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Western 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 />

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

WESTERN NEWS<br />

Taking on the world<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 />

•From page 1<br />

It will see her travel<br />

to Japan, Netherlands,<br />

Poland, Estonia, Serbia and<br />

Austria.<br />

The tour will give Anna,<br />

of Halswell, the opportunity<br />

to be exposed to other<br />

international gymnasts<br />

and achieve qualifying<br />

marks to gain entry into<br />

the World Gymnastics<br />

Championships.<br />

She will also have the<br />

opportunity to compete<br />

in various competitions in<br />

Europe and represent New<br />

Zealand in the International<br />

Tournament Ritam<br />

Cup in Belgrade, Serbia.<br />

“I am travelling for five<br />

weeks so that is the longest<br />

I have travelled before. I<br />

think it should be a good<br />

experience, it is going to be<br />

different but I am excited,”<br />

she said.<br />

Anna, who attends<br />

Olympia Gymnastics<br />

Sports based in Hornby,<br />

was selected for the tour<br />

after taking part in a trial<br />

ran by the Gymnastics New<br />

Zealand recently.<br />

As part of the tour, 14<br />

gymnasts from Olympia<br />

including Anna will compete<br />

in the Shoin Cup in<br />

Osaka.<br />

But only Anna and<br />

Olympia gymnasts Paris<br />

Chin and Miyu Wadamori<br />

will travel on with<br />

coach Elena Mesheryakova<br />

to Europe.<br />

Anna has been training<br />

in rhythmic gymnastics<br />

since the age of six.<br />

Her gymnastics has already<br />

taken her overseas. In<br />

A love of dance for life<br />

CONTEMPORARY | BALLET | JAZZ | HIP HOP<br />

< Preschool to adults<br />

< Family discount<br />

< Avonhead<br />

Jadon Dance<br />

Jacqui Tieleman<br />

03 324 2227<br />

021 630 910<br />

jacs2u@scorch.co.nz<br />

< Very reasonable<br />

fees<br />

< Annual recital<br />

Donna Head<br />

03 351 2401<br />

021 0423 621<br />

donna.head@xtra.co.nz<br />

REACHING FOR<br />

THE STARS:<br />

Riccarton High<br />

School student<br />

Anna Taylor<br />

competing<br />

in the 2018<br />

New Zealand<br />

Gymnastics<br />

Championships<br />

held in<br />

Tauranga last<br />

year.<br />

2016 she represented New<br />

Zealand at the Junior Commonwealth<br />

Championships<br />

in Nambia.<br />

She wants to go the 2022<br />

Commonwealth Games<br />

and the World Gymnastics<br />

Championships.<br />

Anna is also a prefect<br />

at Riccarton High School<br />

and received the Prebble<br />

Trophy for sportswoman of<br />

the year last year.<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 />

McMaster & Heap

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