My pet has the following symptoms:
Trouble Breathing, Heart Murmur
I feel that there was a lack of understanding about the condition of my dog and an incompetent/negligent doctor. My little guy was an 11 year old, 6.5 pound Chihuahua. In the prior 4 months he had to be put on .625mg Vetmedin and 1.25mg Enalapril every 12 hours for a heart murmur. In the afternoon he started to have trouble breathing. When it persisted, I rushed him the a vet(not my normal vet as they were closed) where we arrived at 1:45 pm. He was obviously running high on adrenaline, eyes wide open, as he was struggling to breathe. They took him back immediately and started oxygen therapy in a clear plastic box. Once the doctor checked him out and came in to discuss the cost for treatment ($800), he asked me if there was any history of him having trouble breathing? I asked the doctor if he read the questionnaire I filled out as I detailed that and that he is on heart murmur medication and he has had some problem couching here and there they think is related. But nothing major until today. He said he did not read it and that is what he would have diagnosed(heart murmur/congestive heart failure). He said he needed an xray of his lungs,CBC, and blood chemistry tests and to give him .15ml of Midazolam to calm him down and .3ml of Furosemide to drain his lungs. The doctor told me I could come back in 3 hours at 4:45 to pick him up and take him home and everything should be fine.
The receptionist called me an hour later and said that the doctor felt he probably needed to be monitored overnight. But they close at 5 and the overnight vet opens at 5:30 so I had to pick him up and bring him to the other vet and he would be without care for 30 minutes or so. They said the doctor that was working on him now will be the doctor at the overnight vet too. I asked them what the test results were and why the change to have him monitored overnight. I asked was there something wrong. They said nothing major, they just felt he should be monitored overnight to be safe and the doctor will call me in a 2.5 to 3 hours to update me on the test results, but nothing to worry about.
So I picked him up and he seemed a little more alert when he first saw me and struggling to breathe a little less as his eyes were not wide open like when I dropped him off. But within a few minutes he was really fatigued looking, less alert looking and he was still struggling to breathe, but not with the same vigor as as few hours ago trying to breathe almost like he was too drugged up.
I feel that this is primarily because they gave him Midazolam and they should not have. There was no reason to "relax" him with basically Valium. I feel when he was in the oxygen chamber, that helped relax him and breathe and thus his adrenaline was not running so high. Combine that with the Madazolam and he was too mellowed out. Then when you take him out of the oxygen, his adrenaline was not running high and he probably needed that to fight to get the amount of air he needed. It seemed he was too groggy to fight for air. Within 3-5 minutes he died in my arms. I was able to give him mouth to mouth to revive him until we got to the overnight ER, but there was no doctor there and the receptionist that I gave him to said there was nothing she could do and he did not make it.
I finally found out a few hours later that his test results were of a Bronchial/alveolar pattern, VHS=12.5 R side of chest was completely congested with fluid/edema. Cardio- cardiac murmur, systolic. Oral cavity - MM -pink to greyish pink. , heavy calculus, bloody sputum. Respiratory - Tachypena, crackles, dyspnea. The doctor thought it was not a big deal and he was going to be fine. Would any competent doctor discharge a small dog in this condition with no medical supervision for a minimum of 30 minutes?
Why would the doctor that was going to the other location not take him and make sure he would be fine or at least express the severity of the situation to me? Why did they not have someone ready to receive a critical dog?
Do you agree that the Midazolam was probably the reason he was so groggy and not able to catch his breath with deep breaths and a contributor to his passing? I really feel that the lack of oxygen (since he was too drugged up to fight for breath) is why he basically passed out and died in my arms slowly from the time they took him out of the oxygen tank. Also, as I held him in my arms he was spitting out what seemed to be blood as he coughed before he passed.
I appreciate your feedback on how his care was handled. I think the doctor was incompetent to negligent.
After reading several comments Dr. Turner, I can't help noticing that you frequently use the phrases; " I wasn't there or I did not examined etc. In this case your advice is bringing it up with the veterinary licensing board.
I assume however, that owners who lost their dog might find comfort if you took the time to explain the seriousness of the situation rather than providing an excuse and a pseudo legal advice based or nothing more than speculation. Owners who lost their dog need some kind of comfort and peace of mind. Dog owners like me with a dog still alive but in similar condition, are trying to understand more about the risks and costs involved in order to be better prepared when they have to make an important decision talking to the vet.
Victor, Villa Rica, GA