Tuesday, May 30, 2017

30 May 2017.

WHAT REALLY HAPPENS AFTER DEATH?

I renewed my 20-year old friendship on 12 May 2017 with Eugene Leow, when we mutually met up with Peter Yeow, my cousin, a guitarist, now based in Manchester, U.K. We all played together in our band – some 20 years ago!

Eugene has been with Nirvana NV Asia past 10 years, and today, he has climbed the corporate ladder to become the District Service Director of Nirvana NV, and doing very well. Eugene first roped me into Nirvana some 10 years ago as his downline Service Adviser – and I achieved nothing these past 10 years!

I decided to be his downline again – starting past 2 weeks - and he is teaching me all over again how to be the marketer of Nirvana!

In my Nirvana canvassing, one of my friends recently wrote the following WhatsApp message to me:

Brother Eu Ming, my Christian belief is: when we passed away, our Spirit will rise to Heaven. Our physical body will return to dust. We will have nothing left on Earth! So, graveyards etc has no value, and a waste of time and money”!

Is this his correct interpretation of the Bible?

My Answers/Further Research:

A.    What Happens To Us Spiritually When We Die?

1.      Jesus described earthly death to Martha when her brother Lazarus died in John 11:21-27. This passage has been a source of confusion for many because, at first, it seems contradictory: Jesus said to her, ‘I am the Resurrection and the Life. He who believes in me will live, even though he dies; and whoever lives and believes in me will never die. Do you believe this?’ “Yes, Lord,” she told him, “I believe that You are the Christ, the Son of God, who was to come into the world.”

2.       In Ecclesiastes 12:7 Solomon declared, “The dust returns to the ground it came from, and the spirit returns to God who gave it.” This is in total agreement with the first discussion of death by God in the Garden of Eden when He said, “By the sweat of your brow you will eat your food until you return to the ground, since from it you were taken; for dust you are and to dust you will return” (Genesis 3:19).

Just as Jesus commended His spirit to His Father in heaven at the moment of His death, so too our bodies are laid to rest in the grave [my emphasis], but our spirit lives on.

 20 But Christ has indeed been raised from the dead, the first fruits of those who have fallen asleep. 
21 For since death came through a man, the resurrection of the dead comes also through a man. 
22 For as in Adam all die, so in Christ all will be made alive. 
23 But each in turn: Christ, the first fruits; then, when He comes, those who belong to him.
(1      Corinthians 15:20-23).

B.     We Do Not Acquire Miraculous Powers At Death

When people die they do not become angels nor assume the divine attributes of God. Neither should Christians expect to share God’s miraculous powers in the afterlife. Those who die do not become omnipresent (able to exist in more than one place at a time) or omniscient (all-knowing). When David said he was eager to awake with the likeness of God, he was describing life without sin, not appearance or authority (see Psalm 17:15).

The Bible teaches that Jesus will return to earth for a final judgment of both the living and the dead. At that time He will bring with Him all the souls of those who have died, and on that day (and not before), the bodies of the dead will be raised from the earth, transformed for immortality and reunited with their spirits for eternity.

This is how Paul described that day in a letter to Christians in Thessalonica:

“… God will bring with Jesus those who have fallen asleep in Him. According to the Lord’s own Word, we tell you that we who are still alive, who are left till the coming of the Lord, will certainly not precede those who have fallen asleep. For the Lord Himself will come down from heaven, with a loud command, with the voice of the archangel and with the trumpet call of God, and the dead in Christ will rise first. After that, we who are still alive and are left will be caught up together with them in the clouds to meet the Lord in the air. And so we will be with the Lord forever” (1 Thessalonians 4:14b-17).
C.    What Happens In Eternity After We Die?

 At the Second Coming of Jesus, our bodies will be raised from the grave, joined to our soul, and we will stand with the whole world before the judgment throne of God. Those who believed in Jesus as the long-promised Messiah will then enter—soul and body—into heaven. Those who reject the grace of God in Jesus will then be consigned—soul and body—into hell. There are no exceptions. [my emphasis].

D.    Is the soul immortal?

·         Perhaps the most important scripture on this topic was penned by the apostle Paul. In Romans 6:23 he wrote very clearly and dogmatically: “For the wages of sin is death, but the free gift of God is eternal life through Christ Jesus our Lord.”

·         “For what happens to the sons of men also happens to animals; one thing befalls them: as one dies, so dies the other. Surely, they all have one breath; man has no advantage over animals. … All go to one place: all are from the dust, and all return to dust” (Ecclesiastes 3:19-20).

These scriptures are very clear: Human beings are mortal and will eventually die. The Bible is clear that God “alone has immortality” (1 Timothy 6:16), while humans are “mortal” (Romans 6:12).

Acts 1:9 records His ascension into heaven 40 days after His resurrection. Upon arriving in heaven, we are told that Jesus “sat down at the right hand of the Majesty on high” (Hebrews 1:3).
Jesus also told His disciples shortly before His crucifixion: “Little children, I shall be with you a little while longer. You will seek me; and as I said to the Jews, ‘Where I am going, you cannot come’” (John 13:33).

Few grasp the significance of what Christ said. Only He was ascending into heaven—no one else! He clearly said that we cannot come to where He was going, and the Bible is clear that heaven is where He went.

He later explained this further: “I go to prepare a place for you. And if I go and prepare a place for you, I will come again and receive you to myself” (John 14:2-3).

This scripture gives us a clue that the answer to life after death involves the return of Jesus Christ and is in the future. These scriptures show us clearly that Jesus Christ did not teach that good people ascend to heaven at death. The apostles continued that teaching to the New Testament Church.

E.     The Apostles’ Clear Teaching

In his famous sermon on the Day of Pentecost, the apostle Peter made a statement about heaven. In the context of Jesus’ resurrection (Acts 2:24), Peter said specifically that King David was “both dead and buried” (verse 29) and “did not ascend into the heavens” (verse 34).

Even when Paul expressed his “desire to depart and be with Christ” (Philippians 1:23), he was not saying it would happen at the time he died. He knew that he would be raised or changed at the “coming of the Lord,” who “will descend from heaven with a shout” (1 Thessalonians 4:15-16). In the book of Hebrews we find further evidence that heaven is not our destination.

We have seen that Jesus Christ directly stated that the dead do not go to heaven, but He also revealed that the dead would live again at a future time: “Do not marvel at this; for the hour is coming in which all who are in the graves will hear His voice and come forth—those who have done good, to the resurrection of life, and those who have done evil, to the resurrection of condemnation” (John 5:28-29). In verse 26, Christ revealed that He and the Father are the only beings with the ability to raise the dead.

The future resurrection was the hope that motivated the apostle Paul: “I have hope in God … that there will be a resurrection of the dead, both of the just and the unjust” (Acts 24:15). He also wrote that the dead in Christ “will be raised incorruptible” (1 Corinthians 15:52).

The above scriptures are just a few of the many that reveal the truth that the resurrection of the dead will not happen when one dies, but is a future event [my emphsasis]. They blend seamlessly with the passages already cited in these notes that show the mortality of human beings. We do die. And when we die, we are literally dead— asleep in the grave.

F.     But that is not the end. God will resurrect all the dead to life again at a future time. The Bible actually teaches that there will be three future resurrections of the dead. It gives us considerable detail of the general time frame of these three resurrections and what will occur. These resurrections are revealed sequentially in Revelation 20 [my emphasis].

(i)                 The First Resurrection

More is revealed in 1 Thessalonians 4:16: “For the Lord Himself will descend from heaven with a shout, with the voice of an archangel, and with the trumpet of God. And the dead in Christ will rise first.” The sound of a trumpet will herald the return of Jesus Christ to earth (Matthew 24:31; Revelation 11:15). As He descends to earth, Christ will resurrect His faithful servants who will meet Him in the air, followed closely by His servants who are alive at that time. Those raised to life in this resurrection are the “called, chosen, and faithful” (Revelation 17:14) servants of God who have lived throughout the millennia.
As Revelation reveals, this group will include the end-time Christians who will be faithful to God despite persecution and martyrdom (Revelation 12:17). This first resurrection truly is the greatest hope we can have in this life.

(ii)               The Second Resurrection

What will happen to all who have lived and died throughout the thousands of years of human history?
 The Bible dogmatically states that salvation is only available through Jesus Christ (Acts 4:10-12) and that the way to salvation is “narrow” and “there are few who find it” in this present evil age (Matthew 7:14; Galatians 1:4).

We find a second resurrection revealed in Revelation 20:11-12: “Then I saw a great white throne and Him who sat on it, from whose face the earth and the heaven fled away. And there was found no place for them. And I saw the dead, small and great, standing before God, and books were opened. And another book was opened, which is the Book of Life. And the dead were judged according to their works, by the things which were written in the books.”

This resurrection can be called the second resurrection, which begins the Great White Throne Judgment period. It is specifically for “the rest of the dead” (Revelation 20:5)—those who will not be raised to life in the first resurrection (verse 4). The Bible reveals that God is calling a select group of people in this age (Matthew 22:14; John 6:44). Without that calling, it is impossible for a person to come to God (verse 65). The “rest of the dead” are those who lived out their lives in blindness to the spiritual truths of God (John 12:40; Romans 11:7; 2 Corinthians 3:14; 4:4; Ephesians 4:18). This great resurrection will occur after the 1,000-year rule of Jesus Christ on earth (the Millennium).

Throughout the Bible, God’s characteristic of mercy is consistently taught. The second resurrection is the ultimate demonstration of the incredibly merciful character of God. He has not given up on those who never had an opportunity for salvation. He will raise them back to physical life and will give them the opportunity to receive the gift of eternal life (Ezekiel 37:26). God’s desire is for each person to be saved and receive eternal life in His family (1 Timothy 2:4), and the second resurrection is the means by which God will “have mercy on all” (Romans 11:32).

(iii)             The Third Resurrection

We have seen that the Bible reveals a resurrection of true Christians at the return of Jesus Christ (Revelation 20:4) and a resurrection of the “small and great” who have not yet had a chance for salvation (verse 12) after the 1,000-year reign of Jesus Christ. But Jesus said “all who are in the graves” will be resurrected (John 5:28-29), so there must be one more group of people who will be resurrected.

Hebrews 10:26 reveals who will face the fate of the third resurrection: “For if we sin willfully after we have received the knowledge of the truth, there no longer remains a sacrifice for sins, but a certain fearful expectation of judgment, and fiery indignation which will devour the adversaries.” 
This is why Christians must take their calling seriously and strive to remain faithful to the end of their lives.

Read Hebrews 2:1-3 and 6:4-6 for further warnings about who will experience the eternal punishment of the lake of fire. The incorrigible and unrepentant wicked will be cast into the lake of fire where they will die forever. God will destroy the wicked, not out of hatred for them, but because the most loving thing He can do is to put an end to their sinning and the suffering it causes.

Jesus Christ warned that we should “not fear those who kill the body but cannot kill the soul. But rather fear Him who is able to destroy both soul and body in hell” (Matthew 10:28).

The word soul in this verse is the Greek word psuche and closely corresponds to the Hebrew word nephesh. It essentially refers to “one’s life” (Harper’s Bible Dictionary, 1985, p. 983).

The word hell here is Gehenna, which is synonymous with the lake of fire. This fire will completely destroy those cast into it—both their soul (life) and body (material existence). They will become “ashes under the soles of your feet” (Malachi 4:3)—in other words, completely incinerated. Though some will meet this fate, we believe that the vast majority of mankind will repent and turn to God in this life or in the second resurrection and will eventually receive salvation.

(iv)             Overview of the resurrections

Though the dead are currently asleep in their graves, the Bible assures us there is coming a time when Jesus Christ will bring them back to life. In fact, the resurrection is guaranteed by the resurrection of Jesus Christ (1 Corinthians 15:12-13, 21).

The Scriptures reveal that there is an “order” to the resurrections (verse 23).

As we have already quoted, Jesus Christ clearly taught that “no one has ascended to heaven” (John 3:13). We have also seen that numerous scriptures prove that the hope of the dead is a future resurrection. [my emphasis]. This is clearly taught throughout 1 Corinthians 15—the longest and most detailed discussion of the future of the dead in the entire Bible.

First, it’s important to realize that truly converted Christians in this age are those who have the Holy Spirit of God dwelling in them (Romans 8:9). That Holy Spirit—which is the divine power of God—comes into a person after baptism and the laying on of hands (Acts 2:38; 8:17). 

The Bible is very clear that the Holy Spirit is the power of God that converts Christians—helping them to develop God’s very character in their lives. (You can read more about this in 2 Corinthians 3:18; Galatians 5:22-23; and 2 Timothy 1:6-7.)

But the Bible also teaches that the Holy Spirit has another important function. “He who raised Christ from the dead will also give life to your mortal bodies through His Spirit [which] dwells in you” (Romans 8:11).

G.    The Coming Transformation

Those who have the Holy Spirit and have been faithful to Jesus will be raised from the dead at His return (the first resurrection)[my emphasis]. At that time, “mortality [will] be swallowed up by life” (2 Corinthians 5:4). In other words, mortal human beings will be given immortality (1 Corinthians 15:53-54). But this will not be immortal life as a physical human being.

The Bible is clear that “flesh and blood [physical beings] cannot inherit the kingdom of God” (verse 50).

At the return of Jesus Christ, Christians will be raised with “a spiritual body” (verse 44) as beings composed of immortal spirit. At the return of Christ, Christians will literally be born into the family of God. The reality of God’s purpose for human beings is so astounding that most either read right over it or fail to grasp its depth.

The purpose of Christianity is not living eternally in heaven—it is being a part of God’s government on earth! When Jesus said He would prepare a place for His disciples in our Father’s house (John 14:2-3), He was referring to these family responsibilities centered on earth!

This is further described in Revelation 2:26: “And he who overcomes, and keeps my works until the end, to him I will give power over the nations.” In the parable of the minas Jesus indicated that those who proved their faithfulness would be given authority over cities (Luke 19:12-19). The opportunity to govern and serve with Jesus Christ over the nations of the earth and to teach them God’s way of life is part of the reward of the saved.

It is important to grasp the difference between salvation and reward. Salvation is the free gift of forgiveness and eternal life (Romans 6:23; Ephesians 2:8). Salvation is “not of works”—we cannot earn it (Ephesians 2:9).

Notice these passages that reinforce this truth:

• “For evildoers shall be cut off; but those who wait on the Lord, they shall inherit the earth. … But the meek shall inherit the earth, and shall delight themselves in the abundance of peace” (Psalm 37:9-11).

• “For those blessed by Him shall inherit the earth, but those cursed by Him shall be cut off” (verse 22).

• “The righteous shall inherit the land, and dwell in it forever” (verse 29).

• “The righteous will never be removed, but the wicked will not inhabit the earth” (Proverbs 10:30).

• “Then you shall delight yourself in the Lord; and I will cause you to ride on the high hills of the earth, and feed you with the heritage of Jacob your father. The mouth of the Lord has spoken” (Isaiah 58:14).

• “Also your people shall all be righteous; they shall inherit the land forever” (Isaiah 60:21).

• “Blessed are the meek, for they shall inherit the earth” (Matthew 5:5). And this is only the beginning! After God’s throne comes to a new earth, it will be the hub of the universe (Revelation 21:1-5). God’s plans for eternity are beyond our imagination (1 Corinthians 2:9).

 CONCLUSION:

So, the above statement from my friend is wrong on many counts:

1.      Just as Jesus commended His spirit to His Father in heaven at the moment of His death, so too our bodies are laid to rest in the grave [my emphasis], but our spirit lives on and is immediately transferred to heaven or hell on the basis of faith or lack of faith in Jesus’ death and resurrection. The first fruits; then, when He comes, those who belong to Him” (1 Corinthians 15:20-23).

2.      In other words, when a Christian person dies, his body will be laid to rest in the grave – or be cremated. Cremation – pros and cons – is a separate subject, and not discussed here. Eventually, this body will turn to dust – but he must be properly buried first!

3.      When people die they do not become angels nor assume the divine attributes of God.

4.      Neither should Christians expect to share God’s miraculous powers in the afterlife. Those who die do not become omnipresent (able to exist in more than one place at a time) or omniscient (all-knowing).

5.      The Bible teaches that Jesus will return to earth for a final judgment of both the living and the dead. At that time He will bring with Him all the souls of those who have died, and on that day (and not before), the bodies of the dead will be raised from the earth, transformed for immortality and reunited with their spirits for eternity [my emphasis].
  
6.      Human beings are mortal and will eventually die. The Bible is clear that God “alone has immortality” (1 Timothy 6:16), while humans are “mortal” (Romans 6:12).

7.      Few grasp the significance of what Christ said. Only He was ascending into heaven—no one else! [my emphasis]. He clearly said that we cannot come to where He was going, and the Bible is clear that heaven is where He went.

He later explained this further: “I go to prepare a place for you. And if I go and prepare a place for you, I will come again and receive you to myself” (John 14:2-3).

This scripture gives us a clue that the answer to life after death involves the return of Jesus Christ and is in the future. These scriptures show us clearly that Jesus Christ did not teach that good people ascend to heaven at death. 

The apostles continued that teaching to the New Testament Church.

8.      We have seen that Jesus Christ directly stated that the dead do not go to heaven, but He also revealed that the dead would live again at a future time: “Do not marvel at this; for the hour is coming in which all who are in the graves will hear His voice and come forth—those who have done good, to the resurrection of life, and those who have done evil, to the resurrection of condemnation” (John 5:28-29). In verse 26, Christ revealed that He and the Father are the only beings with the ability to raise the dead.

9.      The above scriptures are just a few of the many that reveal the truth that the resurrection of the dead is a future event. They blend seamlessly with the passages already cited above that show the mortality of human beings. We do die. And when we die, we are literally dead— asleep in the grave.


10.  Though the dead are currently asleep in their graves, the Bible assures us there is coming a time when Jesus Christ will bring them back to life. In fact, the resurrection is guaranteed by the resurrection of Jesus Christ (1 Corinthians 15:12-13, 21).

11.  Matthew 27:57-61New King James Version (NKJV)
Jesus Buried in Joseph’s Tomb
57 Now when evening had come, there came a rich man from Arimathea, named Joseph, who himself had also become a disciple of Jesus. 58 This man went to Pilate and asked for the body of Jesus. Then Pilate commanded the body to be given to him. 59 When Joseph had taken the body, he wrapped it in a clean linen cloth, 60 and laid it in his new tomb which he had hewn out of the rock [my emphasis – that a tomb/grave is absolutely necessary to bury the dead]; and he rolled a large stone against the door of the tomb, and departed. 61 And Mary Magdalene was there, and the other Mary, sitting opposite the tomb. 
12.   At the Second Coming of Jesus, our bodies will be raised from the grave, joined to our soul, and we will stand with the whole world before the judgment throne of God. Those who believed in Jesus as the long-promised Messiah will then enter—soul and body—into heaven. Those who reject the grace of God in Jesus will then be consigned—soul and body—into hell. There are no exceptions.




Yeow Eu Ming
30 May 2017.


Monday, May 22, 2017

Why Singapore was sidelined at China’s OBOR Forum – and what it means for us

By: 
Chan Chao Peh
SINGAPORE (May 19): The One Belt, One Road (OBOR) Forum was touted as China’s most important diplomatic event in recent years. And noticeably, Singapore did not seem to have a seat at the main table.
At the event, China’s President Xi Jinping promoted his grand vision of boosting economic ties across the continents of Asia, Africa and Europe, and pledged US$124 billion ($172.2 billion) to help fund infrastructure projects that would link them all up.
It made headlines across the world this past week, especially in the 29 countries whose leaders attended the two-day event in Beijing. Among them were Prime Minister Najib Razak of Malaysia, President Rodrigo Duterte of the Philippines and President Vladimir Putin of Russia.
Strikingly, Prime Minister Lee Hsien Loong was not invited.
Instead, the Republic was represented at the event by National Development Minister Lawrence Wong.
According to news reports, Wong noted that the event was focused on paving the way for Chinese companies to invest beyond their shores, especially in infrastructure projects.
“We don’t have any specific projects as of now that may be part of this Belt and Road Initiative,” Wong said. “It doesn’t mean that we are completely irrelevant.”
Yet, the expansion of China’s influence through the One Belt, One Road initiative could have significant adverse implications for Singapore.
Notably, trade routes across the region could change as a result of OBOR projects, perhaps undermining trade flows through Singapore.
According to Graham Gerard Ong-Webb of the S Rajaratnam School of International Studies, the exclusion of Prime Minister Lee could be linked to soured diplomatic relations with China.
China is “softly penalising” Singapore by taking a “nuanced decision” to invite only a Cabinet-level minister instead of Lee, Ong-Webb says.
And while Singapore has appeared to struggle with its relationship with China, some of its neighbours have moved quickly into China’s embrace.
Will Singapore get left behind?
Professor Wee Chow Hou of Nanyang Business School, who is known for interpreting the ancient Chinese military treatise Sun Tzu’s The Art of War into modern-day business principles, sees OBOR as a means for China to buy the global influence it craves.
And while Singapore has less need for Chinese money than its neighbours, it needs to recognise and adapt to China’s expansionist programme.
“Our politicians are good, honest people, but sometimes, they are too transparent,” says Wee adding that Singapore ought to take a more active role in OBOR.
Wee says Singaporeans should not gripe that it is becoming more difficult to “deal” with China.
“Don’t blame our problems on China,” he says. “We should ask ourselves: What can we offer China?”
Find out more in “Singapore-China ties under scrutiny in the wake of Belt and Road Forum” on page 6 of The Edge Singapore (week of May 22), available at newsstands now.

My Comments 22 May 2017:
Rather short news article about Singapore's glaring exclusion from China's OBOR, and the answers given above by Singaporean "experts" does not seem to jell with reality!
I still think Singapore's non-support of China's South China sea policies, and its blatant support of U.S. hegemony in these areas, really riled China - so the latter put the screws on tighter as Singapore continued to train their armed forces in renegade Taiwan, by holding back their armored vehicles in Hong Kong, on way back to Singapore.
Singapore, as an Asean country, should be more circumspect, and should know pretty well Asian values and how to deal with Asians - not be seen as the U.S. lapdog promoting U.S.hegemonic interests in the South China Sea areas which China commands, but which, in my humble opinion, can be more easily sorted out amongst Asean countries than involving the U.S.!
 

Wednesday, May 17, 2017

03 May 2017.

BILLY’S BLOOD TEST READINGS 02/05/2017 & INTERPRETATION

I took Billy to see the vet Dr Lai in Aman Suria, but he had moved! I managed to see Dr Yeow (no relation!), another vet just round the corner from the Aman Suria “tree” restaurant, where we have our dinners!

Billy is rather listless, and have not shit past 4 days – twice, just a teeny weeny small shit came out! Even though I give him Lactul every day! – and I took him to the vet to find out. Also, vomits and pee on the curtains in my room!

This Dr Yeow suggest I do a blood test for Billy – the results tabulated below – and recommend I do surgery too, to correct Billy’s badly-done hernia op the last time we did in Animal Vet, Jalan Pekeliling, the useless Indian vets! He doesn’t do it, and recommend I go to Dr Yeoh (Senior) at Yeoh’s Vet, Taman Megah, where we have been many times earlier! Costs around RM1,000 he reckons.

When he sent me these blood tests – which he sent to Pathlab – and charged me RM200.00 total! – he said it is still OK for Billy to redo this hernia op, so that the portion jutting out, can be pushed back properly, and he will then shit normally!

Here are the Pathlab’s blood tests for Billy, and I took the trouble to Google for answers to all the parameters which stated Billy is High or Low in this or that:
PATHLAB (M) SDN BHD
HQ: 87-91, JLN SS25/2, 47301 PETALING JAYA, SELANGOR
TEL:0378098188
FAX:0378038022
CLIENT ID: 3011929
PATHLAB NO: 11797173
PAGE: 1 YEOW WEI YANG, DR
PATIENT: BILLY
PETS HEALTH VET CLINIC &
SEX: M AGE: 13
COLL: 02/05/17 18:37 38-G JLN PJU 1/45 IC NO: #11797173 REGD: 02/05/17 18:37
AMAN SURIA PETALING JAYA
REF.NO: 1037 PRNT: 02/05/17 19:25 47301 (012)247-1717
WORKER NO: SPECIES: CANINE
EMPLOYER NO: ATT:
** FINAL REPORT ** --------------------------------------------------------------------------------
TEST NAME                                                                          RESULT      UNIT             REFERENCE RANGE CBCCOMPLETE BLOOD COUNT .....
RBC                                                                                            8.4          X10^12/L            5.5-8.5
HAEMOGLOBIN                                                                       8.1          G/DL                   15-19
PCV                                                                                            50              %                       44-52
MCV                                                                                          60 L            FL                      64-76
MCH                                                                                          22               PG                    21-26
MCHC                                                                                        36            G/DL                   31-36
PLATELET COUNT                                                                  474           X10^9/L               >200
WBC                                                                                           6.9          X10^9/L                 6-12
DIFFERENTIAL COUNT                                                            ………..
 NEUTROPHIL                                                                           62                  %
LYMPHOCYTE                                                                           30                  %
MONOCYTE                                                                                 5                  %
EOSINOPHIL                                                                                2                  %
BASOPHIL                                                                                    0                  %
ATYPICAL LYMPHOCYTE                                                            1                  %

MCV 60 – LOW:
Reasons Why Your Pet’s MCV Might Be Low (Microcytosis) :

A lower than normal MCV number means that your pet’s red blood cells are smaller than normal.

Puppies and kittens less than 16 weeks of age can have low MCVs. Veterinarians believe that is because the iron content of mother’s milk is quite low and they have not had time to build up their iron stores.

Anything that causes iron levels to be low in your pet can cause a low MCV reading. It can be an iron deficiency in their diet (if they are fed bizarre stuff), starvation, intestinal inflammation that prevents iron absorption, chronic diarrhea or significant blood loss for any reason. Heavy intestinal parasite infection (hookworms) can also be the cause.

Certain medications (eg chloramphenicol), pyridoxine deficiency or a copper deficiency have all been associated with low MCV (If you feed a healthy dog or cat a diet that is high in meat and liver, it will get all the iron, pyridoxine, B12 and folate it needs to produce normal blood).

Liver disease and altered liver blood flow (portosystemic shunts) can reduce body iron stores and result in microcytic anemia (=low MCV). So can zinc or lead poisoning.
Some akitas, shibas, and perhaps other oriental breeds seem predisposed to having slightly smaller RBCs (ie a low MCV). They are not anemic and it does not appear to affect their health. In English Springer Spaniels, however, low MCV can be associated with ill health.

Too much anticoagulant (EDTA) in the blood collection tube can shrink the size of RBCs lowering the MCV. 
Abnormally low blood sodium levels can trick some automated blood analyzers into reporting a low MCV.

HQ: 87-91, JLN SS25/2, 47301 PETALING JAYA, SELANGOR
TEL:0378098188 FAX:0378038022
CLIENT ID: 3011929
PATHLAB NO: 11797173 PAGE: 2
YEOW WEI YANG, DR – PETS HEALTH VET CLINIC
PATIENT: BILLY
SEX: M AGE:
COLL: 02/05/17 18:37 38-G JLN PJU 1/45 IC
NO: #11797173 REGD: 02/05/17 18:37 AMAN SURIA PETALING JAYA
REF.NO: 1037
PRNT: 02/05/17 19:25 47301 (012)247-1717
WORKER NO: SPECIES:
CANINE EMPLOYER NO:

ATT: ** FINAL REPORT ** --------------------------------------------------------------------------------
TEST NAME                                                           RESULT            UNIT                           REFERENCE RANGE MULTIPLE BIOCHEM. PROFILE .....

GLUCOSE (RANDOM)                                              4.5                MMOL/L                               3.3-6.8
UREA                                                                        10.9 H            MMOL/L                               2.5-9.5
CREATININE                                                             56 L               UMOL/L                              60-180
CALCIUM                                                                    2.61             MMOL/L                               1.90-2.90 INORGANIC PHOSPHATE                                         0.85 L          MMOL/L                               0.90-2.00
URIC ACID                                                                   0.00            MMOL/L                                N/A
SODIUM                                                                  151                 MMOL/L                               138-153 POTASSIUM                                                                5.0              MMOL/L                                    3.9-5.7 CHLORIDE                                                                118 H             MMOL/L                               101-114
TOTAL CHOLESTEROL                                                 5.3             MMOL/L                                    3.0-8.5
TOTAL PROTEIN                                                         71                         G/L                                  55-80
ALBUMIN                                                                    36                         G/L                                  23-41
 GLOBULIN                                                                  35                         G/L                                  23-45
TOTAL BILIRUBIN                                                         1 L              UMOL/L                                    2-10
ALKALINE PHOSPHATASE                                       159 H                    IU/L                                    0-140
SGOT (AST)                                                                 28                         IU/L                                  15-80
SGPT (ALT)                                                                  83                         IU/L                                  15-90
GGT                                                                              12                         IU/L                                    0-15

EXPLANATION – PAGE 2 OF PATHLAB REPORT:

UREA 10.9 - HIGH:

Renal Failure and Acute Uremia in Dogs

Acute uremia is a sudden-onset condition that is characterized by high levels of urea, protein products, and amino acids in the blood. This condition usually follows sudden kidney injuries, or occurs when the urinary tubes that connect the kidney to the bladder (ureters) are obstructed. As a result, the outflow of urine is obstructed, creating an imbalance in fluid regulation and leading to a buildup of potential toxins in the body. Fortunately, acute uremia can be successfully treated and cured if it is identified on time and treated promptly.

Most dog breeds, whether male or female, are affected by acute uremia; however, exposure to chemicals such as antifreeze increases the risk of uremia. Therefore, the incidence of acute uremia is higher in the winter and fall than in other seasons. In addition, dogs are most susceptible to acute uremia between the ages of six and eight.

Symptoms and Types

As this potentially toxic blood flows through the dog's body, most systems are affected, including the urinary, digestive, nervous, respiratory, musculoskeletal, lymphatic, and immune systems.

Upon examination, dogs will appear to be in normal physical condition, with a normal hair coat, but may appear to be in a depressed state. When symptoms are apparent, signs can include loss of appetite, listlessness, vomiting, and diarrhea, which may be tinted with blood. Other symptoms may include inflammation of the tongue, ammonia-smelling breath (due to urea)(Billy qualify here!), ulcers in the mouth, fever, abnormally fast or slow pulse, decreased or increased urine output, and even seizures. The kidneys may feel enlarged, tender, and firm on palpation.

CREATININE 56 - LOW:

Creatinine is a breakdown product of creatine phosphate, which is a normal component of muscle and is removed from the blood primarily by filtration through the kidneys. Veterinarians measure creatinine levels because it helps to identify kidney problems. 

Creatinine levels have been used reliably to evaluate 
kidney disease for a long time. There are limitations to the use of this test in the early diagnosis of kidney disease and in dogs and cats with loss of muscle mass. A new test, symmetric dimethylarginine (SDMA), has recently been developed for dogs and cats to support earlier and more reliable diagnosis of kidney disease. Your veterinarian will generally run these tests simultaneously to get an accurate assessment of how well your pet’s kidneys are working.

What could low creatinine levels mean?

Low levels of creatinine can indicate poor muscle health or severe 
liver disease. Creatinine can also be lowered by increased metabolic states caused by hyperthyroid disease or extreme weight loss associated with muscle depletion. Lower than normal creatinine levels may occur when pets are fed extremely protein deficient diets resulting in poor muscle mass. 

INORGANIC PHOSPHATE 0.85 - LOW:

Your Pet's Blood Phosphorus Level
Phosphate, PHOS
Most of your dog or cat' s phosphorus is locked away in its bones (85%). There, it is combined with oxygen and calcium as calcium phosphate (hydroxyapatite). But a small portion circulates in your pet's blood as phosphate ion (PO4).
That portion of phosphorus/phosphate is important for proper nerve function and muscle contraction. Your pet’s kidneys, under the control of parathyroid gland hormone (PTH), help keep that circulating phosphate from rising too high. So when your pet's blood phosphate levels are abnormally elevated, failing kidneys are the most common cause.

Calcium and phosphate circulate in your pet’s blood in a teter totter relationship; when one is high, the other is almost always low. Veterinary laboratories and in-office analytical machines almost always determined both at the same time.

Reasons Why Your Pet’s Blood Phosphorus Levels Might Be Too Low (Hypophosphatemia) :

A low blood phosphorus level is considerably less common that an elevated phosphorus level. The causes are also less well understood.
Anything that causes your pet’s blood calcium level to go up will probably cause its blood phosphorus level to go down. That can include a recent large meal, the use of phosphate binding medications (eg aluminum hydroxide, sucralfate), cortiocsteroid medications or Cushing’s disease.

Certain tumors that release PTH-related peptides, feeding very low phosphorus or low vitamin D diets, insulin or glucose injection and the diuretic (furosemide) have all been associated with low blood phospate.

Low body temperature (hypothermia), hepatic lipidosis in cats, and some genetic kidney defects can also account for low blood phosphate levels.

High levels of bilirubin in your pet’s blood sample or the use of anticoagulants in the collection tube (needs to be a red top tube) can cause falsely-low phosphate results.

Chloride 118 - HIGH:

What is Excess Chloride in the Blood?

Hyperchloremia refers to an excess concentration of chloride in the blood. This is typically caused by changes in free water/electrolyte-rich fluids or acid-base disturbances in the body. Depending on the reason for the condition, symptoms, treatment, and recovery can vary.
Causes of hyperchloremia in dogs can range from something as minor as dehydration (usually at the hand of persistent diarrhea or vomiting) to more major conditions, such as kidney disease and Cushing’s disease.

Treatment specific to hyperchloremia focuses on removing the cause of the excess chloride, as well as administration of sodium bicarbonate.

If hyperchloremia is the only problem, or the underlying cause is minor, recovery should be rapid and complete.

Symptoms of Excess Chloride in the Blood in Dogs Symptoms of hyperchloremia vary depending on the associated causes.

Symptoms of artifactual hyperchloremia relate to free water deficit, while symptoms of corrected hyperchloremia are often related to metabolic acidosis (an excess of acid in the body).
  
Gastrointestinal irritation Anorexia Weight loss Lethargy Persistent Hyperventilation Excessive thirst Types Artifactual Artifactual hyperchloremia occurs when there are deficits in the body’s free water or lower osmotic pressure in urine.

Examples of conditions where artifactual hyperchloremia is present are hypernatremia (an electrolyte problem in which the total body water decreases relative to the electrolyte levels) and diabetes insipidus (a rare form of diabetes caused by deficiency of the pituitary hormone vasopressin). Acid disturbance Acid-base disturbances can result from excessive intake or decreased output of chloride. This can be associated with diarrhea, therapies of chloride administration, salt poisoning, renal failure, renal tubular acidosis, hypoadrenocorticism, diabetes mellitus, and chronic respiratory alkalosis.

Causes of Excess Chloride in the Blood in Dogs:

Dehydration
Diarrhea
Vomiting
Fever
Excessive exposure to heat
Large doses of diuretics
Excessive intake of potassium chloride
Acidity disruptions
Hyperventilation Chronic kidney disease
Poorly controlled diabetes
Cushing’s disease
Excessive intake of potassium bromide (used to control epilepsy)
Excessive intake of ammonium chloride (used to increase urine acidity)
Corticosteroids (hormone supplements for the adrenal cortex) NSAIDs
(nonsteroidal anti-inflammatory drugs)

Read more at: 
https://www.vetary.com/dog/condition/excess-chloride-in-the-blood

TOTAL BILIRUBIN 1  - LOW:
Bilirubin In Your Pet’s Blood
Total bilirubin, TBIL, Hyperbilirubinemia
(also read similar topics: Jaundice, Icterus Index, Urobilinogen, Bilirubin in urine)

Bilirubin is a yellowish orange pigment that is composed of the residue (heme from the hemoglobin in your dog or cat 's blood) of your pet's destroyed red blood cells. That is a quite normal process - red blood cells in dogs only live about 3 months and only about 2 months in your cat.

It is the job of certain cells in your dog or cat ’s liver to concentrate, process and excrete this heme residue into your pet’s bile. Much of it eventually leaves the dog or cat 's body in its feces. Insubstantial amounts (a little) leaves healthy dogs through their urine – none in healthy cats.

Bilirubin is responsible for the reddish brown color of old bruises and the yellow skin of jaundiced pets. It is most noticeable in the whites of your pet’s eyes, the inside skin of its ears and its gums.

Your dog or cat ’s labwork will report the value as Total Bilirubin (TB). It may also report what portion of the bilirubin has already been processed by the pet's liver (Direct post-hepatic or conjugated bilirubin) and what portion has not yet done so (Indirect = pre-hepatic or unconjugated bilirubin). Those two later values give vets hints as to whether too much heme is being produced (ie too many destroyed red blood cells ) or if the liver is unable to process the normal quantities of discarded heme that all pets produce.

In some cases, the liver is working well in its duties, but there is blockage of one sort or another in the gallbladder and duct system that conveys bilirubin from the pet's liver to its upper intestine. Most sick dogs and cats have elevations in both types of bilirubin. But how much of one versus the other sometimes gives a hint to what the cause might be. One of the most dramatic spikes in bilirubin occur when the pet’s bile drainage duct system becomes blocked (as with a gallstone).

Once a liver/bile duct crisis or blood crisis passes, it can take a long time (one to several weeks) for your pet's blood bilirubin values to return to normal.

Causes of Low Blood Albumin in Dogs. Hypoalbuminemia can result as a decreasein the ingestion of protein, a loss of protein through the gut or kidney, or by a failure of the liver to produce protein (therefore causing blood albumin levels to decline). ... Liver or kidney disease. Malabsorption of nutrients from food.

ALKALINE PHOSPHATASE 159 - HIGH:
Your Pet's Alkaline Phosphatase Level
AP, Alk Phos, ALP, SAP, ALP

Health Problems That Can Cause Too Much Alkaline Phosphatase To Be Present In Your Pet’s Blood :

A mildly elevated level of AP is found in normal dogs and cats when they are immature.

When AP is elevated in mature pets, most causes are associated with a primary or secondary liver problem that prevents the normal flow of bile.

In cats, the two most common causes of elevated alkaline phosphatase are cholangiohepatitis and hepatic lipidosis (HL). In HL, blood bilirubin levels are usually quite high as well. Bile duct obstruction (gallstones) – particularly when GGT enzyme is elevated equally or greater - is sometimes the cause.

Some specialists believe that about 80% of dogs that have a 3-4 fold increase in their AP levels suffer from Cushing’s disease. (ref) Topical, ear and eye medications containing corticosteroids have also been blamed for higher than normal AP levels.

Other possible causes are oral and injectable corticosteroid medications,, FIP in cats, Hyperthyroidism in cats, hypothyroidism in dogs,

Less commonly: diabetes, kidney failure-related hyperparathyroidism, liver and bone cancers, liver-toxic dietary toxins (like aflatoxins), widespread granulomas, abscesses, pancreatitis in dogs and cats, upper intestinal inflammation, anti-seizure medications, autoimmune diseases, gallbladder mucocele, occasionally with mammary tumors, healing fractures and an occasional liver reaction to anti-arthritic NSAID-medication. Mild persistent elevations are more of a worry in cats than in dogs.

Alkaline phosphatase levels sometimes go up in dogs with failing hearts and in genetically-based, copper storage diseases of Dobermans, West Highland White and Bedlington terriers, as well in pregnant cats. Hyperthyroidism, as I mentioned before, can also be responsible for moderately increased AP levels your cat. 

MY CONCLUSION:
Poor Billy with so much problems listed above – and at 13 years old – I can’t see the benefits of another surgery, which could also be fatal to his health! These fuck doctors are forever pushing you to do surgery, as it is $$$ to them!
I would suggest we continue the Lactul treatment, and see how Billy fares – Dr Yeow suggests that, rather than giving Billy one 15mg dose of Lactul a day, spread it out into 3x5mg servings, which I just started now – and hopefully, he will be able to shit more comfortably!
Any other opinions from you all? Dad.