Robinson 24-Hour Veterinary Hospital

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Robinson 24-Hour Veterinary Hospital

Nassau County's 24-Hour Emergency Veterinary Hospital is open NOW!
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04/26/2024

We are so excited to congratulate and thank Autumn on her first workiversary with R24!! We are so thankful for all she does to keep this train moving smoothly!! Cheers to many more Autumn! 🎉 We are lucky to have you on our team!

02/13/2024

9/20/23 Daisy braved a difficult birthing process. We performed an emergency c-section and Clover was born! ➡️ 10/19/23 Clover at 29 days old ➡️ 2/12/24 primary care visit together for boosters! We love when we get to see these two! 🥰

12/21/2023

Cold noses and warm wishes! We wish you all peace, joy, and lots of chew toys! (not the foreign body kind though!)

10/21/2023

We know deep down our patients appreciate Meghan’s hard work in the ICU…. even when they throw their litter and food everywhere in tantrums. 🤣 How can we even be mad though… look at how cute that dude is!!!

10/13/2023

Lola wins MVP [Most Valuable Patient] by volunteering to be a beautiful model paid in cookies for our continuing education seminar for our nurses on abdominal ultrasounds 🎉

10/07/2023

Not only has our team helped 2,092 pets in 3 months… but they have been prepping for months behind the scenes! We are beyond excited to report that after our final inspection we are AAHA accredited! 🎉🎉 Congratulations R24 team!!!! 🥹

09/22/2023

Watch out for those nope ropes!!! It’s still mating season and those rattlesnacks aren’t as tasty as your pup thinks they are! 😳

08/30/2023

We’re here if you need us!! If not, we’ll just be having an snack sleepover party! Everyone stay safe 😊

08/25/2023

Who told them they’re allowed to look this cool when doing laser therapy??

07/14/2023

It’s the tongue sticking out for us 🥰

06/28/2023

Our doors are OPEN! Please call us if you need anything.

06/28/2023

Our doors are officially OPEN! We're here to help!

06/15/2023

R24 is PROUD to announce our magnificent practice manager; Introducing Autumn.....

If there are superheroes amongst us, look no further to find the real Wonder woman – Autumn Cullen is the definition of a miracle worker in all aspects of her life.

Autumn was raised on the sunny beaches of Jacksonville, FL, where even as a small child she showed a profound interest in understanding the dynamics of living creatures. Living in Jacksonville provided the perfect environment to foster young Autumn’s curiosity towards nature and adventure. Simultaneously, Autumn began to hone in her budding team building talents at a very early age, via her involvement on various softball teams throughout her formative education years. During this time, she moved throughout the team learning what it meant to build a positive and cooperative environment, regardless of the outcome of their competitions. In 2013, Autumn decided to make a bold leap outside of her comfort zone and apply for a position as a veterinary assistant at a local veterinary facility. Autumn truly found herself in this role, igniting what would soon evolve into a lifelong passion and career. Autumn could often be found in the middle of the action, constantly enticed by the allure of knowledge within the medical space. By 2017, Autumn had decided to make a move to Tallahassee, to pursue an opportunity to work for an emergency veterinary facility. Unbeknownst to Autumn at the time of hire, this facility offered not only companion animal services, but also offered consultations for exotic patients as well. Pleasantly, despite the surprise, this experience truly offered her the chance to diversify her technical skills and knowledge base to an astonishing competency level. After spreading her wings to fly in Tallahassee, Autumn later made the decision to return to her loving family network in Jacksonville. Shortly after returning to Jacksonville, Autumn met her life companion Tyler through mutual friends. The support that Autumn was provided by their union crafted a support system that encouraged her to pursue her now-realized goal; to support the veterinary community via leadership that emphasizes staff development and client education. Autumn recognized within herself that to truly guide any team, the leader must be willing to learn from the crew to support the needs of all parties involved. Autumn recognized that Dr. Robinson shares this same passion, and their relationship forged in the fires of staff support reignited her hope for a better tomorrow in veterinary medicine. In 2021, Autumn and Tyler welcomed their most rewarding challenge yet into the world, the charming baby Olivia. The young babe Olivia shares the home with two feline siblings, Brenda the eyeless and Deb the heckin’ chonk. Autumn and her family now spend their days race trackside basking in that same Florida sunshine that once inspired that young child’s curiosity into knowing the “why behind the how”.

Autumn eagerly awaits the beginning of this new chapter in her life; a chapter that can be summed into encouraging the development of not only the team, but the individual as well.

06/01/2023

The meaning of the name Austin is one who is magnificent and great; albeit Austin Robinson was given his name in honor of a very cute dog that his mother groomed during her pregnancy.

Austin Robinson’s infectious smile and friendly personality are nearly as iconic as his trademark bushy mustache.

Austin was born and raised in Auburn, MI and boasted a diverse portfolio of sport activities throughout his formative schooling, including playing on both the basketball and football teams. In 2010, Austin made the life-altering move away from the harsh winters of Michigan, to the balmy warmth of Tampa Florida. Health and physical fitness have always been more than a hobby for Austin; the gym is also where he met the love of his life and future wife, Dr. Robinson. During their time dating, Austin accepted a position in Jacksonville Florida as the manager on the launch development team for an athletic club opening in the area. In 2017, Austin made the leap of faith (the best decision of his life) into sharing his last name with Tanya. Shortly following their union, Austin finished his paramedic schooling, successfully graduating and obtaining a position with Camden County Fire and Rescue, in southern Georgia. Austin’s devotion to gold standard patient care became readily apparent to the community and fire service alike, and within 2 years of joining Camden County Fire and Rescue, he was offered a fireman/paramedic position with Jacksonville Fire and Rescue Department. At Jacksonville Fire and Rescue, Austin regularly provides emergency response to an average of 20 patients in critical condition every shift. Truly living up to the meaning of his namesake, Austin was a pillar of strength for supporting the dreams of his spouse; to create a one-of-a-kind veterinary facility, unlike anything ever seen before in Nassau County. In 2021, the Robinson’s sold their beautiful home, and moved their entire lives into a camper. Austin’s unique experience in human emergency medicine has provided innovative technology and ideas to the functionality of Robinson 24-Hour Veterinary Hospital, including the key inspiration behind having a pet ambulance service for referring veterinary hospitals. But wait, there’s more! In addition to the skill set that Austin showcases in any professional setting, he is also extremely skilled with handy work. The trim work and ceilings throughout the hospital were all hand crafted and installed by none other than Austin Robinson. It is with great enthusiasm that Austin is looking forward to giving back to the community in both the human and veterinary medical space.

Austin Robinson is truly the embodiment of positivity, where he is involved you can guarantee that laughter and a sense of family will follow.

05/27/2023

Sugar, spice, and everything nice- all rolled into one veterinarian with a passion for the betterment of veterinary medicine.

Born and raised in South Florida, young Dr. Tanya Robinson had a unique passion for science, particularly chemistry. She graduated from the University of South Florida in Tampa with a bachelors’ degree in chemistry, with an aspiration to work in a laboratory setting. Within a few months of working in a small laboratory that lacked both excitement and windows, Dr. Robinson decided to branch out into the brilliant sunshine that is veterinary medicine. A veterinary clinic in Jacksonville, FL took a chance on Dr. Robinson and hired her for a dog walking position; as with anything she would set her mind to, with hard work and dedication to learning she had worked her way into a veterinary nurse position within 6 months of employment. Dr. Robinson was drawn to the allure of scientific knowledge in the veterinary medicine space. She realized within those months of work what her life’s passion was truly meant to be- providing gold standard medical care to man’s best friends. Dr. Robinson attended Ross University in St. Kitts to obtain her veterinary medical degree. During the years that she spent on the island, the soon-to-be Dr. Robinson revitalized her passion for education and teaching via tutoring her classmates. This foundation provided a sense of community that continues to shine through in the relationships that Dr. Tanya Robinson forges to date. Following her colossal achievement of obtaining a position for clinical rotations at the University of Florida, Dr. Tanya Robinson graduated Magna Cum Laude in 2018. Subsequently following her graduation, Dr. Tanya Robinson provided veterinary relief support to many hospitals across northeast Florida and coastal Georgia, providing care in general and emergency practices alike. Dr. Robinson’s adoration for the relationships between patients and clients, love for emergency medicine, and passion for preventative care were showcased in the care that she provided to every patient in her care; however, something was still missing for her to feel truly fulfilled. Say one thing for Dr. Tanya Robinson, she is a dream achiever. In 2021, Dr. Tanya Robinson and her husband Austin Robinson took a risk like none they had taken before; they sold their home and moved into a pull-behind camper so that they could begin building the gem of Nassau County, Robinson 24-Hour Veterinary Hospital. Over thousands of hours of collaboration with veterinary-specific architects, Dr. Robinson designed a facility that will provide a top-of-the-line environment for gold standard veterinary medical practices, staff development, client education, and unwavering loyalty to fostering a strong community in veterinary medicine. Dr. Tanya Robinson, Austin Robinson, and their two dogs Lola and RJ are now looking to the horizon, ushering forward the future of Nassau County and the surrounding area.

05/12/2023

Dream team loading! Do you want to be a part of the fun??

04/17/2023

This one is for the little sweet ones with the big hearts!

Topic #9: Congestive Heart Failure aka CHF and Respiratory Distress

-What is CHF?
The heart is the muscle "pump" at the center of the circulation system. Some important functions of this pump include delivering blood to the lungs to be oxygenated and then to the rest of the body. If the heart is diseased and the pump is weak, fluid will retain in the body based on which side of the heart is affected. For today’s discussion, we will discuss left-sided heart failure. In this case, fluid backs up in and sometimes around the lungs. The fluid in the lungs hinders oxygen absorption in the lungs and in turn deprives the organs of oxygen. This can result in respiratory distress which is life threatening.

-What to look for?
Early signs of CHF to monitor for include exercise intolerance, increased respiratory rate at rest, or coughing. Respiratory distress dogs can present with restlessness, rapid breathing, continuous panting, exaggerated or abnormal breathing, standing with neck extended, blue gums, or collapse. Cats tend to hide their disease until it becomes very advanced; ANY open-mouth breathing should be addressed immediately.

--What will we do at the ER?
Any respiratory distress pet will be triaged immediately with oxygen therapy. A limited physical exam and diagnostics are performed when able to as these patients are very fragile and extreme care must be taken to decrease stress. We will utilize diagnostics such as focused ultrasound and radiographs. These patients require aggressive supportive care and hospitalization. Hospitalization will include oxygen therapy and important medications such as a diuretic. Diuretics (ex furosemide/lasix) reduce blood volume and force fluid out of the lungs allowing the pet to oxygenate again.

-What is the prognosis?
Prognosis is fair to guarded long term depending on the underlying cardiac disease and presence of other diseases. Once the pet is stable, an echocardiogram (ultrasound of the heart) can be performed to diagnose the specific cardiac disease. These diseases are progressive but if the pet responds well to therapy, they can experience a prolonged, good quality of life.

02/14/2023

Happy Valentine’s Day!
Please keep this in mind when giving or receiving flowers with cats in the house!

Topic #8: Toxin ingestion: Lily in Felines

-What part of the flower is toxic?
In cats, all parts of the illy plant are toxic with the flowers being most dangerous. Even exposure to the pollen can be toxic! We are specifically discussing the Liliaceae family genera Lilium (example true lilies) and Hemerocallis (example daylilies) in this post. Other types of lilies exist (example calla lily) but only the above genera cause the kidney injuries we will be discussing today.

-What happens?
Exposure to these flowers has been associated with acute renal failure (sudden kidney failure/damage). The damage to the kidneys can occur in just a few hours and up to 48 hours after exposure. Seizures and liver changes have also been reported. An ingestion of a few flowers can lead to death within just a few hours.

-What to look for?
If you see any bite marks or potential interaction with a lily plant, seek emergency care ASAP regardless if there are symptoms in your cat. Common signs include vomiting, depression/lethargy, and anorexia within 2 hours of exposure. These signs may temporarily improve but will often return and worsen as the kidney damage progresses within 12-24 hours.

-What to do?
Seek veterinary care immediately! Quick and aggressive intervention is necessary for survival.

-What will we do at the ER?
Our objectives are to decrease absorption of toxin from the GI tract, prevent or treat kidney injuries, and to manage life-threatening clinical signs. If the exposure/ingestion was recent, we will attempt to induce vomiting and administer activated charcoal. If the patient is producing urine, we will administer IV fluids for at least 48 hours. We will also administer supportive care medications like antinausea and GI protectants. Kidney values will be monitored every 24 hours during hospitalization.

-What is the prognosis?
With early intervention, one study has reported 90% of cats surviving. A delay in treatment by 18-24 hours or development of anuria (failure of kidneys to produce urine) has a grave prognosis.

-Can I prevent this?
Yes! Please do not bring any Lilies into a home with a cat. Even if you feel your cat cannot reach the flowers, it is not worth the risk.

01/06/2023

Did you get a puppy for christmas? Congratulations on the addition to the family!! Read below to keep them safe :)

Topic #7: Canine Parvovirus aka Parvo

-What is it?

Parvovirus infection is a highly contagious potentially fatal disease caused by a small virus. Parvo is shed in high numbers from infected dog f***s and is extremely hardy in the environment. The virus can live in the environment months to years under the right conditions.

Infection occurs after oral or nasal exposure to infected f***s. Initially, parvo replicates in the lymphoid tissue (ex lymph nodes) which allows the virus to travel quickly to the bone marrow and intestines. The replication in the bone marrow decreases the body’s ability to fight the virus. The replication and destruction in the intestines causes diarrhea and can allow normal GI bacterial flora the opportunity to travel into the bloodstream and cause sepsis. If puppies are exposed while still in the uterus or prior to 6 weeks of age, they can develop myocarditis (inflammation of heart muscles).

-What to look for?

Look for lethargy/depression/weakness, inappetence, vomiting, and/or diarrhea. The diarrhea is usually abundant with blood and with an extremely unpleasant smell associated. These clinical signs are typically rapidly progressing.

-What will we do at the ER?

If parvo is suspected, we will test outside the building or in an isolation room. Don’t be surprised when we come out looking like astronauts in our PPE (personal protection equipment); this is to protect our other patients. Your pet will be assessed for shock as dehydration is common in these cases. Treatment is primarily supportive as there is no cure for parvo. Our treatment goals include fluid therapy, correcting any electrolyte or glucose imbalances, attempting to prevent secondary bacterial infections, pain control, nausea control, and nutritional support. If hospitalization is not feasible, your vet can discuss if outpatient therapy is appropriate. Prognosis depends on the severity of the case and with aggressive supportive care and hospitalization survival rates have been reported as high as 90%. Decontamination is achieved with at least 10 minutes contact time with dilute bleach (1 part sodium hypochlorite to 30 parts water).

-Can I prevent this?

Vaccination is critical to prevent canine parvovirus. Use caution with vaccines not administered by a veterinarian as we cannot validate handling or administration of this vaccine. Please seek veterinary advice before adopting or buying a puppy to create a vaccination protocol tailored to your puppy and family. Your veterinarian will also discuss safe locations to take your puppy for socialization.

11/23/2022

RESIST THE PUPPY DOG EYES!! There are too many risks to sharing your thanksgiving meal with your pup! Below will explain one of those risks.

Topic #6: Canine Pancreatitis

-What is it?
The pancreas is a glandular organ that neighbors the first section of the intestines (the duodenum). The pancreas secretes enzymes that aid in digestion and hormones that regulate blood sugar. Inflammation associated with the pancreas (pancreatitis) can disrupt normal functions and release the digestive enzymes too soon within the pancreas. This premature activation can further irritate the pancreatic tissue and can involve surrounding tissues/organs (liver, intestines, etc). Inflammation can range from mild to severe and can even cause temporary or permanent diabetes mellitus.

-How does it occur?
In most of our cases surrounding the holidays, a sudden high fat meal is the usual cause of pancreatitis. There are many other causes/predispositions including hormone imbalances (diabetes mellitus, hypothyroidism, etc), obesity, pancreatic tumor, trauma, and certain medications. Miniature Schnauzers are predisposed due to an altered fat metabolism.

-What to look for?
Pancreatitis may cause vomiting, diarrhea, loss of appetite, and a painful abdomen.

-What will we do at the ER?
Your pet will likely need lab work and imaging (x-rays and ultrasound) to help diagnose your pet’s clinical signs. Pancreatitis is not a simple disease to diagnose and we must rule out other potential causes (foreign body obstruction, organ dysfunction, toxin, etc). Pancreatitis is treated with supportive care and each pet will have an individual treatment plan which may include fluids, anti-nausea medications, antacid medications, pain medications, and a low fat diet.

-Can I prevent this?
In most cases, YES! Treat your pet with love, attention, toys, and pets instead of dangerous human food!

10/21/2022

Happy FRIYAY everyone! It's time for another educational post 🙂

Fifth topic: Dog Bite Wounds

Dog fights or attacks can occur anywhere- dog park, animal care facilities, during a walk, in your yard, or even in your house between family dogs. Incidents can occur over resources like food, toys, or even over YOU.

-What are some warning signs?
Growling, raising of the hackles (raised fur on neck/back), yawn, flattened ears, etc. Body language is extremely important to understand in order to PREVENT an incident, which is easier than breaking it up. Be extremely careful when separating the dogs even before a fight occurs as they may redirect aggression towards you in this time of fear and stress.

-What to do during a fight?
A dog fight/attack can be extremely stressful and scary for everyone involved. The first thing I will say is to be careful, we have seen countless pet parents sent to the human ER as their animals are at the veterinary ER hospital. There are many different thoughts on the best way to break up a fight and each option has their risks to both the dogs and to yourself. Remember if you engage there’s ALWAYS a risk to you, even if you trust your dog completely. You can attempt to distract the dogs - hose/bucket of water, air-horn, various products (example: Spray Shield), physical barrier (door/sheet of plywood), etc. We DO NOT recommend shouting, kicking, or attempting to harm either aggressor; this can lead to you becoming the target of attack. More close-in methods include pulling the leash or a method called wheelbarrowing. Wheelbarrowing involves both dogs being dragged backwards by their haunches (held high on their back legs) at the same time. You can also use a leash, looped under the belly and in front of the hind legs to drag the dogs backwards out of the fight. After the dogs are separated, bring them separately to a veterinary hospital immediately.

What will we do at the ER?
The patient will be triaged and stabilized as needed. This is especially time sensitive for interactions between larger dogs and smaller dogs. Small dogs may experience severe trauma from shaking and crushing injuries. A veterinarian will examine your dog's wounds and will likely recommend preoperative lab work and sedation to facilitate wound care. After wound care and exploration, we may recommend closure immediately or delayed closure and allow the wound to declare itself. Dog bite wounds may worsen and show more damage in the following days even if prompt care is taken. Ideally, a culture of this wound would be performed as well. If immediate closure is recommended and a large subcutaneous pocket is found (damage under the skin), your pet may have a drain placed as well. Your pet will be discharged with pain control, antibiotics, and perhaps an e-collar (cone of shame) if appropriate. It is extremely important to follow post OP instructions, closely monitor these wounds, and recheck with a veterinarian.

Cases shown:
Top left picture: Dog bite wounds on the shoulder of a dog who engaged in a dog fight with a similar sized dog. This picture was taken after preOP labs, sedation, and fur clipping.

Top right picture: Same dog and wounds as described above. This was after thorough wound flushing and wound exploration. A very large subcutaneous (tissue under the skin) pocket was found. The tips of the instrument can be seen under the skin near the surgeon's left hand. This very large pocket required a drain to be placed. We compare dog bite wounds to an iceberg; there can be a lot of trauma hiding under the skin.

Bottom left picture: This is a small dog who was attacked by a large dog. Because of the patient’s thick fur, the pet owners did not believe there was significant trauma and did not seek veterinary care immediately after the incident. The smell that developed triggered the vet visit. These wounds spanned nearly the entire back of the patient and required many procedures to heal. This patient is doing very well now!

Bottom right picture: This is a medium sized dog that fought with a similar size dog. This patient had many punctures and lacerations which required a drain placement due to subcutaneous pocketing (drain not pictured). This patient also had many superficial wounds which we cleaned and monitored.

10/07/2022

Our next topic is CPR aka Cardiopulmonary Resuscitation performed at R24VH

This is a very important one.... pet owners please read!

We absolutely hope none of you experience this with your pets but our team is prepared and you, as the pet owner, are a part of our team.

-What is it?
CPR - Cardiopulmonary Resuscitation. This life-saving technique is intended to provide blood flow and oxygen to the brain and vital organs when the patient can not accomplish this on their own.

-Code status: CPR or DNR (do not resuscitate)
When your pet is in our hospital, a team member will ask for a code status for your pet in the event of an emergency. This question is asked to every patient so we can be prepared, it is not intended to frighten. The best time to make this decision is when you are calm and not in a rush, so please, take the time to decide after reading this post.
An example discussion may sound like this: "If a pet becomes critically ill, we may attempt to restore life using CPR. This means pushing on the chest with our hands to try to pump blood through the body, placing a tube down the airway to breath for them, and using electricity to shock if necessary. Doing this does not always lead to survival or recovery, and some clients would rather we not attempt it, which is why we ask everyone about it." It is completely acceptable to choose either option; CPR or DNR. This is your decision and wishes for your pet, no one else's.

-A true emergency scenario:
Mrs. K, runs into R24VH with her unresponsive pet, Lola, and two team members meet them immediately. One person asks Mrs. K for a quick code status decision on Lola as she takes ahold of Lola. Mrs. K elects CPR and Lola is taken to the CPR team. Another stays with Mrs. K to gather more information about what has occurred. Lola is not breathing on her own and the entire team begins to perform CPR. The team lead delegates tasks which are performed nearly simultaneously: chest compressions, intubation and breathing, IV access to the blood vessels, monitoring, drug preparation, and record keeper. Mrs. K is updated frequently on the status and has the opportunity to continue or discontinue CPR based on Lola's response. In the event we were able to resuscitate Lola, she will require hospitalization with close monitoring and aggressive supportive care.

-How do we prepare?
Patient: Every patient is designated as "CPR" or "DNR" and is visible at all times while hospitalized.
Hospital: R24VH has been designed so it is easy to intake emergencies with emergency drugs and tools located in many key locations.
Team members: Training is our favorite hobby. The posted picture is us with a training dog (stuffed, not real) at an annual emergency and critical care conference in TX learning the latest techniques. Even though we have trained veterinarians, paramedics, and skilled technicians on the team.... we will ALWAYS continue to learn new techniques and practice to be the best we can be for your family.

Every second matters in an emergency. Please reach out if you need any further clarification on this post. We plan to divulge into this topic and many more in the future closer to opening. We know this was a heavy topic and appreciate you for reading thoroughly. Thank you!

09/25/2022

Our next topic is for our large dog friends!

Third topic: Gastric Dilatation-Volvulus also known as GDV, Bloat, or Stomach/Gastric torsion

-What is it?
It is a life-threatening emergency when a dilated stomach rotates/twists on itself. This rotation compromises the blood supply and entrance/exit routes for the gas inside the stomach. The spleen which lives close to the stomach may also be involved in the rotation. The stomach can dilate so large that it will block the major vessels that live in the abdomen and blood cannot return to the heart resulting in shock.

-How does it occur?
This is a very controversial question! No single cause of GDV exists but likely there are many causes at play. Large and giant breed dogs are most at risk. Example breeds include: Great Danes, St Bernard, Weimaraner, German Shepherd Dog, Standard Poodle, Newfoundland, Akita, Irish Wolfhound, Doberman Pinscher, Bernese Mountain Dog, Boxer, and Mastiff. Middle-age to older dogs are at a higher risk as well.

-What to look for?
Look for dry heaving/retching, hypersalivation, restlessness, panting, and/or pacing. Also look out for a distended, firm, painful abdomen.

-What to do?
Seek veterinary care immediately! Quick intervention is necessary for survival.

-What will we do at the ER?
We will immediately stabilize with aggressive fluid therapy and stomach decompression prior to surgery. In surgery, we will decompress and rotate the stomach. Next, we will evaluate the stomach wall and spleen which may be necrotic/dead due to prolonged decrease in blood supply. Finally, the stomach wall will be tacked/sutured to the body wall in a procedure called a gastropexy to prevent any future stomach rotations. After surgery, the pet will be hospitalized to monitor for any cardiac arrhythmias and continued supportive care.

-Can I prevent this?
Talk to your vet about a prophylactic (preventative) gastropexy to help prevent GDV. This is commonly done at the time of a spay/neuter. Do not breed a dog who has experienced a GDV as there is likely a genetic component to this disease.

Thank you for reading!

09/10/2022

We are here having an amazing time at the International Veterinary Emergency & Critical Care Symposium (IVECCS) in San Antonio, TX. Our week has been full of continuing education and team building (two of our favorite hobbies)! We hope to spread awareness for our feline patients with our next topic.

Second topic: Urethral Obstruction in Cats
-What is it?
It is a life-threatening emergency where a cat (usually male) is unable to urinate due to a plug becoming lodged in the urethra. This plug can be made of mucus, crystals, and even tiny urinary bladder stones and lodges in the narrowest part of the urethra.

-How does it occur?
Urethral obstructions are commonly caused by an inflammatory disease of the urinary bladder linked to stress. This disease has been called many names ex Feline Lower Urinary Tract Disease (FLUTD), Feline Idiopathic Cystitis (FIC), Feline Urological Syndrome (FUS), and Pandora Syndrome.

-What to look for?
Look for small amount of urine or no production of urine, bloody/red urine, straining to urinate (sometimes mistaken for constipation or straining to defecate), vocalization while in litter box, urinating outside of the litter box, and licking at prepuce/pen*s. Other serious signs that may develop are vomiting, inappetence, lethargy/altered mentation, or even death.

-What to do?
Seek veterinary care immediately.

-What will we do at the ER?
A urethral obstruction or "blocked cat" will have a firm painful bladder on palpation. Stabilization includes placing a urinary catheter and relieving the obstruction usually under sedation and correcting any electrolyte and kidney value abnormalities. After relieving the obstruction, the patient will be hospitalized with an indwelling urinary catheter for aggressive supportive care and monitoring.

Address

942440 Old Nassauville Road
Fernandina Beach, FL
32034

Telephone

+19049130032

Website

http://www.R24VH.com/

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Videos

Winona is the MVP today for lending some love and support to our team today. Emergency veterinary medicine is emotionally heavy but patients and clients like this make it all worth it!! Thank you Winona! Your handholding is much appreciated!

Happy National Fun at Work Day! We hope your team had an awkward dance party too! 🎉🎉

Congratulations on passing your boards, Dr. Holmes!!! We are so proud of you, you smarty pants! This field is lucky to have you!

Great success at Nassau County Halloween Festival…. we are your 1A winnerz! Proud to share that tie with one of the teams we sponsor, Hitsquad Elite Swarm! Happy Halloween!

Tomorrow is the start of VET NURSE WEEK!!! 🎉🎉 Here is a peek into why we love our nurses. First up… sass with Gina 🤣

Happy 3 monthiversary R24!🎉🎉 Don’t mind us having a burger and fries party over here (between surgeries and patients of course!)

88 days and 1,918 patients later…. We are SO happy to be here and a part of this community! 🥰 Shout out to our amazing greeters, nurses, doctors, and management team!!! Here is a little taste of our every day life.

We only wish we had this much style!! 😍

THANK YOU Nassau County for the warmest welcome and best first day! Our hearts are full to be able to help so many families already! 🥰

Sod and landscaping in ✅ #wherearethefrontdoors

Fresh coat of paint and gables wrapped! It’s been a whirlwind as we inch closer to opening! Thank you to the Campbells for helping too! As always, thank you @austinr_89 for working 18 hour days every day out there in the sun for us! #wherearethefrontdoors