End of the week, time for sleep (Day 576)

Today’s Diary Entry is sponsored by Pet Webinars

I really am exhausted now, today I just have a general surgery lecture and tons of catching up on reading that I missed last week whilst I was away! I also need to go in twice today to do my wound cleaning on my rabbit patient. The wound is looking great and there is loads of eating, drinking and pooping as well so for the moment I am very happy. I think I will be removing the drain on Monday as well!

Buffy the Rabbit

When I am exhausted and get a moment I like to just sit down and relax, and one of my favourite places to do this is with the horses. So I was sitting here when I was asked if I could monitor a short anaesthetic for the removal of a growth from a dogs lip. Now the pulse-ox had flat batteries so I basically became the all in one monitoring machine so the doctor could concentrate on the surgery. This surgery went perfect and the patient was awake and walking out just a short  30 minutes later.

Now I intend to get some sleep!

Going back to rabbit surgery… When it gets bloody (Day 574)

Today’s Diary entry is sponsored by Pet Hooligans

Well today I am exhausted, the travel is catching up with me as I’ve not a chance to sleep properly yet with early classes both days. Today has been a rectors day which is when classes are cancelled because of the student conference where students present their research. Most of this is in Slovak so is simply not accessible to me so I decided to make it a clinic day instead.

My day started with restraining rabbits for blood samples which left me with massive scratches up my arm. After this we had a kestrel brought in by a member of the public that had found it, because it was shown symptoms we decided to do a blood test to look for West Nile Virus which is becoming a growing problem in birds here.

Rescue Kestrel with suspected West Nile Virus

I then did the autopsy of a rat that had died after a femoral artery anastomosis, I was looking at the surgical site and possible signs of thrombus (a clot moving to other parts of the body).

I then went to take the sutures out of the rabbit that became my surgical patient last week, and found that there had been wound breakdown which hadn’t been noted whilst I was away. For some reason here every single electronic device I have got a flat battery however I took the rabbit back into surgery to do a further skin resection.

Now although theoretically a simpler surgery it got a lot more interesting when I cut and the rabbit started to bleed. I know the theory around haemostasis (control of bleeding) yet this was the first time I needed to do so. My mouth went dry, my heart started racing and I was worried for a moment even though I knew there were no major vessels in the area I was cutting. I got the bleeding under control and then continued, another lesson learned and instantly more cautious about what I was cutting.

Finishing the up the resection I removed a lemon shaped section of tissue nearly 3cm wide, so with such a large hole considered my options for closing the skin. In this case I decided to place subcutaneous sutures between the skin and muscle layer to relieve tension before I then closed the incision with simple interrupted sutures. I have to say that my suturing is getting a lot better and faster, the suture line was evenly spaced, skin had good opposition and my tails were short.

I also decided to place a drain fashioned from a latex glove exiting through a opening below my suture line because of the amount of dead space. I’ve now got the next 10 days of post-op care twice daily to ensure that this wound heals correctly…

When cheap travel becomes expensive… (Day 572)

Today’s Diary Entry is sponsored by Best Pet Hair Remover

Well today I woke up in Birmingham at 2am, left Birmingham to goto Luton Airport at 3am and finally got home to Slovakia at midnight.

When I booked my flights I looked for the cheapest out of the options that were available to me. There are 3 airports in this part of the world: Kosice, Budapest and Debrecen and for some reason Debrecen was the cheapest option for the flights. We were expecting to be able to drive straight to the airport however my friend had problems with the car so instead we were forced onto trains.

Now landing in Debrecen I was happy to be back as I was greeted with 24 degree weather and amazing sun straight off the plane in contrast to the pouring rain I had left behind in Luton.Landing back in Eastern EuropeNow this then turned into a 3 hour train journey to Budapest to be able to get a connection back to Kosice…

So fast forward to a little after 7pm when we are finally on the train back to Kosice, ticket inspector comes around and basically says that there are planned engineering works and the journey will take an hour longer than usual… So instead of arriving back to Kosice at 10pm it will be closer to 11pm.

Next time I think I will pay the extra 50 euros to fly direct to Kosice….