Femoral Head Ostectomy (FHO)

The hip consists of a ball-and-socket joint. A normal hip joint is held in place by muscles, a deep socket and strong ligaments.

  • The ball or femoral head is the top part of the femur or thigh bone.
  • The neck is the narrow portion just below the ball.
  • The socket (or acetabulum) is the concave portion on each side of the pelvis.

Several conditions of the hip, e.g. canine hip dysplasia, can be corrected by a surgical procedure called Femoral Head Ostectomy (FHO). Hip dysplasia is caused by abnormal growth of the hip during puppyhood which results in looseness of the joint & development of painful arthritis.

Baby the Japanese Spitz had been limping & “bunny hopping” due to hip dysplasia – the ball of her femur did not fit properly into the hip socket.

signs of hip pain
  • Decreased tolerance to exercise
  • Stiffness
  • Limping
  • “Bunny hopping”
  • Difficulty climbing stairs
  • Difficulty lying down or standing up
  • Reluctance to run or jump
  • Shifting of weight to fore limbs
  • Loss of muscle mass on hind limbs
Physical Exam and x-rays

In severe cases, your vet can feel the hip “pop” in and out of the socket during a physical examination. X-rays will help to:

  • diagnose hip dysplasia, dislocation or fractures
  • identify if the acetabulum is shallow
  • check for bone spurs (a sign that the hips are degenerating)
  • determine if surgical correction is required
FEMORAL HEAD OSTECTOMY (FHO)

FHO is a surgical procedure to remove the femoral head – the ball and neck portion of the joint – to alleviate the pain of bone rubbing on bone. During healing, scar tissue will form and act as a “false joint”. The surrounding muscles continue to support the hip joint.

Dr Estella Liew proceeds to surgically remove the femoral head.

With the femoral head removed, your dog will no longer suffer the pain of bone rubbing on bone. During the healing process, scar tissue will develop to form a functional pain-free “false joint”.

After FHO, strenuous exercise is restricted but your dog is encouraged to use the limb as soon as possible, in a controlled manner. Your vet will advise on a strict physical therapy programme to ensure a good range of motion in the affected hip. Most dogs will start using the surgery leg within two weeks.

WATCH BABY’S VIDEO HERE.

When Does My Pet Need Emergency Vet Attention?

Our After Hours Emergency Clinic is situated at the same location as Mount Pleasant Central Vet Clinic at 232 Whitley Road S297824, Tel 6250 8333.

Renovation has begun at Mount Pleasant Central Vet Clinic (Whitley)! Our hospital, including our After Hours Emergency Clinic, remain fully operational and we continue to offer 24-Hour Monitoring throughout the night. We will do our best to minimise any inconvenience during renovation and look forward to serve you better in a brand new facility!

At Mount Pleasant Central Vet Clinic (Whitley), we offer 24-Hour Monitoring with vet technicians & nurses like Annie watching over your best friends throughout the night.


mount pleasant after hours emergency clinic
232 whitley road singapore 297824 tel: 6250 8333

OPERATING HOURS
Mondays to Fridays: 8.30pm to 8.30am
Saturdays & Sundays: 6.00pm to 8.30am
Public Holidays: 24 Hours

No appointment is required at our After Hours Emergency Clinic. But we appreciate if you could call us to inform us of the nature of emergency so we can be better prepared.

when does my pet need emergency vet attention?

Always seek veterinary advice when your pets display signs of pain or discomfort. The earlier the problem is identified and treated, the better the outcome. Your pet needs emergency medical attention if you observe the following symptoms:

  • not breathing or there is no heartbeat
  • struggling to breathe, gagging or trying to vomit
  • having seizures or fits
  • showing signs of extreme pain (e.g. whining, trembling)
  • heatstroke (e.g. panting, weakness, high temperature)
  • vomiting or having diarrhea for more than 24 hours
  • straining or unable to urinate or defecate
  • bleeding from the eyes, nose, mouth
  • ingested toxic substances (e.g. rat poison, insecticide, medication, household cleaners)
  • sudden loss of vision or bumping in things
  • difficulty in giving birth
  • swollen abdomen (could be life-threatening condition called bloat or gastric dilation and volvulus (GDV) – “stomach twisting”)

At our After Hours Emergency Clinic, we triage every pet upon arrival. Pets in critical condition are treated immediately.

Kitten hit by a car, suffering from broken hips & ruptured diaphragm.

first aid tips

First aid care may save your pets’ life until they receive treatment. Here are some tips to better prepare yourself when your pet is in a medical emergency.

PREPARE A FIRST AID KIT

  • Important phone numbers (regular vet clinic and emergency vet clinic)
  • Your pet’s medical record (any drug allergies)
  • Digital rectal thermometer (normal dog and cat temperature: 38 to 39.2°C)
  • Towels
  • Sterile absorbent gauze and bandages
  • Adhesive tapes
  • Scissors
  • Activated charcoal (to absorb toxins – only use as directed by vet)
  • 3% Hydrogen peroxide (to induce vomiting – only use as directed by vet)
  • Saline solution (for cleansing wounds)
  • Antibiotic ointment
  • Muzzle and Elizabethan collar

HANDLE WITH CARE 

  • Even the friendliest pets will bite or scratch when injured and in pain.
  • Muzzle your dog unless he is unconscious or has breathing difficulty.
  • For injured cats, use an e-collar or place them in a carrier.

STAY CALM – STABILISE YOUR PET WITH BASIC FIRST AID CARE

  • Wounds and cuts => Flush with saline to remove dirt/debris and apply sterile dressing.
  • Bleeding wounds => Apply direct pressure with a clean cloth until blood starts to clot.
  • Broken bones => Control bleeding and confine pet for transport to vet.
  • Heat stroke => Move pet to shaded area, pour cool water over body especially abdomen and inner thighs, rush pet to vet.
  • Burns and scalds => Flush area with cool water then send to the vet.
  • Seizures => Remove objects around your pet, keep calm, do not restrain pet or place any object in pet’s mouth, record duration of seizure, take your pet to vet once she is calm.
  • Poisoning => Collect any material you pet has eaten or vomited and take it along to the vet. Do not induce vomiting unless directed by your vet.
  • Choking => Check for foreign objects in your pet’s mouth and carefully remove it if you can. If you can’t remove the object, watch video on Heimlich Maneuver below.
  • No heartbeat => Watch video on Pet CPR below.

Pets assessed to be stable are seen by our vet in the order of their arrival. We do our best to keep waiting time to a minimal.

We are strictly an Emergency Clinic & do not perform vaccinations or routine veterinary health care.

Our team at Mount Pleasant After Hours Emergency Clinic is always ready to help you: Rodel, Vergel, Ms Ling & little Whitley!

ACS (Barker Road) Student Attachment Programme

We believe in educating our community in animal care and veterinary medicine, especially students who are considering the pathways to be a veterinarian.

In November, a group of Secondary 3 boys from ACS (Barker Road) came to “work” at our clinics. Some are so inspired and eager to learn, they came for extra days!


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“I love dogs. Job shadowing in a vet clinic is unique and interesting, not something I can do whenever I want.” ~ Joel Mathews with Mason at Mount Pleasant Central Vet Clinic (Whitley)

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“The most challenging part of being a vet, in my opinion, is having patience and perseverance.”

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“Having patience in handling pets, especially difficult animals. And having perseverance as the doctors need to take on night shifts and perform surgeries which may take a few hours.”

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“The best part of being a vet is the opportunity to work with animals. They bring joy to your working life!”

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“I’m an avid animal lover. Becoming a vet is a very natural choice for me, having been surrounded by animals since I was born. Through this job shadowing opportunity, I had a feel of what a vet’s life is like and learnt to be a better companion to my pets.” ~ Leon Saint Claire with Sophie at Mount Pleasant Vet Centre (Mandai)

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“Sometimes, vets face problems which they have to resolve quickly. They have to think fast and not hesitate. Another challenge is the difficult decision of euthanasia – a life is on the line, for better or for worse. Hence, I feel that vets cannot crack under pressure. They must make the right decisions for the well being of the animal, and also the owner.”

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“Job shadowing strengthened my conviction to be a vet. Seeing an animal’s flame rekindled gives you a sense of satisfaction. You feel joyous for helping the family and improving the life of an animal – be it a bird, cat, hamster or dog. Furthermore, a growing stray population may give rise to more animal abuse. By becoming a vet, I may be able to make a positive difference to this predicament. That’s the beauty of being a vet – it is more than just a job.”

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“I chose to job shadow at a vet clinic as I have a strong interest in animals and have dogs since I was born. We had a Maltese. After he passed, we welcomed Bambi and Belle into our family. They are Labradoodles which we personally chose from England after meeting their parents to check for any hereditary issues.” ~ Brandon Au Yong with Guan Wei at Mount Pleasant Animal Clinic (East)

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“I love animals and want to help them get better. I have plans to pursue a veterinary degree in Australia. During job shadowing, I learnt how to take better care of my dogs and how to observe their behaviour for signs that they are unwell. I also learnt how various blood test machines work.”

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“The hardest part was to witness blood from certain surgeries or teeth extractions as I associate blood with pain. The vets do their best to relieve pain and perform procedures as quickly as possible. The best part of this whole experience – I was able to interact with animals and help care for them as well as interact with vets and technicians to learn about the industry and their work.”

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“When I was young, we stayed with my extended family and 10 dogs. I love our dogs and my interest lasted through the years till now when only 2 dogs remained.” ~ Michael Boey at Mount Pleasant Vet Centre (Changi)

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“Our dogs are old and have had their fair share of visits to the vet. I’m always interested to learn what goes on in a consultation and when animals are hospitalised. Being a vet is one of my dream jobs.”

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“For an animal lover, the contact with animals is possibly one of the best parts of being a vet. I cannot bear seeing any animal sick. I would want to find out what is affecting them and how we can nurse them back to health.”

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David with Sophie at Mount Pleasant Animal Medical Centre (Bedok)

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Daniel at Mount Pleasant Animal Clinic (North)


Under Mount Pleasant Community Outreach – Education, our programmes include talks at schools and organisations, project collaboration, work experience, student attachments and clinic visits. Email comms@mountpleasant.com.sg to be part of our outreach! 

Elle: Liver Flukes In Cats

Five years ago, a stray cat strolled into Hasnah’s house and decided it is a good place to stay. He never left. Everyone thought he was a girl and named him Elle.

On 22 October, Elle was rushed to our After Hours Emergency Clinic. He was lethargic, vomited once and had been eating very little for four days.


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“I got what?” You’ve got liver flukes, Elle. Good to see you feeling much better already!

what is liver fluke?

The cat liver fluke is a parasitic worm that infects the liver and pancreas of cats. Outdoor cats who hunt are most at risk of liver fluke infection.

Flukes spread when infected cats pass their eggs in faeces. The eggs are consumed by snails which may then be consumed by secondary hosts such as toads or lizards. If your cat eats an infected lizard, he becomes infected with the parasite.

Some cats do not display any symptoms until they become heavily infected
  • Vomiting
  • Diarrhea
  • Weight loss
  • Distended abdomen
  • Enlarged liver
  • Jaundice or icterus (yellowing of eyes or skin) which occurs when bilirubin accumulates in the blood
Diagnosis
  • Thorough physical examination
  • Blood tests to evaluate liver function
  • X-rays to evaluate liver health and check for other symptoms
  • Check stool sample for liver fluke eggs
  • Collect fluid and tissue samples from liver for laboratory analysis
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The cat liver fluke is a hepatic fluke – it affects the bile duct, small intestines, pancreatic duct & liver.

Treatment

Severely ill cats like Elle need to be hospitalised and hydrated intravenously. A feeding tube was surgically placed to ensure Elle receives proper nutrition and medication to clear his body of the liver fluke parasite.

Medication that kill parasitic worms, such as praziquantel, can be given to eliminate the parasites from your cat’s body. Additional medications may be prescribed to lessen inflammation and prevent infections. In severe infections where the bile ducts are blocked, surgery may be required.

When appropriate treatment is given before severe damage has occurred in the liver or gallbladder, your cat can recover. Some cats may progressively develop liver cirrhosis and liver failure.

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The sight of your cat or dog with a feeding tube might be unpleasant. However, feeding tubes are very useful for animals who are ill & have lost their appetite, or are keen to eat but have difficulties swallowing or keeping food down.

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If your cat does not eat for as little as forty-eight hours, she can develop a potentially life-threatening form of liver malfunction known as hepatic lipidosis. Read more about the importance of feeding tubes.

Preventing Liver Fluke Infection in Your Cat

Keep your cat indoors to reduce the risk of infection. Discourage your cat from hunting and eating lizards. If your cat does go outside and is a hunter by nature, watch out for signs such as appetite loss and weight loss.

A dirty house attracts small insects or bugs, which in turn attract lizards. Clear food waste properly and keep your house clean, bright and airy. Try home remedies (like egg shells or garlic) to keep lizards out of your house.

Many animals do not display pain or signs of diseases until it has progressed to later stages. Consider sending your cat for regular health screens and blood tests. Early detection and treatment can prolong the quality of your beloved pet’s life!

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Hasnah jokes: “Elle is back from ‘reservist’ at Mount Pleasant Central! He is eating well & getting active again.” At the rate Elle is going, any weight loss will be put back in no time!

Thank You Amanda, Song, Daffin!

Today we say THANK YOU to Amanda, Song and Daffin of Mount Pleasant Central Vet Clinic (Whitley)!

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“I joined Mount Pleasant 3 years ago. I’ve always wanted to work with animals. I have pets since young, they are like my best friends.” ~ Song with Marc, Vanessa & Panda at Mount Pleasant Central Vet Clinic (Whitley)

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“It’s so rewarding when I see animals recover & go home & when they are very happy to see you when they come back for review. However, we also see animals who are neglected & not properly taken care of by their families.”

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“Max my Japanese Spitz ix 11 years old. I adopted him when he was 1. His owner was posted overseas for work & couldn’t take him along. Dawn my Schnauzer is about 8 years old. She was an ex-breeding farm dog & I adopted her on the very day she was rescued. She makes me realise that dogs who have gone through hardship can be the sweetest when they finally find someone who cares about them.”

“Max and Dawn are the reasons I am working in the veterinary line. I want to learn more about animals and how to better take care of them. I enjoy fishing. But for me, the best way to de-stress is spending time with Max and Dawn!”


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“I joined Mount Pleasant 3 years ago. Working with animals & helping them feel better is something I always wanted to do.” ~ Amanda

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Tinker & Mingster!

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“Tinker used to belong to my sister but because of her busy lifestyle, Tinker grew closer to me over time. She follows me everywhere. My husband fell in love with Mika the conure at first sight. Tinker & Mika didn’t mind each other from the moment they met. They go on daily walks together.”

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Kasumi & Mingster ~ just chilling….

“Kasumi was our rescued resident cat. I fell in love with her the day I came for interview. I always wanted a cat but my mom is against the idea. When I finally have my own home, I decided Kasumi will come live with me.

Being an older cat and seeing so many dogs coming in and out of the clinic everyday, she is always very chill even with dogs barking around her. So I know she is the best fit for Tinker. They got along from day one. Kasumi also doesn’t mind Mingster hanging out with her!”

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Amanda’s mini zoo! “I like reading & sometimes I paint. But I don’t have much free time as I’m currently studying for my Certificate IV in Veterinary Nursing. If I am not a vet nurse, maybe I’ll be a zookeeper. I always wanted to work with large animals. I also aspire to be like Prof Noel Fitzpatrick!”

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With part of the team at Mount Pleasant Central Vet Clinic (Whitley)


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“I joined Mount Pleasant in July 2014. Animals make me happy & make life less stressful. I’m here to learn as much as I can.” ~ Daffin with the super cute & chubby resident cat Ginger Boy! He’s 13 years old.

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“It feels really good when we see our patients recover & then discharging them back to their happy families. It’s also a joy to see families come in with their new puppy or kitten for the first general health check.”

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“My dog Hoki teaches me to be more responsible. He brings so much happiness to me & my family. I love art & craft. I studied design & Hoki was my model in one of my graduation projects.”

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daffin

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“I have awesome colleagues & it’s a bonus to be able to bring our dogs to work some days.”

‘Such short little lives our pets have to live with us, and they spend most of it waiting for us to come home each day.’ ~ John Grogan. 

“The loyalty of our pets inspire me the most. They will always be there to welcome you home no matter how bad their day might be. There are those who are very sick and weak but they would still happily wag their tails when their families come to visit.”

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The big family at Mount Pleasant Central Vet Clinic (Whitley)!

At Mount Pleasant Central Vet Clinic, our hospitalised patients - your best friends and family members - will never have to be alone after our day clinic closes. We now offer 24-Hour Monitoring with Vet Technicians and Nurses like Verg and Annie watching over our patients throughout the dark hours. Mountpleasant.com.sg/central/ is located at 232 Whitley Road. Our After Hours Emergency Clinic is situated at the same location with a vet on duty to accept new emergencies.

At Mount Pleasant Central Vet Clinic, our hospitalised patients – your best friends & family members – will never have to be alone after our day clinic closes. We now offer 24-Hour Monitoring with a Vet Technician or Nurse watching over our patients throughout the dark hours. Mount Pleasant Central Vet Clinic is located at 232 Whitley Road. Our After Hours Emergency Clinic is situated at the same location with a vet on duty to accept new emergencies.

Happy National Vet Tech Week – Thank You Concordia!

On behalf of our big Mount Pleasant family, we wish Concordia and all vet techs and nurses around the world – HAPPY NATIONAL VET TECH WEEKThank you for all your hard work, strong stomachs and big loving hearts!


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“I joined Mount Pleasant on the day we opened Mount Pleasant Animal Hospital at Whitley – 12 May 1985.”

“Being with animals has always been a part of my life. Back home, we had dogs and cats. I helped to clean the small house of our chickens and feed them before school. Fattening the pigs in our backyard, 5 goats and cattle reared by another farmer.

I enjoyed watching them grow. When they were sold as food animals, I sometimes became reactive and emotional.”

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High school days (1st row, first from R).

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Concordia & fellow students at the university’s veterinary hospital (2nd row, first from L).

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“My parents inspire me. They are not degree holders but the values they instill in us – especially on the importance of education – I will remember forever.”

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“It is very rewarding when ultrasound examinations provide important diagnostic information for our vets to prescribe the best treatment quickly.”

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“I am happy when pets get well & families are relieved. It is frustrating when we have done our best but the outcome is not good.”

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With part of the team at Mount Pleasant Central Vet Clinic

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“I am a simple person, not very sociable but sincere with others. I put my heart & mind in whatever I do.”


Watch this space as we feature some of our vet techs, nurses and admin staff this month!

Tiger: Maggot Wound Reconstructive Surgery

* Note : Images may be unpleasant for some readers. 

Community cat Tiger disappeared for 2 weeks before returning with a horrific gaping maggot wound on his head. His caregivers have not been able to catch him for sterilisation as he is wary of humans.  When Tiger was finally spotted at the void deck on Sunday night, he was hungry and very weak. Hasan and caregivers were able to move him into a carrier and rushed him to our After Hours Emergency Clinic.

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After missing for 2 weeks, Hasan finally spotted Tiger on 24 July at the void deck. He was rushed to Mount Pleasant After Hours Emergency Clinic to treat the horrific maggot wound.

More than 100 maggots were removed

A surgery is required to close up such a big wound. Before that, the area has to be debrided (remove dead, damaged, infected tissue) aseptically & thoroughly flushed daily until a healthy granulation bed has formed.

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Being FIV/FeLV positive & estimated to be 12 years old, Tiger might not do well under general anaesthesia & wound healing may be delayed. No matter what, Tiger’s caregivers Hasan, Tipah, Rokiah, Tina & Richard, have made up their mind to do everything to save his life. Besides Tiger, they are caring for many other community cats in their neighbourhood.

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Verg & Mabel prepare Tiger for surgery.

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Dr Lesley Teo @ Mount Pleasant Central Vet Clinic (Whitley) performed the reconstructive surgery

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There is a considerable amount of loose skin over a cat’s neck that can be mobilised for wound closure. A single pedicle advancement flap is elevated from Tiger’s head & neck skin to stretch over the wound.

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All skin flaps require a clean, healthy recipient bed (free of debris, infection & necrotic tissue) for survival.

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The flap is sutured into position.

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Without caregivers like Hasan & friends, Tiger would not have survived. Tiger will be hospitalised for a few days before going to his new home.


Special Appeal For Tiger
To support caregivers like Hasan, we offer a discount for the medical care of community animals. Tiger has also been sterilised at no cost. Tiger’s caregivers are appealing for funds to help with the medical expenses so they can continue to care for sick or injured community cats. You may visit Tiger at Mount Pleasant Central Vet Clinic @ 232 Whitley Road (Tel: 6250 8333) during visiting hours and speak with our receptionists about helping Tiger. You may also email Hasan at hasan747hsn.nh@gmail.com. Thank you!


UPDATES ON TIGER

Back to remove stitches. Looking grumpy but still a good boy & healing very well.

From “crown of thorns” to crowning glory!

Such a magnificent sight after putting on 2kg & growing out a glorious full coat. Thank you everyone for helping Tiger!

Qian Xun Says “Thank You Dr Germaine Lee & Dr Lesley Teo”

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Deepest thanks to all the wonderful and passionate doctors, nurses and staff at Mount Pleasant (Whitley) for saving our dearest Qian Xun’s life. Especially Dr Germaine Lee & Dr Lesley Teo.

Despite all the risks and fearing the unknown, we placed Qian Xun’s life in your hands and with caring arms, you’ve brought him back to us, healthy and happier! Is time for 千尋 to say tHAnk yOu 🐾🐾

Watch Qian Xun’s video.

Wendy Tang and Qian Xun

Timmy WongChoy Says “Thank You Dr Cheryl Ho & Team”

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I wish to thank the veterinary team at Mount Pleasant (Whitley) for the quality service provided to my dog for the past 4 months. My dog Timmy (mixed Whippet adopted from SPCA) was diagnosed with ischemia, where the tip of the tail was injured and difficult to heal.

In April, the vets treated the area and changed the dressing weekly. It recovered but due to excessive wagging, the area bled again. Later Dr Cheryl Ho suggested cutting off the tail by about 2 inches. After surgery, Timmy was hospitalised for two weeks.

During the 2 weeks, Timmy was well looked after and gained weight. The vets were caring and dedicated and kept me updated on Timmy’s condition. After returning home, Timmy needs to go for weekly change of dressing and his tail has recovered and fur has started to grow.

Thank you Dr Cheryl Ho, Dr Lesley Teo, Dr Estella Liew, Ling and all the technicians and assistants for providing excellent medical care and service. Much appreciated!

Keep up the good work.

Rosemary Yam & Timmy WongChoy