In-Clinic Notes From VSG
Thank you, Jessica Lee for providing Diagnostic Reports.
Thank you, Jessica Lee for providing Diagnostic Reports.
30-09-2011 10:04am
8.4
Admitted for repeat antibrachium radiographs and possible removal of ESF. Sedated with Domitor 0.16ml and
Butorphic 0.08ml. Reversed with Antisedan 0.16ml.
Home on metacam for three days.
23-09-2011 1:50pm
Dave returned this afternoon for a bandage change, the dressing was removed and all the pins were checked
underneath, the only pin of concern was the one directly caudal the the ulna, this pin hole is mildly producing
some exudate which has become quite crusted, I have cleaned away majority of it, and have notified the
owner to look out for signs of biting and worrying of the particular area as this will be a reason to recheck the
bandage. A recheck has been organised for next Friday for radiographs.
15-09-2011 8:59am
Admitted for rads. Bone not healed so fixator is staying on. Re-bandaged.
09-09-2011 12:55pm
Bandage change today. Fixator looks good. Back on Thursday for rads.
25-08-2011 1:41pm
Admitted for Recheck Radiographs and Bandage change.
Sedated with Domitor 0.13mls IV; Butorphic 0.06mls IV
Reversed with Antisedan 0.13mls IM
No further distraction required. Fixator re-bandaged. Plan for weekly bandage changes and re-check rads in
three weeks time.
22-08-2011 12:54pm
Admitted for radiographs and bandage change today. Extra sedative needed. Sedated with Domitor 0.33ml
and Butorphic 0.12ml. Reversed with Antisedan 0.33ml. Distraction was performed with owner this morning.
RJ wants to slow down distraction will only distract one quarter turn each day. This will be pink nail polish to
black, next day black to pink, next day pink to black. Will be back on Thursday for radiographs and bandage
change.
19-08-2011 10:30am
Doing well again today. No problems overnight. Eating and drinking well, toiletting normally. Home today.Admitted for sedation and rads.
Domitor- 0.13mls/ Butorphic 0.06mls
Antisedan- 0.13mls
05-10-2011 4:46pm
Spoke to Jen, she says RJ advised "should be 100% by the end of the week" as was a little unsure what this
meant re: walking Dave. Wondered if she could take him out tonight. Advised gradual reintro to exercise so
lead walks only for the first while and gradually increase the duration of exercise too. Can go out tonight for 10
minutes on the lead around the block and see how he responds come the morning. If off Metacam now and
doing really well.
Vet Communication
25-08-2011 6:06pm
Dave returned to our hospital on 22/08/11 and 25/08/11. The dog was sedated and radiographs confirmed
excellent distraction of the radial osteotomy site was evidence of new bone formation within the osteotomy
gap. On 25/08/11, it was evident that normal congruity of the elbow joint had been restored. The dog has
been discharged with instructions for no further distraction and maintenance of the CESF apparatus until
adequate bone consolidation has occurred.
The dog should return to our hospital weekly for bandage changing and further radiographs will be taken in
three weeks time. I will keep you informed on this dog's progress.
Thank you for your referral and please don't hesitate to contact me if you have any questions or concerns.
Sincerely
Dr. Richard Jerram, BVSc, Diplomate ACVS
Registered Specialist, Small Animal Surgery
15-09-2011 6:14pm
Dave returned to our hospital on 15/09/11 for reevaluation four weeks following right distraction osteogenesis
of the radius. The dog was sedated and radiographs confirmed almost complete bony healing with a
radiolucent gap still present at the site of the radial distraction. The CESF apparatus has been re-bandaged
and I have recommended further radiographs and evaluation in two weeks time before removal of the
apparatus. I will keep you informed on this dog's progress.
Thank you for your referral and please don't hesitate to contact me if you have any questions or concerns.
Sincerely
Dr. Richard Jerram, BVSc, Diplomate ACVS
Registered Specialist, Small Animal Surgery
30-09-2011 2:57pm
Dave returned to our hospital and 30/09/11 for further evaluation of left radial distraction osteogenesis. The
dog was sedated and radiographs confirmed almost complete bony healing of the radial osteotomy and
normal elbow congruity. The entire circular ESF apparatus was removed. The dog has been discharged with
instructions for a gradual return to normal activity over the next 4-6 weeks. Some nonsteroidal antiinflammatory
medication was dispensed for pain relief for the next few days.
Thank you for your referral and please don't hesitate to contact me if you have any questions or concerns.
Sincerely
Dr. Richard Jerram, BVSc, Diplomate ACVS
Registered Specialist, Small Animal Surgery
