Wednesday, June 22, 2016

New cases!

First case today was a small black puppy that was having diarrhea and was vomiting for the past four days. He was treated with fluids and antibiotics with the suspicion that he had parvo. All diagnosis of parvo at the polyclinic cannot be tested for sure because the test cause over 400 rupees so, many  of doctors just diagnose based on symptoms alone. The next case was a dog so thin all the ribs and vertebrae were visible but it also had a pot belly. The potbelly is due to cardiac problems that lead to liver failure and can lead to kidney failure so in order to start any kind of recovery the cardiac problems need to be assessed first. Today, Dr. Prasanna Kumar was telling me that because there is such variety in the kinds of animals that come into the clinic it is required that all the doctors know the basics about every species. It is crucial to be able to determine what an animal doesn't have based on basic knowledge so the treatment can be accurate. I also saw an interesting case of GDV (Gastric-dilation and volvus) today in a doberman. The abdomen was very distended and was immediately sent for x-ray. GDV is usually caused after a dog eats thier food and then immidiately starts getting into some kind of aggressive play. GDV causes the stomach to turn and will cause extreme pain and even death in some canines. Sure enough, the dog had GDV and was referred to a hospital that would do the surgery (Dr. Prasanna said we could do it here but it is not emergent enough to take that risk). The next patient I saw was an Ascel or fighting rooster. The nails on the side of legs were cut down so the roosters wouldn't kill each other during fights. The back area of the clinic was full of parvo cases today and I didn't realize how bad it smelled until one older gentleman got woozy and almost passed out. We gave him water and eventually he was good to go home. An absess on a kid was cut open next. The absess was full of puss and had developed due to loose skin on the goat. To treat the goat was held down and the absess was cut open and the puss was squeezed out. I took a video but don't worry I will not post it! The loose skin was filled with sterile gauze to insure that the puss buildup would not happen again. Today I was the anesthesiologist in another surgery. It was a mammary tumor removal in an older dog. Luckily she made it the sutures turned out beautifully!

Another puppy with parvo

The dog with the cardiac problems and potbelly

GDV case. The black mass is gas due to the stomach being flipped

Ascel: fighting rooster

Another successful surgery!

These goats are used for fighting in India


Today was a memorable day in the private clinic. Juju, the pug with jaundice had several epileptic siezures overnight and almost died at four o'clock today. They gave him some medicine to help him sleep and kept him the the out-patient room with us for observation (he was snorring very loud). After several cases of dehydration and vomitting (but tested negative for parvo) were assessed and treated, a case of KCS (Keratoconjunctivitis sicca: dry eye) in a pug came through. After he was treated we looked over at Juju who was twitching and initially Dr. Prasanna thought it was just him dreaming but it turns out he was siezing. When Dr. Prasanna left the room the assistant Marty saw that he was actually siezing and bolted out of the room to go get Dr. Prasanna. I was astonished my eyes got huge when I walked over and witnessed what Marty saw, uncontrollable movement, eyes rolled back, and an inability to breath. Within seconds Dr. Prasanna was in the room asking me if I saw him siezing and for how long. I said that he wasn't going for that long and it most definitely was a siezure. In an instant all the assitants and doctors were in the room trying to revive Juju. They were giving him cpr; pushing hard and fast on his chest while trying to get a tracheal tube in the right position. I had one job, to hold the light in focus so Dr. Prasanna could insert the tube. In the midst of this, the owner had walked in the room and just was watching and crying. Throughout all the chaos of trying to get the heart beating again, she never took her eyes off Juju. After several minutes, all hands were off the table and the rest of the family was called in. It was so depressing to see the look of dissapointment on the doctor's eyes. After the family said their final goodbyes we did a necrospy (autospy for animals) on Juju's body. Upon first glance I noticed the liver was in bad shape (covered in black). While Dr. Prasanna went deeper into the body he noticed that the kidneys, spleen, and stomach were exremely enlarged. Although Juju had all these bodily conditions the real cause of death was his inability to breath during the siezures. I haven't had a death affect me that much since being at the clinics but today was tough especially knowing the doctors did all they could and he still died. Dr. Prasanna said I need to look at the brightside and turn it into a learning experience, now that we know what went wrong other dog's with similar conditions can be saved.  


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