JadePin @jadepin-blog - Tumblr Blog

March didn't go well.

I broke thumb of my right hand, resulting in not-so-cool metal enhancements (plate and 5 screws) and post-poned state exams. My dog acquired aspiration pneumonia due to (newly diagnosed) megaesophagus. I have no source od income due to my injury.

Yeah. Let's see how April is going to be...

rogueone

I don’t hate hardly ever, and when I love, I love for miles and miles. A love so big it should either be outlawed or it should have a capital and its own currency. - Carrie Fisher (21 October, 1956 - ∞)

mishasminions

A SUMMARY

jadepin-blog

Brilliant. :D

drferox

Just One Litter

Fridays were a mad house at my first job. Not only was the main clinic super busy between people who had let problems fester all week because they wanted to see if it would get better, but now wanted it fixed for the weekend, and people who simply preferred their pet’s elective surgery performed on a Friday so they could have two whole days to supervise them immediately afterwards, but we also had all the sick cases transferred to us from the branch practices. All the sick cases needed something done, whether it was treatment or diagnostics, and since they all arrived at the same time after 6 in the evening, things got hectic.

There is a phenomenon in veterinary medicine called the ‘Friday Night Specials’. These are the cases that present on a Friday night, usually at the last possible moment, that need a huge amount of workup to treatment, and there goes your evening/weekend plans out the window. Often they are something that should have been dealt with a day or more before, like a diabetic in ketoacidosis or a cat with a urethral blockage.

Tonight, it sounded like an emergency caesarian case was on the phone and had no money.

It might seem heartless, but the reality of veterinary medicine is that most people who get payment plans through the clinic simply don’t pay. A vet clinic runs as a small business, it has large overheads and constant downward price pressure because we’re all softies and genuinely do want to save animals, but the practice at the time had over $100k owed to it by people who were all promising to pay on payday, and had been for weeks, months or years.

So it is vital that we establish, before treatment begins, that yes there will be a bill and it is expected to be paid. I was given the phone to explain this, and quickly ascertained the situation.

This was a bull mastiff cross’s first litter and there was at least ten puppies in there.

She’d been pushing for hours and was becoming distressed.

This was a planned pregnancy, to let the dog ‘experience motherhood’.

Their usual vet had performed an ultrasound in early pregnancy, and an Xray to count the puppies last week.

But, they would not perform a caesarian without payment on the day.

They had not mentioned at any point what a caesarian was likely to cost

The other vet clinic had sent her to us under the pretense that ‘we do payment plans’.

She now had the dog in our carpark and was bringing her in.

Keep reading

jadepin-blog

Really sure you want those puppies?

The horseman remembered an urgent engagement elsewhere and galloped off suddenly.

A Game od Thrones (George R. R. Martin)

Last few months were crazy. I think I wasn’t breathing the whole time. Maybe that’s why Mr.Brain has been acting up again lately...

#busy #mr.brain #back to tumblr

It’s 1:47 AM and I am sitting on my bed, crying. I am depressed and I accept it as a fact. The moment I post this I’ll get up, go out with my dog and then I’ll go to sleep. Tomorrow I’ll figure this out. I’ll sort things out, I’ll find tools to help me and I’ll do my best to recover and not to get kicked out of school. Now the best thing I can do is sleep. Off to bed it is then.

I’ll win.

#goodnight #depression #recovery #school #student-in-trouble

drferox

Can I ask what your thoughts on wolfdogs are? Have you ever treated any?

Never treated any. Being in Australia the wolf hybrid dogs are a phenomenon that wont get through our customs. I have known one human who claimed to have a dog who was part wolf, but it looked every inch a husky x german shepherd to me.

I was lucky enough to visit the Colorado Wolf and Wildlife Center, which did have some wolfdogs in an enclosure. Wolves are so different to dogs, they look similar but the way they interact with the world is totally different. I’m pretty comfortable handling and reading dogs, but wolves are something else. Their brains are so different, and so are their attitudes. Wonderful and beautiful, but different.

It seems to be a USA trend, which is not that surprising for a country that lets you keep all sorts of exotic animals with minimal regulation. Keeping Sugar Gliders requires licensing and a permit in Australia, and only certain states will allow you to keep them, but they seem very in vogue over in the USA. People seem very able to access exotic pets without needing to know anything about their specialized care or husbandry, and I am glad it is not the case here.

I would oppose the importation of wolf hybrids to Australia, just as I would oppose the importation of any domestic cat wild cat hybrids like the Savannah cat. There are too many risks of those genes getting into the feral animal population, which already causes enough problems as it is.

I am aware there are some breeds of ‘wolfdog’ that have been in development for ~50 years and are now fairly stable, but these breeds are very much like dogs and not like wolves and are pretty darn rare, so I assumed you were talking about the US wolf hybrid dogs.

jadepin-blog

In my country, we have breed that was born by crossing carpathian wolves and german shepherd dogs (Czechoslovakian wolfdog). The purpose was to create perfect military attack dog with the mind of GSD and the body and stamina of the wolf.

They are not used by military anymore, but they are EXTREMELY popular among people for their wolf-like appearance. Of course, there is way too many people who buy one without any experience or knowledge which leads to problems mostly with “aggression” towards other dogs (they tend to be quite dominant, they play differently and kinda ferociously) , separation anxiety and general disobedience.

They are simply different and are NOT suitable for everyone.

#wolfdog #czechoslovakianwolfdog

8/100 days of productivity

Yesterday I was studying my ass off. Today it paid off. Another exam is done (and I kinda rocked it).

I am proud of myself.

And I promise I will fix my phone so I can take (shitty) photos.

#100 days of productivity #studyblr #exams

Let's make sure the exam is when I think it is. Aaaand, of course it's one day earlier. F@

me every exam period

#100 days of productivity #student-in-trouble #no time #i am an idiot

statsboost

New Studyblrs Unite!!!

If you’re a studyblr who’s just starting out—like me—reblog and follow anyone else who reblogs so we can all join forces and motivate and inspire each other!

#studyblr

1/100 days of productivity Just finished my study session on infectious diseases of animals. I didn’t do as much work as I hoped, but it’s something. I am actually struggling with depression and complete lack of motivation, so I am not that unsatisfied. (Also I am able to get out of the bed in less than hour, which is quite big succes).

I hope doing 100 days of productivity will help me get myself back on track.

And I love my perfectly imperfect study place and my far-from-good handwriting.

#100 days of productivity #studyblr #student-in-trouble #bad handwriting #vet student

elizastudies

100 days of productivity

hey guys! some of you may have noticed that lately I have been posting daily pictures with a concept called 100 days of productivity. at first, this was just a method I was using to keep myself on track, but after receiving multiple messages either asking permission to use the idea or asking to explain the idea, I’ve decided to make a post to explain this and hopefully get other blogs in on it!

what is it about?

the general idea of 100 days of productivity is to make sure that everyday you do something- anything productive. it embraces the concept that by chipping away at least a little bit of that big pile of work we all have every day, we can make huge changes for the future.

how can I join?

its simple! just post a picture everyday with which day it is out of 100 (ex: 3/100 days of productivity) and tag it as 100 days of productivity. keep this going for 100 days straight and see how much you’ve accomplished!!

help get the word out!!

reblog this post to help let other studyblrs know about this idea!! as I really would like this to get out there, I will be following many of the people I see using this tag!!

disclaimer: I am not claiming to be the first person to use this concept. I did not steal this idea from anyone and did come up with it on my own, but I have also been made aware that others have used this idea before!!

happy studying everyone!!

#100 days of productivity #studyblr #motivation

n0tesworthy

My daily planner! Inspired by the motemote 10 minute planner that I’ve really wanted, but I think they only ship inside of Korea :(

drferox

Alright vet students! It’s ‘fun’ clinical case studies time. Want to have a go?

This elderly female dog presents seriously unwell.

1. What questions do you need to ask? 2. What are the processes that are going to kill her, in order from soonest to latest. 3. If the owner declines euthanasia, what is the next test or treatment you need to do?

soontobedvm

Based on the high WBCs and low albumin with high globulin, there appears to be quite a bit of inflammation/infection raging. There is also high liver values (ALP/ALT), and possible kidney issues (with the high BUN). I’m worried this dog is in SIRS/sepsis from bacteria overload/endotoxemia. From this information, my number one differential is canine pyometra (a severe bacterial infection from the uterus).

1) My number one question is: Is this dog spayed? How long has the clinical signs been going on for? What does the physical exam look like? Does she have a fever?

2) SIRS/Sepsis is going to kill her from the bacteria entering her blood stream and setting up shop in her organs, she will go into complete liver/kidney failure quickly and die.

3) If you have an ultrasound, get a peak into her abdomen to visualize the pyometra (Rads would be okay if you don’t have an US). Then get her into surgery ASAP to get rid of that infected uterus!

drferox

She’s not spayed. She’s been sick for three days, hasn’t eaten in that time and clinically is dehydrated to buggery (technical term for extremely). She is skinny but has a bloated abdomen. She has a normal temperature and no vaginal discharge.

Ultrasound takes too long to set up (and doesn’t look good as a still image). Lateral abdominal Xray looks like this.

Have you confirmed a diagnosis? Is there only one condition at play?

Assuming the owner still wants to treat, what do you need to do?

kingfisher95

Sat here with 3 other vet students and we are all confused by this x-ray what a mess. Torsion? She would probably have died from this before now. Still an enormous closed pyo? She should definitely have a temperature. Look at the liver, it doesn’t look enlarged, just like it’s being displaced against the diaphragm. Could the blood vessels be being constricted to the liver, causing hypoxia and liver damage? In which case the high liver enzymes are a red herring? But it is quite radio-opaque… And what on earth is that thing above the stomach? Foreign body? (bloated large colon?) And what is causing that circle? So many questions!

Personally I want to do a quick abdominocentesis but really I have no idea. Is there pus or blood in the abdomen?

drferox

Xrays just take practice. You need to see a lot of normal before you can interpret abnormal.

A patient that should have a fever will not necessarily have one if they are already losing its battle. They will be briefly normothermic before descending into hypothermia. If a normal temperature is inappropriate given the patient’s other symptoms and bloodwork, that is also a Bad Thing.

If you stick a needle into that radiographic Bad Thing, this dog will die.

Honestly, this dog is highly likely to die anyway, but the owner’s still want to treat her.

The radiographic Bad Thing is rounded, tubular and sitting cranio-dosral to the bladder, ventral to the intestines.

Now, what is your diagnosis and how do you treat if euthanasia is still declined? How is this dog going to try to die on you, and how did you know?

vetssupportingvets

Still on with pyo in my opinion, needs some IVFT at a relatively high rate to try and stabilise, however if there’s heart disease you may need to be cautious (any murmur on clinical exam?) also IV antibiotics would be helpful as a start. No vaginal discharge would likely mean closed pyo, and may be showing some signs of peritonitis. I’d still warm up my ultrasound scanner while x-raying but if I wanted to save it I would have to open her up. Bad thing is causing these signs and it’s not gonna improve anything by waiting. Especially if bad thing were to rupture so out with it.

Sepsis, lack of life, dehydration, haemorrhage, organ failure, heart failure, age, anaesthesia, hypothermia if you’re not careful. I can’t remember or see the bloods but I think I got the most of them.

drferox

DIC/SIRS is what’s going to get her.

This dog has an albumin of 13. To put that in perspective, when the albumin drops below 20 the prognosis for after surgery deteriorates because tissues can’t heal, and if it drops below 10 they spontaneously swell with oedema. It’s the low albumin, signalling DIC or SIRS beginning, that will kill this dog first.

This dog needed PLASMA if she was to survive, and lots of it.

If you put her on high rates of fluids you will drop her albumin even further, and she will develop peripheral oedema on her way to DIC or SIRS.

The massively elevated white blood cells, mostly neutrophils in this case, can only be caused by three things: leukemia, necrosis or massive infection. Massive infections include pancreatitis, abscess, prostatitis or, in this case, pyometra.

She’s septic and on the cusp of DIC. If you performed a coagulation profile about then, you would have seen prolonged clotting times. I know this, because as soon as she was intubated for surgery she began coughing up blood and was put to sleep.

The platelets sitting at 197 instead of 200 are no concerns. That sometimes happens with a difficult stick, and you don’t see a clotting deficiency until they drop below 100, or sometimes as low as 50.

The low calcium doesn’t bother me at all. It’s bound to albumin, when albumin drops, so does calcium. The BUN will just be dehydration because the creatinine is normal. That’s a little surprising, I was expecting renal failure with a pyometra, but I guess you can’t die from everything.

Those elevations in ALP and ALT are mild to moderate at best. Sometimes they go up in old dogs with benign hyperplasia, but they’re usually 3-5x higher before a dog is actually sick with liver disease, and the TBIL (total bilirubin) is normal in this case. Her liver might be lumpy, but it’s not any less happy than the rest of her.

So low albumin, going into DIC. Can’t get plasma into her fast enough to get her through surgery. Once they’re coughing up bloody fluids through the ET tube, really all you can do is call the family in to say goodbye.

If she’d been in the day before, probably would have made it.

academla

The Really Big Studying Masterpost

I couldn’t get it together enough to do a graphic or anything, so here goes. Sorry this is massively long but hopefully it will be helpful!

Studying

Review season printables

The lazy kid’s guide to study guides

Studying tips for university

Non-cutesy study tips

How I make my study guides

My study process

Effective study routine for intense classes

How to “study”

50 things to do between your study sessions

Studying: how tos, advice, & tips

Learning styles and study tips

Motivation + tests/studying

My study tips tag

This has some stuff on exams

My exam tag

The pomodoro method

“How can I focus/study effectively?”

Get started studying

General exam/studying tips

Learning styles and study tips

Memorization

Using a mind palace

Memorization

Improving memory

Studying with a terrible memory

Memory tips

Last minute studying

Emergency study plan

Trending Blogs

Recently Viewed Blogs

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