Friday Jun 18, 2010
In the morning
of Jun 18, 2010, I received an e-mail:
Hi, i have a 5 year old Bichon that is having
tartar build up in his mouth. i would like to fix
an appointment with you to have his tooth clean/
extract due to the bad odour coming from his
mouth, please feel free to contact me at (tel and
name given) so we can see to this problem
I asked my assistant
Mr Saw to phone the dog owner. I was surprised that this
bespectacled young man who would be in his early 30s
really got his dog down to the Surgery in the afternoon
for dental work. When he came for his dog at 5 pm, I
sought feedback from him as to how he had tracked me
The young man said: "I use
inserting "dog dental scaling" to find a vet who could
do dental scaling for his dog and found your website. I
then e-mail to you."
I usually "google" for webpages and had never considered
asiaone. However I switched on
check its efficiency in search by using "dog dental
scaling". The free-lance webmaster of 5 years had highly
recommended this search engine as it specialises in
locating local webpage searches.
I log in via Firefox but the search had problems
loading. So I tried again for another 5 minutes and
switched from Firefox to Internet Explorer. I had this
unreliable Starhub internet USB plugged into my desktop
as the Toa Payoh Industrial Park in Lorong 8 was not
wired and could not receive wireless internet. So, the
problem might be my internet connection. Just as I was
about to give up, the search results via the "Web"
search page displayed
This was the webpage the webmaster said he saw "pictures
of dogs doing dental scaling." At first I could not
understand what he meant till I saw pictures in this
It was a pity that asiaone takes a long time to download
this evening at 6.49 pm. I google "dog dental scaling"
and the search results came out within 0.23 seconds. I
on the 2nd page.
Many young people search for info on the internet. This
webmaster research everything he needed to know about
dog dental scaling, including anaesthetic risk and other
worries. I had a good chat and learnt much about the
pros and cons of online data base (Access recommended by
him), domain hosting in Singapore v. in the U.S (he
prefers Singapore) and fees for setting up a website
(varies from $500 to $50,000).
The webmaster's 5-year-old Bichon Frise kept pawing him
while we talked, as if the dog wanted to go home.
"He is an attention-seeker," the webmaster told me as he
answered a phone call saying he would be back soon.
"It's my mum who wants to see the dog," he said to me. I
thought it was his girlfriend or wife. The webmaster
decided to microchip his dog and get a dog licence too.
Anaesthestic reactions to isoflurane
I used Domitor 0.1 ml IV via the IV drip. The dog
was intubated but he just would not be fully
anaesthesized after intubation. He kept moving
when he should be asleep soundly as in the previous case
of the Shih Tzu with cornea ulcerations and 3rd eyelid
flap surgery. I had given this dog xylazine 20 @ 0.2 ml
IM, masked with isoflurane gas and then intubate and
maintain with the gas. The dog slept like a log as I did
the 3rd eyelid flap for two eyes.
"There are a few dogs that just cannot be fully
anaesthesized by isoflurane gas," I explained to my
assistant Mr Saw when the Bichon Frise was still moving.
"It is something like drug resistance from certain
bacteria. Or an allergic reaction. You need to take out
the endotracheal tube and use the mask to deliver the
anaesthesia. If you continue, the dog may vomit out
fluid and get inhalation pneumonia when the vomitus
flows into his lungs."
I took out the endotracheal tube and use the mask.
Mr Saw nodded his head. He had picked up much knowledge
working in Toa Payoh Vets which is a small practice and
so he could be hands on in various aspects of the
He had ambitions to be his own boss and start his own
veterinary practice in Myanmar and I expect him to do
well. Mr Saw had told me yesterday that the anaesthestic
machine was malfunctioning as a dog anaesthesized by my
associate Dr Jason Teo was not fully asleep. Yet he saw
the Shih Tzu sleeping very well just before the Bichon
Frise and therefore the anaesthetic machine was
As for the webmaster's Bichon, only the left upper
premolar 3 had roots exposed. I had it extracted as this
may be the cause of him feeling the pain and moody when
the Chihuahua approached him to play. Nobody really
knows but the webmaster suspected that this could be the
Difficulty in brushing the back teeth
Many dog owners in Singapore have difficulty in using
the finger tooth brush to clean the dog's teeth. The dog
would just run away or refuse to open his mouth or bite.
I advised him to use something the dog like, put it on
the finger tooth brush as the dog had been avoiding him
whenever the dog sees his finger brush and the canine
tooth paste. "Use some
food the dog likes e.g. cheese and put on the
toothbrush. So the dog looks forward to tooth brushing
every day." Human beings are devious creatures.
I told the webmaster that the tartar will build up again
and bad breath will return after a year if he does not
brush his dog's teeth daily or at least 3 times per
On Jun 19, 2010 at 1.38 am, I tried
do "dog dental scaling" search. The results were <1
second. I could see, on the right column, the following:
You need to go to
"Web" section to do your search correctly. If you go to
the "News" section, you will get no satisfaction. It
seems that asiaone.com is worth considering when one
looks for Singapore businesses.