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27 Dec 2003
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1. Properties for rent
2. Community Education
1. April 2002 webpage updated. Internet Photo
Ads shown here are those of condos and various units are available for
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Glencaird bungalow 22,000 sq ft/13,000 sq ft for sale. $18
2. Community Education for pet owners and breeders.
How Your Puppy Can
A heavily pregnant bitch unable to give birth should have a Caesarean
within 2 hours of labour pains and no puppy.
Which puppy to save?
"Doctor, please slow down," Mr Lim, pleaded for more time.
I had taken out 4 puppies from the Shih Tzu bitch in less than 1 minute
and gave them to Mr Lim and his partner to clean up, resuscitate and
veteran professional canine breeders and their help enabled me to perform
a Caesarean delivery of 7 pups in less than 15 minutes. All I needed
to do was to take out the pups and stitch up. It was a pleasure to have
Their pleas reminded me of a Chinese restaurant which served several
dishes at one go, making the diners feel overwhelmed.
This was an emergency Caesarean and time was of the essence.
"I can't slow down," I replied. "The puppies are bunched up at the birth
canal and just popped out of the incision of the womb."
The bitch was having labour contractions despite being under general
anaesthesia and the puppies just could not wait to be born.
"Increase the dose to the maximum," I shouted to Nurse Ann. "Just for a
minute or less and put back to maintenance dose." The anaesthesia normally
was sufficient for surgery but this 3-year-old healthy Shih Tzu bitch was
not fully anaesthesized. Such cases do happen to me. There was
no stability for a few of the Caesarean bitches. I would not know why they
still had labour pains while under the usual general anaesthetic dose.
The best way was to quickly deliver the puppies. The fourth pup was stuck.
Its neck was twisted such that the head pointed backwards when it should
The right pup would be dead
much earlier. The breeder should have focused on saving the left pup.
"This pup might be dead," I said Mr Lim as he took over the puppy to go
outside the operating room to revive it.
I lost count of the number of puppies as I kept a close watch on the
bitch. It was not breathing well and might die of heart failure at any
time. Or just wake up.
The last stitch was done and the bitch just looked at me, as if she
had a short nap on Boxing Day morning.
"2 puppies are dead," Mr Lim lamented. "One was still gasping for
breath and I had to put it down to revive the other which was not
breathing. Maybe, I should have continued with the first one."
All 7 puppies were of even size and would have grown up well. "Why do you
delay over 80 minutes for the Caesarean?" I asked Mr Lim.
"The bitch was in labour pain for more than 4 hours, such that she passed
watery diarrhoea. I had to bathe her. In addition I had to feed the other
Of the 2 pups, one would have died due tot he delay. The gasping one had
the twisted neck and the delay in getting a Caesarean done had caused
great distress to the pup which had been positioned incorrectly. It
might or might not be possible to save it.
The transport the bitch to the veterinary surgery usually took less than
30 minutes. This time, Mr Lim had phoned me to perform a Caesarean
90 minutes later. He misjudged the urgency and got his
priorities wrong. He should have delegated somebody to feed the
puppies but he would not do so. He was a hands-on breeder and was the
most productive breeder with many lovely even puppies.
Still, I felt that, in this situation, he ought to delegate the morning of
puppies or let his partner bring the bitch for the emergency Caesarean
Extracts from the
How Your Puppy Can Live Longer:
Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS.