Montana, I have been thinking a lot about you. Well....I think about you every day but it seems like most of my day is consumed with my thought of you. After 5 1/5 mos I finally had the nerve to look at the bill from the emergency vet. It spelled out everything. More then I really wanted to see. Of course I sobbed when I read it. This is what it said:
CLIENT INFORMATION
Beth Winchell
PATIENT INFORMATION
Name: Montana Species: Canine
Sex: Male, Neutered Breed: Siberian Husky
Deceased: 09-05-11 Age: D@9y
ID Rabies
Color: Black and White Weight 102.20lbs
Reminded: (none) Codes: D
MEDICAL HISTORY
Date By Code Description Qty (Variance)
____________________________________________________________
09-05-11 JH 001 Emergency Exam Fee
Age: 9y Weight: 102.20 Temp: 106.00 Pulse 180.00
Other: mm - pale pink
SUBJECTIVE SECTION
Surgery to amputate tail last Wednesday. Has not eaten since. Was on Deramaxx and Tramadol. Vomiting dark brown fluid. Tonight panting, weak, lethargic. Dr. Harper on duty.
OBJECTIVE SECTION
mm- pale pink, pulses thready. Chest - tachycardia, heart muffled. Abd - distended. Laterally recumbant, panting, very weak. Febrile.
ASSESSMENT SECTION
RULE - OUTS
Gastroduodenal Ulcer Disease
DIAGNOSES
Sepsis and Bacteremia
Septic Shock
Acute Abdomen
PLAN SECTION
NOTES
I-Stat EC8+- See report; metabolic acidosis
Oxygen 5LPM via mask
IV placed, bolus 2L Norm-R, 300ml Hetastarch IV; pulses improved, HR decreased
U/S FAST - large amount of free fluid in abdomen - 1L of brown pus
removed via abdominocentesis
Cell counts - WBC 78K, TS - 3.8; cytology degenerate neutrophils and
pleomorphic bacteria. BG of fluid 45, Diagnosis - septic abdomen
(perforating ulcer?), septic shock
Discussed poor prognosis with owner, the need for immediate
surgery
and the risks associated.
Owner requested euthanasia
Euthasol 15mg IV1005 Informed Consent
HETA Hetastarch (HES) 6% 300
NORMR Normosol -R 1000ml
611 IV Extension Set
601 IV Catheter & 1st Bag Fluids
EFFUSION Automated Cell Counts - Effusions
GLUCOME Blood Glucose - Glucometer
420 I-Stat EC8+
USFAST Ultrasound F.A.S.T. Exam
117 Abdominocentesis
OXY5 Oxygen per minute @ 5 lpm 15
ACUTEAB Acute Abdomen
D1016 Septic Shock
D6058 Sepsis and Bacteremia
1112 Euthanasia
EUTH Euthasol 390mg/ml 15
1110 Ashes Returned: 100-140#
FOR: Beth Winchell Printed: 09-05-11 at 4:25am
Date: 09-05-11
Account: 34720
Invoice: 62944
Date For Qty Description Net Price
_____________________________________________________________
09-05-11 Montana 1 Emergency Exam Fee 82.00
09-09-11 1 Informed Consent 0.00
09-05-11 300 Hetastarch (HES) 6% 69.00
09-05-11 1 Normosol-R 1000ml 38.00
09-05-11 1 IV ExtensionSet 16.00
09-05-11 1 IV Catheter & 1st Bag Fluids 86.00
09-05-11 1 Automated Cell Counts - Effusions 50.50
09-05-11 1 Blood Glucose - Glucometer 12.50
09-05-11 1 I-Stat EC8+ 53.55
09-05-11 1 Ultrasound F.A.S.T. Exam 92.00
09-05-11 1 Abdominocentisis 60.00
09-05-11 15 Oxygen per minute @5 lpm 2.25
09-05-11 1 Euthanasia 55.00
09-05-11
We are truly very sorry for your loss
09-05-11 15 Euthasol 390mg/ml 20.40
09-05-11 1 Ashes Returned 100-140# 250.00
09-05-11 Care Credit -887.20
-----------------------------------------------------------------------------------------
Old Balance Charges Payments New balance
0.00 887.20 887.20 0.00
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