We get used to anaesthetising dogs and cats – routine surgeries, X-rays, examinations, injuries and so on. Most of them are very straightforward – we follow routine protocols so that we know exactly where we are, and all generally goes to plan.
Most people get nervous with surprises, and the one one place we really hate surprises is in the anaesthesia room, so we go to great lengths to avoid the unknown. We choose our patients carefully, carry out the pre-anaesthetic tests and pre-treat accordingly.
But this week seemed to conspire against us.
Old Curtis came in to have his teeth fixed. 290 years old, skinny as a rake, mouth like an old sewer, always shivers and shakes so much in the clinic, it’s hard to tell whats really going on inside. We took it very easy, gently does it and before he knew where he was he was waking up with – Hey what’s that strange taste in my mouth? Hmm, maybe it’s not 18 million trillion bazillion bacteria swarming around my teeth and hosing round my bloodstream every time I eat…
Gertie is an entire book in herself. Gertie is an elderly Peke with the single largest medical team in the known universe. She has her own personal cardiologist, a dermatologist, her specialist neurologist, an acupuncturist that she sees monthly, her eye specialist, osteopath, gastro-enterologist, an entire administrative division of the pet health insurance company whose financial reserves are running dangerously low and one very concerned owner.
Oh – and she had horrible, ghastly, stinky old teeth.
Some months ago, even the University anaesthesia team had politely declined to take her on, such were the nature of her then bizarre and inexplicable cardiovascular symptoms. But many of these issues had now resolved, so it was time to step up to the mark, take a deep breath and fix those teeth.
All went well – of course it did, and she went home looking slightly confused but ready for the next round of ‘What’s my symptom now?’
Third up is a much less happy story. President Smeagal is a young male Burmese cat who went missing from his central London home and was missing for several weeks. He was eventually found and reunited with his joyful family, but slowly it became apparent that all was not well. He was losing weight, not eating very well, and by the time he came to me was starting to have to put more effort into his breathing.
We ended up draining 200mls – thats nearly half a pint – of thick, gluey, protein-laden fluid from around his lungs just to keep him going. We’re now wating for the lab work to confirm the diagnosis, but are very concerned that this might be Feline Infectious Peritonitis, a particularly nasty virus disease that he is unlikely to survive. And there are 3 more beautiful cats at home who are at high risk if the diagnosis is confirmed. What a nightmare.