Sep 20, 2014
The lady asked whether Royal Canin delivers the hypoallergenic food to her house as she finds that it is better than Science Diet Z/D. Her dog had been tested for allergies which showed that the dog was allergic to grasses and even cockroaches.
."Keeping this expensive dog indoors reduces a lot of skin itchiness," she said. "Do you remember you opened up her vertical ear canals in April?"
"Some miniature schnauzers have hairy ears and so there is not much ear v. entilation or drainage. The ears become infected. Is the dog still scratching his ears and shaking his head continuously nowadays?" I asked.
"Very much less," she said. "My friends can't believe that he is itchy to grasses" This feedback shows that lateral ear canal resection is effective.
"There is a need to check the horizontal ear canal," I explained to her as there is some scratching of the ears. Very little .
Royal Canin does not deliver food to the house. She found it better and so she ordered it for her dog. Today another dog owner had bought 2 large bags and so there was none available. Toa Payoh Vets do not stock up such special diets as the demand is low and we have to throw away expired ones. She would phone to order the big bags. .
Friday, September 19, 2014
1504. Blood test for an old bad-breath Jack Russell X
TP 45534
Bad breath from a distance. The owner lives with the 8-year-old male dog will not be able to smell this because his nose is sensitized to the smell.
"My friend told me I must do a dental scaling," he said to me. The dog looked like a Norwich Terrier but he said it was a Jack Russell X.
BLOOD TEST before dental work.
Surprisingly the total white cell count was 5.6 (6-17) but the neutrophils were normal at 56.4% (60-70%) and the absolute no. of neutrophils was 3.16 (0 - 3). Overall, the values have not changed much.
Urea 6.9 (4.2 - 6.3), creatinine 81 (89-177).
4 teeth extracted. The smell was so strong that I could smell it when placed inside the plastic bag for the owner to see.
IV BAYTRIL AND DRIP.
Usually I advised 7 days of antibiotics, but the owner wanted today (Sep 18, 2014) as he was free only once a week. So I gave the antibiotic via the IV drip direct, to kill as much of the mouth's bacteria as possible. Dog goes home with antibiotics and painkillers oral
FOLLOW UP
On Sep 19, 14, I phoned the owner.
"No bad breath?" I asked.
"No," he said happily. "Thank you.".
Bad breath from a distance. The owner lives with the 8-year-old male dog will not be able to smell this because his nose is sensitized to the smell.
"My friend told me I must do a dental scaling," he said to me. The dog looked like a Norwich Terrier but he said it was a Jack Russell X.
BLOOD TEST before dental work.
Surprisingly the total white cell count was 5.6 (6-17) but the neutrophils were normal at 56.4% (60-70%) and the absolute no. of neutrophils was 3.16 (0 - 3). Overall, the values have not changed much.
Urea 6.9 (4.2 - 6.3), creatinine 81 (89-177).
4 teeth extracted. The smell was so strong that I could smell it when placed inside the plastic bag for the owner to see.
IV BAYTRIL AND DRIP.
Usually I advised 7 days of antibiotics, but the owner wanted today (Sep 18, 2014) as he was free only once a week. So I gave the antibiotic via the IV drip direct, to kill as much of the mouth's bacteria as possible. Dog goes home with antibiotics and painkillers oral
FOLLOW UP
On Sep 19, 14, I phoned the owner.
"No bad breath?" I asked.
"No," he said happily. "Thank you.".
Thursday, September 18, 2014
1503. How to make a killer presentation
Yesterday, I attended a presentation at Delifrance said to be given a lady insurance agent who told me she would be introducing her boss to me. I was asking her about insurance for a mortgage decreasing housing loan.
Instead, the boss gave the presentation on trust and leverage while she was quiet.
What she ought to do was to plan ahead, do rehearsal with her boss and give the presentation herself as she was the primary contact. The boss is a stranger. So, I sms her a Harvard Business Review article on "How to make a killer presentation."
"It is not rocket science advising a person to get a $1 million insurance cover with a 15% downpayment and recoverable yearly premiums of $6,000/month. "Just do it," I was sure she could have done a better job as she was the contact.
"Yes, Sir, Nike, Adidas" she sms me.
"Not Adidas mdm," I replied. "Adidas is competitor. They do not do it."
"Hahahaha."
We should try to give what the customer wants. In real estate, some agents bring clients to view houses they can't afford to rent or buy. Dog groomers insist on not clipping off the tip of the tail and the face when the owner wants a complete shave.
Instead, the boss gave the presentation on trust and leverage while she was quiet.
What she ought to do was to plan ahead, do rehearsal with her boss and give the presentation herself as she was the primary contact. The boss is a stranger. So, I sms her a Harvard Business Review article on "How to make a killer presentation."
"It is not rocket science advising a person to get a $1 million insurance cover with a 15% downpayment and recoverable yearly premiums of $6,000/month. "Just do it," I was sure she could have done a better job as she was the contact.
"Yes, Sir, Nike, Adidas" she sms me.
"Not Adidas mdm," I replied. "Adidas is competitor. They do not do it."
"Hahahaha."
We should try to give what the customer wants. In real estate, some agents bring clients to view houses they can't afford to rent or buy. Dog groomers insist on not clipping off the tip of the tail and the face when the owner wants a complete shave.
The Shih Tzu can't control his bladder for one year
Sep 18, 2014
The Shih Tzu came in for bladder stone removal as scheduled. His urine starts to smell. When the maid removed the diapers which are worn when he goes outdoors or sleeps overnight of 8 hours, I noted that the dog released a large amount of urine.
"He does urinate into the diapers," the maid showed me dark brown urine stain inside the diapers.
"What happened is that the dog will try not to pee when you put on the diapers overnight," I explained. "His bladder gets infected by stagnant urine as he keeps the urine overnight. This has been going on for one year and so now, he dribbles urine all the time."
The dog started with urine drops one year ago. He was hospitalised by a vet for one week.
"Did the vet do an X-ray or urine test?" I asked.
"I don't think he did an X-ray," the wife said. "He told me that this dog is old and old dogs cannot control their bladder. So, he must have long-term medication."
Instead, the owner got the dog to wear diapers when he is inside the apartment as his urine drops soil the whole apartment. But on Sep 11, 201, the dog was lethargic and not eating for 2 days. So he was brought to Toa Payoh Vets. X-rays showed 3 large bladder stones. Urine test show urinary tract infection with pH = 7.0, SG 1.030, positive protein, blood 4+, bacteria 2+ and no crystals. Blood tests showed total white cell count as 47.7 (normal 6 - 17), neutrophils at 96.4% (normal 60-70%) and absolute neutrophils as 46 (normal 3-11.5). Blood urea was higher but creatinine was lower than normal. .
Overall, this dog had a severe bacteraemia and that was why he was not eating for 2 days.
The dog was on antibiotics and today will be operated.
"Some owners will put the dog to sleep," I explained the high anaesthetic risks for old dog surgery.
In Singapore some owners do make the male dog wear diapers to prevent urine marking and soiling the apartment. This may lead to urinary tract infection as the dog withholds the urine for long time, allowing bacteria and crystals to form over several months.
SEP 18, 2014
Surgery to open the bladder. The stones had disintegrated. The testicles were swollen 5X and adhered to the scrotal sac. The testicles with pus inside the tissues and the scrotal sacs were removed.
The Shih Tzu came in for bladder stone removal as scheduled. His urine starts to smell. When the maid removed the diapers which are worn when he goes outdoors or sleeps overnight of 8 hours, I noted that the dog released a large amount of urine.
"He does urinate into the diapers," the maid showed me dark brown urine stain inside the diapers.
"What happened is that the dog will try not to pee when you put on the diapers overnight," I explained. "His bladder gets infected by stagnant urine as he keeps the urine overnight. This has been going on for one year and so now, he dribbles urine all the time."
The dog started with urine drops one year ago. He was hospitalised by a vet for one week.
"Did the vet do an X-ray or urine test?" I asked.
"I don't think he did an X-ray," the wife said. "He told me that this dog is old and old dogs cannot control their bladder. So, he must have long-term medication."
Instead, the owner got the dog to wear diapers when he is inside the apartment as his urine drops soil the whole apartment. But on Sep 11, 201, the dog was lethargic and not eating for 2 days. So he was brought to Toa Payoh Vets. X-rays showed 3 large bladder stones. Urine test show urinary tract infection with pH = 7.0, SG 1.030, positive protein, blood 4+, bacteria 2+ and no crystals. Blood tests showed total white cell count as 47.7 (normal 6 - 17), neutrophils at 96.4% (normal 60-70%) and absolute neutrophils as 46 (normal 3-11.5). Blood urea was higher but creatinine was lower than normal. .
Overall, this dog had a severe bacteraemia and that was why he was not eating for 2 days.
The dog was on antibiotics and today will be operated.
"Some owners will put the dog to sleep," I explained the high anaesthetic risks for old dog surgery.
In Singapore some owners do make the male dog wear diapers to prevent urine marking and soiling the apartment. This may lead to urinary tract infection as the dog withholds the urine for long time, allowing bacteria and crystals to form over several months.
SEP 18, 2014
Surgery to open the bladder. The stones had disintegrated. The testicles were swollen 5X and adhered to the scrotal sac. The testicles with pus inside the tissues and the scrotal sacs were removed.
Wednesday, September 17, 2014
1502. Tail docking in 2-day-old puppies
Tail injuries happen in dogs and cats. Tail amputation or docking surgical techniques are shared in the video. It is best that your vet does the tail docking rather than use rubber bands.
Monday, September 15, 2014
1501. A 5-month-old cat has difficulty peeing. Why?
Sep 15, 2014
Cat, M, Not neutered, 5 m. Cannot pee normally.
"Did he try to mate with the female cat?" I asked the young lady who had adopted this cat 4 months ago and noted that he was peeing outside the litter box last month.
"No," she said. "But the 5-month-old female always lick his private parts."
A tense round swelling in which the centre is a preputial opening and in which urine would shoot out once I expressed the anaethesized cat's bladder.
My assistant aspirated over 15 ml of urine and some blood and we showed the container of urine to the lady. The swelling had shrank to a normal size.
When we showed the area to the owner, it swelled again back to its original size of 3 cm x 3 cm x 2 cm. It was as if there was a leak from the bladder deep inside the swelling. Aspiration by needle was not a solution to this problem. Could there be a hole in the penile urethra? Hard to tell without more costly imaging.
I anaesthesized the cat with isoflurane and gas again. I incised 6mm midline from the preputial opening. Thick red granulomatous tissue under the skin. Red blood oozed out from the thickened tissues. Urine also seeped out. The swelling now shrank.
Hospitalised the cat overnight and gave anti-inflam and antibiotics. A rare case of possible urethral rupture juding by the hardened granulomatous tissue under the big preputial swelling. The female cat could have bitten him during mating. The owner may say no mating but she could not be around 24 hours a day to monitor this cat. Female cats bite when mated, as part of the stimulus for ovulation and so this male cat could have got badly injured in his prepuce. There was infection and a some drops of pus oozing out during incision.
On Day 3 of in-patient treatment, the cat's preputial swelling has gone down by 60%. He could pee inside his litter box and was very active and very playful. He went home to a happy owner. Mating does have hazards for the feline male as the female may bite when mated. In this case, the female cat had continually licked the injured male's preputial area.
Cat, M, Not neutered, 5 m. Cannot pee normally.
"Did he try to mate with the female cat?" I asked the young lady who had adopted this cat 4 months ago and noted that he was peeing outside the litter box last month.
"No," she said. "But the 5-month-old female always lick his private parts."
A tense round swelling in which the centre is a preputial opening and in which urine would shoot out once I expressed the anaethesized cat's bladder.
My assistant aspirated over 15 ml of urine and some blood and we showed the container of urine to the lady. The swelling had shrank to a normal size.
When we showed the area to the owner, it swelled again back to its original size of 3 cm x 3 cm x 2 cm. It was as if there was a leak from the bladder deep inside the swelling. Aspiration by needle was not a solution to this problem. Could there be a hole in the penile urethra? Hard to tell without more costly imaging.
I anaesthesized the cat with isoflurane and gas again. I incised 6mm midline from the preputial opening. Thick red granulomatous tissue under the skin. Red blood oozed out from the thickened tissues. Urine also seeped out. The swelling now shrank.
Hospitalised the cat overnight and gave anti-inflam and antibiotics. A rare case of possible urethral rupture juding by the hardened granulomatous tissue under the big preputial swelling. The female cat could have bitten him during mating. The owner may say no mating but she could not be around 24 hours a day to monitor this cat. Female cats bite when mated, as part of the stimulus for ovulation and so this male cat could have got badly injured in his prepuce. There was infection and a some drops of pus oozing out during incision.
On Day 3 of in-patient treatment, the cat's preputial swelling has gone down by 60%. He could pee inside his litter box and was very active and very playful. He went home to a happy owner. Mating does have hazards for the feline male as the female may bite when mated. In this case, the female cat had continually licked the injured male's preputial area.
1500. A veterinary trilogy - swellings below the right eye
Sep 14, 2014 Sunday
A trilogy is a set of 3 works of art that are connected, commonly found in literature, films and video games. They are connected by characters, settings or theme.
In my veterinary example, the 3 old dogs have swellings below the right eye seen by me within a short period of time.
Case 1. A 15-year-old Cross-bred had facial cysts.
Case 2. A 15-year-old Jack Russell had carnaissal tooth abscess and oronasal fistula.
Case 3. A 11-year-old Jack Russell had chronic dacryocytitis
All 3 with different causes but the same surgical outcomes. They have recovered as at Nov 17, 2014
.
A trilogy is a set of 3 works of art that are connected, commonly found in literature, films and video games. They are connected by characters, settings or theme.
In my veterinary example, the 3 old dogs have swellings below the right eye seen by me within a short period of time.
Case 1. A 15-year-old Cross-bred had facial cysts.
Case 2. A 15-year-old Jack Russell had carnaissal tooth abscess and oronasal fistula.
Case 3. A 11-year-old Jack Russell had chronic dacryocytitis
All 3 with different causes but the same surgical outcomes. They have recovered as at Nov 17, 2014
.
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