toapayohvets.com Blk 1002, Toa Payoh Lor 8,
01-1477, Singapore 319074 Tel:
6254-3326, 9668-6469, 9668-6468. firstname.lastname@example.org
29 June, 2015
Focus: Small animals - dogs, cats,
guinea pigs, hamsters, turtles & rabbits
Time is running out - Pyometra in an old dog
Kong Yuen, BVMS (Glasgow), MRCVS
29 June, 2015
When the vet (myself) said that the dog had a
very low chance of survival on the operating table and the medical costs
were high in this closed-open pyometra case, the owner probably felt
that it would not be justified paying for such a high risk anaesthesia.
He decided to bring the dog home to die.
But I noticed that there was this 12-year-old boy who cried his heart
out. Some vets don't follow up as the owner had decided and they had no
time to "solicit" for business and risk being rejected..
But this little boy loves this 14-year-old dog very much as tears
streamed down his face when the father decided on no operation. He knew
the outcome would be death from septicaemia (leucocytosis, neutrophilia,
thromobocytopenia in the blood test).
I phoned the father (owner) the next morning. The dog was still passing
bloody vaginal discharge and had become lethargic.
I reduced the surgical costs to give this high anaesthetic risky canine
patient a chance to live.
Time was running out on her as she became sick again. Her serosanguinous
vaginal discharge flowed out like a burst dam.
If she survived the operation, the little boy would get his companion
back to health and that was what mattered to me in this case.
"Don't wait till you have finished work this evening to bring the dog
down," I advised the father. "Bring her down now while she still has a
fighting chance to live. Time is running out."
Dr Daniel operated immediately in the afternoon. The dog was warded one
night. The little boy was most happy to have his companion back home the
next day with his mother. "Are you happy now?" I asked him as he carried
his friend carefully into the car. "Yes," he beamed to me his best
This is a case where a vet can make a difference if he makes time to
follow up before time has run out for a little boy's best friend.
Happiness in the boy's face when the dog went home the day after surgery
would be hard to describe. "Are you happy now?" I asked him as he sat at
the back of the car with this old dog. "Yes," he nodded vigorously while
his mummy was most happy too..
Time was running out as the bacterial toxins would cause permanent
kidney damage. The father's decision to operate saved the dog's life. .
Now, as at Jun 25, 2014, around 2 months after spay, the 14-year-old dog
This case encourages the vet to care for the sick pyometra dog taken
home by the owners who do not want spaying. I did this by following up
with the owner the next day via telephone call. Reducing the medical
costs would be needed in some cases where money was a concern. I reduced
the medical costs by 50% so that the little boy's companion has a chance
to survive and live to a ripe old age.