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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 />
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Jacqui Tieleman<br />
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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