Most of veterinary clinics today are fully air-conditioned. I have nothing against them especially if they cater healthy animals ready for yearly check up or just waiting for their turn in grooming. Their respective owners will also feel comfortable while the veterinarian explains every detail of the prescription. However, if we are dealing with sick animals that are shivering because of low body temperature we need to reconsider our priorities. Even while performing surgeries, one must be aware of the fluctuating temperature of the patient.
 
Like humans, we need to take care of our pet's teeth. We can do this by regular toothbrushing, dental check-up and cleaning. Take note that we need to use pet-formulated toothpaste to make sure that the contents are safe to be swallowed. It is recommended to start this habit as early as possible to get your pet accustomed to this routine. Aside from that, some treats are made to promote good breath and can scrape the surface of the teeth to remove debris. Dry pet food can also do the works.
 
Ticks and fleas are evident parasites of our beloved dogs and cats. We can eliminate them by regularly applying parisiticide like Frontline spray, deticking and grooming them, giving medicateed baths and allowing them to stay in a parasite-free area. These parasites are also vectors of various diseases such as flea bite allergy and ehrlichiosis that can harm both animals and humans.
 
Because cats are also susceptible to rabies virus, it is highly recommended that we vaccinated them yearly. They can transfer the virus by biting, licking or scratching their owners. Rabies is a deadly disease that we should not take for granted. The vaccine will be injected intramuscularly by the veterinarian and would require superb restrain of the animal. As a responsible pet owner, keep your pet away from strays to minimize the risk of infection.
 
After terrible typhoons that devastated our city with floods and black-outs, here we are again to serve you. To give some updates, we encountered various skin problems this past few months like demodecosis, dermatophytosis and even severe lacerations. Depending upon the extent of damage, treatments were formulated and the dogs were monitored. The moist weather condition also contributed to this increasing incidence. Make sure that you provide your pets enough food and supplements as well as comfortable environment.
 
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To do or not to do? Well, it depends on the severity of the case, preference/assessment of the veterinarian and budget/cost of the treatment. It is necessary to monitor the pet's health for the next 24-48 hours especially during emergency situations like hit-by-car or poisonings. It would require restricted area for movement which is important for fractures, intravenous fluids to stabilize patient and antibiotics/supplements infusion to treat underlying diseases. However, because of financial constraints, owners may refuse this recommendation. If so, I think it is prerogative for the vet to give first aid, prescription and alternatives to consider the pet's condition.
 
Our latest surgery involved a 10 year-old mixed breed with vulvar growths. At first glance, it could be vaginal prolapse or hyperplasia. Ovariohysterectomy, vaginal mucosal excision and prolapse transposition were recommended. Complete blood count only showed marginal platelet count and the surgery was scheduled 2 days after antibiotic and vitamins prescription. Under anesthesia, the dog was carefully monitored with its respiratory/heart rates. Unfortunately, the case was more complicated. Tumors were found in uterine body that looks-like cauliflower and fibroid in nature. The fist-size mass made the surgery laborious because of its location (near the urinary bladder opening), more ligations performed and vessels affected. Aside from that, the vulvar tumors were also removed while taking consideration the urethra. Because of her age, the dog had difficulty recovering from multiple doses of anesthesia and was confined for few hours. However, before the day ended, we decided to discharge her to be given home care by her owners. She had IV fluids, E-collar and prescription medicines and food. As of this time, she is recovering very fast - being able to walk, growl, eat well and mingle with her family. To be able to know the extent of tumor distribution it is recommended to undergo other diagnostic tests such as biochemical profile and xray.
 
Today, I discharged a patient after three days of confinement. She is suspected to have parvoviral infection with symptoms of bloody diarrhea, lethargy, inappetence and vomiting. Although her vaccination is updated, it is still possible to contact the disease especially if the dog has poor immune system. She is better than before and seems fighting the disease by being responsive and alert. She was given IV fluid and 10 different kinds of medicines/supplements such as antibiotic, antiemetic, antacid, immunostimulant, vitamins, steroids, antiviral and antihemorrhagic. Aside from that, she was force fed with Prescription Diet A/D or intestinal diet. Because of financial problem, she was discharged earlier and with less diagnostic tests. I just hope that she will be taken cared of by her owners. I believe that she has a great chance of survival. Upon follow-up, the dog is now okay and doing very well. He is now scheduled to continue the vaccination schedule.
 
Today, an 8 year-old long-haired chihuahua was presented with distended abdomen. She is also recumbent and in pain since yesterday night. The owner refused to conduct laboratory tests due to financial constraint. The heartbeat is slower than normal and there is breathing difficulty. The abdomen has flat drum-like sound when tapped. Because of lack of diagnostic tests I could just guess. It could be liver, kidney or heart problem as well as tumor and perforations. I just recommended confinement for probable abdominocentesis as well as supportive therapy like IV fluids, diuretics, antibiotics and vitamins. I also give low sodium diet while monitoring the condition. I am crossing my fingers with this one.