Tuesday, May 22, 2012

Day 2: Paw Prints, Bunnies, Blood Samples, Lump Removals, Dentals, and a Tail Removal

           As expected, today was fairly busy as well.  There were some similar activities today, like nail clippings and euthanizations, but I experienced quite a few new things as well.  When I first arrived today, I assisted one of the Vet technicians with a euthanization of a collie, named Bear, who was ill (we weren’t sure with specifically what—she wasn’t a normal client of the hospital), and whose owner’s unfortunately just couldn’t take care of her and try to make her well anymore.  The owner wanted a paw print of Bear to take home and remember her by, so once Bear passed away I practiced trimming nails for the first time on her and then took a clay imprint of her paw, writing ‘Bear’ above the print and presenting it to her owner.

After Bear, the neutered rabbit from yesterday was brought back in for examination because he still wasn’t eating, and he wasn’t moving around very much.  We kept him for the day and observed his behaviors, and once the afternoon came around he began to eat a bit, hop around, and began to act more and more like a normal bunny would; so it seems that it just took longer for the medication from yesterday to wear off on him than it normally does for rabbits, and luckily it doesn’t appear that anything became wrong after the surgery.   There was another rabbit that was brought in today with a huge bladder stone (it was so big it could be felt while simply holding the rabbit), but from what I know no surgery had been done yet because they were still waiting for the okay from the owner.
           A little later in the morning, there was a black cat named Sylvester who had a lump on his side.  In order to make sure it would be okay to perform the surgery to remove the lump, Pat (one of the Veterinary technicians, who has been mentoring me quite a bit the past two days) took me to the laboratory area to check Sylvester’s blood.  She showed me how to draw blood from the jugular vein in the neck, and then how to place it into a vial (to mix it and prevent the blood from clotting).  The blood was then separated into smaller containers and tiny little tubes.  The tiny tubes were placed in a centriguge that spun in order to seperate the whole blood from the plasma, and then the little tube was placed on a chart and lined up with values.  This process checks for dehydration.  The larger tubes were placed in a different centrifuge to spin down the red blood cells and white blood cells, and the solution that rises to the top during the spinning is poured into an even smaller container to go into the blood chemistry machine.  The use of this centrifuge and chemistry machine allows us to check the different enzyme and protein values in the blood and organs.  When the blood chemistry machine was done, all of the values were in the normal range—which of course was good.  To make sure the platelet count was normal, Pat showed me how to smear a slide with some blood and stain it with the dyes that would allow us to see the platelets and cells.  After the slides dried we looked at them under a microscope.  From AP Biology in high school, I already knew what red blood cells, white blood cells, and platelets looked like under a microscope, so I had no problem understanding what I was seeing when it came to this part.  Again, all the counts were normal, so she updated his information in the computer and told the Veterinarians that surgery would be okay.
The centrifuges. The one on the left of this picture holds the teeny-tiny tubes that seperates whole blood from the plasma to check for dehydration.  The one on the right spins down the red and white blood cells and holds the solution that goes into the chemistry machine to make sure the body's enzymes are working properly.
These are the dyes that the microscope slides are dipped into so we can see all the cells, platelets, etc.
               This is the computer that has the list of patients who have lab work being requested.
This is the blood chemistry machine that checks that enzymes in the body are working properly, and it also checks to make sure everything in the blood looks okayblood counts are okay.
           Removing the lump on the left side of the cat's belly near the abdomen, right under the skin.
The surgery was a fairly simple procedure, because luckily the lump wasn’t attached to the skin, nor to any organs or muscles other than the thin top layer of some muscle tissue.  Dr. Roberta, the Veterinarian who performed the surgery, made a simple, small incision above the lump and began to poke it around to figure out what she’d be working with.  The lump sort of ‘peeled away’ from the muscle tissue as she moved it around, and she only had to cut through the last bit of thin tissue that was clung on to the lump.  After she was done she showed me the correct way to sew animals up, and after Sylvester was sewn up we woke him up in the recovery ward and then placed the lump in a container to be sent off to the laboratory to see what exactly this lump is; results should be back in about five days.
              Another procedure I witnessed was a dental cleaning on another collie.  The procedure is pretty similar to the procedure done on humans (teeth cleaning, polishing, and fluoride rinse), with the exception that the animal has to be unconscious so we can access their teeth safely and get the procedure done quickly and efficiently.  The only problem with this collie’s mouth was that one of his front right incisors was loose, and it had an extremely deep pocket—so the tooth needed to come out.  Again, not too difficult of a procedure, so the tooth was pulled and the hole sewn shut for more effective healing.

                                                 Performing a dental cleaning on the collie
                                                               Removing the infected incisor

                Mid-afternoon was when we received some emergency cases: the first a pitbull named Arnold who had been in a car accident, and the second a pug-beagle mix who had a door slammed on her tail.  The car that Arnold had been in had rolled, so he had been flipped around the backseat a little bit.  His paws were injured a bit, and the poor pitbull had lost the outside toe on his front left paw.  Firefighters had been at the scene and wrapped his paws for him, and when we unwrapped the wrappings, his paws (in addition to the missing toe) were a bit bloody and he had some road burns as well, but he wasn’t too bad for being in such an accident.  He was scared and probably still in shock, for he was shaking a lot; but he was very sweet and very well-behaved the entire time we were with him.  We gave him some warm fluids and also petted and talked to him a lot to try and warm him up a bit and calm him down/make him feel comfortable.  The veterinarians took some x-rays of him to make sure no bones were broken, and after that Arnold was placed in the recovery ward and fed some antibiotics to help him feel better.  Surgery still hadn’t been performed when I left for the evening, so I’ll have to see tomorrow what has been happening with him and how he’s doing.
              The last surgery I witnessed for the day was on the pug-beagle mix whom had her tail slammed in a door, and that surgery was a simpler surgery as well.  About half of the tail had been caught in the door, and the two pieces of tail were connected by a thin piece of skin.  The tail couldn’t be reattached, so the thin piece of skin was cut and the part of vertebrae that was sticking out was disconnected at the joint, and the tail was then sewn up and bandaged; another easier but unfortunate procedure.  After cleaning up the dog was woken up and moved to recovery, and she seemed to be recovering okay when I left.  Again, I will find out how she is doing when I go in tomorrow.
                                                    The smashed tail right before surgery
                                               Removing the now-excess vertabrae at the joint