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Nor'West News: March 19, 2019

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4 Tuesday <strong>March</strong> <strong>19</strong> 20<strong>19</strong><br />

Latest Christchurch news at www.star.kiwi<br />

NOR’WEST NEWS<br />

<strong>News</strong><br />

Mariu bowls former<br />

McMaster & Heap<br />

Veterinary practice<br />

A PATIENT WITH A BIG HEART<br />

Meet “Lucy”, a courageous 3 year old Staffy<br />

cross who in the past 6 weeks has overcome<br />

many hurdles, but still has a wee way to go.<br />

I first met Lucy at the end of January as a<br />

second opinion. She had been intermittently<br />

unwell for the past month with swallowing<br />

difficulties, coughing, lethargy , pain and<br />

intermittent extremely high temperatures. A<br />

weird clinical picture. She had short courses<br />

of antibiotics and anti inflamatories but still<br />

appeared painful and lethargic and was<br />

deteriorating.<br />

When I first met Lucy, her painfulness struck<br />

me first. I see many uncomfortable patients,<br />

but Lucy was different. She never verbalized<br />

her pain but she was<br />

incredibly tucked up in<br />

the abdomen, walking<br />

slowly and stilted and her<br />

face wore all the pain. She<br />

was brave and lovely to<br />

treat but it was horrible<br />

for me to see her in that<br />

much pain. She was<br />

admitted for a full blood<br />

work up, sufficient pain<br />

medications, intravenous<br />

fluids and xrays..<br />

We got no conclusive<br />

results back from Day 1.<br />

On paper she appeared<br />

healthy but she clearly<br />

wasn’t. Next step was an<br />

ultrasound with Catherine.<br />

Large abdominal lymph nodes measuring up<br />

to 7 cm long were seen dotted throughout.<br />

Catherine wasn’t sure if we may have a<br />

migrating foreign body so it was decided to<br />

open Lucy up. Again no conclusive results<br />

after her exploratory. Kirsty biopsied her<br />

enlarged lymph nodes as a cancerous process<br />

was a possibility. Again we drew blanks as the<br />

lymph node pathology was normal.<br />

Despite our best diagnostic efforts to<br />

find a cause for her unexplained pain and<br />

lethargy, we just had no answers. We were<br />

unsuccessfully managing her pain despite<br />

a myriad of treatment medications. It was<br />

worrying and what was worse was that Lucy<br />

was getting weaker in her hindquarters,<br />

struggling to walk or support her weight.<br />

A contrast CT scan At Pacific Radiology<br />

under sedation was the next diagnostic<br />

tool employed. I was very worried about<br />

spinal cord compression or other diseases<br />

affecting the disc spaces and vertebral bodies.<br />

Interesting findings were seen. Lucy had<br />

large granulomatous masses underneath<br />

a few lumbar vertebrae no doubt causing<br />

compression on her spinal cord, a contributor<br />

to her paralysis. Her vertebral bodies also<br />

looked diseased. Many huge intra-abdominal<br />

lymph nodes were also seen. The scanner<br />

likened it to findings you would see with<br />

Tuberculosis in a person. We also weren’t<br />

expecting her to develop a large pus filled<br />

abscess over her lumbar back that required<br />

surgical draining.<br />

Interestingly Lucy had killed 2 possums a few<br />

months back but after specialized diagnostic<br />

testing for TB on<br />

tissue samples<br />

taken we came up<br />

with blanks. Also<br />

TB hasn’t yet been<br />

isolated in possums<br />

in the Canterbury<br />

area although we<br />

did have her on<br />

TB medication for<br />

several weeks.<br />

As you can see this<br />

case is still providing<br />

challenges for us.<br />

Lucy has since<br />

had more surgery,<br />

ultrasounds, blood<br />

testing and referral<br />

consultations with specialists to try to get a<br />

handle on what caused her pain, CT findings<br />

and paralysis. Our best guess is an inhaled,<br />

migratory Foreign body like a grass seed, that<br />

traveled to beneath her spine somehow. No<br />

other disease process has been found.<br />

The UP side to this story is how Lucy<br />

is handling her immobility and all the<br />

medications she has to consume 2-3 times<br />

daily. She is a terrific dog that has just adapted<br />

to life without walking. She has a ravenous<br />

appetite, appears pain free and happier now<br />

and even wags her tail and twitches and<br />

withdraws her hindlegs. Her improvement is<br />

slow but I guess any disease involving spinal<br />

cord injury takes time to heal. She hasn’t given<br />

up and her dedicated owner hasn’t given up<br />

hope either. Margaret has changed her whole<br />

life this past month to give Lucy the chance to<br />

recover – working from home, learning how<br />

to drain a urinary catheter, managing her care<br />

in terms of massage, reiki, getting her into a<br />

wheelchair – not an easy task when you are<br />

dealing with a 30 kg dog! Amazingly Margaret<br />

has managed all her care from home, which<br />

is better than caged hospital care for Lucy at<br />

this stage.<br />

We all love Lucy at the clinic. We often do<br />

our clinical exams and treatments from the<br />

boot of Margarets car to avoid tiring Lucy.<br />

Our nurses have been patient and gentle to<br />

Lucy and Lucy responds positively to us. We<br />

are ALL hoping and praying for a full recovery.<br />

Follow us on FB to see Lucy’s progress.<br />

Dr Michele McMaster<br />

Black Cap for 99<br />

• By Gordon Findlater<br />

ST ANDREW’S College<br />

batsman Rhys Mariu<br />

showed former Black Cap<br />

Hamish Marshall he’s no<br />

mug with the ball either<br />

when he clean bowled<br />

him middle stump in<br />

Wellington.<br />

Mariu, 17, was the<br />

lone Christchurch player<br />

selected in the first<br />

ever Maori Schoolboys<br />

team which played the<br />

Governor General’s XI at<br />

Karori Park.<br />

Marshall, 40, turned<br />

back the clock and reached<br />

a half century off 36 deliveries.<br />

He continued his batting<br />

onslaught, hitting the<br />

Maori Schoolboys bowlers<br />

around the park, looking<br />

a shoe-in for a deserved<br />

tonne. However, the legspinner<br />

Mariu foiled his<br />

plans, dismissing him for<br />

99. Marshall played 13<br />

tests and 66 one-day-international<br />

for New Zealand<br />

between 2000 and 2007.<br />

Mariu finished with<br />

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bowling figures of 10 over,<br />

for one wicket at 59 runs.<br />

He then opened the<br />

batting for the Maori<br />

Schoolboys scoring 36<br />

from 42 deliveries before<br />

being caught behind off<br />

the bowling of former<br />

Auckland domestic rep<br />

Jono Sole for 36.<br />

After being set 315<br />

SCALP:<br />

Hamish<br />

Marshall<br />

scored 1454<br />

one-dayinternational<br />

runs for the<br />

Black Caps,<br />

but only 99<br />

against St<br />

Andrew’s<br />

College<br />

student Rhys<br />

Mariu.<br />

runs to win the Maori<br />

Schoolboys fell just eight<br />

runs short after batting out<br />

their 50 overs. Next month<br />

Mariu will join fellow<br />

Canterbury players Nick<br />

Lidstone, Angus Sidey<br />

and Jesse Frew in the New<br />

Zealand under-<strong>19</strong> team’s<br />

tour of Bangladesh.<br />

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