Thursday, April 25, 2013

1392. Talk update 2 - Challenges & joys of Dr Sing's career

CHALLENGES & JOYS OF A VETERINARY CAREER SPANNING 40 YEARS

1. As a government vet with the AVA for 8 years, there was job security, a housing and car loan. Half day on Saturdays. No need to work on Sundays and public holidays. I was welcome by the pig and chicken farmers as I did extension advisory work. Once a month, male vets including myself had to be present at the Jurong Abattoir where pigs and chickens were slaughtered.

So I had the "work-life" balance. I could change cars every 3 years.
But there was little chance of getting promotions and the salary increment was $50 per year. In other fields like the Ministry of Defence, the civil servants were getting better pay. Soon, my wife, being in management and in Information Technology, was paid more than me. I had a rare opportunity to become a racehorse vet and so I left the AVA for better remuneration (housing and car provided, salary and private practice for individual horse owners).  

2. As a racehorse vet for 8 years, I had to work on most weekends which were for horse-racing. I had to be on 24-hour call. Some vets had been kicked and killed by horses during treatmenbt and so there was this risk of injury to life. There would be the rare financial offers from horse owners to give a special injection so that their horses would win races. Corrupt racehorse vets who place bets will not work long at the Singapore Turf Club as there will be unhappy complaints from affected trainers or owners.

The above-mentioned veterinary earnings would not be available nowadays as the Club does not provide housing and car as well as private practice when the Singapore Totalisator Board took over in 1988. I was offered a fixed pay of $5,000 per month. So I left to build up my neglected dog and cat practice, Toa Payoh Vets started up in 1982. Employee vets were employed but they would not stay long. 

The joy of giving back to the racehorse community. Horse racing was in decline when the government took over. I was part of Dr Goh Keng Swee's task force to "reverse the decline" in racing. I decided to help the jockeys and trainers who were not being paid by the owners. This was a unique situation as I wrote to various top turf clubs and asked for their annual reports. It took a lot of time to summarise the findings as I was not a management person. One day a new magazine editor asked me to write about racehorses and I gave him my report. It was published with the graphics. The new Totalisator Board management was not too happy as I did not seek permission from them. However, I believed this magazine article was very useful. See images of my scanned article.  

3. Since 1990, I had been operating and managing Toa Payoh Vets. There were around 5 vet practices when I first started. Now there is intense competition as there are over 50 vet practices dealing with dogs and cats. The challenge is to sustain the profitability of the practice and not to lose money and go bankrupt. Price undercutting is done if the vet wants a large caseload but the net profits are low and there are insufficient earnings to buy new equipment or upgrade the practice.

Increasing high rentals are the trend in Singapore as there are few commercial shops for rent. The government disallowed vet clinics to be next to eating places, inside shopping malls and so there was less choice to rent. Still more ndew vet clinics are being opened as the vets do have funding from the parents. HDB shophouses now sell from $1.5 - 2.5 million and it is very difficult to buy one unless there is funding from families or from some sources. I am still renting the Toa Payoh Vets premises.

Succession planning
is never easy for small businesses like Toa Payoh Vets. Employee vets take the clientele with them when they start their own by text messages and direct phone calls. Children may not be interested or capable in taking over. Presently, I am mentoring Dr Daniel who graduated over a year ago to learn the finer aspects of veterinary medicine and surgery (Video of Dr Daniel).

Video of cat with chronic constipation operated by Dr Daniel.

Animal activism and animal welfare.  Animal activism has expanded in Singapore as young people are more caring towards animals.  Debarking of dogs and declawing of cats are deemed cruel by animal welfare activists. Some vets are against it and advised training and anti-anxiety drugs to stop non-barking dogs. Less than 5 cases per year are done by me. It is only done when the owner has no choice. It is either death by lethal injection or the surgery. The owner is usually very distressed by government policies and risk being evicted from the HDB flat or fined heavily.


The joy of giving back to the pet owner community.
As the younger generation is visual, I decided to produce educational videos from 2013. My first good video was of the baby boomers dancing. I hope you appreciate it. It takes 50X longer to produce videos but I have some good interns to help me.

Around 1977 when the internet was first introduced, I decided to publish educational articles to educate the pet owners and the vet students. The web pages used to be grey and white. I read about html and digital imaging by borrowing books and magazines from the public libraries. I needed to discipline myself to write one article a day and to post it to www.toapayohvets.com and my blog. Many pet owners appreciated the information.  It takes at least 2 hours to produce a case study article with images. The cases are at www.bekindtopets.com


RELATIONSHIP BETWEEN VETERINARY MEDICINE AND HUMAN MEDICINE
Use the present script








 

1391. Talk update

1969 - 1974  Glasgow University School of Veterinary Medicine. Colombo Plan Scholarship. 8-year-old bond with the AVA (Agri-food & Veterinary Authority).
1974 - 1976 Full-time National Service after graduation. SAF Provost Unit Officer. Guard and tracker dog vet, This service is included in the 8-year-old bond.
1977 - 1982 Pig and chicken government vet for the AVA.
1982 - 1990. Singapore Turf Club racehorse vet.
1982.  Started up Toa Payoh Vets at Blk 1002, Toa Payoh Lor 8, 01-1477
1991 - 2013 Dog &Cat vet at Toa Payoh Vets, www.toapayohvets.com.



ANIMALS & CONDITIONS SEEN IN SINGAPORE

Some more prevalent diseases are mentioned in this brief talk.

1.  In National Service, the military dogs suffered from heat stress, tick fever and hip lameness. Generally, they were retired when they reach 8 years of age.

2.  In the AVA, the main work was with chickens and pigs. Chickens and pigs were housed in large numbers to maximise production and profits. They suffered mainly from multiple viral diseases like Marek's Disease in chickens and Transmissible Gastroenteritis in piglets. Some of these diseases are prevented by vaccination approved by the AVA. Before vaccine approval, vaccine trials of Egg Drop Syndrome 76 virus were conducted by Dr Sing with Dr Ng Fook Kheong. These trials ensured that the vaccine imported would be effective.


3. In the Singapore Turf Club, racing injuries, fractures and tendon inflammation and bleeding from the nose were commonly encountered and treated in racehorses. Neutering of male horses were done.

4.  In Toa Payoh Vets, the top medical case was skin diseases in dogs (video). Causes are varied. Some can be cured e.g. generalised ringworm. (video). Certain breeds like the Shih Tzu are favourites of Singaporeans and eye injuries are most common (video). For 2 years, I did over 200 Caesarean sections for the professional dog breeders of Pasir Ris. Emergency Caesarean section in home breeders used to be popular in the 1990s but are occasionally encountered as Singaporeans could see puppies to meet a great demand. (video). 

Tumours in the older hamsters and swollen eyes in terrapins are commonly seen nowadays (video). Rabbits and guinea pigs have teeth or urinary tract problems.



 


Wednesday, April 24, 2013

1390. Talk to the Raffles Society of Biological Students

Suzanne Ou
8:30 AM (21 hours ago)

to me, daniel
Dear Dr Sing,
I have checked with my teacher and you can come at 4.15pm to upload the video as the lecture theatre will be occupied at 3pm. As per arranged early, I can meet you at Manna Cafe beside the school visitor's carpark.
Would it also be possible for you to send us a short excerpt so that we can introduce you to the students? The students are also very eager to hear from a real vet and it would be good if you can share your experiences rather then have everything conveyed purely through the video.
Once again, we would really like to thank you for taking time off and agreeing to come down this Thursday, and look forward to it!
Regards,
Suzanne O
 -------------------------------------


Kong Yuen Sing <99pups gmail.com="">
6:19 AM (0 minutes ago)

to jasonxll, Suzanne, daniel
I missed this email till now, April 25, 2013. Will be present at 4.15pm. Pl phone me if there are changes.

Short excerpt and sharing of memories for the young ones of the Raffles Biological Society in RI Year 5-6 students April 25, 2013 talk.


------------------------------
----------------------------------------------------------------------
APRIL 25, 2013
Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS. 62 years old.
Founder of Toa Payoh Vets, Asia USA Realty (S) asiahomes.com, Be Kind To Pets, Design Travel Pte Ltd.


1962 - 1968. Raffles Institution from Sec 1 to Pre-U 2 (Year 1-6 nowadays?). I was in one of the two Pre-U Medicine classes. There were 14 classes for Secondary 1. Three boys from my Bukit Merah Primary School got places in RI.

The old RI probably attracted the top male students from all the Primary Schools in Singapore. The old RI did not have competitors like Hwa Chong Institution, if you don't count a rich man's school as competitor.

My father picked two other choices for me. They were Gan Eng Seng and Victoria Secondary Schools. I had never heard of RI when I was in Primary Six, showing how ignorant of the education system I was. How did I qualify for Sec 1 of RI?

My father had this motivation system for his 4 children. $5 if I top the class, $4 for 2nd position ... to increasing number of strokes of the cane for 40th position. I was not motivated by the money. I had good teachers whom I visited during Chinese New Year.

My motivation to study hard was the excitement of going up to receive a book prize for being the top 3 students annually in the primary school. I had a nemesis - a girl from Telok Ayer who would fight with me for being first in class. Competition is never absent.

The strive for academic excellence has been snuffed out by the government in 2013 as it does not want to "stress" the students and parents by publicising the top students and school performance. However, in real life, excellent academic results still open doors to choice jobs and top remuneration. So, do study hard. No free lunch.  .    

 
      
1969 - 1974  Glasgow University School of Veterinary Medicine. Colombo Plan Scholarship. 8-year-old bond with the AVA (Agri-food & Veterinary Authority).
1974 - 1976 Full-time National Service after graduation. SAF Provost Unit Officer & guard and tracker dog vet, This service is included in the 8-year-old bond.
1977 - 1982 Pig and chicken government vet for the AVA for nearly 8 years
1982 - 1990. Singapore Turf Club racehorse vet.
1982.  Started up Toa Payoh Vets at Blk 1002, Toa Payoh Lor 8, 01-1477
1991 - 2013 Dog & Cat vet at Toa Payoh Vets, www.toapayohvets.com.

Those who have benefited from the education system. It is important to give back to society. I started community education www.bekindtopets.com for vet students and pet owners in 1977 when the world wide web was introduced.

I have  started www.asiahomes.com and www.designtravelpl.com - respectively a licensed realty and travel agency focused on Myanmar travel and tours.  



--------------------------------
Veterinary Science Talk To:
Members of The Raffles Society of Biological Sciences
Students Year 5-6, Raffles Institution (Junior College)
April 25, 2013   5.30pm  - 6.30pm, Lecture Theatre 5

I am Dr Sing Kong Yuen, veterinary surgeon, Toa Payoh Vets, www.toapayohvets.com. 
Thank you for your invitation.

When I was taking my Primary School Leaving Examinations (PSLE) at Bukit Merah Primary School in 1966, I had never heard of Raffles Institution (RI). My father recommended RI as one of the 3 choices. RI was located where Raffles City is. There were 14 Secondary One classes.

All 640 male classmates from Year 1 to Year 6. The high walls of the Convent of the Infant Holy Jesus ensured that RI boys would not see any of the Convent girls and so RI boys studied hard without the distractions of puppy love and heart breaks, a situation I expect to exist in the Bishan campus.

In 2013, I had two female vet interns from RI Year 6. Both got straight As. For one of them, I asked her whether the tall young man meeting her for lunch in the restaurant behind my Surgery was her boyfriend. She did not sound committed to me. A tall, good-looking, intelligent and rich young man. Good looks and wealth. He may not win the girl of his heart. She has so many choices as she networks.  I feel that the odds are not in his favour as young love is a flitting butterfly. When I was in Year 6, I was trying to get a date via the "pen-pal" columns of student magazines as the whole of RI was a monastery.    

Back to the realities of the veterinary profession, your Chairman, Ms Ou Suzanne Xianran is well organised  as she wanted me to share my insights as a veterinary surgeon with reference to the five topics:

1. What lead you to choose veterinary medicine as my career?
2.  Challenges and joys of my career.
3.  Animals and conditions I come across commonly in my field, especially in Singapore.
4.  Relationship between veterinary medicine and veterinary medicine.
5.  Opportunities for aspiring vets in Singapore or overseas.


 1. What lead you to choose veterinary medicine as my career?My father was the sole breadwinner earning $600/month working for the Ministry of Culture. He would support his 4 children up to "A" levels. We could become teachers. I was in one of the two Pre-U Medicine classes in Year 6. All of us wanted to be doctors. Single-minded. No distractions from pretty young things.

At that time, doctors had to find jobs in Hong Kong and so no medical scholarships were offered. I applied for and received a Colombo Plan scholarship given by the British Government to study veterinary science in Glasgow University in 1969 at the age of 19 years old. My family in Redhill Close did not keep dogs but I used to share my bread with a nursing stray female dog making her den on the landing of the first floor of the Redhill flat. Now stray dogs are quite extinct in Singapore but they were being cornered and shot-gunned by the government in those days and I felt so sad for them.

2.  Challenges and joys of my career.
The challenges and joys of my career from 1974 - 2013, nearly 4 decades as a veterinarian are numerous and I will highlight 3 of each.



CHALLENGES

1. MORE PAY.  I had to serve an 8-year bond as an employee vet in the predecessor of the Agri-Food & Veterinary Authority (AVA) as a government vet. I had no choice as to where I wanted to work. I would like to work in the Animal Infirmary where the Kandang Kerbau Hospital is located, treating dogs and cats but there was no vacancies. The AVA's role was to regulate and provide veterinary services to the pig and chicken farmers at that time.  The annual increment was $50/month and promotions were few for the technical man.

Soon my wife earned more than me as she was in the Information Technology field at the Ministry of Defence. Most likely she is the corporate type. She was promoted into senior management responsible for 200 staff. I was just a technical guy and only in management can there be more pay. My wife told me frankly that I would never make it in the corporate world. Don't be a practising vet if you want to earn more but you must have what it takes to play office politics.


3. FUNDING TO START MY OWN PRACTICE.
No family wealth. I started Toa Payoh Vets with my own money unlike many of the younger vets nowadays. Their parents provide financing for their studies and for starting up a practice.  

4. PROXIMITY & INCREASING COMPETITION.
Most Singaporeans will visit a veterinary practice near their homes as they are time-pressed. When I started up, there were around 7 practices. Now there are over 50. So, the number of clientele must drop unless the practice is located where there are no nearby vets.

5. UNIQUE SELLING PROPOSITION (USP).  It will be hard for the average practice to have a USP.   





Joys

1. WORK-LIFE BALANCE AS A GOVERNMENT VET.
As a government vet, there was the half Saturday, Public Holidays, Sundays and two weeks' leave per year. This was great. DINK (dual income no kids). I would think of which model of car to buy every 3 years. A low-interest housing loan and prices of houses were much more affordable in the 1980s.



WORK-LIFE BALANCE AS AN OWNER OF A PRIVATE VET PRACTICE.
As the owner of a private practice, at Toa Payoh Vets, the hours must be long as clients work office hours and can only send their pets for treatment after office hours. The vet must be there or suffer loss of clients to the over 50 veterinary practices in Singapore.  Brand-name does attract the Singaporean pet owner who can pay the higher fees.



2.  OPPORTUNITY FOR MORE PAY. 
The Singapore Turf Club has a "Junior Veterinary Surgeon" vacancy in 1982. I got a job for 8 years and this was a unique situation.  Accommodation, car and private practice were part of the package. I could rent out my house and not have to maintain a car. In 1988, the Singapore Totalisator Board took over and I resigned as I was offered $5,000/month with no house and car. I went back to Toa Payoh Vets to build up the practice as I had neglected it since I was working in the Singapore Turf Club and had difficulty employing good vets. 


           
SUCCESSION PLANNING


ANIMAL WELFARE

RISING RENTALS AND INFLATION

SOPHISTICATED YOUNG LADIES OF THE INTERNET



DEBARKING   DECLAWING



Murdoch University 6 years   S$27,000 (S$34,380) x 1;  A$46,000x5 = S$58,576 x5.

Univ of Glasgow School of Vet Medicine   5 years.   GBP 24,000 x5.   (S$45,503) x 5.

Make A Difference -
Giving Back to the Community - Be Kind To Pets
Helping the Disadvantaged - Myanmar vets


Animals encountered by me
Pigs, chickens  - viral diseases
Racehorses, polo club horses  - lameness
Small animals - diarrhoea, skin diseases, ear diseases, tumours in dogs. cat falls, bladder blocked.

Vet med and human med
Zoonosis - ringworm and rabies
Difficulty for young vets - need to perform surgeries in sick pets esp. hamsters . 


Opportunities
Management and drug sales support
Private practice >50 small animal practices
Myanmar, Cambodia,
UK, USA - anti-foreigner visas




.









 .      




   

1389. Anti-social behaviour - barking dogs

EMAIL DATED APRIL 24, 2013 

Hi Doc Judy ,

I'm Cynthia.  I adopted a 5 years only beagles recently he bark non stop even for hours when no one home. I got anxiety medication from vet even dog trainer to teach him but is not useful as long as no ones home he bark and crying banging at out glass door our neighbors not happy and start to complained.

We thinking of return him to SPCA but we really do love him now especially my 5 years old girl so I google I found your website. Would like to know are you willing to help us to do the surgery and the cost? As we already spend 1k plus over Bobbi for the pass few months and his medication is 100 plus a month but I don't seem any improvement.
Kong Yuen Sing <99pups gmail.com="">
4:56 AM (0 minutes ago)

to daniel, Cynthia
I am Dr Sing from Toa Payoh Vets.

Debarking by surgery is an alternative. The cost is around $500 for ventral approach surgery which is more effective than the oral approach. The dog needs to be hospitalised for 3 days post-op. I will be overseas from April 26 to May 7. Will do the surgery when I am back

Tuesday, April 23, 2013

1388. Health screening - How to communicate the advices of tests?

Schnauzer, Male, Not Neutered, 9 years old. The owner wanted a health screening in addition to dental work. Dr Daniel extracted 7 teeth. Blood and urine tests are mandatory for health screening in dogs and cats. He then phoned the owner to tell him the results.

From what I see, the significant results are in the urine test.
pH 7.0  SG 1.042.  Cystals Amorphous phosphate  Protein +, Bacteria 2+.  But RBC and WBC negative.


So what to advise?

Each vet does his own way.  For me, I emphasized to the owner to feed the S/D diet to dissolve all crystals for 3 months. Then proceed to feeding C/D or some commercial diet for struvite stones as S/D and C/D are from vets only. "It is important that you get the crystals dissolved as Miniature Schnauzers are prone to bladder stones. Surgery to remove such stones will be expensive!"

I write down the advices so that there will be no dispute. It will be best to be in writing but vets don't do it.

Talk at Raffles Institution for "A" level students - videos

http://www.youtube.com/watch?v=ntHweZD49ec (FIV in cats).




http://www.youtube.com/watch?v=MsCnKcSHczE
The German Shepherd swallowed the maid's hairband - stomach surgery


http://www.youtube.com/watch?v=SqclWgPXw10
Dermaphytosis (Ringworm) diagnosis - good intern research


 http://www.youtube.com/watch?v=Rt2WJ5cIMeg&NR=1&feature=endscreen
eye ulcer in dogs - descemetocoele

 http://www.youtube.com/watch?v=ODSUlKygenc

Anal sac abscess in dogs

How much it costs to study vet science in UK, Australia and New Zealand

Your request for more information on Vet
Inbox
x

cms
5:48 PM (9 hours ago)


to me, Justin
Dear Dr Sing
We append below the Universities which offer Veterinary Science in Australia, New Zealand, England and Scotland. All require very high academic results to be eligible for entry.
Australia
England

Scotland

New Zealand

 Of the Universities in Australia:
1.University of Melbourne  
2. University of Sydney are graduate entry
3. University of Adelaide
The other 5 are undergraduate entry all very competitive due to limited places being available for international students. The most popular Universities in the Singaporean purview are:
1. Murdoch  University – 6 years (one year Animal Science tuition fees A$27,000 and five years Vet @ A$46,000 per year)
2. University of Queensland – 5 years annual tuition fees A$50,000
The fees charged by the other Universities are:
1. James Cook University – 5 years annual tuition fee A$46,000
2. Charles Sturt University – 6 years annual tuition fees A$48,000
Of the Universities in UK
1. University of Cambridge Veterinary School
are the most difficult to get in and thus I will not touch on their fees.
3.University of Bristol School of Veterinary Science – 5 years, annual tuition fees: Pounds 17,250
4.University of Liverpool Faculty of Veterinary Science – 5 years, annual tuition fees: Pounds 22,419
5,University of Nottingham School of Veterinary Medicine and Science – 5 years annual tution fees: Pounds 23,300. A 6 years course is also available which includes a  preliminary year
7. University of Glasgow School of Veterinary Medicine – 5 years annual tuition fees Pounds 24,000
New Zealand
Massey University Faculty of Veterinary Science – 5 years Fees for 1st year NZ$3,212.50 to NZ$6,562.50 and fees from 2nd to 5th
year  NZ$38,900 to NZ$52,500 per year depending on the units done.                                                                                                                                                                                            
Best regards
David Teo
Managing Director


CMS (Pte) Ltd
15 Enggor Street #07-01 Realty Centre
Singapore 079716
Telephone : (65) 6221-1666
Facsimile : (65) 6221-1106
Web : www.cmsedu.com


** Studying overseas made possible? Special interest rate for RHB Bank Education Loan for CMS students. Call us to find out more. **


"This message and any attachments are solely for the intended recipient and may contain confidential or privileged information. If you are not the intended recipient, any disclosure, copying, use, or distribution of the information included in this message and any attachments is prohibited. If you have received this communication in error, please notify us by reply e-mail and immediately and permanently delete this message and any attachments. Thank you."
Justin Ma
5:59 PM (9 hours ago)

to me, CMS
Hi Dr. Sing

Just an edit on the fees for Massey University in NZ:

New Zealand

Massey University Faculty of Veterinary Science – 5 years.

Fees for 1st year NZ$38,900 to NZ$52,500 depending on the units done and fees from 2nd to 5th year NZ$52,500 per year. 







Best Regards,
Justin Ma
Administrative/Counselor

CMS (Pte) Ltd
15 Enggor Street #07-01 Realty Centre
Singapore 079716
Telephone : (65) 6221-1666
Facsimile : (65) 6221-1106
Web : www.cmsedu.com



---------------------------------------------------------------------------------------------

IN 2014, USING TWO UNIVERSITIES FAVOURED BY SINGAPOREANS,
TOTAL TUITION FEES ARE AS FOLLOWS:

1, Murdoch University - 6 years
lst year  A$27,000 = S$34,380
5 years  A$46,000/year = S$58,576/year. Total = S$292,880
Total tuition fees for 6 years = S$327,260

2.  Glasgow University School of Vet Medicine
5 years GBP24,000/year = S$45,503/year
Total tuition fees for 5 years = S$227,515