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

Date:   16 August, 2008
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).

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

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

Oronasal Fistula in a Dog
Facial wound does not heal
 
Friday August 15, 2008

FOLLOW-UP VISIT TO THE MINIATURE BULL TERRIER WITH EPILEPSY

PUPPY TEETH IN THE POODLE

"My niece's mother would always complain about her daughter," the boutique lady in her late fifties shared some of her stories with me while my wife tried out a few of her blouses and skirts. "She is  my sister. She would tell me: 'When I am sick, I don't even go to see my doctor. When her daughter's dog is sick, she rushes her dog to the veterinarian promptly. Even if it was after midnight. So stupid...It is only a dog!

"People are starving and here my daughter spends money on a dog.

"Why not spend time making a baby? Instead of spending money on caring for a stupid dog!

"When my niece went to Manchester to study, her dog just would not eat. Her mother offered the dog all kinds of food. The stupid dog just pines and would rather starve to death...

I usually reserved my comments as such remarks are typical of the baby-boomer generation. A generation that had suffered deprivations after World War two and could not understand that a younger generation has a different mindset. For the younger generation, dogs are a girl's or a boy's best friend.

I asked this boutique owner, "So what happened to the dog? Did he die of starvation? What did the mother do?"

"Well, after a few days, my sister phoned her daughter to inform her. The daughter asked that the dog be given the phone receiver. She talked to the dog." the boutique owner palmed a few more blouses to my wife to try saying, "You have not been to see me for the past few months. I have new dresses from Hong Kong. How can I survive if you don't buy some dresses from me?"

Wow, what a super saleswoman. When my wife went to the fitting room, She showed me a blouse "You will find that this 'Supreme' label sells 2 times as much in the O.G. Departmental Store. With the increase in petrol prices and food prices, I am still selling at the old price. I need to increase my selling prices next month..."

My wife returned and she showed him some black skirts. "Don't worry about payment. Your OCBC (Overseas Chinese Banking Corporation) is here!" the boutique lady with the hastily made up powdered face and creased worried forehead turned her head towards me.

"And what happened to the dog after the phone call?" I enquired earnestly and appreciated her slick sales. My wife never left her boutique without buying some dresses. And I am sure many of her clients too when she would text-message them to see her new products.    

After ensuring that my wife took 3 more blouses to try, the boutique owner said to me, "The daughter spoke to the dog via the telephone and said that he must eat or he would starve. After listening to the phone voice, the dog ate. What a stupid dog!"   

I did not comment. She said, "You must guess that I am no dog lover!"

It was best for me to be circumspect. She had the clothes that my wife liked. I know she was burnt out as I could see that she asked me what was my wife's name. Despite the fact that my wife had been her client as a teenager many decades ago. A burnt out proprietor just survives day to day without any passion in her business.

"Why not close down the business since costs are up and it is so competitive in the fashion business," I asked her. "The children are grown up. Staying at home is worse," she said.

My wife discovered her when I took her to see the Miniature Bull Terrier some months ago. The owner of the Bull Terrier always brings his dog to the office.

The boutique lady's office was in a poor location in a run-down shopping mall. There was no walk-in traffic at all. This shopping mall above the ground floor is as quiet as a ghost town.

The boutique lady did not bother with taking down phone numbers or address of loyal customers like my wife. That was a surprise to me.   

However, today (Friday August 15, 2008), I was visiting the Miniature Bull Terrier who had fits to check on the effect of the least dosage medication I recommended.

Her boutique was nearby and so I took my wife to see her during lunch time.

I note that working ladies need to acquire more clothing than they can wear. "Till I have to pack tightly my husband's clothes as I run out of the wardrobe spaces," a drug saleswoman in her 50s told me when she delivered some diazepam rectal tubes to my Surgery 2 days ago and introduced her company's products to me.  

I saw the Miniature Bull Terrier sleeping in a room at 1.30 pm in the office of his owner. His head was down between his front legs and just could not get up. I asked the owner, "Is Sylvester more sleepy today?"

"He was active at 4 am. He woke me up at 4 am to ask for some food," the owner said.

I noted that the Bull Terrier had some slight trembling of the lips. Maybe the medication was a bit too low. But we would wait and see whether the dosage needed to be increased.

The owner said,  "He paws his mouth after eating," the owner commented.

I replied, "Yes, there is one strong molar tooth I could not extract. It had exposed roots in a recessed gum. This can be quite sensitive and painful."  Now, the 7-year-old Miniature Bull Terrier has 4 solid and strong canine teeth and 1 molar tooth now.  

Miniature Bull Terrier.Male, 7 years. Epilepsy. Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)1519. Owner accepted risk of his dog dying during anaesthesia. A very high-risk anaesthestic situation.  When your beloved jogging companion suffers from epilepsy.
Epilepsy --- Clusters of seizures. Miniature Bull Terrier, Male, 7 years. Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)1520. Cluster of seizures continued. Blood test of very high white cell count indicated a bacterial infection. Most likely source was the 20 decayed teeth.  When your jogging companion suffers from epilepsy.
Bull Terrier, male, 7 years. Seizures over 20-60 seconds. Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)1521. Sylvester now has a much less painful mouth.  4 canine teeth & 1 molar teeth remained. 20 loose teeth extracted.  When your jogging companion suffers from epilepsy.

Later in the night, at 7.30 pm,  I phoned the owner to follow up on the anti-epileptic medication as the owner had a student to teach when I dropped by during lunch-time.

"Sylvester barked for his food before 8 pm. Very unusual. He had never barked for food before."

"Yes," I said. "The anti-epileptic drugs cause him to be hungry. A side effect. That is why I am monitoring him to try to give him the least but effective dosage.

"Any epileptic fits today?" I asked.

"No," the owner cheerfully replied. He had been very worried during the past few days. His jogging companion had at least 11 fits.   


PUPPY TEETH IN THE POODLE
Many dental problems and poor health can be prevented by getting your dog's check yearly by your vet. As for puppies, there are some with retained puppy teeth. I will advise removing them as they trap food debris and form tartar in time to come.

Gum infections and tooth decay set in. Below are pictures of a Poodle whose puppy canine teeth had been removed. Most owners in Singapore just ignore my advice as they don't know the implications of poor dental health later in the dog's life. 
   

Four puppy teeth (retained deciduous canine) in Poodle, 6 months, anaesthesia. Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)951. Best to remove the retained puppy teeth early as they obstruct growth of the permanent ones which erupt at 4-5 months of age.
Four puppy teeth (retained deciduous canine) in Poodle, 6 months, extracted. Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)952.  The owner is very happy to see the obstructing teeth extracted. However, she observed that the permanent canine (C) had erupted inwards as the retained puppy canine obstructed its eruption.   
Four puppy teeth (retained deciduous canine) in Poodle, 6 months, extracted. Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)953. 4 puppy canine teeth extracted.
UPDATES - FEES IN 2008

The cost for this dental extraction of retained puppy teeth including general anaesthesia is around $250,  depending on how many retained teeth need to be removed. The costs include a general health examination of the puppy prior to anaesthesia.

This fee does not include pre-anaesthetic blood tests to assess the liver and kidney functions and blood cells of the puppy.  Veterinary costs would be additional $200 if the owner wishes to have the tests done. In practice, no blood test is requested by the owner to lower the veterinary costs.

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All rights reserved. Revised: August 16, 2008

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