tag:blogger.com,1999:blog-9212251348411401170.post1270231069194064633..comments2023-10-01T10:50:05.348-04:00Comments on The Homeless Parrot: The weightThe Homeless Parrothttp://www.blogger.com/profile/02566801733035183569noreply@blogger.comBlogger12125tag:blogger.com,1999:blog-9212251348411401170.post-51703882212115705872011-01-28T10:05:17.187-05:002011-01-28T10:05:17.187-05:00>>I do use hypertonic saline, but there are ...>>I do use hypertonic saline, but there are some downsides that made me want to stay away from it too. This dog really needed massive volumes of blood products - packed red cells and plasma. We just don't have access to that much blood.>><br /><br />Just curious. I use HS only for shocky patients when I can follow up by replacing volume, rapidly. I've never used it for the situation you described because in ambulatory equine practice, we don't see many acute abdominal bleeds of this magnitude.Outridernoreply@blogger.comtag:blogger.com,1999:blog-9212251348411401170.post-49577682320833566442011-01-28T08:44:27.888-05:002011-01-28T08:44:27.888-05:00Weldr: Thank you :)Weldr: Thank you :)The Homeless Parrothttps://www.blogger.com/profile/02566801733035183569noreply@blogger.comtag:blogger.com,1999:blog-9212251348411401170.post-15756901189637660962011-01-28T08:44:08.719-05:002011-01-28T08:44:08.719-05:00Outrider: I do use hypertonic saline, but there ar...Outrider: I do use hypertonic saline, but there are some downsides that made me want to stay away from it too. This dog really needed massive volumes of blood products - packed red cells and plasma. We just don't have access to that much blood. We had our 1 unit of pRBCs and plasma - and that accounted for $1000 of the bill...The Homeless Parrothttps://www.blogger.com/profile/02566801733035183569noreply@blogger.comtag:blogger.com,1999:blog-9212251348411401170.post-65715681597389339382011-01-28T06:51:38.080-05:002011-01-28T06:51:38.080-05:00The saddest fact that led to this scenario has abs...The saddest fact that led to this scenario has absolutely nothing to do with you.<br /><br />Had this girl been spayed as soon as possible during " Puppy Stage " - nobody would have been hitting any panic buttons - including (from all accounts shown) her owners.<br /><br />You were not trained to suffer from "out-of-your-hands and after-the-fact" scenarios. Most of your training pertains to Preventative medicine. There is only so much you can do when animal owners don't meet you halfway from the beginning, Hon. You did the very best you could.Anonymoushttps://www.blogger.com/profile/12121820035844661657noreply@blogger.comtag:blogger.com,1999:blog-9212251348411401170.post-20289840856735297462011-01-28T05:19:25.151-05:002011-01-28T05:19:25.151-05:00When you say the clot was sitting on the uterus, I...When you say the clot was sitting on the uterus, I assume you mean the uterine stump, since this was a spay.<br /><br />Re: YB, Amicar and formalin - I've used all three in racetrack practice for EIPH. Amicar works decently when combined with Lasix, but again, that's pre-race for EIPH in an otherwise healthy horse.<br /><br />I've found formalin and YB to be worthless for EIPH, though the trainers like the latter because it doesn't test, and they buy it themselves. There's a lot of voodoo medicine at the racetrack.<br /><br />Dunno when used for this purpose.<br /><br />Do you ever use hypertonic saline on these cases? I seem to remember reading an article in the last year or two on that subject (Veterinary Medicine?).Outridernoreply@blogger.comtag:blogger.com,1999:blog-9212251348411401170.post-91237501480951535532011-01-27T23:44:27.170-05:002011-01-27T23:44:27.170-05:00I got the YB from Dr. Crowe and Katie Linderman (f...I got the YB from Dr. Crowe and Katie Linderman (from VIN). Worked fairly well in my hands. Valproic acid is something that SG brought that back from IVECCS. They are using on battle fields in place of blood.KateAhttp://spannersound.comnoreply@blogger.comtag:blogger.com,1999:blog-9212251348411401170.post-92008429415399950722011-01-27T19:43:30.526-05:002011-01-27T19:43:30.526-05:00you said you spoke to the original vet. Did he ind...you said you spoke to the original vet. Did he indicate .why. he chose to spay a higher risk candidate during a heat cycle? That seems a bit odd to me, but I'm not a vet. <br /><br />This sounded like a finger in a dam kind of situation. <br /><br />I'm sorry you lost her, but LOOK at what you did for the other dog!Hollyhttps://www.blogger.com/profile/17685436243608973979noreply@blogger.comtag:blogger.com,1999:blog-9212251348411401170.post-89665938967902343292011-01-27T19:07:03.717-05:002011-01-27T19:07:03.717-05:00Considering the fact that the patient was likely A...Considering the fact that the patient was likely ASA level V and that you did absolutely everything the way you should, you definitely shouldn't feel bad. I agree that the choice to spay may not have been the best.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9212251348411401170.post-81128920324233751672011-01-27T16:02:43.723-05:002011-01-27T16:02:43.723-05:00I'm with Elizabeth. I know I'd be feeling ...I'm with Elizabeth. I know I'd be feeling the same as you though. Tough case.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9212251348411401170.post-79743493998234230962011-01-27T15:13:48.238-05:002011-01-27T15:13:48.238-05:00Looks like you were cleaning up from a vet that sh...Looks like you were cleaning up from a vet that should have refused to spay until the dog was out of heat at the very least considering weight of the dog as well. <br /><br />I am very glad the pseudo Addison's dog is doing well. Feel good abou tthat!Elizabethhttps://www.blogger.com/profile/13744354426654131900noreply@blogger.comtag:blogger.com,1999:blog-9212251348411401170.post-88758135451850501852011-01-27T14:55:57.487-05:002011-01-27T14:55:57.487-05:00Yunan Baiyo sounds like an SG idea...did she get t...Yunan Baiyo sounds like an SG idea...did she get that from NC State? She didn't mention it last time I talked to her about a hemoabdomen, but I can only assume its her. BP isn't into that stuff...<br /><br />I've been reading on VIN about aminocaproic acid (and some side stuff about formalin in horses).The Homeless Parrothttps://www.blogger.com/profile/02566801733035183569noreply@blogger.comtag:blogger.com,1999:blog-9212251348411401170.post-44165788130349044422011-01-27T14:51:33.764-05:002011-01-27T14:51:33.764-05:00Sounds like the dog was one foot in the ground pri...Sounds like the dog was one foot in the ground prior to surgery....morbidly obese and in heat? That is some bad mojo. That is the kind of dog that should have waited for surgery until out of heat....at the very least, it should have been punted directly to you for aftercare.<br /><br />Something that might help in these cases is yunan baiyo (sp? not always spelled the same depending on the source). Given every 4 hours or so, it helps coagulation. I would have been tempted to use hypertonic saline and plasma/packed RBC while waiting on a donor animal. So very hard to walk the line of enough BP, but not too much.<br /><br />Sounds like you guys did a bang up job with a case that was built to spill.<br /><br />Main thing for the average reader/comsumer to take away? Spay now or pay later....spaying at a relatively young age, while the animal does not have masses of greasy fat in the abd (so much harder to get all of the little bleeders and make it more likely that ligatures will slip) and to *not* spay during heat are both important.KateAnoreply@blogger.com