Case one:
Initially, hamster was sent to the clinic for complaint of foul smell from ears. Then surgery was done twice due to growth in the ears. Right ear canal ablation was carried out and irrigated to clean and remove pus caused by bacteria infection. The fourth time it came in the clinic due to another bout of bacteria infection, which causes itchy ears. Another surgery was carried out to remove pus and hamster was sent home.
Initially, hamster was sent to the clinic for complaint of foul smell from ears. Then surgery was done twice due to growth in the ears. Right ear canal ablation was carried out and irrigated to clean and remove pus caused by bacteria infection. The fourth time it came in the clinic due to another bout of bacteria infection, which causes itchy ears. Another surgery was carried out to remove pus and hamster was sent home.
Updates on the first case I observed on the first day I came to the clinic (28 August 2011), it is regarding the 10years old Shi Tzu with suspected oral tumors. After much debate within the family members, they decided to go ahead with the surgery to help their beloved dog. Vet removed all three protuding tumors from the mouth area and returned home happily.
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| This a photo of the dog before surgery; i got this photo from my mentor's website [http://2010vets.blogspot.com/2011/09/619-two-weeks-after-surgery-treatment.html] |
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| This is photo after the removal of the three tumors |
Case three:
Jack russell was brought in with an obvious 9 '0' clock ulcer on the right eye the second time. Apparently, few months ago the jack russell was brought in for two ulcers on the same eye and a surgery was done to stitch up the eyelid. This raised questions as to what actually happened after the surgery and after wound healed. After probing further, then we understand that the jack russell is living together with a golden retriever. Both of them often play together and owners noted that the golden retriever always raised it's paw towards the jack russell during their play. Vet therefore concluded that the most probable reason for the recurring ulcers on the eye is caused by traumatic injury from the golden retriever. To visualize the ulcer, a fluorescein strip is applied onto the moist eye surface and briefly rinsed off. With a torch, the ulcer will be more visible. After that, a small surgery is carried out to sew both upper and lower eyelids, with the addition of antibiotic oilment. Jack russell was sent home and advice was given to separate both dogs to prevent similar injuries.
Jack russell was brought in with an obvious 9 '0' clock ulcer on the right eye the second time. Apparently, few months ago the jack russell was brought in for two ulcers on the same eye and a surgery was done to stitch up the eyelid. This raised questions as to what actually happened after the surgery and after wound healed. After probing further, then we understand that the jack russell is living together with a golden retriever. Both of them often play together and owners noted that the golden retriever always raised it's paw towards the jack russell during their play. Vet therefore concluded that the most probable reason for the recurring ulcers on the eye is caused by traumatic injury from the golden retriever. To visualize the ulcer, a fluorescein strip is applied onto the moist eye surface and briefly rinsed off. With a torch, the ulcer will be more visible. After that, a small surgery is carried out to sew both upper and lower eyelids, with the addition of antibiotic oilment. Jack russell was sent home and advice was given to separate both dogs to prevent similar injuries.
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| Green fluorescent stain observed after rinsing off with saline, represents ulceration on the cornea |
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| In the middle of the surgery, photo show 2 completed stitches |
One emergency case turned up just before the end of the day, owner brought in a tiny pomeranian, so small that it fits in a mooncake paper carrier. Looking into the bag, there lie an emciated dog with no signs of activity. Vet took one look and suggested that the dog is hypoglycemic. Dog showed sunken eyes, slow breathing and very listless. Therefore, glucose have to be given to try to revive it. Glucose was given orally every 10minutess because the veins are too tiny to allow the insertion of catheter for IV drip. 30minutes later, vet decided to force feed some A/D food and the owner took over the forced feeding as the vet have other clients to look at. The owner diligently force feed the pomeranian every few minutes. Initially, the dog is not responsive but after 20minutes or so, it's tongue started licking at the syringe with the food and the head started to move slowly. I went over to send the good news to the vet. Vet was very glad that the dog was slightly better than when it first reached the clinic. Advice was given to owners to keep dog warm as their current habitat (air-conditioned house) is not conducive for the growth of puppy, as puppy loses body heat fast and gains it slower. With that advice and a couple of A/D can food, they were sent back. Hopefully, the pomeranian is able to grow up to be stronger.
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| Dog was presented to us with a listless and dishevelled look |
Mentor mentioned that it is important to maintain productivity by balancing the output vs. input. (Output and Input in terms of service provided)
For example: If a consult takes up to 2hours and the required surgery, perhaps an hour. Total time spent will be 3 hours. In terms of billing, the amount earned from the surgery time divides by the amount of time spent during consult will not be equal, or rather it results in an imbalance equation. Therefore, care must be taken on this notion.
For example: If a consult takes up to 2hours and the required surgery, perhaps an hour. Total time spent will be 3 hours. In terms of billing, the amount earned from the surgery time divides by the amount of time spent during consult will not be equal, or rather it results in an imbalance equation. Therefore, care must be taken on this notion.
Admin stuffs done for the day:
1) Made electronic masterlist of accounts for Toa Payoh Vets-
Salary n Consultation fees of individual vets and other staffs
Fax, phone n electricity
2) Keyed in new clients into database
Working hours:
10am to 5.30pm
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