Friday, March 17, 2017

3048. Myanmar Travels: White Heart Animal Rescue & Shelter, Magwe, Myanmar



VETERINARY FILES FROM MYANMAR
Sponsored by Toa Payoh Vets
Mar 13, 2017

A MEANINGFUL LIFE

It was a bright and sunny morning of Mar 13, 2017. I had my breakfast and was ready to move out of Htein Htein Thar Hotel, Magwe to visit another famous pagoda after visiting 4 of them in Bagan yesterday. My hosts were Drs Thein Tun Aung and Thin Thin Soe, accompanied by their daughter. Mr Soe was my friend and our driver. Dr Aung came and introduced a well dressed slim lady to me and we left the hotel. 

Ms May Thazin, a civil engineer founded the White Heart Animal Rescue and Shelter, Magwe, Myanmar. She was the first local animal activist I have met in Myanmar.

Ms May Thazin had contacted Dr Thein Tun Aung from Royal Asia Veterinary Surgery, Yangon via Facebook.  As Dr Aung was in Magwe, she rode her scooter to the hotel at 8 am to show him her Shelter. Dr Aung asked me to accompany him, sacrificing his breakfast.











The first thing I noted was that there was not one piece of dog faeces on the ground, unlike the other animal shelter I had visited. There were around 20 stray dogs and so there ought to be some dung. Many were limping casualties of traffic accidents (video).

One cross-bred was badly wounded and hid under the dog kennel. He would growl if anyone approached him.  

 





KENNEL FLOOR PLAN
Well wishers had contributed to the construction of the dog kennels. "The kennels should not have raised floors as it will be easier to clean," I could see an injured dog hiding under the kennel for safety. Ms Thazin had asked Dr Aung to examine it. Dr Aung had to bend down and try to pull the leash to get the dog out (video).  
One hid under the wooden kennel as he had a serious large facial wound. Dr Aung bent down to examine him.

 

"Are there private vets in Magwe?" I asked Dr Aung. "No," he said.  
 The government vets in Magwe do treatment but it will be charged. 

This shelter was a house used as a warehouse rented out to Ms Thazin.

EXPOSED WELLS ARE DEATH TRAPS FOR DOGS
A small well of around 6 feet across provided water for the dogs.

This was an excellent idea as underground water is free. Many houses may not have piped water and bottled water is very popular as some residents do not drink the well water which is used for washing and bathing. Some residents of riverside towns bathe and wash their clothes by the river as part of their culture. 

"The well is a death trap," I said to Ms Thazin. "Some dogs may fall in or be pushed in by other dogs and drown. It is better to design a rectangular narrow trough as used for cattle feeding." Such drownings are foreseen and a strong netting covers the top. This will not be practical as the dogs drink from the sides of the well (see video). Unfortunately, in real life, only when a dog drowns in it will there be action to prevent further deaths. 




CANINE DISEASES

Puppies do suffer from viral diseases like distemper, parvoviruses. There was a German Shepherd puppy that had coughing and runny noses, likely to be a victim of distemper. Dr Aung treated him.


Rabies in dogs are present in Myanmar.
The government vets do rabies vaccination of stray dogs and culling. There are stray dogs and cats in the villages. Road traffic has increased considerably as the country modernises and becomes prosperous. So, more stray dogs wandering around the roadside get hit by vehicles and become lame. 
Rabies can kill people. I hope that Ms Thazin had got her rabies vaccination done.




A MEANING FULL LIFE.  Being educated and internet savvy, I expect Ms May Thazin to do an excellent job for the strays and the disabled dogs and cats by forming a group of helpers and donors to fund the expensive maintenance of animal shelters.









ACKNOWLEDGEMENTS
Thanks to Dr Thein Tun Aung and Dr Thin Thin Soe for the hospitality in my recent travel to Bagan, Magwe and Yangon.

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

In 2017, I note that a younger generation in Yangon keeps small breeds of dogs.
They research on the internet with their smart phones. They bring injured stray dogs and cats for veterinary treatment instead of ignoring them.




Thursday, March 16, 2017

3047. Practice in Yangon under RAVS



March 25, 2017

The Chairman
Myanmar Veterinary Council
Ministry of Agriculture, Livestock and Irrigation
Bayint Naung Road, Corner of SayWah Set Yone Street, Myanmar
Fisheries Federation Compound, Gyoh Gone (West) Ward, Insein Township, Yangon


EXTENSION TO PRACTISE VETERINARY MEDICINE IN MYANMAR

1. I am Dr Sing Kong Yuen, aged 66 years. I am a private veterinary surgeon and founder of Toa Payoh Vets and Toa Payoh Vets @ Queen's Veterinary Surgery in Singapore. I am still practising in Singapore.

2. I write to request a 3-year extension of the licence to practise veterinary medicine in Myanmar under Royal Asia Veterinary Surgery (RAVS), Yangon.

3. My previous licence was from Dec 2, 2015 to Dec 1, 2016. The following were the periods I had worked in RAVS:
Dec 5 to 14, 2015 (10 days)
Jun 3 to 6, 2015 (4 days)
Sep 4 to 14, 2015 (11 days)
Oct 28 to Nov 2, 2015 (5 days)  

5. RAVS services done by me were

5.1 Diagnosis and treatment of diseases in dogs and cats mainly (Annex A).
5.2 Unusual bear case (Annex B).
5.2 Mentorship of the younger vets. (Annex C)
5.3 Business management of the vet practice. (Annex D).
5.4. Veterinary research to benefit vet students and pet owners (Annex E).







Some of the cases treated included the following:
5.1 Skin diseases in dogs,
5.2 Bone fracture operations (open reduction) in stray dogs
5.3 Bone fracture (closed reduction) in stray dogs and cats using Plaster of Paris cast.
5.4 Viral diseases in puppies
5.5 Heart worm disease in dogs
5.6 Transmissible venereal disease in dogs
5.7 Pyometra surgery in dogs and cats. Stump pyometra in cats.
5.8 Feline Urological Syndrome in cats
5.9 Perineal urethrostomy in cats
6.0 Z-plasty for wound surgery.
6.1 Perineal hernia repair

Mentorship
6.2 Training the younger vets of RAVS to be systematic in processes of diagnosis and treatment.
6.3.Training the younger vets to practise evidence-based medicine to aid in diagnosis and treatment of diseases by using blood testing and radiography.

Veterinary Management of RAVS
6.4 Advising computerisation of client database instead of manual records as RAVS sees more than
60 cases per day. Manual records to locate case cards were too slow and inefficient.
6.5 Advising computerisation of accounts using an inexpensive Microsoft Excel software instead of manual record.
6.6. Advising veterinary management such as working hours to retain staff and not to suffer burnt-out due to over work.
6.7 Advising an additional consultation room to speed up cases as RAVS had only one but had 3 vets working at one time. Today, it has two.

Veterinary Files From Myanmar
Shares veterinary case studies with other pet owners and vet students online. Many cases are from RAVS.


WhatsApp consultancy
6.8  Dr T T Aung sends images of interesting cases to me in Singapore and I offer some advices.
(Annex A).

Consultant to a bear case.
6.9  I flew to Yangon immediately when there was a bear case to be operated in RAVS. (Annex B).
A 4 year-old bear with sublingual mucoecoele (ranula). anaesthesia and surgery.

Employment of vets from Myanmar (Annex F)
command of English and practical knowledge of small animal veterinary medicine


In the past 15 years, I have had employed vets from Myanmar.
They include Drs Aye Min, Saw Thet Tun, Aye Min, Naing Aung Kyaw, Myat Su Mon Zaw, Hsu Mon Lwin.  Dr Aye Min and Dr Saw Thet Tun now have their own private practice in Yangon.




6. Giving back to veterinary industry
Be Kind To Pets Project
Veterinary Files from Myanmar

7  Yezin graduates in Singapore

Monday, March 13, 2017

3046. Myanmar Travels. Yangon to Bagan on Mar 12, 2017

Sunday Mar 12, 2017
Tiger Airways to Yangon
10-hr drive Yangon to Bagan.








Bullock carts going back as sun sets




Petrol station


Flower girl. Fragrance from these flowers are used to freshen the inside of the car. Lasts about one day.





Vendor sells fried quails, sparrows, chicken

Saturday, March 11, 2017

3045. An 18-year-old red-eared slider had swollen eyes, breathing difficulty and white gums and tongues

Mar 7, 2016

"The other vet rejected me as he does not treat turtles," the man in his 50s had to look for another vet who treats turtles.
"How do you know Toa Payoh Vets treat turtles?" I asked.
"My son surfed the net and found your surgery."

So, here was a gasping red-eared slider. Every minute, he would open his mouth wide, tilt his head up to breathe in air.

"His tongue and gums are white," I showed the owner. "He has much fewer red blood cells or such cells do not have sufficient haemoglobin. Hence your slider is open-mouth breathing."

"He looks like he cannot survive," the man said.
"Chances are not good as we cannot do blood transfusion in turtles."
















The slider had lost a lot of weight and appeared puffed up. The snow-white gums and tongue
indicated a severe loss of blood inside the body. Probably a burst artery leaking blood for the past 3 days.

Friday, March 10, 2017

3044. A 10-year-old Westie has smelly wet ears and itchy body

March 10, 2017

The owner was referred to me as her Westie's ears got worse, becoming wet and smelly. The Westie kept shaking her head. Consulted vets but no resolution. So she clipped bald and treated the skin disease with washes and spas. No use. Body odour. Keeps scratching. Paw licking.

Diagnosis: Generalised ringworm. The owner did not want a blood allergy test. Treating for ringworm and given anti-allergic diet.