"Why did you go to Vet 1 all these years when you live so far away and there are clinics nearby?" I asked.
"My relatives go there."
In the last case, there was an emergency Caesarean section as the Chihuahua, mated to a larger Jack Russell X had the first puppy stuck and pulled out by the owner 3 hours ago. I palpated the abdomen and there was another one. No X-ray or ultrasound is necessary as palpation can confirm. This saves costs for the owner.
"Is there another alternative to C-section?" the slim young lady asked me.
"Yes," I said. "An oxytocin injection. Wait and see. However, by delaying C-section, now 3 hours later after the birth of the first pup, the 2nd pup will die if the dam can't push it out! It is up to you to decide."
She decided on the C-section which would cost her around $1,000 as compared to an oxytocin injection which costs 50X less. Dr Daniel operated while I assisted. There was only one pup, weighing 150 g. It cried and moved vigorously when the water bag was ruptured by me. This means that it would live. "It is not as big as the first pup," the young lady said.
"The male dog was interested in her and we separated them till the end of her bleeding," she said to me. "Yet she became pregnant."
"In female dogs, the fertile period is towards the end of bleeding," I said. "Unlike in the female person whose fertile period is before menses."
So that was how the female dog got pregnant.
"Why do you come so far for Caesarean section as you are living in Bedok and there are vets nearby?" I asked her.
"My friend whose poodle you treated recommends you," she said.
These two cases illustrate that referrals are most important in veterinary practice. So is being available when your services are required. It is difficult for vets to be available during public holidays but these are the days when owners need the services.
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