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Nova - July 2017

Posted 11:36 AM by

Nova - June Pet of the Month

 

                        

Nova is an 11 week old kitten that presented to Post Pet Hospital on June 20th after being found under the hood of a car with a mouth injury and runny eyes. She was still able to drink well and the finders were feeding her kitten formula. We estimated her to be about 6 weeks old at her first visit. Due to being found in a vehicle, she was covered in motor oil. We scanned her for a microchip and none was found. Dr. Grosser determined Nova had an injury called a lip avulsion and needed surgery. A lip avulsion occurs when most or all of the lower lip and ventral mandibular skin becomes detached from the mandible. In Nova’s case, only the right side of her lower lip was affected.

We anesthetized her and began to flush the mouth to get rid of any dead tissue and infection. Dr. Grosser then began the task of suturing the lip to the mandible.  While she was under anesthesia, we noticed that she had some dirty ears. When Dr. Grosser looked in the ears, he could see little moving white dots also known as ear mites. We flushed her ears and sent home Revolution, a topical solution that goes systemically and treats fleas and ear mites in cats for 30 days. We gave her a bath in BPO3 shampoo, an antibacterial and degreasing formula.

Once awake, Nova was able to go home on antibiotics, pain medication and eye drops. The next day, we called to check on Nova and her new owner reported that she was doing much better and was a lot more active.

A couple weeks later, we saw Nova again to recheck her mouth and noticed at that time that she had a wound on the left side of her face. Dr. Grosser explored the wound under anesthesia looking for a foreign body or cuterebra. A cuterebra is an insect that enters the body in a larval state through ingestion, nasal passages or an open wound and grows into a fly. Neither was found so we placed a staple to help with wound closure and gave her an antibiotic injection that would last 2 weeks. We also vaccinated and dewormed her. A week later, we removed the staple and noted that it had healed well. She will continue to come back to the clinic a couple more times to complete her kitten vaccination series.


 

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Ziva - April 2017

Posted 2:19 PM by

Ziva

 

Ziva is a 5 year old, spayed, German Shepherd that has been a patient at Post Pet Hospital since she was 9 weeks old. On September 9, 2016, Ziva had an appointment for her annual exam, vaccines and heartworm test. This is when we discovered that Ziva was heartworm positive. Heartworms live in the heart and pulmonary arteries. In advanced cases, this may lead to coughing or hacking with heavy infestations of heartworms. Symptoms can range from fatigue while exercising to difficulty breathing to weight loss to dark urine caused by urinary protein loss in severe cases. When there are adult male and female heartworms, they reproduce and create microfilariae. Microfilariae are then transmitted from dog to dog through a mosquito.

Soon after Ziva’s diagnosis, we took radiographs and did bloodwork to stage the heartworm disease and make sure there weren’t any underlying problems that would complicate heartworm treatment. Bloodwork revealed an elevated white blood cell count which indicates infection, but the liver and kidneys were functioning well. Radiographs showed that the pulmonary vessels were prominent and right sided cardiomegaly, or enlargement of the right side of the heart. There were also densities noted in the lung field from the heartworm infection. Dr. Grosser prescribed steroids and antibiotics to help with the inflammation and infection.

To treat heartworm disease, we use a product containing melarsomine dihydrochloride, commonly known as Immiticide. It is an injectable solution that is given intramuscularly to the dog in the lumbar region of the back and administered in 3 stages. Before we want to start the injections to kill off the adult worms, we want to start the patient on a monthly heartworm preventative under supervision to kill the baby worms. Once the patient has successfully started the prevention without any adverse reactions, we can then continue the process of treating the adult worms.

The first injection was given the same day Ziva underwent her blood screening and x-rays. An extra dose of steroids was given to help combat any inflammation caused by the presence of the worms. Thirty days later, Dr. Grosser administered a back to back dose of Immiticide 24 hours apart. Doing the injections in 3 stages kills the worms gradually making it less risky for embolism or shock. It is very important to keep the dog calm during treatment. Overexertion increases heart rate and oxygen demand which, in turn, may cause an embolism or a blockage of an artery from the heartworm congestion. These injections can be very painful and swelling can occur. Ziva exhibited both pain and swelling which was relieved some with the use of steroids. Six months after the last injection, on April 17, 2017 Ziva returned for her follow-up heartworm test and the results were negative.

Heartworm treatment is very costly, painful, and often times, easily preventable with a monthly heartworm preventative. It can either be a once a month chewable or topical application but it must be purchased from a veterinarian or with a prescription. 

 

  
 

 

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Elvis - March 2017

Posted 3:53 PM by

Elvis

             

  Elvis is a 10 year old Boston Terrier that presented to Post Pet Hospital on March 7th, 2017 when Dr. Grosser diagnosed Elvis with a corneal ulcer on his right eye and glaucoma. He prescribed eye drops to help with inflammation, corneal repair, infection, and to decrease his eye pressures.

  Ten days later, Elvis was seen at the emergency clinic because his eye seemed worse. He was shaking, throwing his head to the left, and falling down sometimes. They determined that he had a mild ear infection in his left ear. They dispensed medications to help with the pain. That night, Elvis ran into something and injured his eye. Dr. Grosser saw Elvis the following morning, March 18th, and determined that the eyeball had ruptured and needed to be removed so he performed an enucleation that day. There was no way to save his vision in that eye and this would also eliminate the persistent pain Elvis was experiencing.  Just five days later, we were able to decrease his pain medications because he was doing so well. He had stopped the head shaking and was no longer falling over.

  Two weeks after the enucleation, we removed his sutures and Elvis had adjusted well to losing his eye. Elvis is currently still on medication to control glaucoma in his left eye. He is also completely blind due to the cataract in his remaining left eye.

 Corneal ulcers, glaucoma, and eyeball injuries can be very painful. Elvis was trying to “throw himself” away from the pain in his right eye, hence the jerking his head to the left. This resulted in the loss of balance and falling over. Removing the source of his pain (the eye) allowed him to enjoy his life again. Dogs adapt well to blindness. Pain, on the other hand, is a different matter.


 

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Archie - September 2016

Posted 1:07 PM by

Archie

   Meet Archie (Archimedus), a Goldendoodle puppy. His family has waited many years to adopt a new puppy and Archie was the lucky pup!

 

  He first visted us at 9 weeks old and then again at 12 weeks old for puppy boosters. He is a bright, healthy puppy and has already doubled his weight.

 

  We would like to congratulate his family on their new family member and we look forward to many years of caring for Archie!!

 

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Tater - August 2016

Posted 12:23 PM by


   Meet Tater!  He is a ten-year-old Miniature Dachshund.   We first met Tater as a puppy when his owners brought him in for his first puppy visit at 12 weeks of age and 5.1 pounds

 Tater has been a relatively healthy young man besides his back “flaring up” in 2013 and a dental cleaning with extractions in 2014.  In 2013 Tater was not himself and was crying when his owners picked him up. Dr. Grosser radiographed Tater’s back and discovered narrowed disc spaces and an arthritic back.  Tater was put on pain medication and a nonsteroidal anti-inflammatory along with a stool softener to help with constipation due to back pain.

We have controlled Tater’s back pain for the past few years up until this month; Tater was brought in because he was having trouble standing up and had not urinated for 24 hours.  We emptied Tater’s bladder via urinary catheter and referred him to the VCA Specialty Center for consultation and possible surgery.

Upon referral the specialists discussed intervertebral disc herniation, but had not ruled out vascular, inflammatory/infectious or neoplastic lesions.  The specialists discussed surgical intervention vs. conservative management. The plan was to recheck in 24 hours and proceed with imaging and possible surgery.

Within 24 hours Tater was slightly worse, bordering on non-ambulatory because he was falling after a few steps.  They proceeded with an MRI and it showed moderate compression at the level of L2-3.  Tater was taken to surgery and a left sided hemilaminectomy was performed.

 Tater has been recovering well, he’s been on strict cage rest.  The owners are doing range of motion exercises daily with Tater.  Two weeks post op Tater came in for a nail trim at Post Pet Hospital and to strut down the hall to show off for Dr. Grosser. 

 

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