Question
Profile Image
dana | 4 years ago
Hi, I Got My Cat Spayed Two Weeks Back, And She Has Developed A Swelling Behind The Skin Sutures

hi, i got my cat spayed two weeks back, and she has developed this swelling behind her skin sutures one week after the surgery. there’s no discolouration, or tenderness, or drainage of any kind from the sutures. the swelling itself feels firm, and soft tissue-esque. my cat herself doesn’t show any signs of discomfort/pain either. no loss of appetite, no diarrhoea or change in bowel movements, no change in behaviour, no lethargy, etc.
this is my first pet, so i don’t have any experience in the post-op recovery of cats, and what is considered normal or not. also i live in a super remote area, and the vets in my town are more experienced in cattle, so taking her to them was of no help. they think it’s an infection or hernia. i don’t think it’s either because there are literally no signs of infection, the wound is absolutely clean, and it’s not hernia because it’s doesn’t reduce (and if it were at a strangulated/irreducable stage, there are no systemic signs to support that diagnosis).
the hospital where i got her spayed at is in a different city, and i talked to the surgeon who performed the surgery on the phone, and going by the pictures, he thinks it’s probably a seroma. he absolutely shot down the hernia possibility, because he says they put uninterrupted sutures, so the chances of hernia are very rare.
my local vet has put her on a ceftriaxone plus dexamethasone (intramuscular) regimen, for 4 days to see if the swelling improves or not. but i am not super confident about their judgement since they are not experienced in cat physiology, at all. they didn’t even consider it could be a seroma, i had to explain it to them. i just need to know what are the chances of it being something serious, because if it’s only a seroma, or a reaction to the internal sutures getting dissolved, i’d rather not have her uselessly medicated.

so, tl;dr how does a seroma swelling feel like? and how do you differentiate between a swelling due to seroma, or because of the body’s reaction to internal sutures healing?

4 Responses

Comments

  1. Sarah

    Hi there-
    When is her follow up visit to the surgeon? It is very hard to tell from a photo, but her incision looks clean- not infected. Is it warm to the touch at all? Nothing painful? You said no lethargy, etc? If she is acting normal, eating normal etc., then I would just wait until my follow up to discuss directly with the surgeon. Unless there is no follow up at this point? If that is the case and things do not improve, then you may have to take a ride I. To see the surgeon anyway to make sure things are healing properly. Hope things go ok- ????????

    1. dana Post author

      thanks for responding.
      the surgeon didn’t plan any followup visit initially, since i was visiting from out of town. he said the local vet could take out the skin sutures. but when i talked to him yesterday, he said to give the antibiotic/steroid regimen, and wait.
      it’s not warm to touch, and not tender either. she’s eating, and drinking just like she used to.
      if the swelling is a normal reaction to sutures, how long does it take to settle down? is it alright to give her more antibiotics, she was given a 5 days course of co-amoxiclav (156.25 mg, 1.5ml twice bd) post-op? is seroma supposed to be a firm swelling, because the surgeon suggested aspirating the fluid, but the vet that saw her today advised against it because the swelling was firm in consistency. sorry for bombarding you with all these questions.

      1. Sarah

        Sorry- that is tricky. Any meds need to be discussed with the vet… in any case IF it is a seroma, it will hopefully reabsorb on its own. Again, the vet would have to feel it to confirm if it is indeed a seroma or not.

Question
Profile Image
Sandra | 4 years ago
Four Years Ago This Week, My Dog Connor Was Released From A Baltimore-area Veterinary Orthopedic And …

Four years ago this week, my dog Connor was released from a Baltimore-area veterinary orthopedic and sports medicine hospital after THREE failed TLPO surgeries and multiple significant infections, which created the beginning of Connor’s end. The reminders of this are coming up daily in my Facebook “Memories” feed, which is why I’m currently wrestling with taking action four years after the fact. Connor completely tore his CCL and the ortho surgeon sold me–HARD–on TPLO for him. This same practice and surgeon had successfully repaired a torn CCL for another of my dogs, Tessa, when she was five and a half years old. Connor was 13, and the surgeon was all but guaranteeing success, citing examples of 12-year-old Great Dane patients who regained great quality of life and movement. Connor fell off a ramp getting out of our car and three of the six screws broke after the first TPLO surgery. The surgeon did a second TPLO surgery, after which Connor went NOWHERE and did NOTHING, and the screws failed again. Plus, the second time, he developed an infection so bad I mistook the stench for a sewer problem I was having in my house. When the vet intern cut off his splint and dressing, what was inside was bright green and smelled horrendous. I’d been mistaking Connor’s crying and balking as stubborness, not recognizing he was in PAIN. The staff whisked Connor away to the back and kept him for more than a week. MONTHS later, one of the vet techs told me they weren’t sure he was going to make it that first weekend (our appointment was Saturday; while they were typically closed on Sunday, they had this staffer with him around-the-clock, doing regular debriding they didn’t tell me about). The third surgery involved an external fixator I was cleaning multiple times a day. When they found out I was doing this, I was yelled at and told to only clean it once a day. I followed the directions–and another significant infection developed. There were multiple instances of their applying splints in ways that hurt my dog, and I ultimately had to move him to another veterinary ortho practice because the surgeon who performed the surgery, the vet who owned the practice and finally the office manager (who had been the final person who would even respond to my calls and letters) stopped responding. Second and third opinions were that Connor developed a bone infection so severe he might not recover–because a fragment of screw had been left behind from one of the first two surgeries. He ruptured a disk in his back trying to manage the awkward splints the first ortho vet used. The second ortho vet did an MRI–discovering the TWO ruptured disks (one was several years old and had been misdiagnosed by the original vet ortho and sports medicine practice as a “congenital defect”). I went ahead with the spine surgery–within three hours in recovery, Connor pushed the baby-gated pen he was in around a corner. The second surgeon was amazed, and said to me, “Younger dogs who recover perfectly well from this surgery can’t even stand at this point–Connor is rearranging the furniture. I can’t imagine how much better he must feel right now to be doing that.” But the leg wasn’t healing due to the infection, and I finally conceded that, despite my best intentions to give him back his mobility and his life, the decision for TPLO actually made his last year of life miserable and then forced me to put him down. (And I can’t even tell you about the in-home “euthanasia” service–it was so horrible I still weep thinking about what happened there, more than three years later.) With this brief (really!) background, would it be unreasonable of me to file a complaint with the state veterinary licensing board? It’s only now that I realize THEY made mistake after mistake, didn’t fully advise me of the situation and options, and caused me to put my dog through pain and misery that wasn’t going to help him improve. I’ve been really fired up about this complaint this week, but then I read your blog about euthanasia and how clients can be unreasonably cruel, and I need to know if you think there would be anything gained from the practice having to answer for their decisions (which include blaming me and refusing to talk to me or treat my dog until I fully paid them ongoing bills that were supposed to have been covered under the “guarantee” they provided in writing.) I really appreciate your taking the time to read this long post and offer your advice.

2 Responses

Comments

  1. Krista Magnifico

    Hello,
    I am so sorry for you and your dog. I’m sorry that you both had to go through this and I’m also sorry that they made a terrible situation worse. My blog wasn’t intended to be about cruelty, although yes I do mention it happens, but tether my difficultly in knowing what’s best and how to serve my patients first and foremost. I don’t know what kind of advice to give you. I will tell you that we created the storylines section (the tab for it is above) so that anyone and everyone can share their pets experiences so other may benefit. There are also multiple facebook groups dedicated to pursuing malpractice in vet med. maybe they can help.
    Again I’m so sorry. It’s not fair and it’s not right. I’m not saying that medical complications don’t and can’t happen b. I am saying that no one should be bullied, yelled at or made to feel anything other than valued and appreciated when they seek help for their pets.

    1. Sandra Post author

      I talked to a lawyer about “malpractice.” The law basically says the value of the dog is the most you could recover in a “malpractice” suit. Because Connor had been through the shelter system a year prior to my finding him there, he was already chipped and neutered. I paid $35 to adopt him. The lawyer told me it wasn’t worth my time to pursue it. Thanks for your kind response.

Question
Profile Image
Melissa | 4 years ago
My 7 Year Old Dog, We Aren’t Sure Of Breed, But We Think A Lab/beagle …

my 7 year old dog, we aren’t sure of breed, but we think a lab/beagle mix of some sort experienced extreme pain and loss of the use of his back legs 2 days ago. I immediately took him to the emergency vet. They told us med management and cage rest. They brought him to the car with the use of a sling for his hind legs stating he still had some movement of his hind limbs intact. 2 hours later I believed he had declined and had no use. I called back to the vet who made me feel guilty for asking for further evaluation stating she would not put a dog through an MRI and surgery that still exhibited neurological function. He cried all night long and every time I moved him to potty was in excruciating pain. he wouldn’t eat and no longer could void. I took him back to the vet the next morning where he received an MRI and underwent surgery for a ruptured disc. at that point he no longer had deep pain sensation. My question is did that delay diminish his chances of recovery? and what are the odds now? I’m just heartbroken for him and do not want him to suffer. I am a nurse practitioner and very willing to provide the care he needs however I don’t want him to be in long term pain or have a poor quality of life.

2 Responses

Comments

  1. Krista Magnifico

    Hello,
    Please dont beat yourself up over doing the best you could in a very difficult time. I really hope things work out. Stay in touch with your veterinary team and I’m sending hugs to you both. You are doing the best you can. Give your dog some time. It’s always really hard the first few days. Hang in there.

    1. Melissa Post author

      thank you for your encouragement. I’m going to remain hopeful that he can make a full recovery.

Question
Profile Image
Amanda | 4 years ago
I Have A Cat Who Needs A Nodule Removed From His Liver As Well As A …

I have a cat who needs a nodule removed from his liver as well as a bladder stone. Can anyone pleasee help find me a surgeon for this procedure? I can have all his recent test results and ultrasound sent from this vet to one who can do this.

1 Response

Comments

  1. Laura

    Hi Amanda – it looks like you’re in Glen Arm? Did your vet have any suggestions? Are you willing to drive up to Philly, and would your vet be willing to consult with UPenn? UPenn treated us very well when we had a puppy who needed specific care we couldn’t get locally.

Question
Profile Image
Bonnie | 4 years ago
My Sweet Little Josephine Is 2 1/2 Years Old And Has Herniated Discs In Her Back And Also …

My sweet little Josephine is 2 1/2 years old and has herniated discs in her back and also has severe heart failure in the right side of her heart. I have to make the heartbreaking decision of whether or not to take the chance on anesthesia to repair the disc herniation since a week of sedation and pain medication has not produced any improvement on her motor skills (she can’t stand and poop or pee and her appetite is waning) and risk complete heart failure, or take her home and try other alternatives to back surgery. The doctors tell me that the results of the EKG tell me that I only have about 2 more years with my little girl given the condition of her heart. Do I do the back surgery? Are there successful alternatives?

3 Responses

Comments

  1. Krista Magnifico

    I have a lot of information on my blog and YouTube channel. I think cage rest, analgesics and lots of TLC help. I also know people who think rhat acupuncture has provided great benefits. Good luck.

    1. Bonnie Post author

      I just can’t stop crying about this. I just watched your video from the car. God bless you. My sweet Josephine is at the University of Minnesota, where she had her first surgery, to repair her heart valve (stenosis?). My friends did a GoFundMe for her for that surgery, but that time, it wasn’t an immediate emergency and we had some time. Today they called me when they already had her anesthetized for the spinal cord disc surgery and called me to get the deposit of $6000.00. Since I did not have that readily available on a credit card, they canceled her surgery. I am not sure where this is heading, but I truly admire you for standing up for your beliefs. What are we supposed to do? Turn in to these people that say it is cheaper to just get a different one? If they had ever looked in my sweet Joey’s eyes and watched the joy that she has when she gets a new ball and leaps in the air to catch it. Now I know that no matter what, if she does get the back surgery, and if she does survive it, if she ever walks again, if she ever runs again, will she live more than 2 years? Will she be happy? Am I doing this for me? Am I truly doing this for her? Will she be in pain? She didn’t show any pain before or after she couldn’t walk anymore. She is a tough little girl. She has lived through so much in her short little life that I want to keep fighting for her, but is it fair? Am I really doing it for her? I can’t afford this. I don’t know how I will make the credit card payment, but that isn’t what matters. Joey matters.

    2. Bonnie Post author

      Two people that care about me have now said that maybe I should let her go. I spent $5000.00 on her original heart valve operation and I am going to spend an additional $7000.00 on disc surgery and if she survives that she will only live for another 2 years. Am I being selfish?

Question
Profile Image
Alexandra | 4 years ago
Best Diet/nutrition For Cats. Advice

Hello,

I have two 4 year old cats who are brothers and I want to ask your opinion on what the best diet is for them. Both of them have spurts of throwing up after eating their food too fast (they both have been to the vet recently and had a normal exam) and I just want to give them the best diet possible so they can live a long healthy, happy life. What dry foods do you recommend? Grain free vs with grain? Should I also be incorporating wet food as well? What do you recommend?

1 Response

Comments

  1. Krista Magnifico

    Hello,
    There is not a “one diet fits all” advice. I have four cats and. Feed science diet. Canned and dry. But I know the health status of all of them. Please ask your vet, the person who knows your cats health status best, what their thoughts and advice are.

Question
Profile Image
Robyn | 4 years ago
What Are The Best And Safest Dental Chews For Cleaning A Dogs Teeth And Bad Breath?

What are the best and safest dental chews for cleaning a dogs teeth and bad breath?

1 Response

Comments

  1. Laura

    No chews will replace a proper dental cleaning at the vet. if you’re dealing with bad breath, in all likelihood your dog should be scheduled for a dental visit.

    That said, my dog’s vet recommends OraVet dental chews to supplement oral cleanings.

Question
Profile Image
Mandy | 4 years ago
My Boy Cat Became Unwell And Didn’t Eat Or Drink. His Ears Are Always An …

My boy cat became unwell and didn’t eat or drink. His ears are always an issue so wondered if it was this, we also noticed he was guarding his back legs and was hesitant to sit just before all this. They did bloods and checked his ears, the diagnosis was firstly they noticed his teeth were bad and his ears were not great so we were scheduled in for dental work three days later he got steadily worse and I was petrified he was going to die, so I took him in on the Thursday ( day before surgery was to happen) and I said I thought he was dehydrated. So they checked him over ( were not allowed in due to coronavirus so I’ve not seen anything they’ve done) they initially they said he could come home and they’d see him for dental work day after, next call was he needs to stay to be on fluids overnight. That they would do the surgery the next day and call after to let me know how he went on. I insisted they call me to let me know how he was before he went under. He was “ fine and coming to the cage front for head rubs” they did the dental surgery at 4pm ish and called to say come get him. He was very groggy and wobbly on his legs, we put this down to the drugs. He gradually got les mobile on his hind legs and is now totally paralysed and drags his legs along ( he still moves at speed though.) we took him back and a different vet said “ you just have to make your home safe for him this is how he is now, it’s that or put him down” no explanation why he’s suddenly like this, no care or give a damn!!
So he’s now not pooping and is just peeing constantly. I took him today for his post op follow up dental check And said I thought his bladder was full and he wasn’t pooping he said they took a pee sample and gave me laxatives ( lactulose) £30 and told me to watch YouTube to learn how to express his bladder!! I’m in bits and I’m so scared I am going to lose him. He’s my baby and he’s such a sweet boy I want to do what’s best for him. Please help I am just in a daze and feel so let down!

3 Responses

Comments

  1. Krista Magnifico

    Hello,
    Is there a veterinary college near you? If possible can you go there? Or a feline specialist. I think you need to find someone reputable and credible to help understand what is going on? I’m so sorry to hear about your kitty.

  2. Sarah

    That is terrible- I am so sorry. I think I would find another vet immediately. Explain everything that has happened.

Question
Profile Image
Nicole | 4 years ago
My 11yr Old Lab/Mastiff Mix Was Diagnosed With A Mass On Her Spleen. It’s …

My 11yr old Lab/Mastiff mix was diagnosed with a mass on her spleen. It’s currently not bleeding, but we are trying to figure if we should go ahead with the surgery or not. I feel in my heart she has still more life in her, but I also know that if it’s cancerous she won’t have long. I know in the long run it’s my decision, but I just need to hear what others think.

1 Response

Comments

  1. Krista Magnifico

    Hello,
    In my experience I have found removing it before it starts bleeding and becomes a serious life threatening issue is far better than waiting for this to happen.

Question
Profile Image
Karen Hesch | 4 years ago
Hello… I Was Hoping For Some Advice… So I Have A 7 Y/o Lab/rotti Mix …

Hello… i was hoping for some advice… so i have a 7 y/o lab/rotti mix whom ive had since he was 4 weeks old… he’s very good EXCEPT for when i try to mess with his ears or go passed his chest area… he has chronic ear infections and now has growths popping up in a few spots… he’s miserable n he won’t let me help him… Im out of work n can’t afford much. Just had 3 disc replaced in my neck n the covid situations had everything messed up so i don’t know what to do to help him n it’s breaking my heart… I’ve tried to muzzle him n sedated him a little with benadryl but he gets very aggressive when i try… he’s 100lbs n I’m only 140 and have been injured so i can’t really do much. When my husband left in 2018 he left me with all these fur babies n being out of work since dec 2019 im desperate at this point ???? but i refuse to give up on him ever… can someone give me some advice/ help

1 Response

Comments

  1. Sarah

    Hi there- I’m not 100% sure of your question. are you looking for advice on ear cleaning? Or growths? Or behavior?