two months or so." Mrs Bell phoned me to make an appointment. Should she put the cat to sleep as the cat was in a bad shape.

He was not well and thus he was unable to groom himself. The saliva stained and dried up on his front paws as he tried to clean himself. He was dehydrated. Dull and lethargic. He was neutered by somebody in the community or most likely he was an abandoned cat.

"How do you know he is suffering from feline AIDS?" I asked Mrs Bell as I examined this dehydrated dirty cat with lots of black specks of flea dirt falling onto the consultation table. "A friend told me," she said.

"Are you sure you want to spend money treating a stray cat?" I asked Mrs Bell after I estimated the costs to be more than $500. "Most locals don't even want to spend ten dollars to treat a sick stray cat. This is a part of the Singaporean culture." But Mrs Bell is not a local. "Yes, treat the cat." Mrs Bell said. "I know the English is well known for loving their dogs and cats more than their children."

The cat was warded for a few days for treatment.

1. Blood test showed high blood urea and eosinophilia but no feline aids.
2. IV drip of glucose saline strengthen the cat. He would not permit me to open his mouth on Day 2. He even growled at me.
3. Pain-killers and antibiotics by IV and injection reduced his mouth pain. He could eat on Day 2.
4. He looked quite handsome after Groomer Aung bathed him. He would need a second bath.
5. On Day 2, I e-mailed Mrs Bell to phone me as her phone seemed engaged for a long time. She must have those instant e-mail Blackberries as she phoned me within 10 minutes. She gave permission for dental work for this cat.

"The cat may be toothless," I warned Mrs Bell. "Has he got feline AIDS?" she did not mind the cat being toothless and asked. "No," I said. "He is doing well and will be able to go home after a few days. He should not be out in the streets anymore." Mrs Bell said she would keep the cat indoors with her two cats. That was great news for this vagabond.

"There is no point sending the cat home without dental work," I explained to my assistant Mr Saw who was worried that the English lady may complain about the additional cost for anaesthesia and dental work. "The mouth ulcers will come back again. The cat will salivate again and will cost the owner more money."

"This cat has a disease that causes eosinophils to increase in large numbers," I showed Mrs Lai the blood test result of 6% for eosinophils. She wrote down the word in her book. Ms Lai has so much to do and works from 8 am to 10 pm, 5 days a week to gain the maximum exposure to veterinary medicine for the next two months. "Unfortunately the cause of eosinophilia is unknown," I told Ms Lai. "Extraction of all rotten teeth resolve the problem."

"Go and get the blood results of other cats for comparison," I asked Ms Lai. She brought me a blood test report which showed zero eosinophils in the blood test.

"Do you know how old is the cat in this report?" I asked the young and slim lady.|

"This cat is 18 years old while the case is around 5 years old."

Mr Saw said: "This old cat is dying." My associate is treating the 18-year-old cat which is in her last stage of her life.

Poor Ms Lai has lots to learn about veterinary medicine. That is the purpose of doing internship and I hope she gets accepted in one of the vet schools in Australia in 2011.

134. 3 cases reviewed - lateral ear resection by Dr Sing

CASE 1.
Cavalier King Charles, Male, Blenheim, 2years 3 months
Left ear scratching all the time

July 5, 2010 - Left ear canal resection. 9.7kg
Electrosurgery
Domitor 0.1 ml IV, Zoletil 0.1 ml IV, isoflurane gas
Surgery. Tolfedine 60mg 1/2 tab/day 5 days, antibiotics, panalog
Goes home Jul 11, 2010

July 12, 2010 - back to Surgery. Cannot handle nursing.
Stitch out July 15, 2010. Wet area.

July 18, 2010 - goes home. With e-collar. Pic taken.




CASE 2. Cocker Spaniel, Male, Brown, 5 years
Ear scratching both years

Jun 21, 2010 Surgery 14.7 kg
Domitor 0.2 ml IV, Isoflurane gas
Electro-surgery both ears
Tolfedine inj and baytril inj post-op
Goes home on Jun 25, 2010
Back to Surgery on Jul 9, 2010. Complaint bleeding and smelly
35 maggots removed.

July 12, 2010. Re-stitch under anaesthesia.
Domitor + Isoflurane gas
Tolfedine and Baytril inj. Tolfedine 3 days.
July 17, 2010. Stitch removed.
July 18, 2010. Can't go home. Wound not fully closed. Pic taken.


CASE 3.
Cocker Spaniel, Male, 12 years. Right ear shaking. rotten smell
July 12, 2010 ear surgery
Domitor 0.2 ml IV, Zoletil 0.1 ml IV, Atropine 1.0 ml IV, isoflurane gas
IV drip saline
Post-op rimadyrl 1.0 ml and baytril 1.3 ml, antibiotics.
Goes home Jul 16, 2010. No electro-surgery.

Thursday, July 15, 2010

Beagle puppy steps on poop and urine

Young couple from Australia
Beagle, Male, April 8, 2010: Bought from big puppy farm and kennels in Pasir Ris 4 weeks ago
Miniature Schnauzer, Female, March 4, 2010:
Paper-trained fast. Bought from small breeder husband and wife, small operation in Pasir Ris.

4 weeks. Now come for 3rd vaccination.
PROBLEM IS WITH BEAGLE:

1. Watery stools for many days and this meant special attention. Freedom to roam. I treated. Stools better formed.