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  1. #21
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    Jan. 1, 2013
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    59

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    Do you think its possible to get money back? I could see maybe getting the cost of the exam back, but the x rays were used to make the second diagnosis. I am going to see if there is another emergency vet close by in case of any future emergencies.



  2. #22
    Join Date
    Nov. 2, 2006
    Location
    Maine
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    1,840

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    Hope your girl is better soon. I couldn't figure out what in that area could be swollen. A hematoma from above makes sense.



  3. #23
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    Mar. 11, 2005
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    CO
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    Holy crap!! I had my money on an abscess (since that's exactly how my cat acted when she and one)! Never guessed THIS dx!

    Wow...how on earth did an emergency vet miss something that serious? Yikes!!
    "IT'S NOT THE MOUNTAIN WE CONQUER, BUT OURSELVES." SIR EDMUND HILLARYMember of the "Someone Special To Me Serves In The Military" Clique



  4. #24
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    Feb. 15, 2004
    Location
    Ontario
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    7,854

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    because he focused on the belly and did not think any further... it happens with people too... frracture staring them in the face on the tibia but only looking at the knee!! I would still get in touch with that E vet and let him know how he missed a diagnosis ...


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  5. #25
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    Sep. 5, 2005
    Location
    Mass.
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    6,627

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    The first thing to do is put a hold on your credit card. Then, IN WRITING, contact the emergency vet and tell them you are disputing the charge because of their misdiagnosis. See what they say. If they offer a refund of the exam fee and you feel it is fair, then it's up to you. But do not let that charge go through on your card!
    I realize that I'm generalizing here, but as is often the case when I generalize, I don't care. ~ Dave Barry



  6. #26
    Join Date
    Oct. 28, 2007
    Location
    NY
    Posts
    4,131

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    I'd pay for the xrays, but not the exam and speak to the ER directly about his missing the fracture and the common pooling of blood/fluid. Vets are people too and the ones around me, in ER, are usually very young,I'm guessing still new to medicine.
    It's great you had the xrays in hand,can't do that if you were a human patient.



  7. #27
    Join Date
    Mar. 25, 2011
    Posts
    403

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    OMG! Who read these x-rays? Does this clinic not have a radiologist? I would put a hold on the payment, call in a formal complaint and if they won't work with you. call the better business bureau. I would say at least pay for the radiographs, but you need an explanation. In any case, the hospital will use this as a teaching/learning case so it doesn't happen again. Hopefully.



  8. #28
    Join Date
    Jan. 1, 2013
    Posts
    59

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    Well now we have more problems!

    Woke up this morning to a HUGE gaping hole in her stomach! Its very deep and right on the incision line from her spay. Rushed her to the regular vet (unfortunately out of the 2 docs, we got the one we don't care for), vet said he had never seen anything like it. So she is staying there waiting for surgery to explore and stitch back up.

    Not sure if its related to the trauma from the fracture or if its related to her spay (end of July). We had issues with the stitches from the spay staying in and not dissolving, so I wonder if one could have been brewing this long and the pressure from the hematomas caused it to open?

    Poor pup has had a rough week!

    ETA- The emergency vet is the only 24 hour vet in a large city. I found another further north, but we are already 30min away from the one, and in a real emergency thats a long drive.



  9. #29
    Join Date
    Apr. 14, 2006
    Posts
    3,383

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    Wow...what a turn of events. Jingling for your pup. Hope everything gets fixed up and she is ok. Any chance she could have gotten hit really hard by the other dog breaking the hip and opening up the spay suture line? Seems like more than coincidence.
    www.crosscreeksporthorses.com
    Breeders of Painted Thoroughbreds and Uniquely Painted Irish Sport Horses in Northeast Oklahoma


    1 members found this post helpful.

  10. #30
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    Jan. 1, 2013
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    59

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    I'm sure its possible, but the hole was fairly deep and into the muscles, like it had been brewing for awhile.

    She is out or surgery and will be ready to be picked up at 4pm. Only talked to vet tech on phone and she couldn't give any information on what was found, so I will speak with the vet when I pick her up. Hopefully this is it and she can just heal now!



  11. #31
    Join Date
    Apr. 4, 2006
    Location
    VA (or MS during the school year)
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    2,497

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    I think it would be entirely possible that the stitches just didn't dissolve in that area and now created a pocket that opened up. I hate dissolvable stitches.

    I had surgery on my foot/ankle and the surgeon used dissolvable stitches. We had major problems with the wound healing. It wouldn't close well and each time it looked like the incision had healed/closed, it would open back up and be an oozing mess. It then it got massively infected with eventual gangrene. You could see all the way down to the tendons. Finally got the infection cleared up and had to go back into surgery to clean up the gangrene and had to use a wound vac for several months. During surgery they had found several stitches that did not dissolve.

    If it can happen on a human, I'd imagine it could happen on a dog too. I'm curious to see what the vet said.
    "People ask me 'will I remember them if I make it'. I ask them 'will you remember me if I don't?'"



  12. #32
    Join Date
    Mar. 11, 2005
    Location
    CO
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    4,878

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    Oh my goodness, what time she (and you) have had I've the past few days!

    Sending tons of jingles her way, and I truly hope she is now on her way to being healthy again. She's had enough!
    "IT'S NOT THE MOUNTAIN WE CONQUER, BUT OURSELVES." SIR EDMUND HILLARYMember of the "Someone Special To Me Serves In The Military" Clique



  13. #33
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    Jan. 1, 2013
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    59

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    What would an alternative be for internal stitches? If they were non-dissolvable they would have to open the incision back up to take them out.

    I am thinking it was stitches causing the issue. Her incision from the spay opened up once and then a month or so later had a small abscess with a stitch in it that resolved on its own.

    If it is related to the spay, is it fair to expect them to help with the cost of this surgery? We had so many problems with this particular vet (there is another vet there that we like a lot). Just today after receiving report from the "good" vet who treated her yesterday he wanted to give her an antibiotic shot. I had to interrupt and say, Uh she received an antibiotic shot yesterday, and the other vet just told you that...We also had issue with someone wrapping her feet too tight after having her rear dew claws removed, her feet swelled up twice their size and it was very painful for her trying to cut the wrap off, but as soon as it was off her feet returned to normal size in minutes. Their confusing instructions on her pain medicine also landed her in the emergency vet one night after an overdose. We try now to specify what vet we want to see, but this morning we didn't have much choice.



  14. #34
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    Mar. 8, 2004
    Location
    Baltimore, MD
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    19,763

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    Poor girl, hope she is on the mend and this will be over soon.



  15. #35
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    Apr. 14, 2001
    Location
    Fort Collins, CO
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    16,399

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    I'd love to hear Squish weigh in here. I would wonder if there has been an infection brewing since the spay, which weakened the hip, leading to the fracture, and inhibiting healing of the incision, leading to the dehiscence.


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  16. #36
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    Jul. 20, 2010
    Location
    Texarkana, AR
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    We once had a bitch that had a reaction to the dissolvable stitches that resulted in a situation similar to the one you described, minus the hip fracture.



  17. #37
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    Sep. 10, 2009
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    55

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    All of this seems very odd. I would suggest getting a third opinion on everything from, a boarded specialist (surgeon and radiologist). I have seen fractures missed and fractures incorrectly diagnosed. The abdominal wall wound is very odd, it would be highly abnormal for a problem to arise 5 months after a surgery. The tissue usually heals much faster. If the ER vet did miss the fracture they will likely refund the money, they usually feel pretty bad about missing something. . The ER vet would most definitely want to know this . Based on the abdominal wound that is described I bet they were right to be concerned about the abdomen in the first place. Hope your pup feels better soon!!


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  18. #38
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    Jan. 1, 2013
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    59

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    Just picked her up from the vet. Vet didn't really find anything, he thinks the pressure from the hematomas (which were huge) stressed the incision line until it opened. No muscles were affected. I do know that scar tissue is weaker then normal skin, so it seems kind of reasonable. Hopefully it was not a reaction to the stitches because she has two layers of stitches internally and then adhesive externally. If it looks at all odd we will take her to a different vet clinic.

    Emergency vet will be called tomorrow and will also update them on opening of incision.



  19. #39
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    Sep. 5, 2005
    Location
    Mass.
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    I don't know where you live, but if at all possible I'd be looking for a completely different vet practice. Are you within reach of a vet school or are you out in the boonies somewhere? I am really sorry about your poor dog. I hope she manages to recover uneventfully.
    I realize that I'm generalizing here, but as is often the case when I generalize, I don't care. ~ Dave Barry



  20. #40
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    Jan. 31, 2003
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    18,472

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    Geez... Hope your pup is ok.. What a nightmare.

    I had a reverse incident once with Baxter, where I was told his elbow was badly broken/displaced and the outcome, even with $3500 surgery, was questionable...

    Emergency vet oops! Forgot to give him painkillers, which I discovered after insisting I see him one more time before I left...

    New xrays showed a perfect elbow, no reason for excruciating pain and swelling..

    $1500 later.
    "Kindness is free" ~ Eurofoal
    ---
    The CoTH CYA - please consult w/your veterinarian under any and all circumstances.



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