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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 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

      ๐Ÿถ 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

          ๐Ÿถ 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:

          ๐Ÿถ 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 ยผ 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:

              ๐Ÿถ 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:

              ๐Ÿถ 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.

              ๐Ÿคž ๐Ÿ‘

              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 ยผ 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 ยผ 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:

                  ๐Ÿถ 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.

                  ๐Ÿคž ๐Ÿ‘

                  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
                    • B Offline
                      B 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? ๐Ÿ™‚ Seriously, what recourse is there for you on the financial side for all this?

                      G 1 Reply Last reply 21 Sept 2020, 11:57
                      • B 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? ๐Ÿ™‚ 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.

                        B 1 Reply Last reply 22 Sept 2020, 11:10
                        • G George K
                          21 Sept 2020, 11:57

                          @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.

                          B Offline
                          B Offline
                          brenda
                          wrote on 22 Sept 2020, 11:10 last edited by
                          #30

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

                          @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.

                          That's what I would expect, too. No guarantees are typically given for medical procedures.

                          Are there ever any exceptions?

                          G H 2 Replies Last reply 22 Sept 2020, 11:31
                          • B brenda
                            22 Sept 2020, 11:10

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

                            @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.

                            That's what I would expect, too. No guarantees are typically given for medical procedures.

                            Are there ever any exceptions?

                            G Offline
                            G Offline
                            George K
                            wrote on 22 Sept 2020, 11:31 last edited by
                            #31

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

                            That's what I would expect, too. No guarantees are typically given for medical procedures.

                            That's right. Your only recourse is legal.

                            When Boris had his trachea lacerated during his neutering, resulting in $2K of hospital bills, all I got was "Gee, we've never seen this before, sorry it happened."

                            At least he was insured.

                            "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
                            • B brenda
                              22 Sept 2020, 11:10

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

                              @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.

                              That's what I would expect, too. No guarantees are typically given for medical procedures.

                              Are there ever any exceptions?

                              H Offline
                              H Offline
                              Horace
                              wrote on 22 Sept 2020, 15:40 last edited by
                              #32

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

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

                              @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.

                              That's what I would expect, too. No guarantees are typically given for medical procedures.

                              Are there ever any exceptions?

                              I suppose the idea is that insurance covers it and insurance covers the redo if necessary.

                              Education is extremely important.

                              1 Reply Last reply
                              • H Offline
                                H Offline
                                Horace
                                wrote on 22 Sept 2020, 15:43 last edited by
                                #33

                                Dog is doing well the past couple days. Giving him antibiotic (amox clav) twice per day. The vet gave me a contraption I didn't recognize but which I figured out to be a pill halver. The amox clav pills are too big for it though.

                                Education is extremely important.

                                J 1 Reply Last reply 22 Sept 2020, 18:14
                                • M Offline
                                  M Offline
                                  Mik
                                  wrote on 22 Sept 2020, 15:47 last edited by
                                  #34

                                  Very happy to hear you are both doing better.

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

                                  1 Reply Last reply
                                  • H Horace
                                    22 Sept 2020, 15:43

                                    Dog is doing well the past couple days. Giving him antibiotic (amox clav) twice per day. The vet gave me a contraption I didn't recognize but which I figured out to be a pill halver. The amox clav pills are too big for it though.

                                    J Offline
                                    J Offline
                                    jon-nyc
                                    wrote on 22 Sept 2020, 18:14 last edited by
                                    #35

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

                                    The amox clav pills are too big for it though.

                                    Try cutting them in half first.

                                    Only non-witches get due process.

                                    • Cotton Mather, Salem Massachusetts, 1692
                                    1 Reply Last reply
                                    • H Offline
                                      H Offline
                                      Horace
                                      wrote on 22 Sept 2020, 18:28 last edited by
                                      #36

                                      Thatโ€™s just crazy enough to work.

                                      Education is extremely important.

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