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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