10.18.2016 Emergency, South Bay, CA

Case Count: 21

This is the first week Heather and I have been on opposite schedules. It sucks. She started a real 9-5 tech job that's crazy fascinating (ask her, it boggles my mind), which I'm so proud of and so excited about....BUT....now I miss my woman all the time. I got lots of stuff done around the house, though :( 

Favorite Quotes

  • "No need to apologize, I'm not offended by what you're saying about me, I'm just pointing out that you're incorrect."

Cases of the Day

10yo female spayed mixed-breed dog
Brain tumor
     This was actually the Neurologist's case, but I handled the overnight recovery, so I get to mention it to you folks. This dog presented the week before for seizures. Imaging showed a tumor on the front of the brain, which in dogs is dominated by the olfactory lobe (processes scent). Dogs dedicate a similar amount of their brain to scent as humans do to sight. This tumor was about 20% as big as the brain, which in this dog was roughly the size of an apple. The most common type of brain tumor in dogs is a meningioma, a benign tumor that grows between the brain and the skull, meaning that surgery is successful more often than one would think. Most owners don't have a ton of money or pet insurance, so even the treatable cases tend to get euthanized when the owner's can't sign up for $7,000-10,000. This dog had surgery, which involved cutting out a piece of the skull in the middle of her forehead like the top of a pumpkin, [carefully] scooping out the tumor, then replacing the bone with a couple of tubes to allow ventilation during healing. The Neurologist had to access the brain through the frontal sinus, which is an empty space between the forehead bone and the bone surrounding the brain. The sinus is continuous with the nasal passage, which is important because without the tubes for ventilation, a simple sneeze could have blown a bunch of air into and around the brain. The risk of placing the tubes, of course, is that they might...you know...poke the brain. Even with a gaping cavity where the tumor used to be. This dog recovered smoothly and went home. Best case scenario is no more seizures, uncomplicated bone/incision healing, slow regrowth of the tumor. Fingers crossed!