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Dr. Coates is a veterinarian based in the other “Sunshine State” – that's Colorado to the rest of you – where she lives and plays with a varied range of animals. She shares her professional and personal experiences, Monday through Friday, here on petMD's blog, the Fully Vetted. Log in for your daily dose of her insight and wisdom.

 

Post-Spay Day’s a Bitch (and Other Foster Dog Musings)

August 19, 2010 / (11) comments


Post-op’s the worst. Even if you’d been feeling really sick and/or painful before the procedure (consider the lowly fractured tooth, for example), the first 24 hours after surgery can be a terrible time to be you. Veterinarians get this. Which is why my foster dog, Pinky, is getting babied on this, the day after her spay. 

Now, normally, this is a spring-loaded dog. But after last night’s after-hours surgery (the OR was busy all day), she’s on the subdued side today. Not that she’s unwilling to jump or wrestle, just that she's doing it with less gusto than usual. Such is the life of a Pinky-dog, that even a full-on abdominal surgery will not keep her down.

Still, it’s obvious that she's hurting some. (The slight hunch in her back gives it away, too.) This, despite my liberal hand with nerve blocks (pre-incision), pre-op anti-inflammatories and opiates, and a full twelve hours of post-op knockout drugs. Like most dogs, Pinky’s trying hard not to show her belly is feeling any worse for wear.

Pinky with her Slumdog:

You and me? We’d probably be wrestling with the morphine pump right about now — or yelling at any scrub-clad soul we think we might intimidate into giving us "MORE DRUGS!" Pinky? Right now she’s trying to decide whether she likes the stalk of homegrown rosemary I just offered her (no, not medicinally pain-relieving, but, small-stick chew-monster that she is, it’s something to take her mind off any discomfort, I figure), and intermittently picking and choosing her battles with the porch lizards (normally she goes for them all … all the time).

I tend to recommend my clients do little to nothing after surgery, and I am taking my own advice today. Other than to check the incision and keep the dreaded e-collar on when not directly able to supervise, I am offering small comforts in the way of my presence (I am spending a writing day at home), along with other tiny expressions of my sympathy,

"Baby her," I’ll say to clients. Hand over ice cubes steadily, reassure her with a one-by-one Cheerios feast, take slow walks on the leash, and put in lots of cuddle time over a movie and a shared bag or two of microwave popcorn. And — of course — take the day [after] off. For me, that’s the most important thing. Because nothing says, "You’re going to be OK" like making sure she gets as much of her favorite thing as possible. And in most cases, that favorite thing happens to be YOU. 

Now, if only I could find a way to transfer the object of Pinky’s devotion somewhere else. Love her though I might — and care for her as my own, I do — I nonetheless know her forever home is not with me. Still, as long as she remains in my care, at least I can promise her the kind of special attention anyone deserves after suffering the painful loss of a once beloved body part.


Dr. Patty Khuly


Pic of the day: "We are [almost] family" by me

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COMMENTS (11)
1
Pinky
by kay morris on 08/19/2010 05:35am

Thank-you, Doctor Khuly for your love and care of Pinky, She is a lucky Pup to have you as a Foster Mom. Once I take one in, they never leave. I am Blessed my Husband of over 40 yrs. put up with us.

2
Great Job
by ashmom on 08/19/2010 08:30am

Hey Doc, doing everything absolutely perfectly! The four-leggeds do love when mommy is home for any reason, right! Have a great day.

3
Pinky
by CP on 08/19/2010 10:59am

Luckily the worst part is over. Pinky will feel so much better, and I know your presence is doing wonders for her. Hope you all have a wonderful weekend.

4
Pain meds for spay
by Mary (dogaware) on 08/19/2010 03:35pm

What timing! My foster dog that I rescued from a neglect situation was spayed yesterday as well. The vet gave her morphine as a pre-anesthetic, and planned no other pain medication other than Metacam starting the next day. He wanted to keep her overnight even though no one would be there -- something I've never understood the reasoning behind.

I insisted that she at least be given an injection of Buprenex before I brought her home (he wouldn't give more morphine), and that he give me Tramadol to combine with the Metacam. Thank goodness I did. At 8:00 last night, about the time the Buprenex wore off, she started to cry. I dosed her with both Tramadol and Metacam (I had been trying to get her to eat before giving her the latter, to protect her stomach, but all she would take was a few bites of chicken). Within an hour, she was able to settle down, still trembling but no longer crying. She slept through the night, thank goodness, and is doing well today (with more Tramadol).

It drives me crazy that some vets still think a spay is no big deal from a pain standpoint. From what he said, I think the reason he wanted to keep her overnight is so I wouldn't call him because she was crying. I can't imagine what she would have gone through if she had been alone all night with no comfort and no pain medication.

5
Post-Surgery Cuddling
by TheOldBroad on 08/19/2010 09:48pm


What a lovely story, Dr.Khuly. You're a woman after my own heart by staying home with your post-surgical critter.

I try to think about what the animal is going through. Most likely they're thinking, "I felt fine yesterday. What did you do to me and why do I hurt?" Some critters like the one-on-one time and it's comforting for them. Some critters really REALLY want to be left alone to lick their wounds. (Of course, I'm always close by to assure nothing goes wrong.)

It's great to know that pain management is being practiced for animals (especially cats) these days. I saw a hidden camera piece of a small dog in a clinic. When no humans were around, he (or she) looked miserable and was quite obviously hurting. When people came into the room, the dog got up and barked for attention. It didn't look miserable at all. The moment the humans left the room, the dog went back to being curled up in pain.

They hide it so well that we can't assume they aren't hurting.

On another note, I subscribe to your blog and enjoy it immensely. However, I'm not getting the email notifications on a regular basis at all. My last email was July 27th. What can I do to get an email the same day as you post? (I've already signed up a second time.) The emails aren't getting stuck in my SpamBox.

Also, it would be great if there were email notifications when comments are posted.

6
Preferences
by TheOldBroad on 08/19/2010 09:51pm

An additional note: Just checked my preferences and it indicates that I am, in fact, subscribed.

Thanks!

7
Pinky girl
by Canine Mom on 08/20/2010 10:50am

That is one pretty girl. Wish my choice in pets were not up to the whims of insurance "allowed" and not "allowed" breeds.

When I lived on an acre of land I had quite a few "rescues" and many of them did get new homes, but I am also like the first poster, I ended up keeping them because I fell in love with them.

My pack is dwindling now, we're down to just me and the youngest, at 10. The others have passed over now. It's getting lonely, but I don't want to expose him to a puppy or a kitten, it would just mess with his leisurely afternoon naps and mellow walks, lol.

If you still have pinky, give her a good hug and a kiss on the bridge of her pretty nose please.

Shafiah

8
Youv`e Done A Solid
by ddcrow01@gmail.com on 08/20/2010 05:09pm

How do i send you pictures of our Panda Patrol Pack ,and Thank you .

God Bless You and All You Touch

9
by BeenThere on 08/21/2010 09:42am

Dr. Khuly, you are a good example! I have always taken time off work to be with a post-op pet the first 24 hours. Having been a nurse for over 38 years, I am very aware of the pain that my pets have and I keep them medicated and comfortable. How awful it must be to be alone and in pain.

10
Yes to pain meds!
by Marie in Maine on 08/22/2010 01:28am

You are such a good momma! Would you believe there is a vet in my area that doesn't give post pain meds to his alter surgeries? We found out at our clinic when a client of ours went to him to save a few bucks. They ended up calling us because she was hurting the next day. When they called his clinic about it they were told to give benedryl. His speil is that aniamls don't feel pain the same way we do. wt????

Now we make sure to let people who call "price shopping" that we include pain meds and to ask other places if they do or not. Sadly some probably wont care if it saves them a few dollars. ~sigh~

Yay for Pinky having such a great foster situation. I am also VERY glad to see Slumdog again too. :-)

11
by BrassSphereMom on 08/23/2010 09:43pm

Thank you for pointing out that a spay/castration is not just an "easy" surgery. Many would have you believe that there are no risks to this surgery. I've lost 2 dogs and a cat to spay surgery with 3 different vets. Not the vets fault either, they were allergic to the meds used during the surgery.

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About fully vetted

Patty Khuly, VMD, MBA

Photo of Dr Khuly

Dr. Khuly is a former petMD blogger and small animal veterinarian in Miami, Florida, where she practices medicine at Sunset Animal Clinic and serves on the board of the South Florida Veterinary Medical Association. She is a graduate of Wellesley College, the University of Pennsylvania School of Veterinary Medicine, and The Wharton School of Business.

As a significant sideline, she writes...a lot. She authors pet health columns for USA Today, The Miami Herald and Vetstreet. She also writes a popular monthly column for Veterinary Practice News and serves as regular contributor to Veterinary Economics, The Bark, and the Veterinary News Network.

Dr. Khuly lives in South Miami with her brood of hens, goats, dogs, cats...and humans.

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