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The New Coffee Room

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  3. Today's encounter with health care

Today's encounter with health care

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  • H Horace
    20 Sept 2020, 21:22

    an hour after he returned from the emergency vet, his wound is finally opening back up, oozing blood and pus. There was an original wound there from a month ago which had healed. Apparently just before it healed, an infection set in, and the wound healed over it, for an infection time bomb two weeks later.

    G Offline
    G Offline
    George K
    wrote on 20 Sept 2020, 21:38 last edited by
    #10

    @Horace said in Today's encounter with health care:

    an hour after he returned from the emergency vet, his wound is finally opening back up, oozing blood and pus. There was an original wound there from a month ago which had healed. Apparently just before it healed, an infection set in, and the wound healed over it, for an infection time bomb two weeks later.

    What was the source of the original infection?

    Oh, and laudable pus!

    "Now look here, you Baltic gas passer... " - Mik, 6/14/08

    The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

    1 Reply Last reply
    • H Offline
      H Offline
      Horace
      wrote on 20 Sept 2020, 21:39 last edited by
      #11

      he got into an argument over food with his step brother, and got bit.

      Education is extremely important.

      G 1 Reply Last reply 20 Sept 2020, 21:42
      • H Horace
        20 Sept 2020, 21:39

        he got into an argument over food with his step brother, and got bit.

        G Offline
        G Offline
        George K
        wrote on 20 Sept 2020, 21:42 last edited by
        #12

        @Horace said in Today's encounter with health care:

        he got into an argument over food with his step brother, and got bit.

        Interesting. Dog bites are generally pretty clean (unlike The Bee cat bites). Glad that there's a resolution. Gonna be messy for a while, but he'll feel a hell of a lot better by the end of the week.

        "Now look here, you Baltic gas passer... " - Mik, 6/14/08

        The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

        1 Reply Last reply
        • H Offline
          H Offline
          Horace
          wrote on 20 Sept 2020, 21:58 last edited by
          #13

          Thanks George, I hope so. He has a fever now but hopefully the antibiotics will work.

          Education is extremely important.

          G 1 Reply Last reply 20 Sept 2020, 22:07
          • H Horace
            20 Sept 2020, 21:58

            Thanks George, I hope so. He has a fever now but hopefully the antibiotics will work.

            G Offline
            G Offline
            George K
            wrote on 20 Sept 2020, 22:07 last edited by
            #14

            @Horace said in Today's encounter with health care:

            hopefully the antibiotics will work.

            Most important thing is to be able to drain it. Pus is the accumulation of white blood cells fighting a bacterial infection. If they can get out (by draining it), there's more that can come in and fight the infection. If the abscess is contained, the response is self-limiting. The antibiotics will pick up the slack.

            "Now look here, you Baltic gas passer... " - Mik, 6/14/08

            The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

            1 Reply Last reply
            • M Offline
              M Offline
              Mik
              wrote on 20 Sept 2020, 22:07 last edited by Mik
              #15

              I expect he will feel better, I sure hope so. Not sure why they would need a biopsy when there was an obvious wound involved.

              But Loki is right about emergency vet clinics being a giant hole into which one pours money. They will usually offer you the most expensive option.

              In their defense, they have and have to maintain a lot of space, 24-7 personnel and equipment your average vet does not have - MRIs, ultrasounds, etc. Maybe even CAT scans, I don't know.

              β€œI am fond of pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals.” ~Winston S. Churchill

              G 1 Reply Last reply 20 Sept 2020, 22:30
              • H Offline
                H Offline
                Horace
                wrote on 20 Sept 2020, 22:27 last edited by
                #16

                He can't lick the wound so he's licking his forearm and then rubbing it against the wound. I guess I'll let him.

                Education is extremely important.

                1 Reply Last reply
                • M Mik
                  20 Sept 2020, 22:07

                  I expect he will feel better, I sure hope so. Not sure why they would need a biopsy when there was an obvious wound involved.

                  But Loki is right about emergency vet clinics being a giant hole into which one pours money. They will usually offer you the most expensive option.

                  In their defense, they have and have to maintain a lot of space, 24-7 personnel and equipment your average vet does not have - MRIs, ultrasounds, etc. Maybe even CAT scans, I don't know.

                  G Offline
                  G Offline
                  George K
                  wrote on 20 Sept 2020, 22:30 last edited by
                  #17

                  @Mik said in Today's encounter with health care:

                  emergency vet clinics being a giant hole

                  Indeed. When Boris had his adventure with his neutering, the bills were north of $2K (ICU care, IVs, antibiotics, O2). Insurance covered it, less my deductible. I'd NEVER go without again.

                  "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                  The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                  L 1 Reply Last reply 21 Sept 2020, 00:43
                  • R Offline
                    R Offline
                    Rainman
                    wrote on 20 Sept 2020, 22:59 last edited by
                    #18

                    Hope all goes well, Horace. Sounds positive.

                    Not sure if you mentioned, what kind of dog is he? The reason I ask, is that George mentioned squeezing the puss out, but if your dog is big, with big teeth, even as his owner I'd be a bit afraid. I mean, if you did something like that to me, I'd bite you too!

                    1 Reply Last reply
                    • H Offline
                      H Offline
                      Horace
                      wrote on 20 Sept 2020, 23:17 last edited by
                      #19

                      he's a lab mix. I don't know that I'll try to squeeze the pus out myself but he's picking at the wound and will do it himself tonight.

                      Education is extremely important.

                      1 Reply Last reply
                      • T Offline
                        T Offline
                        taiwan_girl
                        wrote on 21 Sept 2020, 00:35 last edited by taiwan_girl
                        #20

                        🐢 Hope he gets better soon!!

                        BTW @horace How did your hand surgery go?

                        H 1 Reply Last reply 21 Sept 2020, 00:49
                        • G George K
                          20 Sept 2020, 22:30

                          @Mik said in Today's encounter with health care:

                          emergency vet clinics being a giant hole

                          Indeed. When Boris had his adventure with his neutering, the bills were north of $2K (ICU care, IVs, antibiotics, O2). Insurance covered it, less my deductible. I'd NEVER go without again.

                          L Offline
                          L Offline
                          Larry
                          wrote on 21 Sept 2020, 00:43 last edited by
                          #21

                          @George-K said in Today's encounter with health care:

                          @Mik said in Today's encounter with health care:

                          emergency vet clinics being a giant hole

                          Indeed. When Boris had his adventure with his neutering, the bills were north of $2K (ICU care, IVs, antibiotics, O2). Insurance covered it, less my deductible. I'd NEVER go without again.

                          Wow! ICU to spay a cat? You can neuter a male cat with a pocket knife and an alcohol swab....

                          When I had Booger (my dog) neutered, the best I remember it was less than 150 bucks.

                          G 1 Reply Last reply 21 Sept 2020, 00:55
                          • T taiwan_girl
                            21 Sept 2020, 00:35

                            🐢 Hope he gets better soon!!

                            BTW @horace How did your hand surgery go?

                            H Offline
                            H Offline
                            Horace
                            wrote on 21 Sept 2020, 00:49 last edited by
                            #22

                            @taiwan_girl said in Today's encounter with health care:

                            🐢 Hope he gets better soon!!

                            BTW @horace How did your hand surgery go?

                            It went well! I can move my thumb again. Still paranoid that it'll far apart spontaneously like after last surgery. But I guess the repair last time was DOA since I couldn't twitch the thumb immediately after waking up from the anaesthesia. I will never know what went wrong. Maybe she tied a trick knot as a goof. Those wacky hand surgeons.

                            Education is extremely important.

                            T 1 Reply Last reply 21 Sept 2020, 00:59
                            • L Larry
                              21 Sept 2020, 00:43

                              @George-K said in Today's encounter with health care:

                              @Mik said in Today's encounter with health care:

                              emergency vet clinics being a giant hole

                              Indeed. When Boris had his adventure with his neutering, the bills were north of $2K (ICU care, IVs, antibiotics, O2). Insurance covered it, less my deductible. I'd NEVER go without again.

                              Wow! ICU to spay a cat? You can neuter a male cat with a pocket knife and an alcohol swab....

                              When I had Booger (my dog) neutered, the best I remember it was less than 150 bucks.

                              G Offline
                              G Offline
                              George K
                              wrote on 21 Sept 2020, 00:55 last edited by
                              #23

                              @Larry said in Today's encounter with health care:

                              Wow! ICU to spay a cat?

                              Boris was neutered and had a complication. Apparently they had to intubate him because he became a bit, er, unruly during the procedure and he needed general anesthesia.

                              The intubation was traumatic, and it lacerated his trachea causing "subcutaneous emphysema." The air tracked into his tissues under his skin and also around his heart. He was sick as hell for a few days.

                              It should have been, as you say, a 'nothing,' but it became a BFD.

                              https://www.tapatalk.com/groups/the_new_coffee_room/viewtopic.php?f=5&t=117546&p=1502613&hilit=emphysema#p1502613

                              Boris was neutered on Thursday of last week, and he did great. It's almost as though nothing happened. He came home happy and hungry.

                              This morning, he seemed a little listless, and the first clue was that he didn't sleep with us. The second clue was when I went to feed him, he didn't seem ravenous. He hopped down from the desk he was sleeping on, and rubbed on my leg, a bit, when I popped the can of wet food. He ate about ΒΌ of the can, and went back to the desk...

                              Hmmm..

                              Just didn't look right.

                              I took him to our vet, and she diagnosed subcutaneous emphysema. Basically, this is a collection of air under the skin. It can occur in various situations. When you feel him, you can feel "pops" like bubble wrap (but much smaller, of course).
                              The most worrisome is an anaerobic bacterial infection. These bugs produce gas that collects under the skin. However, he had no fever, and the rest of his vitals were OK.

                              Second cause is trauma. If he gets into a fight with another cat (Maggie still hasn't accepted him because he pesters her, a bite on the neck can cause a laceration of the trachea, allowing air to escape into the surrounding tissues. Blunt trauma, such as being hit by a car can do it too. A third possibility is that, during the neutering, he was intubated, and that caused a tracheal laceration. Seems like that's the most likely possibility.

                              Our vet seemed concerned enough that she recommended taking him to a place where they can give more "intensive" care for him, including monitoring, oxygen therapy, etc.

                              Usually, the treatment is just supportive - make him comfy with O2, pain meds. If he deteriorates, he might need surgery to repair a tracheal laceration.

                              The plan is to watch him for at least one (probably two) day to make sure he's not getting worse.

                              He sure looked miserable when we left.

                              He's had a horrible week, poor guy.

                              The red arrows point to the collections of air under his skin:

                              86793543_10220805296111166_7803368222874402816_n.jpg

                              "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                              The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                              L 1 Reply Last reply 21 Sept 2020, 01:03
                              • H Horace
                                21 Sept 2020, 00:49

                                @taiwan_girl said in Today's encounter with health care:

                                🐢 Hope he gets better soon!!

                                BTW @horace How did your hand surgery go?

                                It went well! I can move my thumb again. Still paranoid that it'll far apart spontaneously like after last surgery. But I guess the repair last time was DOA since I couldn't twitch the thumb immediately after waking up from the anaesthesia. I will never know what went wrong. Maybe she tied a trick knot as a goof. Those wacky hand surgeons.

                                T Offline
                                T Offline
                                taiwan_girl
                                wrote on 21 Sept 2020, 00:59 last edited by
                                #24

                                @Horace said in Today's encounter with health care:

                                @taiwan_girl said in Today's encounter with health care:

                                🐢 Hope he gets better soon!!

                                BTW @horace How did your hand surgery go?

                                It went well! I can move my thumb again. Still paranoid that it'll far apart spontaneously like after last surgery. But I guess the repair last time was DOA since I couldn't twitch the thumb immediately after waking up from the anaesthesia. I will never know what went wrong. Maybe she tied a trick knot as a goof. Those wacky hand surgeons.

                                🀞 πŸ‘

                                G 1 Reply Last reply 21 Sept 2020, 01:04
                                • G George K
                                  21 Sept 2020, 00:55

                                  @Larry said in Today's encounter with health care:

                                  Wow! ICU to spay a cat?

                                  Boris was neutered and had a complication. Apparently they had to intubate him because he became a bit, er, unruly during the procedure and he needed general anesthesia.

                                  The intubation was traumatic, and it lacerated his trachea causing "subcutaneous emphysema." The air tracked into his tissues under his skin and also around his heart. He was sick as hell for a few days.

                                  It should have been, as you say, a 'nothing,' but it became a BFD.

                                  https://www.tapatalk.com/groups/the_new_coffee_room/viewtopic.php?f=5&t=117546&p=1502613&hilit=emphysema#p1502613

                                  Boris was neutered on Thursday of last week, and he did great. It's almost as though nothing happened. He came home happy and hungry.

                                  This morning, he seemed a little listless, and the first clue was that he didn't sleep with us. The second clue was when I went to feed him, he didn't seem ravenous. He hopped down from the desk he was sleeping on, and rubbed on my leg, a bit, when I popped the can of wet food. He ate about ΒΌ of the can, and went back to the desk...

                                  Hmmm..

                                  Just didn't look right.

                                  I took him to our vet, and she diagnosed subcutaneous emphysema. Basically, this is a collection of air under the skin. It can occur in various situations. When you feel him, you can feel "pops" like bubble wrap (but much smaller, of course).
                                  The most worrisome is an anaerobic bacterial infection. These bugs produce gas that collects under the skin. However, he had no fever, and the rest of his vitals were OK.

                                  Second cause is trauma. If he gets into a fight with another cat (Maggie still hasn't accepted him because he pesters her, a bite on the neck can cause a laceration of the trachea, allowing air to escape into the surrounding tissues. Blunt trauma, such as being hit by a car can do it too. A third possibility is that, during the neutering, he was intubated, and that caused a tracheal laceration. Seems like that's the most likely possibility.

                                  Our vet seemed concerned enough that she recommended taking him to a place where they can give more "intensive" care for him, including monitoring, oxygen therapy, etc.

                                  Usually, the treatment is just supportive - make him comfy with O2, pain meds. If he deteriorates, he might need surgery to repair a tracheal laceration.

                                  The plan is to watch him for at least one (probably two) day to make sure he's not getting worse.

                                  He sure looked miserable when we left.

                                  He's had a horrible week, poor guy.

                                  The red arrows point to the collections of air under his skin:

                                  86793543_10220805296111166_7803368222874402816_n.jpg

                                  L Offline
                                  L Offline
                                  Larry
                                  wrote on 21 Sept 2020, 01:03 last edited by
                                  #25

                                  @George-K said in Today's encounter with health care:

                                  @Larry said in Today's encounter with health care:

                                  Wow! ICU to spay a cat?

                                  Boris was neutered and had a complication. Apparently they had to intubate him because he became a bit, er, unruly during the procedure and he needed general anesthesia.

                                  The intubation was traumatic, and it lacerated his trachea causing "subcutaneous emphysema." The air tracked into his tissues under his skin and also around his heart. He was sick as hell for a few days.

                                  It should have been, as you say, a 'nothing,' but it became a BFD.

                                  https://www.tapatalk.com/groups/the_new_coffee_room/viewtopic.php?f=5&t=117546&p=1502613&hilit=emphysema#p1502613

                                  Boris was neutered on Thursday of last week, and he did great. It's almost as though nothing happened. He came home happy and hungry.

                                  This morning, he seemed a little listless, and the first clue was that he didn't sleep with us. The second clue was when I went to feed him, he didn't seem ravenous. He hopped down from the desk he was sleeping on, and rubbed on my leg, a bit, when I popped the can of wet food. He ate about ΒΌ of the can, and went back to the desk...

                                  Hmmm..

                                  Just didn't look right.

                                  I took him to our vet, and she diagnosed subcutaneous emphysema. Basically, this is a collection of air under the skin. It can occur in various situations. When you feel him, you can feel "pops" like bubble wrap (but much smaller, of course).
                                  The most worrisome is an anaerobic bacterial infection. These bugs produce gas that collects under the skin. However, he had no fever, and the rest of his vitals were OK.

                                  Second cause is trauma. If he gets into a fight with another cat (Maggie still hasn't accepted him because he pesters her, a bite on the neck can cause a laceration of the trachea, allowing air to escape into the surrounding tissues. Blunt trauma, such as being hit by a car can do it too. A third possibility is that, during the neutering, he was intubated, and that caused a tracheal laceration. Seems like that's the most likely possibility.

                                  Our vet seemed concerned enough that she recommended taking him to a place where they can give more "intensive" care for him, including monitoring, oxygen therapy, etc.

                                  Usually, the treatment is just supportive - make him comfy with O2, pain meds. If he deteriorates, he might need surgery to repair a tracheal laceration.

                                  The plan is to watch him for at least one (probably two) day to make sure he's not getting worse.

                                  He sure looked miserable when we left.

                                  He's had a horrible week, poor guy.

                                  The red arrows point to the collections of air under his skin:

                                  86793543_10220805296111166_7803368222874402816_n.jpg

                                  Geez, George!

                                  1 Reply Last reply
                                  • T taiwan_girl
                                    21 Sept 2020, 00:59

                                    @Horace said in Today's encounter with health care:

                                    @taiwan_girl said in Today's encounter with health care:

                                    🐢 Hope he gets better soon!!

                                    BTW @horace How did your hand surgery go?

                                    It went well! I can move my thumb again. Still paranoid that it'll far apart spontaneously like after last surgery. But I guess the repair last time was DOA since I couldn't twitch the thumb immediately after waking up from the anaesthesia. I will never know what went wrong. Maybe she tied a trick knot as a goof. Those wacky hand surgeons.

                                    🀞 πŸ‘

                                    G Offline
                                    G Offline
                                    George K
                                    wrote on 21 Sept 2020, 01:04 last edited by
                                    #26

                                    @taiwan_girl said in Today's encounter with health care:

                                    Good news indeed. It'll be weeks/months before you really know. However, it sounds like it's a good thing so far.

                                    Please keep us posted.

                                    "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                                    The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                                    1 Reply Last reply
                                    • R Offline
                                      R Offline
                                      Rainman
                                      wrote on 21 Sept 2020, 02:36 last edited by
                                      #27

                                      All I can say is good news is good news, whether people or pets getting better. Fingers crossed for Horace's good news, that's great to hear!

                                      But overall verdict?
                                      2020 just sucks, every time you turn around, it's more unexpected crap.

                                      1 Reply Last reply
                                      • brendaB Offline
                                        brendaB Offline
                                        brenda
                                        wrote on 21 Sept 2020, 11:11 last edited by
                                        #28

                                        Best wishes to your dog, Horace! That sounds awful for him, really miserable. Anything to do with the face is miserable for a human, so I would think it's as bad for a pet, too.

                                        So glad you're able to move your thumb again. Use of your hand pretty much requires the thumb to participate fully and be social with the rest of the gang. Can you send your bill for this one to the doc who messed up the first time? πŸ™‚ Seriously, what recourse is there for you on the financial side for all this?

                                        G 1 Reply Last reply 21 Sept 2020, 11:57
                                        • brendaB brenda
                                          21 Sept 2020, 11:11

                                          Best wishes to your dog, Horace! That sounds awful for him, really miserable. Anything to do with the face is miserable for a human, so I would think it's as bad for a pet, too.

                                          So glad you're able to move your thumb again. Use of your hand pretty much requires the thumb to participate fully and be social with the rest of the gang. Can you send your bill for this one to the doc who messed up the first time? πŸ™‚ Seriously, what recourse is there for you on the financial side for all this?

                                          G Offline
                                          G Offline
                                          George K
                                          wrote on 21 Sept 2020, 11:57 last edited by
                                          #29

                                          @brenda said in Today's encounter with health care:

                                          what recourse is there for you on the financial side for all this

                                          I'll bet zero.

                                          "Shit happens" will be the response.

                                          "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                                          The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                                          brendaB 1 Reply Last reply 22 Sept 2020, 11:10
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