Our Experience With The Mystery Dog Illness

Welcome to another episode of The Veterinary Roundtable! In this episode, the ladies become surprised by a mysterious magic bag, discuss which crayon they'd eat, their experience with the mystery upper respiratory illness in dogs, and more.

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TIMESTAMPS
Intro 00:00
Devyn's Magic Bag 00:28
Icebreakers 07:57
Courtney's Case 19:01
Dr. King's Case 23:12
Dr. Duckwall's Case 28:32
Our Experience With The Mystery Dog Illness 33:45
Outro 42:40

Transcript

0:00

(upbeat music) Hello all Star listeners and welcome to another episode of the Veterinary Round Table, a very special episode'cause it is our Christmas episode.(baby crying) The podcast where we answer your veterinary related questions while having some fun along the way. If you enjoyed today's episode, be sure to leave us a review on your podcast provider of choice and if you have any feedback to offer to improve the veterinary round table, let us know. Speaking of reviews.- I'm gonna say there's no hair.- Feedback. - Wait. You're gonna say there's no what?- Hammer.- Oh, oh.- Oh!(baby crying)- Way to bring the hammer.- A magical bag bag there.- I know, it's like, oh nice. Okay. - It's a little hammer.- We have a legit hammer here.- A legit hammer.- Yeah, so then we can hammer home.- Now we just need a hammer in home.- We're hammering home those reviews. Get us those reviews on your podcast provider of choice and specifically spotify Ian Apple Podcasts.(laughing) Oh no, it is a pretty small hammer, but we're still taking it.- I don't wanna break things.- We're taking it because we need some shoes to know that algorithm. - I'm not a good person.- Yeah. - I know.- You did remember, I can keep you in your podcast.- It's a morning podcast, that's what our listeners know.- It is morning podcast.- It is seven, four years.- We have never done a podcast this year.- So yeah, let's see if the listeners can tell the difference between a morning podcast and an evening podcast.- I have one more thing to kick start the morning.- Tell me what. - Oh, and it's interesting.- I am. - This is press O, shock.- I got from her bag. Her married partner's bag. - Probably yes.- Secret bag.- Canada Dry G-D-A.- Oh my god.- Oh yes, good thinking.- Did you bring ice?- Yes, I was, could you get your magic bag?- But it's cool, it's cool.- It's gonna go!- Snowcuff, wait a go, Devon.- Oh, cans.- Are you a morning person?- Yeah.- Okay, so cans of dry.- Can you dry those with your sweater too?- Yeah, because you know, Canada Dry has like, you know, they have holiday recipes.- Do they?- I think so. - So it goes with all of our shirts.- Yes.- Don't they have a cranberry one?- They have a cranberry one?- Yeah, let's hot that bottle.- Yeah, pop that bottle open. Listen to that sound.- Listen to that sound.- This is a major Canada Dry for supporting this.- Ready? - A little more.- I guess I can't say that.- Oh, listen to that. Smell that ginger ale. I love it, too funny, terrific.- Wow, can that say it, my brother?- Does that taste good with coffee? We'll find out.- I love it, it's a taste good with my smoothie.- Gitch rails like your go-to for anything, really.- Yeah, it really is.- I used to not be thinking this.- It is cold, I love it. Yeah, when you get sick, when you need a mixer thingy for a drink, when you just need a refreshing drink.- Here goes some pop. Or soda, that's another great question for the listeners.- Oh.- Or some poppers is soda. Okay, now I've got two drinks.- You got two drinks. - Double fisting.- It's a tubular right there, you know.- I think I've got two drinks. - Hit the spot. Way to go, Devon. - It's soda.- That's hilarious. - I just ate a coffee and then I did a dry for all those listeners. It's not that bad.- It's not that bad. - It's not that bad.- It's fine. - Extra kick.- It's fine. I won't do it on a regular basis. - Oh, that's crisp.- The crisp.- That's delicious.(laughs)- Okay, so we're at 124 on Spotify, 37 on Apple.- Great. - So, you know what? I'm gonna come up with something crazy. Like if we get to like, I don't know, 50 on Apple that does that actually something.- Why me?- I don't know, because you're the youngest.(laughs)- Yeah, that's true. - Thank you.- You're the happy person. - You're the happy person. I'm tarnished by life.- Anyone who's a morning person.- Thank you, thanks, that's it.(laughs)- We're tarnished by life.- So, I don't know, Duckwell, we can come up with something.- Okay. - That like, if we get to 50 Apple podcasts and like, - Which makes it so.- 150 on Spotify.- Okay.- I don't remember last time's numbers either. Or it was low 30s and it was something else.- 124s a lot. - Yeah.- I'm looking forward to it.- But we have to think of something very creative. Like, we put it in an outfit, we have to do so. I don't know.- She has to talk in the accent, but.- Accent the whole podcast. Or she has to go do interviews.- Oh, no, no, no.- At like, I don't know, out and about in town.- Oh yeah, like run on the street.- Asking specific questions.- How like our myth buster is pretty good.- Yes, 'cause like, myth buster.- Oh, well, go look at our page.- Okay. - See which thing.- We'll come up with something. I know you're excited now. Okay.(laughs)- Don't let us down, give us reviews.- Yeah. - Okay. All right, once we know, then we'll come back with the idea and then we'll see what happens.- Yeah, that sounds good.- Okay, so you guys talked about it being morning. How's everybody doing?- I could have slept a little longer this morning.- No lie, I could have too.- Same. - Like, I was sleeping pretty good.- I snoozed for 15 minutes.- Do you know, it is hard to snooze and then wake up.- Does that torture?- Yeah, it's horrible.- It's supposed to be horrible on your body because you, it does what?- It gives me hope.- Okay, but it takes more minutes.- Yes, but your body like resets every single time.- It's like supposed to be very stressful on your body to do that. I'll come back with a science on that too.- It's stressful, you know what I think is the worst? I have like an internal alarm and I wake up at like 4.30 or 4.45 every morning.- Right.- But then I actually don't get out of bed till 5.30. So like that hour that I fall back asleep was like the best sleep I get all night and then I have to get up an hour later.- It is that.- I think that's really annoying.- I think that's really annoying.- I think that's really annoying.- I think I'm gonna snooze my alarm.- Yeah, but then isn't it really hard to get up?- You're sleeping so hard.- Yeah. But I was looking forward to this.- So then you got right up.- Yeah, so ginger ale.- Inner hammer.- You did a great job remembering.- Thank you, sir.- I'm so proud of you.- I got out of the shower last night and I was like,"Shut, I need a kitchen rail so I ran down to the gas station." I got some.- They had ginger ale?- Yeah, it's a really nice gas station.- Okay.- I love that place, C.J.'s.- Oh, that is a nice gas station.- Well, it's not nice, but they have so much.- Oh, but they're like, yeah, it's like a little convenience store.- Yeah, no, it's great, but yeah.- We have like a caterer. They mark up the prices because by the harbour, it's like the harbor market. But yeah, that's right, a question from my house.- So it's really nice.- Jacob makes cookies a lot and usually we're out of like vanilla or something so he just literally walks to the, walks across the street and gets something.- That's convenient.- Very convenient.- It's stopping go through everything.- That's right. That's right, stopping there.- Oh, oh, okay.- Oh, I guess we should.- I guess we should.- We thought that was really funny. Duckwell, why don't you fill everybody in on the Canada dry? Why Devin pulled Canada dry out of the magic bag?- I don't remember the exact comment, the words. So I'm gonna need some help from that. But basically Canada dry supports us, follows us. Shouldn't say support, follows us.- Follows us.- It's the same as supporting us.- Follows us.- And they commented on one of our tiktoks.- Tiktoks, tiktoks. Yeah.- I don't remember everything. I'm trying to find it in moment.- It was, oh, it was on your myth busters.- Oh.- It was on one of your myth busters about, do dogs sweat like humans, the sweat one? And they commented on it and said, the more you know.- The more you know.- The green heart emoji in the, emoji with like the glasses looking, or looking one.- There you go. So we obviously honed in on that and we were like, this is awesome.- This is so fun.- We love those look Canada dry.- Yeah, yeah. Funny story relating to the sweating. I was doing, or helping with the nail trim yesterday and the dog's paw was staying, or like laying on my leg. And afterward it took its paw off and there was a pop-print. Like a sweat pop-print.- Oh, a sweaty paw. It was so interesting.- The sweat was so interesting.- I was so random.- What went on with the sweating?- Oh, I was like, can I dry not?- Well, I'm,- But you talked about sweating.- Yeah, I guess so.- So this is all fair game.- But yes, anyway, they supported our clip, our social media presence. So we're supporting them.- Yes.- Cheers.- Cheers, a drive.- Thanks for working.- Come and get me a cool.- Thanks for the comment and the support, cheers.- You're a little bit showing.- Okay. I expect magic bag, bag next week.- And he's gonna make a weekly appearance.- Yeah, yeah, stuff.- Now I never know what's gonna come out of that thing. I'm pretty pumped.- All right, I think we are good on the intro. We're all just doing a,- Mm-hmm.- It's a pretty good one. She's doing great. Eyesbreakers, what's something you look forward to every year? This question is optimistic, I love it.- Okay.- Is optimistic question.- That's true.- You wanna go first?- Sure.- I'm forward to traveling.- Yeah.- I plan, or I try to plan a trip, a year. And I put a lot of work into one trip and I do a lot of research and then I enjoy the trip and it pays off.- That's awesome.- That's cool and you go the same time every year?- It keeps landing on the same time. Like.- Thank you, Harrison.- Thank you. Yeah, not on purpose, but it's typically in the fall.- Cool.- Nice.- That means I wear a hard wear, pays off.- I start planning in April and then.- Okay, yeah.- That's great.- So a lot of work into projects.- It is, come to life.- There's a lot that happens in a year that I like. I really like Christmas time. It just makes me happy. I like the decorations and the lights outside and family time. I'm at any holiday, I guess any big holiday. I get excited for it because I like my family.- 'Cause you like family?- I like getting out of my family. I would say mine's similar to that from this standpoint of like I love summer because I have a chance to be around all of the boys.- Mm-hmm.- So.- Yeah. I was gonna say I look forward to summer just 'cause of the weather.- Yeah.- I hate the cold.- I'd much rather be in the warm weather, yeah.- Yeah.- I don't like, so if I could live somewhere where it was like 75, 70 all year round, I'd be a happy camper.- I could.- I would live somewhere warm and then visit the cold.'Cause I do like winter like around the holidays. But I don't have to live here in it.- I don't, I wanna go somewhere where it doesn't snow or like I'll move to Tennessee because when it does snow everything shuts down because they don't have power trucks. So I find that.- It is very true.- 'Cause I don't drive in the snow. Last year I didn't drive a single time in the snow.- Yeah.- Jacob either drove me or my parents drove like, I don't drive in the snow.- Well when I was in school at University of Tennessee, there was the major snow storm and it was like 16 inches of snow and it literally shut everything down for a week. It was so much snow there just not. And like the ramp getting off to school, like people were sliding because they do not do salt trucks or any of that stuff.- Oh my gosh.- So it was the best because it looked like this winter wonderland and of course you have the mountains. I mean and everything and so it was like, but I don't think it snowed that much since then. That's how many years like, like it doesn't do it every.- What was the last time it snowed all year?- I know.- I don't think it like it's still in the 30s.- I'm more into like 12 to 14 inches. I wanna wipe Christmas.- Like a nice snow this.- Christmas is too early in our winter season to get snow.- 'Cause our snow doesn't hit like January from a different day.- I'm not sure about Jesus.- Jesus come on.- There was one day in fourth year of at school where I mean you go rain or shine, essentially you have to be at school, right? But there was one day of the year where it was so cold. I don't remember the negative, but it was like negative something and they didn't allow us to go in'cause then the windshield made it even colder. I don't know, I don't remember. I feel like negative 20 or something crazy. But yeah, I'd have to go in fourth year, clinical year, which is when you literally are there all the time. And it was like the biggest celebration ever. So Charles and I had like a pot of boiling water and went outside and did one of those things where you throw it in the air and it froze. We have video of it just froze 'cause it was so cold.- Oh my gosh.- It was a good day. - It was a school too. It was my surgery day and it was the rose or frozen and the plows were not yet and I slid all the way through an intersection and did like a full 180 and just kept going, luckily nobody was coming. Oh, but I had, yep. Oh gosh, yeah. It's actually fun.- You don't drive anymore.- Yeah, no kidding.- Well, and I've also been an accident on ice, so I don't do all the ice.- Yeah, ice is scary. Okay, if you had to eat a crann, what color would you choose?- Do you say crayon or crayon?- Crayon. - Crayon.- Crayon. - Crayon.- Crayon. - Yeah, I say crayon.- Crayon. - I see it.- Crayon. - Crayon. Crayon's on the ear. Crayon. - Crayon.- Crayon.- Sounds like a atomic, like,- Yeah. - A little bit or something.- Why did they spell like that then?(laughs) Maybe we should look up in the dictionary, the phonetics.- Mm-hmm.- Another time. Okay, well the actual question.- Okay, so what would you, what color?- They all taste the same. Mac and cheese. - You know? I'm pretty sure there's a mac and cheese crayon.- Well, crayon. - No, there is not.- You're just different. - Yeah.- There is not a mac and cheese crayon.- That makes sense of vomit.- I remember that from my childhood.- Waxy mac and cheese.- Oh. - Oh.- That's because there's flavor crayons.- That is, no.(laughs)- They do make those smelly markers.- Yeah.- Yeah.- They're not crayons.- They're not crayons.- I don't like what they smell.- That's what I'm saying.- A crayon. - A crayon.- Like, you're just, you guys.- You just based off color. It's all wax.- Or the taste. - Or the taste. - I love you had to eat it. Maybe it would be more appealing if it was a certain color. Like, I don't know, cherry or grape or something.- Cheese. - For cheese.- Cheese. - I was thinking grape.- A cheesy crayon.(laughs)- That's just gonna say.- Talks about these crayons.- Why not just chocolate?- Like, it must be because they're soft or something.- I think I'm gonna go take a light blue.- Take a light blue.- You're going light blue?- Yeah, I don't know if that's like that.- What does that remind you of? That you would eat light blue crayons?- It just like, the lighter the color, I feel like the less bad it will be.- It's light blue.- I don't know. - And they blue.- It could be like blue raspberry sucker or--- I love blue raspberry candy.- Oh, cotton candy, yeah. That's true.- It's not gonna taste like that, but you can tell yourself.- Okay, I thought we had to pick a legit color. Is it not one?- Mac and cheese is on the j--- I said light blue.- Oh my gosh. - I've heard that from my childhood.- That is crazy.- Yeah.- So I thought we were going off of their name and this is like what you would do.- Interesting.- Okay.- Is there any other food related crayons?- Probably.- There is a one up. - No, let's do another one.- The underlying.- It's not a big, the last candy line.- You know that's true?- What? - Okay.- Are the crayons or something?- No! - No, no, you said it, I was just going.- I would pick grape, I'd keep it very simple.- Grape. - Yeah.- Or orange, I like, I like citrusy thing.- Yep.- Damn.- Also, you know what? - I was just mac and cheese.- Wait a second, did we even say that you guys were all, we were all wearing Christmas sweaters?- No, I didn't.- I was like, oh, we're just, oh, yeah, they're gonna watch and watch the video. - You gotta come check out the YouTube, whatever, because everybody's got a Christmas sweater on, socks, I have my fancy Christmas shoes. So. - I think the one time I don't wear fluffy socks.- Looks.- Oh, I love it.- I love it.- Courtney has a very cool Christmas sweater that you can put a beverage in the front of her.- I don't know if it's a fridge, it's a fridge.- Of which she has a ginger ray.- That's what he cares about, it's a mandelo.- We gotta go dry.- Yeah.- I have a sweater on from my mother. It's classic itchy wool type.- It looks like a mom sweater.- It's very itchy. But shout out to my mom, thanks mom.- Way to go.- My sweater has a cat with a matching sweater on it.- Oh my God.- Oh my gosh, that's super cute. I didn't realize the cat had a matching sweater.- Yeah, that's a little overweight.- My sweater is from Christmas vacation.- What does it say?- I don't know.- I don't know, Margot.- Oh, nice.- Nice.- Nice, this guy didn't get it when they saw it.- I got it.- Me and Harrison didn't.- Harrison and Courtney.- Wow.- Why is the carpet wet?- Well, the turntables.- Yes.- What?- I don't get that.- On the table's turn?- No, why the carpet's wet.- Why is the carpet wet, Todd?- Isn't it in the movie?- Yes.- I don't know, Margot. That's the part of this sweater.- I get that now, but as we said it, I was like,"Morgot, I get that now."- Oh, you have a Christmas shoe vantillum.- Yes, I was.- Did you say that?- Margot and Christmas shoes.- I have snowflakes on.- Oh, duck wall.- I brought all your socks or lame.- I brought all that.- You don't have socks like antlers and...- You don't have to put your socks on.- I just said that.(laughs)- I literally was like the one time I don't wear a fuzzy sock.- I'm here today.- We are, it's like a late 50s.- All right, what subjects should be taught in school, but aren't?- How to be an adult?- Yeah.- Okay, that was your life.- You're on like, whoa.- Taxes.- Taxes.- Bang house.- Being an adult once again. How to be an adult? How to live your life when you're tired?- How to be an adult? Wow, you guys really...- I'm truly like high school. I mean, yeah, there's stuff like you learn, but like...- No, it's all pointless.- That's what I'm saying.- It's all...- What I say all the time is high school gave me my husband because I met him there, and then all started because I interned in high school. That's the only two things I got at high school.- Thanks.- I got all sorts of big things.- I know.- No husband.(laughs)- Yeah, I, you know, as I'm in school with my fifth son trying to figure out why it matters that I'm learning about the Roman Empire.(laughs) I am like, this is absolutely like ridiculous. Or calculus.- Well, I'm like, I can see math as...- Well, math, yes.- But like, they're a math, but like...- Certain math.- I mean, if you're going into a career, I guess, but like in college, learn that.- And you can just pick when you're 10, if you're gonna be an engineer.- But like they've gotten rid of a lot of the trade stuff, which I think was,- Yes.- It would be really helpful. Like, you know, when we were in school, there was you could take shop, which was like cars and all kinds of stuff. You could do wood shop, which is like, you know,- Yeah, I'm stuck with that.- That's how I learned how to use all kinds of stuff that I use now.- Mm-hmm.- Home-eck or what?- Home-eck, we did home-eck and I made a snap off sweatpants.- Oh, wow.- Wow.- Yes.- That's funny.- 'Cause I've played basketball in the next grade. We made my teammate and I made pull off sweatpants.- Yeah.- And everything.- It was so cool.- It was probably home-eck or something. I don't know what class it was, but we had to carry on an egg for a week.- Oh yeah.- Is it a baby?- An egg.- Yeah, that's like a life skill.- You could keep it a lot.- Like a life, whatever.- You have to keep it alive.- Yeah.- So you have to make it, like you could like make clothes for it and then you had to make a little,- I was over there just trying to keep it.- And then you had to make it, yeah.- Yeah, 'cause that's how you keep a life.- You're protecting the life of the baby.- So you make a little, you make a little like, carrier for it and you have to carry it around at school. You can't leave it in your locker, you have to carry it to every class.- And they're entrusting this concept with kids.- Well, we have people carrying around like actual babies, that like scream and cry, and...- Oh, we just have a...- No, wait, wait, wait, wait.- Not actual babies, like doll babies.- No, yeah, but you could drop that thing and then you know, no one would know.- No, but they like crying.- They like crying, not so much.- You could change them in the middle of class. It's like a thing.- Yeah.- You could bring them home with you.- So same concept.- Point to scare people out of doing this.- Hey, this is what this is like.- Prepare them.- You know, like control.- Yeah, no.- Is that part of the sex ed class?- Probably. That's a good one.- Oh gosh.- Oh gosh.- All right.- Let's go.- I don't know.- Let's go on to cases that we are sharing.- Are we all doing one this time? Right?- We have time for all.- No, okay.- Okay. Courtney, do you want to go first?- Yeah.- Okay.- Once again, I'm a handy dandy notes.- So we had a cat come in.- Why?- I think she's doing this one.- No, no, no. It's okay.- Okay, cool.- Are you?- No, I have no.- What are you doing?- I don't know if you guys can see me.- This is not our patient. It's a foul-spatient.- Oh, yes it is.- Okay, you do it.- Go, go, go.- No, I'll contribute.- No, no, no.- I'll do something else.- I'll do it.- Just tag team.- You're good.- Okay, go.- We'll contribute together.- Okay, so seven-year-old cat came in. He was not eating or drinking for the last three days.- Oh, he was different.- Okay, keep going.- Oh, cool.- Yeah, it's...- He, in the past, has had a history of constipation. And when he goes through these phases, usually he has an enema. And then he is perfectly fine after. So he defecates, feels better. But they took him to the ER because, like I said, he wasn't drinking or eating. He wasn't able to keep food or water down. And he hasn't been using the litter box. So the ER did give him an enema and he was still straining really bad and was still not able to defecate. And I think the ER clinic did X-rays and said that he was constipated and that he may need surgery to help with that, I guess, is what they told him. So then he came to us the next day and he still was not doing well at all. So they took abdominal X-rays and there was stuff in the intestines and it looked like a linear-born body, which is where the intestines become. And intestines become placated, right? That's what, okay. Just want to make sure I'm explaining that, right? So they took him to surgery and actually when they were intubating him, they noticed string wrapped around his tongue, like really, really tight. It was almost like cutting off the blood circulation to his tongue. And so they found that. And so they cut that off, but you can't just really pull it out of their mouth. That's how it works. And so Dr. McDivitt did the surgery and ended up being, she did three inner-automies and a gastronomy, I believe, or maybe two inner-automies, and it ended up being all the way from his tongue into his colon. How did you know about that? That's a very... Sowing thread, I think. So it was literally from like mouth to butt. Oh my goodness. But she got it all out and he's doing really well. And he's doing well? Yeah. And he was so, like, he was a little grumpy when he got here and we were doing stuff obviously because he didn't feel well. And then the day after he was so sweet. He was a sweetest cat. He was just like rubbing all over everybody. His tongue was killing him. Yeah. But yeah, we got it off successfully, but I mean, it was like... His whole body was just... Was it that? Yeah, he was eating. Yeah, he wasn't eating it. And he couldn't keep water or food down. Wow. He didn't eat for three days, which because he probably didn't feel good in eating this time. I'm not eating. That's a surgery. And it's also very important to check their mouth. But sometimes you can't win their week. Well, sometimes you can't see it. Like, like, um, sewing thread is so... Oh, it was... It might last for eights in. And you can see the inflammation associated, but initially when it first happens, sometimes it can be really easy to miss. But if there's anything you take away from this one case, it is... If you have a cat that is not eating and vomiting, it always should go to surgery. Yes. That's like the one thing I love about cats. And four bodies. I'm telling you, it's like, doesn't require a lot of thinking. Cat has an eating it and it's vomiting surgery. Yeah, we had a cat that just wasn't eating for just over a weekend. Not only one episode of vomiting. Oh, body. Yep. Sure did. Is it going to be done doing the X-rays on? No, they can't... Oh, they didn't want to do it right away. That's right. And then he came back. And he'd eat the whole thing. Yep. Especially with it being Christmas season and all the ribbon out. And stuff, ever... Yeah, be careful. Yeah, for sure. String is a big offender. Caps like string. Not an argue. I mean, it's obviously with like that type of string, it's hard to see if cats awake and they're moving and stuff. Yeah, absolutely. Honestly, if it's a big concern, we're just sedate and do an oral exam because if that's what it is and hopefully we can avoid if it was recent avoid surgery. Yeah. Because a lot of the times I feel like we do find it when we go to intubate because they're almost completely anesthetized and then you pull their tongue on your like, oh, that's a problem. Yeah, because cats don't really like oral exams anyway when they're awake. That's crazy. Well, very cool. Okay, well, my case is also a fowse patient. Okay. It is a tenural cat that presented for lameness in the back. I feel like right leg. And... Wait, is this okay? That's what I was talking about. Are you talking about... Is it fowse case? Your case? It's fowse patient, but I diagnosed it and saw it. But I'm not doing this one. You're not doing this one? Okay. Everybody's patient. Help me with some of the details. We are all family. I don't know what the owner said in regards to... I'm not doing this because you're still... Like why it happened, but I don't think they know how it happened, right? So essentially, what I... I knew that the right... Or the lameness, how the lameness occurred. The right hind lameness was previously like a couple weeks ago. What the concern was is that they had moved and something scared the cat on the couch and dropped down, jumped down, and it looked very off-kilter, not normal. They were concerned about the left at first. But then when the cat presented, that's when it was like, obviously the right... Because the owner felt like, too, that maybe there was more of an overcompensation in the left. And then go for it. Well, diagnosed it. And then Dr. Duckwall. Okay, amazingly. Diagnosed it. It ruptured its cow canyel tendon. Which is the Achilles tendon. And we don't see that very often in cats. We'll see it more often in dogs. But I wonder if... If it had previously been slightly lame, like maybe it strained it or it did something as he was overweight and then when he did the sudden movement, just like in a person... He said it hadn't been walking that way for a while. For a while. Yeah. He had jumped off a bed a few weeks prior and then had been kind of gumping on it. And then was sitting on the back of the couch, got startled and just tried to jump off, but kind of just fell. And landed. So it's either they can essentially tear... We don't know the degree of it yet, but they went to the orthopedic surgeon yesterday. Yeah. And you can see that, but you can tear it from trauma or it's a degenerative process. Well, that history is probably trauma for that cat. But it's such a distinct... Like literally the cat took two steps and I was like, this is what it is. This is what it is, yeah. But we did do X-rays just to confirm there was no secondary fracture or, you know, just any other injury and under sedation, I did get a slight positive cranial drawer in the right stifle. Which essentially means I got a little extra movement, wiggle room in the right knee. And that can sometimes dictate an injury or usually dictates an injury to the ACL. So also known as the cranial cruciate ligament. So anyway, that was not the major concern and I wasn't as convinced X-rays looked fine with this thin knee. But you could see calcification at the most distal aspect of the Achilles tendon. So that tells you it's more or less a little bit of a chronic thing because... That was a bit of a simulation. Well, and he was 10, right? I think so, yeah. I think they say like... But very overweight as well. Very overweight, yeah. Super painful though. I mean, well, on people, I mean, I can't even believe the animals will continue to walk. Which I mean, I guess people can't too. Like if you look at... Or on the ankle, like it's insane. Yeah. Then you know, it's just like Google a cat with a torn Achilles or common calcane tendon. And they're just... They're walking flat on their ankle. Yeah. So the orthopedic surgeon said that you could obviously primary repair. Oh, we have the nose back. Yes. Okay. So primary repair of the Achilles tendon. So you could... It's a certain kind of suture technique that you use in order to ward off tension, right? Because every time that cat or dog steps on its toes, then you're putting tension on that Achilles tendon. So there's primary repair, orthodecis, amputation, which I was a little surprised about because... Oh, that is very interesting. So Fouls was talking yesterday like, okay, well, maybe depending on what conversation occurred in the exam room, maybe... That's what... Maybe he had to talk about it because the owners were asking specifically about it or something. There's sort of the cat's weight. Yeah. And then... I feel like there was... So orthodecis primary repair. There's a brace is what... Oh, I looked it up. You can wrap it. And then soft tissue, just like put them in a brace or a soft tissue patiband... You know, something to provide support again to get the tendon from being like all completely stretched out. I mean, the prognosis is pretty good with... I mean, it is good with surgery. Yes, it's good with surgery. But even with the brace, it's not bad from my research, at least. So I think when Fouls was talking to them yesterday, they still hadn't decided what they were going to do. So... Yeah, we tried to... We were able... Courtney Caldon got them in right away. Yeah. It has to be pretty quick surgery if you want to do it. Right. So... Yup. So a very cool case. Yeah. I had one of a dog, but it... It slid over to the side. It really hadn't ruptured. It kind of just... We just had one of a dog, but it was... Frontlin. So it was... What is that? It's not... It's not obviously a Achilles. Or was it the back leg? I think it was the back leg. I don't know. I don't know. It was the same thing. Anyway. It was a similar concept, but we had it on a dog, so... I'm not sure. That was probably more degenerative though. Because it was... Yeah, I'm a term. Very, very cool case. Yeah. Okay. Okay. I've got a cat and I got a dog, which one do you want? Cat. What's cat theme? And I was so cat. So cat. Go for it. So we have a cat named Penny. Oh. We love Penny. We love these owners. Oh, they're just amazing. And poor thing came in because she was just ADR. She wasn't eating as great, just not acting like herself. Owners are very intume to her. And on exam, I noticed right away she was very uncomfortable with palpation of her kidneys. So she just... She's not aggressive. She's so sweet, but she kind of just turned away intense when I physically touched that area. So we started with just X-rays and you could see right away that there were two different sized kidneys on X-ray. The other thing that I could see is essentially stones in the area of the kidneys. So or the middle of the kidneys. She's not a known stone cat former, like nothing like that. She actually hasn't even had history of urinary issues or anything. So kidney stones can be incidental and benign. Like honestly, when we find them, you don't worry about them too much. But with two different sized kidneys, you worry that is one really too small and the other one is normal or is one too big. And in her scenario is a little bit of both because we then proceeded to alter sound where you saw the kidneys and the small one looks like a kidney that had chronic disease to it. Her labs had never shown that because the other one was compensating at the time. But then the other one was large and there were stones in the renal pelvis is what we call it. And then unfortunately, there was dilation of the ureter. So essentially the ureter connects the kidney to the bladder and urine goes down that way. But if you can imagine a stone is making its way from the kidney to the bladder and gets stuck along the way, you've got an obstruction up top. Usually you'll see obstruction lower trying to come out. But in her scenario, unfortunately, we were concerned about that and it was the day before Thanksgiving and it was towards the end of the day. And of course all those scenarios, we did lab work here and unfortunately she was showing Azatemia, which means high kidney values because obviously our kidneys weren't working very well. So we had to ship her to Purdue, which is the only place that can facilitate a surgery to remove that type of stone right away. So we sat her, she was stable and interesting enough, they put her on fluids because of there's only one person can do it essentially. They rechecked and her kidney values had improved on fluids and they kept improving on fluids. So then I think they rechecked ultrasound. I don't remember to be honest, but anyways, the thought was that the obstruction relieved itself because she kept getting better, acting like on blood work, everything. So she went home, she did not have to have the surgery thankfully, but there were other stones in the kidney, so we have to be very careful. And then unfortunately, now the kidneys have been damaged, it's called an acute kidney injury. So then you worry about the repercussions of where are her kidneys functioning now, what's her new baseline, especially knowing that another, her other kidney wasn't completely normal. So we've been in touch with the owner a lot and fortunately we had to see their other cat for urinary stuff on Monday. So when it rains it pours, but we are due to recheck her blood work here in a couple weeks I think. She's been asking her case and skinning home, but we did have to put her on an appetite stimulant. And of course we had to change her food so that's part of it. She went through a lot. There's just unfortunately some unknowns at the time. But if she's continues to act abnormal, we're going to recheck an ultrasound as well. No, she's a different antinoggia. So we did for any antinoggia as well on Monday. See if that helps her. But she is acting better now. Because like Dr. Duckwell said she doesn't, the owner didn't know if she wasn't eating great because of all the stress she endured because she came here and then she went to Purdue, she stayed there and then she went home and then she actually had to take her back to recheck her. So she went to Purdue twice. That's a long car drive and that's a clinic and so, but when I saw her on Monday she was doing better. I think her antinoggia was here and we think he, it's a boy, was passing a bladder stone. So now both rickets have kidney disease. Oh my gosh. So both of the, so the male cat has kidney, oh, he has stones. He has bladder stones and we've had to remove them before years ago but they're the type that don't dissolve with food. Mm-hmm. I'll see him oxalates. So he was showing vocalization in the, the litter box going multiple times. He was not blocked but he has stones in his bladder again. That poor family. Yeah. Yeah. They're awesome owners. They're amazing. Yeah. We're like, we like seeing you but not really. I'm kind of tired of seeing you. Yeah. Okay. Good cases guys. Yeah. Okay. Very cool. Okay. So, dive right into it. Dive right into it. Today's discussion centers around. Don't, don't, don't, don't, don't, don't, don't, don't, don't, don't, don't, don't, don't, they're all too old to do. The mystery illness, what everyone is calling the mystery illness because, all of us no longer, I think it's a mystery because it's here all the time. Yeah. Would you like more, Canada dress? No, I'm still finishing my, it is almost empty but. Anyone want to be short? Just open your coffee. Save it for lunch. So guys. Yeah. Let's just unpack the mystery illness. We still know. Let's start by saying we don't know what it is. It is a mystery because we don't have an, it's not a name for it or, yeah, not a name for it. No. Um, I think that like in true fashion, the news scared everyone which, that's what the news does because that's what sells. So um, and if you've been watching our podcast, you'll know we talked about this a long time ago. So we have been aware of the respiratory illness for months. It's like Rudy Taylor was our first, well, not like the first one on the clinic. It was like April. It was April. It was April. Go the Vichla. Goat the Vichla. Oh my gosh. Yeah, he was in the first round of it. And so we've been dealing with it since April, right? Or May. And much to our credit, we ended up keeping animals, coughing animals out of the clinic. That was implemented very, yeah, the protocol. Something was different. So just so all of our listeners who come to this clinic, we've been on top of it. Yes. We have a whole protocol you go through when somebody calls and says, my dog's coughing. Yes. And what's so interesting is normally we would see coughing dogs, right? I mean, we see kennel cough all the time. Retriegiaid is all the time. And I think what the way that it happened for us was, um, the first couple of cases were like after spring break. Mm-hmm. So we were like, it's kennel cough because that's what we would see around the holidays. Many time people bored and they're those, you know, one time borders a year when someone goes on vacation, they don't have a lot of natural immunity. They get exposed. They present that we see kennel cough. Mm-hmm. Doesn't mean that their border televaccine doesn't work. It just means they got some cold being around a lot of dogs. So we have a routine the way we treat those patients. And then we were seeing that that wasn't resolving the coughing for some of these patients. And so then that's when we were like, that's weird. We also never treat pneumonia practically ever. Right. So, um, we'll have a dog who aspirates because it has an underlying condition. And so we might treat pneumonia that way. But we hardly ever treat pneumonia in K9 patients. I mean, we just don't, it's not a thing. We very often treat. And so we were seeing pneumonia repetitively. And we're like, all right, that's not right either. Yeah. Because now we're treating all the time. Mm-hmm. Yeah. Have we only had one patient, not in our care, but pass away because of the mystery illness? I feel like there's only been one at an ER clinic, right? Yeah, sure. I feel like it was an ER clinic. It wasn't here. It was- We used the niased one here, but it already was very, very sick and old. And then it contracted a cough. But it could have been due to something else, but we did have one here. And I know the reason- But it wasn't due just to the respiratory illness. Yeah. It was because of a lot of other things. Yeah. So morbidities or whatever. Yeah. Who have had a couple that have gone on for months though? Oh, yes. That's the more common thing is they don't resolve in that first seven to ten day window, like normal tracheitis. It's- You're in it. You're going to be coughing for three months. You're in it to win it for three months. Yeah. And that's the thing, too. It's like, well, you know, our protocol is we'll start treatment. And honestly, I still have good luck with the first line treatment with, especially the younger dogs. Yes. And there's no research to that. Also do the first line treatment and we'll still get a lot of good success. There are those though that obviously don't. And then we come back and do X-rays. Most of the time we're seeing some trace pneumonia. Some are really bad. Some aren't that bad. Start the second line treatment. You recheck the X-rays two weeks after. There's been a couple times where it hasn't cleared on me for my patients. So I've had to either continue or then we talk about sampling the airway, well, we used to talk about sampling the airway. But then once you clear on X-ray, I think that's important to talk about is the pneumonia is gone. You go two weeks after the cleared X-ray of antibiotic treatment. If they're still coughing, it's probably due to post infection, inflammation and irritation. Like, imagine if you were sick for that long in your airways, you're not going to just stop coughing that immediately. So I think that's the biggest, like the question we'll have is are they still contagious? Right. I was going to say that's enough. It's so hard. I know. For honors, I think too, is that like, well, can I take my dog in and we're like, I don't know. It's hard to tell. And you're not going to test them because we don't know what the pathogen is. We don't have a specific test. And then you're not going to airway sample them to say that they're negative on a culture. I mean, like, that doesn't make any sense from a money perspective or just the sedation of the dog. I mean, it doesn't make any sense. Yeah. I mean, I think one of the things we've been seeing for whatever reason, which I guess makes sense, but people are afraid to come in the clinic with their dog that they're going to expose their dog to other dogs. I just don't think that's a thing. Like, I mean, I suppose if you were in the same room or within a certain period, like certain time period or distance from another dog that was coughing, your dog could get it, but just like with people and COVID, like, this isn't the only place your dog is going probably, I mean, they're out on walks, well, probably walking. They're probably out. So I mean, it's not as much. You're not as exposing the dog as much as you would when we were people. We were walking from store to store to store to store, you know, because we have to live. But I mean, I don't know. I'm just not scared of dogs coming in the clinic for routine care. And I think it's because we are on the inside where we know the precautions we're taking. Right. Like, even when we do curbside appointments and now that it's cold, we may still bring the dog into the building to do the appointment, but we have literally specific back rooms, if you will, like isolated rooms so that there is no contact with other animals in the clinic now, like they're separated by a hallway and doorways. And then we, the staff who interacts with that animal, we take precautions as well. We wash our hands, literally wipe down our clothes with our, I don't know. We just probably carcinogenic wipes that we have for cleaning. And wear gloves and I mean bleach and disinfect these rooms that the dogs are in. Like we're doing all the precautions where there's absolutely no reason or I would have no concern fit for me, bring my dog in to the normal, through the normal front door into our appointment rooms to do an exam. Yeah. If it also makes people feel better, we're not going to mess around with turn or not keeping ourselves clean and keeping our workstations clean because we have dogs at home too, but we don't necessarily want to bring the illness home too. So of course, we're, I mean, like you said, we take like those dogs don't go on high traffic areas at all. Yeah. They don't step that in. We don't want patients to interact with each other. They're not touching noses. They're not saying that. Yeah, dogs don't know. That's in general that never happens. So, you know, I think, and I think the, the, the advantage or the gain from having your pet up to date on its annual is way better than not putting it into your fridge of the virus. Or whatever it is that's out there. Yeah. Yeah. Yeah. And you know, when we do X-rays, we have an ice, we actually go through isolation area and then into the X-ray room. That's right next to it. And then they go back out that way. And again, we disinfect everything and like we walked them completely around the building outside. Yeah. Isn't she saying? I'm very, very back door. Yes. So. So yeah. So make sure your animal's up to date, right? Maybe avoid boarding facilities, especially in some of those areas. Yeah, that are really being hit hard by it right now. Do you guys feel like we're seeing less of it right now? A slightly less amount? I feel like it's hidden mess. Yeah. Right. Doesn't it seem like some weeks it's like there's another one. Yeah. There's another one. Yeah. And in some weeks it's like we didn't see a coffee. Yeah. Pretty good. Right. I'll be interested to see after the holiday. Yeah. Because I know people just have no choice. I have to board their dog and it's kind of one of those things where. Mm-hmm. Unfortunately it is what it is. Mm-hmm. I'm glad that we don't have a boarding facility. Could you imagine trying to run a, oh my goodness. Like 100 plus dog boarding facility and, oh my gosh, wow. Yeah. My best friend is the head trainer at one of the training facilities around here. And she, yeah, they have coughing dog left and right. Ah, just. I mean, it's not there. It's not there. It's just, you know, people always want to blame facilities. It's really not their fault. Like some of these dogs are asymptomatic. They come in and then they're exposing before they're coughing. It's a, it's like you're chasing your tail. You know what I mean to try and stay in front of it. Yep. And so, um, it's just like a human respiratory illness, right? Yeah. You don't know if you're carrying it because you were exposed a couple days ago, then you get sick a couple days later, like I was just around you yesterday. Yeah. Yeah. So it's not the perfect world, but just have grace with people and caregivers and veterinary staff because it is what it is. It's frustrating, but it is. And it'll all work itself out. Like it always does. Yep. Medicine. It always changes. That's right. That's right. Exactly. Okay. Hitoki. Thank you so much for tuning into another episode of the veterinary round table. Remember, send in those questions and be sure to follow us on all social media platforms at AllStar veterinary clinic. Also leave more reviews so Devon can do something crazy. If you enjoyed this episode or previous episode, leave us a review on your podcast provider of choice. We'll meet you in a few weeks for the next episode of the veterinary round table. Merry Christmas, everybody. Merry Christmas. Happy New York.