Sometimes being mobile we get caught in less than ideal weather đŠ when trying to get to our patients. The biggest question - do you wait it out or jump over the river next to the truck and make the run for the house? What would you have done? Comment with đđœââïž or â±ïž (Sound on)
CASE OF THE WEEK: âOliverâ definitely used up one of his 9 lives this week. He presented to us yesterday after becoming lethargic and had begun vomiting. As a precautionary measure as part of his diagnostic work up, abdominal radiographs were taken and it was from those that it became very clear that he was suffering with some significant gastrointestinal distress.
Multiple small intestinal bowel loops were distended with gas and there was clearly visible foreign material in his descending colon. His owners were not aware of anything he could have eaten but hair ties were a strong possibility given the appearance on the films.
A rectal exam was performed and the source of the issue was able to be carefully retrieved. He had eaten a 2 ft long lace that had moved its way through his bowels and somehow hadnât become entrapped. It was causing distress however, and so it made sense to attempt removal rectally. With the cause of the issue removed, the gas was able to clear and his pain relieved. Just 24 hrs later he is back to his normal self. This is one very lucky cat!
After removal, his owners were able to identify that the lace was in fact one that was missing - it had been getting used to keep a garbage can closed so he couldnât steal items. It appears his desire to get into the garbage was very strong!
**** WARNING: NEVER ATTEMPT TO REMOVE ANYTHING RECTALLY BY APPLYING TRACTION TO IT. THIS WAS DONE ONLY BY A MEDICALLY TRAINED AND EXPERIENCED PROFESSIONAL ****
Thereâs something about âBellaâ and her fighting spirit⊠To say 2022 hasnât been her best would be an understatement. Over the summer she was diagnosed with a form of oral cancer and underwent a partial maxillectomy which meant that part of her upper jaw at the back of her mouth was removed in order to excise the cancerous growth.
She recouped from that major surgery before suddenly developing a condition at the end of October called a Gastric Dilation-Volvulus where she became bloated and her stomach twisted on itself. This requires emergency surgery immediately and is life threatening unless corrected. The decision to take her to surgery for a second time having just gone through one major surgery was difficult, but following careful consideration they chose to proceed forward. They were at peace knowing they would have done all that they could to save her life.
Making it safely through this surgery, during her recovery it became apparent that she had unfortunately lost sensation to her hind limbs. Not only couldnât she stand or support her weight but she couldnât feel her back legs. Once again her owners were faced with making a very tough decision - lay her to rest, or give her one last try at home with careful nursing care and passive range of motion exercises to see if it was transient and could be improved. Dr Jenni and Bellaâs owners didnât feel she was quiet ready to give up and so we persevered.
Over the coming weeks she enjoyed Halloween via a trunk or treating method instead of greeting children at the door, she received the most wonderful supportive care from her mum and dad (not the easiest task when working with the size of a Great Pyrenees) and slowly but surely she began to walk again. We were gradually able to restart the medication she would normally take for her osteoarthritis but couldnât be on following her surgery.
Bella has fought back! She is now walking again and just yesterday was able to begin Acupuncture therap
We spent today driving around Derby, Hamburg, West Seneca, Lancaster and Marilla taking care of a lot of senior patients. It was a long day discussing chronic disease states, pain management, discussing quality of life and helping guide those tough decisions. It was, as it always is, worth it though when we can see how our patients daily lives can be improved.
We took a breather over lunch to enjoy some fresh air and sunshine down on the Hamburg shoreline. Pictured is our vet tech Leigh and Megan who is a vet student moving into her 3rd year of vet school at Cornell University. We have been really enjoying sharing our knowledge and experience with her this summer and are confident she will be a great addition to our profession upon graduation.
Finishing up the day with this amazing sunset confirms why being out on the road each day is right where we love to be!
Brothers are no fun when they keep trying to steal your cheese!
Hereâs a little Friday fun for everyone to enjoy âșïž Sent to us by one of our lovely clients whose cat âWhiskyâ was put on a diet. His owners feel itâs going well but I believe this video they got of him tells us what he thinks of it⊠They came home yesterday to find their fridge raided and managed to get this video later on showing his tacticsâŠ.. âWhiskyâ we love you đ
When you canât wait for Dr Holly to give you treats during your exam đ
Sometimes when we head to an appointment the original plans change. Tonight was a perfect of example of this. Dr Jenni went to visit with âErnieâ who through various experiences in his 4 years has developed some anxiety with those he doesnât know and particularly when they want to purposely interact with him. His owners have some concerns over a skin growth that he has in a very sensitive area of his body.
When Dr Jenni first arrived he couldnât have wanted to be further from her. He was staying in another room of the home and watching her from a distance. It was decided to try and take him onto to neutral ground outside and see how he reacted. He continued to be very skittish and hid behind his owner. He tried to run away repeatedly. While exercising patience over the hour they spent together she waited for his fear to gradually settle.
He started at first to approach cautiously, but would dart quickly away if she moved, it progressed to tossing treats towards him, then him taking them from her and following commands to sit and lay down. He started to allow her to place a hand on his back and gently stroke him. And then there was a break through moment....his water soaker!
Armed and ready he now saw Dr Jenni as less of a threat and more of a person who provided something he loved. He was engaged, tail wagging and play bowing - he was having fun!
Focusing on his long term care with us, this is where Dr Jenni left this appointment. Today became a professional consultation which is sometimes what happens. It becomes a time to meet and start earning the trust of the patient. It becomes less about the âto doâ list and more about creating a plan for getting to that point in a calm and reassuring way for the patient.
Today became less about the little lump that needs checking, and more about having a positive first visit with us. We will come back to the lump, and to him, but we will move at his pace and make plans to help him feel at ease with what
JANUARY'S M.V.P Award - BOGART!