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 We couldn’t diagnose the illness without a blood test – and magic wands are out of date, though I kept one on my desk for years.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

Saying goodbye to Mac the Mountain Lion

Mac the Mountain Lion died Saturday night, October 13th.

He was wearing spots when I first met him. One of two foundling cubs, Mac was the lucky one. The sibling he was cuddled against had already died. He barely weighed 5 pounds.

At the Applegate Park Zoo, the little orphan was bottle fed by Donna, the head zookeeper. We all fell in love with him. Mac created a stir when he came to the clinic for his health exams. He had a trilling call that was most like the whistle of a firework headed skyward, before the explosion. It was lovely and wild and totally magical. It was fascinating to watch him grow.

His last “kitten” vaccinations required advance strategic planning. Donna withheld his milk, bringing him in close to feeding time. I quickly jabbed him with the needle while she simultaneously dropped the bottle into his mouth — success! Although only 36 pounds on that day, his “playful” paws were already tools to be respected. In fact, in only a few short weeks he shed his spots and took up the very important cat sports of swiping, stalking, and stealth.

Donna was Mac’s first love, his “Mama”. If he heard Donna’s voice he would come running, rubbing against the fence so she could scratch behind his ears, sending out a gruff “meow” in answer to her calling his name. All day long he would “sing” to her. The noise he made as a young kitten was long gone, replaced by his loving meow or an unearthly scream.

A mountain lion is a truly magnificent animal. He is the fourth largest cat in the world. Their territory ranged across all the Americas. Deer are their preferred dinner.

A solitary and shy individual, the mountain lion is not drawn to humans and rarely seen. One of the reasons that Yosemite National Park strongly urges people not to feed deer is to prevent their unnatural accumulation which in turn attracts their natural predator — the mountain lion. If a mountain lion is lured by the prospect of an easy meal to an area heavily inhabited by people it may be seen as a threat. For the lion, it risks death as a “nuisance,” the only reason a mountain lion may be hunted or killed by man in California since 1990. The Miwok Indians, Native American people of California, described the mountain lion as the ideal hunter, strong and brave, chief among the animals (quotation from the Mountain Lion Foundation; Montijo,Y).

In late October 2016, Mac ate part of a fireman’s hose that had been given to him as a toy “scratch pad” for enrichment purposes. The little darling (Mac weighed about 140 pounds) shredded the 40 pound hose and ate it instead, forcing an abdominal surgery, a gastrotomy, to remove the obstructing foreign object from his stomach. His recovery was rapid and he continued to thrive. But Mac always had a sneaky habit of eating things he shouldn’t.

When the first call came in late Saturday morning that Mac had thrown up I wasn’t too concerned. Always on top of things, the zookeeper who called me was keeping me informed. I said I would come by later and look him over (“look” in this sense is all that I could do — without an anesthetic I couldn’t examine Mac in any physical way.

Within a few short hours it became obvious that Mac was seriously ill. Under sedation, the picture looked grave. Running a fever of 105.6, Mac was septic and shocky. Another intestinal problem. We took him to surgery. Terrible news: something had perforated Mac’s intestine. This hole through the intestinal wall allowed leakage of bowel material into his entire abdomen, creating an overwhelming infection called peritonitis.

The normally clear fluid inside the abdomen was a murky brown color, spreading infection everywhere. The prognosis was poor. But we had to try. This was Mac.

I performed an intestinal resection, removing the section of intestine that had the hole in it. We lavaged his abdomen with liter after liter of sterile warmed saline to flush out all the infection. After several hours of surgery, we prepared to recover Mac and return him to the zoo. But it was too much for him — the septic shock overtook him and he simply stopped breathing. At 12 years of age, Mac was gone. Mac’s majestic presence will be missed at our zoo.

In “Cougar: The American Lion” by Kevin Hansen, he reports that in the mythic world, the mountain lion was the protector of the cosmos. The Zui of New Mexico said that the ancient ones wanted the world to be guarded by those keen of sight and scent, and the mountain lion was the sentinel of the North. I like to think of Mac up there, protecting our cosmos, immeasurably extended over time and space, the Milky Way and far off galaxies.

Christine McFadden holds a license to practice veterinary medicine and surgery. She has cared for the family pets of Merced at Valley Animal Hospital for more than 30 years. Send questions or comments to 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