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The Tale of Chancey Blue's Tail!

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Knight - 01 Dec 2003 00:37 GMT
The Tale of Chancey Blue's Tail!

My cat is a Russian Blue, Tabby cross, he is 4 years old.

His name is Chancey Blue.and he has no tail!

Monday, November 24th, 2003

My wife called me at work to let me know that the cat had injured his tail
and it was bleeding.

I got home from work and assessed the cat and verified the tip had been torn
off to the bone.

There was no actual bone trauma.

I called our Animal Clinic and was instructed to bring the cat in for an
examination.

The vet said that a bandage, antibiotics and a head cone was the best option
as the injury was minor and the skin should heal over the end of the bone.

This was done and an appointment made for assessment in 4 days.

Bill = $150.00

Tuesday thru Friday

The cat was annoyed, this was expected. The cat paid little to no attention
to his tail.  Antibiotics were easily administered morning and night.

Friday, November 28th, 2003

I was to bring the cat in for an assessment and bandage change.  A different
vet saw the cat and removed the bandage with most of the fur on his tail.

The wound looked much the same although a little drier. The cat was not
impressed when the vet squeezed the wound. The vet said she would change the
bandage and have the cat come back on Wednesday for assessment and that we
would probably be booking surgery for Thursday to amputate a portion of the
tail.

The vet proceeded to change the bandage.

The vet suggested that leaving the bandage open a little would allow for
oxygen to get at the wound to aid in healing.  Upon doing this the vet also
made the bandage longer.

There was no assessment made to see if the cat could get at the bandage.
The cat was put immediately into the carrier.

Upon arriving at home and releasing the cat he immediate chased the bandage.
The cat would turn towards the bandage step on it with his hind legs, reach
around with his front legs and pull at the bandage. Once the bandage was
long enough to be reached by his mouth he tore off the bandage and any
healing that had taken place in the past week.

We proceeded to re-bandage the tail with gauze and hockey tape. We called
our vet, they were closed. We called the Emergency clinic, they said they
could see him.

Upon arriving at the Emergency clinic we were let in and shown to a room.
We released a very annoyed and paining cat.  He proceeded to turn towards
the bandage step on it with his hind legs, reach around with his front legs
and pull off our makeshift bandage.  The amount of blood was more than the
original wound.

At this point it was 5 days after the original trauma and the cat was worse
off.

The vet on duty suggested we could either re-bandage again or amputate the
tip.

The train of thought that led to my decision..

 a.. 5 days and we were no better off
 b.. $150 of bandage care and we were no better off
 c.. This would cost more and possibly not work
 d.. a bandage could take over 2 weeks to heal the wound
 e.. An amputated, stitched closed wound would heal in about a week.

We opted to amputate the end vertebrate of the tail.

The vet called and said the surgery was successful and she had put on a full
tail bandage incorporating a syringe casing to solidify the bandage.

Upon arriving at the clinic the vet said that the cat had tore off the
bandage again and was best to probably leave a bandage off entirely. If he
went after the tail we were to put baby socks on his front paws.

I was a little leery but listened to what the professional was suggesting.

I left with a confused cat and some pain medication.

Bill = $300+

Saturday, November 29th, 2003

The cat was fine with the situation. He was wagging the tail and at times
smacking the stitched end into objects. This made me cringe though it didn't
bother the feline. I guess the pain medication was working.

I did notice that he would still turn to see what was wrong with his tail
and attempt to catch it for some examination.  These attempts were mostly
futile and I accepted it as instinct. I found a pair of baby socks and taped
them on his front paws. This worked. He was entirely too busy with his paws
to worry about this tail.

Eventually he go the socks off.  I taped them back on and went to sleep.

Sunday, November 30th, 2003

The cat was a little more annoyed in the morning as I woke up to him chasing
his tail on our bed. The socks were off again. I got up and gave him a pain
and an antibiotic pill.

Later he was still annoyed and I toyed with the thought of exceeding the
recommended dosage and giving him another pill. I chose not to go against
the recommendation.

The cat then came up to me meowing loudly and I noticed that he had torn off
the end of his tail again. This time much worse than before. There was blood
all over the kitchen.

I quickly proceeded to the Emergency clinic, again.

After an enormous rant to the staff on duty the decision was made to
completely amputate the tail.

After 5 hours I was able to pick him up, less 1 tail.

The Emergency clinic did not charge me for the services this time.

I am pretty sure I would have refused to pay another bill.

He is now sedated, wearing a cone, with a hockey taped stub.

My poor cat.

Are these people actually doctors?

This experience has made me a thorough skeptic of the animal care industry.

Any thoughts?
m. L. Briggs - 01 Dec 2003 00:54 GMT
>The Tale of Chancey Blue's Tail!
>
[quoted text clipped - 140 lines]
>
>Any thoughts?

Old saying: "Too many cooks spoil the pudding".    I hope he mends
properly now.  When he is better, explain to him that "Manx Cats" have
no tail....and he can now say he is one of them!!!
Hillary Israeli - 01 Dec 2003 01:15 GMT
*
*After 5 hours I was able to pick him up, less 1 tail.
*
*The Emergency clinic did not charge me for the services this time.

Wow! That was nice of them.

*I am pretty sure I would have refused to pay another bill.

?

*He is now sedated, wearing a cone, with a hockey taped stub.
*
*My poor cat.

Indeed! Sounds like he's been through the wringer!

*Are these people actually doctors?

If you truly believe they are not, you should contact law enforcement.

I imagine, however, that they are - albeit doctors who don't charge very
much for their services compared to physicians, and who are kind enough
to do pro bono work when difficult cases do not work out the way they
had hoped!!

*This experience has made me a thorough skeptic of the animal care industry.
*
*Any thoughts?

Yes.  I have a lot of thoughts but a good-sized percentage of them will
not be typed into this message. I can offer a few for public consumption,
however:

1. Your poor cat!

2. I wonder, what would your reaction have been if, when you brought the
cat to the vet the first time, he or she said "ah, a minor distal tail
wound. We should completely amputate this tail to avoid all possible
complications."

3. I'm curious about what kinds of bandages were applied, using what
materials etc. It is a very difficult area to bandage, as you clearly have
learned.

4. I am curious to know if it was ever suggested, at the initial visit,
that sometimes wounds such as your cat presented with are difficult to
handle due to their location, and may end up requiring some kind of
surgical solution; and if so, how you responded.

5. I am particularly curious to hear how, with the benefit of hindsight,
you imagine the case should have been handled from the outset - bearing in
mind of course that the ultimate outcome does not sound as if it were 100%
predictable based on the initial presentation (being a relatively minor
wound).

So, those are my thoughts. FWIW.

--
    hillary israeli vmd  http://www.hillary.net  info@hillary.net
               "uber vaccae in quattuor partes divisum est."
                not-so-newly minted veterinarian-at-large :)
Knight - 01 Dec 2003 01:50 GMT
>2. I wonder, what would your reaction have been if, when you brought the
>cat to the vet the first time, he or she said "ah, a minor distal tail
>wound. We should completely amputate this tail to avoid all possible
>complications."

I would have welcomed such an intelligent assessment now that I am wiser.
Though it is difficult to say due to my response is hindsight and you
suggest the vet had foresight.

>3. I'm curious about what kinds of bandages were applied, using what
>materials etc. It is a very difficult area to bandage, as you clearly have
>learned.

A fabric like tape. Not unlike, hockey tape.
The first application was well done. The subsequent applications were
lacking.

>4. I am curious to know if it was ever suggested, at the initial visit,
>that sometimes wounds such as your cat presented with are difficult to
>handle due to their location, and may end up requiring some kind of
>surgical solution; and if so, how you responded.

The vet did suggest that amputation was required in much worse cases.
At the time, I was happy that my cat only had a minor problem and surgery
was professionally advised against.

>5. I am particularly curious to hear how, with the benefit of hindsight,
>you imagine the case should have been handled from the outset - bearing in
>mind of course that the ultimate outcome does not sound as if it were 100%
>predictable based on the initial presentation (being a relatively minor
>wound).

After the initial assessment I feel sedation should have definitely been
included in the treatment.
After the initial amputation I feel sedation should have definitely been
included in the treatment.

I am mostly upset that a minor distal tail wound turned into an complete
tail amputation causing so much pain for my cat and family.
Karen - 01 Dec 2003 02:09 GMT
>> 2. I wonder, what would your reaction have been if, when you brought the
>> cat to the vet the first time, he or she said "ah, a minor distal tail
[quoted text clipped - 35 lines]
> I am mostly upset that a minor distal tail wound turned into an complete
> tail amputation causing so much pain for my cat and family.

I can understand the upset. However, one thing I have noted over the years
reading about people's cats with tail injuries, is that they can either heal
without problems or have a myriad of problems as you describe. It does sound
like they did the best they could. Tail injuries just plain suck for the cat
that's for sure. I hope that it heals well.

Karen
Hillary Israeli - 01 Dec 2003 13:12 GMT
*>2. I wonder, what would your reaction have been if, when you brought the
*>cat to the vet the first time, he or she said "ah, a minor distal tail
*>wound. We should completely amputate this tail to avoid all possible
*>complications."
*
*I would have welcomed such an intelligent assessment now that I am wiser.
*Though it is difficult to say due to my response is hindsight and you
*suggest the vet had foresight.

Yeah. I asked, because I have a sort of rule I try to follow, whereby I
try to inform my client of the best case scenario, the expected course of
things in this particular case, and the worst case scenario, all at the
initial visit. Of course sometimes the expected course IS either the best
or worst case scenario, and sometimes I am right and sometimes I am wrong,
but anyway, that's what I try to do. Most of the time it is fine. Every
once in a while, I get someone who gets really hostile when I present the
potential worst case scenario. I actually try to detect that sort of
person in advance, and then not really go into that so much, but sometimes
my assessment is wrong in regard to what the person is willing to listen
to. I was thinking of this when I read about your cat, because one time
when I was working for a vet when I was in high school, I assisted the vet
in his exam of a cat with a similar wound, and I remember vividly his
telling the owner "well, it should go ok, but I have to warn you,
sometimes these don't do well and end up requiring amputation," and the
client went BALLISTIC and said something to the effect of "over my dead
body would you cut of his tail for this, you quack, this is a tiny little
nothing, how dare you make that suggestion." Hearing that kind of response
can make one wary of offering worst-case scenarios for a while.

* *>3. I'm curious about what kinds of bandages were applied, using what
*>materials etc. It is a very difficult area to bandage, as you clearly have
*>learned.
*
*A fabric like tape. Not unlike, hockey tape.

Heh. I don't know what hockey tape is. I'm imagining you mean Elastikon
type tape, which looks kind of like an ace bandage but is sticky? That is
probably the same stuff I'd have used. It is very sticky stuff.

*>4. I am curious to know if it was ever suggested, at the initial visit,
*>that sometimes wounds such as your cat presented with are difficult to
*>handle due to their location, and may end up requiring some kind of
*>surgical solution; and if so, how you responded.
*
*The vet did suggest that amputation was required in much worse cases.
*At the time, I was happy that my cat only had a minor problem and surgery
*was professionally advised against.

Yeah. Makes sense now. I wouldn't (as a veterinarian, or a pet-owner) want
to jump right in to amputation of the entire tail without at least trying
more conservative methods. This is one of those "the crystal ball was out
of service" scenarios, it seems like!

*After the initial assessment I feel sedation should have definitely been
*included in the treatment.
*After the initial amputation I feel sedation should have definitely been
*included in the treatment.

I can't really comment on that, not having any familiarity with your
kitty. It's tough to assess the need for actual sedation sometimes. In my
experience most animals don't need sedation to keep them from bothering
their bandages (e-collars and stuff work for the bulk of my patients) but
there are some who do. Then of course there are some for whom sedation
doesn't help anyway, and some who have adverse reactions to sedatives.

*I am mostly upset that a minor distal tail wound turned into an complete
*tail amputation causing so much pain for my cat and family.

Yeah, that does suck. Hopefully it will all be a mere memory soon and your
kitty will be happy again.

Signature

    hillary israeli vmd  http://www.hillary.net  info@hillary.net
               "uber vaccae in quattuor partes divisum est."
                not-so-newly minted veterinarian-at-large :)

Knight - 01 Dec 2003 03:10 GMT
With photos. Keep in mind some of the date stamps are wrong.

http://home.cogeco.ca/~chanceyblue/
J_Harmeson - 01 Dec 2003 03:45 GMT
> With photos. Keep in mind some of the date stamps are wrong.
>
> http://home.cogeco.ca/~chanceyblue/

Very hard to read. Yellow writing on Black background.
Karen - 01 Dec 2003 05:21 GMT
>> With photos. Keep in mind some of the date stamps are wrong.
>>
>> http://home.cogeco.ca/~chanceyblue/
>
> Very hard to read. Yellow writing on Black background.

Black on white for me. Different browser?

Karen
m. L. Briggs - 01 Dec 2003 05:28 GMT
>> With photos. Keep in mind some of the date stamps are wrong.
>>
>> http://home.cogeco.ca/~chanceyblue/
>
>Very hard to read. Yellow writing on Black background.

black on white on my computer
Nan - 01 Dec 2003 13:28 GMT
>> With photos. Keep in mind some of the date stamps are wrong.
>>
>> http://home.cogeco.ca/~chanceyblue/
>
>Very hard to read. Yellow writing on Black background.

If you clicked on the pictures to enlarge them the date enlarged also
and was very easy to read

Nan
Karen - 01 Dec 2003 05:22 GMT
> With photos. Keep in mind some of the date stamps are wrong.
>
> http://home.cogeco.ca/~chanceyblue/

Poor guy. Keep us posted.

Karen
Nan - 01 Dec 2003 13:29 GMT
>With photos. Keep in mind some of the date stamps are wrong.
>
>http://home.cogeco.ca/~chanceyblue/

Poor baby.  

Nan
 
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