Thirteen days ago True was fanged by another dog in the waiting room of the university hospital. I didn't even realize he had been bit and later that day he got a big hard lump on his face. I took him to my family vet the next day and she found the puncture wound. He did 7 days of antibiotics which he finished this past Tuesday. On Friday afternoon I noticed he had a small swelling on his elbow. I thought perhaps he had licked it a bit because he has seasonal allergies and gave him some benedryl. Saturday morning it was a bit worse and by the time I returned home from work yesterday afternoon his elbow to wrist was about twice the regular size. I took him to the university and they thought he had a bit of infection and sent me home with more antibiotics. By this morning his leg was about 4x the regular size so back to the univeraity we went. The poor dog just finished having surgery.....they said that there were many pockets of abcess and that it was very close to the joint. They opened each pocket, drained them, took tissue samples, put a drain in and sewed him back up. They are still very concerned because of his neutropenia and the fact that he's on Imuran.....they are hoping he doesn't become septic and have him on massive IV antibiotics. Is there any way that the dog bite to the faces could have travelled into his leg? My vet bill has already surpassed $2,500 with no end in sight yet. The bad leg is on the same side that his face as bitten on and this seems to be too big of a coincidence to me.
Doc Roger....need help ASAP
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trueblue |
Doc Roger....need help ASAP |
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sootie |
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Oh wow...that's horrible.
You didn't see the altercation between True and other dog? Is is possible it happened when he was out of your sight at the University? |
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trueblue |
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No, it happened with me right there. A woman with a pregnant labrador in for an ultrasound let out the leash to let her dog interact with True. He was sitting
by my side with his head turned and the dog startled him and he snarked at it a bit. There was a 3 second face bitey thing before the woman pulled her dog
back. I was mildly annoyed because this type of thing happens there all the time. People seem to think it's play time there and refuse to keep their dogs
by their sides. I had no idea that True had been bit until the next day when my vet found the puncture wound. I honestly thought that he had a tooth that had
abscessed and was shocked to learn about the puncture but it was the only interaction he had with another animal so it had to have happened at that time.
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RWDVM |
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I am so sorry to hear that, True. If that littel one of yours did not have bad luck, he wouldn't have any at all. Unless true was already septic, infection
would not have travelled from the face to the leg. They were probably both from two separate bite wounds but the puncture on the leg was probably initially
small enough to heal over and the infectio njbrewed underneath the skin.
With his Imuran and neutropenic status, infection can get out of control in a quick way. Did they culture any of the lesions, because of not, I would recomend this. Culturing gives us the identity of the bacteria infecting the patient, as well as provide us a panel of which antibiotics are the most effective against the offending organisms. Until that culture comes back, I would not leaqve anything to chance, and stack two different antibiotics that cover for optimal spectrum of bacteria ) aerobic, anaerobic, gram +, gram -, etc. I like to conbined ampicillin with Baytril. This would be your best way to prevent sepsis. Good luck! Please keep us updated.
Roger L. Welton, DVM
Need a good source for free canine and feline health information? Please visit: Web-DVM |
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trueblue |
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Thanks Doc.....thye have done exactly what you said. They are doing the cultures and have him on the antibiotics that you recommend. You know it never occurred to me that perhaps his leg got a bite in the scuffle as well! Of course they are running around like crazy trying to convince me that the leg issue is completely separate from the bite to the face. They say that if he is doing OK that he will come home today. I'm waiting to hear now. |
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RWDVM |
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Okay, glad to hear they and he are on the right track. Good luck!
Roger L. Welton, DVM
Need a good source for free canine and feline health information? Please visit: Web-DVM |
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trueblue |
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I have a feeling that perhaps things aren't going very well. I haven't actually talked to anyone for over 24 hours now. I expect they will call at some
point. He is not home yet and they told me that they just have to take it one day at a time. I really should call but I hate to bother them...they will call
when they have something to tell me.
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RWDVM |
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Not calling on cases in my hospital is usually a good sign, since it is the cases that go bad that necessitate priority communication with the owner. But, that
could be just us. If I were you, I would never hesitate to call. Your beloved pet is a critical patient under their care - and paying a mighty premim for it.
You have every right to call as often as you want to see how your boy is doing. No vet under these circumstances should ever feel put out when owners call for
updates, so please call and get the information you deserve to have. And then, please update us when you get the chance.
Roger L. Welton, DVM
Need a good source for free canine and feline health information? Please visit: Web-DVM |
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trueblue |
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Still no call so I called the girl that I chat with in billing and she's says True is still alive and well back in the ICU. it would be nice to know if
they intend on sending him home today or not so I can make plans for the rest of the day.
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trueblue |
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Well, he's not coming home today....once again they will reassess tomorrow morning.
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sootie |
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Is the university far from where you live? If it is, oh yeah, I'd be on the phone for an update. If my pet got injured in their waiting room by someone not
controlling their animal I'd be pissed. I know, it won't help True, but it really makes me angry when people (and animals) have to suffer the
consequences of someone else's dumb move.
When I go to my clinic I appreciate it that most people will ask if they can interact with my pet, or before they allow their animal to do so. What did they say about how he's doing? |
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RWDVM |
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If my pet got injured in their waiting room by someone not controlling their animal I'd be pissed. I know, it won't help True, but it really makes me angry when people (and animals) have to suffer the consequences of someone else's dumb move. I could not agree more!
Roger L. Welton, DVM
Need a good source for free canine and feline health information? Please visit: Web-DVM |
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neonkinpatsu |
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Poor True is having quite a rough time....poor baby. Wash his blankies b/c I'm sure he'll be home soon. It sounds like they are being cautious and
thorough with his condition.
Sometimes it happens so quickly and quietly that you don't notice a bite. If they roughhouse, sometimes a little nip can go unnoticed. I've had many a problem with unleashed dogs coming after Chloe and even some near misses in the vet office (luckily there are 2 exits). Of course that's the place where all dogs are cranky and aren't always in a chatty social mood, lol. This is also why I don't go to dog parks......I just don't trust people and how they may care or not care for their pets or even properly control them. |
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trueblue |
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No news yet today. Last night they said they were going to unwrap the leg and take the drain out and if it looked good he would be home by lunch. I'm
guessing that was not how it played out though because it's 1pm and no call from them
The university is denying any connection between the bite and what is happening but I still think his leg must have been nicked in the altercation. I'm getting very nervous about the cost of this all. By Monday the bill was already astronomical and I can only imagine how the costs have added up in the days that have followed. I am now taking care of True financially and physically on my own. This couldn't have happened at a worse time. |
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sootie |
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I understand completely. Maybe you need to be a bit more firm with them as far as what's going on. Sometimes I have to do what I can at home when ideally
it would be best for my pet to be hospitalized. I don't know if this was an option with True.
A month where my pet expenses exceeds my income is not uncommon, so I've just had to be direct about asking the vet what can I do myself to cut down costs. Sometimes you just have to let them know you aren't made of money. Maybe even expressing concern at this point will get you some sort of adjustment. Yes, Dr. Welton, I know there's a huge expense to running a clinic, etc., but I believe there are times when a goodwill discount benefits both parties in the long run. Example...fluids. My clinics charges $24, I think. I do it at home, and you know what the cost is after buying everything in bulk. A good client who is willing to provide and pay for care for their pet is worth an occasional discount...yes? |
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RWDVM |
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A good client who is willing to provide and pay for care for their pet is worth an occasional discount...yes? Anybody who has 4 or more patients with us that are seen at least once yearly, automatically gets a 10% discount in my clinic. beyond that, I am ethically bound to treat all clients equally. If it ever got out that I was applying different cost standards to different clients, even if the ones who are cherry picked to get a special discounts are very loyal, godo clients, I could end up with a enema from the professional business ethic review board. However, for very likable, loyal, good clients, I find subtle ways to help them out, a free re-check exam here, a free drug sample there, etc. Also, I am perfectly ammenable to clients learning to administer SQ fluids if they wish to learn, and well as remain to a reasonable degree, flexible about owners learning to perform other tasks for their pets. Unfortunately with a University, they probably do not have the same latitude as a private practice with all the layers of beurocracy.
Roger L. Welton, DVM
Need a good source for free canine and feline health information? Please visit: Web-DVM |
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trueblue |
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I have the big guy home. He is no where near himself but we are coping. His leg is bandaged from arm pit to toes and it's making it difficult to get him
outside in this rain but we are managing. Even though they will not admit any connection between the dog bite and his leg my bill was mysteriously half of what
it should have been. I don't need a formal admission....That was good enough for me. We go back tomorrow for a bandage change.
Last Edited By: trueblue
06/18/09 02:46:09.
Edited 1 times.
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neonkinpatsu |
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I just noticed it's been a week. I hope True the trooper (and mom) is recovering well.
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trueblue |
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True is hanging in there. He has adapted to having his leg in a full bandage but this has definitely taken it's toll on him. Really he doesn't do much
other than sleep and eat but at least he's giving the odd grin now and then. iI still haven't seen the wound on his leg. We go every 2-3 days for a new
dressing. They say a small area of the tissue died at his last recheck so hopefully it didn't progress. Because of the holiday here in Canada he'll be
keeping this dressing on till Tuesday and I hope they will take the stitches out and remove the bandages for good then. I'm headed to NYC for July the 4th
weekend and I've got my fingers crossed that he will do Ok with the babysitter. It's allot to ask someone to take care of True so this will probably be
my last vacation for a while. Time to stay home and take care of my old boy....It's hard to believe he's been with me for almost a decade.
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