The joys of lunch loss

As much as I love my lunch breaks, sometimes part of the job description is to just fantasize about them.

A dog that had a laceration on its right hind leg came in late one morning. We were not expecting the severity when she was dropped off. It was long and wide. When I enquired as to the activity level of this dog, I was told that it is impossible to keep her quiet. Not going to lie, I was excited that I was going to be able to use my cool stapler!

The edges were freshened and we were lucky enough that no flaps were required to close the defect. I closed it in two layers to make sure the incision was as strong as possible. The stapler is a pretty neat tool. It significantly decreases closure time (this incision only took 30 seconds to close). As well, it is the strongest suture so in an active dog it is a huge help.

Now, if only she could tell us how she did this to herself!

Case number three

Although I know it is a coincidence, it always feels like cases come to me in threes. I wasn’t even expecting it when I initially entered the room to yet another goofy retriever on Friday. (Bailey’s owners are going to need to enter my support group as well.) He bounced around as usual during the physical.

I had a radiograph taken because I was concerned about his esophagus. How his owner described his retching sounded like I needed to rule out megaesophagus (big and floppy esophagus). What none of us expected was to see a stone in his stomach. I asked for a lateral view to be taken of the abdomen. Feel free to count the stones.

Luckily the stones were small enough to induce vomiting. We figured they would “fly” out. The amount of hay was unexpected! There were a few almonds and quite a few leaves. After a while it started to smell like silage in the treatment room. I kind of felt like a CSI agent when the yellow thing came out and discovered it was a fourth place ribbon.

After the third application of apo-morphine (this is not the fun kind of morphine – we only use it to cause vomiting), four stones plunked on the blanket. The repeat radiograph showed the stomach was much less distended and the stones would be able to pass on their own.

Some days all I can do is shake my head!

Case number two

My patient, Mack is a goofy teenage dog whose owners are getting a little frustrated. Sometimes I feel like I should run a support group for those of us who own teenage dogs. They do the darndest things.

Since Sunday, he just hadn’t been himself. As he liked to chew, we decided to do a radiograph. The gas pattern we found indicated a stuck foreign body. So, for a second day in a row, we performed emergency surgery.

What I didn’t expect was to have to make three separate incisions. One into the stomach where I found plastic and “stuff” in the pyloric sphincter. One in the duodenum and the other in the jejunum. The ones in the small intestines looked like little aliens trying to break out.

When the owners came to visit Mack after surgery, they recognized the plastic as the bottle of ear medication he’d eaten recently. Who bloody eats ear medication?

It comes in threes - Case number one

Case number one was this past Monday. A female dog came in for a physical exam since she had been vomiting for the past couple of days. She appeared stable enough until I palpated her abdomen. Holly was incredibly painful because her bladder was the size of a baseball! I immediately had a radiograph taken which showed multiple stones in the bladder and one stuck in the urethra.

There are only two options when faced with a case like this and I only liked the first one which was surgery…..

The bladder looked like a water balloon about to burst. Getting all the stones out took some time. There were so many different sizes. The one stuck in the urethra has given me a number of new grey hairs. I may have done a happy dance when I finally got it out.

This is part of the job description?

One of the perks of owning my own veterinary hospital is being able to make the protocols. One of them is to have an exam room dedicated to just cats. It sometimes looks like the cats think they’ve been abducted by aliens. I would like to help them change their minds about the visit.

The change can actually start at home. If the carriers are left out they can’t mean something scary will occur. When you periodically leave wonderful toys and treats in there, the cats will start to anticipate good things and seek out the carrier on a regular basis. The odd time they are placed in the carrier and taken somewhere, they will be more relaxed. A relaxed cat is much easier to examine.

The cat room has toys and a cat tree for them to hang out on. They are allowed to get used to the room by walking around. It is always best to let them go at their own pace when possible. A very important thing is to not shake them out of their carriers. Cats do not like to be treated like salt and pepper shakers. If they won’t come out on their own, taking the top off the carrier is easier.

Ideally, I like to do the physical exams on the exam table but some cats will have none of that. I have done exams on the floor, chair, cat tree, sink and counter. About three times a year I have to do the climb. I get up on the counter and do a complete physical and vaccinations while the cat is on top of the cupboard. They did not tell me about this maneuver in vet school!

Lipomas

On a fairly regular basis owners bring their animals in for a physical because they have found a mass. I appreciate their concern. When one was found on our old cat, Jasper, we immediately aspirated it and were relieved to see fat on the slide. This great news meant he had a lipoma.

Lipomas are generally soft, usually round lumps of fatty tissue just under the skin. Often they are fairly moveable. Making the diagnosis usually involves taking an aspiration (using a needle and syringe) and placing the contents on a slide. The fat is glossy and starts to take on a round shape.

Periodically I see some rather large lipomas. These are the ones we generally need to discuss surgically removing. Some are in areas where it actually has an effect on how they move. The picture is of a case I had recently. We had been monitoring the mass for a while but when it started to how she walked, it was time for it to be removed. This mass was right in her left armpit. Once it was out, it took both hands to hold it. It was nice to see how much she enjoyed walking out of the hospital at the end of the day.

Choosing a Breeder

Personally, I have two favorite places to get a dog. One is a humane society and the other is a responsible CKC registered breeder with a small kennel. I am prejudice towards purebred dogs as I appreciate knowing the line and what to expect from the adults. As the daughter of a breeder who had exceptionally high standards, I come by my prejudice honestly.


(The picture is of my late Magic and her niece, Reason who is now 12 years old)

Recently, I’ve had a client ask for advice in picking a breeder. He already had the breed chosen, a Bull Mastiff. I sent him to the Canadian Kennel Club’s website where he could find the “8 Golden Rules”. http://www.ckc.ca/en/portals/0/pdf/other/CKC.Rules.find.breeder.pdf This handout gives you excellent questions to ask the breeder.

He contacted a couple breeders and one of them brought about this blog. They have CKC registered dogs but didn’t want to register the litter to keep the price down. Are you kidding me? I don’t think that $43 per puppy is going to have a large impact on the price. This cost covers both registration with the CKC plus transfer of ownership. Plus, if the puppies are not registered, then they CANNOT be called purebred so you shouldn’t pay purebred prices!!!!

Neither of the parents had their championships – apparently they wanted to save money there too. How can you make absolute sure you are producing dogs that are as close to the breed standard as possible without evaluations by a variety of judges? Being in the show ring can be a great eye opener.

Oh yeah, the grandparents had their hips certified but the parents were never tested. If you don’t look, you won’t find it! They also bypassed the questions about eye and elbow certifications. Here’s another good one, there is absolutely no health guarantee.

Right before I get off my podium, I want to share why I have such high standards. Before getting on my Mom’s waiting list, you had to have an interview. I think the Spanish inquisition could have gotten inspiration from her! References were also required. All of our dogs were carefully chosen for temperament and conformation. Our breeding dogs all had their championships and many had their CD obedience titles. Eye certifications as well as elbow and hip OFA certifications were required. Now here is the icing on the cake, the health guarantee was for the lifetime of the dog. So, although Mom has not had a litter in 12 years, if a genetic issue were to develop she would still honor the health guarantee.