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megan | 4 years ago
Hello. My Vet Suspects My Cat Has One Or More Nasal Polyps. I’ve Been Going …

Hello. My vet suspects my cat has one or more nasal polyps. I’ve been going through this process of getting towards his surgery for a while. The vet told us he has a heart murmur, but only a grade 1 out of 6, I brought him to a 2nd vet and they said his heart sounds great, I went back to the first vet and they looked at him again and the doctor said he has a murmur and even his vet tech looked over it and didn’t hear it the first time and the doctor had to tell her where to listen and she finally heard it. They said we would need some test on his heart before during surgery to make sure his heart doesn’t fail while under anesthesia. I got an x-ray done of his heart which came back fine and i also got blood test done which came back fine. The test he got were included in the basic wellness screen. I’m thinking he has a intermittent heart murmur because of his heart rate going up due to stress of being in the car and at the vet. The vet is still telling me i can have an echocardiogram done to be really sure his heart is really fine. That’s another $390 on top of the $500 i’ve already spent and i just can’t afford it. I believe if 2 vets could simply look over it, and it’s only a grade 1/6, and the test and x-rays came back fine so far, he should be good… right? Well another thing is they don’t know how many polyps he has or where exactly they’re located, we asked for a throat/head xray and they told us they can only do it if he’s under anesthesia first. They are adding on so much stuff i feel like he doesn’t even need and gave us a price estimate from $450-$1,500. We asked the other vet and they said they can do a head x-ray, but they don’t even know if the procedure of removing the polyps is even anything they can do, and he might have to go to a specialist. Can the polyps for sure be seen on the x-rays because i really don’t want to waste any more money on something that doesn’t even help get down to the problem. I’m thinking i can just skip over the echocardiogram because it doesn’t seem it’s really needed, i get an x-ray of his head, find the size, how many, and where the polyps are located, then get a real price estimate. Can someone please answer my questions or give any advice! Thanks:)

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  1. Sarah

    Good morning- sorry you are having such a time with all of this. I am thinking that an X-ray won’t show much because a polyp is soft tissue. It is my understanding that an X-ray will only show bone? I am guessing you would need something along the lines of a CT scan to check where and what size any soft tissue mass would be. I’m thinking you should sit down with your vet and have a frank discussion about budget and options and explain your thoughts. At the end of the day- you both want what is best for your cat. Perhaps in talking through it, you both can come up with something that you’re both comfortable with. Best of luck !!????????

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Drita | 4 years ago
My Neighbor’s Outdoor Cat That She Claims As Hers Because It Hangs Out At Her …

My neighbor’s outdoor cat that she claims as hers because it hangs out at her home and she feeds is wildly neglected. the poor cats left side canine teeth have fused together with plaque and she can’t open her mouth to eat properly or drink water as her tongue sticks out on the right side of her mouth. She seems dehydrated and flea infested-I gave her half dose of Bravecto since she feels like she’s 4-5 pounds and is about 6-8 years old. The neighbor doesn’t seem to see this and believes that cat is fine since she’s trying to eat…… She has an indoor cat that she takes care of really well. Any recommendations? if I take the cat to the vet for dental treatment, what would the cost be for something like this and would a cat in this condition even make it through anesthesia?

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  1. Krista Magnifico

    Hello,
    If you are able to talk to your neighbor see if they are willing to let you help care for him. If you feel they are not willing to let you help call your local animal welfare officers, local rescues and shelters and ask for assistance for this cat. Cruelty and neglect of domestic animals is something that might motivate them to let you help for the best interest of this cat. Thank you for caring and reaching our.

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Brook | 4 years ago
My 4 Year Lab X Great Dane X Bull Mastiff Had TTA Surgery On His Left Knee …

My 4 year Lab x Great Dane x bull mastiff had TTA surgery on his left knee about 15 months ago and about 9 days ago he had to have surgery on it again for a Latent meniscus tear on the back of the medial side.
A few days ago he developed a seroma. It’s a good handful size. When the vet aspirated some fluid it was the normal blood stained colour however the fluid was quite viscose (this vet was filling in for the vet that did the meniscus surgery as he is away for a few weeks). My concern is that synovial fluid is leaking into the dead space, along with normal fluid. If SF is leaking from the internal incision site of the joint capsule, will this heal on its own? Also has this occured because Benson may have been over doing it, even though I’ve tried very hard to limit his activity? No fluid is leaking out of the suture site on the skin. He’s currently on antibiotics and a NSAID. I was a bit annoyed I had to pay for the consultant considering it was a post op issue.

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  1. Krista Magnifico

    Hello,
    This is really a question for your surgeon. They can help identify which layer has the issue and also guide you in monitoring it.

    1. Brook Post author

      Surgeon is away for another 2 weeks. I think the fluid is pushing on the patella, this morning Benson screamed, he wouldn’t put his foot down. So I tried some flexations, it wouldn’t budge at first, then I finally got the knee to move, I could feel the patella moving then there was an almighty crack. He’s back weight bearing on it now. Vet is closed on Sunday so I have to wait til tomorrow.
      I’m lost as to what to do. Seen 3 vets in one practice regarding Benson’s knee and I’ve been given mixed advise. I’m scared they are going to want to drain it, I don’t want that.

      1. Sarah

        Hello- just wondering if you got in to the vet yesterday and if so what they said. If you’re wary though, remember to voice your concerns…. and there is always the option to seek out another opinion from a different practice if you’re not happy at the moment. I know it is hard to leave where you’re comfortable, and the current corona virus situation doesn’t make it easier….. hoping Benson is doing ok!!????????

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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?

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  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.

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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.

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  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.

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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.

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  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.

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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.

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  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.

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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?

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  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?

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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?

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  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.

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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?

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  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.