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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:00,000 --> 00:00:04,140 Emergency case has just arrived at Glasgow's state -of -the -art vet 2 00:00:06,240 --> 00:00:09,900 Medical clinician Gerard McLaughlin is called to reception. 3 00:00:10,900 --> 00:00:15,080 Barry Crawford's one -year -old Whippet Indy is weak and struggling to breathe. 4 00:00:16,420 --> 00:00:20,800 Over the past few days, he's been kind of slowly going downhill, finding it 5 00:00:20,800 --> 00:00:24,920 hard to breathe. So we've brought him up from Ayrshire this morning and he's 6 00:00:24,920 --> 00:00:25,920 just got himself. 7 00:00:27,430 --> 00:00:30,510 Hi, Mr Crawford. Nice to meet you. I'm Jeremy. Do you want to come through with 8 00:00:30,510 --> 00:00:31,510 Indy? 9 00:00:35,350 --> 00:00:37,970 Indy's local vets have found fluid on his lungs. 10 00:00:40,370 --> 00:00:43,670 I think we'll have him into our ICU because he's obviously not feeling great 11 00:00:43,670 --> 00:00:46,870 if he's deteriorating, then we want him somewhere he's watched 24 hours a day 12 00:00:46,870 --> 00:00:50,530 just in case there's any need for oxygen or he merited the drainage of the fluid 13 00:00:50,530 --> 00:00:51,530 from his chest. 14 00:00:53,070 --> 00:00:56,310 Indy's been with Barry and Laura since he was eight weeks old. 15 00:00:57,710 --> 00:01:02,350 We don't have kids just now, so our dogs are, our children, everybody in the 16 00:01:02,350 --> 00:01:07,690 family. We're all dog owners, so when something does go wrong with one of the 17 00:01:07,690 --> 00:01:09,930 dogs, everyone's there, the whole family's there. 18 00:01:10,590 --> 00:01:13,870 A genuine bleed isn't the best place. You could bleed just now and we'll do 19 00:01:13,870 --> 00:01:14,870 everything we can. 20 00:01:16,430 --> 00:01:20,070 Indy may have haemothorax, bleeding in the chest cavity. 21 00:01:20,790 --> 00:01:23,650 Blood tests may help Gerard diagnose the problem. 22 00:01:24,700 --> 00:01:27,760 This is Indy. It's an infected chemo thorax in the vets. 23 00:01:28,280 --> 00:01:31,160 I'm slightly reluctant to put a needle into the jug of veins, so we'll just 24 00:01:31,160 --> 00:01:32,760 it from a personal site. 25 00:01:41,140 --> 00:01:44,580 We'll just send the bloods up as an emergency and the coagulation panel, and 26 00:01:44,580 --> 00:01:47,780 we'll just get a quick chest x -ray on him just now, just to make sure that 27 00:01:47,780 --> 00:01:51,160 there's not a huge amount of fluid in his chest and he's drained off quickly. 28 00:01:58,420 --> 00:02:04,320 The x -ray results are startling. 29 00:02:04,860 --> 00:02:06,720 Indy's fluid build -up is accelerating. 30 00:02:08,060 --> 00:02:11,200 There's a lot of fluid in the chest here and you can see these air bronchograms 31 00:02:11,200 --> 00:02:15,420 which can indicate that the lungs are much more solid than they should be so 32 00:02:15,420 --> 00:02:18,080 that can be hemorrhaged into the tissue. 33 00:02:20,060 --> 00:02:22,120 Indy's left lung is barely functioning. 34 00:02:24,400 --> 00:02:27,660 Instead of being air -filled, it's either fluid -filled or soft tissue 35 00:02:28,180 --> 00:02:31,060 So it's a basically solid lump rather than functioning as an air sac. 36 00:02:31,520 --> 00:02:35,240 And then over this side, there's these small beckles of air trapping in the 37 00:02:35,240 --> 00:02:37,640 field, and you can often see that if the lung has twisted on itself. 38 00:02:37,980 --> 00:02:40,860 When we compare it to the vet's x -ray taken 48 hours ago, there's a different 39 00:02:40,860 --> 00:02:42,060 progression of that consolidation. 40 00:02:43,660 --> 00:02:45,580 Indy recently ran into a nail. 41 00:02:46,060 --> 00:02:48,660 It's possible this may have caused internal bleeding. 42 00:02:49,310 --> 00:02:53,530 Coupled with the history of trauma in that area from Indy, then I think it 43 00:02:53,530 --> 00:02:57,090 become a case where surgical intervention is required because we have 44 00:02:57,090 --> 00:02:59,570 reason why the dog is oozing or bleeding into the chest. 45 00:03:00,790 --> 00:03:03,870 The blood build -up could force Indy's lung to collapse. 46 00:03:05,090 --> 00:03:07,730 Gerard's called in surgeon Catherine Pratchka. 47 00:03:08,150 --> 00:03:09,490 She'll need to operate soon. 48 00:03:10,250 --> 00:03:12,550 I'll go and put up to pass and we'll get this. 49 00:03:13,310 --> 00:03:15,070 Perfect. Get that organised and lined up. 50 00:03:17,209 --> 00:03:19,590 Catherine's a specialist in small animal surgery. 51 00:03:20,530 --> 00:03:22,750 She's wanted to be a vet since her school days. 52 00:03:23,670 --> 00:03:27,590 We always had animals around when we were growing up. I suppose that's just 53 00:03:27,590 --> 00:03:33,750 always been what I would consider that completely normal. I can't imagine not 54 00:03:33,750 --> 00:03:34,910 having animals around. 55 00:03:36,210 --> 00:03:38,910 I really like them as well. 56 00:03:39,130 --> 00:03:41,470 I really enjoy working with them. 57 00:03:41,690 --> 00:03:45,030 So it's kind of a bonus that I get to do that as part of the job. 58 00:03:47,170 --> 00:03:51,830 Indy's taken to intensive care to be closely monitored before Catherine 59 00:03:51,830 --> 00:03:52,830 on him. 60 00:03:55,810 --> 00:03:59,690 In reception, another difficult case has just arrived. 61 00:04:00,590 --> 00:04:04,230 Lindsay and Gary's cat, Oti, has been badly injured. 62 00:04:06,150 --> 00:04:08,270 Oti's our youngest of three cats. 63 00:04:08,510 --> 00:04:11,810 Oti's the only one that we've had since she was a kitten. She's two and a half 64 00:04:11,810 --> 00:04:12,910 years old. 65 00:04:15,260 --> 00:04:20,000 We went and got her just after she was born, so we're hopeful that we'll be 66 00:04:20,000 --> 00:04:21,000 to do something today. 67 00:04:21,680 --> 00:04:28,240 She was out on Friday night and came in the house and had been in some sort of 68 00:04:28,240 --> 00:04:29,480 an accident where she was hurt. 69 00:04:30,220 --> 00:04:34,760 Something's caused her tail to be pulled very, very hard away from her back. 70 00:04:36,760 --> 00:04:39,640 I think it's just that we don't know what actually happened to her. 71 00:04:41,640 --> 00:04:42,840 It's just such a shock. 72 00:04:44,200 --> 00:04:47,580 Oti's broken tail is an unusual and serious injury. 73 00:04:47,860 --> 00:04:49,980 It may have got trapped under a car wheel. 74 00:04:50,520 --> 00:04:53,480 The specialists here are her last hope. 75 00:04:54,040 --> 00:04:58,000 If coming up here wasn't an option, I think, unfortunately, the answer at the 76 00:04:58,000 --> 00:04:59,980 moment would probably have been to put her to sleep. 77 00:05:00,200 --> 00:05:03,760 So we're trying to see what can be done. 78 00:05:08,180 --> 00:05:10,040 Mr and Mrs Templeton, hi. 79 00:05:10,320 --> 00:05:11,320 I'm Alison. 80 00:05:12,020 --> 00:05:13,020 Nice to meet you. 81 00:05:14,460 --> 00:05:18,180 American animal neurologist Allison Haley is taking on the case. 82 00:05:19,360 --> 00:05:22,220 First, she checks the x -rays from the local vets. 83 00:05:24,240 --> 00:05:28,160 This is her spine right here. These are her vertebrae. 84 00:05:28,980 --> 00:05:33,380 And, yeah, I mean, it's fairly obvious the abnormality here. So we have the 85 00:05:33,380 --> 00:05:36,700 sacral vertebrae here, and there's a complete avulsion of her tail. 86 00:05:38,120 --> 00:05:42,200 And then we have another view that is her laying on her back. 87 00:05:44,520 --> 00:05:47,720 Here are her lumbar vertebrae, the bones of the spine. 88 00:05:48,020 --> 00:05:49,700 This is her pelvis here. 89 00:05:50,080 --> 00:05:52,980 These are her legs, so her thigh bone or her femur. 90 00:05:54,120 --> 00:05:56,240 So this is her tail here. 91 00:05:56,520 --> 00:06:01,420 This is the first bone of her tail. This is one of her bones of her tail as 92 00:06:01,420 --> 00:06:02,940 well, so these two should be connected. 93 00:06:03,300 --> 00:06:06,000 So they've been completely pulled apart from each other. 94 00:06:06,280 --> 00:06:07,280 That's pretty remarkable. 95 00:06:08,460 --> 00:06:09,640 Sorry for your cat. 96 00:06:11,000 --> 00:06:13,300 Oti's injury is an extreme case. 97 00:06:13,950 --> 00:06:17,810 The nerves she uses to urinate and defecate may also have been damaged. 98 00:06:18,430 --> 00:06:22,950 Did she use the restroom at night at all for you? No, she's drank a lot of water 99 00:06:22,950 --> 00:06:26,470 since she's been at home, but she didn't use the litter tree at all. 100 00:06:27,810 --> 00:06:31,050 Alison needs to find out the full extent of Oti's injuries. 101 00:06:31,990 --> 00:06:35,130 Gary and Lindsay may have to make a heartbreaking decision. 102 00:06:40,820 --> 00:06:44,160 Indy's lung problems will pose a challenge during his surgery. 103 00:06:44,720 --> 00:06:48,040 He could become apneic, where he stops breathing. 104 00:06:49,100 --> 00:06:50,980 Anaesthetist Sean briefs his team. 105 00:06:51,420 --> 00:06:55,220 We never inject anaesthetic drugs into a catheter you can't see, so always take 106 00:06:55,220 --> 00:06:56,220 advantage of it. 107 00:06:57,580 --> 00:07:01,340 So that we don't overdo it, you need to aim to give your calculated dose. 108 00:07:01,860 --> 00:07:02,980 Over two minutes. 109 00:07:03,360 --> 00:07:07,220 None of this treating it like thio and giving half the dose and then topping it 110 00:07:07,220 --> 00:07:09,720 up, because that's how we're going to get an apneic dog. And if she's got poor 111 00:07:09,720 --> 00:07:12,440 lung function anyway, she's not going to be able to cope with apnea. 112 00:07:14,680 --> 00:07:18,640 Indy's operation is risky, but his life depends on it. 113 00:07:19,980 --> 00:07:23,820 He's such a lovely little dog. You know, I can't wait to get him home. The house 114 00:07:23,820 --> 00:07:24,820 isn't the same without him. 115 00:07:24,860 --> 00:07:27,240 There's not a memory of the family just now, though. I wasn't worrying about 116 00:07:27,240 --> 00:07:28,240 him. 117 00:07:34,600 --> 00:07:38,980 Coming up, Alison's examination of Oti reveals a serious problem. 118 00:07:40,180 --> 00:07:42,760 She's not responding to me pinching on her. 119 00:07:44,320 --> 00:07:48,880 And when Catherine operates on Indy, she's astonished by what she finds. 120 00:07:50,340 --> 00:07:52,680 It's amazing we're still doing as well as it is. 121 00:07:52,920 --> 00:07:54,280 That's really pretty severe. 122 00:07:54,920 --> 00:08:00,400 At Glasgow's Vet Hospital, neurologist Alison Haley is examining family cat 123 00:08:00,400 --> 00:08:01,700 Oti's broken tail. 124 00:08:03,310 --> 00:08:07,310 The store owner, Gary and Lindsay, brought her here when their own vet 125 00:08:07,310 --> 00:08:08,310 help. 126 00:08:09,130 --> 00:08:11,910 We're going to bang on her knees and stuff to check her reflexes. 127 00:08:14,010 --> 00:08:16,810 So she's got a great reflex, which is good. 128 00:08:17,890 --> 00:08:19,790 So we're just seeing if she has a withdrawal reflex. 129 00:08:21,690 --> 00:08:27,010 And she doesn't like it, so she can both feel it as well as withdraw. 130 00:08:28,030 --> 00:08:31,030 And then what we do is we ask her if she knows where her limbs are in the face. 131 00:08:31,430 --> 00:08:32,430 Good girl. 132 00:08:33,470 --> 00:08:36,090 I'm going to try to stay away from her back end because I don't want to hurt 133 00:08:36,090 --> 00:08:38,429 her. And she does really well in her back legs as well. 134 00:08:38,669 --> 00:08:40,390 Ellen, do you mind putting a hand on her front end? 135 00:08:40,730 --> 00:08:43,510 I'm just going to try to do placing in her back legs if she'll let me. 136 00:08:43,909 --> 00:08:44,910 Hi, good girl. 137 00:08:45,310 --> 00:08:46,310 You're okay. 138 00:08:47,670 --> 00:08:49,590 So again, does really well in the back legs as well. 139 00:08:51,330 --> 00:08:55,170 Now, Allison needs to check whether Ozie has nerve damage which would make her 140 00:08:55,170 --> 00:08:56,170 incontinent. 141 00:08:57,110 --> 00:09:00,570 This is her anus right here, which is... 142 00:09:00,990 --> 00:09:03,030 She doesn't have a great tone, but it's not awful. 143 00:09:03,990 --> 00:09:07,850 And for perineal reflex, I just kind of go down on either side and see if she 144 00:09:07,850 --> 00:09:09,450 winks. She's not winking that well. 145 00:09:10,410 --> 00:09:14,150 You can kind of test anal tone there, too. Like, she's very easy to open. 146 00:09:23,130 --> 00:09:24,130 Normally, 147 00:09:27,110 --> 00:09:29,730 if I pinch around it, it... 148 00:09:29,980 --> 00:09:35,040 squeezes tight or if i even just so much as tickle down it it'll squeeze tight 149 00:09:35,040 --> 00:09:40,280 so that's the winking of the anal reflex or the perineal reflex which she just 150 00:09:40,280 --> 00:09:46,520 she doesn't have any this is not good news ot could be permanently 151 00:09:46,520 --> 00:09:52,440 incontinent she's not peeing on her own right now her bladder is quite big where 152 00:09:52,440 --> 00:09:57,840 we go from here is somewhat up to you guys. There is a percentage of cats that 153 00:09:57,840 --> 00:10:02,360 might get better. So if you wanted to kind of deal with her for a month, you 154 00:10:02,360 --> 00:10:07,520 could. But I would say that it's not a great percentage of cats that get 155 00:10:07,680 --> 00:10:13,100 So it's very much up to what you guys think you can handle. It's not easy to 156 00:10:13,100 --> 00:10:15,600 teach you how to express a bladder, but it's doable. 157 00:10:15,980 --> 00:10:18,940 So we could definitely teach you how to do that so you could manage her. 158 00:10:19,300 --> 00:10:21,960 And then more importantly, do you want some time to talk and think? 159 00:10:25,300 --> 00:10:31,420 I know you adore her, it's obvious, and want the best for her. 160 00:10:32,460 --> 00:10:33,460 Okay. 161 00:10:35,880 --> 00:10:39,740 So we want to give her a month and see what we can do. Okay. 162 00:10:42,840 --> 00:10:47,280 Before they take Oti home, Gary and Lindsay will be taught how to empty her 163 00:10:47,280 --> 00:10:50,760 bladder three times a day so they can manage her incontinence. 164 00:10:55,080 --> 00:10:59,680 Over in the equine centre, clinician Mike Cathcart is happy to leave the 165 00:10:59,680 --> 00:11:02,540 treatment of smaller animals to colleagues like Alison. 166 00:11:04,500 --> 00:11:08,780 I like working with very large horses, and I don't like working with cats, 167 00:11:08,780 --> 00:11:10,420 tend to scratch and bite a lot more. 168 00:11:10,740 --> 00:11:14,940 And then it's even worse when you get down to the small animals like hamsters 169 00:11:14,940 --> 00:11:17,960 and mice and things. I always find that they're more likely to bite me, so I'm 170 00:11:17,960 --> 00:11:22,320 always more scared of a hamster than I am of a 500kg horse. 171 00:11:24,330 --> 00:11:29,510 But Mike may have his work cut out with new patient Rosie, who's suddenly 172 00:11:29,510 --> 00:11:30,750 started being aggressive. 173 00:11:35,850 --> 00:11:38,710 Owners Anne and David hope Mike can cure her. 174 00:11:41,390 --> 00:11:45,330 Hopefully we'll be able to ride her a bit more, maybe take a fall off her next 175 00:11:45,330 --> 00:11:49,570 year, and she'll maybe stop her bad behaviour. 176 00:11:50,250 --> 00:11:51,270 We will with her. 177 00:11:59,600 --> 00:12:02,720 Anne's been worried by Rosie's change of temperament. 178 00:12:10,100 --> 00:12:16,600 Mike suspects 179 00:12:16,600 --> 00:12:21,240 Rosie's behaviour may be due to hormone trouble caused by problems with her 180 00:12:21,240 --> 00:12:26,870 ovaries. She has previously already had hormone testing, which has shown that 181 00:12:26,870 --> 00:12:28,290 the hormone levels are increased. 182 00:12:28,490 --> 00:12:33,930 And a scan was done last week, which indicated that the right ovary was 183 00:12:33,930 --> 00:12:34,930 and was also abnormal. 184 00:12:35,850 --> 00:12:37,630 I'm currently just feeling the ovaries. 185 00:12:38,110 --> 00:12:43,530 You can tell if they're enlarged above the normal expectation. 186 00:12:44,890 --> 00:12:48,770 In normal mares, you can often feel for... 187 00:12:49,310 --> 00:12:53,210 Follicles, which are the structures which will produce the egg when they 188 00:12:53,210 --> 00:12:54,210 ovulate. 189 00:12:54,610 --> 00:12:55,610 Good girl. 190 00:12:58,650 --> 00:12:59,650 Okay. 191 00:13:00,910 --> 00:13:03,750 Mike's hand examination is inconclusive. 192 00:13:04,150 --> 00:13:06,830 He'll need to scan Rosie's ovaries using ultrasound. 193 00:13:10,470 --> 00:13:15,570 In the outpatient's department, Alison shows Gary how he can empty Rosie's 194 00:13:15,570 --> 00:13:16,570 bladder at home. 195 00:13:17,710 --> 00:13:21,730 So if you feel right here, right there, can you feel her ribs? 196 00:13:21,970 --> 00:13:22,969 Yeah. Okay. 197 00:13:22,970 --> 00:13:29,550 So then what I try to do is kind of make my hands soft and flat and go right 198 00:13:29,550 --> 00:13:35,190 behind the ribs. And the belly is, unlike ours, is fairly pliable. So you 199 00:13:35,190 --> 00:13:39,430 almost push your fingers together and touch your fingers through her belly. 200 00:13:40,210 --> 00:13:42,830 So just back and forth, you kind of feel that water balloon. 201 00:13:43,050 --> 00:13:45,110 So some gentle pressure on that. 202 00:13:47,240 --> 00:13:49,420 I know, you're purring. You're such a good cat. 203 00:13:53,720 --> 00:13:56,440 You're doing great. 204 00:13:58,900 --> 00:14:00,700 Gary has mastered the art. 205 00:14:01,520 --> 00:14:05,640 Even though the news hasn't been all good today, it's still a relief for Gary 206 00:14:05,640 --> 00:14:08,040 and Lindsay to be taking Oti home for now. 207 00:14:10,120 --> 00:14:16,020 From what our vet said, it was... Very bleak was the way that she put it. And 208 00:14:16,020 --> 00:14:18,520 she doesn't really hold out much hope for Oti. 209 00:14:18,860 --> 00:14:20,860 But we knew that this place was here. 210 00:14:21,120 --> 00:14:24,960 And we asked her if we could have her referred because we just wanted to know 211 00:14:24,960 --> 00:14:26,800 that we'd done everything that we could. 212 00:14:27,900 --> 00:14:31,880 So from what Alison has said, it's made us feel much better because if we can 213 00:14:31,880 --> 00:14:36,120 give her a month, we know that the nerve damage could heal. There's a 214 00:14:36,120 --> 00:14:40,020 possibility. And it means that we can kind of look after her at home. We would 215 00:14:40,020 --> 00:14:41,860 be really happy to do that. 216 00:14:43,410 --> 00:14:47,510 Alison is impressed by Gary and Lindsay's determination to do everything 217 00:14:47,510 --> 00:14:48,510 can for OT. 218 00:14:49,430 --> 00:14:53,330 The cats sometimes, you know, they're so independent, just are not interested in 219 00:14:53,330 --> 00:14:54,450 having their urine expressed. 220 00:14:54,910 --> 00:15:00,310 If she were human, we could explain to her that we need to keep her bladder 221 00:15:00,310 --> 00:15:04,110 empty and manage her bladder in a different factor. It's just a little bit 222 00:15:04,110 --> 00:15:07,170 different when it's a cat. So whether or not she has a good quality of life is 223 00:15:07,170 --> 00:15:08,610 very much going to be up to her owners. 224 00:15:11,280 --> 00:15:15,880 surgeon Catherine Pratchka knows Indy's operation is going to be a challenge. 225 00:15:16,760 --> 00:15:21,240 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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