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Day 11: No News

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I was speaking to a friend about not having yet received a call from the vet.  She said the old phrase no news is good news.  Well I corrected her and said in Nash’s case no news is not bad news, because I am sure they would call if he had any significant negative changes.

That being said it is Thanksgiving and I did not receive a call from the hospital.  Dr P. is off today, he said that another vet would call me with an update on Nash’s temperature but I didn’t hear from them today.

I am going to visit Nash tomorrow and finally meet Dr P.  So I will have a full update after that.

I hope everyone had a wonderful Thanksgiving with family and friends.  A couple of pictures of me this morning with my “kids”.  Took a break from doing stall for to take some selfies,

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Apple is not amused
2013-11-28_11-53-59_793Me and Bilbo with a Frodo photo bomb.

Day 10: back to square one

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Dr Parente said today that there are no bacteria growing in the cultures, which indicates no lung infection or pneumonia. The new antibiotics are not working and he still has a fever.  They decided to put him back on the IV antibiotics, with the thought that he didn’t start the fever till they switched him to oral.  He indicated he might be able to go home this weekend.

The bill so far for Nash is $5,000. Luckily and thankfully the donations went over my goal and we have about $700 more.  Dr P. said that with the IV ABX we will be looking at about $200 per day.  It will be close but I think we will be ok.Dust Storm

Day 9: No change

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I wish I had better news but there really is no change.

They performed the tracheal wash to obtain a sample of the fluid in the lungs.  Then set up the culture, yesterday.  As of today nothing is growing, which is not a surprise as sometime it take 2 days for bacteria to grow.  So they are keeping him on the current antibiotics (SMZs) and added Metronidazole (yesterday).  The second ABX is one that is commonly used for pneumonia.

This morning his fever spiked over 104 but again responded to the bute and came back down to 101.  He said that high of a temperature is usually viral and only lasts 2 – 3 days.  Also he doesn’t look or act like a horse with a 104 temperature caused by pneumonia. He does have slightly and occasionally elevated heart rate and respiratory rate but if it was true pneumonia he would look and act sick.  He would be coughing, but instead he is still eating, drinking, and going to the bathroom all normally.

With the additional ABX they were really hoping for improvement this morning and are really not sure as to the cause of the high fever.  They are starting to think something else is causing the fever.  Maybe something related to the swelling in his legs.

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So we wait some more for them to figure this out.

Nash update Day 8 – Running tests

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Spoke to Dr Parente this morning,  he was concerned.  Nash still has the fever. He was saying it is at 104 still which is considered a high grade fever.  So today they are looking into the cause of the fever.  They are running his blood work and checking it against when the blood work from when he was admitted.  They are also going to do a fecal sample, to look for bacteria.  Lastly he talked about the chance of infection at the incision site.  He noticed a little more swelling but said that if there was an infection there it would be very painful to touch.  Yet Nash is not indicating that it is very painful.  Hopefully they will get to the bottom of this soon so my boy can come home.

2012-12-29_15-25-17_825Picture from last year.

 

Day 7: Nash update – fever

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Wow, I can’t believe it has been a week.

I spoke to Dr Stuart to get an update on Nash.  He still has the fever but it appears to be responsive to bute.  So this morning it was at 104.1.  Then he received his morning does of bute and it went down to 102.  He is still doing fine, eating and all the rest.  They have all his legs wrapped now because since the fever started they stopped hand walking him.  They really don’t want to release him until the fever breaks, so hopefully that is soon.  The pics are from my visit with him yesterday.

Day 6: Nash update – Fever

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I woke up this morning to a phone call from the vet helping Dr Parente.  She had not so good news… Nash has developed a fever.  His temperature is 104. Normal body temperature  for horses is 98 – 101 F.  They think it is is viral infection but would like to keep him in the hospital over the weekend.  She said he can probably go home Monday.  While this is very disappointing, I understand it is best for him to stay in the hospital where they can monitor him closely and react quickly should he worsen.  She did say he is eating a drinking as normal, which is why it is probably a viral infection.

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Lover boy

Lover boy

Day 5: Nash update

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I spoke to Dr Parente this morning.  He said Nash was still doing good.  They did notice his heart rate was slightly elevated and are keeping an eye on it.  He has been switched from IV to oral ABs and they are reducing his bute (pain killer).  He is not that concerned about the elevate heart rate and said that he can be discharged tomorrow.  So we are leaving after my last lesson at 2 pm to bring my boy home.

heidelberg-20110626-00074-scaled1000This picture is from when I first met and rode Nash.

 

Day 4: Recovery going well

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Dr Parente just called me.  It was great to talk to him after seeing Nash as I was able to ask all my questions.

How did he get the hernia?

DrP. found scar tissue below the hernia which lead him to believe that the hernia was caused by trauma.  Perhaps from  a horse kicking him (before I rescued him) that caused a tear in the muscle wall.

How was the surgery performed?

The surgical mesh was attached to the muscles surrounding the hernia hole.  Usually they try to pull the muscles together  and put the mesh on top but due to the location this was not possible.  So the mesh was attached with some tension (like a trampoline) to the muscles.  There is also a layer of fat between the mesh and the intestine so there will be no complications there.  Over time scar tissue will form over the mesh and reinforce it.

How is his recovering going?

He is doing very well.  Pain seems to be down a bit today.  Dr P. took the bandage off and was very pleased by the look at the incision site.  It was very dry indicating not much puss or fluids forming.  The swelling is less than the expected and Nash let him touch it (which indicates less pain).  They are going to re-bandage it and keep that on for a while.  Nash will be switched from IV antibiotics to Oral Abs.  They are also reducing his bute (pain meds).

When can he come home?

Nash can go home Friday or Saturday.  Which works out great because we will be picking him up around 4 on Saturday.

What happens when he comes home?

Nash will be confined to the stall for 2 weeks and hand walked only.  Then he can be let out in a small round pen for 1 month. During this time he is not allowed to run around or interact with the herd for fear of tearing open the surgical site.  I will continue the oral Antibiotics and pain meds as needed.

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Day 3 post surgery

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Came to visit my handsome man on the first day after surgery. He saw me picked his head up and went right back to munching on his hay, but Glad to see he is eating.  When I came in to his stall he gave my hand a good sniff to say hello oh yeah I know you.
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He has a massive bandage around his belly so I can’t see the incision site. When I approached his side he moved away quickly like a fear of being touched pain reaction. But that does not surprise me.
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Then I sat down in the hay and hung out. Helping him find the good bits of hay and letting him know I am here with a little scratch on the head every once in a while.
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The nurses stopped by and they were pleased to see he has a visitor. One of them said “oh I love him”. Guess that means he has been a good boy.
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A different vet called me today with an update. Saying his recovery is going well with him eating and going to the bathroom as normal.

Day 2: Nash’s Surgery – A success!

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Would you believe it I left my phone upstairs and missed Dr Parente’s call?  He did leave the good news in a message though.  

“Everything went well with surgery today. He stood up really well from anesthesia. We will probably keep him in a couple of days to make sure everything is looking good before we send him home.”
 
I am so pleased with the great news and hope to stop in to see him tomorrow.  Thanks again to all who prayed and sent positive thoughts. It worked!
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