Saturday, Jun 14, 2014
"You know, my Papillon does not have fits," the mother who had to take care of this 14-year-old emaciated dog said to me today. "After you had extracted the rotten teeth, he has no more fits and so I did not give the anti-fits medication."
That was in Jan 12, 2014 when Dr Daniel extracted 12 rotten teeth. The dog was given IV drips, antibiotics and anti-fits medication for 3 days. A blood test was done indicating kidney disorder with high blood urea and creatinine.
She really recovered as the owner said: "My dog was eating the canine K/D diet since the extraction and so I did not give the dogs anti-fits tablets. Now, she cries whenever I carry her. She did not eat for past 3 days and would not move, like being a statute. What to do? Should I put her to sleep?"
"She is in great pain," I said. "Probably kidney pain. It is up to the owner to decide on euthanasia as the dog needs much nursing and time and you would be travelling overseas. Your daughter would not want to nurse this dog. "
There was also no budget for X-rays and other tests and so this was the best I could do, from the blood test. Brain scan is out of question but was advised by the other vet. The dog was eating well when I followed up on Feb 26, 2014 when the owner came for 5 cans of K/D and antibiotics.
From March to June 14 today, no news from the owner. Probably not well cared for as now the dog is emaciated and in great pain.
How long can the Papillon live? Much longer than the 14 years if given annual check up such as dental scaling and careful nursing. But many Singaporean owners do not bother with the dog's rotten teeth which pass bacteria to the heart and other organs, causing the dog to live shorter lives.
Pet health and care advices for pet owners and vet students, photography tips, travel stories, advices for young people
Saturday, June 14, 2014
Yangon Vet Talk in July 5, 2014 - Treatment of pyometra video
Time is running out
Dog will die within a week if the father does not want the operation owing to poor prognosis and pragmatism. Why spend money if the vet (myself) said that the dog has 20% chances of survival?
https://www.youtube.com/watch?v=J9WJqmVPfw8
Thursday, June 12, 2014
Treatment of pyometra for valuable breeders - using uterine irrigation
Jun 12, 2014
TREATMENT OF PYOMETRA
Experiences of my associate, a senior vet aged 75 years old who did treat a few cases of pyometra in dogs.
1. Spay is the best solution. Some owners just want antibiotics. After a few cycles, the dog becomes paraplegic and it would be too late even with spay. The dog would die during surgery or not able to stand again. It is believed that the toxins from the pyometra has reached the brain or spinal cord.
2. OPEN PYOMETRA - Midline incision to view passage of the catheters into uterus via vaginal speculum. 2 cathethers via vaginal speculum to 2 uterine horns. Irrigate and flush out the pus. Use of saline and hydrogen peroxide
3. CLOSED PYOMETRA - Treatment of uterine irrigation as for open pyometra. In one case, the owner of a Pekinese wanted the treatment. The Pekinese got pregnant with one pup at the next cycle.
4. Conclusion. Spay is the cheapest. Blood test and ultrasound needed. Polydipsia is a sign.
TREATMENT OF PYOMETRA
Experiences of my associate, a senior vet aged 75 years old who did treat a few cases of pyometra in dogs.
1. Spay is the best solution. Some owners just want antibiotics. After a few cycles, the dog becomes paraplegic and it would be too late even with spay. The dog would die during surgery or not able to stand again. It is believed that the toxins from the pyometra has reached the brain or spinal cord.
2. OPEN PYOMETRA - Midline incision to view passage of the catheters into uterus via vaginal speculum. 2 cathethers via vaginal speculum to 2 uterine horns. Irrigate and flush out the pus. Use of saline and hydrogen peroxide
3. CLOSED PYOMETRA - Treatment of uterine irrigation as for open pyometra. In one case, the owner of a Pekinese wanted the treatment. The Pekinese got pregnant with one pup at the next cycle.
4. Conclusion. Spay is the cheapest. Blood test and ultrasound needed. Polydipsia is a sign.
Two urolith cases in 2 dogs. Bladder stones in 2009. Kidney stones in 2014
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Wednesday, June 11, 2014
1375. AUDIT. Owner's financial constraints. An 11-year-old Miniature Pinscher has calcium oxalate stones
Case TP 44133
The 11-year-old Miniature Pinscher was overweight at 12 kg and could not stand up yesterday. Two weeks of dribbling urine. He stopped eating for the past 2 days and had been dribbling urine for the last 2 weeks or more.
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Thursday, April 24, 2014
1358. An old Miniature Pinscher can't pee
"The bladder is about to rupture," I advised an emergency surgery. "Around 10 stones in the os penis and more than 16 inside the bladder!"
The owner had delayed seeking veterinary treatment for many weeks. Blood tests showed kidney failure, thus explaining the persistence of daily vomiting by the dog.
The owner gave permission for the emergency surgery. The dog survived anaesthesia and surgery done by Dr Daniel. However, he passed away 3 days later.
Chances of survival after surgery are much lower if owners have been dragging their feet in getting their dog treated early by the vet.
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BLOOD TEST
Urea 44.6 (4.2-6.3), Creatinine 514 (89-177)
Haemoglobin and red cell count were below normal. Total white cell count at 26.1 (6-17) with Neutrophils at 95.5%. Haemocrit was low at 0.32 (0.37 - 0.55). However, the platelet count was normal. The dog was obese and very ill. This was a very high anaesthetic risk but the owner consented to the surgery.
X-RAYS
Urethral stones and bladder stones
To upload X-ray
URETHRAL OBSTRUCTION relieved by catherisation by Dr Daniel.
URINE TEST
pH 7, SG 1.011, Blood 4+ Crystals Nil, Bacteria Nil
No urine culture done
The dog passed away a day after surgery. The owner did not want any stone analysis.
I sent the stones c/o Hills to Minnesota Urolith Center Quantitative Urolith Analysis
Results: Calcium oxalate stones
1377. Territorial disputes of a dog
The 4-year-old Cross-bred bit the child who sat on the sofa. This was the 4th time he bit family members. Two years ago, he bit the owner and I had advised neutering him to reduce his aggression.
"This aggression could have been much reduced if you had neutered this dog 2 years ago," I said to him. The dog was healthy and should not be put to sleep.
"I was advised not to neuter him," the man in his late 30s said to me as he brought the dog to me for euthanasia. Yesterday, he went to a bigger practice, but the vet rejected his request to put the dog to sleep and told him to come to me instead. SPCA apparently did not want the dog.
There was one option. To house him with Noah's Ark but would they accept this dog? Would this dog stop eating once he was not with this owner as it had happened before. "I am not a good owner," the man said as he spent time with the dog outside the clinic. "My dog is territorial and that was why he bit my nephew."
He would house the dog in Noah's Ark if I would be responsible for all the administrative arrangements. What if the dog bites and kill other people since he had "tasted blood" four times. I declined the heavy responsibility.
Territorial disputes happen in the canine kingdom too as between large countries. Only that the dog is the loser. He decided on euthanasia and later scattered the dog's ashes off the East Coast seas. "This is the only time I can kiss him," the wife planted a kiss on the euthanased dog. This scene reminded me of "Sleeping Beauty". Only that, the dog did not wake up when kissed by "true love", a person who truly loved him as in the Disney movie "Maleficent" I watched recently.
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"This aggression could have been much reduced if you had neutered this dog 2 years ago," I said to him. The dog was healthy and should not be put to sleep.
"I was advised not to neuter him," the man in his late 30s said to me as he brought the dog to me for euthanasia. Yesterday, he went to a bigger practice, but the vet rejected his request to put the dog to sleep and told him to come to me instead. SPCA apparently did not want the dog.
There was one option. To house him with Noah's Ark but would they accept this dog? Would this dog stop eating once he was not with this owner as it had happened before. "I am not a good owner," the man said as he spent time with the dog outside the clinic. "My dog is territorial and that was why he bit my nephew."
He would house the dog in Noah's Ark if I would be responsible for all the administrative arrangements. What if the dog bites and kill other people since he had "tasted blood" four times. I declined the heavy responsibility.
Territorial disputes happen in the canine kingdom too as between large countries. Only that the dog is the loser. He decided on euthanasia and later scattered the dog's ashes off the East Coast seas. "This is the only time I can kiss him," the wife planted a kiss on the euthanased dog. This scene reminded me of "Sleeping Beauty". Only that, the dog did not wake up when kissed by "true love", a person who truly loved him as in the Disney movie "Maleficent" I watched recently.
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1376. A 13-year-old poodle has kidney stones
The 13-year-old poodle could not stand up, leaked urine and did not eat for the past few days. She was overweight and had lost all teeth. One last upper left canine tooth remained and was as black as carbon.
"What happened?" the couple asked me when I palpated the anterior abdomen and the dog reacted with painful cries.
"I need an X-rays to check the abdomen," I said. "She might have urinary stones."
X-rays showed kidney stones in both kidneys. This explained the anterior abdominal pain. The owners did not want to spend more money for blood and urine tests. In any case, the prognosis was poor as both kidneys were affected. They took the dog home. She died the next day and was cremated.
"What happened?" the couple asked me when I palpated the anterior abdomen and the dog reacted with painful cries.
"I need an X-rays to check the abdomen," I said. "She might have urinary stones."
X-rays showed kidney stones in both kidneys. This explained the anterior abdominal pain. The owners did not want to spend more money for blood and urine tests. In any case, the prognosis was poor as both kidneys were affected. They took the dog home. She died the next day and was cremated.
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