>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 :)