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sjcc_doc
25 August 2008 @ 09:32 pm

Well, it took me quite a while to recover from the injured thumb.  It has recovered, but there was quite a bit of drama involved, as well as quite a bit of pain.  But all is well that ends well, as the bard said.  The really weird thing is that all the skin off my thumb is peeling because it was so stretched when it was swollen. 

About the time I thought my thumb was recovered enough to type, The summer olympics began.  I have been a religious olympics watcher from childhood.  So I have been spending my evenings glued to the tube rather than blogging.  Lots of good stuff, but it was keeping me up WAY too late.  

I do have to admit, I am also addicted to Project Runway.  Which is weird, because I have absolutely no interest in fashion and clothes are something you wear to not be arrested (or get a sunburn or frostbite).  They are showing the drag queen episode again today.  It is so good.  Lots of laughs.

MamaSan's kittens are doing very well.  They are growing like crazy.  She is a great mom.  In fact, she is a foster mom too.  Shelter to Home brought us a day old orphan kitten the day after the kittens were born.  So we rubbed a couple of MamaSan's kittens on the orphan and put her in the box.  I don't think we fooled MamaSan, but she took the kitten right on and she is flourishing.  Shelly from STH named her Lil Shera, I think to encourage me to take her.  She is the explorer of the bunch.  Even though she is the smallest, she was the first out of the box.  She likes to be held too.  Michael named the two black kittens Zam and Vader after Star Wars characters, but we named the others Lil Vera, Lil Debby, and Lil Steve to go with Lil Shera.

There have been quite a few interesting cases recently, but I hardly know how to start writing about them.  There have been many heartbreaks too.  Unfortunately, those two things go together far too often.  I hate to open the wounds to tell the stories.  We have seen a couple of litters of kittens with Calicivirus.  One of the litters presented with very odd signs.  Usually Calici presents with upper respiratory signs and tongue ulcers, but these kittens had skin lesions first.  Skin lesions are known to happen, but usually they present later.  Luckily, most of the kittens have survived.  We did lose one, but the others have responded to treatment with interferon, carafate, and TLC.

I guess I will wrap this up.  I am tired and am having trouble focusing.

Night.

 
 
sjcc_doc
31 July 2008 @ 08:19 pm
Overnight Wednesday, Mama-san had her kittens.  Three tabbies and two black.  I forgot to look at the sexes, but it is a bit tough to tell at this age (hey, them bits are tiny).  Mom and kits are doing well.

Tuesday, I was bitten by one of the patients as I was trying to get a radiograph (x-ray).  I did not want to let her go to nail Vera, so she really chewed on my thumb (which is currently telling me to stop typing).  Anyway, it is very sore and infected.  More to this story, but gotta stop now, will write later. 
 
 
sjcc_doc
28 July 2008 @ 08:38 pm
 It is hard to believe it is a week since my last posting. There is really not much interesting going on on the clinic front. We are managing to keep busy, but not as busy as the beginning of the month.

The pregnant cat we are keeping for a rescue group has still not had her kittens. We are expecting three or four. I predicted that it would be sometime early this week, but every time I go to work, I am looking for babies. Mama-san is big as a house and very cranky. I remember that feeling.

We had four kittens we were fostering for a rescue group.  I believe I mentioned the Trojan War crew previously.  Ajax was adopted this week and the rest of the crew went to an adoption event this weekend. I assume they were adopted as we did not get them back. They were very hand shy and we were trying to make them more outgoing. I thought I would try to get the shyest one (Hector) to be better with being handled by using some positive reinforcement.  So every time I would pet him or hold him, I would give him a treat.  Sadly this did not have the effect I anticipated.  He did start coming over to people, but then he would nibble on fingers trying to find the treat.

We are having bad luck with one of the other rescue groups. It seems like every one of their sickies that I touch does not get better. And some of them are dying. I am trying, but nothing seems to quite come out the way I hope and expect.  I diagnosed one of their cats with a uterine infection while she had a concurrent upper respiratory infection and gastroenteritis.  I had to perform surgery on her to remove the infected uterus, but she was certainly not a good candidate.  Unfortunately, although surgery went well, she did not eat after surgery and died from complications from the other diseases (I suspect).  I hope it was not from the surgery.

I had to put down a kitty today that I had scheduled for surgery on Wednesday.  I was hoping that the swelling under his chin was a sialocoele (an enlargement of the duct of a salivary gland). Unfortunately, over the weekend, things began to look very bad. I had to accept today that he had an aggressive type of tumor in his mouth called a squamous cell carcinoma. SCC is common, and in invariably a death sentence in a very short period of time. I had to recommend euthanasia to the owners. Really very sad. Hmm...I have a feeling I have written about SCC before...

But I did cure a severe ear infection. Doesn't really seem to balance the scales somehow.

On a more personal note, Steve and I went to the movies and saw "Hellboy 2."  It was visually interesting and a good story. I enjoyed it even if some of the acting was a little stiff.

Michael was home over the weekend from his first week at theater camp. They are putting on "101 Dalmatians." Michael has three parts, the dog catcher, Thunder the wonder dog, and first boxer. He knows all three of his lines and all of the songs he has to sing. He seems to be having a good time. I am really looking forward to his performance.  Last week they focused on acting, singing, and dancing; this week they will be doing sets, costumes, and makeup.

I am working at Allen again tomorrow to cover for a friend.  She is going to the zoo in the evening with her kids, which is good for her.  I will be trying to wrap up a few things at Allen.  I am trying to transition Natasha (seriously fractious cat who reminds me of Danger) to working with one of the technicians who is an excellent cat handler.  Giving allergy shots is not really something that requires a doctor anyway.  She has been getting a lot better recently.  Not necessarily medically, but definitely easier to handle.  I will also be working there one Saturday in August.  I am not sure if it is good keeping lines of communication open and a good relationship or if it would be better to make a cleaner break.  Doesn't really matter I guess as I will continue working for them as they need me because I need the cash.  I would like to go to a conference in September, but fear I will not have the money to go.  It is about urinary tract disease in cats, which I deal with on a nearly daily basis. It is put on by the American Association of Feline Practitioners, so they know what we need to know.
 
 
sjcc_doc
21 July 2008 @ 05:47 pm
Things are managing to keep reasonably busy at the clinic, which is definitely a good thing, but have slowed down a bit from the weeks before.

Friday was miserably hot at the clinic and we were quite busy, unlike the Friday before vacation when the AC was out because the power was out, but we were sitting around doing nothing.

The only problem with the AC was a blown fuse in the compressor, which was easily fixed bright and early Saturday morning, but the clinic was still pretty warm through most of the work day.  I had good intentions of doing something with the family Saturday afternoon, but it was very hot and I had a killer headache.  Sunday I just relaxed and read a book.

No really interesting cases at work today, only a bunch of run of the mill stuff.  Except for the cat with a swelling under the chin.  I have tried to aspirate the lump twice and seem to only get blood.  I think it is a salivary gland cyst, but it could be an aggressive type of oral cancer, but without biopsy I can't tell which.  I am not sure that the owners are going to go for surgery.  The estimate I gave them is reasonable, but with the economy the way it is now, I suspect they will decline.  The "dad" already asked me about euthanasia, which would be reasonable if it is SCC, but not if it is a salivary cyst.

I did also see a puzzler on Saturday.  Louie is a ten year old (approximate) kitty that has developed a sudden onset of syncope.  He had a complete heart work up a year ago, when I thought I heard an arrhythmia, but it was apparently my imagination, as everything was normal.  Unfortunately, I could not tell by the description of the events whether they seemed to be heart or neurologically related.  The cat had also lost about three pounds, but he was on a weight loss diet and had lost a housemate recently.  All of his bloodwork was normal.  That is always a good news/bad news situation.  The good news is that everything appears normal; the bad news is I can't tell you what is wrong with your pet.  Very frustrating indeed.

On a home note, Michael started theater camp today at a theater in Northville, where his paternal grandparents live.  He will be staying with them for the week, but coming home on the weekend.  Camp is two weeks long.  They are preparing a production of some kind which will be performed on Friday Aug 1.  This had originally been scheduled for Saturday, but things got changed this morning.
 
 
sjcc_doc
18 July 2008 @ 09:13 pm

Suffering from mental exhaustion and heat.  Too tired to post. .Too hot to sleep But feel guilty about no news.  Busy at clinic, but AC out.  Aaargh.

 
 
sjcc_doc
14 July 2008 @ 09:47 pm
Yesterday I spent a while at the clinic with our numerous rescue kitties that are there.  We also have a beautiful (if slightly cranky) flame-point Himalayan staying for medical observation.  I was also doing some yard work.  It was very hot and miserable, but Steve and Michael came and helped me out.

In the afternoon, I got a call from one of our breeders that one of her queens seemed to be in labor, but was not progressing.  After a couple of shots of oxytocin, she delivered a beautiful healthy boy, who promptly acquired the name Julian.  They brought me a beautiful kitty angel bracelet today that I am wearing even though it makes a weird noise on the keyboard.

Not much else interesting going on today.  One of the constipated cats, Oreo, came back in for enemas.  Still no poop produced by the end of the day, so he is still at the clinic.  His Dad is a major Star Wars fan.  He was wearing a SW tee shirt Saturday and has many cool SW tattoos.  Apparently his backpiece won a prize at Celebration III, but as I don't usually (sorry, ever) have my clients disrobe, I did not get to see it.  Hopefully Oreo will produce for us overnight.
 
 
sjcc_doc
12 July 2008 @ 06:30 pm
Friday was insanely busy and stressful.  But it was the third day this week that we broke our self imposed daily income goal.  Today was also very busy.  I am trying to make up a intelligent, witty, or at least interesting post, but I am just too brain dead.

I had a very scary surgery to do Friday.  I did spay the kitty with the Tetralogy of Fallot.  She did fine during the surgery, I was totally freaking.  Vera kept saying, "Breathe, breathe...." and I don't know whether she was talking to the cat or me.  I am so glad that is over, and so is the owner.

Today was cats having a problem pooping and peeing day.  All my patients but the two that came in for nail trims had some kind of elimination issue.  Hopefully we have got them all straightened out.

Maybe more later.....
 
 
sjcc_doc
09 July 2008 @ 08:26 pm

Boy I did not think it had been that long since I had posted to this blog. It has been a bit of a busy week for me. Monday was very busy with lots of calls since it was our first day back after vacation. The spay that we had scheduled for a breeder wound up being more interesting than I had anticipated.  Both sides of her uterus were in weird positions.  The right horn was in the same serosal loop as the colon.  That being the case, I could not remove the uterus without damaging the colon, so I had to leave it and only remove the ovary.  The left horn was not in its own supensory ligament, but was in the retroperitoneal space, but the ovary seemed to be in the omentum.  Very weird.

Tuesday we were moderately busy in the morning and I spent the afternoon and evening at Allen. Not much news there. Dr. Schneider is on vacation, so they needed me to cover on a Tuesday.  Thursday was to have been my last day, but Dr. Wrob asked me to cover her Tuesday afternoon and evening on the 29th.  I still have not figured out exactly what I will be doing with some of my patients.  Nothing, I guess.  Twelve hour work days kind of get me down.

Today was quite busy as well. I started out the day seeing four very cute Egyptian Mau kittens.  Then I started to do the two neuters and a spay that a ragdoll breeder had brought in.  One of the boys had a very slow heart rate.  That is very rare in cats (and according to the cardiologist that I spoke with, even rarer in young cats).  I needed some atropine, a medication to increase heart rate, which is commonly used for a preanesthetic medication in dogs, but never in cats, so I don't have any.  I will be picking up some tomorrow at Allen.  I hope the kitten responds to the atropine, because if it does not, that would imply that the cat has an electrical problem in his heart that would only be treatable with a pacemaker.  I don't know if they have pacemakers for cats.  I hope things are ok, because I have had to give this breeder a lot of bad news recently.  Unfortunately, she is on a bad run.  I hope her luck changes soon.

One of our rescue groups brought in thirteen kittens today for vaccination and deworming.  Boy was that a lot of tedious work and paperwork.  One of the kittens was to sick to vaccinate though.  I think it will be ok though, as we gave her fluids and azithromycin.  The rescue lady had this guy bring in a litter of kittens for her to take at the same time.  Four kittens and their mom join the bunch.  A cat comes in for observation.  Then there is Julie, our clinic cat.  And then the next appointment, who is urinating outside the box.  So at one point there were twenty-one cats in the clinic.  I was going a bit nuts.  The kittens the guy brought in (he told us they were ten weeks, Ann that they were eight weeks and both of us they were friendly) are closer to fourteen to sixteen weeks and more than a little feralish.  No that is not a word, but I like it.  Momma-san is supposed to stay with us to be spayed, but she looks like she is ready to pop with another litter.  We will radiograph her Friday to see if she is pregnant.  If she looks like she is close, I think we will let her have the babies and see if we can home them.

The good news is that being this busy means that I can pay a few bills.  Pfizer will be happy.  I hope that the trend continues.

 
 
sjcc_doc
05 July 2008 @ 07:16 pm
Damn it, my whole post just disappeared!!!!!

Yesterday I was feeling a bit of the vertigo again, so I spent most of the day resting and enjoying the Twilight Zone marathon on SciFi. In the evening, we went over to the Heskett's for a barbeque. Good food was eaten and conversation had. There was a little campfire in their copper firepit. I really want one of those little firepit thingies. I love campfires. But if I had one, would it be like having a blog or a gym membership? I mean, would it get used more than once?  Who knows? Actually if we ever get one of those things, Steve and I are planning to ceremonially burn vet school notes and left over thesis stuff.  We have not looked at that stuff in over ten years.  Why is it still taking up space in our house?  We are never going to use it again, so we might as well have fun with it.

Today I was feeling a bit ambitious, so I went into the clinic for a couple of hours and worked on the books, trying to figure out income and expenses in some reasonable fashion that will help me figure out what I should be doing. I am really at a place where I am very torn. Part of me does not even want to know what is going on so I can plod foward in ignorant bliss and hope that at some point it will turn around and work out. I am pretty sure that things will most likely come around and be successful, but I am not entirely confident about where the economy is going. The other part of me wants to just treat this like a wound that might need cauterizing. Is there any other way to stop the bleeding? Is the tissue worth saving, or would agressive debridement be the way to go? Yes, it would be painful, but it would allow the healing to start.  In other words, am I better off cutting my losses and finding a new way to move forward. I wish I knew.
 
 
sjcc_doc
03 July 2008 @ 10:06 pm

Boy, I leave with a cliff hanger and what happens? Too many computer geeks at the hotel in San Antonio overloaded their servers and no more internet at the hotel.

What did Shera do on Tuesday? Not a darn thing. I got up in the morning and was struck with the worst attack of vertigo that I have ever had. Complete with falling, rolling, nystagmus, and motion sickness. I could not get out of bed for almost seven hours. Not the best day of vacation that I have ever had. So I did not make it to SeaWorld or the Zoo.

Wednesday morning I went to La Villita, an artists' "colony" in a small quarter of Downtown were they have moved and rebuilt old houses. There was lots of interesting artwork. Some really beautiful cat artwork.  Speaking of cats, there is a feral colony living there and the artists have done a good job of keeping them fixed and healthy. One of the artists does paper cuts a la Henri Matisse and I just loved them, but could not afford anything but looks. The buildings were very cool and I took lots of pictures. Maybe I can get Steve to put them on the web on a Flickr thing or something.  

I also went to Hemisfair Park, the site of an old World's Fair. There were a lot of old buildings there too, but none had identification.  So I took lots of pictures again.  There was also a museum of Mexican Culture there, but I did not go in, but there were cool statues and a Mayan stele.

After lunch, I just hung out as it was hot and I still was not feeling the best. We met with the other teachers from Divine Child and we went to the airport. The flight to Nashville was uneventful, if a little late. By the time we were to leave Nashville, the weather in Detroit was so bad that we were not cleared to go. We did not leave Nashville until after ten (eleven our time) and then had to wait forty-five minutes on the tarmac to get a gate. It was after two before we left the airplane and three before we got home.

There was nothing much interesting going on at Allen today. There was a hit-by-car dog in, but fortunately was not severely injured. I managed to run behind by almost an hour for a good part of the day after dealing with a kitten with totally novice owners. I can never get new pet exams done in less than forty-five minutes, but they only give me thirty. On the positive side, we were not too busy in the later evening, so I caught up and we actually were able to leave early.

We have no plans yet for tomorrow.