Tuesday, November 23, 2010

252. Misperceptions

"You must have a rich father to be able to study veterinary medicine in Scotland?" the project officer of similar age to mine, said. 30 years ago, one British pound was 8 Singapore dollars and those who studied overseas were from wealthy families.

"No," I said. "I was fortunate that the British Government gave the Colombo Plan Scholarship to enable me to study veterinary medicine in Glasgow University, Scotland. Now, Singapore has become a developed country and is in a position to offer ASEAN scholarships to students so that they can go home to help their country people."

I met him and his boss (a younger man in the family business) yesterday Nov 22, 2010 as my friend Khin Khin, asked me to be present to help her in her discussions about export Myanmar sand to Singapore. The Singapore English, thinking and culture of business is clearer to me than to her and so I was useful to her. The JTC would be tendering to buy sand on Dec 3, 2010 and Khin Khin was anxious to close a deal as an agent. If successful in getting 5 million cubic tonnes of sand for 18 months, she could get a commission of some $200,000/cubic tonne or some large figures. It sure beats spaying a dog for $200.00 as I will need to spay every dog in Singapore, probably.

Personally, I am not interested in this wheeling and dealing as it waste a lot of time. But I do attend some of Khin Khin's meetings and I do meet interesting characters for my stories. At the meeting, I will write notes for Khin Khin as she listens and learns the tricks of the commodity agency trade. For the past two years, she has not closed a deal. Well, I better stick to veterinary medicine.

After the meeting, the project officer invited us to have some coffee. Khin Khin had to go and I stayed behind to socialise with him and his boss. This boss is a young man and I said: "You must be driving a Lamborghini or a Ferrari," I had the impression that he was the type who would be doing it since his business must be successful. Supplying sand to the JTC is big business and if he can think of doing it, he must have the financial backup as there are financial performance bonds and penalties. He said that the freight cost of importing the sand from Myanmar to Singapore would cost more than the sales price of sand, which if rejected by the JTC would cost him a lot of money. That meant that he has the sufficient funds to undertake this venture.

"No, no," the young man said. "I drive a BMW."
The project officer said: "He would be buying a Lamborghini soon."
I was impressed.
"Well, I put in a bid when the LTA auctions the car," the young man said. "The LTA (Land Transport Authority) caught its senior manager milking it millions of dollars and is trying to recover some monies back by selling this senior manager's Lamborghini soon."

As a car depreciates in value, the LTA can't wait till the end of the court case to sell this car. This young man may be lucky to get a Lamborghini at below market price!

Monday, November 22, 2010

242. Art entrepeneurship

Singapore has so many events that it is impossible to keep track of them when one is inside the surgery attending to cases. There is simply no time. Apart from veterinary medicine and surgery, I am interested in art and read many of the art magazines in the public libraries. It is just too expensive to subscribe to them.

One day, I was at the HDB Hub and there was "Global Entrepreneurship Week 2010" held by ACE - Action community for entrepreneurship and NUS - National University of Singapore.

I was surprised to see a booth about to close shop for the day. It is Artyii (www.artyii.com). The founders of this start up (incorporated in 2009) market artists and Asian art.

It helps artists to market their works online and manage framing, shipping and payment. Marketing is important as many emerging or unknown artists seldom can afford to do their own marketing and distribution. They rely on the support of art gallery owners who may not be interested in their arts. It is like new authors, e.g. Harry Potter, having great difficulty in finding a publisher when he or she is unknown.

Artyii focuses on Asian artists (not photographers, I was told). The company targets global buyers and have received strong European interest. "Do you have any marketplace art of Myanmar artists?" I asked Ms Ng Cai Lin, one of 3 founders. "No," she said. "There is a lady doing this." She was quite good in e-mailing to me some market artwork from Vietnam. Following up and keeping in contact with prospect is one of the factors of success in an enterprise.
I remember this young Myanmar lady whose concept is to market Myanmar artwork at the Art House in Singapore in 2008 and 2009. It is very expensive to do it. Now this must be the lady Ms Ng mentioned. I bought one small piece of artwork from her. I am looking for marketplace artwork but she has not many.

Being an art gallery offline is very expensive due to the high rentals in Singapore and therefore an online art gallery such as Artyii is a good concept. Ar5tyii's website was launched in August 2010 and has around 100 artists from Singapore, Vietnam, Indonesia and India showcasing over 400 original artworks.

From what I read in an Arts magazine, there is a similar concept in New York or California. It is like a co-operative for artists and helps them to sell art online. It helps them by storing some of their artwork so that they don't sell them at a great loss when they need morning. I can't remember this website.

CONCLUSION
1. Is there an online concept for photographers? I think there are but don't know any of them.
2. Is there an online concept for educational photographs in veterinary medicine and surgery? I know there a beautiful and expert textbook illustrators in medicine but am not aware of any online art gallery for this topic. Readers who know, please e-mail to me. Textbook illustrations don't reach a global audience and the beautiful textbooks are quite expensive and hard to find. I found one Singapore publisher printing such books but they are for the University and are very costly.

250. An English Literature graduate

I felt that this English literature graduate in her 30s must have loved literature in order to study this subject in her university. A vet must love veterinary medicine to study this subject and then become a real vet. However this literature graduate did not practise her craft in the sense that I would expect her to write and author books. She has no children and so would have much more time than those successful authors. I guess she has no motivation or passion.

Passion is important but will not sustain you in being successful. Without passion, you will not need be successful.

I refer to an article written by Mr Ho Kwon Ping, Executive Chairman, Banyan Tree Holdings Limited in the Straits Times, Nov 15, 2010 Page B11 - Our new generation of entrepreneurs - can they make it big?

He said that passion is necessary but will not be a sufficient attribute for success. Cash flow is the highest priority in an enterprise and that comes from long hours of hard work if the start up does not fail. If it succeeds, how do you scale up your business to become global?

FACTS OF BUSINESS
It is well known that less than 20% of start ups will succeed. This failure rate of 80% is especially true in a free and competitive economy of Singapore. Nobody can predict which start up will succeed or fail. First ventures are seldom successful and the entrepreneur needs to use this failure as a learning lesson.

SUSTAINABILITY
1. Does sustainability when successful depend on scalability? "The search for scalability is the holy grail of entrepreneurs," Mr Ho wrote. Therefore successful small business must leave Singapore which is a very small domestic market and into the streets.

2. Street-smarts - whatever they mean, is another important attribute for sustainability. IPC, a computer company and Creative Technology are 2 examples of early successes which could not be sustained overseas. Yeo Hiap Seng and Osim acquired a seafood canning company and consumer gifts chain respectively but had written off their investment. Niche markets may be successful as in Coffeemix in West Asia, Breadtalk and some foodcourt operators in China and Asian shopping malls. Olam is being a bridge using their supply chain expertise in commodity processing to bring commodities from the developing world to developed markets.

CONCLUSION
Find a niche to excel and focus on innovations as product life spans are short in information technology or consumer products which are dominated by global giants where scale is critical.

To globalise, change your mindset by not comparing things done in Singapore. Respect and promote a culture of diversity to be resilient when you manage externai businesses.

No destination but a journey. Size and success in a business can dissppear quickly due to lak of attention and hubris. One-trick companies don't succeed in the long term.

In reply to the question in the essay, Mr Ho said that our entrepreneurs can make it big but only a few of them. Practice makes perfect and failure begets sucess.

Sometimes, it may just be better to be an employee, in my opinion as enterprises have a high failure rate even though they are successful. A small number of vet surgeries have had closed down but more than 40 have been opened in recent years. It will take a long time to succeed. There is no short cut in any enterprise.

Sunday, November 21, 2010

The dog with white gums

In January 2010, I wrote an article on a case of Closed Pyometra in a female dog. The blood test shows anaemia and toxaemia in a female dog with pyometra. See the webpage at Pyometra - very low platelet count due to toxic blood.
URL is at:
http://www.bekindtopets.com/dogs/20100135Video_Education
_Closed_Pyometra_ToaPayohVets.htm


In November 2010, I had a very interesting case of a spayed female Miniature Schnauzer, 10 years old, losing 25% weight and not eating much for the last 3 months. When I saw the dog's gums, tongue and oral mucous membranes as white as snow, I predicted that this dog would not live past the next 7 days. I gave her intensive IV drip including glucose, saline, protein drip, multi-vitamins and Vit K1. An iron and Vit B complex injection SC was given. Baytril and metronidazole were given IV.



I took blood for analysis before and 24 hours after the IV and injections. The platelet count had dropped much further from 68 to 1. Yet 24 hours after the IV drip, the dog's gums and tongue were purplish pink in colour. I showed the colour to the lady owner. She was not impressed as she could not recall the snow-white colour 24 hours ago. I did not take a picture but I do remember telling her that the dog was very pale and anaemic.

She had been too stressed out by a bereavement in her family and now this dog was going to die.



Nov 11, 10 First consultation
Nov 12 24, 10 hours after IV
Ref Range
Unit
Total White Cells
12.8
6.6
6 - 17
x10>9/L
Total Red Cells
4
3.9
5.5 - 8.5
X10>12/L
Haemoglobin
9.7
9.6
12-18
g/dL
Platelets
68
1
200-500
x10>9/L
The dog survived and is well nursed by the lady owner as at Nov 21, 2010. As to the cause, I told her it was difficult to say. The cause would likely be a viral and bacterial cause. The dog had not been vaccinated since she was a puppy and was brought for walks in the past year whereas previously the dog was home most of the time.

BACKGROUND HISTORY OF THIS DOG RECORDED BY ME IN NOV 15, 2010
AT DEATH'S DOOR. THE DOG WITH WHITE GUMS
The thin, hunch-backed 10-year-old Miniature Schnauzer with white gums would not eat. She had been treated 4 times by Vet 1. ACTH tests were normal. Ultrasound indicated possible tumours of the liver, pancreas and spleen. So, the owner was very worried and wanted surgery.

"The dog is not fit for surgery," I advised. "She will just die on the operating table. Look at the white gums. She has severe anaemia. I will do a blood test."

The anaemia was due to low red cell count, low haemoglobin and very low platelet count. She was attended to by Vet 1 from August to November for 4 times and was not eating when the owner consulted me, being referred to by one of my clients.

Incredibly, after an intensive IV drip of saline, glucose, protein, Vit K1, antibiotics including baytril and metronidazole, B complex and iron injections s/c, the dog that lost 1 kg (25% of her weight in the last 4 weeks) was thriving. "She ate a lot and pooped a lot for the last 2 days," the young lady said. "Today, she is not eating. Shall I give her the Re... from Vet 1? It is said to improve her appetite."

What was the cause of this severe anaemia and the low platelet count? I suspect it was either some drugs or septic infection (from virus or bacteria) when the dog was brought downstairs in recent weeks.

During the first consultation with me, the dog screamed when I pressed the very painful disc pain at T/L area and bit me when I palpated the moderately enlarged left submandibular and popliteal lymph node. Her bladder was painful on palpation. Her left kidney was slightly painful. Her left tongue had some ulcers at the back and I took digital pictures to show the owner.

So what was happening to this dog? The lady had only one wish - that this dog would not die on her as she had a recent family bereavement. Yet, the dog's gums were as white as snow when I saw her at first. I did not take a picture then but her gums became a bit pinker 24 hours after the intensive care and injections. So, this dog had come back from death's door. But she is not out of the woods yet. Only time will tell.

UPDATE: No complaints from the young lady. I phoned her twice and the dog was getting better. Short episodes of panting which I attributed to pain in the spinal area. I asked her to give pred 2.5 mg two times per day. No more news from her. No news is good news, usually.
Miniature Schnauzer, Female, Spayed 10 years - White gums
11-Nov-10 Nov 12,10 Ref Range Unit
Total WBC 12.8 6.6 6 to 17 x10>9/L
Haemoglobin 9.7 9.6 12 to 18 g/dL
Red Cells 4 3.9 5.5 to 8.5 X10>12/L
Platelets 68 1 200 to 500 x10>9/L
No platelet clumps seen No platelet clumps seen
Few giant platelets present

Creatinine 47 62 89 to 177


Owner's complaint - poor appetite, lost weight 1 kg in 1 month lost appetite
Weight loss 25% in last month, now 4 kg
Presenting Signs: White gums and tongue
Rectal temp 38.5 C

Palpation: Enlarged left submandibular & popliteal lymph nodes 0.8 cm x 0.8 cm
Bites when left popliteal lymph node was palpated, pain in left kidney and bladder

Blood test results: Anaemia and toxaemia. Viral and/or bacterial cause likely
Platelet count dropped to 1 after 24 hours.
Any chance of survival?

Saturday, November 20, 2010

Business success and worries

Yesterday, I met a young lady from Myanmar who speaks excellent English. She wants to start a dream business bringing artistes and singers from Myanmar to perform in Singapore.

"I have no contacts with the Esplanade and Integrated Resorts," she told me and I was surprised by her remarks. "It is quality of CONTENT not contacts that is important in any business", I advised her. "CONTENT means that your artistes can provide the services that the public wants so that you can make a profit," I said. "As an example, If you represent Michael Jackson, you have CONTENT and there is no shortage of venues."

I define a business as one that is for profit and for non-profit.

All business have the same worries of failures of not being able to pay the varied expenses, whether it is a veterinary practice, travel agency, real estate agency, an animal shelter, entertainment company or non-profit organisation or your own start up.

The following report applies to Travel Agencies but you can see that the factors I wrote is appropriate for the veterinary business in particular but will apply to all business start ups.

Over the last 2 years, I surveyed and observed the many interesting travel agencies in Peninsula Plaza. I also spoke to some of my interesting and successful veterinary clientele in their own and travel business and asked how they can survive the ever increasing intense competition. For the travel agencies, I enquired how they can survive in the cut-throat, price undercutting travel business with hotels and airlines provide direct internet purchase. Here are the main factors which were from an online survey I participated.

FOR THE TRAVEL AGENCY TO WIN AGAINST COMPETITORS

1. PRICES - Cheaper air tickets and hotels.
Vet example: New vet practices under price everybody. At least there are customers rather than no business. The sustainability of the business is not possible unless the vet has deep pockets and net losses are incurred per year.

2. VALUE - Better value or more interesting travel packages.
Vet example: Better equipped like CT scan, ultrasound, digital X-rays, blood testing and others.

3. SERVICES - Providing extra services such as insurance, visa application, vehicle rentals.
Vet example: Blood transfusion, acupuncture, holistic vet.

4. BRANDING - Better reputation and value.
This takes time and relies on the vet's bedside manners, ability and competence. See: A brand name vet practice opens doors...


Some agencies have loyal clientele if they provide 1 and 3 but the business may not be sustainable. The operator keeps looking for loans to cover the operating costs and this results in a bad reputation amongst the community.

FOR THE TRAVEL AGENCY TO FAIL
1. GIVE CREDIT TO CORPORATIONS AND OTHERS. One bad debt in big amount is enough to wipe out all the small margins of profit. Don't be a banker. Collect money first before starting the tour or travel.

Another factor for business success is a good updated website as a marketing and branding tool. I will tell this to the young ones who want to start a business. Many do start a website but fail to nurture and maintain it with CONTENT of relevance and interest every day. Updating of websites is time-consuming. There are better things to do in this time-pressed world of Singapore.

WEBSITE
This is important for any business. The following is my response to an online a survey I participated today.

CONCERNS WHEN STARTING A WEBSITE FOR THE COMPANY
1. High cost of starting up. The problem with the few webmasters I encountered is that the webmaster/company has no relevant experience as justified by portfolios of past clientele. I have not approached the big boys as I just can't afford their services.

2. High cost of maintenance. The webmaster disappears or his company increases fees over the years, just like accountants and auditors.

3. Lack of technical expertise. The start up business owner needs to do his own updating as it is costly to get the webmaster to do it.

4. Lack of traffic and sales from website. This is the least of the worries if the CONTENT is relevant to the prospective clients, is updated and interesting. Search engines do pick out the relevant topics. You can also pay www.google.com
and www.yahoo.com to be listed in the top 10.

Comments: In Singapore, my experience is that affordable webmasters are hard to find. Webmasters charge a lot of money due to the high cost of rentals. It is hard to locate an experienced webmaster with relevant experience. Or at affordable cost unlike in South Korea where I read that many small companies have websites due to lower costs of webmasters and broadband fees.

MY THREE MOST IMPORTANT FEATURES IN A WEBSITE
1. To be able to safely, securely and automatically accept payment online.
2. To increase sales and recognition through social marketing (like Facebook).
An interesting example is http://www.facebook.com/home.php?#!/philea.resort

I was a guest at the Philea Resort and Spa on Nov 6, 2010 and stumbled on its Facebook webpage as I submitted some photos of the Bridal Fair 2010 held at the resort to the marketing manager to forward to the models. It has a facebook page which I believe it common with all good hotels nowadays. Facebook viewing can waste a lot of time but the young generation loves it and are a source of new generation clientele.

3. To increase repeat customers with email promotions and newsletters

OTHER FEATURES
4. To increase customer conversion rate with multimedia presentations
5. To gather feedback and response from customers through company forum. This is interactive and very useful.

6. To build customer loyalty with reward points
7. To survey customers with online quiz and polls
8. To communicate with website visitor with live chat. I find this feature very useful when I had questions about my web hosting with Earthlinks.net in the USA.
9. Others - BRAND BUILDING. I will think a website builds a brand reputation.

HOW MUCH I WILL INVEST IN THE TOP 3 FEATURES
S$3,000. I doubt Singapore webmasters will take this amount. In Singapore, the Landlord keeps increasing rentals and the government agencies keep thinking of new ways to collect fees from the businesses. So, it is difficult for start ups to pay and pay.

The above replies were my participation in an online survey. It was powered by Qualtrics. www.qualtrics.com. I hope this info is useful for the young ones who want to start their dream business.

I asked the young lady who is doing her 3rd year of undergraduate studies in Economics and Finance: "Have you got a name-card?" She said: "No." Well, young lady.

A name card needs to be printed and presented if you want to start a business. This name card permits others to contact you when they need your singers and dancers or refer to the powerful ones at The Esplanade and the Integrated Resorts via networking!

Updates are at www.toapayohvets.com

245. Neutering risks for a 4-year-old male cat email

E-MAIL TO TOA PAYOH VETS DATED NOV 19, 2010

Hi Judy,

I would like to know if a cat that's 4 years old still suitable to do neutering? Will there be any risk? How's much will be the operation cost?

Regards,
Name of owner



E-MAIL FROM TOA PAYOH VETS DATED NOV 19, 2010

I am Dr Sing from Toa Payoh Vets, www.toapayohvets.com

Thank you for your email. A healthy cat at 4 years old can be neutered.

There is normally no risk if the cat is healthy (take blood test to check liver, kidney and complete blood test if you want to, before operation.The cost is around $150). In 100% of the cats neutered by me in the past 30 years (Toa Payoh Vets) was started by me in 1982, I have no male cats dying after neutering and I am quite sure this is the same with other vets in Singapore.

Prior to surgery, the cat will be examined for general health before surgery by taking a history of his past health, a general examination, palpation for abnormalities inside the cat, taking of temperature, pulse and respiratory rate and weighing him. If he fails the general examination, he will not be operated.

The main risk will be infection after surgery, from my observations of cats spayed in countries where there are no facilties for aseptic surgery and no antibiotics post-operation. Infections can kill a cat after surgery.

Surgery and anesthesia at Toa Payoh Vets for male cat neutering costs around $75.00. Add $30 for post-op antibiotic and pain-killer injection.
Estimated total will be around $105 for most clients who don't want blood test done. A pre-op blood test at this age or before anaesthesia and surgery is advised. The complete blood test costs around $150.

Please make appointment by tel 6254-3326. No food and water for the cat after 10 p.m, the night before the surgery and give the cat a good wash at the scrotal area.