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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.

 

What’s a veterinarian’s definition of a really bad day ...?

October 18, 2010 / (14) comments


Here’s my definition of a really bad day: When your surgery roster is so close to bursting that you’ve got to plan your day with the aptitude (and attitude) of a Jedi master just to get through it … that’s a bad day. It’s a really bad day when your first case, a "simple" feline castration, arrests while he’s recovering. 

 

Nothing is simple. Nothing is easy. There is no free lunch. And I am no Jedi master.

So you know, I neuter a LOT of male cats. That’s probably because I will never say "no" to a low-cost cat neuter. At every spay/neuter event I attend, I am the queen of the cat castration ward. Joke all you like. It just happens to be my preferred procedure.

Which is why I went straight for the kitten this past Thursday morning.

"Let’s get this little one neutered and released right quick" is what I think I had in mind for this little stray who had been dumped at the Starbucks across the street.

He’s probably six months old at this point. He’s robust and healthy. He’s even got a great attitude for a feral kitty. So it’s not as if he’s stressed out or needs heavy tranquilization. And then for no good reason he up and arrests … after he was aready halfway back to the happy zone we call complete anesthetic recovery.

Luckily (by design, actually) the technician monitoring his recovery is caffeinated enough to respond immediately: intubation, 100 percent oxygen, artificial respiration … all while yelling for the doc.

That’s our protocol for any arrest, and I daresay it works. It did on that day, thank goodness. (In fact, it usually does work when it’s this kind of rare and random healthy-pet arrest.) After about half an hour of artificial respiration, chest compressions, and two doses of epinephrine, kitty was back in the land of the living — but barely.

An hour later, a full ninety minutes after the arrest, he was finally breathing on his own, and 12 hours later he was meowing quietly. Now, as I write this on Friday morning, 24 hours later, he can sit up and open his eyes, but no more.

Still, it’s progress. As I’ve explained to his caretakers (the kind trio of trappers who brought him in), this is one of those cases who will likely never make it back out into the not-so-polite society of his fellow ferals. This one is likely a special-needs-forever kind of a case.

So it’s a good thing I totally forgot to eartip him, right? Sometimes things "simply" fall into place. Who knows? Maybe I do have a whiff of the Jedi about me ...
 

Dr. Patty Khuly

 

 

Pic of the day: "Neutered Kitty" by Me

 

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COMMENTS (14)
1
Jedi Master
by on 10/18/2010 06:04am


Dear Jedi Master,

Any thoughts on the reason for Handsome Kitty's arrest? HOCM maybe? Are there going to be any follow-up tests to possibly determine the cause?

Kudos to you and your sufficiently caffeinated tech.

2
Arrested Development
by on 10/18/2010 07:33am

Our little guy, Paddington, had the same thing occur during his neutering procedure. Luckily, his caretakers at the Austin SPCA facility were just as determined to save him as you were. After several months of rehab, he was still there being passed over for adoption due to his "blindness" (he can see shapes and shadows). He was a handful, known as "Ninja Kitty" to all the workers there, and loved to terrorize the others during group play times by pouncing from behind and eliciting cat howls, his only feedback. Four years later, he is home with us and still acts like the playful little kitten he was then. And unless you knew his history, you'd be hard-pressed to perceive his vision issues. Patience is the key.

3
eartip?
by on 10/18/2010 07:49am

I got to ask, what is a eartip?

4
by on 10/18/2010 08:57am

Oh Dr. Khuly - I feel for you. I think this is one of the worst situations people who love animals can face. It's a good thing you guys monitored him carefully though. A friend of mine lost her puppy after taking him in to get neutered several years ago and continues to feel heartbroken about that. Hope this little guy you're attending to recuperates and can find a home. Whoever ends up with him should DEFINITELY be warned about his sensitivity to anesthesia. Good luck.

5
Luckily I was wrong ...
by on 10/18/2010 08:59am

...and kitty (named Linus now after his penchant for his blankie) is perfectly normal now. It's Monday morning and he's ready to go!

The ear tip? It's how we mark our feral and free-roaming cats as spayed and neutered. During the spay/neuter they also get a little notch taken out of the tip of their ear so people like me don't expend tons of resources trying to trap and neuter them again.

6
by on 10/18/2010 09:16am

I love cat neuters! So quick, satisfying, and can make such a difference in the cat population, too! Glad the little fellas OK!

7
Neuter or not
by on 10/18/2010 09:24am

Yes, a neuter Kitty is a makes a Good Cat. Hope all goes well for you and the kitty.

8
ADD-ON
by on 10/18/2010 09:29am

Good Lord, did I type that? Sorry

9
Linus
by on 10/18/2010 10:59am

If he is back to normal, does that mean he has to go back to his colony? Kay Morris, bless your heart I always love to see your postings and can usually tell when you are just getting caffeinated (like me!)

10
ANESTHESIA SCARES ME
by on 10/18/2010 11:34am

Sorry you had a crummy experience with that kitty, but it sounds like you guys have a solid process for catching these things quickly. Hope he makes enough of a recovery to live a good life as someone's pet.

Every time one of my pets goes under for a procedure I'm on pins & needles until she wakes up. In fact, my Dane is going under for a bone biopsy today. Needless to say I'll be glad to pick her up this afternoon and see that she's alright (well, aside from the lame paw being biopsied).

11
Linus
by on 10/18/2010 11:48am

So glad he is doing well. Must be a very frightening experience. Too bad someone won't adopt him.

So many kitties need homes. Just adopted a black kitty from a high kill shelter in N. Georgia. Dire situation up there. She is the best girl.

12
Thank God
by on 10/18/2010 12:23pm

I thank God when "Sometimes things "simply" fall into place." I am in awe of veterinarians and all that (the good ones)can do, but personally, I feel we all receive our gifts and periodic guidance from a higher power. That said, great work by Dr. Khuly and her excellent tech!

13
Adopt him!
by on 10/18/2010 06:53pm

Yes, you too can adopt Linus! I refuse to let him go back to Starbucks. It's on such a busy intersection! He's looking near-perfect--no drain blamage at all. And since he has no ear tip, someone might try to catch him and neuter him again (something I would definitely not recommend be repeated).

So whaddaya say? Any Floridians interested in a cute kitten with a triumphant back-story? He's got a grrrrreat purrrrr!

14
how odd
by on 10/19/2010 05:05pm

I had one of my kitties arrest while being neutered. She was revived with out the surgery the first time, and had to recover for quite some time before they attempted again. The second time they quickly got through the proceedure while they revived her. She was a foster at the time, and I couldn't stand the idea of putting her in the system and people not taking her reaction to sedation seriously.

Tweedle stayed.

And she looks quite a bit like Linus
http://1.bp.blogspot.com/_UPy3-7G2GN0/S-9CDvPtTRI/AAAAAAAAALg/la4eNqycy0w/s1600/CIMG0390.JPG

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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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