Vet options in Bangkok

 

I visited our vet recently when my kitten was sick, and was considering how we've had lots of different kinds of experiences with vets in Bangkok. I wanted to recommend them, and compare how other types of vet services work out.

The Vet Hospital 24 Hour, at Udom Suk (they are here): they're great, the best vet we've tried, so this is who we use now. Staff are very experienced, and they love animals. Care seems pretty solid, but that part can be hard to evaluate, since I can't really evaluate or second-guess animal medical treatment.  Our cats have been through a rough past year related to health issues, and only one case went badly, and for a mix of reasons that can't really serve as an indicative example. 

To me this is the ideal, a good value, good services local branch version, that has enough experience base to also do basic surgeries. If a vet is oriented towards value you can even use them to support short vacation stay pet care, at a similar or perhaps lower price than in local "pet hotels." All of the other private options mentioned here also provide this service, per my understanding, and lots of "pet hotels" do, but costs vary.

Thong Lo Pet Hospital: this is a main local business, with at least three different branches, so it's not only at Thong Lo. We've taken pets there before, and services seem fine, but the cost is pretty significant. I don't really blame them; overhead must be high for such a business. Not so different than "The Vet," but a more corporate themed, for-profit business positioning changes things.

Chulalongkorn and Kasaetsart Animal Hospitals: these are great options. Care is great, costs are low. The trade-off is that like in local government hospitals you will spend a few extra hours there even for basic care, and for something requiring return visits that will add up to extra days worth of time spent there. 

If you go frequently--hopefully not because of poor pet health--you can build a relationship with a specific doctor, and then things will go all the better. Limited experience with surgery and urgent care at the Chula version went as well as that kind of thing tends to go; surgery and lab facilities are very extensive. A cat specialist theme at Kasaetsart seemed to add functionality.

the Chula Small Animal Hospital main building (credit their website)

Sukhumvit Veterinarians:  there would be lots of other options, and I'm including one recommended in a Reddit thread comment (here).  They said:  "I think 2 factors that helped us feel reassured by our vet of choice was that it was a recommendation by a friend who has a geriatric dog, so can handle complicated care like that. And when we first visited, the staff was warm and seemed excited to meet our cats."

The vet staff at that Vet Hospital 24 Hour place we go to are so excited to see our cats that they greet them as friends when they arrive.  Especially the Siamese cat, who has a cool look, and a really sweet personality, but they also seem to love the other cats.  They send Line updates with photos, and I can tell that the cats get some attention while they're there, which would mean the world to them.

Broad scope of experience and specialization is also important.  Lots of vets would have lots of diverse experience, and word of mouth in different forms helps inform where others have had the best results.

Other local vets: we've mostly only been to one in Ari, that was fine. Services were ok, and cost wasn't quite as high as the Thong Lo branch. All of these places are using well trained vets, so care is generally fine all over. I suppose you would only really test that when something unusual went wrong with your pet's health, and maybe as with human medical care how that goes could relate to if there is a common or uncommon health condition occurring.  Or to the pet's general health, and other factors.

our other cat.  all are happy and in good health now, but she is a bit moody.

Life and death of a Bangkok street cat

If you are sensitive related to the subject of death you shouldn't read this; this will be the only trigger warning.

A series of events related to a local Bangkok street cat has been troubling me lately, related to navigating the role I should play, and now to how it worked out.  A street cat has been visiting our house and our cats for years; it's about him, who I'll call Ei Dum (pronounced ee dum, more or less "the black one," after his color).  He's not the first; friendly and unfriendly cats have visited before.  One fought with another of our cats once, causing him to fall from roof space, and he later died from an injury from that.  Of course that haunts me to this day, not doing something differently to save him.  I didn't see that occur, and he seemed fine later, but he wasn't fine.

This cat hasn't exactly been a friend to our cats, but he's tolerated, not an enemy.  My son Keoni once said that he thought the cat thinks of himself as the husband to our oldest cat, Nong On, but that she doesn't see it that way.  Who knows what they think, or how they feel about a range of things.

He has been sick lately, not looking very good for the past two months that my wife and kids have been living back in the States.  I'm still living in Bangkok, working, watching the cats, and taking care of the house (just being here, tending the plants and making sure nothing goes wrong).  I fed Ei Dum; that's not how that went before for him.  The hope was that his health could return, or at least that he would be doing better at the end of his life.  

Over the past week or so his health has declined further, maybe rapidly, or maybe it's just that I've noticed it more.  His tongue sticks out, all the time, he walks rigidly, and even breathing seems to cost him effort.  For the first time he will lay around our house areas sleeping, where before he would just hang out a little, and then go back to wherever he spent more time.  It would have been nice if I could pick him up and take him to the vet, but he hissed at me even just walking near him, or even in the process of feeding him.  All that concerned me, since it all overlaps some with signs of rabies.  Him being sick was troubling, but our cats being in contact with a deadly disease is even more of a concern.

So I kept asking others for advice, if those symptoms sound troubling, and what my options might be.  I wanted to get him help.  If someone said that sounds a lot like rabies I would become alarmed, and if they said something else maybe that could be calming.  No one I asked seemed to have any clear thoughts on it, or likely judgement.

In the past we had a rat get in our house (that can happen; we live in a heavily vegetated garden space), and my wife called local animal control staff to remove him, from being trapped in our bathroom.  Anyone else might have trapped the rat, or sorted out a way to kill him, but as a Buddhist family taking part in killing any animals isn't accepted.  Then it's odd how that works out related to eating meat, being a cause for animal deaths every single day.  It's fine if someone else does the killing; that's part of their karma.

It's too easy a perspective, it seems to me, as someone originally from a rural area.  I raised pigs for consumption as a 10 year old, and hunted at 13.  Visiting a chicken farm at around the age of 23 was one input to deciding to not take any further part in that cycle, and I became a vegetarian, for 17 years.  Then eventually effects from not balancing nutrition caused me to drop it again.  I still don't eat much meat.

Anyway, back to that cat.  My wife helped me reach out to another animal control agency, and they set up plans to check on the cat, and then to make arrangements to get him.  That was complicated, since they visited when he was here to check, then when he wasn't to capture him, and then left a trap (a box version with a door that closes behind him).  It didn't work at first, but I reset the trap and caught him, and he was taken away today, to get medical care.

It's all good right, a happy ending, as much as there could be one?  That extra day of delay in capturing him allowed me plenty of time to think it all through, and to hang out with Ei Dum one last time, sitting out in the driveway.  We weren't so close; I never petted him, and couldn't have if I had wanted to.  But he seemed to visit to have a space he could feel safe in, and I can't help but feel that I've betrayed him, even though it was for the purpose of getting him medical attention.  Maybe it brings up feelings related to losing that other cat, who we loved, as we love our other cats.

The process for treating him is getting him medical care through a government vet, then he will be cured and released to a farm area to stay in, surely provided with food there.  He will never return, and I can't know if he did recover or not.  It's hard to not be pessimistic about his chances.  

Does he have rabies though; is it really a condition that's dangerous to our cats, or to me?  I'm not that worried about me being bitten; I was once bit by a local shop cat (named Happy), and had those shots about two years ago, and I could go through it again.  She had rabies shots prior but given that disease is deadly the doctor I consulted said that it's best to be on the safe side, and get the vaccination shots.  

I still pet that cat; if she bites me again I'll go through it again.  She lost her freedom through that event, the little she had; she now generally stays in a cage, instead of just on a leash outside the shop, although they sometimes relax that back to leashing her.  Then at night she is more free, staying in open spaces within the shop and their living area.  The cause for her to lash out against me had probably been fighting with street cats upsetting her, even though she had known me since she was a small kitten, and I usually visit with her several times every week.  Do I sound strange yet, forming these odd attachments?

Happy as a little girl

I don't know if Ei Dum has rabies.  Maybe not?  No one could ever make any informed comment about what it means when a cat's tongue sticks out for days, or his other symptoms.  My mother is a registered nurse and her input was "that doesn't sound good."  Right, but what does it mean? 

What do I learn from all this, beyond working through the uncertainty, and feeling that I betrayed him?  In retrospect I could have visited a private vet, one part of a university program, borrowed a cage, and brought him back to them, paying for his treatment.  So that, that in hindsight there had been a way to capture him and get him treated, just not a straightforward one, and not one I considered in time.  

Also everything is much more difficult when you can't communicate well in the language everyone else uses.  I can order at a restaurant, or eavesdrop on work meetings, when I already know parts of what is being said, but my Thai language skills fall short long before I can discuss the health issues experienced by a street cat.  I don't know how it would have went for a vet to treat a cat that isn't accustomed to people.

It feels like this situation is triggering underlying feelings about death, loss, risk of illness, and responsibility to others that I'm not able to deal with consciously.  I did fulfill responsibility to protect my cats, and if they might become infected and carry rabies--as someone suggested might happen if they had vaccination shots, as of course they did--then all of this could relate to protecting my children.  It still doesn't feel like I did all that I could do, or the clearly right things.  It will probably prove difficult to return Ei Dum to good health, and instead of dying here he will die elsewhere.

It's a short next step to add "not around people who loved or cared about him," but then who did?  Someone else in this soi (side alley street) must have been feeding him for him to have lived this long, and maybe they cared about him more than we did.  

I can speak some Thai but I couldn't ask around about him, and I'm not on close terms with any neighbors anyway, beyond those in two local shops who are not based within this side street.  All of the neighbors collected on that first day when animal control staff came to pick him up, and failed, so the word got out, and there was no mention of anyone "owning" that cat.

One more of many tangents:  there are different categories of unowned cats here.  One of our cats was from a neighbor's cat having kittens, one was a "temple cat," and the other was born in a vocational college, to a mother that was no one's pet cat.  People often feed stray animals here; it's part of the culture.

Myra has a sweet habit of holding your face when you hold her

awhile back; 16 years ago next month

So Ei Dum lived a free but somewhat solitary life of being tolerated by some local cats, and fed by a couple of different people, but probably never truly cared for.  It's no wonder that the one other street cat was so malicious, living like that, but Ei Dum was not mean-spirited.  I guess to connect an ill-fitting happy ending onto his sad tale someone did take steps to get him medical care when he clearly needed it, but it's hard to accept that as a summary of events.  There is a small chance he will go on to lead a better life, but even then he may hate that life.  Or love it, if it works out; he may find the broader care and acceptance he never could here.  I like to think he was friends with my cats, that he had been accepted, even though it can be hard to tell.  They really don't even get along with each other very well.

All of this reminds me of the time that local canal turtle found a way to visit us, which I wrote about in this blog.  I botched early decisions about how to care for that turtle (it lives on aquatic snails, not vegetables), and had no idea if a badly cracked shell would be a terminal condition for her if returned back in that canal, and then turned her over to an animal rescue agency.  I had thought it was "him," but they corrected that.  She is alive now in a pond in a rural area, I hope, and in her case that's a likelihood. 

Thai society can be brutally cold; a live and let live acceptance of karma can land in roughly the same place insensitive acceptance of random luck does back in the US.  When I was ordained as a Thai Buddhist monk a fellow monk's family adopted an entire litter of cute little puppies, who I visited, and I later came to find out that either all of them, or at least most of them, died of diseases present in that area, from parasite exposure and such.  Then some rescue takes a different form, and leads to a better outcome; our youngest cat was born a street cat living in a vocational college, and her mother was killed by a dog when she was about a month old.  It's a little awkward to type it out, but she is probably more loved than most people.

It feels forced but I want to end on a positive note. 

Ei Dum may yet live, and truly thrive, offered a new hope through medical intervention.  I had no choice but to get him that chance, especially after what happened to Ju Tai.  I'll live with second guessing if I did my absolute best, but it will be better than living with that other kind of feeling of awful responsibility.

There is no chance of a next chapter to this story, but that part reminds me of something else too.  When I dropped off that turtle to the rescue agency--odd there even is a turtle rescue agency, right?--the premise was that you can't visit the turtle, that it's a wild animal, that you have no connection to, and will never see it again.  My wife was out of town that weekend and when she came back we went there and visited her, so she could say goodbye.  One nice part of Thai culture is that people treat others as people, and if the rules and formal process need to be thrown in the bin once in awhile to do the right thing then so it goes.  

If my wife was here we'd go visit that cat this weekend, but without her here maybe not.

Brewing tea for plants (tisane, really)

I've been tending my mother-in-law's gardens for the last 7 weeks, and have experimented with brewing a tisane version from fallen leaves to nourish them. The idea came from throwing rinses out into the yard, about considering how the plants would probably prefer the main infusions, what I drink instead.  Then she also keeps very large jars around to catch rainwater to use, and leaves falling in those brews a light infusion that might essentially feed them. 

Connecting the ideas I tried out putting a large amount of leaves into two large empty pots, then filling them with water, pouring that on the plants, and repeating the process.

 

It sounds like an impractical amount of work, doesn't it? I've spent hours on the experiment. I remove the water using a couple of small buckets, straining most leaves by drawing it from one side. It takes many such buckets to empty a pot, maybe 40, drawing out 3 liters / quarts at a time, emptying maybe around 30 gallons a round (130 or so liters).

Does it work though?  How could I know if it's helpful for the plants, or if there is some form of risk (eg. mold contamination)? I asked that in a gardening group, drawing no response. I could tell by the plants' health, I guess. Some that had been growing very pale, yellowish new leaves have gone mostly green in just a few days, with green coverage spreading from the inner veins. Who knows though, really.

Mentioning this here relates to it being interesting, and vaguely related to tea. And to potentially drawing feedback, which isn't really how blogging goes.

Conventional composting would probably be easier and more efficient, piling these leaves mixed with some soil, and keeping that damp. That brings up another comparison that would only ring a bell or be interesting to tea drinkers, about shu pu'er.

One pot I filled with drier, fresher leaves, from the top of a pile swept together, and the bottom layer had been there for a couple of weeks, regularly wetted by rain in that time.   The bottom of that pile had already been decomposing, seeming a bit like dirt, or I guess also like shu pu'er.  It "brewed" a lot faster, producing rich, brown liquid right away, while the other leaves produced a paler liquid the first day. It has evened out some since, but the one pot is still breaking down faster.

It sounds like I'm going somewhere with all this, doesn't it?  Not so much.  If anyone has feedback about the pros or cons of this sort of practice it would be interesting to hear that.  I'll close this with more photos of the garden.

birds of paradise

many of the plants are in pots, some with minimal soil, making watering them more demanding

some recent additions from a farm in Chayapum; one will become a jackfruit tree

these are blue pea / butterfly flowers, a tisane, but I don't care for that

papaya!  there are a dozen or so growing now; the race is on with the squirrel

higher growing flowering vines have a sweet scent, only in the evening

Myra Kidney

cat in natural environment

Mama Nid with the kids and that one cat