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05-06-2013, 07:49 PM | #1 |
Yorkie Talker Join Date: May 2013 Location: New York, NY
Posts: 14
| Looking for Medical Expert Hello. I am new to this site. One of my two very beloved yorkies recently and very tragically passed away, right after an ameroid costrictor placement surgery to correct an extrahepatic portosystemic shunt. I won't go into too much detail, but the cause of death does not involve the normal complications associated with this type of surgery. I am wondering whether anyone knows of a veterinary/medical expert able to read through the records (including the necropsy) to help sort out the actual cause of death because it still remains a mistery. Thank you very much. Jessica |
Welcome Guest! | |
05-07-2013, 04:59 AM | #2 |
Furbutts = LOVE Donating Member Moderator | I'm so very sorry for your loss . I don't know who you might get in touch with, but I know many members here are very familiar with shunts and may know who to refer you to. Best of luck.
__________________ ~ A friend told me I was delusional. I nearly fell off my unicorn. ~ °¨¨¨°ºOº°¨¨¨° Ann | Pfeiffer | Marcel Verdel Purcell | Wylie | Artie °¨¨¨°ºOº°¨¨¨° |
05-07-2013, 05:11 AM | #3 |
Donating YT 500 Club Member | I am so sorry for the loss of your baby. My thoughts and prayers are with you. I have no experience with shunts. I'm sure those who do will be along shortly to help you. I hope you find the answer you need. Take care.
__________________ Steph & Jasper |
05-07-2013, 05:11 AM | #4 | |
Donating YT 3000 Club Member Join Date: Dec 2011 Location: USA
Posts: 7,652
| Quote:
I endured an absolutely crazy situation with a vet many years ago and retained an attorney. This vet was eventually censured but little else happened.
__________________ The Above advice/comments/reviews are my personal opinions based on my own experience/education/investigation and research and you can take them any way you want to......Or NOT!!! | |
05-07-2013, 05:53 AM | #5 |
Yorkie Talker Join Date: May 2013 Location: New York, NY
Posts: 14
| Thank you! Thanks for the kind words and suggestions. Toby (my little guy) was the most loving sweet charming little being, and he filled our lives with joy. I am not comfortable with what's happened, especially as it is not clear. I have medical records (most, though I have had to hound the hospital for them, still waiting for more) and the autopsy report. I'd like to have an unbiased opinion from an expert, and I am of course considering what next steps to take. I appreciate any recommendations. Thanks again!! |
05-07-2013, 07:15 AM | #6 | |
YT 3000 Club Member Join Date: Apr 2013 Location: Urbana, IL USA
Posts: 3,648
| Quote:
Office of Veterinary Resources | |
05-07-2013, 07:28 AM | #7 |
Yorkie Yakker Join Date: Apr 2013 Location: Calgary
Posts: 66
| So sorry for your loss. You are Toby's voice and I am glad that you are trying to figure things out. Its what I would do as well. I have no idea who you would contact, but I hope others can give you advice. |
05-07-2013, 07:31 AM | #8 |
♥ Love My Tibbe! ♥ Donating Member Join Date: Feb 2011 Location: D/FW, Texas
Posts: 22,140
| Can you redact them for privacy and post the records on Facebook and ask for unbiased veterinary opinions from all who have great experience in this? There are so many very knowledgeable people in this area on YT that may not see this thread and respond or not and I imagine the same types are on Facebook as well. Also, you can look up each and every term in the veterinary medical dictionaries online and read the reports so repeatedly, look up meanings online and look up illustrations online, and repeat it so much you can finally figure a great deal of it out.
__________________ Jeanie and Tibbe One must do the best one can. You may get some marks for a very imperfect answer: you will certainly get none for leaving the question alone. C. S. Lewis |
05-07-2013, 07:31 AM | #9 |
Rosehill Yorkies Donating YT Member Join Date: Dec 2007 Location: Houston Texas
Posts: 9,462
| Dr Tobias from the University of Tenn. is the benchmark person for liver shunt surgery, with years and years of research and training other surgeons how to do the procedure .....she is so very helpful with babies and this condition and how it is treated....you could contact them and tell them your issue and possibly they would look over records and offer some assistance. It is very difficult, as you know, to get doctors to speak against another docs practice.....I am not sure how vets feel about doing this....it may be best to retain an attorney, and let THEM contact Dr.Tobias, like an expert witness status....... |
05-07-2013, 07:43 AM | #10 | |
YT 3000 Club Member Join Date: Apr 2013 Location: Urbana, IL USA
Posts: 3,648
| Quote:
PLEASE NOTE: Dr. Tobias only replies to emails from veterinarians The University of Tennessee College of Veterinary Medicine - Liver Shunt Research Faculty | |
05-07-2013, 07:45 AM | #11 |
Yorkie Talker Join Date: May 2013 Location: New York, NY
Posts: 14
| Thank you ALL! It is heartwarming to get your responses. I did contact U. of Tenn. before deciding to have the surgery in NY with a prominent expert here. They all know each other, but I will try. I will also try NYU. Toby 'developed' a pneumothorax in surgery for unknown reasons, and the most viable hypothesis I got so far is that his lung(s) were 'nicked' in surgery. How I regret.... Thanks again to you all. |
05-07-2013, 07:45 AM | #12 |
YT 3000 Club Member Join Date: Apr 2013 Location: Urbana, IL USA
Posts: 3,648
| More info on liver shunts from the University of Tennessee: http://www.vet.utk.edu/clinical/sacs...NAL-201304.pdf |
05-07-2013, 08:17 AM | #13 |
♥ Love My Tibbe! ♥ Donating Member Join Date: Feb 2011 Location: D/FW, Texas
Posts: 22,140
| The only time I ever saw a human patient with a pneumo in a practice was when a doctor accidentally stuck the upper lobe of the lung doing a cervical trigger-point injection lower down in the upper back. It was pretty bad to see. I know it can happen spontaneously but when it happens during liver-shunt surgery, it is likely from a nick. I hope you get some expert help. Did the surgeon tell you what caused the death and/or the pneumo himself? Did he/she own it?
__________________ Jeanie and Tibbe One must do the best one can. You may get some marks for a very imperfect answer: you will certainly get none for leaving the question alone. C. S. Lewis |
05-07-2013, 08:29 AM | #14 | |
YT 3000 Club Member Join Date: Apr 2013 Location: Urbana, IL USA
Posts: 3,648
| Quote:
"Medical procedures, such as the insertion of a central venous catheter into one of the chest veins or the taking of biopsy samples from lung tissue, may lead to pneumothorax. The administration of positive pressure ventilation, either mechanical ventilation or non-invasive ventilation, can result in barotrauma (pressure-related injury) leading to a pneumothorax." (from Wikipedia article on pneumothorax) | |
05-07-2013, 08:40 AM | #15 | |
♥ Love My Tibbe! ♥ Donating Member Join Date: Feb 2011 Location: D/FW, Texas
Posts: 22,140
| Quote:
__________________ Jeanie and Tibbe One must do the best one can. You may get some marks for a very imperfect answer: you will certainly get none for leaving the question alone. C. S. Lewis Last edited by yorkietalkjilly; 05-07-2013 at 08:42 AM. | |
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