You have no idea how excited I am about your coming. My biological clock has been ticking for the last 5 years pretty steadily, so when we found out that after 2 short months of trying, we were expecting, well, I was thrilled. You are very much wanted and anticipated.
BUT...it is decidedly not ok that you have decided to make sleeping till 3pm, doing laundry, and cooking dinner for 2 the MOST that I can do without needing a nap. Seriously. I have to be able to function more than this, as I have a job and some serious responsibilities. So, if you could just put out a little energy for me, or stop emitting napitrons - whichever is fine - I'd seriously appreciate it.
Sincerely, your mom...the one that is so tired that 2 hours of laundry and dinner was unbelievably fatiguing!
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Stories from the ER veterinarian world
DISCLAIMER
Any similarity between my stories and any person or animal, living or dead, is strictly a coincidence. Names, breeds, sexes, and details of the stories have been changed to protect the guilty and innocent alike.
About Me
- The Homeless Parrot
- I am an emergency veterinarian in North Carolina. Despite the crazy people I deal with, the awful cases of injured and sick animals, and the overall stress of emergency work, I absolutely love what I do. Happily married since I was 20, I have a wonderful husband who has a PhD in Mathematics, and a daughter around whom our world currently revolves. We also have a zoo living in our house that can be alternately wonderful and maddening. There are cats, parrots, and a dog who is very low on the totem pole. Our days are never dull and we are learning to balance the demands of work and family. If you'd like to contact me: homelessparrot@gmail.com
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Medical terminology
- Azotemia - elevation in kidney enzymes (BUN and creatinine) indicating dehydration, kidney failure, or urinary obstruction
- Lactate - a salt/ester of lactic acid that is produced as energy for a cell when oxygen levels are low. In critically ill animals, elevated lactate can be an indicator of inadequate blood flow to organs (perfusion), decreased delivery of oxygen, and/or decreased oxygen uptake. Values > 6-7 are usually considered to be poor prognostic indicators for survival.
- GI sloughing: when the cells lining the GI tract die (can be secondary to MANY things, including heatstroke) with resulting bloody diarrhea, bacterial translocation into the bloodstream and sepsis
- TTJ: transfer to jesus: code for when an animal needs to be euthanized or die
- DIC: disseminated intravascular coagulation: a very, very bad thing - when the hemostatic system gets out of whack, and clots start forming in the blood vessels until all clotting factors are wasted. once those are gone, internal hemorrhage ensues, followed by death, usually. also known as "death is coming"
- Pleural effusion - fluid contained in the pleural space (chest) - this is not the same as fluid in the lungs (see pulm edema) - in cats can be caused by infection in the chest, heart failure, cancer, FIP, feline leukemia, FIV, and in some cases, the cause is never found (idiopathic)
- Anisocoria - unequal pupil size (related to any number of causes including brain damage/head trauma)
- Laterally recumbent - lying on side, unable to rise
- Hyperglycemia - elevated blood glucose
- Hyperkalemia: elevated blood potassium - a life-threatening condition related to several disorders (kidney failure, antifreeze toxicity, urethral obstruction...etc)
- Sepsis - refers to a bacterial infection in the bloodstream or body tissues. This is a very broad term covering the presence of many types of microscopic disease-causing organisms.
- Nephrectomy - kidney removal
- Splenectomy - removal of spleen
- Pulmonary edema - condition in which fluid accumulates in the lungs, usually because the heart's left ventricle does not pump adequately ( can be caused by heart failure, electrocution, drowning, too many IV fluids, to name a few)
- Tick borne diseases - any of a myriad of diseases transmitted by ticks - including but not limited to Rocky Mtn Spotted fever, Lyme disease, Ehrlichia
- Fine needle aspirate - A method of sampling in which a needle is used to suck in cells or tissue bits for diagnoses (good for diagnosing masses/lumps)
- Blood glucose - The principal sugar produced by the body from food–especially carbohydrates, but also from proteins and fats; glucose is the body's major source of energy, is transported to cells via the circulation and used by cells in the presence of insulin (normal range in a dog/cat is 75-100)
- PCV - packed cell volume - the volume of packed red cells in milliliters per 100 ml of blood (normal range 35-45)
Diseases I see/treat frequently
- Dystocia - difficulty birthing. May be responsive to oxytocin administration (Pitocin, as in people) but may require c-section.
- DKA - diabetic ketoacidosis: the extreme end of the diabetic scale. A patient that is diabetic can develop DKA when other diseases make the blood glucose hard to regulate. Other diseases that are commonly associated include urinary tract infection, pancreatitis, pyometra, skin infection, and cancer. In DKA, the body starts metabolizing fat and producing acids that cause a drop in blood pH, nausea, weakness, severe dehydration, electrolyte derangments, and death.
- DCM - dilated cardiomyopathy: an idiopathic (cause unknown) cardiac disease in which the heart chambers become very thin/dilated, and cardiac output drops radically. Causes arrhythmias, tachycardia, and sudden death. Seen in large breed dogs like Dobermans, Great Danes, etc.
- Lymphoma - cancer of the white blood cells, the most common and treatable form of cancer in dogs
- Blocked cat - slang term for a male cat with a plug of mucus and crystals obstructing the urethra (fairly common in male cats) definitely a life-threatening because urine can't get out of the body! If present long enough, causes shock, acute renal failure, hyperkalemia (elevated potassium), coma, and death. Symptoms include straining in the litterbox, yowling while trying to urinate, producing small, bloody drops of urine (also symptoms of feline cystitis, a non-lethal condition)
- GDV - stands for gastric-dilatation and volvulus - a condition of large breed, deep-chested dogs (usually) in which the stomach rotates 180 degrees on its axis and thus - nothing can enter or leave, considered the "mother of all emergencies" - it warrants immediate surgery and carries a guarded prognosis
- IMHA - immune-mediated hemolytic anemia. A disease in which the immune system attacks the red blood cells and destroys them. It causes profound anemia and is life-threatening. Causes are primary (no known cause) and secondary ( tick borne disease, cancer, and heavy metal intoxication). Treatment is immunosuppression with drugs primarily. Prognosis is guarded at best.
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- Arthritis in cats
- Selling yourself
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- Hoarding. Where is the line?
- The cat in the wall
- Weaknesses
- The importance of a good oral exam cannot be under...
- Sorry blog readers
- A veterinary post - woohoo!
- Update on my mom
- When it rains
- Parrot help
- We have a troll amongst us...
- Anonymous and negativity
- I can assure you that's not the way to get stuff done
- Lovely email
- I feel repetitive
- Bleh.
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- How to find a job (maybe)
- Really?
- Update
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- Bad week
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4 comments:
A good friend and I were talking about our first pregnancies the other day. She would get up in the morning>go to work>come home for lunch>nap for lunch> go back to work>come home>make dinner and go to bed.
Napitrons is now my newest official favorite word.
SO exciting... but yes, a tiring stage. I worked late with all four of my children. One woman with a little rounded tummy came in with her dog and said she couldn't lift it on the table as she was pregnant. I duly walked, or actually, waddled, round my consulting table, 8 months pregnant, picked up the dog and carried on.
I can't find your post on arthritis in cats... so if you deleted it that is a shame. I attended the Hill's Roadshow on osteoarthritis last year - liked the assessments to be done on the cat to gauge if it is helping. They used Metacam initially, but after a month, the foods do seem to help many cats.
http://www.hillspet.co.za/Cat/Adult/Health-and-Wellbeing/Feline-mobility.aspx
Fi...I'm being pretty wimpy about what I lift too. On the other hand, I've always been super, super protective of my back - it needs to last me the rest of my career!
As to the arthritis post, it'll be up in a few days. There was a problem with the formatting, and I was too tired and annoyed to fix it. It's not scheduled to be posted until 3/31 or 4/1 anyway! Fear not, it is forthcoming.
Don't worry, the crippling fatigue subsides pretty quickly -- I was basically nonfunctional from 8-16 weeks because I was exhausted all the time (I would come home from school and literally consider taking a nap on the landing of our apartment stairwell because I was too tired to finish climbing the stairs. And we only live on the second floor! And I only walked half a mile home from school!) and then suddenly one day I was fine again. No problem with 14 hour work days in clinics, working out again regularly, feeling fine on a normal amount of sleep -- I'm sure I'll be exhausted again right near the end, so I'm enjoying it while it lasts!
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