Pet Patients “C’mon, Doc, it ain’t brain surgery!” Well, sometimes it is…

November 16th, 2007  

Add Comment37 Comments

Sorry to hear about losing Bruno that way, it's a terrible thing to go through.

I lost my 16 year old lab/GSP mix, Sid, to the same thing earlier this year. I was working nights and I had left him laying comfortably on the couch when I went to bed. I woke up to my office space in shambles and a dog that was so tired he could not stand. I had a feeling it was a tumor that caused the seizures and an emergency visit to the vet rural vet that was on call confirmed my suspicions.
I said goodby that night, wishing that there was something that could have been done. Now I am sad to know that there was something that could have been done and this was never an option given to me. Perhaps the rural doctor didn't even know? If he had, I probably would have headed to Cornell with my mastercard in tow. Of course, he was 16 and his hips weren't what they used to be, so maybe everything happened the way it should, but one can't help but wonder.

Brian Hewitt November 16th, 2007 09:58:00 AM

I loved this post! I work as the imaging tech for a veterinary neurologist. All I do all day is MRI and CT dogs and cats like this lab. I'm amazed at how (seemingly) common brain tumors (and cysts, and malformations, and encephalitis...) actually are. Of course, my perception of the frequency is skewed since these patients are referred from several neighboring states. However, finding two or three of these in a day is not uncommon. Thinking back on it, I can name several pets of friends (and in one case, my own) that surely had a tumor that was never diagnosed. So many people don't realize how far technology has come. My job didn't exist 15 years ago. Just wanted to share. Thanks for your wonderful blog!

Sarah November 16th, 2007 11:02:00 AM

I also forgot to mention...we average about one craniotomy - brain tumor removal - per week. It's more common than it seems. :)

Sarah November 16th, 2007 11:04:00 AM

A question Dr Patty; how much does this miraculous surgery cost? can most of us afford it?

In Humans the problem with brain tumors is NOT if they are malignant or begnin, but where the tumor is.Removal causes so much damage, that the patient is not the same person after the surgery. Is this the case with our dogs?
A friend of mine just lost his beloved Frenchie to a brain lesion; the cost of the MRI alone was over $3000... surgery yes.. but at what cost..??

cl November 16th, 2007 11:30:00 AM

cl: I think Sarah might be in a better position to answer that. I think the bill was about $3000--without the CT.

Dr. Patty Khuly November 16th, 2007 02:48:00 PM

Sorry to hear about Bruno, that must have been awful.

I"m curious: What is the difficulty or particular stress of big-dog spays? How are they different than little to medium size dogs? I would think the little guys would be more stressful (cuz they're little).

Amy in Somerville November 16th, 2007 02:56:00 PM

Dr. Khuly: This is a bit of a digression, but why do you and your S.O. dislike large breed spays so much? Just curious.

Megan November 16th, 2007 03:52:00 PM

Off-topic questions, or rather old-topics:

1. did you ever get hold of suitable goat-sperm, and are you going to be a goat-granny sometime?

2. on the topic of euthanasing where there isn't a suitable vein. Was talking to my rehab boss about your post and the story about the vet giving heart-shots, and asking whether she ever sees any of the vets we refer to using that method (the answer is very seldom and always sedated) - but she reminded me that for birds, if the bird is too small or too flat to get a vein in either the wing or leg, our vet would then inject directly to the liver. Less painful and far more certain than trying for a heart that is hidden behind air-sacs etc. Is this something that you'd use or recommend, and if not, what would be the reasons?

jcat November 16th, 2007 03:52:00 PM

jcat: IP (intra-peritoneal) injection is advocated by a substantial group of exotic vets. Some feline and canine practitioners do it, too. Though it doesn't seem painful at all (perhaps even less so than with venipuncture (in the vein), it does take a pretty long time for the animals to succumb. It seems not unpleasant to them and perhaps more pleasant for some but it's a little disturbing to the owners, I think.

Dr. Patty Khuly November 16th, 2007 05:28:00 PM

Megan and Amy: With older, large breed, fat bitch spays, there's a lot of fat, a lot of vascularity, increased tissue friability (tendency to break and rip) and an overall higher degree of risk of potentially life-threatening bleeding. Small ones are a cinch. Fat ones are the worst.

See this post for more hand-wringing on the subject:
http://www.dolittler.com/index.cfm/2007/6/29/The-d...

Dr. Patty Khuly November 16th, 2007 05:33:00 PM

Oh......gosh. Now I am imagining all that fat.....eeewwwwww....... *feeling queasy*

Amy in Somerville November 16th, 2007 05:52:00 PM

Amen to your feelings about large dog spays. Today on my volunteer day assisting the vet in surgery at the shelter, we had not one, but two large-breed spays; both 80+ pounds and multiparous, and both somewhat overweight for their breeds (Lab- and Rottie-mixes). Makes for an interesting morning-- not only do they take forever to respond to sedation before they get prepped and tubed, but as you said "all that fat"!! Not to mention just the mechanics of lifting and moving a dog of that size who, once sedated, is 80 pounds of floppy dead weight. Give me 3 small dogs and 10 cat neuters any day!!!!

Shellie November 16th, 2007 11:21:00 PM

On the question of price...the total bill for a brain surgery patient at our specialty clinic is about $5,000 to $7,000 start to finish, including MRI ($1100), surgery and post-op care. It varies quite a bit due to location of the tumor, management of the patient (how critical they are before and after the surgery), and length of hospital stay required afterwards.

Sarah November 17th, 2007 10:31:00 AM

Thank you, Sarah. It was generous of you to respond. (I know that prices can be a tricky thing to talk about.)

Dr. Patty Khuly November 17th, 2007 10:54:00 AM

The donkey means one Ugg Sale thing and the driver another ugg bailey button.The benevolent see benevolence and the wise ugg classic cardy see ugg classic tallwisdom.No man is his craft's master the first ugg classic mini day.two dogs fight for a bone coquette, and. A piece of jade unless cut forms no article of vertu.http://www.ladiesugg.com/

ugg boot September 12th, 2009 03:36:48 AM

The donkey means one Ugg Sale thing and the driver another ugg bailey button.The benevolent see benevolence and the wise ugg classic cardy see ugg classic tallwisdom.No man is his craft's master the first ugg classic mini day.two dogs fight for a bone coquette, and. A piece of jade unless cut forms no article of vertu.http://www.ladiesugg.com/

ugg boot September 12th, 2009 03:43:45 AM

sale ugg cardy man is not made for defeat. a ugg bailey button man can be destroyed but not defeated.No rational man can die without cheap ugg uneasy apprehension. Better ugg classic mini be unborn than untaught,for ignorance is the root of misfortune.Genius17 without education is like silver in the ugg classic cardy mine. http://www.ugg2you.com/

 

Ugg Boots September 14th, 2009 09:06:44 PM

art is a lie that tells the truth ugg classic cardy. Humor has been well defined as ugg calssic thinking in fun while feeling in earnest.The decline of literature indicates the decline of a ugg sale online nation ; the two ugg bailey button keep in their ugg classic min downward tendency. http://www.olugg.com/

 

ugg boots sale September 14th, 2009 09:21:56 PM

The timberland mens boots world can be changed by man endeavor, and that this endeavor can lead to something http://www.timberboots.co.uk/timberland-mens-6-inch-c-1.html">timberland men's 6 inch new and better .No man can sever the bonds that unite him to his society simply by averting his eyes . He must ever be receptive and sensitive to the new timberland men's classic; and have sufficient courage and skill to novel timberland shoes facts and to deal with them cheap timberland boots. http://www.timberboots.co.uk/

 

timberlands mens boots September 14th, 2009 09:54:27 PM

The timberland mens boots world can be changed by man endeavor, and that this endeavor can lead to something timberland men's 6 inch new and better .No man can sever the bonds that unite him to his society simply by averting his eyes . He must ever be receptive and sensitive to the new timberland men's classic; and have sufficient courage and skill to novel timberland shoes facts and to deal with them cheap timberland boots. http://www.timberboots.co.uk/

 

timberland shoes September 29th, 2009 08:50:04 AM

Nothing in nhl jerseys life is to be feared. It is only to be understood. The soil in return for her service, keeps the tree tied to her, the boston bruins sky asks nothing and leaves it nhl jersey sales online free. High buy edge jerseys expectations are the key to every chicago blackhawks thing. If you wait, all that happens is that you get older. http://www.nhlbuy.com/

nhl jerseys October 5th, 2009 02:35:31 AM

Fear not that the chi flat iron life shall come to an end, but rather fear that it shall never have a ghd iv dark styler beginning. ghd iv kiss styler it is while you are patiently toiling at the little tasks of ghd hair iron life that the meaning and shape of great whole ghd mk4 iron of life dawn on you.  http://www.ghdhairon.com/

 

GHD Hair Iron October 5th, 2009 12:46:00 PM

Blu ray Ripper

ret October 5th, 2009 10:15:20 PM

However mean your life is, tiffany jewelry meet it and live it do not shun it and call it hard discount tiffany jewelry unt tiffany jewelry It is not so bad as you are.It looks poorest when you are richest

tiffany jewelry November 12th, 2009 08:48:52 PM

<a href="http://www.ugggoodsaler.com/ugg-classic-tall-boots-c-31.html">ugg classic tall boots</a><a href="http://www.ugggoodsaler.com/ugg-classic-tall-boots-c-31.html">classic tall ugg boots</a><a href="http://www.ugggoodsaler.com/ugg-classic-tall-boots-c-31.html">ugg classic tall</a>

ugg classic tall boots November 26th, 2009 10:52:19 PM

Ugg classic Short most people around the world accepted by the whole. Ugg short are fashionable, give your feet a warm feeling. Discount ugg boots at inexpensive prices, many people can choose their favorite boots, I believe your choice is good. http://www.elegantugg.com/ugg-classic-short-c-1.html

ugg short November 30th, 2009 10:36:16 PM

http://www.uggsblacktall.com/ UGG Classic Tall http://www.uggsblacktall.com/ UGG Bailey Button http://www.uggsblacktall.com/ UGG Locarno http://www.uggsblacktall.com/ UGG New style

UGG Classic Tall December 6th, 2009 08:31:32 PM

christian louboutin This site is really quite good. . .

christian louboutin December 10th, 2009 02:32:10 AM

my frindbuyahandbag,ilikeitsomuch,shetellsmeifiwanttobuy,tohere:<a href="http://www.byreplica.com">replica handbags </a>,<a href="http://www.byreplica.com">louis vuitton outlet</a>believemeisbelieveyourself!

 

W December 17th, 2009 11:48:55 AM

Wonderful iPhone to PC transfer is a wondfer software to transfer iPhone to PC, which can transfer pictures /photo/ music/songs/video from iPhone to PC, convert DVD to iPhone, as well as make iPhone ringtone and make iPhone for MAC with just a few clicks!With this great iPhone to PC Transfer, we can easily manage the file between iPhone and computer. Also we can share the beautiful pictures/photo, fantastic music/songs, as well as favorite video with our friends and families! Have a try and enjoy iPhone files to PC.

cynthiachen December 22nd, 2009 07:38:38 PM

Links London Necklaces may be the best presents for lovers. Links of London Jewelry is high quality and affordable price here. Cheap Links of london will make you interested and surprised.

 

Miller January 14th, 2010 08:11:15 PM

Links London Gift store is your best Links of London silver Jewellery online store. We have added numerous Links of London jewellery for our customers at hot price. Select your favorite please!

UK Links January 20th, 2010 09:26:09 PM

Hello! welcome our company the website! What our company sells is each kind of shoe! You when enjoy the life, may watch as well as purchase this company's shoe while convenient, the price and the quality definitely to first-class! http://www.bellbestugg.com http://www.bellbestadidas.com http://www.bytobyshop.com

cheap shoes January 25th, 2010 03:11:19 AM

All kinds of Adidas Shoes On Sale.We hot sell the latest Adidas Shoes& Cheap Adidas Shoes.The products are first-class quality,welcome you to purchase.

 

cheap adidas shoes January 27th, 2010 01:16:23 AM

UGG Boots uk | Classic UGG Boots Sale-Your toes never say lies,they love UGG Boots -Genuine Sheepskin Boots by UGG Australia. Love UGGs,Love Warmth.

ugg boots sale January 28th, 2010 06:33:46 PM

UGG London & UGG Boots London-It's never late to get cozy in UGG Boots London,stylishly step out in UGG London that show off your sense of fashion.

 

ugg boots london January 30th, 2010 02:20:57 AM

MBT Shoes Sale offer powerful training shoes Cheap MBT Shoes.mbt shoes made from high quality Nappa leather are strong and enduring.mbt shoes Best Prices available at cheap mbt shoes help to build body.

 

MBT Shoes Sale February 26th, 2010 08:46:12 PM

Add Commment

Your Name:

CAPTCHA Verification