Hysterical Clients

Who said veterinary medicine wasn’t fun?

There’s the man who got out of jail (he didn’t say why- either for going in or getting out) and came home to find his dog sick. This enraged him. We know this because he brought the dog to us (he was passing by, thought he’d drop in) and he was very thorough in his explanations to us of society’s injustices, particularly that he might have to take financial responsibility for his pet. We couldn’t diagnose the illness without a blood test – and magic wands are out of date, though I kept one on my desk for years. We’ve kept statues of the Virgin Mary, Buddha, dice, and a crystal ball. We do not turn our nose up at anything that might intervene on behalf of our patients. In the science-based world of medicine we have seen miracles – but we have also seen cases where the pet should have lived, by all rights, but died. In the end, we fall back upon diagnostic tests because they do just that: they help us to diagnose your pet’s illness, to unlock the pieces of the medical mystery so that we may help the patient.


This man was very angry. The time spent in jail seemed not to have been used for self-reflection or internal contemplation. It seemed unlikely that he read poetry. We thought we should focus on the dog. We weren’t entirely sure he could focus well enough to drive. He had no interest in paying to care for his dog nor did he wish to surrender it to a Rescue group. So he left. Only to return a half hour later, which we noticed immediately because his car was sideswiped as he drove in to the parking lot. While he was waiting for the police to show up (to investigate the accident) he surrendered the dog to Rescue. Post-script : dog did great.

And I fondly recall Crack-A-Nose. Her name alone kinda gives you a heads-up, yes? A pitbull, she had a huge pink mass of doughnut-shaped tissue protruding from her vulva. Bigger than your fist. It was very dramatic. This dog had a condition called vaginal hyperplasia, or swollen vaginal tissue. It is not a true prolapse of the vagina nor a cancerous tumor. It occurs when a female dog has been in heat, producing high amounts of estrogen. The swollen tissue will shrink back to normal size when the estrogen hormone has declined – and the fastest, most effective and permanent cure for that is to recommend an ovariohysterectomy or spay. I explained all of this to her owner, a young woman who was rail thin with blond hair, beautiful, a little twitchy. The young woman pulled a fistful of hundred dollar bills out of her bag. She requested that I perform whatever services were required and informed me that she would pay in full right then. I agreed to her terms and performed surgery successfully that night. I figure the dog must’ve been a great guard dog for some very important stash, oops, stuff.

Now stop me if I’ve told you this one before. This was when I worked in a small office off Highway 59, still called “J” street back then. I remember the skirt I was wearing because it was the last time I’d ever wear it. It was quiet, around lunchtime. A man in his twenties came in. He announced that his dog had been run over by a mower. I was nearby and nodded, told him to bring the dog in. Occasionally you see an overactive puppy bouncing around a lawn mower and accidentally getting a toe clipped. Not very serious. He stared at me. But he’s bleeding, he said. I nodded again. This was to be expected. Please bring him in.

And he did. Only he hadn’t been talking about some little push mower, he meant a tractor hay/disc mower (the tractor weighs over a half ton) and it had practically amputated the dogs’ leg, so the “bleeding” he’d mentioned was an enormous spraying jet of blood from the severed femoral artery. The dog was going to bleed out – I was surprised it hadn’t died already. I stepped in with a pair of hemostats to stop the gushing fountain and got lucky. I completed the amputation in a sterile surgery and the dog lived. But my clothes were history.

Christine B. McFadden, DVM

drmc@mcmenagerie.com

Adam’s Rib

So our school held a softball banquet for the team. Parents were asked to provide potluck. We brought ribs. Which somehow reminded a physician friend of her med-school days and the particular anatomy class when one of her classmates suddenly realized that both male and female human beings had the same number of rib bones. Every time. He counted. He was so distraught that he had to leave the classroom. How to account for Adam’s rib?

That story put me in fine mood to remember another story which I read in a sort of can-you-believe–this column written by veterinarians for other veterinarians.

An elderly client was bereft when her cat went missing. After several months passed, she showed up at her vet’s office grinning from ear to ear, delighted to have recovered “Tiger.” The veterinarian exhibited great delicacy and restraint, gently pointing out that this couldn’t be her long lost Tiger, because her cat had been an orange tabby and this one was a black tabby. Her Tiger was an old cat and this cat was much younger, which he could tell by looking at the cat’s teeth. The woman countered his remarks with comments of being in the sun and the dental benefits of hunting mice for a living. Triumphantly, the veterinarian pointed out that this clearly wasn’t Tiger, because Tiger had been neutered and this one was an intact tomcat! His client nodded back at him, flashing a brilliant smile as she indulgently explained what had happened. Tiger had always liked to sleep on top of the television set. (Note: This story is way before “flat screen” TV’s. I suspect it had “tubes” in it and bunny ear antennae for reception, not digital mother boards. The tops of these TVs were broad and flat and warmed up nicely after a little use. Perfect for napping cats.) There was a Christian evangelist she especially enjoyed watching. She suspected that Tiger had never really liked having that neuter surgery done, and she believed his prayers were answered as he lay on top of her TV, listening to the Word of God. So, she shrugged happily, they just regrew.

Like the client who brought their mother dog into me a couple of weeks after a C-section delivery of her puppies. Her pups were doing well and, they assured me, they had been very happy with my services and skillful surgery. But, and here they paused, glancing at each other, but, Doc, you missed a puppy. I was extremely puzzled myself. This was impossible, as after delivering the puppies I had proceeded to perform an ovariohysterectomy, or spay, so had not left any reproductive tissue behind. They plopped their dog on the table and turned her onto her side, revealing a large, engorged and rather angry breast that was inflamed with infection, called mastitis. In size and shape it did look about the size of one of her newborn puppies. They believed that this “puppy” had slipped through the belly button into her breast! Only their sincerity and kindness saved my composure, as I explained what was happening and how glad I was to be able to treat the mastitis, an infection that can quickly turn ugly and is very painful.

I care for pets belonging to people from all walks of life. They come from a variety of faiths. It is humbling to be allowed to be a partner in the caregiving for their beloved pets. I do not presume to explain the myriad mysteries found in daily life. There is an art and a science to medicine. Scientifically, I know that once neutered, a cat stays neutered. I know that wasn’t the original Tiger. But I do believe in miracles. Why not?

Christine McFadden, DVM

drmc@mcmenagerie.com

To Spay Or Not To Spay

So you think your dog is cute and your friends wish they had one just like yours? Or you think it would be good for your children to witness a live birth? Or you paid money for a dog “with papers” and now it’s time to recoup the investment? You can breed it yourself and make a fortune (no fortune, of course, if the bitch requires a C-Section to deliver, or if you have the puppies examined and vaccinated, or heaven forbid they don’t sell quickly and you have to start feeding them). Yes, mutt or purebred, you have talked yourself into breeding your pet.

Wait a minute. Please. Just because your pet is cute doesn’t mean its progeny will be equally attractive in looks or temperament (do you follow Hollywood?). And those friends who were just WAITING to get a dog often find it inconvenient when the time comes and decide to “wait till the next litter”. And why is it that you want your kids to experience the birth, but you fail to include them in the rest of the story – the ultimate Reality Show where you find out that half of the litter is not expected to stay in its original home? Should you tell your children to choose their favorite, then “kiss the rest goodbye”? Do you know that 25 % of the dogs turned in to Animal Shelters are purebred? That you can spay or neuter your dog for less than it costs to raise a litter of puppies? That HUNDREDS of dogs are euthanized every month, not just here in Merced County, but every city and county in the United States, because we would be over-run with stray and unwanted pets if we didn’t?

Start with one female dog and let’s do the math (courtesy of the Arizona Humane Society):
In her first year she produces 4 pups, 2 of them females (4 total)
Second year production of first and second generation females is 12 pups, 6 female (12)
Third year production of 3 generations of females is 36 pups, 18 females (36)
Fourth year production of four generations of females is 108 pups, 54 females (108)
Fifth year production of five generations of females is 324 pups, 162 females (324)
Sixth year production of 6 generations of females is 972 pups, 486 females (972)
Seventh year production is 2, 916 puppies…..

If you think there is a population problem in the world, it does not even compare to the population explosion in the pet world!

Christine McFadden, DVM
DrMc@McMenagerie.com