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Emergency case has just arrived at
Glasgow's state -of -the -art vet
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Medical clinician Gerard McLaughlin is
called to reception.
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Barry Crawford's one -year -old Whippet
Indy is weak and struggling to breathe.
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Over the past few days, he's been kind
of slowly going downhill, finding it
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hard to breathe. So we've brought him up
from Ayrshire this morning and he's
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just got himself.
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Hi, Mr Crawford. Nice to meet you. I'm
Jeremy. Do you want to come through with
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Indy?
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Indy's local vets have found fluid on
his lungs.
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I think we'll have him into our ICU
because he's obviously not feeling great
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if he's deteriorating, then we want him
somewhere he's watched 24 hours a day
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just in case there's any need for oxygen
or he merited the drainage of the fluid
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from his chest.
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Indy's been with Barry and Laura since
he was eight weeks old.
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We don't have kids just now, so our dogs
are, our children, everybody in the
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family. We're all dog owners, so when
something does go wrong with one of the
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dogs, everyone's there, the whole
family's there.
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A genuine bleed isn't the best place.
You could bleed just now and we'll do
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everything we can.
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Indy may have haemothorax, bleeding in
the chest cavity.
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Blood tests may help Gerard diagnose the
problem.
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This is Indy. It's an infected chemo
thorax in the vets.
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I'm slightly reluctant to put a needle
into the jug of veins, so we'll just
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it from a personal site.
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We'll just send the bloods up as an
emergency and the coagulation panel, and
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we'll just get a quick chest x -ray on
him just now, just to make sure that
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there's not a huge amount of fluid in
his chest and he's drained off quickly.
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The x -ray results are startling.
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Indy's fluid build -up is accelerating.
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There's a lot of fluid in the chest here
and you can see these air bronchograms
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which can indicate that the lungs are
much more solid than they should be so
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that can be hemorrhaged into the tissue.
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Indy's left lung is barely functioning.
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Instead of being air -filled, it's
either fluid -filled or soft tissue
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So it's a basically solid lump rather
than functioning as an air sac.
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And then over this side, there's these
small beckles of air trapping in the
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field, and you can often see that if the
lung has twisted on itself.
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When we compare it to the vet's x -ray
taken 48 hours ago, there's a different
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progression of that consolidation.
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Indy recently ran into a nail.
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It's possible this may have caused
internal bleeding.
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Coupled with the history of trauma in
that area from Indy, then I think it
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become a case where surgical
intervention is required because we have
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reason why the dog is oozing or bleeding
into the chest.
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The blood build -up could force Indy's
lung to collapse.
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Gerard's called in surgeon Catherine
Pratchka.
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She'll need to operate soon.
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I'll go and put up to pass and we'll get
this.
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Perfect. Get that organised and lined
up.
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Catherine's a specialist in small animal
surgery.
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She's wanted to be a vet since her
school days.
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We always had animals around when we
were growing up. I suppose that's just
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always been what I would consider that
completely normal. I can't imagine not
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having animals around.
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I really like them as well.
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I really enjoy working with them.
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So it's kind of a bonus that I get to do
that as part of the job.
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Indy's taken to intensive care to be
closely monitored before Catherine
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on him.
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In reception, another difficult case has
just arrived.
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Lindsay and Gary's cat, Oti, has been
badly injured.
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Oti's our youngest of three cats.
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Oti's the only one that we've had since
she was a kitten. She's two and a half
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years old.
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We went and got her just after she was
born, so we're hopeful that we'll be
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to do something today.
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She was out on Friday night and came in
the house and had been in some sort of
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an accident where she was hurt.
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Something's caused her tail to be pulled
very, very hard away from her back.
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I think it's just that we don't know
what actually happened to her.
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It's just such a shock.
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Oti's broken tail is an unusual and
serious injury.
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It may have got trapped under a car
wheel.
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The specialists here are her last hope.
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If coming up here wasn't an option, I
think, unfortunately, the answer at the
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moment would probably have been to put
her to sleep.
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So we're trying to see what can be done.
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Mr and Mrs Templeton, hi.
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I'm Alison.
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Nice to meet you.
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American animal neurologist Allison
Haley is taking on the case.
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First, she checks the x -rays from the
local vets.
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This is her spine right here. These are
her vertebrae.
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And, yeah, I mean, it's fairly obvious
the abnormality here. So we have the
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sacral vertebrae here, and there's a
complete avulsion of her tail.
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And then we have another view that is
her laying on her back.
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Here are her lumbar vertebrae, the bones
of the spine.
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This is her pelvis here.
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These are her legs, so her thigh bone or
her femur.
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So this is her tail here.
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This is the first bone of her tail. This
is one of her bones of her tail as
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well, so these two should be connected.
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So they've been completely pulled apart
from each other.
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That's pretty remarkable.
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Sorry for your cat.
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Oti's injury is an extreme case.
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The nerves she uses to urinate and
defecate may also have been damaged.
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Did she use the restroom at night at all
for you? No, she's drank a lot of water
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since she's been at home, but she didn't
use the litter tree at all.
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Alison needs to find out the full extent
of Oti's injuries.
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Gary and Lindsay may have to make a
heartbreaking decision.
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Indy's lung problems will pose a
challenge during his surgery.
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He could become apneic, where he stops
breathing.
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Anaesthetist Sean briefs his team.
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We never inject anaesthetic drugs into a
catheter you can't see, so always take
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advantage of it.
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So that we don't overdo it, you need to
aim to give your calculated dose.
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Over two minutes.
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None of this treating it like thio and
giving half the dose and then topping it
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up, because that's how we're going to
get an apneic dog. And if she's got poor
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lung function anyway, she's not going to
be able to cope with apnea.
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Indy's operation is risky, but his life
depends on it.
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He's such a lovely little dog. You know,
I can't wait to get him home. The house
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isn't the same without him.
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There's not a memory of the family just
now, though. I wasn't worrying about
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him.
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Coming up, Alison's examination of Oti
reveals a serious problem.
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She's not responding to me pinching on
her.
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And when Catherine operates on Indy,
she's astonished by what she finds.
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It's amazing we're still doing as well
as it is.
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That's really pretty severe.
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At Glasgow's Vet Hospital, neurologist
Alison Haley is examining family cat
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Oti's broken tail.
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The store owner, Gary and Lindsay,
brought her here when their own vet
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help.
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We're going to bang on her knees and
stuff to check her reflexes.
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So she's got a great reflex, which is
good.
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So we're just seeing if she has a
withdrawal reflex.
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And she doesn't like it, so she can both
feel it as well as withdraw.
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And then what we do is we ask her if she
knows where her limbs are in the face.
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Good girl.
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I'm going to try to stay away from her
back end because I don't want to hurt
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her. And she does really well in her
back legs as well.
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Ellen, do you mind putting a hand on her
front end?
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I'm just going to try to do placing in
her back legs if she'll let me.
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Hi, good girl.
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You're okay.
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So again, does really well in the back
legs as well.
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Now, Allison needs to check whether Ozie
has nerve damage which would make her
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incontinent.
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This is her anus right here, which is...
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She doesn't have a great tone, but it's
not awful.
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And for perineal reflex, I just kind of
go down on either side and see if she
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winks. She's not winking that well.
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You can kind of test anal tone there,
too. Like, she's very easy to open.
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Normally,
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if I pinch around it, it...
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squeezes tight or if i even just so much
as tickle down it it'll squeeze tight
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so that's the winking of the anal reflex
or the perineal reflex which she just
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she doesn't have any this is not good
news ot could be permanently
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incontinent she's not peeing on her own
right now her bladder is quite big where
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we go from here is somewhat up to you
guys. There is a percentage of cats that
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might get better. So if you wanted to
kind of deal with her for a month, you
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could. But I would say that it's not a
great percentage of cats that get
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So it's very much up to what you guys
think you can handle. It's not easy to
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teach you how to express a bladder, but
it's doable.
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So we could definitely teach you how to
do that so you could manage her.
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And then more importantly, do you want
some time to talk and think?
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I know you adore her, it's obvious, and
want the best for her.
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Okay.
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So we want to give her a month and see
what we can do. Okay.
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Before they take Oti home, Gary and
Lindsay will be taught how to empty her
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bladder three times a day so they can
manage her incontinence.
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Over in the equine centre, clinician
Mike Cathcart is happy to leave the
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treatment of smaller animals to
colleagues like Alison.
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I like working with very large horses,
and I don't like working with cats,
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tend to scratch and bite a lot more.
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And then it's even worse when you get
down to the small animals like hamsters
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and mice and things. I always find that
they're more likely to bite me, so I'm
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always more scared of a hamster than I
am of a 500kg horse.
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But Mike may have his work cut out with
new patient Rosie, who's suddenly
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started being aggressive.
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Owners Anne and David hope Mike can cure
her.
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Hopefully we'll be able to ride her a
bit more, maybe take a fall off her next
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year, and she'll maybe stop her bad
behaviour.
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We will with her.
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Anne's been worried by Rosie's change of
temperament.
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Mike suspects
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Rosie's behaviour may be due to hormone
trouble caused by problems with her
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ovaries. She has previously already had
hormone testing, which has shown that
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the hormone levels are increased.
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And a scan was done last week, which
indicated that the right ovary was
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and was also abnormal.
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I'm currently just feeling the ovaries.
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You can tell if they're enlarged above
the normal expectation.
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In normal mares, you can often feel
for...
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Follicles, which are the structures
which will produce the egg when they
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ovulate.
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Good girl.
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Okay.
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Mike's hand examination is inconclusive.
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He'll need to scan Rosie's ovaries using
ultrasound.
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In the outpatient's department, Alison
shows Gary how he can empty Rosie's
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bladder at home.
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So if you feel right here, right there,
can you feel her ribs?
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Yeah. Okay.
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So then what I try to do is kind of make
my hands soft and flat and go right
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behind the ribs. And the belly is,
unlike ours, is fairly pliable. So you
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almost push your fingers together and
touch your fingers through her belly.
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So just back and forth, you kind of feel
that water balloon.
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So some gentle pressure on that.
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I know, you're purring. You're such a
good cat.
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You're doing great.
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Gary has mastered the art.
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Even though the news hasn't been all
good today, it's still a relief for Gary
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and Lindsay to be taking Oti home for
now.
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From what our vet said, it was... Very
bleak was the way that she put it. And
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she doesn't really hold out much hope
for Oti.
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But we knew that this place was here.
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And we asked her if we could have her
referred because we just wanted to know
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that we'd done everything that we could.
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So from what Alison has said, it's made
us feel much better because if we can
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give her a month, we know that the nerve
damage could heal. There's a
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possibility. And it means that we can
kind of look after her at home. We would
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be really happy to do that.
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Alison is impressed by Gary and
Lindsay's determination to do everything
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can for OT.
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The cats sometimes, you know, they're so
independent, just are not interested in
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having their urine expressed.
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If she were human, we could explain to
her that we need to keep her bladder
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empty and manage her bladder in a
different factor. It's just a little bit
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different when it's a cat. So whether or
not she has a good quality of life is
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very much going to be up to her owners.
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surgeon Catherine Pratchka knows Indy's
operation is going to be a challenge.
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You can't be completely certain what
you're going to find, so there's always
226
00:15:21,240 --> 00:15:26,640
element of being prepared for finding
something unexpected, which is part of
227
00:15:26,640 --> 00:15:30,500
reason for doing the approach that gives
you the best access and best view.
228
00:15:31,860 --> 00:15:35,080
And hopefully we'll be able to...
229
00:15:35,840 --> 00:15:39,200
They get to the bottom of the problem
and do something about it because there
230
00:15:39,200 --> 00:15:41,720
clear signs of progression in the last
few days.
231
00:15:41,940 --> 00:15:46,300
And if she were to continue to bleed or
have another large bleed, then
232
00:15:46,300 --> 00:15:49,160
potentially that could be quite serious
for her.
233
00:15:49,760 --> 00:15:51,100
Sorry, him. I keep saying her.
234
00:15:51,840 --> 00:15:52,840
Indy is a boy.
235
00:15:54,460 --> 00:15:57,700
He's a really nice dog. I hope we're not
going to get any nasty surprises.
236
00:16:00,900 --> 00:16:02,740
When the operation starts...
237
00:16:02,960 --> 00:16:06,420
It doesn't take long for Catherine to
find out why Indy's been struggling to
238
00:16:06,420 --> 00:16:07,420
breathe.
239
00:16:07,680 --> 00:16:11,660
Nearly two -thirds of Indy's blood
supply has leaked into his chest.
240
00:16:14,380 --> 00:16:16,020
Yeah, that explains an awful lot.
241
00:16:16,380 --> 00:16:19,140
That fits with how hard I'm having to
ventilate here.
242
00:16:19,400 --> 00:16:21,260
It's amazing we're still doing as well
as he is.
243
00:16:21,720 --> 00:16:22,940
That's really pretty severe.
244
00:16:24,920 --> 00:16:28,640
We've got hemorrhage into the mucous
spinal cord there as well.
245
00:16:29,850 --> 00:16:32,450
You've got the heart there. I'm not
likely handling it.
246
00:16:35,770 --> 00:16:38,570
I'm going to have to suction this blood
out, Sean, so they can see what I'm
247
00:16:38,570 --> 00:16:44,650
doing. The tissues around Indy's left
lung are engorged with blood.
248
00:16:47,490 --> 00:16:54,290
We've got these two pieces of tissue
that are just grossly, grossly
249
00:16:54,290 --> 00:16:55,290
abnormal lung.
250
00:16:56,110 --> 00:16:59,250
It literally looks like either spleen or
liver would normally look. This is your
251
00:16:59,250 --> 00:17:04,310
classic description of either congested
or collapsed lung lobes, and it's really
252
00:17:04,310 --> 00:17:05,310
solid.
253
00:17:05,690 --> 00:17:10,030
A dog's lungs are divided into seven
parts called lobes.
254
00:17:10,589 --> 00:17:13,250
Somehow, one of Indy's lobes has got
twisted.
255
00:17:14,670 --> 00:17:15,670
Look at that.
256
00:17:15,849 --> 00:17:17,589
See that? See that twist?
257
00:17:19,089 --> 00:17:24,170
360 degrees, literally like someone's
taken the lungs and twisted them.
258
00:17:24,859 --> 00:17:26,819
A couple of times we can actually see
where they wrap around.
259
00:17:28,160 --> 00:17:32,460
The twist means blood was able to flow
into the lobe but couldn't flow out.
260
00:17:33,100 --> 00:17:38,180
It's become so full of blood it's
ruptured, flooding in his chest and
261
00:17:38,180 --> 00:17:39,320
difficult for him to breathe.
262
00:17:40,460 --> 00:17:44,780
It's literally like someone caught it
and did that a few times, so it's sort
263
00:17:44,780 --> 00:17:50,800
fun. He's still getting arterial blood
pumping in, so that's also partly where
264
00:17:50,800 --> 00:17:51,800
she's lost blood too.
265
00:17:52,720 --> 00:17:55,760
Katherine tries to find the cause of
Indy's twisted lung.
266
00:17:56,300 --> 00:18:01,020
He recently ran into a nail which may
have contributed to the internal bleed.
267
00:18:18,480 --> 00:18:21,820
The affected lobe is full of necrotic
tissue and toxins.
268
00:18:24,480 --> 00:18:28,900
We untwist that. We dump the whole lot
into the circulation right beside the
269
00:18:28,900 --> 00:18:31,120
heart and it would probably be enough to
kill her.
270
00:18:32,840 --> 00:18:36,860
Catherine will use staples to seal the
twisted lobe off from the rest of the
271
00:18:36,860 --> 00:18:37,860
lung.
272
00:18:37,900 --> 00:18:40,100
Then she will carefully remove it.
273
00:18:46,380 --> 00:18:47,380
Coming up.
274
00:18:47,820 --> 00:18:50,340
Rosie's ultrasound scan reveals a
problem.
275
00:18:50,880 --> 00:18:56,840
A normal ovary would have rounded
follicle, but Rosie has lots and lots of
276
00:18:56,840 --> 00:18:58,620
and they are irregular in shape.
277
00:19:00,280 --> 00:19:05,060
And Indy develops complications and
needs an urgent blood transfusion.
278
00:19:06,800 --> 00:19:12,120
I'm going to give him transfusion so
he's got some blood going red. Fabulous.
279
00:19:12,160 --> 00:19:15,780
There's some heifer and saline on the
front of my anaesthetic machine.
280
00:19:16,780 --> 00:19:20,640
Clutch the two arms of the connector,
that would be good.
281
00:19:22,460 --> 00:19:24,820
Catherine's finished stitching up Indy's
left lung.
282
00:19:25,340 --> 00:19:30,440
To make sure there aren't any leaks and
the lung is airtight, sterile saline is
283
00:19:30,440 --> 00:19:31,640
poured into the chest cavity.
284
00:19:33,790 --> 00:19:37,110
It's exactly the same principle as if
you're checking your bicycle car for a
285
00:19:37,110 --> 00:19:38,110
puncture.
286
00:19:38,510 --> 00:19:43,430
You submerge the site where you've done
the lobectomy, submerge it under sterile
287
00:19:43,430 --> 00:19:46,810
saline, and then you watch for streams
and bubbles as they're being ventilated.
288
00:19:46,870 --> 00:19:49,050
So that tells you whether you've got a
secure scene or not.
289
00:19:50,150 --> 00:19:54,710
But the other reason that I'm using a
larger volume of saline is that there's
290
00:19:54,710 --> 00:20:00,070
old, sort of little bits of captive
inflammatory tissue and sort of small
291
00:20:00,070 --> 00:20:01,970
of blood stuck in there, which are...
292
00:20:02,350 --> 00:20:05,350
because this has probably been going on
for a couple of days, so I want to get
293
00:20:05,350 --> 00:20:06,730
as much of that out as I can as well.
294
00:20:07,170 --> 00:20:10,850
We don't need cold saline because we
don't want to drop the body temperature,
295
00:20:11,130 --> 00:20:14,350
but we also don't want to put saline
that's too hot straight into the chest.
296
00:20:19,030 --> 00:20:21,390
Catherine's removed 15 % of Indy's
lungs.
297
00:20:22,170 --> 00:20:26,630
A dog can live a normal life even if
more than half of its lungs are taken
298
00:20:26,910 --> 00:20:28,750
so Indy should be fine.
299
00:20:30,120 --> 00:20:32,520
We're spontaneously breathing and we're
holding our own.
300
00:20:33,240 --> 00:20:34,520
Not too wet either.
301
00:20:36,840 --> 00:20:41,000
Indy's stitched -up lung doesn't have
any leaks, but he isn't out of the woods
302
00:20:41,000 --> 00:20:42,000
yet.
303
00:20:42,760 --> 00:20:45,220
Catherine's still not sure what caused
the twist.
304
00:20:47,520 --> 00:20:50,920
Spontaneous lung load torsion would be
very unusual in this freeze, so we just
305
00:20:50,920 --> 00:20:54,040
need to make absolutely sure there isn't
something else as an underlying disease
306
00:20:54,040 --> 00:20:56,760
that we would need to know about for
treatment.
307
00:20:58,090 --> 00:21:01,490
The twisting, or torsion, could be
caused by cancer.
308
00:21:02,110 --> 00:21:03,870
A biopsy is being taken.
309
00:21:05,190 --> 00:21:08,150
Hopefully it'll just confirm the sort of
changes you'd expect to see with
310
00:21:08,150 --> 00:21:10,190
vascular congestion.
311
00:21:11,810 --> 00:21:12,810
So we hope.
312
00:21:13,750 --> 00:21:15,050
Come over here then, chaps.
313
00:21:17,530 --> 00:21:18,530
Thank you.
314
00:21:19,230 --> 00:21:20,230
Hello,
315
00:21:21,050 --> 00:21:23,650
honey. I know, you've got a big floppy
thing on your ear.
316
00:21:23,930 --> 00:21:25,290
It's not a brief one, is it?
317
00:21:27,570 --> 00:21:32,790
Indy is also at risk of pneumonia post
-surgery, so he'll be closely monitored
318
00:21:32,790 --> 00:21:33,990
in intensive care.
319
00:21:38,790 --> 00:21:43,370
Mike's carrying out an ultrasound on
Rosie, the Highland pony who's behaving
320
00:21:43,370 --> 00:21:44,370
aggressively.
321
00:21:45,590 --> 00:21:49,530
The scan has revealed benign tumours in
her right ovary.
322
00:21:49,750 --> 00:21:55,390
What we can see on the screen here is
the ovary, a normal ovary which has
323
00:21:55,390 --> 00:21:56,530
rounded follicles.
324
00:21:57,070 --> 00:22:01,350
But Rosie has lots and lots of areas,
and they are irregular in shape.
325
00:22:03,370 --> 00:22:08,310
These tumours tend to have what we
describe as a polyphistic appearance, so
326
00:22:08,310 --> 00:22:12,550
there are multiple, lots of little cysts
that we can see all through here.
327
00:22:14,930 --> 00:22:17,410
Next, Mike scans Rosie's left ovary.
328
00:22:18,090 --> 00:22:22,270
If it also has tumours, she won't be
able to fall, which will be a real
329
00:22:22,270 --> 00:22:26,170
disappointment to Rosie's owners, who
have high hopes of breeding from her.
330
00:22:33,420 --> 00:22:38,440
This follicle does seem to be
regretting, which is what we would
331
00:22:38,440 --> 00:22:41,280
ovary to do at this time of year.
332
00:22:42,560 --> 00:22:47,720
Rosie's left ovary may be fine, but her
right one is riddled with tumours and
333
00:22:47,720 --> 00:22:49,480
needs removing as soon as possible.
334
00:22:52,580 --> 00:22:57,340
Over in the outpatients' department,
Dalmatian breeder Heather Shepherd has
335
00:22:57,340 --> 00:23:00,520
brought in nine spotty puppies for a
hearing test.
336
00:23:03,830 --> 00:23:07,090
It's neurology nurse Gillian Calvo's
favourite job.
337
00:23:08,070 --> 00:23:13,750
I like to think that out there in
Scotland and the north of England and
338
00:23:13,790 --> 00:23:17,590
there are pups that are running around
that, you know, because of the service
339
00:23:17,590 --> 00:23:21,350
that we provide here in the hospital,
you know, we're able to ensure that as
340
00:23:21,350 --> 00:23:22,970
many of them out there are hearing.
341
00:23:24,790 --> 00:23:26,230
How have they travelled? All right?
342
00:23:26,430 --> 00:23:27,690
Yes, fine. Yeah, they're all OK?
343
00:23:28,250 --> 00:23:29,250
Hi, monkey!
344
00:23:29,350 --> 00:23:30,350
Are you ready?
345
00:23:30,870 --> 00:23:31,870
What do you think?
346
00:23:33,960 --> 00:23:39,620
And it is fun. You don't really get to
deal with very many pups on such a cute
347
00:23:39,620 --> 00:23:45,400
level and such a mass number. So I think
it's probably one of my jobs in
348
00:23:45,400 --> 00:23:49,060
particular that a lot of the other staff
are probably a little bit envious of,
349
00:23:49,140 --> 00:23:52,540
that once a week you get to hug lots of
little puppies.
350
00:23:55,500 --> 00:23:56,780
There we go, wee monkeys.
351
00:23:57,980 --> 00:23:58,980
Well done.
352
00:24:01,950 --> 00:24:04,650
About a third of Dalmatians have hearing
problems.
353
00:24:05,770 --> 00:24:09,450
Deaf puppies may be hard to pick out
amongst their littermates because they
354
00:24:09,450 --> 00:24:14,050
mimic their siblings' behaviour, fooling
even experienced breeders like Heather.
355
00:24:14,930 --> 00:24:17,770
Do you want to do the girls first?
There's only three of them.
356
00:24:18,870 --> 00:24:23,250
And they're not registered just yet, so
just complete your documentation once
357
00:24:23,250 --> 00:24:26,650
you're back. That's fine. I'll just get
them all registered on here.
358
00:24:28,150 --> 00:24:31,110
Hello, wee one! Have you got a wee name
that we call you yet?
359
00:24:31,660 --> 00:24:32,720
This wasn't new. No?
360
00:24:33,060 --> 00:24:33,999
Oh, dear.
361
00:24:34,000 --> 00:24:36,420
I'll just call you Bumpkin for the
purpose of today, then.
362
00:24:37,100 --> 00:24:38,360
Right, wee monkey -moo.
363
00:24:38,560 --> 00:24:41,680
Right, we need to put this under your
skin. I'm sorry. It's no nice.
364
00:24:42,880 --> 00:24:43,880
Ooh!
365
00:24:45,550 --> 00:24:46,109
Well done.
366
00:24:46,110 --> 00:24:46,769
Good job.
367
00:24:46,770 --> 00:24:50,370
So we're just placing, for us to be able
to perform the test, we have to put
368
00:24:50,370 --> 00:24:52,650
little electrodes beneath our skin.
369
00:24:52,870 --> 00:24:57,330
And they're just very, very small little
needle electrodes here. They're no more
370
00:24:57,330 --> 00:25:01,150
broad really than an acupuncture needle
and they're very short. And we have to
371
00:25:01,150 --> 00:25:03,770
position these in three areas around the
head.
372
00:25:04,090 --> 00:25:06,810
So the first one just goes at the back
of the neck.
373
00:25:07,170 --> 00:25:10,590
The other one just goes just between the
eyes at the top of the head.
374
00:25:12,170 --> 00:25:17,050
And then we put the third one either on
the front of the left ear or on the
375
00:25:17,050 --> 00:25:20,190
right ear, depending on which ear we're
testing. So we always start with the
376
00:25:20,190 --> 00:25:21,850
left ear first.
377
00:25:24,550 --> 00:25:29,870
Ah, good girl. Well done.
378
00:25:30,510 --> 00:25:31,730
You're very brave.
379
00:25:32,290 --> 00:25:35,530
Right, so it's really important now to
try and keep her as still as we can so
380
00:25:35,530 --> 00:25:37,430
that she doesn't pull all these wee
electrodes out.
381
00:25:37,790 --> 00:25:38,729
There we go.
382
00:25:38,730 --> 00:25:40,770
Deaf puppies can't hear danger coming.
383
00:25:41,160 --> 00:25:42,420
which makes them more vulnerable.
384
00:25:43,040 --> 00:25:45,200
It's recommended they're not used for
breeding.
385
00:25:46,300 --> 00:25:52,520
Right, wee one. So you need this wee
earphone to go over your... Oh, you're a
386
00:25:52,520 --> 00:25:53,520
monkey.
387
00:25:54,680 --> 00:25:55,940
You got it out already?
388
00:25:56,580 --> 00:25:57,580
Deary me.
389
00:25:58,920 --> 00:26:00,040
Doing very well.
390
00:26:01,020 --> 00:26:02,020
There you go.
391
00:26:02,140 --> 00:26:03,740
Right, and put your other wee one on
there.
392
00:26:04,740 --> 00:26:05,740
Don't share.
393
00:26:06,040 --> 00:26:07,040
OK.
394
00:26:07,240 --> 00:26:10,000
So now what we do is we just basically
play a little stimulus.
395
00:26:10,730 --> 00:26:16,670
into the ears and we're looking at the
computer system to see the trace that
396
00:26:16,670 --> 00:26:21,590
we've got coming up on the screen and
what we basically don't want is a flat
397
00:26:21,590 --> 00:26:25,550
line we want nice peaks and troughs and
each one of these peaks and troughs
398
00:26:25,550 --> 00:26:30,350
represent a different part of the
pathway from the external ear all the
399
00:26:30,350 --> 00:26:34,390
through to the brain and so far on the
left ear of this pup that looks
400
00:26:34,390 --> 00:26:37,450
absolutely fine so she's hearing in that
ear absolutely fine.
401
00:26:38,170 --> 00:26:41,490
Since it's rubbish music, we do not mind
getting something about half a decent.
402
00:26:43,150 --> 00:26:45,630
One ear done, 17 to go.
403
00:26:49,090 --> 00:26:53,990
In the equine centre, Mike's about to
sedate Rosie before she has keyhole
404
00:26:53,990 --> 00:26:56,450
surgery to remove her right ovary.
405
00:26:57,990 --> 00:27:02,010
She's had the first part of her
sedation, which will allow us to place
406
00:27:02,010 --> 00:27:06,070
catheter and then we'll have instant
access to give her more sedation for the
407
00:27:06,070 --> 00:27:07,070
procedure as well.
408
00:27:07,380 --> 00:27:09,880
Rosie will be conscious and standing
throughout.
409
00:27:10,180 --> 00:27:13,920
It's safer than giving her a general
anaesthetic, which can lead to
410
00:27:13,920 --> 00:27:17,940
complications. The local anaesthetic
will ensure she doesn't feel any pain.
411
00:27:18,700 --> 00:27:23,340
She'll be given a constant infusion of
the sedative agent, which she's already
412
00:27:23,340 --> 00:27:27,880
had, and the surgeons also use local
anaesthetic at the area where they'll be
413
00:27:27,880 --> 00:27:29,140
inserting the laparoscope.
414
00:27:31,060 --> 00:27:36,160
As Rosie's sedative takes effect, her
surgeon, Porter Kelly, gets ready for
415
00:27:36,160 --> 00:27:37,160
operation.
416
00:27:37,840 --> 00:27:39,980
Podrick specialises in equine surgery.
417
00:27:40,760 --> 00:27:45,580
We grew up with horses at home. We're
fortunate enough to have had a few
418
00:27:45,580 --> 00:27:47,520
and ponies as kids.
419
00:27:48,040 --> 00:27:52,820
We did some show jumping and that sort
of thing, and I suppose that started off
420
00:27:52,820 --> 00:27:53,840
my interest in horses.
421
00:27:55,820 --> 00:27:59,140
Podrick likes the rapid results you can
get as a surgeon.
422
00:28:00,980 --> 00:28:05,780
It suits my character more, I think. I
don't know if I have the patience for
423
00:28:05,780 --> 00:28:11,930
medicine. It takes quite a patient
individual who is prepared to spend a
424
00:28:11,930 --> 00:28:17,750
time observing really and studying
stuff.
425
00:28:19,970 --> 00:28:25,010
Poor Drake will remove Rosie's right
ovary via keyhole surgery under local
426
00:28:25,010 --> 00:28:30,190
anaesthetic. Mike will keep a close eye
on Rosie's sedation levels throughout.
427
00:28:31,030 --> 00:28:34,670
Operating on a semi -conscious standing
animal is no easy matter.
428
00:28:37,020 --> 00:28:41,020
three portals, one approximately here,
through which we will insert our camera,
429
00:28:41,120 --> 00:28:44,440
then we will identify the ovary and the
ovarian ligament.
430
00:28:44,740 --> 00:28:49,920
We'll create a second portal and inject
some local anaesthetic into the ovarian
431
00:28:49,920 --> 00:28:53,880
ligament, then create a third portal
through which we can remove the ovary.
432
00:28:54,560 --> 00:29:00,020
This mare is a little bit well
-conditioned, shall we say, so that's
433
00:29:00,020 --> 00:29:06,200
make things a little more difficult for
us, just because of the amount of both
434
00:29:06,200 --> 00:29:09,420
extra and intra -abdominal fat that is
going to be there.
435
00:29:11,360 --> 00:29:16,760
Poor Drake will be using a laparoscope,
a small flexible tube which contains a
436
00:29:16,760 --> 00:29:18,060
light source and a camera.
437
00:29:19,620 --> 00:29:25,900
We're going to use a pointed troker to
just bluntly dissect through the muscle.
438
00:29:29,500 --> 00:29:31,060
There's quite a lot.
439
00:29:40,110 --> 00:29:45,530
When the laparoscope is inserted,
Aldrich gets a clear image of Rosie's
440
00:29:48,710 --> 00:29:50,990
So that's the ovary right there below
us.
441
00:29:51,410 --> 00:29:52,970
It's right in the center of the picture.
442
00:29:53,890 --> 00:29:55,210
Just that down there.
443
00:29:56,430 --> 00:30:01,850
And that above it is the ovarian
pedicle, or the attachments of the ovary
444
00:30:01,850 --> 00:30:05,970
the blood supply, which we're going to
put some local anesthetic into shortly
445
00:30:05,970 --> 00:30:08,290
after the uterus then running.
446
00:30:08,640 --> 00:30:13,420
Running backwards on her bladder, her
bladder there, just to the top left of
447
00:30:13,420 --> 00:30:17,080
picture with some small colon just
below.
448
00:30:19,000 --> 00:30:23,640
If Mike and the anaesthetist were to
over -sedate Rosie, she could collapse.
449
00:30:25,620 --> 00:30:30,240
At this end, we're just ensuring that
Rosie stays sufficiently sedated, that
450
00:30:30,240 --> 00:30:33,520
doesn't move around whilst the surgeons
are operating, and also, unfortunately,
451
00:30:33,580 --> 00:30:35,400
she doesn't get too sedated.
452
00:30:35,870 --> 00:30:41,530
because they can tend to start to lose
strength and they can sometimes buckle.
453
00:30:43,130 --> 00:30:47,130
Yeah, if she felt anything, she would
react to this at this stage, which
454
00:30:47,130 --> 00:30:50,370
obviously we don't want to find out that
way by her reacting.
455
00:30:52,670 --> 00:30:53,670
Oh!
456
00:30:53,950 --> 00:30:58,570
Jillian has nearly finished the
Dalmatian hearing test, but it looks
457
00:30:58,570 --> 00:30:59,570
one has a problem.
458
00:31:00,810 --> 00:31:03,250
Yeah, the trace that we've got for this
pup...
459
00:31:03,500 --> 00:31:07,300
Left ear isn't how we would expect it.
460
00:31:10,640 --> 00:31:12,520
Good boy, you're all right.
461
00:31:14,500 --> 00:31:17,860
Oh, Missy, it's fine. It's fine, it's
fine, it's fine.
462
00:31:18,320 --> 00:31:19,320
Don't worry.
463
00:31:22,820 --> 00:31:24,160
You're all right, wee one.
464
00:31:25,000 --> 00:31:30,520
So what we're doing is we ran it at
the... We initially run the test at 80
465
00:31:30,520 --> 00:31:31,520
decibels.
466
00:31:31,790 --> 00:31:35,510
And for all of the pups, that's what
we've done with everyone, and they've
467
00:31:35,510 --> 00:31:36,790
given us a positive trace.
468
00:31:37,590 --> 00:31:41,930
When we did it with this pup for the
first time, we're not getting such a
469
00:31:41,930 --> 00:31:46,770
trace. So we're running it a second time
on 100 decibels, which is obviously
470
00:31:46,770 --> 00:31:49,830
much louder, and it's more obvious that
you can hear the sucking now.
471
00:31:50,410 --> 00:31:55,010
And I'm still not getting the nice
trace, so at this moment in time, it
472
00:31:55,010 --> 00:31:57,910
that this has been the last kind of
death in its last year.
473
00:32:01,040 --> 00:32:03,140
Now Gillian will test the other ear.
474
00:32:03,360 --> 00:32:07,220
Over a third of Dalmatians with hearing
problems are totally deaf.
475
00:32:13,640 --> 00:32:16,820
We theoretically should be seeing a nice
graph here.
476
00:32:17,120 --> 00:32:19,040
We call it the anxiety factor.
477
00:32:20,920 --> 00:32:24,380
It likes to just keep you in suspense
for that wee bit of extra time.
478
00:32:29,520 --> 00:32:34,360
You can see that that trace on the right
ear looks fine. So he's unilaterally
479
00:32:34,360 --> 00:32:37,260
deaf in his left ear, but he can hear
fine in his right ear.
480
00:32:38,100 --> 00:32:43,600
So that just will be recorded on his
hearing test, but it shouldn't affect
481
00:32:43,600 --> 00:32:47,860
in a lifestyle in any way, shape or
format. He'll still be able to function
482
00:32:47,860 --> 00:32:52,300
a normal puppy because he can hear
perfectly well in that right ear. So
483
00:32:52,300 --> 00:32:53,300
a worry or a concern.
484
00:32:54,920 --> 00:32:57,240
It's a good result for this litter of
nine.
485
00:32:57,880 --> 00:32:59,540
They've all passed their test.
486
00:33:00,160 --> 00:33:03,560
Although for this little fella, it was
quite a close shave.
487
00:33:04,620 --> 00:33:05,880
So that's really, really good.
488
00:33:06,500 --> 00:33:07,500
Yay!
489
00:33:08,100 --> 00:33:10,980
Do you want me to take all the wins off?
That was good.
490
00:33:11,300 --> 00:33:12,380
How do you think?
491
00:33:12,660 --> 00:33:15,320
You know, we say we're going, so it
wasn't that traumatising, was it?
492
00:33:15,800 --> 00:33:17,660
Right, let's go back to your mum.
493
00:33:18,180 --> 00:33:19,180
There you go.
494
00:33:23,760 --> 00:33:25,520
Happy? Yeah, very.
495
00:33:27,509 --> 00:33:30,930
Nine buoyant puppies, all with new
owners to come.
496
00:33:34,870 --> 00:33:37,830
Coming up, the results of the biopsy.
497
00:33:38,050 --> 00:33:39,050
No, here.
498
00:33:40,330 --> 00:33:43,290
Just hold that in. Can you feel it? I
think so, yeah.
499
00:33:45,090 --> 00:33:46,710
Are you over that? Do you need that?
500
00:33:47,070 --> 00:33:50,190
It might be the hungriest thing to grow,
but it's just a long way in, you know.
501
00:33:52,290 --> 00:33:56,210
What we're trying to do is remove it
through as small a hole as possible.
502
00:33:57,659 --> 00:34:04,160
And the last thing we want to do is to
lose our hold on it.
503
00:34:06,860 --> 00:34:11,300
Poor Drake is viewing a two -dimensional
image while trying to extract a
504
00:34:11,300 --> 00:34:13,040
slippery three -dimensional organ.
505
00:34:29,040 --> 00:34:32,420
Finally, Paul Drake secures the elusive
ovary.
506
00:34:40,400 --> 00:34:46,560
The tumours in the ovary were the
probable cause of Rosie's aggressive
507
00:34:46,560 --> 00:34:52,480
behaviour. It's not malignant, but it is
producing abnormal hormones which are
508
00:34:52,480 --> 00:34:56,239
making this mare have some stallion
-like behaviour.
509
00:34:57,390 --> 00:35:01,670
Her left ovary will still be functional
and it will probably be more functional
510
00:35:01,670 --> 00:35:08,430
now because this ovary will have been
altering her general cycle because of
511
00:35:08,430 --> 00:35:12,070
amount of testosterone produced in that
ovary.
512
00:35:15,370 --> 00:35:20,510
Because it's keyhole surgery, Rosie
should recover quickly and be home in a
513
00:35:20,510 --> 00:35:21,510
or two.
514
00:35:25,750 --> 00:35:28,550
Indy's made an excellent recovery from
his lung surgery.
515
00:35:29,270 --> 00:35:32,790
The biopsy on the removed tissues showed
no sign of cancer.
516
00:35:33,570 --> 00:35:36,210
His owners, Barry and Laura, have come
to pick him up.
517
00:35:37,170 --> 00:35:40,110
We're just looking forward to getting
our wee dog back. You know, we've had a
518
00:35:40,110 --> 00:35:43,890
couple of worrying days where there's a
couple of moments where we weren't sure
519
00:35:43,890 --> 00:35:45,690
whether we would get the dog back or
not.
520
00:35:46,550 --> 00:35:49,290
We've also got our wee dog at home who's
been really missing him.
521
00:35:49,570 --> 00:35:50,990
Really depressed.
522
00:35:51,640 --> 00:35:57,440
dog he went from being such a lively dog
to being so quiet and office food and
523
00:35:57,440 --> 00:36:00,240
things like that just because he's
missing them but the whole family's been
524
00:36:00,240 --> 00:36:03,820
same everybody's been missing them such
a lovely wee dog you can't help but miss
525
00:36:03,820 --> 00:36:09,860
him come on intern bia gutierrez returns
indy to barry and laura
526
00:36:30,879 --> 00:36:33,360
I don't even have words really right now
to describe how I feel.
527
00:36:33,680 --> 00:36:36,460
I've got my dog back after a week.
That's the longest I've ever went
528
00:36:36,460 --> 00:36:37,460
having him.
529
00:36:37,820 --> 00:36:40,700
And to see him so healthy looking
compared to what he was when we brought
530
00:36:40,700 --> 00:36:42,140
in, it's absolutely brilliant.
531
00:36:42,680 --> 00:36:43,680
Absolutely amazing.
532
00:36:45,130 --> 00:36:47,030
Did you think you'd been abandoned
today?
533
00:36:47,490 --> 00:36:49,310
Did you think we'd left you, pal?
534
00:36:51,390 --> 00:36:53,130
I'm just glad he's healing himself.
535
00:36:56,410 --> 00:37:01,770
After three x -rays, an operation, a
blood transfusion and several days in
536
00:37:01,770 --> 00:37:05,110
intensive care, Indy's eventful stay is
over.
537
00:37:07,670 --> 00:37:12,310
Having grown up with animals herself,
Indy's surgeon Catherine understands why
538
00:37:12,310 --> 00:37:14,640
pets... means so much to their owners.
539
00:37:15,380 --> 00:37:22,000
It's really nice to see how happy people
are when, in some cases, they
540
00:37:22,000 --> 00:37:26,200
come in thinking that they're never
going to see them again or that we're
541
00:37:26,200 --> 00:37:31,820
to not be able to do anything, there'll
be no treatment, and then sort of think
542
00:37:31,820 --> 00:37:36,660
how great it is for them, for the rest
of the family.
543
00:37:37,740 --> 00:37:39,060
Yeah, that's really nice.
544
00:37:39,670 --> 00:37:43,490
It's very easy to kind of make the
sweeping statements like, oh, you hear
545
00:37:43,490 --> 00:37:47,810
often, oh, it's just a child substitute.
It's like, well, who's to say that a
546
00:37:47,810 --> 00:37:49,650
child isn't a dog substitute for
someone?
547
00:37:50,850 --> 00:37:52,190
It's their family.
548
00:37:52,830 --> 00:37:57,110
There's no doubting how deeply people
care and how much it means to them.
549
00:37:57,810 --> 00:38:00,050
So it's really nice to see that as well.
550
00:38:04,070 --> 00:38:07,090
And another patient is also about to go
home.
551
00:38:08,310 --> 00:38:10,390
Rosie's relieved owners have come to
pick her up.
552
00:38:11,970 --> 00:38:15,250
Equine specialist Mike talks Anne
through Rosie's wound care.
553
00:38:16,850 --> 00:38:20,630
We've left it open so that you can have
a look at it. And if you find that it
554
00:38:20,630 --> 00:38:24,510
starts to get swollen, if it gets quite
hot or painful, and if you start to
555
00:38:24,510 --> 00:38:28,010
notice any discharge, particularly
yellow discharge, anything that looks
556
00:38:28,010 --> 00:38:31,330
pus, then that would be a reason maybe
just to get your vet to come have a look
557
00:38:31,330 --> 00:38:33,410
and decide whether she needs some more
antibiotics as well.
558
00:38:34,130 --> 00:38:35,130
Looking good?
559
00:38:35,660 --> 00:38:38,780
It won't be too long before Anne can
ride Rosie again.
560
00:38:39,460 --> 00:38:43,880
I would probably recommend, you can do a
very light exercise with her, but if
561
00:38:43,880 --> 00:38:46,620
you want to do anything a bit more
strenuous, you'd maybe wait another
562
00:38:46,620 --> 00:38:50,100
months. But that's the advantage of this
type of surgery, they're small
563
00:38:50,100 --> 00:38:51,100
incisions.
49584
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