draggonlaady: (Default)
Sunday was a lovely fun day of constantly ringing emergency phone, alternated with time with Bruce.
First call woke us up at the almost reasonable hour of 8am. Horse with vaginal discharge, lady just wanted to know what dose antibiotic to start, didn't expect me to haul my butt out of bed.

Second call actually came while I was talking to first call, then called back again just as I hung up from first call. Bloated mastiff. That one was no fun, as we met them at the clinic to euthanize the dog.

Checked the ansaphone while we were at the clinic. Got a random call from someone swearing at the machine (this happens frighteningly often, actually), and one from a very impaired sounding woman who had "a dog that needs to be put down. She's, uhm, she's old." Wants an 'emergency' euthanasia (don't recall when that was, but it must have been during the night). Says she's "got the dog in the car right now." Well, that's all fine and dandy, but since she never bothered to call the emergency line, I didn't get the message until the next day. I really, REALLY dislike when people assume on my time--I get messages like "I'm on my way to the clinic right now" fairly often, and usually when I can't do a damn thing about it. Does them no good to leave a message like that and get to the clinic in 5 minutes if I'm an hour's drive away, or in the middle of some other procedure. I can't teleport, and I haven't yet managed to clone myself.

Third call came after breakfast, woman calling because her grandson's dog probably has a broken leg. She hasn't seen the dog, doesn't know what happened, just that her daughter in law called in a panic because they couldn't get a hold of their regular vet. Told her to tell her kids to bring the dog up, we'll take a look. Rads of the leg were BEAUTIFUL. Really. Pieces of bone and bullet everywhere. One teeny-tiny-little puncture on the back of the leg, couldn't even fit a pencil through it. But it sure did a number on the puppy--broke both the radius and the ulna. Cute, sweet little brindle dog too. So knocked her out, and put a cast on her leg.

Fourth call came while I was prepping the puppy from the third call. Cat with a urethral blockage. Owner can bring him in today, but he's an hour's drive away. That's alright, it'll give me time to finish casting the dog, right? Head on in. Actually had time to send the ever-patient Bruce over to the coffee shop next door for smoothies between finishing the cast and the cat arriving. Bruce must be good luck, it was the easiest blockage I've ever had to clear. Knocked the cat out, the blockage was all in the very tip of the penis, milked it out and he started spraying urine all over.

Then we got to go home for a late lunch and a couple hours free-time. Next call came just after we finished dinner, and were planning showers. This is the good one, you'll all be SO proud of me for not screaming at the woman. She tried to neuter her dog at home with a goat band. Of no surprise to anyone with knowledge of dogs and their habit of chewing on anything that even looks like it might itch someday, the dog now has a large open wound with "something long and skinny" hanging out of it. Lucky for the dog, turns out the long and skinny was the cord to one of the testicles, and not intestine. But I got to drag my assistant out of bed to help with this one, while Bruce napped on the floor, since he had to go to work at 3am. Actually didn't clean up too badly, just frustrating that people do stupid shit like this. So she saved herself the $90 to get the dog neutered the right way. Instead, it cost her over $400 for me to clean up the mess she made.

Happily, nobody called in the middle of the night. Nope, they all saved it up for this morning!

So far, the receptionist has succumbed to full-moon-itis, and called in, get this--so she can make some phone calls for her husband. Not that she's sick, or he's sick, or what the hell ever, but so that she can stay home and talk on the phone. The crap? So I've been answering the phone far more often than I should.

Dr S's appointment for 25 cattle called in, an hour before the appointment time. They want him to do 45 instead. Way to give us some warning and time to schedule that! So he's all cranky and stressed, and threw himself into the truck to head out early.

I've talked to a woman who wanted an "emergency grooming" for her old dog. Since I don't generally consider grooming of any sort to be emergent unless there are maggots involved, I have very little sympathy for her inability to brush her own dog. "He's set in his ways" she says, and won't let her near him with a brush. Well, that's dandy. Means we'll probably have to knock him out to do anything. So I quoted her blood work before we anesthetize, and anesthesia, and time to shave him, and warned her that we are not groomers and do not pretend that he'll come out of it looking pretty or in any way stylish. All I guarantee is that the mats will be gone. She kind of choked on the "over $100" bit, and said she'd call back.

Receptionist 2 (the one that actually showed up to work!) just fielded a call from a woman who couldn't get it through her head that we do not do surgery on Saturday. Tried to schedule 2 geldings for Saturday. Was told we don't do surgery on Saturdays. Says ok, what about the next Saturday? We do not schedule surgery of any sort for anyone on Saturdays. Well, that's not what I was told! Erm, wha? Don't know who you were talking to, but it wasn't anybody that works here, because WE. DO. NOT. SCHEDULE. SURGERY. FOR. SATURDAYS.

Yeefreakinghaw. Ok, off to pull teeth out of a little old gremlin dog's mouth.
draggonlaady: (Grinding Bones)
Been quiet the last couple weeks, as you probably noticed from my lack of ranting. And then today, all hell broke loose. So I'll post one story, and go get dinner. Will probably just save the rest of the ranting for the next couple days.

About 9 am, Mrs Miller comes in with one of her dogs, just certain that she's been shot and is dying. When I come out, the dog's laying on the floor in the lobby--I don't know if they carried the dog in, dragged the dog in, or the dog walked in on her own. Irregardless, the dog would not stand to walk into the exam room, so Mrs Miller, in all her brilliance, starts dragging her across the room BY HER CHOKE CHAIN. (Oh, this is starting so well!)
I tell her to stop, we'll go get a stretcher and carry the dog. Does us no good to get her into the room if you strangle her to death in the process. Tech comes up with the stretcher, and we attempt to slide the dog onto it. Mrs Miller ever-so-helpfully picks the dog's head and neck up by grabbing the choke chain and heaving. Once again I tell her to stop. (No, I did not just reach out and slap her hands. God did I ever want to though!) She responds that she's not letting the chain tighten, so it won't strangle her. I point out that she's still picking the dog up (and this is a big dog, 75 pounds of not moving on her own right now) by a thin chain across the throat. Just please (KNOCK IT THE FUCK OFF) let us do it. We slide the dog onto the stretcher and lift her onto the exam table, and I start looking at the dog.
First thing is check the vitals--mucous membrane color, alertness, capillary refill, heart/lungs. When I start looking at the dog's mouth, Mrs Miller very urgently points at the dog's swollen front leg. "Yes, I see that. I'll get there in a minute." I finish with the vitals, and relatively certain that the dog will not expire in the next 5 minutes, I start looking at the rest of her. I work down the front legs, starting with the leg on top. Once again, Mrs Miller points out the (VERY FUCKING OBVIOUS) wound on the other front leg. "Yes, I see that. I'll get there in a minute." Not finding any gushing arteries or obviously broken bones in either front leg, I move down the body and start on the back legs. There are 2 puncture wounds on the inside of the lower hind leg. Once again, I start on the upper leg, it being closest to me. Mrs Miller begins pointing out the wounds on the other hind leg. "Yes, I see that. I'll get there in a minute." When I move to the injured hind leg, I'm examining the first puncture when Mrs Miller apparently just notices the second "There's ANOTHER one, right under your thumb!" "Yes, I see that. I'll get there in a minute." (Are we sensing a trend here?)
At this point, I'm not sure the dog's been shot at all--that hind leg injury is almost certainly a bite wound (unless one of you fine readers can explain how a bullet would make 2 punctures about 1 1/2" apart, one directly above the other on the inner face of the leg?). I explain to the owner that I don't think the hind leg is a bullet wound, but the front leg may be. Can't feel any fractures but we'd better take radiographs just in case, as bullet wounds often carve chunks off bones without completely shattering them. We'll take one of the hind leg also, since Mrs Miller just can't believe that it'd be a bite wound.
At this point, Mrs Miller (Thank all the Gods of ever!) heads off to work, leaving us to treat the dog.
We get a catheter and fluids going, give her a couple different pain meds, and head in to X-ray. Sure enough, no metal in the hind leg. Front leg has a lovely chunk of bullet right next to the radius though. Damn lucky dog--no bony damage at all. So clip and clean and flush all the wounds, start her on antibiotics, and call the cel phone number that Mrs Miller left with us.
Mr Miller answers. Mr Miller is up until this point completely unaware that the dog has been brought to the clinic, and is rather blind-sided by a doctor calling him up to discuss bullet wounds. We persevere none-the-less, and I explain why we are not rushing to surgery to remove the bullet, what the plan actually is (pain control, anti-inflamatories, anti-biotics, treatment for shock). This conversation actually goes relatively smoothly.
A few hours later, Mrs Miller calls in for an update. I explain to her that it appears to be 1 bite wound, probably from a dog of about the same size as this one, and 1 bullet wound, most likely from the owner of the other dog. Mrs Miller is (once again) surprised that I think her dog has a bite wound. Apparently, she thinks it's much more likely that the dog would be shot 3 times in the legs than that the dog would get in a fight. Yeah. Anyway, we discuss taking the dog home instead of leaving her in the clinic overnight, at home care, follow-up care, etc. She doesn't want to leave the dog overnight because she "can't afford any more vet bills." (Guess she's not selling the pups from her puppy-milling for enough.) Then she asks "you're open until 5:30 right?" No. (No, we have never been open until 5:30. We have always closed at 5 and you fucking well know this, because you've been told it at least a dozen times because you ALWAYS WANT TO COME IN AT 5!) I explain that if she wants to take the dog home tonight, she needs to be here by at least 15-20 minutes BEFORE 5:00 so that I can go over treatments and radiographs with her before closing.
At 4:40, Mrs Miller calls and explains that she's still 20 miles away. Can she still come get the dog?!? Receptionist heaves a short-tempered sigh that I can hear from the next room, and tells her she'd better get here as fast as she can.
At 5:10, Mrs Miller finally arrives. I show her the radiographs, and she asks me what the chances are that this was a "cat" bite. (I think it's pretty bloody unlikely, actually, which is why I've told you 4 damn times now that I think it's a dog bite, you moron.) I explain (calmly enough to impress myself, anyway) that cougars usually attack from above, so I would expect there to be bite wounds in the neck and shoulders, not the lower leg. Cougars would leave much larger bite wounds, and probably claw wounds also. And it's highly unlikely that if someone happened upon and dog and a cougar fighting, that they would shoot the dog.

For a bit more history on my dealings with the Millers, try here:
http://draggonlaady.livejournal.com/74346.html
and here:
http://draggonlaady.livejournal.com/64637.html
(Yes, this is the same dog that she bathed in Pine-Sol)
draggonlaady: (Default)
So the canary breeder mentioned earlier (http://draggonlaady.livejournal.com/104728.html) came in today. New receptionist didn't recognize her. She bought Revolution (an ivermectin cousin product) "for her dachshund". Any bets on how much of this ends up on the canaries and not on the dachshund? I'll post again if I get to treat any overdoses in the next couple weeks...


And the case that really had me fuming today: )
Damn I get tired of stupid people and gunshot wounds.

Yes, I see gunshot wounds often enough to get tired of them. And they say the west is civilized!
draggonlaady: (Teddy)
Anybody remember the gunshot dog from last fall? (hunting season...)
The one that the owner wouldn't let me do anything but bandage and give antibiotics to? Despite the broken leg and all that? Well, after never getting an answer when I called to see how the dog was doing, I gave up and decided he'd probably died. Guess I was wrong... The owner stopped in to ask some questions about his cows (basically, in keeping with previous experiences, he wanted us to fix them without ever seeing them and without charging him anything). Seems the dog actually healed up and is doing well.

Previous entry:

http://draggonlaady.livejournal.com/69291.html

Updates

Dec. 7th, 2006 07:57 pm
draggonlaady: (Grinding Bones)
For those few of you who are following some of my cases:

The hydrocephalus-is-not-caused-by-worms folks have not called back in. I don't know if the pup died on its own or is still around. (http://draggonlaady.livejournal.com/71971.html)

Procrastinating Bloke and his coughing puppy--I've got lab results back from WSU, but I can't tell them that, because the house phone is never answered, the cel number they gave me gets me a men's clothing store in Spokane, and nobody has responded the message I left at the message number (his ex-wife, apparently). Since I can't get in touch with them, I don't know how this dog is doing either. (http://draggonlaady.livejournal.com/70967.html)

I've called several times to try to get an update on the dog who'd been shot. Have left messages on the machine 2 or 3 times. Have not been called back. (http://draggonlaady.livejournal.com/69291.html)

Broken-femur dog that the owners wouldn't allow surgery on is apparently doing "as well as can be expected." (http://draggonlaady.livejournal.com/69007.html)

Cracked has not called back with any updates as to how Evil Beast Dog is walking, or whether she's able to get his medication down him. (http://draggonlaady.livejournal.com/68458.html, http://draggonlaady.livejournal.com/62833.html, http://draggonlaady.livejournal.com/60430.html)

(Are you all sensing a trend here yet?)

But I'm ignoring all the incommunicado people and focusing on the cat from August, (amputated a leg, sent him to WSU for a transfusion and feeding tube, and who later had a large patch of skin die and slough off--jnau, you remember him, even if nobody else does) is doing good. Racing all over the house, jumping up on the chair and climbing into the bed unassisted. Skin is slowly growing back.

My turn...

Nov. 21st, 2006 09:10 pm
draggonlaady: (Default)
...to convince them to try a splint instead of putting the dog down.

Mine's a 2 day old gunshot wound. They didn't bring it in sooner, because they didn't want to pay an emergency fee. Guess what--they also wouldn't pay for radiographs, or anything more involved than cleaning/debriding the wounds and putting a splint on the leg. So I don't know how badly the leg is fractured, except that the bone is visible where the bullet passed through the leg. There's a gouge out of the back surface of the bone (jnau--tibia, gastroc tendon appears intact), but I've no idea how far up the bone the cracks have gone.

So...bets anybody? I'd do a poll but apparently I have to have a paid account to do that. so just drop your votes in the comment section. How will this case go?

1: Several weeks of bandage changes and splinting, dog'll heal up relatively fine.

2a: Bone will fracture completely, owner opt for amputation.
2b: Bone will fracture completely, owner opt for euthanasia.

3a: Exposed bone will die, forming sequestrum, owner opt for amputation.
3a: Exposed bone will die, forming sequestrum, owner opt for euthanasia.

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