Yesterday, Tuesday, July 12, 2011, at 7 pm, I reviewed the Silkie with the bilateral perineal hernia. He had passed stools and the owners were there and had fed chicken. "It is OK to feed till 10 pm," I said and took away the water bowl. "I will be operating on him tomorrow at 10 am."
"He passed blood in his soft stools," the lady said.
"Could it be the colour of the reddish sticks (treats) you feed him?" I asked.
"No," she said. "He did not have this stool colour previously."
So, the dog may be having colitis due to the accumulation of stools in his rectum as you can see from the palm-sized hernia. Will post photo later. This means that there cannot be a delay in surgical repair of the mother of perineal hernia. I will start at 9.30 am today. It is 4.37 am now. Will review the photos back, side and front for the best approach as this surgery is much more challenging than a simple small perineal hernia.
"You will see a messy big hole with ill-defined muscles," I said to Dr Vanessa earlier. I thought of asking her to perform the surgery. I said to her: "It will be very difficult to stitch up the muscles as they don't exist normally due to atrophy and pressure over many months from the hernia. On the lower 1/3, the pudendal nerve and blood vessels are supposed to be located. If the vet stitches up the pudendal nerve while closing up the big hole, I don't know whether the dog will be paralsyed or not!" This is what I fear most. The nerve just can't be seen now since the muscle anatomy is no longer normal.
So, it is not just an old dog with high anaesthetic risk. It has also surgical risk as the defect is more than 6 inches long, 3 inches deep and 3 inches wide. (One inch = 2.5 cm). I really prefer not to perform such a surgery. If a vet picks and choose, then the mother of all perineal hernias will not be chosen. And the poor dog will suffer from soft stools to bloody diarrhoea, dehydration and death from intestinal strangulation.
So, there is no time to spare. I need to operate today Wednesday 9.30 am as scheduled.
Wednesday, July 13, 2011
500. Changing a vet's mindset on 2 injections for cat anaesthesia to 1 injection
I visited a vet whom I saw growing up as a little boy some 35 years ago. "His head was up to the level of the operating table," I said to the mother. His mother said: "His daughter's head is now up to that level!" How ancient I must be.
The vet uses xylazine IM, wait and then Zoletil IV (rubber band) in elbow cut off before injecting the Zoletil. This means two syringes and needles are needed and two injection sites. And a longer waiting time prior to surgery.
The vets find this method very safe and efficacious and so have no interest in my recommendation of xylazine + ketamine IM in one syringe. I find this much more efficient. Why change when nothing is broken?
I said: "I used to use xylazine IM and then give the cat isoflurane gas by mask previously." It was an excellent method but now I use xylazine + ketamine IM which is excellent and time-saving. Top up with isoflurane if my dosage is lower or there is some delay.
"Using isoflurane gas by mask onto the cat will also anaesthesize the vet," the mother laughed.
"Yes, yes," I said. "I fall asleep during surgery!" This is meant to be a joke. Sometimes vets must have a sense of humour too.
The two vets were not interested in my advice to save some money and be more productive. But their method of anaesthesia had worked well for so many stray cats and therefore, why take the risk? I can understand that.
It was great for me to meet them and exchange ideas on veterinary treatment of cases.
The vet uses xylazine IM, wait and then Zoletil IV (rubber band) in elbow cut off before injecting the Zoletil. This means two syringes and needles are needed and two injection sites. And a longer waiting time prior to surgery.
The vets find this method very safe and efficacious and so have no interest in my recommendation of xylazine + ketamine IM in one syringe. I find this much more efficient. Why change when nothing is broken?
I said: "I used to use xylazine IM and then give the cat isoflurane gas by mask previously." It was an excellent method but now I use xylazine + ketamine IM which is excellent and time-saving. Top up with isoflurane if my dosage is lower or there is some delay.
"Using isoflurane gas by mask onto the cat will also anaesthesize the vet," the mother laughed.
"Yes, yes," I said. "I fall asleep during surgery!" This is meant to be a joke. Sometimes vets must have a sense of humour too.
The two vets were not interested in my advice to save some money and be more productive. But their method of anaesthesia had worked well for so many stray cats and therefore, why take the risk? I can understand that.
It was great for me to meet them and exchange ideas on veterinary treatment of cases.
499. Neutering an adult Syrian hamster - information
E-MAIL TO DR SING DATED JULY 11, 2011
Hi Judy,
I saw a story about yr clinic on the web about hamster neutering.
How much do you charge for such an operation?
Pls kindly let me know. Thanks,
E-MAIL FROM DR SING DATED JULY 11, 2011
Around $75 for male hamsters neuter and anaesthesia. Add $30 for post-op antibiotics and medication
E-MAIL TO DR SING DATED JULY 11, 2011
Oh, ok. Mine is an adult Syrian male hamster of about 7-8 months.
I am hoping to sterilise it so it can keep the female company. Does that work?
E-MAIL FROM DR SING DATED JULY 13, 2011
Adult Syrian Male Hamster can be neutered. Pl note that there may or may not be surgical complications post-op in neutering adult hamsters as the surgical wound will be much longer than a 3-month-old dwarf hamster.
In the dwarf hamster, the wound is around 4 mm long. In your Syrian hamster, it will be around 8mm - 12 mm long depending on the size of the testicle. It is possible that the Syrian hamster may bite off the stitches and cause infections and distress to you as it is not possible for hamsters to wear e-collars around his neck unlike dogs and cats.
Anaesthetic risks for your young Syrian hamsters are low in my opinion. After neutering, your hamster needs 2 weeks to recover from the wound.
Then you will need to slowly re-introduce the hamster to the female by housing them separated by a grate for a 2-8 weeks so that they can see and smell each other but not bite. You need to be monitoring the reactions for the first 2-4 weeks. Give a bigger cage than the usual one.
The neuter cost of anaesthesia, surgery and antibiotics for an adult Syrian hamster is around $150.
Best wishes.
Hi Judy,
I saw a story about yr clinic on the web about hamster neutering.
How much do you charge for such an operation?
Pls kindly let me know. Thanks,
E-MAIL FROM DR SING DATED JULY 11, 2011
Around $75 for male hamsters neuter and anaesthesia. Add $30 for post-op antibiotics and medication
E-MAIL TO DR SING DATED JULY 11, 2011
Oh, ok. Mine is an adult Syrian male hamster of about 7-8 months.
I am hoping to sterilise it so it can keep the female company. Does that work?
E-MAIL FROM DR SING DATED JULY 13, 2011
Adult Syrian Male Hamster can be neutered. Pl note that there may or may not be surgical complications post-op in neutering adult hamsters as the surgical wound will be much longer than a 3-month-old dwarf hamster.
In the dwarf hamster, the wound is around 4 mm long. In your Syrian hamster, it will be around 8mm - 12 mm long depending on the size of the testicle. It is possible that the Syrian hamster may bite off the stitches and cause infections and distress to you as it is not possible for hamsters to wear e-collars around his neck unlike dogs and cats.
Anaesthetic risks for your young Syrian hamsters are low in my opinion. After neutering, your hamster needs 2 weeks to recover from the wound.
Then you will need to slowly re-introduce the hamster to the female by housing them separated by a grate for a 2-8 weeks so that they can see and smell each other but not bite. You need to be monitoring the reactions for the first 2-4 weeks. Give a bigger cage than the usual one.
The neuter cost of anaesthesia, surgery and antibiotics for an adult Syrian hamster is around $150.
Best wishes.
498. Neutering a Yorkshire Terrier at Toa Payoh Vets
E-MAIL TO DR SING DATED JUL 12, 2011
On Tue, Jul 12, 2011 at 6:39 PM,...@bigfishes.com> wrote:
Dear Judy,
I have a one year old Yorkie that we want to neuter.
Please advise how much will the procedure be and when is the earliest time that we can bring him down.
You can reach me at ... if you need any further info.
Thank you.
Best regards,
Name of owner
E-MAIL REPLY BY DR SING
Hi
Thank you for your email I am Dr Sing from toapayohvets.com
The cost of anaesthesia, surgery and post-op pain-killer and antibiotic injection is estimated to be around $150-$200 for dog breeds less than 5 kg and without surgical complications and have two descended testicles. You have a choice of 3 vets, namely myself, Dr Vanessa Lin and Dr Jason Teo.
If you want me to neuter him, please bring him down at 9.30 am from Monday to Friday. No food and water after 10 pm the evening before surgery. Phone 6254-3326 for appointment. The dog will be operated at 10 am and goes home around 12 noon or later in the day if you are not free. The dog should preferably be vaccinated within one year and in good health. Bathe the dog first and clean up his lower area.
Best wishes.
On Tue, Jul 12, 2011 at 6:39 PM,...@bigfishes.com> wrote:
Dear Judy,
I have a one year old Yorkie that we want to neuter.
Please advise how much will the procedure be and when is the earliest time that we can bring him down.
You can reach me at ... if you need any further info.
Thank you.
Best regards,
Name of owner
E-MAIL REPLY BY DR SING
Hi
Thank you for your email I am Dr Sing from toapayohvets.com
The cost of anaesthesia, surgery and post-op pain-killer and antibiotic injection is estimated to be around $150-$200 for dog breeds less than 5 kg and without surgical complications and have two descended testicles. You have a choice of 3 vets, namely myself, Dr Vanessa Lin and Dr Jason Teo.
If you want me to neuter him, please bring him down at 9.30 am from Monday to Friday. No food and water after 10 pm the evening before surgery. Phone 6254-3326 for appointment. The dog will be operated at 10 am and goes home around 12 noon or later in the day if you are not free. The dog should preferably be vaccinated within one year and in good health. Bathe the dog first and clean up his lower area.
Best wishes.
497. The oldest candidate for the first Real Estate Agent Exam in May 2011
At the age of 60 years, I am most likely the oldest candidate for the first Real Estate Agent Exam conducted in May 2011. I can see the youthfulness of my 40 classmates who are on the average, estimated to be half my age and radiate the full bloom of roses. Not that I am withered and limping.
Of the 40 classmates, I estimated that around 20 or less took the brutal 3-evening examinations relating to the law, real estate matters and investments. The condition is that all 3 papers must be passed at one sitting. I considered the examinations brutal because of the 8 questions, I had to choose 5. I found that if I had to take all 8 questions, I would fail as many topics were not in the lectures or that the examiner had set some out of the syllabus questions. For example:
1. Write short notes on "market volatility".
2. What is the impact and implications if the income ceiling for eligible HDB flat buyers is raised from $8,000 to $10,000. Or increase government land sales. I attempted this question because I had read the newspaper reports and all the opposition's views on affordable public housing.
3. HDB QUESTION. Calculation of down payment and monthly less CPF contributions for an HDB flat including CPF contributions for a couple purchasing a 4-room flat. This was a killer as I had not practised any calculations nor done more than a handful of HDB sales transactions! But I did read about Minister Mah Bow Tan's illustration of a similar example in the Straits Times during the political hustlings as elections were held around April/May 2011. Unfortunately, I could remember probably 50% of his calculations.
4. What is the main grievance when the Land Acquisition Act was introduced. And what were the "three persons" involved in the Act. Apparently this info was in the CD given by my lecturer and though I had the CD printed to a 1,000-page book, I did not read and remember all the notes. I was forced to answer this question as the others were worse.
I had read 20 years ago that the main grievance was that the land was acquired below market price and so I wrote this. As for the "3 persons", I presumed it was not real people. My classmate wrote the Landlord, Tenant and Owner. I wrote "Singapore Land Authority, National Heritage Board and HDB". Up to now, I still don't know the correct answer.
5. Diversification of investments is bad. Comment. Fortunately, I have read a lot of financial matters as the Straits Times seem to publish endless articles.
6. Leverage, Hedge Against Inflation, Asset Classes, Types. I could write much more than the student who dislike reading the financial news.
7. Positioning of shop front in a shopping mall and the demand of rentals. I had not got any lecture on this. But I had to answer this question since the others would give me a failing grade. Nothing much to write about except human traffic, tenant mix, anchor tenant nearby and demand by competitors. Or maybe I did not know what to write.
8. My favourite question. Two daughters inherited a bungalow from their father and decided to rebuild to a "3-storey dwelling" which was built. One daughter migrated to Australia and gave up her Singapore citizenship. The other passed away in a car accident and her husband said that he inherits everything from her. The foreigner daughter disputed. What is the situation? The answers involved tenancy in common, joint tenancy, intestate, foreign ownership of Singapore Property and the relevant act and maybe more. In real life, the case is referred to a lawyer, my classmate told me!
Yesterday, July 12, 2011, I went to collect my "Real Estate Agent Examination" certificate issued by the CEA (Council for Estate Agencies).
I remember 6 of my younger classmates celebrate the ending of the 3rd examination at a McDonald's in Jurong, nearby past midnight.
I wrote to them as follows:
I am David Sing Kong Yuen, probably the oldest examination candidate in the first REA Exam May 2011. I have passed the exam.
I fondly remembered 7 of us celebrated the final day of exam at McDonald's in Jurong with a treat given by Mr Steven Koh.
I met our Korean classmate Mr Kang while collecting my REA Exam certificate yesterday. I was informed by Mr Kang that there would be a lunch organised by Mr Steven Koh of Hans and Boon 91509317 somewhere in Novena. Pl phone him for the place. I did not receive Steven Koh's sms for this lunch as I was changing phone cards and phone at that critical time. It will be safer to e-mail too but I do get a few hundred spam mails a day (not a few) and your e-mail may have gone to SPAM.
I hope all of you have had passed the exam. Please let me know the good news. My phone is 9668-6468 and I should be able to receive your sms.
There were 41 persons who passed. I estimated that at least 100 sat for the exam (in Paper 2). In Paper 1 and Paper 3, I estimated around 25 candidates were present. Not all were from our class as there were two REA courses being conducted. One of the courses was conducted by Spencer Ng of REMAX connections. I think the other course was conducted by the IEA. Those who failed CEHA courses could re-take the single paper they had failed. However, for the REA course, all 3 subjects must be passed at one sitting. If not, must take the 3 tests again.
Probably around 10 of our classmates of around 40 have had passed the exam. I am anxious to know all of six of you have had passed the exam. Our Korean classmate who was a Professor in undergraduate financial courses (MAS students etc) was scanning for the 41 names for the name of Margaret Liew and could not find her name of "Margaret".
Therefore, Margaret, please let me know if you have passed the exam. I hope to see all of you at the lunch on Wed. somewhere in Novena. Contact Mr Steven Koh for details. I know that Spencer Ng has been invited.
Best wishes to all of you in your KEO career.
Of the 40 classmates, I estimated that around 20 or less took the brutal 3-evening examinations relating to the law, real estate matters and investments. The condition is that all 3 papers must be passed at one sitting. I considered the examinations brutal because of the 8 questions, I had to choose 5. I found that if I had to take all 8 questions, I would fail as many topics were not in the lectures or that the examiner had set some out of the syllabus questions. For example:
1. Write short notes on "market volatility".
2. What is the impact and implications if the income ceiling for eligible HDB flat buyers is raised from $8,000 to $10,000. Or increase government land sales. I attempted this question because I had read the newspaper reports and all the opposition's views on affordable public housing.
3. HDB QUESTION. Calculation of down payment and monthly less CPF contributions for an HDB flat including CPF contributions for a couple purchasing a 4-room flat. This was a killer as I had not practised any calculations nor done more than a handful of HDB sales transactions! But I did read about Minister Mah Bow Tan's illustration of a similar example in the Straits Times during the political hustlings as elections were held around April/May 2011. Unfortunately, I could remember probably 50% of his calculations.
4. What is the main grievance when the Land Acquisition Act was introduced. And what were the "three persons" involved in the Act. Apparently this info was in the CD given by my lecturer and though I had the CD printed to a 1,000-page book, I did not read and remember all the notes. I was forced to answer this question as the others were worse.
I had read 20 years ago that the main grievance was that the land was acquired below market price and so I wrote this. As for the "3 persons", I presumed it was not real people. My classmate wrote the Landlord, Tenant and Owner. I wrote "Singapore Land Authority, National Heritage Board and HDB". Up to now, I still don't know the correct answer.
5. Diversification of investments is bad. Comment. Fortunately, I have read a lot of financial matters as the Straits Times seem to publish endless articles.
6. Leverage, Hedge Against Inflation, Asset Classes, Types. I could write much more than the student who dislike reading the financial news.
7. Positioning of shop front in a shopping mall and the demand of rentals. I had not got any lecture on this. But I had to answer this question since the others would give me a failing grade. Nothing much to write about except human traffic, tenant mix, anchor tenant nearby and demand by competitors. Or maybe I did not know what to write.
8. My favourite question. Two daughters inherited a bungalow from their father and decided to rebuild to a "3-storey dwelling" which was built. One daughter migrated to Australia and gave up her Singapore citizenship. The other passed away in a car accident and her husband said that he inherits everything from her. The foreigner daughter disputed. What is the situation? The answers involved tenancy in common, joint tenancy, intestate, foreign ownership of Singapore Property and the relevant act and maybe more. In real life, the case is referred to a lawyer, my classmate told me!
Yesterday, July 12, 2011, I went to collect my "Real Estate Agent Examination" certificate issued by the CEA (Council for Estate Agencies).
I remember 6 of my younger classmates celebrate the ending of the 3rd examination at a McDonald's in Jurong, nearby past midnight.
I wrote to them as follows:
I am David Sing Kong Yuen, probably the oldest examination candidate in the first REA Exam May 2011. I have passed the exam.
I fondly remembered 7 of us celebrated the final day of exam at McDonald's in Jurong with a treat given by Mr Steven Koh.
I met our Korean classmate Mr Kang while collecting my REA Exam certificate yesterday. I was informed by Mr Kang that there would be a lunch organised by Mr Steven Koh of Hans and Boon 91509317 somewhere in Novena. Pl phone him for the place. I did not receive Steven Koh's sms for this lunch as I was changing phone cards and phone at that critical time. It will be safer to e-mail too but I do get a few hundred spam mails a day (not a few) and your e-mail may have gone to SPAM.
I hope all of you have had passed the exam. Please let me know the good news. My phone is 9668-6468 and I should be able to receive your sms.
There were 41 persons who passed. I estimated that at least 100 sat for the exam (in Paper 2). In Paper 1 and Paper 3, I estimated around 25 candidates were present. Not all were from our class as there were two REA courses being conducted. One of the courses was conducted by Spencer Ng of REMAX connections. I think the other course was conducted by the IEA. Those who failed CEHA courses could re-take the single paper they had failed. However, for the REA course, all 3 subjects must be passed at one sitting. If not, must take the 3 tests again.
Probably around 10 of our classmates of around 40 have had passed the exam. I am anxious to know all of six of you have had passed the exam. Our Korean classmate who was a Professor in undergraduate financial courses (MAS students etc) was scanning for the 41 names for the name of Margaret Liew and could not find her name of "Margaret".
Therefore, Margaret, please let me know if you have passed the exam. I hope to see all of you at the lunch on Wed. somewhere in Novena. Contact Mr Steven Koh for details. I know that Spencer Ng has been invited.
Best wishes to all of you in your KEO career.
496. Export of dog to Bahrain
E-MAIL TO DR SING DATED JULY 12, 2011
On Mon, Jul 11, 2011 at 10:15 PM, ...@singnet.com.sg> wrote:
Hi Judy,
Good day to you.
I am in the process of relocating my pet dog from Singapore to Bahrain therefore would like to send my dog for the vaccinations that is required by the authorities in Bahrain and at the same time, have other procedures done as well.
According to regulations in Bahrain, our dog needs to have 2 sets of Rabies + DHLP (Distemper, Hepatitis, Parvovirosis, Leptospirosis) jabs before we can apply for documentation. In addition, we like to have him neutered and dental cleaning done. Can you kindly advise how much these will cost and what will be the best sequence for these to be done (e.g., Neutering and dental cleaning / 1 week later, 1st set of jabs / 3 weeks later, 2 set of jabs)?
Below are the details of my dog for reference.
Name: ............
Breed: Red Toy Poodle
Age: 3 years of age as of 2 October
Birthdate: 2 October 2008
Gender: Male
Medical: He gets yearly booster shots and his last visit to the vet was in May 2011. Health status is good
Weight: 5.2kg
Microchip: Yes
I am currently in Bahrain therefore it will be great if you can reply me soon so that I can make arrangements for my dog on the above.
Thank you.
Regards,
Name of Owner
E-MAIL REPLY FROM DR SING
On Tue, Jul 12, 2011 at 2:17 PM, Kong Yuen Sing <99pups@gmail.com> wrote:
Approximate costs as follows:
Rabies vaccination $65/vaccination
DHLP $40/vaccination at same time as rabies
2 weeks apart for 2nd set of jab
Estimated total = $210 for 4 vaccinations
Neuter and dental can be done at same time. Male dog of small size e.g. chihuahua - Maltese will be around $150 for neuter and $200-$250 depending on decay teeth condition for dental.
Vet exam certificate of health around $60 if needed.
Pl phone 9668 6468 for appointment
E-MAIL TO DR SING DATED JUL 12, 2011
On Tue, Jul 12, 2011 at 4:08 PM, ..@singnet.com.sg> wrote:
Hi Dr Sing,
Thank you for your reply.
I will make necessary arrangements and have my family member bring my toy poodle to you.
Regards,
On Mon, Jul 11, 2011 at 10:15 PM, ...@singnet.com.sg> wrote:
Hi Judy,
Good day to you.
I am in the process of relocating my pet dog from Singapore to Bahrain therefore would like to send my dog for the vaccinations that is required by the authorities in Bahrain and at the same time, have other procedures done as well.
According to regulations in Bahrain, our dog needs to have 2 sets of Rabies + DHLP (Distemper, Hepatitis, Parvovirosis, Leptospirosis) jabs before we can apply for documentation. In addition, we like to have him neutered and dental cleaning done. Can you kindly advise how much these will cost and what will be the best sequence for these to be done (e.g., Neutering and dental cleaning / 1 week later, 1st set of jabs / 3 weeks later, 2 set of jabs)?
Below are the details of my dog for reference.
Name: ............
Breed: Red Toy Poodle
Age: 3 years of age as of 2 October
Birthdate: 2 October 2008
Gender: Male
Medical: He gets yearly booster shots and his last visit to the vet was in May 2011. Health status is good
Weight: 5.2kg
Microchip: Yes
I am currently in Bahrain therefore it will be great if you can reply me soon so that I can make arrangements for my dog on the above.
Thank you.
Regards,
Name of Owner
E-MAIL REPLY FROM DR SING
On Tue, Jul 12, 2011 at 2:17 PM, Kong Yuen Sing <99pups@gmail.com> wrote:
Approximate costs as follows:
Rabies vaccination $65/vaccination
DHLP $40/vaccination at same time as rabies
2 weeks apart for 2nd set of jab
Estimated total = $210 for 4 vaccinations
Neuter and dental can be done at same time. Male dog of small size e.g. chihuahua - Maltese will be around $150 for neuter and $200-$250 depending on decay teeth condition for dental.
Vet exam certificate of health around $60 if needed.
Pl phone 9668 6468 for appointment
E-MAIL TO DR SING DATED JUL 12, 2011
On Tue, Jul 12, 2011 at 4:08 PM, ..@singnet.com.sg> wrote:
Hi Dr Sing,
Thank you for your reply.
I will make necessary arrangements and have my family member bring my toy poodle to you.
Regards,
Monday, July 11, 2011
Yorkshire Terrier 2.5 kg neuter to stop urine-marking
Sunday July 11, 2011
A young couple came on this bright sunny Sunday morning at 9.30 am with a one-year-old male Yorkshire Terrier to neuter. I was getting ready to neuter a 3-month-old dwarf hamster that Dr Jason Teo had passed to me to do.
"Why do you want to neuter him?" I asked the young couple. A Yorkshire Terrier puppy sells for $2,500 and it seems that it is a pity to neuter him. But most Singaporean pet owners don't breed.
The couple said: "He does urine-mark and we research the internet. It says that urine-marking can be stopped if the dog is neutered."
"Yes," I said. "In most cases, urine-marking will stop if the male dog is neutered at a young age."
"Has he eaten his breakfast?" I asked.
"Not really. He nibbled a bit of his dog food." No food and water ought to be given to the dog 12 hours before anaesthesia but in this case, the dog could or could not have eaten much. In such cases, I have to use my judgment as the couple may not be free during weekdays to bring the dog down for neuter. So, I decided to operate myself.
ANAESTHESIA & SURGERY
"Do you want IV?" my assistant Mr Min asked me as most of the time, my associate vets and I give IV.
"No," I said. "IM will do."
I gave the Yorkshire 0.1 ml xylazine IM. No vomiting seen. After 15 minutes, I gave him isoflurane gas by mask and then intubate. 2% isoflurane gas provided a perfect surgical anaesthesia in this case. I ligated twice/spermatic cord with 2/0 absorbable sutures. No problem of bleeding.
I complimented my assistant for good work. He is getting more proficient as he keeps working as he has not much experience in veterinary anaesthesia in his past work places. A good veterinary assistant during anaesthesia is worth his weight in gold as the vet can just focus on the surgery which is already a big responsibility.
The bleeding was more from the skin after I gave one horizontal mattress suture to close it.
"No need subcuticular sutures?" Mr Min asked me. My associate vets do subcuticular. "The less sutures the better for the dog," I gave this tip to Mr Min who is qualified as a Myanmar Vet but is working here as a Veterinary Technician. "From my 40 years of experience, I find that just one horizontal mattress suture and no subcuticular sutures method is the best. Less sutures means less irritation for the neutered dog and less licking."
Tolfedine 6mg at one tablet twice a day should be sufficient for this Yorkshire. Trimethoprim syrup post op. In all dog neuters, one packet of absorbable sutures will do. There is the fanciful wish to impress the owner with "hidden sutures" under the skin. In this case, another packet of finer sutures need to be used. What is best for the dog is the least number of sutures and least cost to the owner and the veterinary surgery. Not fanciful suturing patterns to impress the owner at the expense of the veterinary practice as some employee vets are prone to do so.
I gave an e-collar just in case he bites the surgical area. Also a plaster to cover and protect it. I expect no post-surgical complications of bleeding or infection. The young couple looked happy as the Yorkshire was as normal as can be when they came 3 hours later to pick him up to go home. As if he has a short nap.
That is the advantage of a very light sedation and isoflurane gas. Most owners just want to see their pet greet them as alive as can be when they come to pick him up. Not drugged, groggy and ataxic dogs sleepy for several hours after surgery due to intravenous anaesthesia.
A young couple came on this bright sunny Sunday morning at 9.30 am with a one-year-old male Yorkshire Terrier to neuter. I was getting ready to neuter a 3-month-old dwarf hamster that Dr Jason Teo had passed to me to do.
"Why do you want to neuter him?" I asked the young couple. A Yorkshire Terrier puppy sells for $2,500 and it seems that it is a pity to neuter him. But most Singaporean pet owners don't breed.
The couple said: "He does urine-mark and we research the internet. It says that urine-marking can be stopped if the dog is neutered."
"Yes," I said. "In most cases, urine-marking will stop if the male dog is neutered at a young age."
"Has he eaten his breakfast?" I asked.
"Not really. He nibbled a bit of his dog food." No food and water ought to be given to the dog 12 hours before anaesthesia but in this case, the dog could or could not have eaten much. In such cases, I have to use my judgment as the couple may not be free during weekdays to bring the dog down for neuter. So, I decided to operate myself.
ANAESTHESIA & SURGERY
"Do you want IV?" my assistant Mr Min asked me as most of the time, my associate vets and I give IV.
"No," I said. "IM will do."
I gave the Yorkshire 0.1 ml xylazine IM. No vomiting seen. After 15 minutes, I gave him isoflurane gas by mask and then intubate. 2% isoflurane gas provided a perfect surgical anaesthesia in this case. I ligated twice/spermatic cord with 2/0 absorbable sutures. No problem of bleeding.
I complimented my assistant for good work. He is getting more proficient as he keeps working as he has not much experience in veterinary anaesthesia in his past work places. A good veterinary assistant during anaesthesia is worth his weight in gold as the vet can just focus on the surgery which is already a big responsibility.
The bleeding was more from the skin after I gave one horizontal mattress suture to close it.
"No need subcuticular sutures?" Mr Min asked me. My associate vets do subcuticular. "The less sutures the better for the dog," I gave this tip to Mr Min who is qualified as a Myanmar Vet but is working here as a Veterinary Technician. "From my 40 years of experience, I find that just one horizontal mattress suture and no subcuticular sutures method is the best. Less sutures means less irritation for the neutered dog and less licking."
Tolfedine 6mg at one tablet twice a day should be sufficient for this Yorkshire. Trimethoprim syrup post op. In all dog neuters, one packet of absorbable sutures will do. There is the fanciful wish to impress the owner with "hidden sutures" under the skin. In this case, another packet of finer sutures need to be used. What is best for the dog is the least number of sutures and least cost to the owner and the veterinary surgery. Not fanciful suturing patterns to impress the owner at the expense of the veterinary practice as some employee vets are prone to do so.
I gave an e-collar just in case he bites the surgical area. Also a plaster to cover and protect it. I expect no post-surgical complications of bleeding or infection. The young couple looked happy as the Yorkshire was as normal as can be when they came 3 hours later to pick him up to go home. As if he has a short nap.
That is the advantage of a very light sedation and isoflurane gas. Most owners just want to see their pet greet them as alive as can be when they come to pick him up. Not drugged, groggy and ataxic dogs sleepy for several hours after surgery due to intravenous anaesthesia.
Subscribe to:
Posts (Atom)