More of Sir Fuckwad

[draggonlaady]

So mid-morning this morning, as I'm examining and vaccinating a dog in the back of the clinic, and preparing to go into my next appointmen, Sir Fuckwad and the diabetic dog come wandering into the treatment area. No appointment. Unescorted. Unleashed. Dog starts urinating on the floor and wandering around, tracking muddy urine all over the room. Sir F says "my way's not working, I brought him in to recheck his sugar and see if there's anything you can do for him."
"We can start him on insulin, like I discussed with you last week. But right now, I'm rather in the middle of something, so you'll have to go back up to the lobby and wait until I'm done with this appointment."
I have one of the techs round the dog up and put him in a run, since Sir F seems incapable of understanding the concept of a leash, and I go see the cat that's waiting for me.
So when I pull more blood from diabeticboy (DB), who's now quite a bit more depressed and wobbly than he was last Friday, and by golly guess what? On antibiotics and diet change, as expected, his blood sugar has gone up another 250g/dl. (For the curious, normal is about 100. Today, he's above 600.)
Go up and talk things over with Sir F, and it seems that (gasp, shock!) DB had been getting worse. He drinks incessantly and then vomits it back up. Pees all over the place, and won't eat anything, won't get up and do anything. I once again discuss diabetes, and inability to get sugar into the cells, starving to death on a cellular level, blah blah. Because DB is vomiting, I tell SirF that we really should hospitalize him and start on injected fluids to prevent severe dehydration. But unless we start insulin, there's no point doing anything. At which point I expected him to say that we should just put the dog down.
So here's the actual, real shocker--DB's in hospital on IV and insulin now. He's actually letting me try to treat him (now that he's in terrible condition, of course). So send good wishes for the lug, I suppose.

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Comments

[tmercenary.livejournal.com]

What type of insulin do they use for pets these days? Is there a "general" type that all mammals can use, or do they need special types for different animals?

I used pork based long ago, so I am wondering if they use same/different for pets.

[draggonlaady.livejournal.com]

depends on the case. there is a canine-insulin product out that we're supposed to use, because it's the only thing licensed for use in dogs, but it's always on backorder. so i started this one on glargine insulin, figuring that SirF would be more likely to comply with single-day dosing than twice day dosing. My cat is on PZI. used to use a lot of Humilin before they took it off the market.

[evil-egg.livejournal.com]

Sweet Jesus. This man is an intellectual void.

You should seriously send this dog to Battersea Dog's Home or something when he's fit for travel.

[draggonlaady.livejournal.com]

Whas is Battersea?

[evil-egg.livejournal.com]

It's a dog home over here in Britain.

Yes, I know Britain may be a tad far afield, but at least its far away from that idiot.

[draggonlaady.livejournal.com]

Yes, far away would be a good thing, i think. but we'll see how well he follows through with things now.

[evil-egg.livejournal.com]

I'm sure in your hands he'll prosper.

[draggonlaady.livejournal.com]

ah, good ol' blind faith. you've got no idea whether i'm a decent doctor :P

he's doing better, glucose down to 126 this evening, but still not eating and that's disturbing.

[evil-egg.livejournal.com]

Well, I assume you're a good doctor, otherwise you probably wouldn't be a doctor anymore.

And here's hoping the dog starts eating soon.

[draggonlaady.livejournal.com]

generalizations are bad. you should never use them :P

there are plenty of less than stellar doctors in practice, both human and veterinary. But I appreciate the vote of confidence.

[evil-egg.livejournal.com]

Well, you are a friend. I like to think I'm good to my friends.