What a peculiar and creepy day! Medical TMI (I really mean it)

No, really, this post contains stuff that is most definitely not for the squeamish. The very fact that it even occurred to me to put a TMI label on it means quite a bit. I mean, I’m the sort of person who thinks nothing of describing what we took out a dog in great detail at the table (there’s a reason no one ever invites us to have dinner), and have been known to talk about picking maggots out of something while eating rice. When I say it’s TMI, I’m not joking.

If you keep reading and get grossed out, it’s your own damn fault. I tried to warn you.

So I breeze in the back door of the clinic this afternoon, hit my locker, and pop around the corner into the treatment area. And find myself face to brain stem with a patient. Ah, the clever and observant among you say, this is unusual, as the brain stem is normally considered an interior sort of thing. It really oughtn’t be flopping out there in CrazyCatLady’s face. And you clever and observant folks would be correct. I was nonplussed to say the least.

The abnormality with this particular dog was that he didn’t have a body. Then I notice the ER doc and one of the surgeons, all gloved up, wearing safety glasses, and playing with an impressive array of power tools.

Ohhhh, the folks with the rabies suspect finally put the poor thing down. The dog’s vaccinated, but he’s got progressive neurological problems and he bit the owner. By state law, we have to consider him a rabies suspect and send in the tissue samples for testing. The owner, however, doesn’t want us to send the head off. She’s willing to keep the dog alive, even though he’s getting worse, and even though he’s suffering, through the quarantine period rather than have us send off the head. This has lead to a lot of phone calls between us, the owners, and the state lab, with the end result being that even after 10 days, we still have to send in at least the brain.

The owner’s still insistent on getting the head back for burial with the body, so one of the ER docs has offered to do a craniotomy (take off part of the skull), remove the brain and send it off, and then put the resulting mess back together. This is finally deemed acceptable, as long as we reconstruct the head so he doesn’t look too bad.

So I go on about my business in ICU, trying to ignore the shriek of drill against bone (if you’ve ever been in on an ortho surgery, you know exactly the sound I mean) and the muttered curses from treatment. When they’re finally done, I go to fetch the rest of the dog from the freezer. In the back room, I notice something lying by the door that wasn’t there yesterday. Something odd.

It’s…yes, it’s a coffin. Not one of those cardboard burial boxes we send pets home in, but a real, honest to goodness, coffin. It’s big and white and inlaid, and it has handles and a split lid and everything. And it’s fuzzy. And it’s marked with the rabies dog’s name. His headless corpse isn’t in the coffin yet, thank goodness. I didn’t think the local pet cemetary sold coffins, especially not coffins that elaborate.

Later, I mention the coffin to the other night techs. One of them has already gotten the story from the day people. The coffin didn’t come from the pet cemetary. It came from a human mortuary. It’s a coffin designed for a human child. There is a human coffin sitting in our back room. There’s just something indescribably creepy about that. And it’s not just me. None of think anything about the freezer full of corpses next to the coffin, or about the human cemetary next door to the clinic. Hell, sending a headless corpse out the door doesn’t phase us a bit. That coffin, though, that kind of gives us the willies.

Then, while I’m cleaning up the mess left from the rabies dog, a lynx comes in. A lynx. Tufted ears, big feet, sort of spotty, the whole nine yards. Actually, it’s a lynx hydrid. Biggest damn kitten I’ve ever actually touched. It’s trying to die, mostly because its glucose is less than 20.

We don’t have a full complement of people to work on the lynx kitten because another cat (a plain old cat, this time) has had an anaphylactic reaction to contrast media. If we take this cat’s endotracheal tube out, she’ll die. To keep the tube in, we have to keep the cat under anesthesia, which means someone has to sit there and monitor the cat constantly.

After we get the lynx squared away (once we got some dextrose in her, she perked right up), I wind up dealing with a woman with a rabbit. A bald rabbit. With a big thing on the side of its face. Clutched to her bosom so tightly I have to wonder how the poo thing can breathe. She doesn’t want to hand me the rabbit. 'Cause, you know, if I take the rabbit back to the exam area by myself, it’ll die. Of course, if she keeps squeezing it like that, it’s gonna die. I don’t know why this rabbit is mostly bald and always has been, and I don’t want to know. Same for the big thing hanging off the side of its face.

And then, at the end of the night, the overnight tech tells me about her neighbor. He’s out of jail now, apparently, even though she didn’t respond to his letter asking for her help getting out. He didn’t know her name, so he sent the letter to “Nurse Young Lady who Lives by Herself.” Apparently God showed him her face, and told him she’d play an important role in his life, despite her working nights and coming home in the mornings. (God must not have told him that scrubs don’t always equal nurse, but you can’t expect God to do everything.)

Overall, it just a really odd night.

heh. poo thing.

Did I read this wrong, or did you claim the dog was being kept alive without its head?

Cool!

Umm, no, the owners had finally let us euthanize the dog. She had been willing to keep the dog alive through the 10-day rabies observation period to keep us from cutting off the head, but finally compromised by agreeing to the craniotomy option. (Well, it wasn’t really a compromise, since the head was coming off one way or another so we could extract the brainstem. She just gave in to the inevitable.) Sorry if that was unclear. My head was still swimming from the utterly bizarre night I’d had.

Maybe you were thrown off by me referring to him as a patient? I tend to forget that most people think of patients as being, well, alive. The dog had been hospitalized with us for three days, and to me, a dead patient is still a patient.

Not as much as the dog’s was, I’ll bet. :wink:

Well here:

Baby Kate (all 3 years of her) came home yesterday from day care and announced, “A veteranarian is a special kind of doctor. They take care of animals. I like them.”

My daughter worked for a vet as a scrub and had interesting stories just like this.

One time I was sitting in the garage and she ran up to me and threw a paper towel on my lap and ran into the house to grab her lunch. I unwrapped the paper towel and there were like 7 black fuzzy things. I asked her what they were and she said they just lopped off puppy tails and she had to show me.
GROSS!!!

Often she called me from surgery clean up to describe what she saw.

The only part she didn’t like about her job was when the animals had to be put to sleep. This made her sad.

Actually, I don’t so much mind putting them to sleep. I’m sad that it’s necessary, and I feel bad for the owners, but it’s often a Good Thing for the animals. Like this poor neuro dog. He was suffering, and he had progressive paralysis, and he was incontinent. And he was suffering, did I mention that part?

Thats the only part I don’t like about the job, when owners don’t know when to let go. They can cause these poor animals so much pain for no benefit to anybody at all. It doesn’t make me sad, though. It makes me angry.

My daughter says it hurts the animals to be put to sleep. I think she said it burns. She talks to them and tries to calm them.

She is a veegan and won’t do anything to harm an animal. So it really hurts her feelings to put them to sleep.

I can understand your anger about owners waiting too long. But you must admit it must be excruciating for owners to put the pets they love and adore to death. I know I coulnd’t do it with my princess puppy. She means the world to me. Heck she loves me more then the 5 kids I have!

How did you get into the field?

ummmm What’s the thingy hanging off the bunny’s face?
(Sheesh, I’m not sure I want to know that.)

Well, I also don’t like it when people who want us to treat animals we’re not really qualified (species-wise) to treat, they keep insisting that it’s just a little one, so it’s fine. Like the lynx last night. We’re not really supposed to be seeing wild animals (one of our techs has a wildlife rehab license, so we do see a fair bit of smaller, herbiovorous wildlife), especially wild carnivores. Oh, but it’s just a little one, and it’s very tame. We even had it declawed. But it’s a fricking lynx. But it’s just a little one.

Or the pygmy goat a few months ago. No, sir, I’m sorry but we don’t see livestock. Yes, I know it’s no bigger than a good-sized dog. Size isn’t the issue here. The issue is that it’s a ruminant, and ruminants are very, very different physiologically and medically from our areas of practice. Your interests would be much better served by calling a large animal vet. Yes, I know it’s just a little goat, but large animal vets see animals that are more like him. You know, horses, cows, sheep, and…wait for it…goats.

Oh, and Isabelle, you don’t lop off puppy tails. You dock them. Doesn’t that sound so much nicer? (You aren’t in Kentucky are you? I used to work with a woman who would throw tails at me while I cleaned instruments, and once she kept trying to throw a necklace of tape and tails over my head. I don’t know if the job attracts people with a sick sense of humor, or if the job gives you a sick sense of humor.)

Actually, euthanasia solution is just really, really concentrated anesthetic, and as far as I know they never feel a thing beyond the needlestick. It goes from needle insertion to dead almost in less time than it takes me to type this sentence.

And yes, it’s excruciating for the owners and I feel horrible for them. But part of loving someone and promising to take care of them is putting their welfare above your feelings. And when you’re letting that someone live in pain, unable to control their own movements or their elimination, to save yourself some pain, you’re putting your feelings ahead of their welfare. It’s not just selfish, it’s cruel.

DeVena the bunny had huge abcess on its muzzle. We’re pretty sure it was an abcess. Between that (you can’t just lance rabbit abcesses, you have to cut them out, and that bunny wouldn’t have withstood anestesia), his very advanced age, and his neurological problems, the owners decided to euthanize. They wanted to take him home, so we didn’t get to cut it open and make sure it was an abcess. I’ve never gotten to see a bunny abcess before. I bet it would have been cool.

CrazycatLady did you see the post in Great Debates about “Who would you save, your dog or a stranger if they both were drowining?” I don’t know how to link it here. But the question got a bajillion responses. So who would you save?

Bummer, I thought it was gonna be a Frankendog (you could name him Ichabod!)

And thankfully, there are some vets out there who really make sure they do their best to help you through losing your pets. When we had to put our dogs to sleep (not all at the same time), my father was able to sit with them through the whole procedure and hold them while they breathed their last. I imagine that’s pretty standard, but what really touched us was that the vet sent sympathy cards for each dog and with our last one made a plaster cast of her pawprint with her name and dates of birth and death on it.

We have one remaining dog from the four I grew up with. He’s 18 and 5 months, sleeps about 23 hours a day (but wakes up just before my mother gets home to say hi), and eats like a champ despite having few teeth and being covered in little skin tumors. We’ve managed to talk my mother out of getting him stuffed and mounted when he dies, but plan to have him cremated and put in a little urn.

Oh I am so glad you talked your mother out of stuffing your dog.
That is too eery. The fake eyeballs would freak me out.

I don’t think the “poo thing” is supposed to breathe, is it? Maybe we should ask lieu.

I worked at a vet’s office for two years.

February is Pet Overpopulation Month here in Indy, which means we do spay/neuter for ridiculously cheap prices (I think $30 for a cat neuter), and up to eight per day. One of our techs and a vet got into a ** cat testicle**-throwing fight one afternoon.

Didja know that they’re really sticky?

:smiley:

Avaire537 wrote


quote

One of our techs and a vet got into a cat testicle-throwing fight one afternoon.

Didja know that they’re really sticky?


You should have warned that there was TMI coming. Oh gawd and right as I bit into my cheesy pizza!