- 604-285-8822
- [email protected]
- 1103-4731 McClelland Road, Richmond. V6X0M5
- 604-285-8822
- [email protected]
- 1103-4731 McClelland Road, Richmond. V6X0M5
This is what we do, who we are.
ANVH EP - 43 Dog foreign body removal 狗胃腸道異物取出
Today we would like to share another case of GI foreign body removal. This case is a 15y old dog that swallowed the teeth brusher, while the owner tried to brush the teeth.
Our team performs the surgery to remove the foreign body from the stomach.
As long as the foreign body is still within the upper GI tract(from the oral cavity to the stomach), it is much easier to remove it and less damage to the GI tract; however, if the foreign is already getting into the intestine, it is a different story.
Some owners consider the risk of surgery and will think about letting the dog be expelled, but that's gambling. Cause it may have the chance to stuck inside the intestine and cause more GI trauma.
If you suspect your dog has something unable to digest, please contact your family vet ASAP.
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今天要跟大家分享的是另一個胃腸道異物的case
這個case是一隻15歲的老狗,在主人幫她刷牙的時候吞了刷牙的套子
我們團隊做了手術把異物從胃內取出
只要異物還乖乖的躺在上消化道內(口腔到胃),要把異物移除是相對來說簡單的,但如果等異物跑到下消化道(腸管),那就是完全不同的故事了
很多主人會擔心開刀的風險而問可不可以等他自己排出來? 但老實說這是高風險的賭博行為,異物進到腸管後有更高的機率卡住,而對消化道造成更多的破壞
如果你懷疑你的狗吃了任何無法消化的東西,請趕快跟你的家庭獸醫聯絡
#aniuvethospital
#taiwanvetincanada
#animalhospitalinrichmond
#thisiswhatwedo
#whoweare
#15歲老狗
#還會吃異物
#就是勇建
ANVH EP - 42 Bladder uroliths(stone) 膀胱結石
Dog bladder uroliths, also known as bladder stones or cystic calculi, are rock-like formations of minerals that develop in a dog's urinary bladder
These stones can vary in size from small grains to larger pebbles, and they form when minerals in the urine clump together1
Common signs of bladder stones in dogs include:
Blood in the urine (hematuria)
Straining to urinate (dysuria)
Frequent urination in small amounts
Pain or discomfort
Urinary obstruction (more common in male dogs due to their longer and narrower urethra)
Treating bladder uroliths (stones) in dogs typically involves a combination of dietary management, medication, and sometimes surgical intervention. Here are some common treatment options:
1. Dietary Management: Special prescription diets can help dissolve certain types of stones, such as struvite stones. These diets are formulated to alter the pH of the urine and reduce the concentration of stone-forming minerals
2. Hydration: Ensuring your dog has constant access to fresh water encourages regular urination, which helps flush out minerals before they form stones
3. Medication: In some cases, antibiotics may be prescribed if a urinary tract infection is present
Other medications might be used to manage pain and inflammation.
4. Surgical Removal: If the stones are too large to be dissolved with diet or medication, surgical removal may be necessary
This involves a procedure called a cystotomy, where an incision is made in the bladder to remove the stones.
5. Regular Veterinary Check-ups: Monitoring your dog's urinary health with regular vet visits can help catch and address issues early on. Urine pH and Specific Gravity Control: Regularly checking your dog's urine pH and specific gravity can help manage the risk of stone formation
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今天要分享的病例是"膀胱結石"
膀胱結石是指在膀胱內部生成像石頭樣的結晶物,大小從細沙到鵝卵石的尺寸都有,形成的原因有很多,包括尿道的創傷,感染,飲食習慣,不愛喝水等等
常見的臨床症狀有:
血尿,頻尿,排尿困難,疼痛跟尿路阻塞
我們怎摸治療呢?
膀胱結石需要多方面的治療來改善並維持
1.換成處方飼料/罐頭來把結石溶解/避免生成
2.確定每天有涉入足夠的水分
3.藥物的介入來控制感染跟疼痛
4.手術把膀胱內的石頭移除
5.定期的回診追蹤尿液的PH值/成分
如果你的寵物有類似的問題,請趕快跟你的家庭獸醫聯絡
#ANiuVetHospital
#TaiwanVetInCanada
#ThisIsWhatWeDoWhoWeAre
#VetInRichmondBC
#大珠小珠落玉盤
#你如果知道我在說什麼
#那你跟我一樣老
ANVH EP - 41 Ear(Aural) Hematoma 耳血腫
A dog's/cat's ear hematoma, also known as an aural hematoma, is a collection of blood that forms within the ear flap (pinna) due to a ruptured blood vessel
This often happens when a pet repeatedly shakes its head or scratches its ear, usually because of an underlying issue like an ear infection, ear mites, or itchy skin(allergy)
Common signs of an ear hematoma include:
1. Swelling of the ear flap
2. Pain and discomfort
3. Discharge from the ear if there's an infection
So How do we treat the ear hematoma?
Treatment options include but not limited:
1. Aspiration: This involves using a needle to drain out the fluid from the hematoma. However, this method may only provide temporary relief as the space left behind can refill with fluid
2. Surgical Drainage: This is a more permanent solution where an incision is made on the underside of the ear flap to drain the blood. Sutures are then placed to prevent fluid from building up again. A bandage may be applied post-surgery to reduce swelling and protect the ear
3. Medical Management: In some cases, veterinarians may use corticosteroids to reduce inflammation and treat the underlying cause
4. Low-Level Laser Therapy: We can use this as part of the treatment regimen to promote healing and reduce inflammation
If your pet has a similar issue, please contact your family vet for proper diagnosis and treatment.
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今天要介紹的病例是"耳血腫"
動物的耳血腫是因為反覆的甩頭/搔抓,使耳殼皮下血管破裂,血液累積在皮下空間造成的腫脹
常見的症狀有:
1.耳殼腫一包(如圖)
2.甩頭抓耳朵
3.疼痛
4.耳道分泌物等等
那我們如何治療呢?
常見的治療方式有:
1.引流:把耳殼內的液體排出(可能膿可能血)
2.手術關閉耳殼內的死腔
3.藥物的治療(類固醇/抗生素)等等
4.雷射治療
如果你發現你的寵物有類似的問,請盡早跟你的家庭獸醫聯絡
#ANiuVeterinaryHospital
#TaiwanVetInCanada
#AnimalHospitalInRichmond
#很久沒看到耳血腫的病例
#重現開喜婆婆包紮
#你如果知道我在說誰
#那你一定跟我一樣老(嗯?)
ANVH EP - 40 Allergy Reaction 過敏反應
The topic of this week is "Allergy Reaction"
An acute allergic reaction in dogs and cats, also known as "anaphylaxis", is a severe and potentially life-threatening reaction that occurs rapidly after exposure to an allergen
Common allergens include insect bites or stings, certain foods, medications, and vaccines.
Signs of an acute allergic reaction in dogs include:
1. Facial swelling (especially around the lips, eyes, and muzzle)
2. Vomiting and diarrhea
3. Trouble breathing (wheezing, coughing, or difficulty inhaling)
4. Collapse (in severe cases, this can be an anaphylactic reaction)3
Please contact your family vet if you suspect your dog is having an acute allergic reaction. It's crucial to seek immediate veterinary care. Anaphylaxis can progress quickly and may be fatal if not treated promptly!!
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這周要分享的主題為"急性過敏"反應
急性過敏反在貓狗是致命的!! 原因是接觸or暴露過敏原,通常反應會非常快速的發生
常見動物引起過敏的狀況有蚊蟲叮咬,特定的食物,藥物,環境或者是疫苗反應
常見的臨床症狀有:
1.皮膚型-臉部的腫脹,上下眼瞼周圍,鼻吻部,耳朵等位置
2.胃腸道型-嚴重的吐或拉
3.呼吸道型-呼吸困難,咳嗽等等
4.昏厥,休克(僅出現在嚴重的過敏反應)
如果你懷疑你的狗發生了過敏反應,請馬上跟你的家庭獸醫聯絡
#ANiuVetVeterinaryHospital
#TaiwanVetInCanada
#AnimalHospitalInRichmond
#ThisIsWhatWeDoWhoWeAre
#腫成豬頭
#好癢
#看了就癢
#真的很癢
ANVH EP - 39 Horner's Syndrome 霍納氏症候群
Today, A Niu would like to share a relatively rare disease:
Horner's syndrome
Horner's syndrome in dogs is a neurological disorder that affects the nerves controlling the muscles of the eye and the surrounding facial area
It typically occurs suddenly and usually affects one side of the head, although it can be bilateral in rare cases
Common signs of Horner's syndrome include:
1. Drooping eyelid (ptosis) on the affected side
2. Constricted pupil (miosis) on the affected side
3. Sunken eye (enophthalmos) on the affected side
4. Elevated third eyelid on the affected side
The condition is caused by a disruption in the sympathetic nerve pathway, which can occur due to various reasons such as trauma, tumors, or certain diseases
If you suspect your dog has Horner's syndrome, consult to your family vet ASAP.
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今天要分享一個比較罕見的疾病: 狗的"霍納氏症候群"
霍納氏症候群是一種神經方面的疾病,會影響眼周跟面部肌肉的控制
通常發生在單側,而且是突然發生;某些嚴重的case會是雙側性
常見的症狀有:
1. 眼瞼下垂
2. 縮瞳
3. 眼窩凹陷
4. 第三眼瞼突出
造成這個原因是因為交感神經的傳導路徑受到影響(壓迫or發炎)導致,像是腫瘤,創傷,感染,退化,或某些特定的疾病
如果你懷疑你的狗有類似症狀,請趕快跟你的家庭獸醫聯絡
#ANiuVeterinaryHospital
#ANVH
#AnimalHospitalInRichomnd
#TaiwanVetInCanada
#ThisIsWhatWeDoWhoWeAre
#愛珠一
ANVH EP - 38 Deworming 驅蟲的重要性
Dr!!!! My cat got something in the bump!!!
Regular deworming is very important in dogs and cats, when vets mention this to owners, many think that's not a big deal. Until their pets exhibit the symptoms.
The common parasites for dogs and cats are:
External(can see it, usually attach to the body): Fleas, Ticks and Mites
Internal(host inside the GI tract or other system): Roundworms, hookworms, Tapeworms, Whipworms and Heartworms
The deworming Schedule
Puppies/kittens (2 to 12 weeks): Every 2-4 weeks
3 to 6 months: Once a month
Older than 6 months: Every 1 to 3 months
But this is the guideline of the deworming plan, the details may be changed due to the lifestyle, diet management, and local environment. Please consult with your family vet to find the best deworming schedule for your own pets.
General Tips:
1. Always consult with your veterinarian before starting any deworming treatment to ensure it’s appropriate for your pet’s age, health, and lifestyle.
2. Look out for signs of worm infestation such as weight loss, diarrhea, scooting, or coughing
3. Regularly clean your pet’s living area to prevent re-infestation
Following this plan can help ensure your pets stay healthy and happy. If you have any specific concerns or questions, it’s always best to consult your veterinarian.
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醫生!!! 我的貓屁股後面有怪東西!!!!
定期的驅蟲是非常要的!! 每當我們提起驅蟲的時候,許多飼主會覺得這沒什麼大不了的,直到貓狗出現了臨床症狀
今天這集就來分享一下基本的驅蟲計畫
常見的犬貓寄生蟲可以分成體內/體外寄生蟲
體外寄生蟲(通常肉眼可見,附著在體表):常見的有跳蚤壁蝨跟螨蟲
體內寄生蟲(大多寄生在胃腸道or其他內臟統的):常見的有蛔蟲鉤蟲絛蟲鞭蟲跟心絲蟲等等
一般來說,簡易的驅蟲計畫為:
幼犬/幼貓(2-12周大):每2-4周驅一次蟲
3-6月齡:每月驅一次蟲
6月齡以上:每1-3個月驅一次蟲,不要超過3個月
但這只是基本的大方向,驅蟲的細節跟時間點跟每主人飼養管理方式有很大的關係(室內室外的動物,有沒有吃生肉生食,居住地的氣候等等),請諮詢你的家庭獸醫才能量身訂做最好的驅蟲計畫
結論:
1. 請諮詢獸醫,在你投任何驅蟲藥之前
2. 觀察動物有沒有臨床症狀,像是體重減輕,拉肚子,磨屁股or咳嗽等等
3.定期清潔環境,減少反覆感染的可能性
愛珠藝~~ 圖片為貓咪絛蟲感染,來健康檢查的時候從屁眼爬出來打招呼,一直蠕動就像刀削麵一樣囧
絛蟲感染跳蚤媒介,有看到絛蟲表示環境中一定有跳蚤,因此體內外驅蟲藥都是必須的
#ANiuVeterinaryHospital
#TaiwanVetInCanada
#AnimalHospitalInRichmond
#握會說中文
#英文也可以
#廣東話只會數數
#跟電影台詞
ANVH EP - 37 Perineal hernia 會陰荷尼亞
Today the case sharing is "Perineal Hernia"
A perineal hernia occurs when the muscles of the pelvic diaphragm weaken or tear, allowing abdominal or pelvic organs to protrude into the area around the rectum.
This condition is most common in senior, non-neutered male dogs.
What symptoms would be?
Perineal swelling: A noticeable bulge near the rectum.
Constipation: Difficulty passing stool.
Tenesmus: Straining to defecate.
Dysuria: Difficulty urinating
What are the causes?
Hormonal imbalances: Particularly in non-neutered males.
Prostatic disease: Enlargement of the prostate can contribute.
Chronic straining: Due to constipation
How do we diagnose?
Diagnosis typically involves a physical examination, including a rectal exam, and may be confirmed with X-ray or ultrasound
Treatment Plan
Surgical correction is the primary treatment for perineal hernias. In some cases, emergency surgery may be required if the bladder or intestines are involved(stuck in the hernia hole)
If you suspect your dog might have a perineal hernia, please contact your family vet ASAP.
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今天要分享的case是"會陰荷尼亞"
會陰荷尼亞發生在骨盆肌肉太弱/薄or撕裂,導致腹腔或骨盆的軟組織突出,這種狀況好發在在年紀大,未絕育的公狗
臨床上會有什麼症狀呢? 臨床上通常會有會陰部位腫脹,便祕,裡急後重(排便困難),排尿困難等等
造成的原因? 賀爾蒙的不平衡,前列腺腫大(未絕育),便祕等等
如何診斷? 通常是透過理學檢查,直腸觸診,有些case可以合併X-ray或超音波來確診
怎摸治療呢? 手術整復是主要的治療方式,軟組織復位後把赫尼亞洞關閉
如果你的狗狗有這類似的狀況,請趕快跟你的家庭獸醫聯絡
#ANiuVeterinaryHospital
#TaiwanVetInCanada
#ThisIsWhatWeDoWhoWeAre
#絕育加賀尼亞修復
#拉屎拉到爆屁股
#是不允許的
ANVH EP - 36 Indue vomiting 催吐
Today A Niu would like to share the case of inducing vomiting - foreign body ingestion
There are several cases this month that dogs "accidentally" ate something they shouldn't. Luckily, after treatment, all of them are fine.
Induce vomiting is the most common way to let dogs expel the substances they ingest.
Normally, induced vomiting can apply within an hour, after ingesting the substance. It can empty the stomach, as long as the substance is still in the upper GI tract, it can be puked out.
However, if ingesting more than 1.5 hours, induces vomiting is not that useful, then we may need to consider other treatment ways.
The most common things that dogs swallow are: chocolate, tea bags, grapes, tobacco, weeds, and we even had a sore patch.
If your dog ate something that they shouldn't be, please contact ur family vet asap.
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今天阿牛要分享的是催吐-異物攝入
這個月有許多吞異物的case,幸運的是他們都全部康復了
催吐是最常見排除異物的方法之一,只要東西仍在胃裡(攝入一小時內),又是可以催吐的情況,大多可以順利排出
但如果已經吃進去了1.5小時以上,通常催吐就沒有什麼太大的意義,此時要思考其他的治療方式
狗常見的異物攝取有:巧克力,茶包,葡萄,菸草,大麻,這個月我們甚至有一個吞痠痛貼布的狗
如果你懷疑/你的狗吞了什麼不該吞的東西,請盡快跟你的家庭獸醫聯絡
#ANiuVeterinaryHospital
#TaiwanVetInCanada
#VetInRichmond
#ThisIsWhatWeDoWhoWeAre
#催吐完大家的表情都一樣
#我是誰
#我在哪
#我要幹什麼
ANVH EP - 35 Blood transfusion 輸血
Today, Dr would like to share the case of "blood transfusion"
When need to do a blood transfusion? When PCV/HCT(ratio of RBC and plasma) <15%, or need extra PLT or coagulation factor
Like human beings, dogs/cats need blood typing as well. We need to do blood work before the transfusion. For dogs, the best donor candidate is above 30kg, fully vaccinated, <5 years healthy dog.
After cross-matching, confirm the donor and recipient blood match, and we can start the blood transfusion.
Start from the slow rate, observe for any allergy reaction, then gradually increase the fluid rate. The whole process will be finished within 3-4 hours.
In this case, it's the doctor's dog, A Niu. Due to the cancer problem, Dr decides to do a blood transfusion. There are many different types of blood products. In this case, is whole blood.
If your pet have similar problem related to severe anemia or needed blood transfusion, please contact your family veterinarian ASAP.
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今天要分享的病例的是狗狗的輸血
什麼時候需要輸血呢? 當血容比(PCV/HCT) <15%的時候就建議輸血(或者其他像是血小板低下or缺乏凝血因子)
跟人類一樣,貓狗也需要血液配對,在輸血前必須做全身的血液學檢查跟血液配對. 對狗來說,好的捐血者條件為30kg以上,疫苗全部打完,5歲以下的健康狗
在配對都沒問題的情況下,可以開始做輸血的動作
輸血一開始要用很慢的速度,注意有沒有過敏反應的發生(發燒/嘔吐/心跳呼吸加速/顫抖),然後再慢慢增加速率,整個輸血的流程會在3-4小時內結束
這個病例是邱醫生的狗,阿牛本牛,因為癌症的關係接受了輸血
血液的製品非常多,根據不同的狀況適應不同的產品,這次的case醫生選用了全血(包含血球/血漿/血小板)
如果你的貓狗有類似輸血的問題or嚴重貧血,請趕快跟你的家庭獸醫聯絡
#ANiuVeterinaryHospital
#TaiwanVetInCanada
#AnimalHospitalInRichmond
#ThisIsWhatWeDoWhoWeAre
#小豬你要加油
ANVH EP - 34 Tail trauma 尾巴創傷
A cat's tail stuck by the door and sent to us.
After examination, luckily there's no damage to nerve or bone tissue. Though it looks gross, after a couple of days of care, it healed very well
For any trauma like this, you need to trim the hair and clean the wound thoroughly, cause the animal's hair is actually quite dirty.
With proper bandage changing, put the cone on, and this cat will be fine.
今天要分享的case是貓的尾巴創傷
有知道的尾巴被門夾到然後送來醫院
經檢查後發現沒有傷刀神經跟骨頭,雖然看起來傷口很驚悚,但只要好好照顧,通常可以癒合的非常好
這種體外的創傷,都必須要把毛剃掉,然後徹底的消毒,因為動物的毛髮其實是很髒的
在主人勤奮的照顧下,傷口癒合的很好,可能會留下疤痕,但幸運的是這隻貓不用截肢
#aniuveterinaryhosipital
#taiwanvetincanada
#thisiswhatwedowhoweare
ANVH EP - 33 GI foreign body 胃腸道異物
Dr.!! my dog is not eating and drinking, and keep puking several times!!
If your dog/cat have similar symptom, highly chance intaked some foreign body(FB).
Typical symptom of FB is high frequency of vomiting, some severe cases may even reach 15-20 times per day, lethargy, moderate to severe abdominal pain, definitely not eating or drinking, and have no bowel movement(due the GI tract is not moving).
How we diagnose? Radiograph and ultrasound are the key of diagnosis. We are looking for different sizes/thickness of intestine segments(two population), any abnormal gas accumulate inside GI tract, or any abnormal fluid accumulation.
For those FB in the upper GI tract(oral cavity-esophagus-stomach), can take out through endoscope; for those lower GI tract(small intestine-large intestine), need to perform surgery to remove it.
This case is the classical lower GI FB, patient shows severe lethargy, high frequency of vomiting, have no appetite and bowel movement.
After sucessful surgery, the patient recover in 2 weeks.
If your dog/cat have similar issue, please contact your family vet ASAP.
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醫生!!! 我的狗不吃不喝,而且一直吐!!
如果你的狗有類似的症狀,就要懷疑是不是吞了異物
典型的胃腸道異物症狀為高頻率的嘔吐,某些嚴重的case可以達到嘔吐15-20次/天,厭食,嚴重的腹痛,沒有排便(因為胃腸道不蠕動)
怎摸診斷呢? 影像的檢查就至關重要,X光跟超音波下可以看到大小不一的腸道尺寸,或者異常的空氣or液體的累積
怎麼治療呢? 上消化道的異物(口腔-食道-胃)可以靠內視鏡夾出來;下消化道的異物(小腸-大腸-直腸)就必須手術取出
這個case是典型的下消化道異物,臨床症狀有嚴重的厭食,高頻率的嘔吐且沒有排便
經手術後,這個狗溝在2周內復原良好
如果你懷疑你的狗有疑似吞了異物,請趕快跟你的家庭獸醫聯絡
#aniuveterinaryhospital
#animalhospitalinrichomnd
#thisiswhatwedowhoweare
#愛珠一
ANVH EP - 32 Vestibular syndrome 前庭症候群
Dr!! My cat is not eating and seems weird, what's going on?
The common sign of vestibular syndrome include eye ball horizontal vibration, tilt the head to one direction, walk circling, unable to stand up and vomiting.
Vestibular system is a system which control the balance of the hole body, any cause of inflammation/trauma/damage of middle/inner ear will have the chance to cause the symptom.
Most common cause such as severe otitis, head trauma, tumor, nervous degeneration due to aging, excessive grooming or ear cleaningm etc.
How we treat it? First we rule out the possibile cause(age, history, recent activity), differenciate how severe it is. Most of case can be treated with oral medication/ear cleaning/supportive treatment, most of the symptom will gradually gone within a week.
If your dog/cat have similar symptom, please contact your family vet ASAP
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今天要分享的病例是前庭症候群
前庭是哺乳類動物中掌管平衡的系統,如果有任何中耳or內耳的發炎/感染/創傷,都有可能會誘發症狀
常見的臨床症狀為眼球水平震顫,歪頭,走路繞圈圈,嚴重的病例會無法站立跟嘔吐
常見的原因有嚴重且長期耳道感染,創傷,腫瘤,神經的退化,過度的美容or清潔耳朵等等
怎摸治療呢? 通常會先分辨造成的原因跟嚴重程度(根據病史,年紀,生活習慣等等),大多數的病例可以經由口服藥/針劑/支持治療等讓症狀在一周內慢慢恢復至正常
如果你的貓狗有類似的症狀,請趕快聯繫你的家庭獸醫
#aniuveterinaryhospital
#taiwanvetincanada
#女子拳擊金牌啦啦啦啦
#逮完難波萬
#還是要上班
ANVH EP - 31 Splenectomy 脾臟摘除
Today's case sharing is "splenectomy"
Patient is a 14years old dog with GI symptom, physical exam found mucous memebranes pale and dog seems lethargy. Discuss with the possibilities and suggest owner to do further exam.
Based on the clinical experience, senior dog with GI symptom and pale MM, the first priority of differential diagnosis is tumor.
Through Xray and ultrasound exam, we confirm a huge mass inside the abdomen, originate from spleen. After discuss with owner, decide to perform the splenectomy.
With the help of sonoincision, splenectomy finished within 20 mins, we found the tumor ruptured already when we approached the abdomen. Chronic internal bleeding is the main cause of the anemia(pale MM).
Luckily, the biopsy report of this mass is a benign tumor. With proper home take care, the dog should be fine.
The most common question which owner will ask is that "my dog is very old, can he afford the surgery?" I would say aging is not a disease, our team have anesthetize from 2 month to 22 years old patient. 14 years is just in the middle. With proper examination and evaluation, most of senior patients can be performed the surgery.
Annual healthy check up is very improtant. If you have a senior dog and haven't do healthy check up within 2 years, please contact your family vet immediately.
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今天要分享的case是脾臟腫瘤摘除
病患是一隻14歲的老狗,主訴是為胃腸道症狀,醫生在理學檢查的時候發現病患的粘膜顏色蒼白(耳殼/牙齦),在跟主人討論後,建議做進一步檢查
臨床上我們團隊遇到這種年紀大的貓狗,黏膜顏色蒼白又加上其他系統的症狀,第一個個鑑別診斷就是腫瘤
經過X光跟超音波的檢查,發現在腹腔有一個巨大的團塊(壓迫到胃腸),而且是脾臟來源的,和主人溝通後決定同意進行脾臟摘除手術
在超音波刀的加持下,手術在20min內就結束了,當我們發現腫瘤的時候,表面已經破潰,正是慢性的內出血導致了黏膜顏色的蒼白
幸運的是經由生檢報告確認這腫瘤是良性的腫瘤(不會轉移到其他地方),所以好好照顧,狗狗還可以陪伴主人一陣子
通常主人最常問的問題就是:我的狗這麼老了,可以承受手術嗎? 我想表達的是"年紀不是一種病" 我們團隊有麻過2個月大跟22歲的動物,年紀是相對但不是絕對,在完整的評估跟麻醉監控下,大部分的老年病患都是可以接受手術的
年度的健康檢查是非常重要的!! 如果你有老年動物,且2年內沒有做過任何身體健康檢查,請趕快跟你的家庭獸醫聯絡
#aniuveterinaryhospital
#taiwanvetincanada
#醫生我不做手術會不會怎摸樣
#想像有一顆未爆彈在肚子裡
#什麼時候爆炸不知道
#在爆炸前動物會感覺很不舒服
#爆炸後更慘
#不如提前拆除
#感謝主人的信任跟願意讓狗狗做手術
#以前在台灣這一個月好幾例
#但這邊飼主大多不願讓動物開大刀
#但積極治療才是正確延長增進生活品質的方式
ANVH EP - 30 Pyometra 子宮蓄膿
Today we gonna share a case called "pyometra", wihich means lots of pus accumulate inside the uterus if dogs and cats.
How come this disease happened? Pyometra or any other gynecological issue, most of them related to not spayed. The high level of hormone can increase bateria growth. Most common groups are not spayed, over 5 years old(heating multiple times) dogs.
What's the symptom? At the begining, the dog may drinking lots of water, pee a lot(PU/PD, similar to diabetes), leathargy, fever, white discharge come out from vagina; at certain severe cases may cause kidney failure and septicemia.
How we treat it? Sugery to remove the ovary and uterus is the best way to treat it. The eariler to take surgery, the prognosis is better.
Through ultrasound and X-ray, we can differenciate the how severe the case is within 10-15 mins, and blood work can help the further evaluation of surgical risk.
Advice to all owners: The only reason of not doing spay is you want to breed the dog, otherwise, spay the dog/cat as eariler as possibile.(Fully vaccinated and before the first heat)
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今天要跟大家分享的病例是"子宮蓄膿"
顧名思義,子宮裡充滿了很多膿汁,是一個緊急且會致死的疾病
跟其他婦科疾病一樣,貓狗的絕大多數是因為未絕育,過度分泌的賀爾蒙會增加細菌大量繁殖的機會,進而引發這個問題;通常好發在未絕育,5歲以上的母狗/貓(已經多次發情)
早期的臨床症狀有多飲多尿(類似糖尿病),倦怠,發燒,外陰部有膿樣分泌物等,在某些嚴重的病例會併發腎衰竭跟敗血症
"手術是最佳的治療方式!!",把子宮卵巢一併移除,就像絕育手術一樣,不過是一個風險跟費用都高很多的手術,且越早接受手術,預後越好
經由影像上的診斷,我們可以在10-15分鐘內確診並且知道蓄膿的嚴重程度,而血檢可以讓我們進一步評估手術的風險
給所有飼主的建議: 唯一不絕育的理由就是要繁殖後代,如果沒有要讓狗生下一代的話,盡早進行絕育手術(預防針打完,第一次發情前)
#aniuveterinaryhospital
#taiwanvetincanada
#這個月好多婦產科
#子宮蓄膿
#乳腺癌
#都有一定年紀
#然後不結紮
#因為擔心麻醉風險
#可是瑞凡
#子宮蓄膿風險更高手術更貴
ANVH EP - 29 Feeding tube 餵食管
Today' topic is introducing a minor surgery/clinical technique called feeding tube installation.
What's feeding tube? Feeding tube is a mall tube that will bypass the oral cavity, and deliver the food/water/medication directly into esophagus/stomach/intestine.
When we apply? When patient is very illness, after surgery, or any condition that lose appetite, unable/unwiliing to eat by themselves.
How we do it? We need to sedate the patient, and install the tube, then check with X-ray to see the tube install in proper location, the whole process will be finished within 30mins.
Is it a very aggressive surgery/procedure? The feeding tube is the least aggressive surgery of aggressive surgery. Mutiple severe illness condition need to force feeding the patient, such as pancreatitis, cancer, DM, kidney failure, etc. It can make sure how much amount of food/water/calroies the patient intake. It can improve the energy level and healthy status a lot.
The photo is Dr. Chiu' dog, A Niu himself. A Niu has been diagonse bladder cancer and currently on chemotherapy. Reduce appetite and energy level. After evaluation, Dr. Chiu decide to apply esophagus feeding tube.
If your pets have similiar issue, please contact your family vet immedicately. The eariler starting the feeding, the better chance to recover.
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今天要介紹的手術/臨床技術是餵食管的埋設
什麼是餵食管? 顧名思義,餵食管就是一條管子可以繞過口腔,直接把食物/水/藥物送到食道/胃/腸子的管子
什麼時候要裝呢? 當病患嚴重惡病質,重大手術過後或者任何讓動物失去食慾,不願意主動進食的疾病
怎摸裝? 病患需要鎮靜,然後經由鼻腔/食道/腹腔(看種類)埋設餵食管,埋好後再用X光確認擺放位置,整個過程30-45分鐘內結束
是侵入性很高的手術嗎? 餵食管的埋設是侵入性最低的侵入性手術了,這手術可以應用在很多嚴重的疾病像是一種的胰臟炎,腫瘤,糖尿病,腎衰竭等等,餵食管可以確保虛弱的動物有攝取足夠的食物/水分/熱量(經由計算),可以增加動物的營養狀態跟健康狀況
照片是邱醫師的狗,阿牛本豬,阿牛被診斷出膀胱癌,目前在服用化療藥物,副作用不吃不喝日漸消瘦,經由團隊討論評估後決定埋設食道胃管,目前灌食營養管理中,動物整體精神狀態進步很多
鼻胃管or食道胃管是比較常見的埋管方式,阿牛採用的是食道胃管
腸管的侵入性(開腹把管子直接埋到腸道裡)就比較大,通常非必要不會選擇這種方式
如果你的寵物有這方面的需求,請諮詢你的家庭獸醫,越早埋管開始營養管理,越有機會恢復到正常狀態
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#aniuveterinaryhospital
#taiwanvetincanada
#在台灣一禮拜要埋3例病患
#這邊飼主大都不接受
#太侵入性不願意做
#覺得生活品質會變太低
#可是瑞凡
#不吃不喝不動惡病質更嚴重
#脫水更嚴重
#更不吃不喝不動
#生活品質更糟
#決定
#從來都不是那麼簡單的
ANVH EP - 28 Heat shock(stroke) 中暑/熱衰竭
Summer is coming, heat wave as well. Recently, lots of owner phoned and asked the symptom related to heat stroke(shock), very worry about their furry friend got heat stoke or not.
Dr has summarize some info related to heat stoke below.
Heat stroke/shock is a very severe, destructive condition to dogs and cats. The common symptom include: unable to move, excessive panting, drooling, gum redness, bloody diarrhea and severe vomiting, seizure may happened on some severe cases, collapse, shock and die eventually if medication didn't get involved in time and properly.
So how we treat it? First of all, how to prevend it is much more important than how to treat it.
As a owner, you can prepare some stuff below at home:
1. Thermometer: NR body temperature of dog and cat is between 38-39.5 Celsius degree, above 39.5, consider fever, above 40.5, consider high fever(some severe inflammation or infection inside the body), for heat stroke, the body temperature will reach 41-45 Celsius degree, so have a thermometer to monitor the body temperature is very important.
2. Alchohol: can prepare some alchohol at home, once found dog body temperature is too high, can spread on all 4 paws/limbs
3. Provide sufficient amount of water.
4. Cooler jacket/vest/mattress can apply at home
5. Try to avoid walk dog between 8am to 8pm
6. Get multiple rests while walking the dog, wait until the breathing pattern back to NR, then continue the walking
7. Prepare an emergency vet contact info in your cell phone or on the fridge(some where obvious at home)
If your dog/cat suspect heat shock/stroke, please contact your family vet ASAP. It's an urgent situation.
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炎炎夏日,最近收到很多電話來詢問關於熱衰竭的電話
醫生整理了一些關於熱衰竭/中暑的相關訊息給主人參考
中暑/熱衰竭,對於貓狗來說是一個很嚴重/致命性的問題,常見的臨床症狀有:無法行動,劇烈的喘氣,流口水,黏膜鮮紅,黏膜有出血斑,出血性的下痢,嘔吐,抽搐,昏厥休克,乃至死亡
那我們該怎摸治療呢? 首先要知道的是,對於熱衰竭,如何預防遠比如何治療要來的重要得多
對於一般飼主,可以準備下列東西來預防:
1. 溫度計: 一般貓狗體溫為38-39.5攝氏度,超過39.5判定為發燒,40.5度以上為高燒(體內嚴重的感染或發炎),而熱衰竭會到41-45攝氏度,所以準備個溫度計來監控狗狗的體溫
2.酒精:可以準備一些酒精,當體溫很高的時候可以噴灑在四肢腳掌來降溫
3.提供充足的水分
4.有市售的涼感衣/背心/墊子都可以使用
5.盡量避免在8am-8pm間遛狗
6.每一次遛狗的過程中分多次休息,直到動物呼吸狀態恢復到正常了再繼續走
7.把急診醫院的聯絡電話存在手機裡or貼在冰箱上or家裡任何顯眼的地方
如果懷疑你的貓狗有熱衰竭的問題,請馬上就醫,這是一個致命且嚴重的問題
#aniuveterinaryhospital
#taiwanvetincanada
#好熱啊
#台灣體感還高10度
#到底是要怎摸活
#照片不是熱衰竭
#是一個很可愛的英鬥
#大嘴吃四方
ANVH EP - 27 Constipation 便祕
Dr!! My cat seems lethargy, not eating and moving at all, it has been like this for couple days!!
Solid, hard substance can be palpated in the belly; ask O how's the bowel movement condition? Ususlly unable to tell because there are mutiple cats environment. In this situation, your cat may have constipation issue.
Clinically, consipation will cause lethargy, tense abdomen(belly in pain), reduce appetite and energy level(imagine if it was you have no bowel movement for 3 days).
How/Why this gonna happen? There are several factors will affect this issue, such as mutiple cats environment, new brand/type of litter, new diet, cat drink not enough water, litter box is too dirty, etc.
How we treat it? We need to expel out all the stool inside the GI tract, to let the bowel move again. Usually we will take X-ray to confirm how much stool inside the GI tract, to decide which way to treat it. In mild case, we prescribe oral meds to soften/rinse the stool, to see if the patient can expel out by itself or not. In moderate case, we need to sedate the patient and do enema. For the most severe cases, may need to perform the surgery to remove the fecolith(stool stay in GI tract too long to be calcified).
If your cat has the similar symptom, please contact to your vet ASAP.
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醫生!! 我的貓不吃不喝不動!! 已經好多天了!!
觸診的時候在腹部摸到結實的硬塊,詢問大便的狀況主人表示不清楚,因為有其他很多的貓,不確定是不是這隻大的,如果有這種情況,那很有可能你的貓已經便秘很多天了
臨床上,便秘的症狀會病懨懨的,腹痛,精神食慾活動力下降(想像你3天沒大便的狀況)
怎摸會發生便秘呢? 通常有很多因素會造成,常見的是多貓環境,新的貓砂或食物,水喝的不夠多,貓砂盆太髒,等等都會影響
那我們怎摸治療呢? 輕微的病例我們會嘗試開口服藥去軟化糞便看動物是否可以自行排出,再嚴重一些我們會把動物放倒後浣腸,手動的方式把大便挖出來;最嚴重的病例可能需要開刀取出糞石(糞便在腸道裡太久最後鈣化)
如果你的貓有類似的問題,請趕快聯絡的家庭獸醫
#aniuveterinaryhospital
#taiwanvetincanada
#這邊貓便秘的case遠比台灣要多得多
#很奇妙的統計
#台灣大概2-3個月遇到一例
#這邊從2月到現在至少10例
#而且清一色都是貓咪
#不是老貓巨結腸症那種
#不知道跟飲食習慣有沒有關
#這邊的飼主超愛餵凍乾
ANVH EP - 26 Pyrethrum poison on cat 除蟲菊中毒
Our team had received a phone call during the midnight, said that their cat start to stroking/cranking after applied the dewormer.
Once Dr heard this scenario, instructed the O bring the cat immediately, because this case highly chance is pyrethrum poison!!
Feline unable to metabolize the pyrethrum, or any product which has this content. Pyrethrum is safe for dog, but not cat. So the most common situation is that O accidiently applied the wrong product to the cat.(Apply dog dewormer to cat)
The symptom include drooling, vomiting, anxiety, shaking, unable to stand up/walk properly, seizure, difficult to breath, and death.
So what shuld we do? Send to the animal hospital right away, this is a real urgent situation. The earlier treat it, the better prognosis.
How we treat it? We will trim the hair around applied area, bath the cat, sedate the patient if necessary, and give supportive treatment.
Most of case can recover within 2-3 days.
If your cats have similar contidion, please contact your family vet as soon as possible.
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今天要跟大家分享的病例是除蟲菊中毒!!
醫院半夜接到電話,主人說她的貓在點完驅蟲藥後開始抽搐,問藥不會要送來醫院?
醫生一聽到後叫主人馬上送來,因為這高概率是除蟲菊中毒了!!
貓科動物是不能代謝除蟲菊的,或者任何含有這成分的產品,除蟲菊對狗來說是相對安全的,所以最常見的狀況是主人意外的用到狗的驅蟲產品在貓的身上
臨床症狀會包括流口水,嘔吐,焦慮,顫抖,無法站立或走路,癲癇,呼吸困難,嚴重的病例會死亡
所以最好的處理的方式是送到醫院,這是一個生命攸關的急診,越早接受治療,預後越好
我們臨床上怎摸治療呢? 會把滴藥的地方剃毛剃掉,洗澡(把藥劑盡可能的洗掉),鎮靜(視情況)並給予支持治療,大部分的病例在2-3天內會恢復正常
如果你的貓咪有類似的症狀,請盡早聯絡你的家庭獸醫
#aniuveterinaryhospital
#taiwanvetincanada
#豹貓就是壯
#已經去掉2條命了還如此兇猛想要殺你
#沒有什麼是dkt沒辦法解決的
#如果有
#就多點劑量
ANVH EP - 25 Anal gland rupture 肛門腺破裂
"Dr.!! my dog's butt is bleeding!! and seems unable to poop!!"
Anal gland or anal sacs are a small gland located at 5 and 7 clock direction around anus. Anal gland havung a foul odor, usually need to be emptied every 2-3 month.
If you don't empty the anal gland regularly, it will cause inflammation/abscess or rupture eventually.
The clinical symptom will be scooting, licking it's bum area, you can see the bruise or abscess(this case)/redness and swollen around the skin; and constipation(too pain to poop)
How we treat it? If there's anal gland rupture, we need to sedate the patient, drain out the discharge and disinfect the wound, plus oral meds. Apply topical ointment and the lesion will be healed. For some severe cases, may need to do surgery to close the wound.
If your dog/cat have the similar symptom, please contact your family vet.
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"醫生!! 我的狗屁股流血啦!!! 而且很像不敢大便捏!!"
肛門腺是一個位於肛門周圍5-7點鐘方向的腺體,有腥臭味的棕色液體,通常每2-3個月要清潔一次(擠肛門腺)
肛門腺如果沒有定期清理,會導致發炎/膿瘍,很嚴重的case甚至會破裂
肛門腺如果有問題臨床症狀通常為磨屁股,一直想去舔肛門周圍,有瘀青/膿瘍/紅疹,而且會便秘(因為疼痛而不敢大便)
我們怎摸治療呢? 如果肛門腺已經破裂,我們會鎮靜動物,然後清理/消毒傷口,藥膏局部治療加上口服藥消炎,通常5-7天內傷口會癒合;某些嚴重的case必續局部的縫合手術
如果你的犬貓有類似的問題,請立即聯絡你的家庭獸醫
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#taiwanvetincanada
#animalhospitalinrichmondbc
#超級青春痘
#但是長在屁股上
#狗已經快10歲
#但是仍然青春(遠目)
ANVH EP - 24 The difference between TW vet and CA vet
After years of practice in Canada, Dr have summerized the difference between TW vet and CA vet. Share with the owner who have lived in both countries.
1. Emergency cases: in CA, usually not that severe, but the owner is very sensitive, once notice that dog/cat is bit abnormal or discomfort, owner will bring the pet to hospital immediately; on the other hand, TW owner ususally wait until the pet is almost in shock/lethal condition, then bring to hospital, and ask is it really that severe? can't you just give it a shot and make it better?
2. Specialist system: In North America, vet has specialist system, so GP(general practice) can refer to specialist to consult the further complicated disease/conditions. So most GP in CA do routine surgery and preventive medication. And the specialist do the most complicated cases. This make the medical resource ditstribution unevenly.
3. The obedient of medical instruction: In CA, most of time owners will follow the Dr. instruction to finish the medication or when to come bacj for recheck. In TW, owners are more like stop the medication autimatically or no show the appointment.
4. Raw diet: In CA, owners are mouch more common to feed their dog air-dried/frozen dried, or commercial raw diet. And think the dry food/can food is unhealthy to the pet.
5. In house lab equipment: In CA, most GP doesn't have full in house lab equipment, either they have it but doesn't use or just have the basic one. They are more common send the sample out to reference lab, instead of in house examination. In TW, like a weapon competition, over 90% of animal hospital have full in house lab, plus many fancy toys.
6. Ecosystem of sales man: In CA, the sales man who want to sell hosital their new product or consumption, they only visit once, if you don't do business with them, then you will never see them again. But in TW, those sales man are very competitive, they keep visiting you until you buy something from them.
7. Code/Regulation of naming animal hospital: In CA, naming your own animal hospital has a strict rule, need to approved by CVBC, during this process, they will contact you and ask what's the meaning of the name, and you have to explain to them.
8. SPCA: In CA, SPCA has its authority, they can give owner a ticket, or even confiscate your pet under certain conditions. In TW, most time the SPCA can only persuasion ticket.
9. MR completeness: In CA, medical record need to be done as detail as possibile, almost like conversation transcript, every single words need to be recorded, specially what the owner said and what the Dr. said.
10. No GP open during the night time: In CA, most of hospital closed at 5-6pm, all evening appointment refer to emergency. In TW, most animal hospital openuntil 8-10pm. No counting as emergency.
Do you feel the difference as well? You can share your experience in the comment area.
===========================================
台加獸醫大不同
在加拿大執業的這一段時間,醫生整理出了台加獸醫產業不同的地方,分享給那些在兩個國家都居住過的飼主們
1.急診:在加拿大,急診通常都不是真正的急診,主人很敏感,一點不正常都會馬上送來醫院;而台灣的急診都是已經要休克/瀕死的狀況,主人還會問可不可以打一針就好
2.專科醫師系統:北美有獸醫專科醫師系統,所以所有疑難雜症都會後送專科,所以一般的GP(家醫科)大多只做絕育洗牙預防醫學等問題,這造就了醫療資源極度分布不均
3.對醫囑的服從性:加拿大的飼主對醫囑服從性較高,大多會按時把藥物服完/回診,華人的飼主比較容易自動停藥or直接不出現
4.生食:加拿大超多飼主喜歡餵狗吃生食,相較於台灣至少多一半,而且認為這是比乾飼料跟罐頭更好/更正確的飲食習慣
5.院內血檢設備:加拿大絕大部分的醫院都沒有or只有一部分的血檢機器,很大的比例都外送,然後堅持外送比較準確(還有抽脖子血比較準確？？？);但台灣就是軍備競賽,醫院(不管大小)的設備比新比猛的,全套血檢是標配
6.業務的生態:加拿大業務來推新東西的時候,如果你不跟他買,基本上你就再也見不到這個人了(有時你買了你也見不到);但台灣業務超級競爭,會一直回訪,直到你跟他買產品,然後再回訪,再買更多的產品
7.動物醫院命名:在加拿大,動物醫院取名字有嚴格的規範,想叫什麼名字要先申請,然後CVBC(獸醫師公會)會先審核,看有沒有涉及歧視或其他不雅內容,再決定給不給你叫這名字,所以這邊醫院大多是城市名or路名
8.動物救援:這邊動物救援有很高的權力,會直接開罰單給飼主,甚至直接沒入你的狗(在某些明確的條件下);而台灣的SPCA頂多開開勸導單,權力沒這麼大
9.病歷紀錄的完整性:在加拿大,病例幾乎要打成逐字稿,包括誰說了什麼/順序等等這些都要記錄下來,而且是個legal document
10.一般動物醫院大都5-6pm就關門,晚上有事就直接轉診到急診醫院;台灣的醫院大都營業到晚上8-10pm還不收急診掛號費,非常佛
你也有感受到台加獸醫的不同嗎? 有想要分享or補充的歡迎寫在下面的comment
PS.The photo is a dog on weed, and get high, this is impossible happened in TW
PS.圖片是狗抽了大麻ㄎㄧㄤ掉之後,這在台灣是不可能看到的病例
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#taiwanvetincanada
#animalhospitalinrichmondbc
Dear valued owners,
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Thank you for your continued support and patronage. We look forward to hearing from you and using your input to better serve you and all our clients.
Warm regards,
A Niu Team
尊敬的客戶，
希望您一切安好。作為我們不斷努力提升服務品質並更了解客戶需求的一部分，我們正在進行市場調查。您的回饋和見解對我們至關重要，可以幫助我們塑造未來的服務。
我們誠懇地請您抽出一點時間完成一份簡短的調查。您的回答將會保密，並且僅用於改善我們的服務和客戶體驗。您的參與完全是自願的，但我們真誠地感謝您願意幫助我們進行這項工作。
若要存取調查，請點擊以下連結：https://s.surveyplanet.com/j6kl9sfi
如果您有任何疑問或需要進一步的協助，請隨時與我們聯絡。
感謝您一直以來的支持與愛護。我們期待聽到您的聲音，並利用您的意見來更好地為您和我們的所有客戶提供服務。
誠摯問候
阿牛獸醫院團隊
ANVH EP23 - Tail Amputation.
Today's case is a bit bloody and painful.
It's a cat, who's tail stucked by the door and the cat trying to get rid of it. This kind of trauma we called "degloving" trauma. (Just like we removing the glove)
All soft tissue deprives from the bone. The result shows in the photo.
How we treat it? It need to be amputated, to prevent further infection. In this case, the trauma just happened, O brought the patient to hospital immedicately, so the surgical condition is relatively good.
After 20 mins, we amputated the tail and closed the wound.
If you have seen your dog/cat bone tissue expose outside of the soft tissue, then contact your family vet ASAP.
===========================================
今天的case分享有些血腥跟疼痛感
是一隻貓,尾巴被門夾到,然後貓用力一衝,造成尾巴脫套性的傷害
(想像我們脫手套一樣) 顧名思義,所有的軟組織從骨頭上剝離下來,只剩下骨頭暴露在外面
我們怎摸治療呢? 這需要截肢,來避免進一步的感染
這個case很幸運的是一發生主人隨即把動物帶來醫院治療,所以整體手術條件很好,不用太過擔心感染的問題
經過20min的手術,我們把尾巴截除,並把傷口關閉
如果你發現你的貓/狗有骨頭組織暴露在外面,請盡早聯絡你的家庭獸醫,這是必須馬上治療的問題
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#taiwanvetincanada
#animalhospitalinrichmondbc
#猛一看想到提姆波頓的地獄新娘
#or聖誕夜驚魂的傑克
ANVH EP22 - Dental fistula (齒槽漏管)
Dr!! My dog's face is swollen!!
If your dog has facial swollen on and off, the lesion right under the lower eyelid, and has bad teeth. Then your dog may have this issue.
Dental(teeth) fistula ususally happened on senior dogs and cats, facial swollen right under the lower eyelid. The caused usually related to bad teeth, the molar/premolar has rotten teeth root, the bacteria go upward through the soft tissue, sometimes even penerate it and forimg a hole. You can see the oral cavity from the face directly.
How we treat it? We will sedate the patient, clean the wound throughly, but the most important thing is extracting the rotten teeth, disinfect the lesion and close it properly.
Surgery + oral medication + put the cone on(cause the lesion is on the face, the patient will try to scratch for sure)
That's one of the biggest reason why we need to do dental cleaning annually, to prevent this condition happened.
If you suspect your dog/cat has similar issue, please contact your family vet immediately.
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醫生!! 我的狗臉腫起來啦!!!!!
如果你的狗臉腫起來,時好時壞,腫脹的地方就在眼瞼下緣,加上很久沒洗牙了,那高概率是這個問題-齒槽漏管
齒槽漏管通常發生在老狗,形成的原因是牙齒狀況很糟,太久沒洗牙的情況下大臼齒/前臼齒的齒根蛀牙/爛掉/感染,細菌會往上蔓延蛀穿臉部的軟組織,嚴重的病例甚至可以從臉外面直接看到口腔內部
那我們怎摸治療呢? 剃毛清創,但重點是把那根爛牙拔掉,然後把瘺管(口腔通到顏面的管道)關閉
手術清創+口服藥+戴頭套(這很重要,因為臉上的傷口動物一定會去抓)
這也是為什麼洗牙非常的重要,就是避免這種問題的發生
如果你懷疑你的狗/貓有類似的症狀,請立即跟你的家庭獸醫聯絡
#aniuveterinaryhospital
#taiwanvetincanada
#animalhospitalinrichmondbc
#洗牙很重要啦
#美容無麻醉洗牙沒卵用不要浪費錢了
#大秘境終於上90層了
#臉書不要祖我血腥圖喔
ANVH EP21 - Magic bladder
This photo is a patient that had frequently urinating issue for long time. After ultrasound examination, found plenty of crystal occupied the bladder, and the dog is merely 2yrs old.
Discuss with owner the treatment paln, adjust the diet. Recheck in a month. And then the magic happened. All crystal are gone!!
In dog and cat, there are thre common bladder crystal/stone: Struvite, Cystine and Urate, Calcium Oxalate.
Through urine analysis, and differenciate which type of crystal/stone is, and give the correct treatment plan.
In this case, luckly is the soluble struvite, with proper diet managent, dog can avoid a bladder surgery.
If you have the similar problem with your pet, pleas econtact your family vet immedicately, the earlier receive the treatment, the better prognosis.
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這個超音波影像是治療膀胱結晶,4周前/後的對比;病患是一個反覆頻尿的狗勾,經超音波檢查後發現膀胱內有大量的細沙/結晶,而且這狗才2歲多一點
跟主人討論之後,主人很配合地願意做檢查跟配合更改飲食習慣
在貓跟狗,最常見的膀胱結晶/結石有磷酸銨鎂,胱胺酸跟草算鈣結石
經由尿檢,我們可以知道這是屬於哪一種結晶,並且制定治療計畫
這個病例很幸運的是可以經由飲食習慣來溶解的磷酸銨鎂結晶,透過飲食控制,可以避免一次膀胱手術
如果你的寵物有類似的症狀(頻尿/血尿/尿路阻塞),請盡早跟你的家庭獸醫聯絡,早期發現早期治療
#aniuveterinaryhospital
#taiwanvetincanada
#animalhospitalinrichmondbc
#包柏你不要鬧了
#跟花東高鐵一樣鬧
#這狗叫包柏
ANVH EP20 - Heart disease
Today we would like to share the case of cardiovascular issue - heart disease.
The heart disease is the huge topic, very complicated and comprehensive. It's one the speciality of veterinary medicine. It get involved lots organs and factors which will affect the cardiovascular system.
This dog had a history of heart disease, and currently on medication control for period of times. One night owner found the dog sat on the floor, and looks weird gesture, seems like meditation, but with rapid breathing pattern.
When Dr saw the video, ask the owner to bring the dog to hospital right away, cause this is the typical "Neck breathing".
Which means lots of fluid accumulate in the lung or thoracic cavity, then dog the will find a position to assist breathing better. That why the dog will extend the neck, instead of lay down(will compress the chest cavity, let the breathing more difficult).
Lung edema(body fluid accumulate inside the lung) is the first compensation sign of left heart faliure. And theis symptom need to be corrected immediately.(Imagine that you are in a pool and drowning) Long term of oxygen deficiency will lead the non-reversible damage and breathing failure.
This type of patient need oxygen support + medication get involved + further diagnostics + diet control
Hope this little hairy friend can have a good quality of life.
If you have noticed your dog/cat has this symptom, contact your family vet immediately. This is not that something will go away automatically/eventually. The eariler medicine get involved, the better prognosis.
===========================================
淺談心臟病-心臟病是門博大精深,牽涉到很多臟器跟因素的一門學科,也是北美的專科之一
今天分享的病例是一隻有長期心臟病史的老狗狗,平時都有在服用心臟藥物,某天主人發現狗用一個很奇怪的姿勢坐著,像是在冥想一樣,而且呼吸急促
醫生一看到影片後馬上建議主人帶去醫院做檢查,因為這會有生命危險-這是典型的"引頸呼吸",引頸呼吸表示有大量的液體累積在肺臟/胸腔,造成沒辦法換氣,於是乎動物會找到一種儘可能幫助呼吸的姿勢,這就是引頸呼吸(因為正常趴下會壓迫到胸腔的體積,造成呼吸困難)
肺水腫(體液累積在肺部)是最常見的左心衰竭的代償現象(他會第一個出現),而這個症狀醫療必須馬上介入,因為持續下去會造成不可逆的傷害跟呼吸衰竭(想像人在游泳池,不會游泳,然後溺水)
這種case需要氧氣室 + 藥物介入治療 + 做其他的檢查確認原因是什麼 + 飲食控制(低鈉飲食)
希望這位老同學能夠在餘生有良好的生活品質
如果你發現你的貓/狗有類似引頸呼吸的症狀,請馬上連絡你的家庭獸醫,這種狀況不會自己消失or好轉,是醫療要立刻介入的,越早接受診斷治療,預後越好
#aniuveterinaryhospital
#taiwanvetincanada
#animalhospitalinrichmondbc
#玲老師ㄟ一直要我寫牙齒衛教文章
#又不可以太血腥
#我只想說
#臣妾做不到啊
#擺上來的都是挑過的
#這樣還toomuch
#去看巧虎好朋友好了
Dr. Chiu deicde to put some photos that related to the Vet daily life, to let general public more familiar with what/how we do in our general daily life. Will change the content time to time. Feel free to leave the comment below of the album if you have any questions.
邱醫師決定會放上一些獸醫院所日常的工作/生活照片,讓所有飼主更加了解我們到底在每天都在幹些什麼事.有任何問題歡迎在照相下方留言
#aniuveterinaryhospital
#animalhospitalinrichmondbc
#taiwanvetincanada
#都是演算法的問題
ANVH EP19 - Ingrown nails
Dr.!! my cat is limping!!
Ingrown nail means the nail overgrowth, then stab back into the digit.Nails of dog and cat are curved. If they are not trimmed regularly, will lean to this situation.) Every steps the patient move, will press the paw pad, cause painful reaction.
How we treat it? It depends on how severe/deep if the ingrown nail. We will traim the nail, remove the debris from the paw. May or may not suture the wound, if so, the patient need to be sedated.
This case is cat with 1st digit(thumb) nail ingrown. Glad the little patient is a very calm and cooperative., So we don't have to sedate the animal.
With triming the nail + cleaning the wound + oral meds + put the cone on, the nail recovers very well. One week later, you can see the new nail has been grown, the lesion on the paw need couple weeks to recover. But it will be fine.
Please trim your dog/cat nail every 1-2 weeks, if there's ingrown nail or any other abnormality noticed, please contact your familiy vet asap.
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指甲倒插,故名思議就是指甲過度生長,然後倒插進肉墊裡
這很痛的,每走一步都會壓迫到肉墊,所以動物都會跛行
該怎摸治療呢? 跟不同的嚴重程度/深度有所不同,我們會把倒插的指甲剪掉,傷口消毒,然後是情況看需不需要手術縫合,如果要的話動物就必須鎮靜了
還好這個病例是個非常冷靜且配合度高的傻白黃,讓我們順利的完成了傷口的處理
剪指甲+傷口清創+口服藥+帶頭套(一定要帶,不然他會去舔)
恢復得還算不錯,一周後可以看到新長的指甲,肉墊上的傷口需要更多的時間癒合
請定期每1-2周幫你的貓狗修個指甲,如果有發現指甲太長/倒插/黑色不敢剪/血線太長不敢剪/動物要把你咬爆不敢剪/或其他任何異常,請趕快恩你的家庭醫生聯絡
#aniuveterinaryhospital
#taiwanvetincanada
#animalhospitalinrichmondbc
#超音波終於到惹
#包的比冰箱還大台
#看了好想拆
#開箱文下次見
ANVH EP18 - Squinting eyes
Dr.!! my dog's eye unable to open!!
Squinting eyes, with lots of discharge is very common on dogs and cats, could be single eye or both eyes. There are multiple causes of squinting eyes. could due to infection, inflammation, allergy, trauma, after grooming, etc.
When we see the patient with squinting eyes, we will start the visual exam, is it ymmetrical or unilateral? How the appearance looks like? Is the dog still eating/drinking well? Still playful? Is it affect the vision? Any possibilities of trauma?(play with another dog, or came back from boarding) Groom the dog recently? Any abnormality noticed?
Usually, we can find something based on owner's description. Then we start the physical exam. We will open the eyelid to check conjunctiva to see is it redness or swollen? The completeness of the eyeball(cornea) structure? Any suspect wounds or lesions around the eye?
This case is cornea ulcer, the surface of eyeball has a small pocket lesion, may due to the dog scratching. The whole eyeball just like a crystal ball with fluid in it. Cornea ulcer just like a scratch lesion on the glass ball. The pathogen will get into the eye through the lesion. So we use a test called flurorescent stain, let Dr. to differenciate how deep and wide of the trauma get involved.
The photo is before and after 2 weeks of treatment, you can tell at the begining the green dye in the middle of the eyeball; and 2 weeks later, it shows mild stain reaction. Which means the cornea is healing.
In general, cornea ulcer need several weeks, even months to recover. So owner's cooperation is very, very important.
Oral medication + multiple eyedrops + cone on = good prognosis.
Any suspect eye infection, trauma, squinting eye, please contact your family vet immediately. The sooner start the treatment, the shorter recover period.
===========================================
醫生!!!! 我的狗/貓眼睛打不開啦!!!!
瞇瞇眼,通常伴隨著很多分泌物,可能是單眼or雙眼,這是貓狗非常常見的問題;造成的原因有很多,可能是急性過敏,感染,創傷,剛洗完澡等等
當我們看這樣的病患的時候,會先從遠距離視診,觀察是對稱還是單側? 外觀看起來怎麼樣? 同時詢問主人動物精神活力好嗎? 有沒有影響視力?有任何創傷的機會嗎?(跟狗玩,剛寄宿回來),最近有沒有洗澡?(洗劑流進眼睛),或者其他異常的症狀
通常都可以從主人的描述跟視診中發現些什麼,接著我們會輕微地翻開上下眼瞼,看一下眼白的部分是否腫脹,充血? 外觀是否完整? 眼睛周遭有沒有明顯的傷口等等
今天這個病例是"角膜潰瘍",在眼球表面有個小口袋狀的傷口,可能是狗的前腳抓癢的時候抓破的.
整個眼球就像水晶球一樣的構造,角膜潰瘍就是在水晶球的表面有刮痕,而病原會隨著這個傷口進入水晶內部
獸醫會用一種叫做螢光染色的方法來檢查角膜潰瘍的範圍有多深/多廣
照片是當天門診跟2周治療後,治療前可見角膜上有明顯的傷口,螢光染色強陽性(綠色螢光集中在眼球中央);經過2周治療後仍有輕微的螢光反應,但非常微弱,表示角膜正在癒合中
一般來說,角膜潰瘍需要數周甚至數個月的時間來治療,所以主人的配合就至關重要:按時口服藥+多種眼藥水交替配合+24H頭套=好的治療結果
有任何疑似眼睛感染,創傷,瞇瞇眼等症狀,請盡速跟你的家庭醫師聯絡;症狀早期就診,有越好的治療效果
#aniuveterinaryhospital
#taiwanvetincanada
#animalhospitalinrichmondbc
#我們需要更多的廣告
#請大家告訴大家
#樓上鳩樓下
#老爸鳩老媽
#逮完因那底家
#看無吧
#因為是台語
ANVH EP17 - Induce vomiting(Food poison)
We had 2 cases for inducing vomiting this month, both are dogs, they ate sponge foam and ant repellent separately.
How we handle this kind of case? Usually we will calm the owner first and ask what/when(ate what? when to eat?) For most cases, the most substance injest within 40-60 minutes, can inducing vomitiing. Because within this time frame, the substance still stay inside the stomach, so inducing vomiting can expel out most toxicants and content.
There are several ways to induce vomiting, in hospital, vets will inject medication or feed 3% hydrogen peroxide(roughly 1ml/kg).
However, not every thing can be induced, such chemical reagent(strong acid/alkine), sharp stuff, animal is unconscious, or weak body condition, etc. May have the chance to cause secondary trauma.
If you suspect that your dog/cat ate something thery shouldn't, contact your family vet ASAP.
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4月份我們有2個誤食而來催吐的病例,一個是吃海綿,另一個吃了螞蟻藥
動物醫院通常怎摸處理這種病患呢? 我們通常會先請主人冷靜,詢問吃了什麼/什麼時候吃的? 通常誤食異物在40-60分鐘內,可以進行催吐(因為這時候大部分的異物仍停留在胃裡,進行催吐可以把胃部的東西全部排空)
有好幾種催吐的方式,在醫院可以用不同的藥物來進行,或者用3%的雙氧水來催吐
但是必須注意的是不是每種誤食狀況都可以用催吐來解決,像是化學藥劑(強酸or強鹼),尖銳的物品,動物意識不清,身體虛弱的病患等等都禁止使用催吐,避免二次傷害or其他的併發症
如果你懷疑你的寵物有誤食任何東西,請馬上跟你的家庭獸醫師聯絡
#aniuveterinaryhospital
#taiwanvetincanada
#animalhospitalinrichmondbc
#thisiswhatwedowhoweare
#黑黑的是活性碳
#來螯合可能殘留的毒物
#但如果吃超過2-3小時通常催吐就沒什麼用了
#還是交給獸醫師去判斷怎摸做是最佳解法
ANVH EP16 - FLUTD(blockage cat)
Today's topic is the FLUTD - Feline Lower Uniary Tract Disease
Usually happened on male, neutered, fat cat. (Cause the uniary tract is much more narrower than common cat)
Initial symptom would be like: frequently urinating, but small amount each time, moaning while peeing, hematuria(blood in pee), to very severe kidney failure condition. If you have noticed the cat these behavior, please contact your vet ASAP.
How we treat it? We will start from the physical examination, palpate the bladder to feel the size, texture and the cat reaction. And US scan can tell us is it bladder inflammation(cystitis)? is there any sand/crystal/stone inside the bladder? For some severe cases, the patient need to be sedated and put the uniary catheter to drain out all urine. To make sure all the urine has been expelled out.
Complete blockage is an emergency condition!!! If the paitent unable to pee, the toxicant will reabsorb into the body, then cause uremia(post-renal kidney failure). Also, most of blockage cats have hyperpotassium(toxicant to heart). Combine these two conditions, cat life is in danger.
For patients like this issue, we need:
1. oral medication to control the infection or inflammation
2. switch to prescription diet
3. reduce the stress in the environment
4. clinical procedure on those severe cases.
Please contact your vet if you need further assistance
===========================================
今天分享的主題是FLUTD-貓的下泌尿道症候群
這問題通常好發在已絕育的肥公貓(因為尿道比正常的貓咪要小)
一開始的症狀會是頻尿且尿很少,排尿時哀鳴,後來演變成血尿,某些嚴重的病例會導致腎衰竭;如果你的貓有類似的症狀,要馬上連絡你的家庭獸醫
我們怎摸處理這類的case? 我們會從理學檢查開始,試著觸診膀胱的大小,軟硬,然後觀察貓的反應;然後超音波掃描可以有效的幫助分辨是不是有細砂/結晶/結石or膀胱發炎程度,來決定我們接下來做的治療
某些嚴重的病例需要鎮靜導尿來確保尿路的通暢
完全的尿路阻塞是致命的!! 如果動物完全沒辦法排尿,尿液中的毒素會重吸收造成尿毒症(腎後性的腎衰竭),同時尿路阻塞的病患也會有高血鉀的問題(心臟毒性),總合這兩種狀況,貓的尿路阻塞是一個需要馬上處理的急診
對於這類病患的處置:
1.口服藥物來控制感染/發炎
2.換成處方飼料
3.減少環境中生活的壓力
4.針對某些嚴重的病例,臨床醫療必須介入
有上述這些症狀請跟阿牛聯絡~~
#taiwanvetincanada
#aniuveterinaryhospital
#animalhospitalinrichmondbc
#台灣一直地震好可怕
#天佑台灣大家平安
#thisiswhatwedowhoweare
ANVH EP15 - Hypoglycemia
Today we gonna share a case of "Puppy/Kitten Hypoglycemia"(blood glucose level too low)
For adults(including human and pets), we usually feel dizzy or less strength when we feel hungry, so we just go eat something, then the feeling will gone, once the body get enough supply. However, for those young puppy/kitten, are totally different story.
Hypoglycemia in infant dog may cause altered mentation and behavior, seizures, syncope, muscle twitching, exercise intolerance, muscle tremors, collapse, ataxia and extremely weakness. This problem is lethal to the puppy/kitten.
How we prevent hypoglcemia?
1.For puppy/kitten, "Feed them!!" Make sure animal ingest sufficient calories and glucose. Puppy/Kitten should be fed 4-6 meals per day(total amount are the same, but differenciate into 4-6 times, you can reach your family vet to confirm the how much amount should be fed)
2.Keep the environment warm and clean
3.For emergency situation, can feed small amount of honey, smear on the gumline, but that's only for temporary, still need to send to the hospital ASAP
At this age of puppy/kitten, the body weight should be gained EVERYDAY. If pets eating/drinking well but doesn't gain any weight, definitely something wrong, contact your vet.
Hope the puppy can growth up smooth and peacefully. The owner is doing a great job to take care it.
今天要來跟大家分享的幼貓幼犬低血糖症
對成人來說,低血糖頂多感覺手頭暈沒力氣,去吃個東西補充一下能量就好了,沒什麼大不了的;但對於小幼幼來說,就是完全不同的故事了
低血糖對於小朋友是致命的,臨床上常見的症狀有意識不明,抽搐,癲癇,昏厥,低體溫,肌肉顫動,共濟失調等等;這些問題對小貓小狗,是致命的
那我們該怎麼預防低血糖症呢?
1. 餵飽他!! 小幼幼一天至少要餵4-6餐,(總量不變但是分成4-6餐餵,有些賣家說只需要一天吃2餐是錯誤的,成犬才可以只吃兩餐)確保動物有涉入足夠的熱量跟糖分,你可以跟你的家庭醫師聯絡諮詢應該餵多少量的食物
2.保持環境的溫暖跟乾淨
3.真的有緊急狀況的時候,可以暫時在口腔黏膜塗抹蜂蜜.但這只是暫時應對,還是建議需要緊急送往醫院治療
在這個年紀的小朋友(2-3個月大),體重應該是每天每天都要增加的,如果精神食慾很好,但體重過了一周完全沒變,飼養管理大概率有問題,趕快聯繫你的獸醫
最後希望這個小朋友能平安順利的長大,主人非常辛苦,但是做得非常好(半夜每3小時起來餵一次囧)
#ANVH
#aniuveterinaryhospital
#animalhospitalinrichmondbc
#taiwanvetincanada
#小幼幼
#跟倉鼠一樣
#溝追嘎
ANVH EP14 - Spay and neuter
Today's topic is about the spay and neuter. The defination of spay and neuter is that we remove the internal sexual organ(ovary and uterus in female, testicle in male), and make the pet neutralized. What's the pros and cons? The only drawback is that pet unbale to breed anymore.
So why every vet always recommend spay and neuter? The main reason is that spay and neuter can prevent lots of illness in dogs and cats. What kind illness you are talking about? For female, many gynecological disease such pyometra(pus full of uterus due to infection), ovary cyst, endometritis, mammary gland tumor, etc. For male, prostatic hyperplasia, then cause cystitis, difficulty urinating, constipation, perianal gland tumor, etc.
And these kind of disease usually happened above 6-7 years old. Then how we treat it? We still perform the spay and neuter surgery. But compare to the pets were young, the risk, surgery fee, complication rate, recovery period...are all much more higher/longer than routine spay/neuter surgery.
If you ask a vet, should I spay/neuter my dog? I would say the only reason that you don't do the surgery is because you want to breed them, otherwise, perform spay/neuter surgery is fit the best interest of your hairy partner.
Does you pet spay/neuter yet? If not, go to consult with your family vet ASAP.
"The photo is the case of perianal gland tumor, is a 21 years old male dog. We perform the neuter surgery, so the size of tumor redecue to 1/3, cause testerone is the main role of this tumor. Remove testicle, without hormone stimulation, the tumor shrinkage"
===========================================
今天來淺談絕育
貓狗絕育的定義,就是手術移除體內的性腺,母的就是移除子宮卵巢,公的就是移除睪丸
那手術與否到底有什麼好處跟壞處呢? 我想唯一的壞處就是,這動物無法在生育後代了
那為什麼每個獸醫都強調絕育的重要性?因為絕育可以避免絕大多數婦科疾病,Ex:子宮蓄膿,卵巢囊腫,乳腺癌,子宮內膜炎等等;在公狗,可以避免前列腺腫大,排尿困難,便祕,肛周腺瘤等中年男子的問題
而且這些疾病往往都發生在6-7歲齡以上的動物,真的遇到了該怎摸治療?還是絕育手術,但相較於年輕的動物,手術的風險/費用/併發症機率/恢復期等等,都會變得更高更久,你可能要花3-4的費用然後還有一定程度的風險
那我到底該不該絕育呢? 你如果問我,我的回答是唯一不絕育的理由,就是你想要讓他有後代,不然都是盡早絕育,才比較符合動物的最大福祉
你如果有動物還沒絕育或在猶豫要不要絕育,請聯絡你的家庭獸醫趕快去諮詢手術相關事項吧
"照片是一之21歲的臘腸狗,有肛周腺瘤的病史,絕育手術後腫瘤大小縮至1/3,因為該腫瘤主要是由睪固酮濃度影響,移除了睪丸,沒有了賀爾蒙刺激,腫瘤就會跟著縮小"
#aniuveterinaryhospital
#taiwanvetincanada
#animalhospitalinrichmondbc
#現在有超音波刀輔助了
#手術飛快
#有多快
#Roadrunner裡面的火箭郊狼一樣快
ANVH EP13 - prenatal check up(pregnancy exam)
What!! The dog need prenatal check up as well?
Yes, it is. The average time of puppy/kitten birth is around 58-63 days, roughly 2 months. Prenatal check up can effectively prevent the change of dystocia(difficult to birth)
So what kind exam need to be done during prenatal exam?
The answer is Ultrasound and X-ray
On each check up, Dr will use ultrasound to measure the head distance to calculate the age and then evaluate the date of birth.
X-ray will be taken after 50-52 days, to confirm how many puppy/kitten in side the belly.
Also, Dr will check monther's healthy status, let the owner understand what's the scenario may facing to. Most importantly, when is the delivery date.
Just like humanbeings, regular prenatal check up is necessory and very important. Please consult your vet if you have a pregnant pet but never been to prenatal exam.
動物也要產檢嘛!?!?!?!?!?!?!?
是的,動物也需要產檢
貓狗平均懷孕的週期是58-63天,大概兩個月左右,而產檢可以大幅度降低難產的機會
產檢都做些什麼呢?
超音波跟X光,通常到分娩前都會做2-3次的超音波追蹤,去看胎兒的頭圍大小來估算生產的日期,同時檢查胎兒的心跳/骨化程度等等是不是在正常範圍,X光則是在50-52天後拍攝,來確定小狗隻數
一個是檢查狀態一個則是檢查數量
產檢的同時醫生也會告知主人分娩時可能會遇到的徵候以及臨床表現,以便主人提早做好準備
就像人要做產檢一樣,貓狗的懷孕產檢是必須且重要的,如果你有已經懷孕的寵物但是完全沒做過產檢,請趕快連絡你的獸醫師吧
#阿牛動物醫院
#aniuveterinaryhospital
#animalhospitalinrichmondbc
#thisiswhatwedo
#whoweare
#taiwanvetincanada
#我好想買超音波阿
#但是不想拍手插腰的形象照
#像房仲專家一樣
ANVH EP12 - Case documentary
This documentary is made by Nvidstudio
When I was a kid, I really like those documentary in discovery or animal planet. Now, this is our first case documentary.
Our team is so glad that the patient has improved his quality of life.
Because this is what we do, who we are.
#aniuveterinaryhospital
#taiwanvetincanada
#RichmondBC
#anvh
ANVH EP11 - Why dental cleaning is so important?
There's lots of owner ask the quote for dental cleaning recently. Let me explain why regular dental cleaning is so improtant, and why usually expensive than common neuter/spay surgery?
Dental cleaning on dogs/cats are different from human. We use the similar equipment for the cleaning, however, the pets won't staystill for 20-30 mins to allow us do the cleaning. So when we do the dental cleaning, they need anesthesia; when mention to anesthesia, it means we need to do blood work, intubation, monitor the patient until it wake up. We consider dental cleaning in dog/cat as a surgery, not merely a "dental cleaning"
Further more, we usually spend more time on dental cleaning than common routine surgery. Because we need to confirm each teeth is still healthy? Is it loose? Does it need extraction? If the answer is yes, then we need to suture the extraction wound or do more minor surgery in oral cavity. So the time spend on the dental surgery can be various. It could be between 20-30min to 1.5hours. That's why there's a range on the quote. Some situation may actually noticed after we sedated the patient and exam the mouth.
What if I don't do the dental cleaning? Those residues/substance/baterica/saliva will mix together and form a cover we called dental tartar on the surface of crowns. If we ignore it, it will stimulate the gum and cause inflammation, developed to periodontist. Some severe cases may even have complication such as dental fistula(a whole penerate through between teeth root and facial bone), or cause septcemia(bacteria get into blood circulation).
So how about the non-anesthesia dental cleaning? I have seen that in some grooming pet store.
Well, when we do dental cleaning in vet hospital, it means we will sedate the pet, and use the equipment to clean the surface and pocket between the gum and the teeth body. Pet won't allow you to do that if we don't sedate it. For grooming non-anesthesia dental cleaning, visually, it cleans a bit. But actually it doesn't help a lot for the teeth health.
Then how I maintain the teeth health?
I would say couple tips for the owner:
1.Brush the teeth every day
2.Do dental cleaning every 1-2 years
3.Do not feed anything the pet shouldn't eat
There's nothing can replace the regular dental cleaning in animal hospital, not the grooming nor the dental treats.
===========================================
最近很多人打電話來詢問洗牙相關事項,趁這個機會來解釋一下洗牙到底是個什摸東西跟做什麼這麼貴?
犬貓洗牙跟人的洗牙不是同一件事情,雖然都叫洗牙;我們用相似的超音波洗牙機,但貓狗絕不會不動20-30分鐘乖乖給你洗牙,所以意味著必須麻醉;一提到麻醉,表示我們會遇到血液檢查,插管,生理監控等等
所以洗牙對獸醫來說,是屬於手術的一種,跟人的定義不大一樣
而且通常獸醫的洗牙會比一般常見的手術要花的時間長,我們會確認每個牙齒的狀態,有沒有鬆動?需不需要拔掉?要不要縫?等等
很多狀況是我們真的放倒動物之後才會檢查到,才當場決定要怎摸處理,這也是為什麼麻醉的報價通常會是一個範圍,從20-30分鐘到1-2小時都有可能,牙齒狀態越糟要花越多的時間
那我不洗牙會怎摸樣? 長時間的不做清潔,那些細菌/食物殘渣/唾液等等的混合物會形成牙結石附著在牙齒表面上,輕則引法口臭,牙齦發炎,牙周病;嚴重的會造成齒槽漏管(牙根蛀穿到顏面骨頭)or全身性的敗血症(細菌進到血液循環),到時候怎摸處理? 還是手術,而且風險/費用會遠比一般洗牙要來的高
那無麻醉洗牙呢? 我看有些寵物美容在做
當獸醫做洗牙的時候,我們一定會麻醉動物,把牙體表面的牙結石清掉,同時清潔齒齦跟牙齒的交界處,確認每一顆牙齒的狀態等等,這些無麻醉洗牙都沒辦做到;後者只是"視覺上"有清潔的效果,但實際上對改善口臭/口腔健康並沒有太大的幫助
那我該怎摸保持口腔我的狗/貓健康呢?
1.每天刷牙
2.定期洗牙(每1-2年,看醫生建議評估)
3.不要亂餵不應該吃的東西
#愛注意
#露露長的文章
#又要縮短才能放到IG
#我只會用FB
#然後又要被員工嫌老
#你才老
#你全家都老
#ANVH #aniuveterinaryhospital #richmondbc
#animalhospitalinrichmondbc
ANVH EP10 - Case share - senior dog anesthesia
Today's case share is one of my best friend's dog. It is a very special experience of anesthesia. Ballu, a "20 Years old" dashund, had perianal tumor hx for couple months. Also got very horrible teeth condition. The dog was declined by several animal hospitals in Toronto due to the age. My friend contact me and ask me can I do it? I said go get the echo report first and we will see.
The echo report shows the dog got:
Degenerative mitral valve disease (ACVIM stage B1)
Mild pulmonary hypertension
Mild aortic insufficiency
---> generally speaking is that the patient cardiovascular system has some functional degeneration, but overall is ok to take anesthesia. But, be careful the medication and protocol you selected.
Surprisingly the body condition still very well. Blood work shows mild anemia, major organ function has no significant finding.
After discuss with owner, he deicde to let the dog perform surgery.
===========================================
Even though the echo report and blood work indicate the patient can take the anesthesia, as a clinical practitioner, we know this is a tough challenge. After we give the premed, the dog looks like gone. HR drop to 30(NR range 80-120), spO2 drop to 65%(NR range>98%) BP only shows sys 80(NR range 120-150) and we just give it 30% of the total amount
After our medical managent, everything back to NR, and we finished the surgery and dental cleaning(extract 12 teeth). The dog recover successfully. I am very surprised by it's energy.
===========================================
We just open less than 2 weeks and we already done anesthesia for 3 very senior patient(all of them are above 14 years old). It is so crazy. Thanks for the team to support the surgery. Hope Ballu can go back to happy life and eat/drink whatever he likes.
今天要跟大家分享的病歷是老狗麻醉
這是我的一個好朋友的狗,20歲的老臘腸,有肛周腺瘤跟牙齒的問題
被多倫多許多動物醫院拒絕,原因是因為狗太老了,可能無法承受麻醉
我朋友於是聯繫上我,問我有沒有搞頭? 我說先去掃個心超,我們在研究看看,心超掃完後結果是瓣膜退行性的心臟病(stage B1),輕微肺高壓跟主動脈灌流不足...白話文就是老了,可以麻醉,但是要很小心麻醉藥物的選擇跟使用
評估後我跟主人說:來,哩來,巄宗來
===========================================
在麻醉初期給了麻醉前用藥後,心跳降到30(正常80-120),血氧65%(正常>98%),血壓掉到80(正常收縮壓120-150),而這僅僅是給了1/3的劑量...嚇爛我
在一陣操作過後動物所有生理徵候回到了正軌,我們也順利完成了手術跟洗牙(拔了12顆),病患在麻醉結束後也很快的復甦了過來(真的老兵不死,你是不是打過國共內戰?)
===========================================
在開幕不到2周的時間裡,我們麻了3隻超過14歲以上的動物,想起來真的是很瘋狂,謝謝我團隊的幫忙
#老兵不死
#只是爛牙
#年紀不是一種病
#我麻過最小2個月最大23歲
#但沒事年紀大還是不要麻醉啦
#你很難想像看到血氧只有65的時候
#醫生的臉會有多扭曲
#跟心中的髒話不知道講幾遍
#aniuveterinaryhospital
#ANVH #animalhospital
#animalhospitalinrichmondbc
#veterinarymedicine
#veterinaryhospital
#thisiswhatwedowhoweare
ANVH EP9 - Case share - dog fight
Dog fight, is that kind of case could be easy or complicated. When we received the dog fight case, the first thing is confirm what's the dog physical status from certain distance, is it conscious or non-conscious? where's the trauma location? is the bleeding stop or not? After checking the vital sign, then usually we will sedate(cause it's painful and mentally scared) the animal and start to process the lesion.
Then what we do is trim the hair. Why? because hair tangled with saliva/blood/discharge is very dirty, and also interfere our vision toward the bite wound as well.
Always looking for the second hole on around the trauma area, because the canine teeth is paired. If you found a hole, there is definitely another one.
Then we clean the wound, drain out all discharge/secretion. If there's not much subcutaneous trauma, can suture it directly; otherwise the dog may need to perform the surgery to remove the severe infection area, if the subcutaneous(SC) trauma tremendously.
In this case, a baby Great Pyrenees had dog fight. After sedation and trim the hair, found total 4 penerated wounds, 2 on the ear panel and 2 on the neck. Drainage test shows that SC trauma is not that severe, so we clean the wound and close it. Dog seems recover well, the bruise on the skin will be gradually healed. The puppy should be fine.
跟大家分享的case是狗打架~一個可以是很簡單,可以是很複雜/困難的手術;通常我們第一時間看到這種case的時候,會先遠距離的觀察一下狗的狀態,精神意識怎摸樣? 是不是還在流血? 創口位置/範圍/大小等等,確認狗的生命徵候後,通常會放倒做清創的手術(動物通常因為疼痛or心理的不安會抗拒醫療團隊的檢查,所以麻醉清創是對雙方都相對安全的方式)
所有清創手術第一件事情就是把患部的毛剃掉,因為毛髮混著血/唾液/分泌物等等這些是很髒的,同時也會阻擋視線,可能找不到其他的創口(尤其是黑色毛的狗)
再來是找尋其他的洞,只要是被咬傷的,一定會有成對的創口,因為犬齒是一對的,有時候不一定第一時間會找的到,剃毛清創會有助於幫我們辨識
最後就是灌洗傷口,簡單的case,沒有咬很深的況下,可以用大量生理食鹽水/消毒劑灌洗,然後關閉傷口;但如果皮下撕裂傷很嚴重(咬著甩),或牙齒非常髒,可能發生嚴重的肌肉創傷/皮下瘺管,這種狀況就必須做手術清創,大範圍的移除感染的地方
在這個case,清創後有4處傷口,兩處在脖子兩處耳朵(耳朵被咬穿),但整體來說是乾淨的傷口,皮下也沒有太嚴重的撕裂傷,所以灌洗後決定關閉傷口,配合口服抗生素,戴上喇叭套,變身法國貴族啦~
To sum: 遇到dog fight
1. observe animal status from distance
先觀察動物狀態
2. trim the hair around the lesion
患部剃毛
3. drain/clean the wound
清洗傷口
4. oral medictaion/apply topical medication
藥物治療
#這是阿牛
#我們下次見
#anvh
#aniuveterinaryhospital
#RichmondBC
ANVH EP8 - 我的兄弟呢?
#被我做掉了
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ANVH EP7 - Grand opening video
Here is the second video about the ANVH Grand Opening
Enjoy!!
開幕的影片做好啦(灑花)~
請大家告訴大家
A Niu Veterinary Hospital
Mon~Sat 12pm-22pm
Sun 12pm-18pm
Phone number: 604-285-8822
Email: [email protected]
Address: 1103-4731 McClelland Rd, Richmond, BC V6X0M5
請電話預約門診,邱醫生/楊醫生為大家服務~
一般門診,預防醫學,手術,住院,影像,實驗室診斷等等都有搞頭
#aniuveterinaryhospital
#richmond
#animalhospital
#BC
ANVH EP6 - case share - my dog
Originally, I was planing to write an open house article, to introduce our hospital more and recruit more VA. But something happened with my dog, so I decide to write something related to my son - The A Niu itself.
My dog, A Niu(means bulldog or cow in Mandarin), or Odika, is a 14~15 years old french bulldog. Had several surgery hx, such as foreign body removal(swallowed an needle when he was yong), paralysis right before I came to Canada in 2019. And then pee in blood in 2022, April, I did the surgery and took out 2X small bladder stone. UA shows is calcium oxalate.
The hemauria recurrent again at the end of 2023, my son pee more frequently than before. I did the ultrasound again, and found couple high opacity image inside the bladder. So I think it's the bladder stone again. Therefore I decide to perform the surgery to took it again.
To be frank, I was very anxious the night before the surgery, I think it's because he is my son; based on my job habit, think the worst and prepare for the best is what I always did. I keep thinking lots of what if, what if my son unable to wake? what if hypotension happened? what if I missed something on the X-ray? But all the anxious emotion disappeared when I wore the surgical gowns: this is what we do, who we are, I am doing this for over 10 years. I am good at it.
Approach through linea alba, get away excessive subcutaneous fat tissue, cut the muscle layer open, and found the target-fat bladder.
All my dog's internal organ really looks like himself. Short, round and chunky.
When I approach my finger into the bladder, what I expect is a particle/stone texrture, so when I prepare to remove it from the bladder, I found it attached to the bladder wall. When I followed the mass structure all the way down to the triangle area, the mass occupied 60-70% of the bladder. What it shows under the X-ray and ultrasound was the calcification structure of the tumor.
I was be stunned for 30 second, I have simulated mutiple scenarios before the surgery, I thought I was ready. But I never though the surprice happened in this way. After second thought, I decide to use ultrasound blade to reduce the volume of the mass inside the bladder, to try to reduce the ferquent urination. Based on my experience, most likely is TCC, and it is impossible to be incised completely.
I sent the sample to the lab and waiting for the pathology report.
After the surgery, I am seeing my dog wobbly during the recovery, and thinking: Am I helping him or not?
Interesting thing is that I don't have the similar emotion when I perform the same surgery on other patients.
今天本來想要先寫一篇醫院的開箱文順便徵才,照片都照好了,準備寫文章了,但是想說今天我跟老楊都在,順便幫CEO(喔低咖)進場大保養一下
喔低咖,14歲法鬥,年輕的時候吞過一次針,被我亞瑟王石中劍拿出來了,2019找了左岸關醫師做澎恰恰手術,出國前1個月突然癱掉,靠闕老大跟古德詹醫師的中獸醫又讓他站了起來,得以順利出國
2022年4月的時候血尿,在我之前工作的醫院幫他開了一次刀,拿出了圓圓胖胖的結石
2023年底又開始血尿,超音波掃一下發現有高密度的一粒一粒的影像,下意識的我認為又是膀胱結石,驗了血,發現只有ALP稍微高了一些,整體來說沒有太大的問題,是個老當益壯的小肥豬,於是我決定選個黃道吉日,讓他進場大保養-膀胱結石移除+後腳腫塊移除+洗牙
我知道不應該一次做這麼多事情,但考量到14要15歲法鬥,血極難抽,針極難上的情況下,能夠一次麻醉處理就處理了
花了1.5小時,3個人輪流人上針最後終於找到左手側支的情況下,順利完成前置作業,準備刷手做手術
手術前一晚我其實是很焦慮的,因為是我自己的狗,還是阿牛本牛,14要15歲法鬥,這種條件不管放到哪間醫院都是很硬的,所以我很焦慮,職業使然,一直做最壞的打算最好的準備,like:他醒不過來怎摸辦? 低血壓怎摸辦? 他會不會其實有心肺問題但我沒察覺? X光我有沒有看漏東西? 等等這些負面的情緒,但這些情緒到我穿上無菌刷手服後就煙消雲散,我做這事已經10年了,就是我最擅長的事;手術一開始就像往常,喔低咖所有內臟跟他本人一樣都短短圓圓的,皮下脂肪超級厚,到底冬天抖屁抖?
腹中線切開,雞雞擺到一邊,鈍剝皮下脂肪,結紮幾條調皮的血管,看到腹壁肌肉,切開後小小圓圓跟喔低咖本人長很像的膀胱就在正下方
把膀胱移出體外,附近鋪上無菌紗布,請助理淋滿生理食鹽水(避免軟組織長時間暴露在空氣中太過乾燥),準備切開膀胱
膀胱一切開尿液先噴濺出來,然後伸手下去探,我期望中的觸感是一顆顆分明的石頭,對,一開始有摸到,當我想要拿出來的時候,ㄟ靠...黏在膀胱壁上,一摸一大叢,一路從切創點延伸至膀胱頸/三角區,大小不一葡萄/菜花狀且裡面有些鈣化的結構...FK 我的小黑豬有膀胱癌?!?!?!
我整個傻在原地,愣了30秒,我一直覺得可能有些什麼出乎意外之外的事,但沒想到是以這種形式出現,經驗上告訴我是TCC(移形上皮細胞癌),但要做化驗後才會知道確切是什麼,想了一下,決定用超音波刀先減積,讓被占據的膀胱空間恢復,起碼可以改善頻尿(暫時性)
隨後關閉膀胱,移除腳上腫塊,清潔了牙齒,然後靜靜地等CEO醒來
手術結束後,歐低咖順利地醒來,有些酒醉狀態,站不穩跟發抖,把他放在院長辦公室,目前趴在那邊睡覺
14歲的法鬥,該來的還是要來,上帝是公平的,身材高大球技又好的人不會出現在你我生活周遭;喔低咖血檢一切正常,但膀胱有腫瘤
做完手術,看著他在睡覺的身影,還是會去想,我是幫了他?還是害了他?
奇妙的是,對飼主的狗,我幾乎不大會有這些問題
#目前等切片報告
#震驚後來轉變成平靜
#醫生只是園丁
#我們無法改變四季
#只能努力讓花開得更漂亮
#看看喔低咖這朵花開得多肥美
#感謝老楊的協助
#跟阿牛的團隊
#還有我的醫院
#這要怎摸翻成英文
#想到我頭就大
ANVH EP5 - Veterinarian introduction #2 獸醫人物誌 趴兔
We are glad to introduce the owner/medical director/A Niu himself, Dr. Wayne Chiu.
Dr. Chiu graduated from Pingtung University of Science and Technology. He has been served in Loving and Kindness Animal Hospital and also a founder of A New Animal Hospital in Taiwan. Is 100% Taiwanese. Dr. Chiu specialized in soft tissue surgery, emergency and critical care, abdominal ultrasound, endoscopes, dentistry, and general internal medicine. He is also a video gamer and basketball player when he was young.
Dr. Chiu and Dr. Yang would be the main Dr. in ANVH. Please feel free to phone us to book an appointment if you need any help.
Our office hour is 12pm-22pm, Mon-Sat
12pm-18pm Sun
phone number: 604-285-8822
Email: [email protected]
是的~今天來介紹ANVH獸醫人物誌趴兔--Dr. Wayne Chiu
我們很高興的為大家介紹,ANVH的創辦人,邱醫師~~
Dr. Chiu畢業於台灣屏東科技大學(學號B9616035),曾經於慈愛動物醫院服務,也是台灣阿牛犬貓急診醫院的創辦人,是個100%正港台灣因那!! 邱醫師擅長於軟組織手術,一般內外科,牙科,內視鏡,腹腔超音波,以及急診加護.
他也喜歡打電動跟打籃球(年輕的時候,菸~)
邱醫師跟楊醫師是加拿大阿牛主要的服務醫師,如果你的寵物需要幫助,請撥打我們的電話604-285-8822來預約門診~
醫院營業時間: 12pm-22pm 周一~週六
12pm-18pm 週日
電話: 604-285-8822
電子信箱: [email protected]
#下一篇是醫院開箱文
#再下篇是手把你教你蓋醫院
#請大家告訴大家
#dr邱最近壓力較大
#氣色較差
#請見諒
#anvh #veterinaryhospital #animalhospital #RichmondBC #vetinrichmondbc #veterinarymedicine
ANVH EP4 - A film about A Niu Veterinary Hospital
We have found a director to make a short film to present what Dr. Chiu would like to demonstrate to the general public. To let people know that what's the daily life of an animal hospital, not merely petting the dogs and cats. Hope this video is helpful.
Welcome to the opening event, if you are available, please come by, if not, watch the video and feel the passion of the A Niu VH team.
See you soon.
我找了個導演把我心中想呈現出來的東西拍了個短片,希望對一般大眾能夠更了解動物醫院的日常,除了嚕貓嚕狗以外,我們還必須做哪些事情
歡迎大家參與明天的開幕,如果不方便前來,就看看影片,體驗一下阿牛團隊的熱情
我們明天見
#thisiswhatwedo
#whoweare
#mannequinchallenge
#特別感謝nvidstudio
#不來就看不到阿牛本狗
#跟喝不到麥香紅茶
#還有胡椒餅
#anvh #animalhospital #veterinaryhospital #veterinarymedicine
#RichmondBC
ANVH EP3 - Take new patient
Dear owners,
This is Dr. Chiu from A Niu Veterinary Hospital. We are pleased to announce that we are able to take on new patients starting NOW.
Feb 6th to 10th would be our soft running period, with appointment times from 12pm to 6pm.
Full operation will start next Monday, Feb 12, with appointment times from 12pm to 10pm.
Please book an appointment through our phone: 604-285-8822
You can also email any previous medical records of your pet to: [email protected]
Looking forward to meeting you.
Sincerely,
A Niu Veterinary Hospital team.
哈囉各位毛孩爸媽們~
我是阿牛的邱醫師,很榮幸的在此宣布我們可以接收新病患啦~~
2月6日至2月10日為試營運, 營業時間為中午12點到下午6點, 本周日2/11為開幕慶。
下周2/12開始正式營運, 營業時間為中午12點到晚上10點
有需要的主人請電話預約門診: 604-285-8822
毛孩的病歷請寄到醫院信箱:[email protected]
期待與你們的碰面
誠摯的邀請您,
阿牛獸醫院團隊 敬上
===========================================
終於!!! 早上收到CVBC的通知(獸醫師公會),我們可以開始執業了
跟開幕慶不一樣,開幕慶是個儀式,一個open house,讓飼主/廠商/同業知道我們在幹嘛,我們可以做到些什麼事等等,但還不能營業,要等主管機關的同意
正式收病患表示我們可以營業啦,跟我的狗喔低咖一樣,每天痴痴的等,終於等到一口地瓜,這個permission就是這個地瓜!! 我會另外再寫兩篇在加拿大從無到有開醫院跟開箱加拿大動物醫院
Anyway,有需要的朋友不要客氣,阿牛團隊正式上線
#心心念念的那張紙
#終於下來惹
#花了1年以上
#砸了超過100萬
#遇到個鳥物業
#珍奶還買到全糖
#儘管如此
#我們還是拿到了
#那張破紙lol
#要起來飛了要起飛了
ANVH EP2 - Grand Opening
Dear parents of furry children,
This is Dr. Chiu, from A Niu Veterinary Hospital. We are thrilled to extend a warm welcome to you and your cherished furry companion to A Niu Veterinary Hospital. As passionate advocates for the well-being of animals, we are honored that you have chosen us to be a part of your pet's healthcare journey.
At A Niu Veterinary Hospital, we understand that your pets are more than just animals-they are beloved members of your family. Our dedicated team of experienced veterinarians and compassionate staff is committed to providing the highest quality of care in a welcoming and stress-free environment.
Whether your pet requires routine check-ups, specialized treatments, or emergency care, rest assured that we are equipped with state-of-the-art facilities and a genuine love for animals to ensure the best possible outcomes. Our comprehensive range of services includes preventive care, surgery, dentistry, diagnostics, and more.
We believe in open communication and collaboration and actively participate in your pet's healthcare decisions. Our team is here to support you every step of the way, fostering a partnership that prioritizes the health and happiness of your four-legged family members.
Thank you for choosing A Niu Veterinary Hospital. We look forward to building a lasting relationship with you and your pets. Please feel free to reach out if you have any questions or if there's anything we can assist you with.
Wishing you and your furry children many years of joy, health, and companionship!!
Warm regards,
Wayne Chiu, DVM, Owner, Medical director of A Niu Veterinary Hospital
Hospital info
Address: 1103-4731 McClelland Rd, Richmond, BC V6X0M5
Office hours: Mon-Sat 12:00 - 22:00,
Sun 12:00 - 18:00
Phone number: 604-285-8822
Email: [email protected]
FB: www.facebook.com/profile.php?id=61555826675400
哈囉~各位親愛的毛孩爸媽們,
不要管上面AI寫的英文是什麼,重要的事情是我們要開幕啦!!
阿牛獸醫院即將在2024年2月11日(星期天)舉辦開幕式,時間為下午1-5點,歡迎各位飼主來參觀我們醫院
請回覆邀請函來讓我們為您安排時間導覽
docs.google.com/forms/d/e/1FAIpQLSdXChMsdvvFD1uy1eigGETN8BKsMt8JUFzU8eyFcPVrAqqXGQ/viewform?vc=0&...
我們2/11見
Dr. Wayne Chiu
ANVH EP1 - Veterinarian introduction 獸醫人物誌
We are honored to introduce one of our veterinarians - Dr. Rex Yang
Growing up as a teenager in Vancouver, Dr. Rex Yang was excited about returning to Canada in 2020 with his family. Following his dad’s passion for animals, he graduated from the National Taiwan University School of Veterinary Medicine in 2012. He then continued to pursue a Master’s Degree in small animal clinical oncology where he learned about not only the treatment options for end-stage diseases but also the importance of empathy and quality of life.
Dr. Rex Yang then ventured to Hong Kong working at a busy day practice for 3 years before he started working in Taipei serving small animal cancer patients again. Due to the expectancy of a newborn baby in 2020, Dr. Rex Yang decided to bring the whole family back to Vancouver and he is ecstatic about supporting the furry family members at the place where he gained most of his precious moments during his childhood.
Dr. Rex Yang specializes in internal medicine, common surgery, and the oncology field. Also, he is very good at making hamburgers and being a dad.
受到喜愛動物的父親影響，楊醫師在2012年畢業於國立台灣大學獸醫學系，並繼續進修研讀小動物臨床腫瘤學取得碩士學位。完成學業後，選擇到香港執業，移居香港三年期間獲取許多臨床治療經驗，並習得廣東話。而後因希望能運用腫瘤治療的專長幫助更多毛小孩及飼主，接受了台北的新工作機會回到家鄉。2020年因家中即將迎接新的小生命，楊醫師決定舉家遷移至他青少年時期所居住的溫哥華，在優美的環境下陪伴小孩成長。他期待能在此繼續照顧各位的毛毛家人！
楊醫師擅長內科,一般外科跟腫瘤領域的治療;除了獸醫之外他也非常會考漢堡跟當一個稱職的老爸!!
#楊醫師會說普通話
#楊醫師會說英文
#楊醫師係供廣東法
#楊醫師還會考漢堡
#楊醫師女鵝髮型像金太郎一樣可愛
#優質青壯年哪裡找
#就在阿牛
After a year's plan and 6 months of construction, now we are almost there!!
A Niu Veterinary Hospital run by Taiwanese Dr, Wayne Chiu and Rex Yang. We are here to provide a professional veterinary service. From general health check-ups to surgery or hospitalization.
See you guys in Feb 2024.
經過一年的計畫,半年的施工,終於到了要完工的時候了!
阿牛是由兩位台灣醫生為主的醫療團隊經營,從一般的門診到手術/住院的看護照顧,我們都有搞頭!!
終於,我們即將在2024的二月跟大家碰面,有興趣的主人請關注我們的FB然後留下email,我們會寄出開幕資訊給大家
感恩囉啦~~
#我們說中文
#英文也可以
#廣東話我不懂
#但是dr楊可以
#喔細聽恩系共
#系共朽朽
Hi, every owner,
Welcome to A Niu Veterinary Hospital, where compassionate care meets furry friends. Our professional team is here to ensure the well-being of your beloved pets. From routine healthy check-ups to specialized treatments. We are committed to providing top-notch healthy care for every tail and paw that walks through our doors. Your pets are family, and at A Niu, family always comes first.
各位飼主大家好~~
歡迎來到阿牛獸醫院,我們的醫療團隊為您的毛孩提供專業的獸醫醫療服務,從一般門診到住院手術治療,我們承諾用心照顧所有的有毛小孩;我們知道寵物是家人,在阿牛,家人總是擺在第一位
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