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Today
we are going to talk about Veterinarians and getting a second
opinion. I, personally spend mega dollars on Vets each and
every year. I simply could not exist without them. Even though
I have enough years of experience in just about all types
of illness and injuries with horses and dogs, there are times
I need the Vet. Such as I know my dog needs a caesarian, but
I can't do it, so I need a Vet. I know something is drastically
wrong with an animals limb, but it needs to be exrayed, call
the Vet. I know my animal is deathly ill, but can't pin point
why, call the Vet. And there are times when I got another
Vet for a second opinion and thanks heavens I did.
I know that a lot of times, people are unprepared or unwilling
to call in a Vet. 99% of the time it is because of the cost.
The bill that now needs to be paid. All I can tell you is,
if you are not sure what is wrong, and do not have the REAL
experience to diagnose and doctor the critter
correctly, then don't delay, call the closest or the most
trusted vet in your area. Your animal, ANY ANIMAL, deserves
to get the correct and best of care. The longer you put off
calling him/her, the less chance of survival or a full recovery,
and probably the higher the bill to be paid in the end.
So lets say, you have done the right thing and called in a
Vet or have taken the animal to the clinic or animal hospital.
But your animal is not improving, or you are just not satisfied
with the diagnosis. Then, please, regardless of cost, get
a second opinion from another Vet in a different clinic or
hospital. Here are some of my stories on Vets And Second Opinions.
VETS AND SECOND OPINIONS PURPURA HAEMORRHAGICA
A few years back, I was employed up in the Artic, so had sold
off all but 8 head of my best horses and placed my dogs in
trusted homes. The remaining 8 horses, I moved to a boarding
stables. It was very expensive, as you can well imagine, boarding
8 horses near city limits. but when you work in the Artic,
you actually make a great deal of money.
The man and wife who owned the facility were good people and
very experienced with horses. One evening, the phone rang
with some distressing news. My favorite saddle mare was found
that morning in bad shape. Her head was swollen, her legs
were swollen, even the bottom region of her belly was swollen.
She appeared to be in great pain. They had immediately called
their Vet out. He had no clue what was wrong. The blood work
he had done, revealed only that she was fighting a terrible
battle with some unknown infection. All he could do was give
her a pain reducing, anti-imflammatory and start her on a
high dose of antibiotics. Now what should they do? Of course,
I asked them to call another Vet for another opinion. This
was Tuesday and the first plane out was on Thursday. I booked
a seat on it and prayed for my favorite mare's recovery. Wednesday,
the phone call I received was much the same as the day before.
The second Vet had no idea what was wrong, her condition had
worsened, with the pressure from the build up of fluid in
her legs, already starting to spit the skin open. I asked
them to call still another Vet. I would talk to them when
I arrived home.
The flight home from the Arctic to Calgary, Alberta, Canada
was more miles than from Calgary to Mexico, so it was very
late when I landed. By the time I picked up my truck in the
company parking lot and drove to the stables, the first rays
of Fridays morning sun were showing. I found her in a stall.
I just stood there. I knew it was my mare, but how I knew,
I don't know. Her head was so swollen that it was hard to
see even a close resemblance to the horse I had boarded there,
only weeks before. The legs were bigger around than five gallon
buckets and oozing a pale, straw colored fluid from splits
in the skin. The underside of her belly hung down with accumulated
fluid. As sick as she was, she nickered to me, a forlorn sound
of despair.
Glancing down, I read the note the stable owners had left
on her stall door. They said that they had been unable to
find another Vet on that side of the city, who would come
to see her, when they said two other Vets did not know what
was wrong. Going to the phone hanging on the barn wall, with
the city phone directory beside it and regardless of the early
hour, I began to go down the list of Equine Vets, phoning
one after another. The ones I reached, when given her symptoms
said they doubted they could help. There was only one name
left, and it is he, who saved my mares life. At first he seemed
quite angry at the early morning phone call. Then as he listened
to me, he started to perk up a bit. Before I knew it, he was
saying to give him an hour and he would be there.
When he pulled up outside the barn, he immediately started
pulling the things he needed from his truck. On the way to
the mares stall, he informed me, my mare had Purpura Haemorrhagica
and this late in the game, would probably not survive. Stepping
into her stall, he confirmed his diagnosis gently and quickly.
Flabbergasted that he knew from my simple description over
the phone, this strange sounding thing that was wrong with
her, I asked him how come he knew and the others didn't. Looking
at me with kind eyes that had seen many summers come and go,
he simply said. "Pretty hard to find a vet who has ever
seen this disease, just happens I have seen it by chance,
a couple of times over the years, that is why I knew without
even seeing her". he began the correct treatment immediately,
attempting to save her. And I listened and I learned. She
fought hard to survive, and did. I quit my job away up in
the Arctic, to spend hours with her every day, doing what
I could, following this kind Vets directions to save her and
make her comfortable. Thank heavens for not only second but
third opinions. I might add, that I am one of those rare horses
owners, who has owned a horse with this disease, not once
now, but three times over the years. Two horses survived,
and one did not. And all three times, the first vet to attend
to the horse either did not know or did not believe me that
it was Purpura Haemorrhagica.
PURPURA HAEMORRHAGICA
This is a non-contagious disease. It may occur following an
attack of Strangles, Influenza or other acute infectious disease.
It may also follow after a deep seated infected injury, or
when a horse is affected with Fistulous Withers or Poll Evil.
Occasionally it occurs as a Primary disease. NOTE: All three
of my cases followed an attack of Strangles, after they were
either in the last of the recovery period from the Strangles
or shortly after full recovery from Strangles.
The disease damages the walls of the small blood vessels leading
to escape of plasma and blood into tissues, thus the swelling.
The formation of haemorrhages and the accumulation of dropsical
fluid in various parts of the body are characteristic of the
condition.
The disease appears quite suddenly, with at first the appearance
of small haemorrhages on the visible mucous membranes of the
nostrils, eyes, mouth and lips of the vulva in mares. (The
boarding stable owners had missed this). This is followed
by the start of the swelling of the nostrils extending over
the nose and sometimes the eyelids, and later may involve
the whole head, which then becomes greatly enlarged. The swelling
starts in the lower legs and may occur along the belly region
or other parts of the body. The swollen parts appear cold
and at first painless and if pressed with a finger, the indentation
remains for quite a while. The surface of the skin can become
so tightly stretched that it breaks and oozes a pale straw
colored fluid. In extreme untreated cases, the skin becomes
crusted with the leaking fluid, and finally dies and begins
to slew off. The lower leg region is most commonly affected
with the skin slewing off, and even though the horse may have
been saved, it may in the end be necessary to euthanize the
horse because of this.
Blood may ooze from the haemorrhagic areas and a nasal discharge
is not uncommon.
There is variable fever and the horse loses its appetite and
becomes progressively weaker.
If the oedematous swellings and haemorrhages go internal,
leading to Pulmonary Oedema, or when the intestines are involved,
leading to a severe attack of colic, then the condition is
usually fatal. Many horses die of Asphyxia (when swelling
of the head is severe), oedema of the viscera, broncho-pneumonia,
blood loss, or secondary bacterial infections. The mortality
rate is high in severe cases, often in excess of 50%.
It is a must, to have a qualified Veterinarian treat the horse,
one who has experience with this often fatal disease. The
owner must be willing to spend long hours over as long a period
as several weeks in correctly caring for the horse during
the convalescent period. A long period of rest after recovery
is also necessary.
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