PEI generosity

It is has been a bit of a roller coaster week and a half. I absolutely love being a veterinarian but I always feel so helpless when there is something going on with one of my Mom's animals.

Last Thursday my Mom had to take her assistance dog, Tag, to the Atlantic Veterinary College for neurological signs (one eye had started to sink into its socket and a tilt to her head). She ended up getting there later in the day and we knew that being able to find her a hotel room was going to be a challenge. It was Old Home Week on the Island and almost all the hotels were fully booked. On her way to my old vet school, in Charlottetown, Prince Edward Island, my amazing office manager, PJ, did some calling around and found her a room at the Garden Gate Inn.

Mom finally gets there and over the next few hours, in between other emergencies being brought in to the Veterinary Teaching Hospital, Tag was examined, admitted and a game plan was determined. At nine her time, I received a call from the owner of the Garden Gate Inn. Joan Cumming was wondering if I knew when Mom was going to be arriving as she had to step out. Since I hadn't heard from Mom at that time, she instantly said it wouldn't be a problem. She was going to leave a note for Mom on the door telling her to look in the mailbox for the key to her room!! This is an example of the famous Island hospitality. Mom was at the hospital until 1 am and all she had to do was drive up the street and go to bed.

Through a few emails with Joan, we figured out that I'd worked with her daughter, Karen, when I was a student in Truro, Nova Scotia. Karen is an awesome AHT and taught me many things that I still use today. Joan is also the woman who directed me to the dress maker who made my wedding dress. Such a small world!!!

After six long days, Tag was finally able to come home. Mom will be taking her back to the AVC Monday (tomorrow) for the final test. The moment I found out that Tag was going to be going back for an MRI, I contacted Joan. With that kind of personal service, I knew Mom would be well taken care of during this trying time.

If anyone is ever going to be visiting beautiful Prince Edward Island, I would highly recommend staying at the Garden Gate Inn. I know you will be thoroughly impressed with the service. Thanks again Joan, you are an angel!

Yes, there is a Tim Horton's right beside the Inn! Yet another plus for this Tim's addict!

Yes, I can turn you away

Today was an interesting Monday to say the least. I know that people's tempers are a bit frayed from the continued state of emergency in High River. Here's the thing, it does not give you the right to be rude to my staff. They are my work family and I tend to be very protective of my family.

A lady called and made an appointment for her dog because it had a cut on its leg. Not a problem, the staff "made" an appointment (aka, we were fully booked and needed to find a place to squish her in). The fun started when she arrived. My receptionist, Belle, told her that she would take them into a room and I would be in shortly to do an exam to see what needed to be done. This person told her (in no uncertain terms) that the dog was not going to have an exam because the dog just needed to have some stitches put in. Oh yeah, she didn't want antibiotics either cause vets just like to over medicate the animals. Belle tried to explain that unless I saw the dog, I wouldn't know how to treat the dog appropriately. The person informed her that she should just get the vet.

So Belle came and got me. I came out and asked what the issue was. I sure got an earful!!!! Can I tell you how much I love being told how to do my job? Here's the thing, without examining the dog and coming up with a treatment plan, how do I know what needs to be done? Does it have a small cut that can just heal on its own? Is it a large laceration needing a general anesthetic? The person flipped out when I mentioned a general anesthetic as her vet never used an anesthetic and would just take the dog out back and throw in some stitches. I finally figured that no matter what I said, it would start another argument.

I took a deep breath and told the owner that we had obviously gotten off on the wrong foot. She nodded her head in agreement. "So, with that in mind, Belle, would you mind calling X veterinary clinic to see if they have any room to deal with this patient?" After picking her jaw off the floor, she stormed out with the poor dog in tow.

This is my dear Reason who is now 14 years old. Just added her picture as a reward for reading my little rant.

Things I learned today

Well, I have learned a number of things about myself today. I can still run in my heels. I can almost get myself stuck under a car. I can climb around the engine block to get a scared cat. Yes, I learned this during business hours!!!

Let's start at the beginning. I was having an informal meeting with another vet, Dr. Leicht, when one of the staff said they needed help catching a cat in the parking lot. Out we all went to find the cat which was now hiding in the engine block of someone's Mazda. Easy to find the car as there were a number of people surrounding the cat. Luckily, the vehicle owner was found so she popped the hood. Before the two of us on top could move, it darted down, dove past everyone stretched out around the car and took off. I went running to the sidewalk in hopes of keeping it from going on the road.

Our group gathered around another ....... Mazda. If you want to see a well protected engine, go look at a Mazda. I tried to get under to have a peak and almost got stuck. So there we all are, standing around the vehicle. I joked that it would be a good idea to get the owner's attention by setting off the car alarm. I hit the car and son of a gun if it didn't go off! I may never be able to hear quite the same again. That didn't bring an owner so my girls and Dr. Leicht went to the different businesses to find an owner.

It took a bit, but finally the owner of the car came out. He popped the hood for what turned out to be the first time since he'd owned the car. The girls were ready underneath with the fishing net a kind young teenager had offered to the cause. The others were placed strategically around the car. As the hood opened, I jumped on top of the engine and almost grabbed the cat by the tail. The cat poked its head down under then aborted mission and hid on the other side of some part of the engine. Luckily my arm was just long enough to reach the scruff and I held on for dear life. My Mom would have been so proud. Dr. Leicht had the cat carrier ready and in she went.

So, this scared little cat is in our quiet cat room. We will look for identification once s/he has settled. If you know of anyone who lost a cat in the Walmart parking lot today in Okotoks, it is safe with us. Oh yeah, the current nickname is Mazda!!!

Something so tiny........

I recently performed dental surgery on the cutest little cat. During her yearly physical, we found that Button (as in cute as a button), had fractured one of her incisors. Since the pulp was exposed we needed to extract it. It did turn out to be an eye opening procedure as we found something we weren't exactly expecting.

My RAHT, Kelly, took a great picture of the cavity on the canine tooth. The green arrow is pointing at the tiny little defect that was so painful that her mouth chattered when it was touched under the general anesthetic. If you've only read one of my dental blogs you know the next step was a radiograph.

This picture did not give me the warm fuzzies cause the root sucked! (Yes, that is a professional and medical term!) The picture on the right is from my dental book to show you what a normal root is supposed to look like. Needless to say, we extracted that tooth as well (after tracking Mom down at her dental appointment across town, LOL)!

Dental surgery = use the bloody dental radiograph machine!

I have given myself a couple of weeks before sitting down to write this particular blog; however, from the title, you may sense that I am still pretty frustrated. This whole thing could have been avoided and the dog would not have been in pain.
So here is a picture of the poor dog. It doesn't take much imagination to see there is a swelling on the side of its face. As well, the dog had ALREADY had dental surgery to remove tooth 208 (the big carnaissal tooth) to help with the swelling. Hmmmmmmmm. The owner had taken the dog back to the original vet concerned because the swelling hadn't gotten any better post-surgery. This person said it would take time to go down so the owner came to see me for a second opinion.

I was able to get a copy of the medical records and no where did it say that the dental radiograph machine had been used or that bloodwork had been performed on this senior dog. Needless to say, we did bloodwork (normal) and radiographs to see what was waiting for us as this tooth has three roots. Gee, that looks like a root to me! Brought out my drill and got it (and some pretty gross abcess material) out in short order.

The next radiograph showed..... the blue arrow pointing at the second root that was left behind (that means the vet only took out one root of three). The red arrow shows a tooth root abcess starting in the tooth in front so it had to be extracted as well.

After taking a final radiograph to make absolute sure there was nothing left, we sutured her up and let her have a well deserved, pain free nap!

So folks, should your dog or cat need to have dental surgery, make sure the facility has the ability to take radiographs so this sort of thing does not happen. Thank you for putting up with my rant!!!!

Quality of Life

I was having a fairly routine afternoon of annual physical exams, vaccines, ear infections when I entered Toby's room. This sweet gentleman of a dog was a dream to work with. His Mom told me that he'd been having some issues with his hind end and his right hip tended to bother him the most. Toby was certainly uncomfortable when I palpated his right hip but all he did was give me a look of "well, if you have to". At that point I was simply thinking he had arthritis.

It wasn't until I checked his proprioception in his legs that I started to get quite concerned. When we check for proprioception, what we are actually doing is checking to see if the animal knows where their legs are in space. It is a very easy test in that all we have to do is turn the foot upside down and wait to see how long it takes them to right it. A dog with normal reflexes won't even want you to do that. Toby didn't move his right hind limb until I moved it back to normal for him.


In this picture, Cardinal is my foot model and he is demonstrating the upside look with his foot.

Now, it isn't common for our dogs to get proprioceptive deficits from hip dysplasia. I've only ever seen it twice in my past thirteen years of practice. Generally, there is something else going on. I proceeded to do a rectal exam. Its not the glamorous part of my job, but important. I was not expecting to feel a mass the size of a very large kiwi on the right side of the pelvis!!! The poor boy has cancer that is putting pressure on his nerves.

Our main goal is to make sure we can make him comfortable in the time he has left with his Mom. Quality of life is something that both his Mom and I agreed on immediately. Due to his age, he is not a good candidate for the invasive surgery and chemo that would be required to buy him some extra time.

Barking mad can be good!

I have gotten into the habit of leaving my patio door open at night for a couple of reasons. One is that my five year old yellow Lab, Cardinal, likes to go scope things out at odd times and won't hesitate to get me up to open the door. The other is that my 14 year old black Lab, Reason, is a senior who needs to go out on an irregular basis.

Last night, I got everyone settled in for the night and we all fell asleep. That is until I leaped out of bed because Cardinal was making such a ruckus outside. I was sure that someone had attempted to get in and he now had them cornered. I ran to the back door to find a very satisfied looking Cardinal standing beside Reason. Apparently she needed help getting up the patio stairs in the dark. The moment I got her back inside, he raced up and took my place on the bed.



Not going to lie, I was pretty proud of Cardinal getting me up to help Reason, but it did take some time for my heart rate to go back to normal so I could get back to sleep!