"To be frank with you, I consulted another" vet yesterday," the lady gave me a container with mucoid stools and some tissues of blood. "atA very nice place. The vet was nice and checked the stools under the microscope. He said no blood in the stools and no parasites. But my dog still has blood in the stools."
The other vet also prescribed some liquid medication and gave assurances that there was no blood.
"To me, this pinkish tissue looks like blood. But the lady said she fed the dog beetroot.
"Could it be the colour of beetroot?" she asked.
Fortunately, I had studied in Scotland and am familiar with the purplish blue beetroot which is eaten by Westerners.
"There will be very little blood," I said. "So, I will send this sample to the laboratory that specialises in blood and faecal tests as they will have the more sophisticated machines to detect it."
LAB RESULTS
STOOL FEME AND OB
Stool Analysis
Appearance Soft brownish stools
Microscopic examination (wet mount) leucocyters, erythrocytes+ detected
Occult blood Positive
The owner phoned at 10 am for the results. I told her. She asked me to fax a copy of the report to the other vet.
Friday, October 12, 2012
1140. Management of practice: 2 growling big mongrels
Yesterday, I noticed that 2 mongrels (male and female) were kept in the room. As I opened the door, they growled. We don't have space to house big dogs esp. the male Great Dane Cross. In any case, the owner wanted the dogs back on the same day. We also had a Husky in for treatment of constipation for the next few days and one big dog is sufficient.
"Why are the dogs not sterilised?" I asked Dr A.
"I didn't know Min is off today."
"Don't accept big fierce dogs if you can't handle them. Phone the owner and ask her to take rthem back! The vet in charge has to take responsibility for the sedation, not Mr Min. I have two vets and must we wait for Min to do it tomorrow?"
I advised the two vets how to get the male dog sedated without being bitten.
Dr B went to the room to get the male dog out. Gently talking to them and as the dogs have leashes, he could just talk his way in and take the male dog out. I asked the clients with the Beagle to go out of the clinic first.
"Muzzling is not possible," Dr B tried outside the clinic but the male cream dog would not accept it. "Why don't you try?"
I am no superman. Drs A and B managed to inject the sedatives IM behind the waiting room and so I did not see how they did it. I did advise blocking the chest and head with the door closed on this part of the body while Dr A injected the back muscles.
"What happens if Dr B gets bitten?" Dr A asked me during the post-op discussion.
"In the first place, Dr B should understand dog pyschology and body language and he would not be bitten in the first place. Most dogs give warning e.g. growling and if the vet ignores it, he deserves to be bitten.
It was 9.30 pm when the male dog was picked up by the owner. As the clinic manager, I have to ensure that the work processes are efficiently and effectively done. Otherwise, the practice loses money for every case handled. This accountancy is not obvious to the employee vets who still gets the salary anyway.
"Why are the dogs not sterilised?" I asked Dr A.
"I didn't know Min is off today."
"Don't accept big fierce dogs if you can't handle them. Phone the owner and ask her to take rthem back! The vet in charge has to take responsibility for the sedation, not Mr Min. I have two vets and must we wait for Min to do it tomorrow?"
I advised the two vets how to get the male dog sedated without being bitten.
Dr B went to the room to get the male dog out. Gently talking to them and as the dogs have leashes, he could just talk his way in and take the male dog out. I asked the clients with the Beagle to go out of the clinic first.
"Muzzling is not possible," Dr B tried outside the clinic but the male cream dog would not accept it. "Why don't you try?"
I am no superman. Drs A and B managed to inject the sedatives IM behind the waiting room and so I did not see how they did it. I did advise blocking the chest and head with the door closed on this part of the body while Dr A injected the back muscles.
"What happens if Dr B gets bitten?" Dr A asked me during the post-op discussion.
"In the first place, Dr B should understand dog pyschology and body language and he would not be bitten in the first place. Most dogs give warning e.g. growling and if the vet ignores it, he deserves to be bitten.
It was 9.30 pm when the male dog was picked up by the owner. As the clinic manager, I have to ensure that the work processes are efficiently and effectively done. Otherwise, the practice loses money for every case handled. This accountancy is not obvious to the employee vets who still gets the salary anyway.
History of anaesthesia in dogs and cats
I just spoke to a senior vet to enquire whether he has domitor as my vets have run out of it. He does not use it. Some interesting history from this experienced small animal vet now in his 70s. He started practice some 50 years ago when Singapore had only 3 vet practices and the government Animal Infirmary. Now there are around 50.
1. Xylazine knock down. Nembutal IV to effect. "Despite the vet books claiming that Nembutal will cause drowsy puppies, I did not have any. Intubate and give halothane gas + O2 or just O2 will do." He did a few thousand dog Caesareans. Minimal dosage. Nembutal no longer available easily.
2. Now he uses xylazine + ketamine. It is better, easier to handle and cheaper. Does not need to have many nurses to assist in spay.
E.g. Shih Tzu which is bigge than a cat, xylazine 2% at 0.6 to 0.7 ml and ketamine at 0.4 to 0.5 ml IM or IV. The vet needs to experience the dosage. .
E.g. adult cat in Singapore xylazine at 0.4 to 0.5 ml & ketamine at 0.4-0.5 ml IM.
3. His younger vet uses propofol
4. He does not use zoletil, diazepam or domitor for sedation.
This is good management as too many sedatives increase stock costs as they expire. Younger employee vets seldom know about the high overheads in a vet practice as they order various kinds of sedatives based on their likes and dislikes. When they open their practice, they may then understand.
1. Xylazine knock down. Nembutal IV to effect. "Despite the vet books claiming that Nembutal will cause drowsy puppies, I did not have any. Intubate and give halothane gas + O2 or just O2 will do." He did a few thousand dog Caesareans. Minimal dosage. Nembutal no longer available easily.
2. Now he uses xylazine + ketamine. It is better, easier to handle and cheaper. Does not need to have many nurses to assist in spay.
E.g. Shih Tzu which is bigge than a cat, xylazine 2% at 0.6 to 0.7 ml and ketamine at 0.4 to 0.5 ml IM or IV. The vet needs to experience the dosage. .
E.g. adult cat in Singapore xylazine at 0.4 to 0.5 ml & ketamine at 0.4-0.5 ml IM.
3. His younger vet uses propofol
4. He does not use zoletil, diazepam or domitor for sedation.
This is good management as too many sedatives increase stock costs as they expire. Younger employee vets seldom know about the high overheads in a vet practice as they order various kinds of sedatives based on their likes and dislikes. When they open their practice, they may then understand.
Wednesday, October 10, 2012
An old wound in a hamster
On Wed, Oct 10, 2012 at 5:28 PM, ..@gmail.com> wrote:
EMAIL REPLY FROM DR SING DATED OCT 10, 2012
You will need to send it to the vet for treatment as it seems to be long-standing wound.
Dear Ms Judy,
I think there is something wrong with my hamster. A few weeks ago, there seems to be some wound near the neck and shoulder area. Although it seems to be healing some days later, the wound reopened quite recently and now my hamster looks really weak and motionless. I do not know what else to do. May I please have some advice on how to make her better?
Thank you very much
EMAIL REPLY FROM DR SING DATED OCT 10, 2012
You will need to send it to the vet for treatment as it seems to be long-standing wound.
1137. Email query on cost of spaying female cats at Toa Payoh Vets
On Mon, Oct 8, 2012 at 11:58 AM, ...inn@hotmail.com> wrote:
Hi Ms Judy,
I have 2 female cats, both about a year old. I would like to know what are the charges for stabilizing both of them and how soon I can get an appt with your doctors. Please advise. Thank you.
Regards,
K
E-MAIL REPLY FROM DR SING DATED OCT 10, 2012
I am Dr Sing. Pl accept my apologies for the late reply. The fees for spaying one female cat is from $120 - $180 (with painkillers and antibiotic medication and e-collar home). If the cat is pregnant, the cost is an additional $50.
Pl phone 62543326 for appointment or just come at 9.30 am on a weekday preferred. No food and water after 10 pm, the next before.
Tuesday, October 9, 2012
1136. Hamster food for the new Syrian hamster
On Mon, Oct 8, 2012 at 7:23 PM, J@hotmail.com> wrote:
Hi Dr Sing,
This is J... We spoke just now about the Vitakraft food for Syrian hamster. I got this ingredient info from the website. The brand originates from Germany. Is this acceptable?
Thanks!
Regards,
J
EMAIL REPLY FROM DR SING DATED OCT 9, 2012
to daniel, Joycelyn
Good research on your proposed purchase of the Vitacraft hamster food for your new Syrian hamster. The alloe vera concentrate and the "approved additives" are the parts I will not feed my hamster as I don't know what long-term effects they will produce.
It is your own preference. If I have to buy only from this Vitacraft manufacturer, I will choose
Emotion ® Nature Dinner Emotion ® Nature dinner
Artikelnummer: 24306 Item number: 24306
There is an English translation at:
http://translate.google.com.sg/translate?hl=en&sl=de&tl=en&u=http%3A%2F%2Fwww.vitakraft.de%2F
The following is copied from this website:
Mit Emotion® Nature Dinner bieten Sie Ihrem Hamster Natur pur im Futternapf! With emotion ® Nature dinner offering your hamster pure nature in the food bowl! Knackige Kürbiskerne, leckere Kolbenhirserispen, gesunder Dinkel ... Crunchy pumpkin seeds, Kolbenhirserispen tasty, healthy spelled ... Die Mischung enthält die reine Vielfalt der Natur — die Rohstoffe werden frisch geerntet und schonend verarbeitet. The blend contains pure natural diversity - the raw materials are freshly harvested and carefully processed.
Emotion® Nature Dinner ist mit vielen energiereichen Zutaten perfekt auf den natürlichen Speiseplan Ihres Nagers abgestimmt und enthält zudem wertvolle Omega-3-Fettsäuren zur Unterstützung eines gesunden Fells. Emotion ® Nature's dinner with many energy-rich ingredients perfectly adapted to the natural diet of your rodent and also contains valuable omega-3 fatty acids to support a healthy coat. Natürlich versorgt das Naturfutter Ihr Tier auch mit allen lebenswichtigen Vitaminen und Mineralstoffen — mit speziellem ACE-Komplex zum Schutz der Zellen. Of course, the natural food supplies your pet with all essential vitamins and minerals - with a special ACE complex to protect the cells. Für ein natürlich gesundes Hamsterleben! For a naturally healthy hamsters life!
Pure Nature: Mit hochwertigen Komponenten aus der Natur Pure Nature: With high quality components from nature
Vitamine : Enthält Vitamine und Mineralstoffe Vitamins : Contains vitamins and minerals
Omega 3: Essentielle Fettsäuren unterstützen eine gesunde Haut und ein gesundes Fell Omega 3: Essential fatty acids support healthy skin and a healthy coat
Cell Protect: Mit ACE-Komplex zum Schutz der Zellen Cell Protect: With ACE complex to protect the cells
Für alle Hamster For all hamsters
Von Tierärzten und Nagerexperten entwickelt Developed by veterinarians and rodent experts
Artgerecht, hochwertig, ausgewogen Arthritis, high quality, balanced
Zuckerfreie Rezeptur Sugar-free recipe
Ohne künstliche Aromastoffe No artificial flavors
Ohne künstliche Farbstoffe Free from artificial colors
Ohne künstliche Konservierungsstoffe No artificial preservatives
Inhalt: 600 g Content: 600 g
Complete food for hamster
Zusammensetzung: Composition:
Pflanzliche Nebenerzeugnisse Vegetable by-products
Getreide (Kolbenhirse 5%, Dinkel 5%) Cereals (millet 5%, 5% spelled)
Gemüse Vegetables
Saaten (Kürbiskerne 3%) Seeds (pumpkin seeds 3%)
Nüsse Nuts
Fleisch und tierische Nebenerzeugnisse Meat and other animal products
Mineralstoffe Minerals
Öle und Fette (Sonnenblumenöl 0,06%, Rapsöl 0,02%) Oils and fats (sunflower oil, 0.06%, 0.02% rapeseed oil)
Hefen Yeasts
Zusatzstoffe/kg: Additives / kg:
Ernährungsphysiologische Zusatzstoffe: Nutritional additives:
Vitamin A (E672) Vitamin A (E672) 11429 IE 11,429 IU
Vitamin D3 (E671) Vitamin D3 (E671) 875 IE 875 IU
Vitamin E Vitamin E 770 mg 770 mg
Vitamin C Vitamin C 638 mg 638 mg
Selen (E8) Selenium (E8) 010 mg 010 mg
Eisen (E1) Iron (E1) 14.215 mg 14,215 mg
Jod (E2) Iodine (E2) 406 mg 406 mg
Kupfer (E4) Copper (E4) 469 mg 469 mg
Mangan (E5) Manganese (E5) 4.334 mg 4334 mg
Zink (E6) Zinc (E6) 3.547 mg 3547 mg
Drinking and peeing a lot is not normal in your hamster. Be observant.
Updates & images will be at:
http://www.sinpets.com/hamsters/20121009hamster_food_quality_toapayohvets.htm
Hi Dr Sing,
This is J... We spoke just now about the Vitakraft food for Syrian hamster. I got this ingredient info from the website. The brand originates from Germany. Is this acceptable?
Thanks!
Regards,
J
EMAIL REPLY FROM DR SING DATED OCT 9, 2012
to daniel, Joycelyn
Good research on your proposed purchase of the Vitacraft hamster food for your new Syrian hamster. The alloe vera concentrate and the "approved additives" are the parts I will not feed my hamster as I don't know what long-term effects they will produce.
It is your own preference. If I have to buy only from this Vitacraft manufacturer, I will choose
Emotion ® Nature Dinner Emotion ® Nature dinner
Artikelnummer: 24306 Item number: 24306
There is an English translation at:
http://translate.google.com.sg/translate?hl=en&sl=de&tl=en&u=http%3A%2F%2Fwww.vitakraft.de%2F
The following is copied from this website:
Mit Emotion® Nature Dinner bieten Sie Ihrem Hamster Natur pur im Futternapf! With emotion ® Nature dinner offering your hamster pure nature in the food bowl! Knackige Kürbiskerne, leckere Kolbenhirserispen, gesunder Dinkel ... Crunchy pumpkin seeds, Kolbenhirserispen tasty, healthy spelled ... Die Mischung enthält die reine Vielfalt der Natur — die Rohstoffe werden frisch geerntet und schonend verarbeitet. The blend contains pure natural diversity - the raw materials are freshly harvested and carefully processed.
Emotion® Nature Dinner ist mit vielen energiereichen Zutaten perfekt auf den natürlichen Speiseplan Ihres Nagers abgestimmt und enthält zudem wertvolle Omega-3-Fettsäuren zur Unterstützung eines gesunden Fells. Emotion ® Nature's dinner with many energy-rich ingredients perfectly adapted to the natural diet of your rodent and also contains valuable omega-3 fatty acids to support a healthy coat. Natürlich versorgt das Naturfutter Ihr Tier auch mit allen lebenswichtigen Vitaminen und Mineralstoffen — mit speziellem ACE-Komplex zum Schutz der Zellen. Of course, the natural food supplies your pet with all essential vitamins and minerals - with a special ACE complex to protect the cells. Für ein natürlich gesundes Hamsterleben! For a naturally healthy hamsters life!
Pure Nature: Mit hochwertigen Komponenten aus der Natur Pure Nature: With high quality components from nature
Vitamine : Enthält Vitamine und Mineralstoffe Vitamins : Contains vitamins and minerals
Omega 3: Essentielle Fettsäuren unterstützen eine gesunde Haut und ein gesundes Fell Omega 3: Essential fatty acids support healthy skin and a healthy coat
Cell Protect: Mit ACE-Komplex zum Schutz der Zellen Cell Protect: With ACE complex to protect the cells
Für alle Hamster For all hamsters
Von Tierärzten und Nagerexperten entwickelt Developed by veterinarians and rodent experts
Artgerecht, hochwertig, ausgewogen Arthritis, high quality, balanced
Zuckerfreie Rezeptur Sugar-free recipe
Ohne künstliche Aromastoffe No artificial flavors
Ohne künstliche Farbstoffe Free from artificial colors
Ohne künstliche Konservierungsstoffe No artificial preservatives
Inhalt: 600 g Content: 600 g
Complete food for hamster
Zusammensetzung: Composition:
Pflanzliche Nebenerzeugnisse Vegetable by-products
Getreide (Kolbenhirse 5%, Dinkel 5%) Cereals (millet 5%, 5% spelled)
Gemüse Vegetables
Saaten (Kürbiskerne 3%) Seeds (pumpkin seeds 3%)
Nüsse Nuts
Fleisch und tierische Nebenerzeugnisse Meat and other animal products
Mineralstoffe Minerals
Öle und Fette (Sonnenblumenöl 0,06%, Rapsöl 0,02%) Oils and fats (sunflower oil, 0.06%, 0.02% rapeseed oil)
Hefen Yeasts
Zusatzstoffe/kg: Additives / kg:
Ernährungsphysiologische Zusatzstoffe: Nutritional additives:
Vitamin A (E672) Vitamin A (E672) 11429 IE 11,429 IU
Vitamin D3 (E671) Vitamin D3 (E671) 875 IE 875 IU
Vitamin E Vitamin E 770 mg 770 mg
Vitamin C Vitamin C 638 mg 638 mg
Selen (E8) Selenium (E8) 010 mg 010 mg
Eisen (E1) Iron (E1) 14.215 mg 14,215 mg
Jod (E2) Iodine (E2) 406 mg 406 mg
Kupfer (E4) Copper (E4) 469 mg 469 mg
Mangan (E5) Manganese (E5) 4.334 mg 4334 mg
Zink (E6) Zinc (E6) 3.547 mg 3547 mg
Drinking and peeing a lot is not normal in your hamster. Be observant.
Updates & images will be at:
http://www.sinpets.com/hamsters/20121009hamster_food_quality_toapayohvets.htm
Monday, October 8, 2012
1135. Hamster with sticky rat glue on its body
Today I got a phone call regarding a hamster with sticky rat glue stuck on its body. "Will vegetable oil remove the glue?' the young man asked me as he had researched the internet. "I don't know," I said. "Apply a small part first and see."
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