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Pegasus Post: June 28, 2016

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4<br />

Tuesday <strong>June</strong> <strong>28</strong> <strong>2016</strong><br />

PEGASUS POST<br />

Your Local Views<br />

Side-line hecklers<br />

McMaster & Heap<br />

Veterinary practice<br />

BLOOD SAVES LIVES<br />

Steve Heap, at<br />

McMaster & Heap,<br />

has recently<br />

performed 2 blood<br />

transfusions in 5<br />

days on young<br />

dogs at the<br />

Practice, both cases<br />

in his own time.<br />

This procedure<br />

isn’t common<br />

practice but when<br />

you have a patient presented pale,<br />

collapsed and bleeding out essentially, you<br />

have to be geared up to immediately transfuse.<br />

You also need a capable skilled team around<br />

you as this isn’t a one person<br />

job as you’ll see below. A blood<br />

transfused patient needs to be<br />

intensively monitored by a nurse to<br />

make sure we don’t get transfusion<br />

reactions ( ie tremors, vomiting,<br />

labored breathing, swelling and skin<br />

reactions, seizures, coma or cardiac<br />

arrest). The important things are<br />

having a team capable of performing<br />

the transfusion and closely<br />

monitoring the patient for reactions.<br />

“Poppy” the Hungarian Visla made<br />

a full recovery after her near death<br />

experience of ingesting rat bait.<br />

“Bella” the Airedale unfortunately<br />

wasn’t so lucky. She initially improved,<br />

but after a few weeks of intensive care<br />

and huge amounts of love, was very sadly put<br />

to sleep after complications with her kidneys.<br />

This article is specially dedicated to Bella.<br />

Obviously both cases required blood fast.<br />

A dog can take another dogs blood ONCE<br />

without being cross matched to check blood<br />

type. We obtained 500mls of blood and 200mls<br />

of plasma for Bella from the After Hours clinic<br />

on a Sunday and Steve obtained 400mls of<br />

blood from Clive, a German Short haired<br />

pointer, for Poppy. We have the transfusion<br />

bags and filters at work and the blood is<br />

delivered slowly via IVF pumps over 2-3 hours.<br />

A vet must sit with the patient the entire time<br />

and monitor vitals. The blood is delivered via<br />

large bore catheter into the cephalic vein. Both<br />

dogs accepted the procedure<br />

well – admittedly both<br />

were very ill.<br />

Having blood readily<br />

available is helpful. We<br />

didn’t but luckily were<br />

able to source it fast. In<br />

the past I’ve used Lola<br />

for obtaining blood<br />

from but since she’s had<br />

cancer and received<br />

chemotherapy, she now<br />

isn’t a suitable candidate.<br />

Six year old Bella presented initially for<br />

unexplained bleeding from her bowel. After<br />

a lengthy work up involving blood testing,<br />

radiographs, abdominal ultrasound, bladder<br />

catheterization and intensive care monitoring,<br />

she deteriorated quickly and needed a blood<br />

transfusion in the hope it would save her<br />

life. She was losing large amounts of blood<br />

from her urinary system and large bowel. Her<br />

kidneys were failing, she was depressed and<br />

inappetant. Despite intravenous fluids and<br />

over 10 different medications she was still<br />

deteriorating. We still don’t really know what<br />

caused the huge blood loss but the transfusion<br />

initially helped, providing her with clotting<br />

factors, blood and an immune system to fight<br />

whatever was going on.<br />

Open 7 days<br />

Cnr Hoon Hay & Coppell place<br />

phone 338 2534, Fax 339 8624<br />

e. mcmasterandheap@yahoo.co.nz<br />

www.mcmasterheap.co.nz<br />

Poppy, the 14 month old Visla, knibbled on<br />

RAT BAIT 3 days before presenting near death.<br />

This poison destroys platelets and coagulation<br />

factors and causes their victims to bleed to<br />

death because they can’t clot blood. Within<br />

hours Poppy would have died due to blood<br />

loss into her chest, preventing oxygenation and<br />

ventilation. She presented collapsed, was as<br />

white as a sheet and in total respiratory distress<br />

– she couldn’t breathe at all. Our amazing<br />

team moved quickly, calling in Steve and Kirsty<br />

who worked together over 4 hours – Kirsty<br />

draining the blood from her chest ( the blood<br />

was around her lungs) and Steve transfusing<br />

her with Clive’s blood. She was monitored by<br />

two nurses throughout<br />

the procedure.<br />

Her recovery was<br />

instantaneous – after<br />

being transfused she<br />

basically leapt into the<br />

back of the car, totally<br />

transformed. She was<br />

monitored carefully<br />

at the After Hours<br />

clinic that evening<br />

and returned to us the<br />

next day.<br />

These two cases<br />

highlight to me the<br />

need for speed and<br />

urgency in seeing<br />

these cases ( whether<br />

it be late at night or over a weekend),<br />

dedication to our patients, commitment to our<br />

clients and skilled and passionate professionals<br />

prepared to go the extra mile. Our nurse took<br />

the call from Poppy’s owner seriously, late on<br />

a Thursday night when we were getting ready<br />

to close. At that stage we had no idea Poppy<br />

had ingested rat bait. She was just quiet and<br />

very lethargic. Not the norm for a 14 month<br />

old Visla! Our nurse also asked the colour of<br />

Poppy’s gums and was told they were white!!<br />

This raised alarm bells. Our consulting vet that<br />

night was fully booked until 7pm so our nurse<br />

called Steve, who immediately responded to<br />

the call.<br />

A special mention must be made to the<br />

dedicated clients who trusted in us and<br />

allowed us a chance at saving their dogs by<br />

giving blood, which in itself isn’t without risks.<br />

When we undertake a transfusion, we have<br />

no real idea of outcome but we all do our very<br />

best. Our patients all deserve a chance.<br />

Dr Michele McMaster<br />

This is specially dedicated to “Bella” who<br />

was so stoic and fought so hard to make a<br />

full recovery. She was a patient I’ll never<br />

forget. No matter how sick she felt, she<br />

always had a tail wag for me. She was<br />

kind, trusting of us all and brave until the<br />

end. Not being able to pull her though<br />

affected us all. RIP dear Bella. You are<br />

never forgotton.<br />

McMaster & Heap<br />

New Zealand<br />

Rugby<br />

League<br />

general<br />

manager<br />

Steve Martin<br />

says over the<br />

top fans can ruin the<br />

experience for others<br />

at sports matches.<br />

Poor side-line behaviour<br />

is the scourge of every<br />

sport at the moment. From<br />

over enthusiastic parents<br />

to outright referee abusers,<br />

the problem of people<br />

going over the top in their<br />

reaction to the game they<br />

are watching is rife.<br />

Rugby league, like all<br />

other sports, is taking a<br />

stand against this negative<br />

behaviour.<br />

After all, this is a game.<br />

Referees are human,<br />

coaches are volunteers,<br />

players are there to play,<br />

and supporters to support.<br />

It is easy to lose sight of<br />

these things when passionately<br />

becoming involved in<br />

being a supporter.<br />

While sports has a<br />

responsibility to work to<br />

stamp out this behaviour<br />

and to promote positive<br />

behaviour, ultimately<br />

the power and the opportunity<br />

lies with those<br />

who are there at the time<br />

incidents of poor behaviour<br />

occur.<br />

Confronting what is<br />

acknowledged as poor<br />

side-line behaviour is not<br />

an easy task given the<br />

intensity with which the<br />

perpetrators of such behaviour<br />

show.<br />

However, if we all make<br />

an effort to marginalise the<br />

minority who exhibit poor<br />

behaviour, it can make<br />

a difference and there is<br />

strength in numbers.<br />

For those of us who forget<br />

or are unaware of how<br />

we behave, we need to replace<br />

our negative actions<br />

with positive – praise the<br />

players from both teams,<br />

applaud good play, make<br />

encouraging comments,<br />

thank the referees after the<br />

game for giving their time<br />

to ensure that the game<br />

was actually played. And<br />

above all, ‘be a sport – support’.<br />

BAD FORM: New<br />

Zealand rugby<br />

league is taking a<br />

stand against poor<br />

side-line behaviour.<br />

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