A blue-eyed, red-furred view of the world!

Sunday, July 18, 2010

Analysis

mr_ed writing.

I think I know now what happened to Tucker.

I asked my veterinarians to review the notes, lab results, and x-rays taken by the emergency vet.   One of them sat down with me last week, and we hashed out a theory that seems to explain all the medical signs and symptoms.

We think Tucker died from a perforated ulcer, which would have let the extremely toxic contents of his digestive tract out into his abdomen.   ("Acute peritonitis" is a possible diagnosis.)

There's no direct proof of an ulcer, but there's a hint of leakage on an x-ray.   And the sudden onset of acute symptoms, the extremely high fever, pain in the belly....

In a vet hospital modeled after a human hospital, maybe Tucker could have been saved.   It might have required a radiologist to give a better reading of the x-rays, an internist to endoscopically examine and treat the perforation, and a surgeon to open the abdomen and clean out and treat the poisoning.   In other words, a team working just on Tucker.

But this clinic had a single vet in charge of more than 30 overnight patients, emergency and not.   Her goal was just to stabilize Tucker and keep him alive until the specialists came in in the morning, and that wasn't possible.

Whether she thought of perforated ulcer, I don't know.   She didn't mention it, even when the high fever and belly pain led me to ask about something sharp causing a puncture and then peritonitis.

So why the perforation if there wasn't anything hard and sharp in there?

Steroids.   Specifically, 3½ years of near-daily doses of prednisolone to help his breathing.   Tucker's respiratory system was permanently crippled by the pneumonia and other lung problems that he had when I got him.

So that's the theory, and I'm grateful to my vets for coming up with it.   It might be wrong, but I'm still grateful and very comforted that there is an explanation to hold onto.

Logically - when I'm able to think about it logically - I expect my senior pets to die before me.  But if they suffer, dammit, I want to know why.

10 comments:

Khyra And Sometimes Her Mom said...

The theory makes sense -

Thanks for sharing it

Khyra's Mom

建佑建佑 said...

Gold will not buy everything...................................................

The Thundering Herd said...

I totally understand your quest to understand - I would certainly do the same thing in your shoes.

蔡靜芳蔡靜芳 said...

耐斯的部落格值得推蔫!............................................................

ra_husky said...

makes woo think about things, peace to wooo,

RA

Holly and Khady said...

I would have wanted answers too. Not knowing is often what makes it worse.

He is at peace now. Well, either that or he's having a heck of a good time playing at the bridge. I like to hope for the latter since it's what we Sibes like to do!

Khady Lynn

宛真宛真 said...

世界上沒有本來就應該的事,因為老天爺也沒有劇本..................................................

Angel said...

Mr. Ed, that makes sense. Medicine is sometimes like that -- the very thing that saves a life can also take it away.

Tucker was fortunate indeed to have chosen you as his human.

李吳文云威昌 said...

所有的資產,在不被諒解時,都成了負債.................................................................

黃子軒 said...

這不過是滑一跤,並不是死掉而爬不起來了。.......................................................