Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS
July 25, 2009
Haggard-looking and old while waiting for his 2nd ear surgery. Pus oozed out from both ears like a burst dam. Back quarters hairless. "This hamster ought to be put to sleep," my assistant Mr Aung said, as a strong stench of decaying flesh fouled the air of the operating room. But is euthanasia the only option for this suffering oldie? I know Mr Aung did not believe that this hamster would survive the long ear surgery needed. The hamster had two ears with pus of the decaying bacteria spilling out of his ears. Yellowish, liquid fluid. This was a hopeless case. The hamster would never survive anaesthesia and that would be the reasonable opinion of the veterinarian. Yet, I felt that this hamster had that zeal for living - something I cannot describe. He had what we would call a positive attitude towards life if there is such a trait in the animal kingdom.
"Your wife will not be very happy with you if you suggest euthansia," I said. "Every life is precious to her. It will be bad 'karma' for you if you propose death for this hamster." Mrs Aung would never kill any creature. "Let the mosquitoes bite me if they wish to," she once told me when I asked how about the government's "kill all mosquito" campaign against dengue fever. Last month, she trapped a big rat hiding in my office, put it in a cage, held it by the tail and released it in a field some distance away. Another time, I saw her picking up a fat bed bug loitering in a mattress in a room she had managed for rental to some Myanmar sailors whom she claimed were the carrier. I do have a picture of this bug she saved but not the big white rat from the restaurant behind my surgery, caught and released by Mrs Aung.
"This old hamster can be cured," I was preaching to the skeptical assistant. My other assistant, Mr Saw did not comment . "If his two large ear canal tumours can be removed, his backside alopecia would go away. He would not longer be stressed by having to scratch his ears all the time. With no stress, his backside hair will grow back."
Well you may
ask, "What has the backside hair loss to do with ear
infections and irritation?". They are on different
ends of the hamster's body. My hypothesis is that
there is a nerve connection from the ears to the
backside. When the ear canals are inflamed, the
nerve sends sensory impulses to the side of the body
and to the backside, resulting in itchiness.
In the dog, this can be quite obvious. Many dog
owners look for skin infections in the flank of the
dog with ear infections, thinking that the dog bites
the flank or uses the hind legs to scratch the flank
because there is skin infection in this location. If
the vet cures the ear problem, this flank itchiness
disappears in almost all my cases treated.
OK, I agree that no dog ever had backside hair loss
due to the ear infections and itchiness. In the dog,
the cause is usually an infection of the anal sacs.
The dog bites his backside and his anal area,
resulting in alopecia and hyperpigmentation and
inflammation. However, in this hamster, I doubt he
has had anal sacculitis. It is just possible that
his chronic ear infections lead to hair loss of his
back quarters. Not everything in the dog can be
attributed to another species and in this hamster,
my hypothesis is that the chronic ear irritation
cause him to bite his backside in an attempt to
relieve the continual pain in his ears.
The only way to prove my hypothesis is to cure this
hamster, not to euthanase it. Mr Aung did not know
that I had deep-froze the large ear tumour and given
anti-inflammatory and antibiotics for the past 4
days. The ear tumour which had abscess had softened
considerably and pus of the most foul smell was
oozing out from the ear canal now.
In the
traditional veterinary thinking, this hamster would
be considered inoperable. Why prolong his suffering.
Put him to sleep and out of pain. Yet, this was not
what the young lady owner wanted. It was logical for
the vet.
I looked at Mr Aung waiting for his reply to my
reference to bad karma if he suggested euthanasia.
According to his wife, a person suffers in his life
because he had done something wrong in the previous
life. Therefore he had bad kharma. So, if the person
who does something bad in his present life, he would
have bad kharma when he is reincarnated. All cock
and bull? Well, Mr Aung did not comment.
Now, would this haggard looking oldie die during
surgery? It would take a long time to operate. At
least half an hour. A minute drop of Zoletil IM was
insufficient as the hamster moved. Another drop was
given. 1 ml of dextrose saline with Baytril
antibiotics had been given subcutaneously.
"Is
there a vertical ear canal in the hamster?" I tested
the 3rd year veterinary student from Murdoch
University present at my Surgery to assist me with
some Excel software application. Daniel shook his
head. Did that mean "no"? I doubted his professor
had ever lectured on hamster anatomy.
I asked Mr Saw to insert the artery forceps into the
vertical canal of the hamster's ear. The scalpel cut
the lateral wall's skin and cartilage. Lots of
bleeding. Swabbed bleeding. The small bubbles of
tumour inside the vertical canal were picked off and
excised. This chronic ear infection had resulted in
the formation of numerous round tumours as in the
dog.
"Be careful not to cut the branch of the facial
nerve," I explained to the student. In such a small
hamster, I could glimpse a long vein at the base of
the ear. To the veterinary undergraduate, it was
just blood and gore. As for the parotid salivary
gland, I was careful not to cut it. Not that I could
see it as in the dog. I mean, this hamster was 1000
times smaller than the Chihuahua. Maybe 100,000
times and any
salivary
gland and nerve and blood vessel would be
correspondingly reduced in size.
Now you know
why veterinarians in general dislike hamster
surgery. There is the anaesthetic risk of the
hamster dying as the surgery of these two ears took
such a long time, as remarked by Daniel.
Surprisingly, this hamster survived the surgery. "Is
the hamster alive the next day?" Daniel asked me
when he visited in the afternoon.
"Yes," I said happily. Everybody thought he would
not survive the bleeding, the stress and the long
surgery. But we were all mistaken. I told the young
man, "The hamster looks so much better now. He is a
tough cookie."