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Posts Tagged ‘veterinary medicine’

The saga of my black lab Tashi continues. At the beginning of last week I noticed that she was having some trouble walking and would drag her behind on the ground. Noticing the symptoms I took her to the vet and had her anal glands expressed. Unfortunately, that didn’t seem to do the trick and over the course of the next twenty-four hours her walking continued to be problematic.

I decided to take her to the vet and see what else may be going on. The vet, a new doctor to the practice, examined her making his observations. After checking for a bowel blockage, he determined that the problems with her legs buckling were neurological in nature. He prescribed a medication that would take about a week to build up in her system. The question I kept asking the doctor is, “Why would something like this have a sudden onset? And “If it wasn’t neurological what else could it be?”

Twenty-four hours goes by and she’s still in a lot of discomfort. I was rubbing her hind legs and thought I noticed a hemorrhoid and then realized it wasn’t her rectum; it was gynecological. Of course, as many of you know who have pets, they only present symptoms or get hurt once the vet closes. It was 8:03 and the vet closes at 8pm.

The next morning I took Tashi to the vet without an appointment. I figured I’ve paid for the building at this point; the least they could do is see her without an appointment. The staff is terrific and took her right in for an exam. She was prescribed a host of medications. Once again I asked the doctor if he still thought the problems with her legs was neurological and he feel that is still an issue.

I need cue cards because I’ve read Dr. Jerome Groopman’s book How Doctors Think and I didn’t follow most of his recommendations. I didn’t ask at the initial consult what else it could be if it wasn’t neurological. I’m better at the human health issues, but when it comes to veterinary medicine I’m at a loss. As you know, our anatomy and physiology is not the same (well maybe if you have a pet chimp/gorilla it may be close).

I’m following the treatment strategy we’ve outlined at the last visit. Her walking is greatly improved and not sure if it’s because we’re treating the gynecological issues or if the steroids have made all the difference. Perhaps it’s a bit of both which only leaves me more confused. I think I’m going to skim Groopman’s book again because I still have my doubts and I want to go in with a clear head. It shouldn’t be a surprise that when we’re with someone or a loved pet who is sick, our emotions take over and all rational thinking goes out the window.

I would love to have a set of cue cards with the questions I need to ask; that would be ideal. Instead, I’ll put some questions together and be prepared for her follow-up visit to determine her progress. She’s feeling better and that’s most important. I do want to make sure going forward that I’m better prepared!

Facing doctor’s appointments and lab work?  Want to be prepared for your doctor’s visits?  Visit http://www.survivingstrong.com

Want to explore health and healing through creative outlets?  Visit http://www.timetolivecreatively.com

Follow me on Twitter: @GregKatz2

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I have a black lab mix, adopted from the shelter at 9 weeks old. Her name is Tashi, from Alice Walker’s book The Color Purple.   We’ve shared many amazing times together and continue to do so even though she’s slowing down a bit at the age of thirteen. About seven years ago she contracted MRSA (Methicillin-resistant Staphylococcus aureus), a staph infection that is often drug resistant. In the past, we would tame the infection and get at least a few months of remission. Currently, we’ve been fighting a never-ending infection that keeps mutating eluding our efforts for remission.

I can tell you about the long list of doctors and tests she had endured, but I want to focus on the appointment we had yesterday. It was time for a new culture because the antibiotic we’ve been giving her the past six weeks stopped working. The progress stalled and that just means without further intervention we would start moving backwards.

The doctor came into the examination room and we had our usual conversation about treatment possibilities and then he took Tashi to the back to secure the culture. The culture entails giving her lidocaine (a numbing agent) to minimize her discomfort. The doctor then takes samples the size of a pencil eraser from her foot. He then closes the puncture site with sutures that she’ll have in for the next three weeks.

When the doctor walked her out to the lobby he told me when to expect the results. He then said, “This is the best she’s ever done, I guess we become accustomed to things that we never thought we’d have to endure.” It was an odd thing to hear, but I got it; she’s a trooper.

Every time we got to the vet I’m amazed that she doesn’t fight me upon entering the building. The staff adores her and gives her love. The doctor, the perpetrator of what some might call medical intrusion, adores her and treats her with the utmost respect. She has an innate understanding that even though these people inflict pain, no one is out to harm her in any way. Her level of trust and “go with the flow” mentality seems to diminish the trauma and pain of the procedures she so effortlessly endures.

Healing environments have to be built on a foundation of trust. Trust that the medical team is on your side and that anything they’re doing is to help, not hurt. They need to find ways to provide a level of comfort because procedures can be painful and are often scary. Tashi is always surrounded by a loving energy that seems to shield her from the trauma of the procedure.

Tashi is a role model for what it takes to keep on going with a potentially life-threatening illness. She is able to endure procedures, endless rounds of medications causing side effects like loss of hearing and yet she’s loving, playful, and trusting. Trust is something so crucial on the health and healing journey and I continue to learn how it manifests by watching what Tashi endures on a daily basis. She’s my teacher.

Diagnosed with a chronic or life-threatening illness? Looking for support, education, and inspiration? Visit www.survivingstrong.com

Interested in Art and Healing? Visit www.timetolivecreatively.com

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You’re going to think I’m a bit strange because the story I’m going to share is about my dog.  Believe it or not, my dog Tashi has had more medical problems than most of us will have in our own human lives.

It all started about five or six years ago when she acquired Methicillin-resistant Staphylococcus aureus (MRSA).  I don’t know how she acquired this infection, but it has been recurring relentlessly over the years.  Unfortunately MRSA isn’t curable, it becomes a chronic, potentially life-threatening condition.

The incident this past week started last Wednesday when Tashi awoke limping.  Her back foot (location of the MRSA wound) was swollen.  She ate breakfast and took her place in the family room and didn’t move for seven hours.  We decided to take her to the emergency vet that evening because she wasn’t engaging in normal activities and she couldn’t get up off the floor on her own.

The vet we saw, a young vet, was quite personable and very good with Tashi.  He did a thorough exam and was respectful of her pain limits.  The thing that caught my attention was his personal shock at how swollen her foot and leg had become.  He was perplexed hoping that maybe she had an issue with a bone or joint.  Because of the MRSA he had to be very careful about any biopsy or culture because he didn’t want to spread the MRSA if in fact it was present.

The radiograph didn’t show any abnormalities, a huge relief.  He did perform a culture of the wound on her foot, non-invasive.  He also prescribed a very strong antibiotic and pain medication.  We took her home with the hope that  she would begin the healing process.

Unfortunately as Thursday progressed, her leg became more swollen and this was worrisome.  The next step was to take her to her regular vet.  One more appointment and when he saw her foot he was also a bit perplexed and concerned.  She wasn’t putting pressure on her foot and the leg was swollen up to her hip.  He prescribed a second antibiotic and now we wait for the culture results.

The sad part is that animals can’t tell us other than behavior about their physical problems.  I feel fortunate to have medical professionals that are engaged in her well-being and take measures to create increased odds at healing the infection.  I didn’t know that the field of veterinary medicine doesn’t have a specialization in infectious disease.  The specialty seems to be on the horizon, but until that happens either a general practitioner, or in Tashi’s case her dermatologist/allergy doctor have to serve as our medical resource.

How does this translate into the experience of humans?  We don’t always have an answer for symptoms that arise from an illness.  It’s important to feel comfortable going to a specialist if you don’t feel that your illness/symptoms are getting better.  In addition, I felt it important for her regular physician to see her because he knows her history and her body.  He understands her response to past medications and infections.  He knows her temperament and tuned into her response when he exams her.  These are important because her history may have clues to heal the current medical dilemma.

Things are still uncertain and the fact that she’s over twelve years old doesn’t soothe my anxiety.  I can see the desire in her eyes to get better (my personal projection) but I’m hoping we make it through this health crisis.  I hope you maintain that fire in your soul to get better or well.

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