Saturday, November 25, 2007
The personable Filipino waitress in her twenties, held a pad and pen and stood beside the young man who had completed his first-year veterinary studies in Australia and arrived home today.
From across the table of four, the white words on her pure black T-shirt sang to me:
LOVE IS A BUTTERFLY
Which when pursued is just beyond your grasp
But if you will sit down quietly
It may alight upon you.
The first line was in bigger fonts and was easier to read. I could read the following 3 lines while she took the orders with a smile. She was one of those fortunate girls who are born with a happy countenance, unlike her lady boss whose facial lines tell of a thousand worries and stress.
"Is love like a butterfly or is love a butterfly?" I asked her. She did not reply but her eyes sparkled as she took the orders.
The boy's mother admonished me: "It is not nice to stare at a lady's chest." Prim and proper.
I had not thought of the sexy implications and the waitress was not Dolly Parton whose bosom demanded attention. I said, "I was reading the words of a poem."
It is always good to make a happy connection with the serving staff as they work very long hours. She could be a student who needed to work. How do I understand their working life?
Well, I was a waitress during the 3 months of summer holidays during my first year veterinary studies in Glasgow University in 1969. I could not go back to Singapore unlike this young man I was dining with. My parents had no money. It was out of question.
At that time, the University bookshop had notices of summer jobs offered. I got a job as a waiter in an upscale hotel opposite St Andrews' Golf Course. After 2 days, I got the sack. Probably too slow to serve or not up to the mark, I guessed in retrospection.
I went back to the University bookshop and applied for another job. A small hotel catering to tour groups accepted me. A small seaside town called Dunoon, in Scotland. I had never worked before I went to Scotland on this veterinary scholarship. In a way, I was like this young man I was dining with.
After the termination of my first job, I decided to work harder. Worked 7 days a week and overtime. The tour groups would come in for breakfast, lunch and dinner and the waiters and waitresses would have to rush in and out fast to serve them. Then they would go out on their tours.
Now, how to serve fast for a table of 10 people? The British way of dining is so much different from the Chinese way which is a communal way of dining. For the British dinner, for example, there was the soup first. Then the main course followed by the dessert.
Each person had his own bowl or plate. So, 10 people would need to be serve 10 plates of the main course. And we had to serve fast as they needed to go for their tours.
The head waiter taught us how to balance the plates for the main course on our left hand. The waiter bent his elbow to hold one plate and his right and left hand hold two plates. A total of 3 plates. That meant rushing up and down to the kitchen 4 times to serve 10 plates per table. Some tables have more than 10 diners and we had to service more than 1 table.
Remembering my premature job termination, I resolved to work harder and smarter. All waiters and waitresses were of my age and undergraduates from various places in the U.K. We improved our serving technique to serve much faster.
After some time, we challenged each other as to how many plates we could serve at one go. We were young and energetic. Do you know how many big plates holding the main course could be served by a waiter?
Give me a number. Say it loud. Write it down.
Now, it is 2007. Almost 38 years had passed. I wonder whether the Glasgow University bookshop still exists and whether there are still vacancies for summer jobs.
The young undergraduate I had dinner was really fortunate that he did not have to work during his 3 months of summer holidays and could come home. His mum missed him a lot, so if I advised him to stay back to work in Australia to understand more about the Australian way of life would cause disharmony with his mother.
Back to the number of plates I could carry. It was 7. Two hands held 2 plates. Of the remaining 5, the left hand's elbow area held 3 plates in tiers. The right hand's elbow area held 2 plates. When I reached the table, the diners would help me to unload. Two trips would do for each table. The customers sometimes clapped their hands. I didn't know my fellow waiters and waitresses and I were so entertaining to them. The folks were the heartlanders and very kind. There was interaction between the customers and the staff and we did some tips at the end of each week.
Occasionally one of us dropped a plate during the rush, but that was not common. In that 3 months of summer job, I went out with my colleagues to the pubs. I witness one young man called Bill.
Once after our drinking at a pub, he stole a traffic hazard warning light and brought it back to our hotel accommodation. A blonde undergraduate waitress taught me what "mascara" meant when I asked her what she was applying to her eyelashes as all of us went to the pub. She would hum to this top of the pop song starting with the lyrics: "They paved paradise and put in a parking lot...".
At that time, I could not understand the slang of the singer till some years later. Sometime to do with yellow taxi and old man dying and taken away.
Recently, the young man's radio played this song which has the "Save the environment" theme. Which brought me back some 3 decades ago to this blonde undergraduate girl.
If you need to know, she was friendly but I did not date her. Love is a butterfly but it did not alight upon me in Dunoon.
Saturday, November 24, 2007
Friday, November 23, 2007
106. The best spay I had - a smooth operator
When the dog owner is well informed, a spay operation in the female dog can be a very smooth operation taking less than 30 minutes.
Today was such a day. The Miniature Schnauzer, born in Dec 3, 2005 was on heat 4 months ago. She was spayed today Nov 23, 2007 as the owner was advised to do so 3-4 months after heat.
My assistant Mark talked to the dog as he put the face mask over her muzzle. She did not struggle and went to sleep under 8% gas anaesthesia within 10 minutes. No tranquilisation. I inserted the endotracheal tube to connect her lungs to the anaesthetic machine, maintained the anaesthesia at 1.5%.
Incision was 2.5 cm from the umbilicus. 1 cm incision cut. The spay hook was inserted towards my right at 45 degrees posteriorly. It hooked out the left uterine horn. I pulled the left ovarian ligament. Pulling caused the dog to breath much faster as he felt the pain.
I increased the gas to 8% for a minute so that he had more gas. The minimal amount of gas given will lead to no deaths and that was why I used 1.5%.
No more rapid breathing observed. I cut the ovarian ligament with the scalpel. Clamp the ovarian stump. Ligate the stump.
Pulled the left uterine horn out of the body and saw the right uterine horn at the uterine body junction popping out. Use forceps to pull it out.
Then I pulled the right ovarian ligament and repeated the same procedure. No bleeding but the blood was normal red with oxygen. The dog was breathing regularly. The uterine body was pulled out and clamped.
The skin and muscles were stitched up. Anaesthesia switched off as I stitched the skin. No bleeding from the ovarian and uterine tissues at all as the dog was no longer on heat.
The dog woke up smoothly after 3 minutes. An Elizabeth collar was given to prevent licking of wound.
QUESTIONS THE OWNER ASKED:
1. Bathe the dog? Yes, but make sure the plaster is not wet.
2. Can the dog eat any food? Yes.
3. When to come back to remove the stitches. No need. The absorbable stitches will dissolve and fall off in 14-28 days.
4. When to remove plaster? 7 days later.
5. Can give antibiotic tablet crushed and mixed with water inside a syringe? Yes. 7 days. Normally I don't give antibiotics but lately, I do so as the dog may lick her wound or irritate it.
Overall, this was a most satisfying spay I had ever done. I had time for the first consultation at 10 a.m
Today was such a day. The Miniature Schnauzer, born in Dec 3, 2005 was on heat 4 months ago. She was spayed today Nov 23, 2007 as the owner was advised to do so 3-4 months after heat.
My assistant Mark talked to the dog as he put the face mask over her muzzle. She did not struggle and went to sleep under 8% gas anaesthesia within 10 minutes. No tranquilisation. I inserted the endotracheal tube to connect her lungs to the anaesthetic machine, maintained the anaesthesia at 1.5%.
Incision was 2.5 cm from the umbilicus. 1 cm incision cut. The spay hook was inserted towards my right at 45 degrees posteriorly. It hooked out the left uterine horn. I pulled the left ovarian ligament. Pulling caused the dog to breath much faster as he felt the pain.
I increased the gas to 8% for a minute so that he had more gas. The minimal amount of gas given will lead to no deaths and that was why I used 1.5%.
No more rapid breathing observed. I cut the ovarian ligament with the scalpel. Clamp the ovarian stump. Ligate the stump.
Pulled the left uterine horn out of the body and saw the right uterine horn at the uterine body junction popping out. Use forceps to pull it out.
Then I pulled the right ovarian ligament and repeated the same procedure. No bleeding but the blood was normal red with oxygen. The dog was breathing regularly. The uterine body was pulled out and clamped.
The skin and muscles were stitched up. Anaesthesia switched off as I stitched the skin. No bleeding from the ovarian and uterine tissues at all as the dog was no longer on heat.
The dog woke up smoothly after 3 minutes. An Elizabeth collar was given to prevent licking of wound.
QUESTIONS THE OWNER ASKED:
1. Bathe the dog? Yes, but make sure the plaster is not wet.
2. Can the dog eat any food? Yes.
3. When to come back to remove the stitches. No need. The absorbable stitches will dissolve and fall off in 14-28 days.
4. When to remove plaster? 7 days later.
5. Can give antibiotic tablet crushed and mixed with water inside a syringe? Yes. 7 days. Normally I don't give antibiotics but lately, I do so as the dog may lick her wound or irritate it.
Overall, this was a most satisfying spay I had ever done. I had time for the first consultation at 10 a.m
105. Green vaginal discharge, no puppy seen. What to do?
"My Labrador Retriever passed green discharge all over the kitchen floor. What to do?" the teenaged girl asked me. The female dog had no active contractions and half a day had passed with no puppy seen.
I said, "Wait, the puppy should be out within 30 minutes of the rupture of the water bag."
She did not know what I was talking about. All she knew was that there was green discharge all over the floor.
Telephone diagnosis is best avoided. Normally all Retrievers can give birth naturally. However, in this case, a green discharge meant that the placenta had separated and the puppy had not passed out. There might be some problem.
In such situations, if I advised waiting for an hour or more and if all the puppies die, I get the blame. I had encountered such a situation before from an unknown caller.
The person complained to the veterinary authority about me as one puppy or more had died. He had a Caesarean done at another vet surgery.
"Did you ask about the green vaginal discharge?" the authority called me by phone telling me there was a complaint about my phone advices.
So the best advice is to get the dog down to the surgery for observation or necessary Caesarean. Do not assume that every Retriever would give birth naturally. In this case, the girl was told to contact the parents. I got the dog transport woman to go to the house after talking to the mother.
When the transport woman reached the house, one puppy was born. Another came out within 30 minutes. The father asked me why I sent the dog transport woman to the house? The dam was suckling the 2 puppies!
I advised "wait and see" and asked the dog transport woman to leave. It was a very stressful situation for the teenaged girl as this was her first time. I should expect the Retriever to give birth naturally as almost all do so.
However, in life, there are always exceptions to the rule and the vet should not be too complacent.
I said, "Wait, the puppy should be out within 30 minutes of the rupture of the water bag."
She did not know what I was talking about. All she knew was that there was green discharge all over the floor.
Telephone diagnosis is best avoided. Normally all Retrievers can give birth naturally. However, in this case, a green discharge meant that the placenta had separated and the puppy had not passed out. There might be some problem.
In such situations, if I advised waiting for an hour or more and if all the puppies die, I get the blame. I had encountered such a situation before from an unknown caller.
The person complained to the veterinary authority about me as one puppy or more had died. He had a Caesarean done at another vet surgery.
"Did you ask about the green vaginal discharge?" the authority called me by phone telling me there was a complaint about my phone advices.
So the best advice is to get the dog down to the surgery for observation or necessary Caesarean. Do not assume that every Retriever would give birth naturally. In this case, the girl was told to contact the parents. I got the dog transport woman to go to the house after talking to the mother.
When the transport woman reached the house, one puppy was born. Another came out within 30 minutes. The father asked me why I sent the dog transport woman to the house? The dam was suckling the 2 puppies!
I advised "wait and see" and asked the dog transport woman to leave. It was a very stressful situation for the teenaged girl as this was her first time. I should expect the Retriever to give birth naturally as almost all do so.
However, in life, there are always exceptions to the rule and the vet should not be too complacent.
Thursday, November 22, 2007
104. BIOLOGICAL OR EMOTIONAL? Submissive urination in dogs - is there a cure?
"Must I put a parking coupon?" the young lady asked me. It was 10.30 am on a weekday and she had to get her Maltese vaccinated the 2nd time.
In the past month, the car park wardens had "thought out of the box" and had came for surprise booking of cars without parking coupons at 9 a.m. They tried to sneak in from various ends of the road and did have some successes. Previously they would come at 5p.m. They were out-sourced private corporate "wardens" and the office must have a brain-storming to get more bookings.
"The car park wardens don't come at this time," I assured the lady. She brought the puppy into the consultation room.
"My puppy pees when I pat her head or when friends come to visit me," she said. "Is there something wrong with her?"
"This is a case of submissive urination or excitation urination," I said to the surprise of the young lady who replied, "I do not know there is such a condition."
Yet this puppy did not pee on the examination table when my assistant Mark held her for vaccination. I have had submissive urination cases of puppies dribbling urine at the Surgery as well as at home.
"Is there a cure?" she asked.
"You have to train her to be confident," I said. "This condition is reported to be hard to cure."
"How do I train her?" she asked.
"When you go home, ignore her for a while. When your friends visit, ask them not to greet her. Do not pat her head or you will reinforce this submissive urination. Bring the puppy out to socialise with people and other dogs. It takes a long time to cure and many grow up without being cured."
IS SUBMISSIVE URINATION A BIOLOGICAL OR AN EMOTIONAL DISORDER?
Autism is believed to be a biological rather than a mental disorder. Is Submissive Urination a biological disorder?
Are there therapies that can help? So far, the dog books do not advocate more than what I had told the lady.
Today, I read in alternativemedicine magazine April 2006 issue about APPLIED BEHAVIORAL ANALYSIS (ABA) which appears to work well for children who have Asperger's syndrome (a form of autism).
ABA is a set of behavioral modification techniques. Teach the child to learn the real world by breakind down tasks in simple steps. Reward the child with the tiniest success. Slowly the therapist weans him from the rewards as he succeeds in each task. The disadvantage is that ABA is time-intensive and very expensive.
For submissive urination in dogs, the owner may use alternative treatments such as the ABA's methods to see whether it is successful to cure submissive urination in the dog.
You will need to spend a lot of time gaining the trust of the dog and making her or him self-confident. Praise and rewards for small successes. Keep accurate records of the dog's response (no drops of urine). It is a trial and error as each submissive urination puppy is different. I don't know whether ABA's methods will work in the dog.
Autism Resources:
www.autismwebsite.com
www.autismtreatmentcenter.org
In the past month, the car park wardens had "thought out of the box" and had came for surprise booking of cars without parking coupons at 9 a.m. They tried to sneak in from various ends of the road and did have some successes. Previously they would come at 5p.m. They were out-sourced private corporate "wardens" and the office must have a brain-storming to get more bookings.
"The car park wardens don't come at this time," I assured the lady. She brought the puppy into the consultation room.
"My puppy pees when I pat her head or when friends come to visit me," she said. "Is there something wrong with her?"
"This is a case of submissive urination or excitation urination," I said to the surprise of the young lady who replied, "I do not know there is such a condition."
Yet this puppy did not pee on the examination table when my assistant Mark held her for vaccination. I have had submissive urination cases of puppies dribbling urine at the Surgery as well as at home.
"Is there a cure?" she asked.
"You have to train her to be confident," I said. "This condition is reported to be hard to cure."
"How do I train her?" she asked.
"When you go home, ignore her for a while. When your friends visit, ask them not to greet her. Do not pat her head or you will reinforce this submissive urination. Bring the puppy out to socialise with people and other dogs. It takes a long time to cure and many grow up without being cured."
IS SUBMISSIVE URINATION A BIOLOGICAL OR AN EMOTIONAL DISORDER?
Autism is believed to be a biological rather than a mental disorder. Is Submissive Urination a biological disorder?
Are there therapies that can help? So far, the dog books do not advocate more than what I had told the lady.
Today, I read in alternativemedicine magazine April 2006 issue about APPLIED BEHAVIORAL ANALYSIS (ABA) which appears to work well for children who have Asperger's syndrome (a form of autism).
ABA is a set of behavioral modification techniques. Teach the child to learn the real world by breakind down tasks in simple steps. Reward the child with the tiniest success. Slowly the therapist weans him from the rewards as he succeeds in each task. The disadvantage is that ABA is time-intensive and very expensive.
For submissive urination in dogs, the owner may use alternative treatments such as the ABA's methods to see whether it is successful to cure submissive urination in the dog.
You will need to spend a lot of time gaining the trust of the dog and making her or him self-confident. Praise and rewards for small successes. Keep accurate records of the dog's response (no drops of urine). It is a trial and error as each submissive urination puppy is different. I don't know whether ABA's methods will work in the dog.
Autism Resources:
www.autismwebsite.com
www.autismtreatmentcenter.org
Tuesday, November 20, 2007
103. The bony Angorra rabbit will not eat.
"My rabbit has not been eating for the past 2 days," the first-time rabbit owner took leave to seek veterinary treatment. "She just sits around and will not greet me when I come home."
"Has she got diarrhoea?" I asked. "This Angorra has a beautiful coat which camouflages her lack of weight gain. She is as extremely thin and can die anytime due to lack of health." I taught her how to feel the spines of the thin rabbit. Sharp spinal process poked at her index finger as she felt the whole length of the spine. There was no fat layer.
The lady said, "My rabbit eats all day. At times he has loose stools. Why is he not putting on weight?"
"Much depends on the quality of food and the rabbit's lifestyle of gnawing at objects that may cause watery stools. Did you smell the rabbit pellets to get an impression whether they were of poor quality?". A smelly pellet or hay pieces may indicate something is wrong. You will need to know how to judge by the smell.
I tried to take the temperature. A few pellets of stools and some wet faeces matted the swollen anal area. The rabbit disliked this handling. So, I stopped taking the temperature from the rectum.
This is the type of case where the rabbit appeared healthy and alive. If the vet gave an injection and the rabbit dies due to pre-existing diseases, he gets the blame. The owner needs to be warned.
I gave the rabbit an antibiotic and dextrose saline injection and asked the owner to hand feed the rabbit with rabbit food pellets slowly as whole pieces or wet ones.
"Hand feed?" the career lady queried me. "I don't know how to do. In any case, my rabbit does not stay still."
"Put the rabbit on the table. Grip the upper jaw with your left hand. Push a small pellet inside his mouth." I said. "Do you have any pellets?"
"No," she said. I saw the teacher with her pet rabbit of around 4 months in the waiting room. She might have some. She took out a small plastic bag of pellets to help me out as I did not have any. That was kind of her.
I demonstrated to the Angorra rabbit owner by pushing a pellet into the mouth, close the jaws and tilt the head. The rabbit wrinkled her lips and swallowed it. Now, it was the lady's turn. The rabbit was held but she was wiser. She would have none of the nonsense of being force-fed. She just turned his head away and would have stomped her foot if she was well.
"Let her smell the pellet," I advised. The rabbit was not interested in food and just turned his head.
Now, will the rabbit die if she does not eat for another day? She would have a gut infection or intoxication. I gave her the injections of antibiotics and dextrose saline and advised the owner to tel me if the rabbit did not eat the next day. Hand feeding was out of question.
Early the next day, she text messaged me "this morning she goes back to be an active hungry rabbit as usual. I will monitor her condition and will give her another 2 days antibioitics. Thank you very much."
That was good news. Seldom do I get feedback. Text messages are best and effective. As to the cause of the suspected fever, it would have to be something upsetting the rabbit's gut.
"Has she got diarrhoea?" I asked. "This Angorra has a beautiful coat which camouflages her lack of weight gain. She is as extremely thin and can die anytime due to lack of health." I taught her how to feel the spines of the thin rabbit. Sharp spinal process poked at her index finger as she felt the whole length of the spine. There was no fat layer.
The lady said, "My rabbit eats all day. At times he has loose stools. Why is he not putting on weight?"
"Much depends on the quality of food and the rabbit's lifestyle of gnawing at objects that may cause watery stools. Did you smell the rabbit pellets to get an impression whether they were of poor quality?". A smelly pellet or hay pieces may indicate something is wrong. You will need to know how to judge by the smell.
I tried to take the temperature. A few pellets of stools and some wet faeces matted the swollen anal area. The rabbit disliked this handling. So, I stopped taking the temperature from the rectum.
This is the type of case where the rabbit appeared healthy and alive. If the vet gave an injection and the rabbit dies due to pre-existing diseases, he gets the blame. The owner needs to be warned.
I gave the rabbit an antibiotic and dextrose saline injection and asked the owner to hand feed the rabbit with rabbit food pellets slowly as whole pieces or wet ones.
"Hand feed?" the career lady queried me. "I don't know how to do. In any case, my rabbit does not stay still."
"Put the rabbit on the table. Grip the upper jaw with your left hand. Push a small pellet inside his mouth." I said. "Do you have any pellets?"
"No," she said. I saw the teacher with her pet rabbit of around 4 months in the waiting room. She might have some. She took out a small plastic bag of pellets to help me out as I did not have any. That was kind of her.
I demonstrated to the Angorra rabbit owner by pushing a pellet into the mouth, close the jaws and tilt the head. The rabbit wrinkled her lips and swallowed it. Now, it was the lady's turn. The rabbit was held but she was wiser. She would have none of the nonsense of being force-fed. She just turned his head away and would have stomped her foot if she was well.
"Let her smell the pellet," I advised. The rabbit was not interested in food and just turned his head.
Now, will the rabbit die if she does not eat for another day? She would have a gut infection or intoxication. I gave her the injections of antibiotics and dextrose saline and advised the owner to tel me if the rabbit did not eat the next day. Hand feeding was out of question.
Early the next day, she text messaged me "this morning she goes back to be an active hungry rabbit as usual. I will monitor her condition and will give her another 2 days antibioitics. Thank you very much."
That was good news. Seldom do I get feedback. Text messages are best and effective. As to the cause of the suspected fever, it would have to be something upsetting the rabbit's gut.
Sunday, November 18, 2007
102. "Buy a new dog!" the daughter said.
I can remember this dog. He bit me towards the end of surgery to remove his lip and face wart. So did groomer Mark who had also been bitten last year. Now the tumours had regrown and are bigger. Much bigger than last year. The girl's mother wanted surgery now as the dog kept pawing the tumours and they bled all over the floor.
"This must be the oldest English Cocker Spaniel in Singapore," I said. "Cocker Spaniels seldom live past 12 years of age. He is overweight and may not survive anaesthesia this time, so you have to take the risks if you want to operate."
We did not talk about the cost of surgery.
"Just buy a new dog!" a young girl of around 12 years old suddenly interjected. Mum was shocked at this discard the old and buy a new one consumerism. She was shell-shocked at the young girl's remarks, so was I. She responded: "It is my obligation to get him treated."
What happened to this little girl? Why did she said to get rid of the old dog? He can still eat and walk. Sometimes he leaked urine.
"He coughs at night last year," the mum said. "Like old people. I presume it is normal for old dogs to cough at night."
"It is not normal for old dogs to cough at night or at any time," I advised and checked his heart.
"Why don't you just use gas anaesthesia like the last time," the mum recalled. "No tranquilisation injection. He survived."
"OK," I said. I put the dog on antibiotics so that the wounds would heal well. The surgery would be next week.
"This must be the oldest English Cocker Spaniel in Singapore," I said. "Cocker Spaniels seldom live past 12 years of age. He is overweight and may not survive anaesthesia this time, so you have to take the risks if you want to operate."
We did not talk about the cost of surgery.
"Just buy a new dog!" a young girl of around 12 years old suddenly interjected. Mum was shocked at this discard the old and buy a new one consumerism. She was shell-shocked at the young girl's remarks, so was I. She responded: "It is my obligation to get him treated."
What happened to this little girl? Why did she said to get rid of the old dog? He can still eat and walk. Sometimes he leaked urine.
"He coughs at night last year," the mum said. "Like old people. I presume it is normal for old dogs to cough at night."
"It is not normal for old dogs to cough at night or at any time," I advised and checked his heart.
"Why don't you just use gas anaesthesia like the last time," the mum recalled. "No tranquilisation injection. He survived."
"OK," I said. I put the dog on antibiotics so that the wounds would heal well. The surgery would be next week.
Friday, November 16, 2007
The mum has a name card
The Shih Tzu came for his annual vaccination booster during lunch time as the neighbour referred the mum to me. The mum had got a vaccination reminder card from a vet clinic and came here with her daughter. Referral clientele are the most precious and hard to get.
"Two front teeth dropped off as he bites iron gate," mum laughed. "What can be done?"
I said, "I don't think Singapore has the capablility to put on 2 false teeth for him." I checked his other teeth.
This 4-year-old Shih Tzu weighs 8 kg. Not obese. Yellowish white tartar accumulates on 4th premolar.
No bad breadth and no loose decayed dark brown teeth. Dog had been fed on dry dog food and the best steamed fish and chicken.
"Best to get a dental scaling done," I advised. "The tartar brings in bacteria to the gums and then the roots get decayed. After scaling, brush the teeth or give him some ropes to chew or dry dog food."
With yearly dental check up, the teeth can last till he is 15 years old.
The daughter worked in a bank. "Banks pay the most nowadays according to the Straits Times. Change job and get $1,000 pay rise. Change jobs a few times a year and get more pay. Do you have any name card? I asked.
The daughter apologised for not carrying one.
"Do you have one?" I asked the mum. She was conversant in the sale of funds as she was doing it. I was impressed.
Her son qualifies as an accountant, did not practise but works in the hedge fund.
"He is earning at least $10,000 a month," I said.
"More than that," Mum said. I ought to have studied finance and banking. It is too late but young people choosing their degree course ought to go for finance and banking studies if they want to earn much more than a professional.
"Two front teeth dropped off as he bites iron gate," mum laughed. "What can be done?"
I said, "I don't think Singapore has the capablility to put on 2 false teeth for him." I checked his other teeth.
This 4-year-old Shih Tzu weighs 8 kg. Not obese. Yellowish white tartar accumulates on 4th premolar.
No bad breadth and no loose decayed dark brown teeth. Dog had been fed on dry dog food and the best steamed fish and chicken.
"Best to get a dental scaling done," I advised. "The tartar brings in bacteria to the gums and then the roots get decayed. After scaling, brush the teeth or give him some ropes to chew or dry dog food."
With yearly dental check up, the teeth can last till he is 15 years old.
The daughter worked in a bank. "Banks pay the most nowadays according to the Straits Times. Change job and get $1,000 pay rise. Change jobs a few times a year and get more pay. Do you have any name card? I asked.
The daughter apologised for not carrying one.
"Do you have one?" I asked the mum. She was conversant in the sale of funds as she was doing it. I was impressed.
Her son qualifies as an accountant, did not practise but works in the hedge fund.
"He is earning at least $10,000 a month," I said.
"More than that," Mum said. I ought to have studied finance and banking. It is too late but young people choosing their degree course ought to go for finance and banking studies if they want to earn much more than a professional.
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