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11-17-2010, 09:45 AM | #1 |
YT 500 Club Member Join Date: May 2010 Location: the good 'ol South
Posts: 683
| Need advice RE: spay Just got back from the vet discussing having Lulu spayed. I feel good about the vet's office I am using. They took a lot of time with me this morning & didn't make me feel silly for being so concerned about this. Anyway, They gave me some "optional" things that I want input on. 1.pre-op bloodwork I know pre-op bloodwork is a must. I had already planned on having it done. What I need advice about is which blood work to have done. I have been given 2 choices...vet said either is sufficient as pre-surgery bloodwork. Here's my choices: PCV & Chemistry 10 panel $54.00 OR Chem 17, ElectroLytes & CBC (said this was very comprehensive) $109.50 2. IV Fluids I'm thinking this would be good. She will have been fasting since before 10pm the day before. I'm pretty sure I'll be doing this. $39.50 3. Laser surgery I'm not familiar enough with this to know if it's worth the extra cost. $65.50 As I stated, I KNOW the pre-op bloodwork is necessary & I WILL be doing it, I just don't know which one to choose. Thanks for the help! ETA: I also need suggestions for onesie type things to use instead of the E-Collar.
__________________ Jenn & Lulu Last edited by JDS; 11-17-2010 at 09:47 AM. Reason: forgot something |
Welcome Guest! | |
11-17-2010, 10:39 AM | #2 |
Yorkie Yakker Join Date: Jan 2009 Location: St. Charles, MO
Posts: 36
| I think I would definitely find out more about the laser option. I hadn't heard of it till now. If it cuts down of the actual cutting it's worth whatever it costs. Annie came through her surgery with flying colors, but it still almost killed us to see her laying there with those stitches in her wee stomach. I don't know about anyone else, but I can't stand the thought of my little princess even being inconvienienced, much less hurt. If that sounds silly, I don't really care. |
11-17-2010, 10:42 AM | #3 |
Donating Senior Yorkie Talker | Well -- laser surgery can cut down on the incisions and post-op pain, but it must be done by an expert as they can't see what they're working on as well as when the abdomen is opened up. Gross -- but there it is. I would find out how much experience the vet has with laser surgery and his success rate before I make any decisions. |
11-17-2010, 10:48 AM | #4 |
YT 500 Club Member Join Date: May 2010 Location: the good 'ol South
Posts: 683
| Thanks. I've been reading about the laser surgery & I keep reading that there's no stitches...I was told she will still have stitches, so I am confused.
__________________ Jenn & Lulu |
11-17-2010, 11:17 AM | #5 |
Donating YT 4000 Club Member | Blood work- PCV stands for packed cell volume. It gives a view of whether or not the pet is anemic or dehydrated. The CBC, on the other hand, covers that, plus looks at the number and type of white blood cells that indicate infection. I'm having a hard time finding what the other 3 tests are in the Chem 10 panel. The only way I can get it up to 10 is if they include the ALT, AST and ALP for liver function. the norm (in people) is a Chem 7 (Basic Metabolic Panel) which tests: Glucose Calcium Both increased and decreased levels can be significant. Electrolytes Sodium Potassium CO2 (carbon dioxide, bicarbonate) Chloride The concentrations of sodium and potassium are tightly regulated by the body as is the balance between the four molecules. Electrolyte (and acid-base) imbalances can be present with a wide variety of acute and chronic illnesses. Chloride and CO2 tests are rarely ordered by themselves. Kidney Tests BUN (blood urea nitrogen) Creatinine BUN and creatinine are waste products filtered out of the blood by the kidneys. Increased concentrations in the blood may indicate a temporary or chronic decrease in kidney function. When not ordered as part of the BMP, they are still usually ordered together. The only way I can get it up to 10 is if they include the ALT, AST and ALP for liver function. The comprehenisive metabolic panel covers: Glucose Calcium Both increased and decreased levels can be significant. Proteins Albumin Total Protein Albumin, a small protein produced in the liver, is the major protein in serum. Total protein measures albumin as well as all other proteins in serum. Both increases and decreases in these test results can be significant. Electrolytes Sodium Potassium CO2 (carbon dioxide, bicarbonate) Chloride The concentrations of sodium and potassium are tightly regulated by the body as is the balance between the four molecules. Electrolyte (and acid-base) imbalances can be present with a wide variety of acute and chronic illnesses. Chloride and CO2 tests are rarely ordered by themselves. Kidney Tests BUN (blood urea nitrogen) Creatinine BUN and creatinine are waste products filtered out of the blood by the kidneys. Increased concentrations in the blood may indicate a temporary or chronic decrease in kidney function. When not ordered as part of the CMP, they are still usually ordered together. Liver Tests ALP (alkaline phosphatase) ALT (alanine amino transferase, also called SGPT) AST (aspartate amino transferase, also called SGOT) Bilirubin ALP, ALT, and AST are enzymes found in the liver and other tissues. Bilirubin is a waste product produced by the liver as it breaks down and recycles aged red blood cells. All can be found in elevated concentrations in the blood with liver disease or dysfunction. http://www.labtestsonline.org/understanding/analytes/cmp/glance.html As for the laser surgery- my understanding is that there is still the normal abdominal incision and then the laser is utilized internally (could be wrong).
__________________ Don't get your knickers in a knot. Nothing is solved and it just makes you walk funny. |
11-17-2010, 11:18 AM | #6 |
YT 1000 Club Member Join Date: Jun 2010 Location: Merritt Island,FL
Posts: 1,400
| Ziva had regular spay surgery but I requested glued incision instead (my wheaten ripped hers out, was restapled and went for them the 3rd time!They kept her confined/medicated for 2 days) Ziva never touched her incision and you cannot even find it- we used newborn onesies from yardsale they fit fine (less than 6 lbs at that time) |
11-17-2010, 11:33 AM | #7 | |
YT 500 Club Member Join Date: May 2010 Location: the good 'ol South
Posts: 683
| Quote:
Regarding laser surgery, that would make sense as to why she would still have stitches. I think I'm gonna call them to get more information about it. Again, I want to do what is best for my baby no matter what it costs.
__________________ Jenn & Lulu | |
11-17-2010, 11:36 AM | #8 | |
YT 500 Club Member Join Date: May 2010 Location: the good 'ol South
Posts: 683
| Quote:
__________________ Jenn & Lulu | |
11-17-2010, 11:39 AM | #9 |
YT 500 Club Member Join Date: May 2010 Location: the good 'ol South
Posts: 683
| Okay, just got off phone with vet's office. With the laser, they will still cut her tummy open with a scalpel & she will still have stitches. They use the laser on the inside only...benefits are supposed to be less bleeding, less swelling, & shorter recovery time. Options are great, but sometimes they can be agonizing! LOL! I just want to choose the RIGHT thing for my baby.
__________________ Jenn & Lulu |
11-17-2010, 11:46 AM | #10 |
YT 1000 Club Member Join Date: Jun 2010 Location: Merritt Island,FL
Posts: 1,400
| Ziva was only in the onsies for a few days as she didn't bother the incision, I just unsnapped and rolled it up when she pottied.(we had 4 for $1!) We picked her up late afternoon and she was really out of it. We hand fed her soaked kibble, gave her some pain pills and she pretty much slept thru the next day, just waking drinking,handfeeding and potty. My daughter was with me to help, we quit giving her the pills as she seemed more wacked out with them then she needed.She didn't move around a lot...Last time we have seen her like that!(she is a hyper, busy little dog) |
11-17-2010, 11:49 AM | #11 |
Donating YT 2000 Club Member Join Date: Sep 2007 Location: North Carolina
Posts: 8,317
| Have you seen this stickie? It's a must read for anyone whose dog is going under anesthesia. http://www.yorkietalk.com/forums/yor...-protocol.html |
11-17-2010, 11:50 AM | #12 |
And Rylee Finnegan Donating Member Join Date: Apr 2007 Location: Metro Detroit, MI
Posts: 17,928
| $100 blood work. IV fluids (shouldn't really even be an option). Laser or not: Whatever the vet is most comfortable doing. For me, the way the surgery is done is the surgeon's choice. Ask for the safest way. If they say they are equally as safe, then obviously go for the less painful one.
__________________ Crystal, Ellie May (RIP), Rylee Finnegan, and Gracie Boo🐶 |
11-17-2010, 12:00 PM | #13 |
www.yorkierescue.com Donating Member Join Date: May 2009 Location: Las Vegas & Orange County
Posts: 17,408
| I would go for the $100 bloodwork as well. Esp if you've never had bloodwork done on her. As for the onesies, I got one at Walmart for $3, they have a bunch of holiday themed ones. Get the newborn size if she is around 5-6 lbs. If she is smaller you'll have to find the preemie size, which they didn't have in the holiday section. Put it on backwards so the picture on the chest (on a human baby) is on your yorkie's back. And get them where they're slightly loose. (thanks dvlshangel for the info yesterday!) The IVs I thought they always used that during all surgeries?
__________________ The T.U.B. Pack! Toto, Uni, & Bindi RIP Lord Scrappington Montgomery McLimpybottom aka El Lenguo the Handicapped Ninja 10-12-12 |
11-17-2010, 12:11 PM | #14 |
YT 500 Club Member Join Date: May 2010 Location: the good 'ol South
Posts: 683
| Thank you all! You've been a great help! I, too, thought the IV fluids should be routine with surgery. But it's listed as an option...not sure why. I feel much better now & I think I know what choices I'm going to make. I just need to speak with the vet one more time to decide about the laser surgery. Thanks for the anesthesia link. I've read it many times but will read it once more. BTW, Lulu is currently 3lbs 6 oz so I guess I'll be searching for some preemie onesies at WalMart. I just don't want to have to use the E-collar with her. I hope she doesn't try to lick or scratch her stitches but I want to be prepared in case she does.
__________________ Jenn & Lulu |
11-17-2010, 12:15 PM | #15 |
www.yorkierescue.com Donating Member Join Date: May 2009 Location: Las Vegas & Orange County
Posts: 17,408
| awww, she's tiny! I hope the preemie ones will work. When are you bringing her in?
__________________ The T.U.B. Pack! Toto, Uni, & Bindi RIP Lord Scrappington Montgomery McLimpybottom aka El Lenguo the Handicapped Ninja 10-12-12 |
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