Sunday, September 16, 2012

1098. Urinary Stone Reminder?

I reviewed another case of struvite urinary stones in a male Jack Russell with blood in the urine. The stones were struvites on analysis and were removed by my associate vet in April 2012. The stone analysis case report has the words from the vet: "called owner several times, no answer".

The lab report stated positive for stones of calcium, phosphate, magnesium and ammonia. The last 3 consituted struvite stones.

The owner did not come back after the operation and this is a very common situation as many Singapore dog owners have not reached that level of knowledge to know that struvite urinary stones can recur and can easily be detected early and dissolved using special prescription diet.

I wrote a note to this owner to let her know. It is not practical to keep track of every urinary stone removal surgery if the owner has no interest in following up.  Maybe 5 years from now, the internet generation will be much more sophisticated and educated and know what to do.
In the meantime, should there be a URINARY STONE REVIEW REMINDER similar to a vaccination health wellness reminder?


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