Videos:
Breeder's Caesarean Sections done in late 2015 and early 2016
1. C-section Dr Sing Kong Yuen. Corgi survived. 7 pups not moving on delivery. Very thin Corgi. Milk. Breeder fosters 2 pups to a poodle and other pups to maltese .
Follow up one month later. All 7 pups thriving.
2. C-section byDr Daniel Sing.
Toa Payoh Vets. Anorexic very thin Corgi and 5 pups. No milk. Pups died by 5th day, fostered out.
3. Breeder complained of a C-section by another vet clinic. 8 pups died. Breeder lost $40,000. Said they were alive before C-section. Breeder alleged that the young vet was inexperienced and he was not permitted to see the surgery. He suspected IV sedation leading to death of all 8 pups, an image of which he showed in his smartphone. Old vets can do it, but young vets cause death of pups. One side of story as the other vet's side was unknown.
4. C-section by Dr Daniel Sing.
Dam died after surgery. Breeder was not happy as usual. 3 Corgis puppies were fostered out. OK at 6 weeks seen.
Conclusion
C-sections for breeders cannot be a 100% guaranteed successful outcome as much depends on the breeder's judgment to opt for timely C-Sections. Younger vets do get the blame when the outcome is not to the breeder's expectations and perception of experience. Very few vets in Singapore have access to professional dog breeders who get $500 C-sections from certain vets, a very cheap rate which may include X-rays too.
Monday, January 4, 2016
Sunday, January 3, 2016
2904. A 7-year-old Miniature Schnauzer has an "orange" lump
Jan 3, 2015
"My dog can't sit down on hard floors," the young lady with tattooed arms and her mother said. "She pees here and there by not going to the toilet."
"Can she poop normally?" I asked.
"She poops little amount and she eat less now," the mother said. "The lump used to be soft but is now hard as an orange!".
"This looks very much like an inguinal hernia or a breast tumour at Left Mammary Gland 5," I fel the lump. "There is no pain and no spreading of any breast tumours to other breasts."
"The lump used to be soft and yielding," the mum said. "So we did not bother to see the vet."
"Did you push the lump into the body last time when it was small?" I asked.
"We don't do this," mum said. "A vet told us my dog has pyometra."
"It is difficult to diagnose without seeing the dog. She may have pyometra. When was her last heat?"
"Last week," mum said. "That is why she has this brownish vaginal discharge." I checked but found no discharge.
"Can you ensure that the dog will survive surgery?" mum asked.
"Not possible," I replied.
3 - 7 days later, after medication, I will operate. The dog is in good bodily condition but has bad breath.
"My dog can't sit down on hard floors," the young lady with tattooed arms and her mother said. "She pees here and there by not going to the toilet."
"Can she poop normally?" I asked.
"She poops little amount and she eat less now," the mother said. "The lump used to be soft but is now hard as an orange!".
"This looks very much like an inguinal hernia or a breast tumour at Left Mammary Gland 5," I fel the lump. "There is no pain and no spreading of any breast tumours to other breasts."
"The lump used to be soft and yielding," the mum said. "So we did not bother to see the vet."
"Did you push the lump into the body last time when it was small?" I asked.
"We don't do this," mum said. "A vet told us my dog has pyometra."
"It is difficult to diagnose without seeing the dog. She may have pyometra. When was her last heat?"
"Last week," mum said. "That is why she has this brownish vaginal discharge." I checked but found no discharge.
"Can you ensure that the dog will survive surgery?" mum asked.
"Not possible," I replied.
3 - 7 days later, after medication, I will operate. The dog is in good bodily condition but has bad breath.
Saturday, January 2, 2016
2903. A 7-year-old female cat has kidney stones in 2 kidneys. Why?
Jan 2, 2016
The gentleman wanted to vaccinate this 7-year-old female spayed cat.
"She had no appetite for some time," he said.
"We must find out what's wrong as vaccination of sick cats is not recommended."
I palpated the anterior abdomen behind the rib cage.The cat reacted and arched her back.
"Most likely kidney disease," I said. "Blood tests and X-rays needed. A urine test is needed but she has no urine now."
What is the solution?
Dialysis and K/d diet first 2 weeks. Need to review whether the kidneys can still function.
The gentleman wanted to vaccinate this 7-year-old female spayed cat.
"She had no appetite for some time," he said.
"We must find out what's wrong as vaccination of sick cats is not recommended."
I palpated the anterior abdomen behind the rib cage.The cat reacted and arched her back.
"Most likely kidney disease," I said. "Blood tests and X-rays needed. A urine test is needed but she has no urine now."
What is the solution?
Dialysis and K/d diet first 2 weeks. Need to review whether the kidneys can still function.
2902. INTERN. PREVENTION OF DISEASES IN GUINEA PIGS IN SINGAPORE
HOOK - I leave it to the interns
Around 80% of Singaporeans live in high rise buildings (goto youtube, search apartments + toa payoh vets etc ) of HDB or condos
Their pets are mainly dogs and cats. Very few Singaporeans keep guinea pigs as pets and have little experience of how to care for them. There are very few groomers of guinea pigs unlike those specialising in dog and cats and many times, guinea pigs fall ill, owing to lack of grooming, poor diet quality and unhygienic conditions in housing.
CASE STUDIES. FOUR SICK GUINEA PIGS
Images will be in toapayohvets.com. You need to look for them or equivalent.
Case 1. Video 1180.
Jan 1, 2016
G.P. F. 1 yr 3 months. No fever. Head tilted stiffly to the left of the neck this morning. She could not turn her head to the right. In Aug 15, 2015, she had a left head tilt but recovered after my treatment. The owner had not cleaned the ears thoroughly and regularly as the guinea pig dislikes ear cleaning.
ADVICES:
Put the guinea pig on the table. An assistant restrains the guinea pig. The owner puts in the veterinary ear drops and massage the vertical canals.
Case 2. Video 1203.
Jan 1, 2016
G.P. M. 5 yrs. Lethargic and fever. Very thin. "Chipping sounds" heard by the owner.
Overgrown lower front teeth. Black scales and hair loss. Dirty ears and body. Pus in the right nostril. Upper respiratory tract infection. Clipping bald and bathing. Ear cleaning.
Video: 1203
After clipping, the guinea pig will go home on Jan 4, 2016. His owner needs to groom him and feed him medication.
ADVICES: Regular grooming, medication, good food and Vitamin C. Review in 2 weeks' time.
Case 3. Video 1181.
Jan 2, 2016
G.P. F. 5 yrs. No fever. Anorexia 2 days. Had green watery diarrhea 4 days ago. Palpation. Abdominal pain. Gastroenteritis due to a change of pellet brand around 4 days ago. A new diet upsets the gastrointestinal bacterial population.
ADVICES: No sudden change of diet. Revert to the old brand. Medication.
Case 4. Video 1182.
Jan 2, 2016
G.P. F. 1 yr. No fever. Anorexia 1 day. Cough, eye discharge. Harsh lung sounds. Bronchitis and gastroenteritis.
ADVICES: Medication and regular grooming. Review in 2 weeks.
CONCLUSION
Daily inspection and grooming of the guinea pig prevents diseases
Use another image, not the one below. Check out latest image.
Around 80% of Singaporeans live in high rise buildings (goto youtube, search apartments + toa payoh vets etc ) of HDB or condos
Their pets are mainly dogs and cats. Very few Singaporeans keep guinea pigs as pets and have little experience of how to care for them. There are very few groomers of guinea pigs unlike those specialising in dog and cats and many times, guinea pigs fall ill, owing to lack of grooming, poor diet quality and unhygienic conditions in housing.
CASE STUDIES. FOUR SICK GUINEA PIGS
Images will be in toapayohvets.com. You need to look for them or equivalent.
Case 1. Video 1180.
Jan 1, 2016
G.P. F. 1 yr 3 months. No fever. Head tilted stiffly to the left of the neck this morning. She could not turn her head to the right. In Aug 15, 2015, she had a left head tilt but recovered after my treatment. The owner had not cleaned the ears thoroughly and regularly as the guinea pig dislikes ear cleaning.
ADVICES:
Put the guinea pig on the table. An assistant restrains the guinea pig. The owner puts in the veterinary ear drops and massage the vertical canals.
Case 2. Video 1203.
Jan 1, 2016
G.P. M. 5 yrs. Lethargic and fever. Very thin. "Chipping sounds" heard by the owner.
Overgrown lower front teeth. Black scales and hair loss. Dirty ears and body. Pus in the right nostril. Upper respiratory tract infection. Clipping bald and bathing. Ear cleaning.
Video: 1203
After clipping, the guinea pig will go home on Jan 4, 2016. His owner needs to groom him and feed him medication.
ADVICES: Regular grooming, medication, good food and Vitamin C. Review in 2 weeks' time.
Case 3. Video 1181.
Jan 2, 2016
G.P. F. 5 yrs. No fever. Anorexia 2 days. Had green watery diarrhea 4 days ago. Palpation. Abdominal pain. Gastroenteritis due to a change of pellet brand around 4 days ago. A new diet upsets the gastrointestinal bacterial population.
ADVICES: No sudden change of diet. Revert to the old brand. Medication.
Case 4. Video 1182.
Jan 2, 2016
G.P. F. 1 yr. No fever. Anorexia 1 day. Cough, eye discharge. Harsh lung sounds. Bronchitis and gastroenteritis.
ADVICES: Medication and regular grooming. Review in 2 weeks.
CONCLUSION
Daily inspection and grooming of the guinea pig prevents diseases
Use another image, not the one below. Check out latest image.
Friday, January 1, 2016
Visit to breeder's farm - follow up on 2 Caesarean section cases
Brought 2 interns to visit the dog breeder's farm. The Singapore government licenses dog breeding and he was legitimate. The oldest big dog breeder in Singapore. Probably 4 left.
My Corgi Caesarean operated the day before was happily nursing 5/7 pups (video). 2/7 pups were nursed by a poodle with her 2 pups (video).
The other Corgi's 5 pups had passed away before Day 5, being outsourced to other dams to nurse. This Corgi had no milk. The puppies were alive when they were brought home (video).
Videos at toapayohvets.com
My Corgi Caesarean operated the day before was happily nursing 5/7 pups (video). 2/7 pups were nursed by a poodle with her 2 pups (video).
The other Corgi's 5 pups had passed away before Day 5, being outsourced to other dams to nurse. This Corgi had no milk. The puppies were alive when they were brought home (video).
Videos at toapayohvets.com
2900. New Year 2016 cases. A terrapin, dog and hamsters
Jan 1, 2016
I have 2 in-patients and 2 cases from 9.30 am to 3.30 pm .
Inpatient 1,
A terrapin with left ear abscess for the past 7 days. Eating and active. The left ear swelling has reduced by50%. Mainly blood clots and hardened tissues as the terrapin's abscess was present for many months. The two pre-teen daughters finally surfed the net to get a "terrapin vet" after the mum threatened to abandon it in MacRitchie Reservoir.
It was very difficult to get the younger generation to spare time to do things for the mum. With time, the abscess became gigantic.
Inpatient 2.
The other patient is a 14-year-old Silkie with a deep right eye corneal ulcer of around 8 mm. The first vet had advised eyeball removal as the dog kept scratching her eye. I suggested stitiching up the eyelids first to save the eyeball as it was not infected internally. The dog had to be an in-patient for at least 7 days. At home, she would wander and rub her eyes despite having an e-collar. Here, she eats and sleep like an old person.
Case 1
G.P. F. 1 yr 3 months. Head turned stiffly to the left of the neck, but no head tilt, this morning. In Aug 15, 2015, had left head tilt but recovered after my treatment
A guinea pig could not turn her head to the right. Stiff neck, not left head tilt as in previous treatment by me. Videoed. The owner had not cleaned the ears. The G.P looked recovered at the exam room.
Case 2
A new client.
G.P. M. 5 yrs. o fever. Anorexia 1 day, but often lethargic. V thin. "Chipping sounds".
The G.P was very thin and in poor condition with overgrown lower front teeth, scales dropping from body, dirty ears and body. Pus obvious in right nostril. In-patient for treatment of upper respiratory tract infection.
Telephone 1.
A telephone call came in from a dwarf hamster that had an overgrown tooth curled and embeded into the hard palate (video). Around 4 days ago, the first vet had not examined the mouth and prescribed medication which the owner had to syringe feed. The hamster was very weak, dehydrated and his lower neck was wet with oral medicine spilled onto it. I got the curled front teeth clipped. The owner phoned to ask why the hamster was soft and not moving. "If a hamster has died, he should be rigid," she said.
"She might have developed rigidity overnight," I explained that rigor mortis occurred a while. "After that the body softens."
This was a very sad case. The owner surfed the net, came across a Toa Payoh Vets video of a hamster had "overgrown" teeth. She checked the mouth. She came to me and I confirmed her diagnosis. A young couple with a little girl lost a young hamster.
I have 2 in-patients and 2 cases from 9.30 am to 3.30 pm .
Inpatient 1,
A terrapin with left ear abscess for the past 7 days. Eating and active. The left ear swelling has reduced by50%. Mainly blood clots and hardened tissues as the terrapin's abscess was present for many months. The two pre-teen daughters finally surfed the net to get a "terrapin vet" after the mum threatened to abandon it in MacRitchie Reservoir.
It was very difficult to get the younger generation to spare time to do things for the mum. With time, the abscess became gigantic.
Inpatient 2.
The other patient is a 14-year-old Silkie with a deep right eye corneal ulcer of around 8 mm. The first vet had advised eyeball removal as the dog kept scratching her eye. I suggested stitiching up the eyelids first to save the eyeball as it was not infected internally. The dog had to be an in-patient for at least 7 days. At home, she would wander and rub her eyes despite having an e-collar. Here, she eats and sleep like an old person.
Case 1
G.P. F. 1 yr 3 months. Head turned stiffly to the left of the neck, but no head tilt, this morning. In Aug 15, 2015, had left head tilt but recovered after my treatment
A guinea pig could not turn her head to the right. Stiff neck, not left head tilt as in previous treatment by me. Videoed. The owner had not cleaned the ears. The G.P looked recovered at the exam room.
Case 2
A new client.
G.P. M. 5 yrs. o fever. Anorexia 1 day, but often lethargic. V thin. "Chipping sounds".
The G.P was very thin and in poor condition with overgrown lower front teeth, scales dropping from body, dirty ears and body. Pus obvious in right nostril. In-patient for treatment of upper respiratory tract infection.
Telephone 1.
A telephone call came in from a dwarf hamster that had an overgrown tooth curled and embeded into the hard palate (video). Around 4 days ago, the first vet had not examined the mouth and prescribed medication which the owner had to syringe feed. The hamster was very weak, dehydrated and his lower neck was wet with oral medicine spilled onto it. I got the curled front teeth clipped. The owner phoned to ask why the hamster was soft and not moving. "If a hamster has died, he should be rigid," she said.
"She might have developed rigidity overnight," I explained that rigor mortis occurred a while. "After that the body softens."
This was a very sad case. The owner surfed the net, came across a Toa Payoh Vets video of a hamster had "overgrown" teeth. She checked the mouth. She came to me and I confirmed her diagnosis. A young couple with a little girl lost a young hamster.
Thursday, December 31, 2015
2899. A 7-year-old Maltipoo passes blood in the urine again
Dec 31, 2015
Maltipoo, female, not spayed, 7 years
"She passes blood in the urine again," the lady owner brought a sample of urine collected when the dog peed this morning. She had wondered how to collect urine as the female dog does not pee in her presence. The urine sample contained some bloody tissue fragments.
The dog had blood in the urine some 4 months ago and recovered with antibiotics.
I palpated the abdomen (video). The dog screamed as I palpated the cranial and then the caudal part. The owner witnessed this shrill voice and I stopped further palpation.
X ray showed a small radio-opaque stone, most likely in her ureter. She was screaming when I palpated her abdomen twice and so I did not continue.
Urine test by diptstick - Dec 22, 2015
pH 8
SG 1.0
Leucocyte Nil
Protein +
Urobilinogen +
Bilrubin 3+
Blood 4+
A crystal check is in progress. An alkaline pH in the urine favours bacterial infection in some dogs. Acidifying the urine via diet may resolve this problem. The dog had been on heat 2 months ago and could have open pyometra as evident by the vulval swelling (video).
Maltipoo, female, not spayed, 7 years
"She passes blood in the urine again," the lady owner brought a sample of urine collected when the dog peed this morning. She had wondered how to collect urine as the female dog does not pee in her presence. The urine sample contained some bloody tissue fragments.
The dog had blood in the urine some 4 months ago and recovered with antibiotics.
I palpated the abdomen (video). The dog screamed as I palpated the cranial and then the caudal part. The owner witnessed this shrill voice and I stopped further palpation.
X ray showed a small radio-opaque stone, most likely in her ureter. She was screaming when I palpated her abdomen twice and so I did not continue.
Urine test by diptstick - Dec 22, 2015
pH 8
SG 1.0
Leucocyte Nil
Protein +
Urobilinogen +
Bilrubin 3+
Blood 4+
A crystal check is in progress. An alkaline pH in the urine favours bacterial infection in some dogs. Acidifying the urine via diet may resolve this problem. The dog had been on heat 2 months ago and could have open pyometra as evident by the vulval swelling (video).
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