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4 Tuesday <strong>June</strong> <strong>11</strong> <strong>2019</strong><br />
Latest Christchurch news at www.star.kiwi<br />
News<br />
PEGASUS POST<br />
McMaster & Heap<br />
Veterinary practice<br />
MOOSE’S MISADVENTURE<br />
Meet Mr Moose, a 7 week<br />
old White Swiss Shepherd<br />
who our vet Kirsty saw<br />
on Saturday for anorexia,<br />
straining to defecate and<br />
vomiting for the past 24<br />
hours. Moose had Giardia<br />
as a wee puppy and<br />
was treated whilst at the<br />
breeders. On examination<br />
Moose was alert and<br />
interactive but extremely<br />
painful on palpation of<br />
the abdomen, hunching<br />
and crying when touched.<br />
Kirsty didn’t feel he was<br />
constipated. He was very lean and dehydrated.<br />
Being so young, Kirsty was concerned at<br />
his level of pain so he was admitted for<br />
Intravenous fluids, pain medications and xrays<br />
to determine the cause of his pain.<br />
Plain radiographs didn’t show much initially<br />
so we went straight into contrast studies,<br />
administering barium orally. The xrays looked<br />
pretty and we had a hunch he either had an<br />
intestinal foreign body, an intussusception<br />
or severe gastroenteritis. The pain relief we<br />
had administered<br />
hadn’t really settled<br />
him at all. His blood<br />
testing revealed<br />
an anemia and<br />
an inflammatory<br />
response.<br />
After close<br />
consultation<br />
with the owners,<br />
Kirsty felt it the<br />
right option to<br />
anaesthetise<br />
Moose and have<br />
a look inside to see what was going on. She<br />
didn’t feel he was improving and that it<br />
wouldn’t be right to wait another 24 hours.<br />
On surgical examination, Moose<br />
was diagnosed with a jejunojejunal<br />
intussusception – this is where an inflamed<br />
section of bowel has slipped inside another<br />
segment of bowel (prolapse), effectively<br />
obstructing and restricting the movement of<br />
ingesta through.<br />
This can happen<br />
in any part of the<br />
gastrointestinal<br />
tract. It is more<br />
common in<br />
younger animals<br />
and often occurs<br />
in association with<br />
a worm burden,<br />
recent diarrhoea,<br />
a foreign object<br />
in the gut, intense<br />
gastrointestinal<br />
contractions or<br />
recent bowel<br />
surgery. Moose did<br />
have Giardia as a<br />
young puppy and<br />
was treated for this.<br />
Gastrointestinal intussusceptions are<br />
serious with severe complications if not<br />
corrected surgically. These can be electrolyte<br />
imbalances, severe dehydration, death<br />
(necrosis) of bowel tissue due to constriction<br />
of the blood supply and severe toxaemia.<br />
Clinically these dogs present with bloody<br />
diarrhoea, straining to pass faeces, weight loss,<br />
occasional vomiting and loss of appetite.<br />
Luckily for “Moose” our vet Kirsty was onto it<br />
late on a Saturday afternoon. Waiting another<br />
24 hours for surgery<br />
could have been<br />
too late for Moose.<br />
Kirsty easily reduced<br />
the prolapsed<br />
bowel and<br />
checked the entire<br />
gastrointestinal<br />
tract for any other<br />
abnormalities.<br />
The bowel looked<br />
essentially healthy.<br />
Kirsty biopsied a<br />
piece of bowel<br />
tissue just in case there is an underlying cause<br />
as it why this occurred. We are still awaiting<br />
these results.<br />
Moose has recovered very well from his big<br />
ordeal. He needed to spend a few nights at<br />
our After Hours clinic for around the clock<br />
monitoring, basically due to him undergoing<br />
major surgery at only 13 weeks of age. He was<br />
discharged on pain medication, antibiotics<br />
and gut protectants. We are<br />
awaiting bowel biopsy and<br />
fecal testing results to see if a<br />
cause can be attributed to the<br />
intussusception. He’s back on<br />
his food, maintaining his weight<br />
and healing well. He’s simply<br />
adorable and very huggable.<br />
Well done Kirsty for another<br />
great surgical success. Steve<br />
and I are very proud of our staff,<br />
always going the extra mile<br />
for their patients, regardless if<br />
these patients are seen over a<br />
weekend or late at night.<br />
Dr Michele McMaster<br />
MESSAGE: Aranui’s Arwen Valks wants to publish a book that could help people<br />
with mental health struggles.<br />
PHOTO: MARTIN HUNTER<br />
Bid to self-publish book<br />
to help anxiety,<br />
depression sufferers<br />
• By Matt Slaughter<br />
ARWEN VALKS says<br />
no one should have to go<br />
through depression and<br />
anxiety alone.<br />
The Aranui resident has<br />
been through this herself<br />
and knows how hard<br />
things can get.<br />
Now, Mrs Valks wants to<br />
publish Rupert’s Black Dog,<br />
a book she has written<br />
for young people who are<br />
facing similar struggles, or<br />
might do in the future<br />
A Givealittle page she<br />
started has already raised<br />
$1656.<br />
Mrs Valks wants to<br />
raise $5000 at least, which<br />
would publish about 250<br />
books, but said the more<br />
she raised the more people<br />
the book would be able to<br />
help.<br />
She said the story followed<br />
a young boy who<br />
discovers his anxiety and<br />
depression through talking<br />
to a black dog and learns<br />
how to deal with it and<br />
share what he is feeling<br />
with others.<br />
Mrs Valks said she felt<br />
the message of the book<br />
would be of value to both<br />
young people with mental<br />
health problems and their<br />
parents.<br />
“There are way too many<br />
precious, amazing, beautiful<br />
little people who can’t<br />
see that about themselves<br />
and who get stuck in this<br />
cloud and think their only<br />
way out is to call time out<br />
on themselves and it’s just<br />
heartbreaking and it’s<br />
completely unnecessary.”<br />
Part of her inspiration<br />
for writing the book was<br />
the mental health struggles<br />
she went through after the<br />
birth of her 19-month-old<br />
daughter Zuri.<br />
Mrs Valks said if her experience<br />
with anxiety and<br />
depression since she was<br />
a child, which had shaped<br />
some of the themes of the<br />
book, could help others she<br />
would have done her job.<br />
“If me going through<br />
all of this and writing this<br />
book makes things better<br />
for half a dozen people,<br />
then it’s worth it. “<br />
Mrs Valks said she had<br />
sent Rupert’s Black Dog to<br />
some publishers, but nothing<br />
had come of this yet.<br />
Her decision to fundraise<br />
and self-publish was<br />
because she wanted to get<br />
the book out and start<br />
helping people as soon as<br />
possible.<br />
The dog in the story was<br />
named after her friend<br />
Rupert Hill-Hayr, who illustrated<br />
the book for free.<br />
The Givealittle page<br />
for the book closes at the<br />
end of this month and<br />
Mrs Valks said every<br />
contribution would help.<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