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      Date:   20 July, 2012  
Focus: Small animals - dogs, cats, hamsters, guinea pigs & rabbits
Give what the customer wants? Urinary stone removal + spay packaged deal
Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS
20 July, 2012
toapayohvets.com 
Be Kind To Pets
Veterinary Education
Project 2010-0129
A female Miniature Schnauzer has been passing blood in the urine and an X-ray showed several large bladder stones. The couple, in their late 40s, wanted a spay and bladder stone removal packaged deal as this would be cheaper.

bladder stones, miniature schnauzer, female. owners want spay + stone removal. toapayohvets, singaporeSometimes it is possible to provide such a deal. For example, dental scaling and vaccination or spay and vaccination. However, in this case, it is still possible to do what the customer wants. Make a longer incision, do the spay first. Then open up the bladder and remove the stones.

However, the two surgical procedures will take a much longer time. "There may be complications of bleeding, infection and death on the operation table," I advised the owner against doing this. No news from them since two weeks ago.

Shouldn't I be more flexible and close the deal?  Give what the customer wants? In the interest of the dog, I don't do two-in-one surgeries lasting over one hour. The longer the procedure, the higher the chances of complications like bleeding, infection and death. 

But other vets do not agree and some customers can be lost just by sticking to this policy. The younger generation of Singaporeans in their 20s is better educated and more sophisticated and may understand the high risk of long surgical procedures, especially in the older dog.

Not all long procedures will result in death on the operating table. An example is that of the 13-year-old Beagle with blood loss and seizures needing daily medication. He had bladder cancer. He survived two hours of bladder cancer removal surgery. The wife had said she would not mind cleaning up the copious patches of bloody urine of the floor but she was against euthanasia. Removal of parts of the inoperable bladder cancer gave the dog a "normal" life although he is still incontinent but has no blood in the urine so far (1 week after surgery -
Trust & Audit in a Case of an old dog with fits and bladder cancer).

Female Schnauzer, struvite bladder stones, catherisation, urethral, toapayohvets, singaporeUPDATE IN JULY 20 2012: When I went to Hong Kong, the owner phoned me as his dog could not pee. I referred him to another practice. The story is continued at: The dog owner wanted me to spay his Schnauzer and remove the urinary stones in one surgery.
 

Electro-GP-trichoepithelioma/20120342tn_guinea-pig-male-3years-large-ear-tumour-electrosurgery-toapayohvets-zoletil-isoflurane.jpg tpvets_logo.jpg (2726 bytes)5131 - 5141. Ulcerated ear tumour.
Electro-surgery to excise a guinea pig's trichoepithelioma using Zoletil 100 & isoflurane
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BE KIND TO GUINEA PIGS --- GET EAR TUMOURS ULCERS TREATED WHEN THEY ARE SMALL.  More case studies, goto:  Guinea Pigs

To make an appointment: e-mail judy@toapayohvets.com
tel: +65 9668-6469, 6254-3326

toapayohvets.com 
Be Kind To Pets
Veterinary Education
Project 2010-0129
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Clinical Research
 

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