tpvets_logo.jpg (2726 bytes)TOA PAYOH VETS
toapayohvets.com

Date:   17 July, 2009
Focus: Small animals - dogs, cats, hamsters & rabbits

SURGERY HOURS: 
*10 a.m - 5 p.m (Mon - Sun, except Sat). Dr Sing Kong Yuen. By Appointment Only.

*6 p.m - 10 p.m (Mon - Fri). 10am - 5pm (Sat). Dr Jason Teo. House-calls available.

Appointment preferred.
Tel: 6254-3326, 9668-6469
EMERGENCY
11 p.m to 6 a.m
Dr Teo
Tel:
9853-1315,
9668-6469, 6254-3326
judy@toapayohvets.com
Fax: +65 6256 0501
LINKS: 
Be Kind To Pets
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BOOK: 
Toilet training your puppy in Singapore  Dr Sing's research book to be published

Toa Payoh Vets Clinical Research
Making veterinary surgery alive
to a veterinary student studying in Australia
using real case studies and pictures

An Excellent Client-Veterinarian Relationship
Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS
Case recorded:
17 July, 2009
E-MAIL NO. 1
June 13, 2009
From: ....@singnet.com.sg
Subject: rabbit after surgery
To: judy@toapayohvets.com

Dear Dr Sing,

My rabbit bite the thread off 2 days after the surgery but the wound did not open. However, I thought I spotted a bum and suspect that it develops pus inside. Should I bring her back for you to check?

Owner of rabbit with foreign body
 
E-MAIL REPLY FROM DR SING
June 14, 2009

Hi
Best to phone me when your rabbit has a problem as I don't read e-mails immediately. Just press and clean up the swelling. May be just blood. I did not ask you to put an e-collar on the rabbit although it should have one. However, the wound should heal. Clean it twice a daily with cotton and clean water.

Please do a market survey for me how many students in your school keep pets and how many keep dogs and cats. Best wishes.
 
E-MAIL NO.2
June 14, 2009
From: ....@singnet.com.sg
Subject: Re: rabbit after surgery

Thank you for your reply Dr Sing.  I will clean my rabbit's wound and monitor her for the next few days.
As for the survey, I will try to do it when school reopens.

Regards
Owner of rabbit with foreign body
 
E-MAIL NO.3
July 16, 2009
From: ....@singnet.com.sg
Subject: Re: rabbit after surgery

Hi Dr Sing,

Didn't really have a big sample size for the survey but I tried to find out from classes that I teach. These pupils are about 13 to 15 years old.

About 27% of the pupils keep pets at home and out of these pupils 11% have dogs or cats. Most of the teenagers have blogs but they told me they don't really write about their pets.

Also, just to let you know that my rabbit has recovered and is well. Thank you.

Regards,
Owner of rabbit with foreign body
 
An excellent client-veterinary relationship exists here and that is beneficial for the rabbit ultimately. Although the "customer" is always right, "cash is king" and there are other vets who provide the same service, it is still best for the pet owner to adopt a goodwill-building mindset for the sake of his or her pet. Personalised veterinary medicine requires goodwill and trust from the pet owner.

I did not expect the rabbit owner to really do a survey for me.  However she did it.

This small survey from a neighbourhood school in the heartland of Singapore is quite interesting to me. I believe none has been done and why should anyone bother to do it as there is no money in it!

Dogs and cats do form the majority of my Toa Payoh Vets cases.
 
As for the teacher's rabbit, I am glad that he is well. The young teacher took a month to consult me again. Maybe I ought to have had the surgical excision done in the first place to save her time. I had thought of saving her some money as surgery and anaesthesia would cost more but maybe time is more precious to the young busy teacher.  

Removal of the foreign body would be the first choice of treatment but in this case, I did not do it as I did not want the teacher to incur higher veterinary costs at the first consultation.

In such cases, surgical excision solves the itchy problem. The rabbit was put under general anaesthesia and operated. I did not recommend an e-collar as some rabbits just hate wearing them.

Maybe I ought to put on a bandage but the awkward location would not be easy for bandaging.  The wound healed because the foreign body had been excised. As to how this teacher's pet managed to be injured with a foreign body, it is a mystery to me as the rabbit has been very well cared for.  I guess, active young rabbits, like children, do get injured.

Many skin infections and wounds do heal with antibiotics and anti-inflammatory drugs. If they don't heal, then there is a high possibility of a "foreign body" under the skin. Sometimes it may be just better to get into surgery and get the pet "one" treatment once and for all. It may be penny wise, pound foolish to do otherwise!  Living is a marathon of learning from previous experiences to benefit future pet owners.
 

Rabbit. Skin sore. Painful. No response to antibiotics. Singapore. Toa Payoh Vets
Rabbit. Skin sore. Painful. No response to antibiotics. Singapore. Toa Payoh Vets
Rabbit. Skin sore - foreign body - excised skin. Fine 5_0 nylon sutures excellent.  Singapore. Toa Payoh Vets
 

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