Iggy - Finding a needle in a haystack.

Name: Iggy
Age: 2 Years
Breed: Burmese

CASE NOTES:

Iggy is a 2 year old Burmese cat who lives in Mosman, Iggy is also a VERY lucky boy.

In April of this year Iggy went missing from his family home. His worried owners searched high and low for their missing pet - posters were printed and put up all over Mosman and many evenings were spent combing the neighborhood but little Iggy was nowhere to be found. After 6 weeks, Iggy’s owners had given up hope of seeing their beloved pet again, when in strolled a very tired and thin looking cat - Iggy had come home!
The  initial delight of being reunited with their missing pet quickly turned to concern, as Iggy’s owners realized that the cat in front of them was a shadow of their former pet. After 6 weeks missing Iggy was painfully thin, weak, and seemed to be having some difficulty breathing. Fearing the worst, his owners rushed him straight in to see Dr Abbie Tipler at Mosman Veterinary Hospital. On examination Iggy was fairly bright but had a wound on his tail, a missing claw and did indeed seem to be having difficulty breathing.
After starting Iggy on antibiotics to fight the infection in his tail, Dr Abbie took some X-Rays of his chest, and the reason for his labored breathing soon became apparent. Iggy had 2 pieces of metal in his stomach! Looking at the X-Rays it was impossible for Dr Abbie to tell what the metal was, or if it  was safe inside Iggy’s stomach or loose in his abdomen. If safe inside the gut, then Iggy may have been able to pass the metal on his own. However, if the metal had pierced the walls of the stomach or intestine it left Iggy at risk of a potentially life threatening infection, there was also the chance that the sharp metal shards could move around inside Iggy and lacerate a major blood vessels or organs which could again be fatal. On Dr Abbie’s advice, Iggy was taken in for emergency surgery to remove the metal.  Iggy underwent an ‘exploratory laparotomy’ which involves surgically opening and exploring the abdomen to find and remove foreign materials.
The team prepared Iggy for surgery and consulted the X-rays to determine exactly where to look in the abdomen for the metal. Once his abdomen was opened, Dr Abbie was able to find the first piece of metal outside of his stomach resting in some rusty looking fat near to the liver. The metal was found to be half of a pin and was VERY sharp! The teams celebration was short lived as they continued to searching in his abdomen for the other half of the pin. As they searched, they removed several patches of rust-stained debris from his abdomen, as the pin had started to rust causing irritation to the surrounding organs.
Another ten minutes later the second half of the pin was located, close to the portal vein. The proximity of this pin to this vessel meant that if it had not been surgically removed it could well have punctured the vessel which would have had disastrous consequences. This part of the pin was also removed and his abdomen flushed with sterile saline to remove any other irritants or bacteria from the abdomen before closing up.
Iggy has recovered very well from his operation and was allowed to go home the following morning with some antibiotics, pain relief medication and instructions to keep him very quiet at home. 3 days later, Iggy’s owners reported that he was almost back to 100% at home. He was eating well and putting some weight on, and was happily making up for 6 weeks of lost playtime and cuddles with his very thankful owners. Hopefully he will be happy to stay closer to home in future after his big adventure!  

Interesting Cases

 A DAY IN THE LIFE OF……….. ‘COLA’

NAME : ‘Cola’

AGE: 6 Months

BREED: Spoodle

CASE NOTES: 'Cola' is visiting Mosman Veterinary Hospital as she is being desexed today. Cola has been a patient at Mosman Vet since she was a puppy and has recieved her vaccinations, microchip and up-to-date care (including flea and worm treatments) thus far. She has always been a healthy family pet and has no underlying or predispoing ailments.

The surgery to desex a female dog is called a 'Spey'. This is a very common operation, and one which our vets perform many times a week. Alot of behind the scenes work goes into preparing a dog for surgery, and also in recovering them from surgical procedures. Read on to find out how 'Cola' spent her day at Mosman Vets.

 

8.30AM 'Cola' is admitted for her procedure.

Senior Veterinary Nurse Victoria begins the admission process by giving ‘Cola’ a full physical examination and taking 'Cola's' vital signs. She pays particular attention to 'Cola’s' ears, eyes, teeth, heart, skin and coat and records her current weight. The examination on admission is important because sometimes an abnormal or unusual result may require this routine procedure to be managed differently. It is also important to get a correct weight so that her anaesthetic doses can be finely calculated.                                                                                              

‘Cola’ is given a clean bill of health and upon completion of the neccessary paperwork, she wags goodbye to her owner and is transferred to hospital where she is placed in a comfy kennel and patiently awaits her procedure.

8.50AM Preparing for surgery.

‘Cola’ is given a medication called a ‘pre-med’ to help her relax and to make her drowsy. All of her surgery charts are prepared by nurse Victoria and her anaesthetic doses are carefully calculated. Once ‘Cola’ is feeling sleepy, the nurses shave a small patch of fur on her leg and an IV (or intravenous) catheter is placed into her vein. This creates a ‘port’ or ‘pathway’ where the anaesthetic can be administered. 'Cola’s' vital signs are monitored every 30 minutes until the time of surgery.


10.00AM Time for surgery.

Veterinarian Penny injects a fast acting an anesthetic into ‘Cola’s’ intravenous catheter. Once she is asleep, Penny places a tube into ‘Cola’s’ airway (to help her breathe) and then transfers her to theatre. Nurse Victoria begins to disinfect or ‘prep’ the surgery site with a special scrub consisting of chlorhexidine and iodine, while Vet Penny ‘scrubs-in’ by cleaning her hands thoroughly and putting on a gown, mask, and sterile gloves ready for surgery.



During the procedure (which involves removal of the uterus and ovaries) nurse Victoria closely monitors ‘Cola’s’ anaesthetic levels, blood pressure, temperature and blood oxygenation levels. Once the surgery is completed, ‘Cola’ is moved through to recovery ward where she is placed into a cozy kennel with plenty of blankets to keep her warm. Nurse Victoria sit's with 'Cola' as she wakes up, and her vital signs are monitored closely until she regains complete consciousness.



11.00am  In Recovery.


Once awake from the anaesthetic, 'Cola' is given some post operative pain relief and is allowed to rest after her surgery. After an operation dogs are usually quite sleepy and will doze for several hours. 'Cola' is monitored closely during this time.



12.00PM Time for lunch.

‘Cola’ is recovering well and is given some lunch and something to drink. Her IV catheter is removed, her surgical wound is checked and her discharge notes are prepared. ‘Cola’ is looking bright and alert, and whilst she tucks into her yummy lunch, nurse Victoria phone's her mum with an update and a discharge appointment is made.





3.30pm  Home time!! 

 ‘Cola’s’ owner arrives at the clinic at 3.30pm and has a discharge appointment with the nurse Victoria. They discuss How 'Cola' should be fed, exercised, and cared for following her surgery. Her owners are also given some post-operative instructions to take home and read. Extra pain medication is dispensed so that ‘Cola’ will be comfortable over the next few days.
Cola’ greets her owner with a waggy tail (she even eats some treats!) and heads off home looking forward to a few days of TLC and special care with mum and dad.


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