Originally Posted by Heathpack (Post 19563740)

My first appointment yesterday was this terrible case. Retired lady with a 70 pound dog, acutely paralyzed in the hind legs 5 days prior. Her vet told her the dog needed emergency surgery right away, as did the second opinion vet who saw the dog and my receptionist when she called for an appointment. The lady insisted on waiting until my next available appointment and then when I look at the dog I say, "Yep, this was an emergency 5 days ago; now the prognosis is bleak and odds are your dog will never walk again, no matter what I do. You can take your chances with surgery, live with a paralyzed dog (but I can see the lady's gnarled hands, she must have rheumatoid arthritis, I don't think she can care for a 70 pound paralyzed dog) or you can put her to sleep." I hate doing low percent success rate surgeries and nudge a little toward euthanasia. But to my surprise, the lady goes for it. We all feel terrible for the dog, who is terrified and is now going to have a major surgery and we might not know the outcome for as long as six weeks. And we feel terrible for the lady who feels huge guilt over not getting the dog in sooner and we worry is maybe making a bad financial decision.

But no value judgements allowed, we do the surgery and it goes well.

Twenty two hours post op the lady comes in to visit the dog and she wags her tail. Hahaha that is so sweet because a tail wag is a voluntary movement for a dog. Which means technically she is no longer paralyzed. Her prognosis instantly goes from "probably will never walk again" to "almost certainly will walk again". Hot damn that was an ok moment today when I got the text from the doctor covering the case. We'll even probably bring it in under estimate, she might even be good enough to go home Sunday.

:)

Originally Posted by seedsbelize (Post 19563970)

The in room coffee is a bad joke. Good thing I brought some instant to hold me til 7:00. Many(all) of you are more worldly than me. Is there a trick to these things? In the past, I've doubled the coffee and halved the water.

Originally Posted by Heathpack (Post 19563740)

My first appointment yesterday was this terrible case. Retired lady with a 70 pound dog, acutely paralyzed in the hind legs 5 days prior. Her vet told her the dog needed emergency surgery right away, as did the second opinion vet who saw the dog and my receptionist when she called for an appointment. The lady insisted on waiting until my next available appointment and then when I look at the dog I say, "Yep, this was an emergency 5 days ago; now the prognosis is bleak and odds are your dog will never walk again, no matter what I do. You can take your chances with surgery, live with a paralyzed dog (but I can see the lady's gnarled hands, she must have rheumatoid arthritis, I don't think she can care for a 70 pound paralyzed dog) or you can put her to sleep." I hate doing low percent success rate surgeries and nudge a little toward euthanasia. But to my surprise, the lady goes for it. We all feel terrible for the dog, who is terrified and is now going to have a major surgery and we might not know the outcome for as long as six weeks. And we feel terrible for the lady who feels huge guilt over not getting the dog in sooner and we worry is maybe making a bad financial decision.

But no value judgements allowed, we do the surgery and it goes well.

Twenty two hours post op the lady comes in to visit the dog and she wags her tail. Hahaha that is so sweet because a tail wag is a voluntary movement for a dog. Which means technically she is no longer paralyzed. Her prognosis instantly goes from "probably will never walk again" to "almost certainly will walk again". Hot damn that was an ok moment today when I got the text from the doctor covering the case. We'll even probably bring it in under estimate, she might even be good enough to go home Sunday.

:)

Originally Posted by rpenmanparker (Post 19563984)

Yep, that's how it's done. Where are you again? Hotelling? Isn't there good coffee in the lobby? Like I tell Mrs. rpen, just put on some clothes, and go and get it. :eek: Actually I don't tell her that. I go and get it for her. Stupid I'm not.

Originally Posted by seedsbelize (Post 19563999)

I'll have to check the lobby. The dedicated coffee shop opens at 7 and, as I find after the first sip, is good. In the old days, I'd get decent coffee at night and drink it upon awakening. Might give that a whirl.

Originally Posted by Heathpack (Post 19563740)

My first appointment yesterday was this terrible case. Retired lady with a 70 pound dog, acutely paralyzed in the hind legs 5 days prior. Her vet told her the dog needed emergency surgery right away, as did the second opinion vet who saw the dog and my receptionist when she called for an appointment. The lady insisted on waiting until my next available appointment and then when I look at the dog I say, "Yep, this was an emergency 5 days ago; now the prognosis is bleak and odds are your dog will never walk again, no matter what I do. You can take your chances with surgery, live with a paralyzed dog (but I can see the lady's gnarled hands, she must have rheumatoid arthritis, I don't think she can care for a 70 pound paralyzed dog) or you can put her to sleep." I hate doing low percent success rate surgeries and nudge a little toward euthanasia. But to my surprise, the lady goes for it. We all feel terrible for the dog, who is terrified and is now going to have a major surgery and we might not know the outcome for as long as six weeks. And we feel terrible for the lady who feels huge guilt over not getting the dog in sooner and we worry is maybe making a bad financial decision.

But no value judgements allowed, we do the surgery and it goes well.

Twenty two hours post op the lady comes in to visit the dog and she wags her tail. Hahaha that is so sweet because a tail wag is a voluntary movement for a dog. Which means technically she is no longer paralyzed. Her prognosis instantly goes from "probably will never walk again" to "almost certainly will walk again". Hot damn that was an ok moment today when I got the text from the doctor covering the case. We'll even probably bring it in under estimate, she might even be good enough to go home Sunday.

:)

Originally Posted by LAJ (Post 19563904)

Ride a great TT, [MENTION=351576]Heathpack[/MENTION]!

Originally Posted by WhyFi (Post 19564001)

Somehow I made it through the entire day, yesterday, without bursting a bulging, pea-sized burn blister on my left pinky (magma-hot spaghetti sauce erupted from the pan). With a ride and yard work ahead of me today, though, the prospects aren't quite so good. Lance and band-aid, I'm thinking, but I'll give myself tea time to reconsider.

Originally Posted by seedsbelize (Post 19564049)

I've now searched the entire hotel, and have yet to find any coffee that compares favorably to McDonalds coffee. Sad.

Originally Posted by rpenmanparker (Post 19563984)

Actually I don't tell her that. I go and get it for her. Stupid I'm not.

Originally Posted by LesterOfPuppets (Post 19564100)

The coffee at our hotel is a half step above McD's coffee. Only about 4 blocks away from a cafe that offers primo single origin action, though!!!

Originally Posted by Heathpack (Post 19564220)

Nah. It won't rain.

http://i771.photobucket.com/albums/x...4F7329470B.jpg

Originally Posted by Heathpack (Post 19563740)

My first appointment yesterday was this terrible case. Retired lady with a 70 pound dog, acutely paralyzed in the hind legs 5 days prior. Her vet told her the dog needed emergency surgery right away, as did the second opinion vet who saw the dog and my receptionist when she called for an appointment. The lady insisted on waiting until my next available appointment and then when I look at the dog I say, "Yep, this was an emergency 5 days ago; now the prognosis is bleak and odds are your dog will never walk again, no matter what I do. You can take your chances with surgery, live with a paralyzed dog (but I can see the lady's gnarled hands, she must have rheumatoid arthritis, I don't think she can care for a 70 pound paralyzed dog) or you can put her to sleep." I hate doing low percent success rate surgeries and nudge a little toward euthanasia. But to my surprise, the lady goes for it. We all feel terrible for the dog, who is terrified and is now going to have a major surgery and we might not know the outcome for as long as six weeks. And we feel terrible for the lady who feels huge guilt over not getting the dog in sooner and we worry is maybe making a bad financial decision.

But no value judgements allowed, we do the surgery and it goes well.

Twenty two hours post op the lady comes in to visit the dog and she wags her tail. Hahaha that is so sweet because a tail wag is a voluntary movement for a dog. Which means technically she is no longer paralyzed. Her prognosis instantly goes from "probably will never walk again" to "almost certainly will walk again". Hot damn that was an ok moment today when I got the text from the doctor covering the case. We'll even probably bring it in under estimate, she might even be good enough to go home Sunday.

:)

Originally Posted by rpenmanparker (Post 19563984)

Actually I don't tell her that. I go and get it for her. Stupid I'm not.

Originally Posted by rpenmanparker (Post 19564060)

Just do it, you wussy. I always strip the blister off as soon as it forms. Neosporin (with lidocaine preferably) and a bandage. Good to go.