Sakura - Medical Thread

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cavyslave8
I GAVE, dammit!

Post   » Wed Apr 28, 2010 1:22 pm


I just wanted to let you know that I'm thinking of you and little Sakura.

I echo everyone else. The image is fuzzy, but goodness if that's a stone it's ginormous. When we were checking Cocoa for sludge, we did an abdominal ultrasound and got an excellent view.

You know what SmartyPants went through. He was 4.5 years old and bounced back better than anyone expected. A good surgeon is the most important thing in stone removal, IMO.

Tracis
Let Sleeping Pigs Lie

Post   » Thu Apr 29, 2010 2:27 am


Miss Sakura and I are grateful for the well wishes. :)

Sakura is scheduled for surgery next Tuesday, May 4th.

They want to keep her overnight. I have already told them that she will come home with me, since they do not have staff onsite overnight. (Critical cases are transferred to a 24-hour emergency hospital.)

Dr. Wright mentioned that if her ovaries have large cysts that he will remove those at the same time.

Is it common to combine surgeries?

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sef1268

Post   » Thu Apr 29, 2010 7:06 am


I don't have any experience with combined procedures -- my vet was reluctant to remove Sebastian's last stone and his tumor at the same time due to the length of time that he would have to be "under," plus blood loss. But then, his health wasn't the greatest by then, either.

Keeping you and Sakura in my thoughts. Here's to an uneventful surgery and speedy recovery, Sakura! :}

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cavyslave8
I GAVE, dammit!

Post   » Thu Apr 29, 2010 10:37 am


Hmm, I've never had a combined surgery either. My vet is always concerned with "getting in and getting out" so that they're not under longer than necessary.

I absolutely agree with bringing her home. Lots of positive thoughts for her surgery and recovery.

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Lynx
RESIST

Post   » Thu Apr 29, 2010 10:39 am


Given Sef's comment, you might ask about how long the surgery would take and bring this up. I imagine he will be monitoring Miss Sakura and hopefully would be able to make a good call on it.

Good wishes here!

Tracis
Let Sleeping Pigs Lie

Post   » Thu Apr 29, 2010 8:27 pm


On the Estimate for Surgery sheet, the doctor estimated 30 minutes for the Cystotomy Surgery, and 20 additional minutes for the Spay.

I hope that she doesn't need the spay.

Miss Sakura is still enjoying her veggies and hay, and is suspicious of anything that comes in a syringe. I've discovered that she likes cranberry juice, so now I am mixing her Vitamin C tablets with water and cranberry juice.

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LainLockey

Post   » Thu Apr 29, 2010 8:32 pm


That stone is huge, poor girl. I really hope all goes well for Sakura. Sending positive juju your way.

Talishan
You can quote me

Post   » Thu Apr 29, 2010 8:42 pm


The bladder and ovaries are not super close to each other. In the same general neighborhood, but still. I see the vet's point but 50 minutes under is a long time and that's going to be a lot of beat-up, very sore tissue in there.

I am going to mumble and hope her ovaries are in reasonably good shape. How experienced a surgeon is Dr. Wright? Has he done this one-two before and if so, how often and what were the outcomes?

cutemomomi
Obey My Authority

Post   » Thu Apr 29, 2010 9:15 pm


Very happy to hear Miss Sakura still enjoys her yumyums and condemns suspicious syringes, always a great sign. :)

*ninja vibes*

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Yuugi

Post   » Fri Apr 30, 2010 3:47 am


Hoping for the best for miss Sakura! She is a beautiful girl with a beautiful name !

Bookfan
For the Love of Pigs

Post   » Sat May 01, 2010 12:49 am


Fingers crossed for good results on Tuesday.

cutemomomi
Obey My Authority

Post   » Tue May 04, 2010 12:36 am


Traci, just want to send Miss Sakura and you some ninja vibes before going to bed.
We hope everything will go as smoothly as possible, and Sakura would be recovering comfily with you at the end of day.
Sending you much love.

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Bytxlaura
Remembering Nemo

Post   » Tue May 04, 2010 12:47 am


Keeping you and Sakura in my thoughts! Lots of paws crossed from my babies.

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sef1268

Post   » Tue May 04, 2010 9:32 am


Well-wishes and more good vibes from me and the boys. :)

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cavyslave8
I GAVE, dammit!

Post   » Tue May 04, 2010 10:39 am


Thinking of you both!

Tracis
Let Sleeping Pigs Lie

Post   » Tue May 04, 2010 6:30 pm


All the good thoughts certainly helped!

Things turned out differently than planned, thank goodness.

We did not have surgery today.

Sakura has been leaving many non-gritty deposits in the cage all week. I always feel each one, and thought that they weren't anything to be concerned about, since they were not gritty.

Apparently, they are sludge/debris.

I mentioned this to the vet this morning, before surgery preparations. I also asked for a follow-up x-ray or ultrasound before surgery, just to see what was going on with her bladder.

Dr. Wright took an x-ray, which showed that the large mass is smaller (when compared to the previous x-ray).

Next, he performed an ultrasound, which showed that instead of one large stone/mass, there are some tiny stones, sludge and an irritated and thickened bladder wall.

This is a photograph of one of the ultrasound still pictures, so the quality isn't very good.
x1 to the lower x shows one thickened bladder wall.
x2 to the upper x shows the top thickened bladder wall.

Image

Dr. Wright thinks that she can pass the tiny stones if her bladder wall is healthier. The Metacam is obviously helping.

So, now I have been instructed on how to give subcutaneous fluids.

Miss Sakura did not think very highly of this. I have the bruise on my arm to prove it.

Dr. Wright discontinued the Bactrim (he felt that if the bladder wall hasn’t healed after taking Bactrim twice a day since March, we should try something else).

I now have 14 pre-filled syringes of Amikacin to give her by injection, once a day. The vet tech showed me how to inject it, right after the sub-q is done. I am not looking forward to this, but I keep reminding myself that it is much better than surgery.


Miss Sakura, enjoying the sunshine in the car:
Image

Talishan
You can quote me

Post   » Tue May 04, 2010 7:16 pm


Ha! Snerk, snerk, snerk. Do I get my radiology degree yet? :-)))

The subcues will help. They will not be fun for either of you, but they will help, they did one of ours with a similar (not identical, but somewhat similar) condition. What gauge needles have they given you, for both sq and the Amikacin?

Ask about piroxicam (pain med related to meloxicam that Becky used for Chippy).

cutemomomi
Obey My Authority

Post   » Tue May 04, 2010 8:15 pm


Me so happy, yes yes, Talishan gets a Radiology Papers and momo gets to be the Certified Ninja Viber! :p

Ahhh, the joys of sub'Q.
Just so that you know, Sakura will be grumpy and nippy when you whip out those needles.
I use a 25g needle for the sub'Q, and it works great for me, I am not sure if that is a standard or it's just what I received.

You should be proud of yourself, your observations and insistence for a follow up X-ray paid off.
Happy news! :)

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Lynx
RESIST

Post   » Tue May 04, 2010 9:34 pm


Avoiding surgery is great! I hope your new protocol works and that Sakura is not too mad at you!

Tracis
Let Sleeping Pigs Lie

Post   » Wed May 05, 2010 1:24 am


I think the sub-q needles are 22 gauge. I can't find any markings on the needles for the Amikacin yet, but they are tiny compared to the sub-q needles.

Originally, I was instructed to give all of the 60cc fluid at once. After doing some reading here and getting Momo's advice, I'm going to split them into two sessions of 30cc each.

Sakura received all 60cc at once while at the vet's office, and she looked very "puffy" for quite a long time.

Talishan, thank you very much for your suggestion of bladder sludge (after looking at Sakura's x-ray). Sakura and I owe you one. :)

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