Open wound!! vets fault & i feel fobbed off

I took tinkerbell my oes to the vet 5 days ago for blood tests, she is on meds for her underactive thyroid, so blood test are not uncommon for her! but this time where the nurse shaved her neck is now an open wound!!! im talking a wound of over 10inch long and wide. It looks like they used a blunt razor!! i took photos and took those to the vet yesterday, firstly i was offered cream that would cost me £22 which i declined and asked for the head vet who told me it is a "normal" reaction in the heat! I was so upset i had to leave before i was rude which isnt good i know, but i am now on day 5 of washing & trying to dry an open wound on a very grumpy tinkerbell, and im following her around as everywhere she lays she leaves a big patch of blood. Please tell me this isnt normal,??? tinkerbell is also groomed twice a year and has never had a reaction like this to being shaved

Im so upset, and feel so sorry for her, i wish i hadnt taken her, my biggest fear it the wound getting infected. I cant take her out either as her harness sits where the wound is

I would put the photos on here but they arnt for the faint hearted :cry:
Respond to this topic here on forum.oes.org  
Quote:
everywhere she lays she leaves a big patch of blood

Wow. Is it a bad case of razor burn? Or self-trauma from a way too close shave and then scratching? If all was well when you picked her up, I can't imagine what would cause a wound like this would spontaneously appear except for this. I would find another vet and get another opinion. I would think that the wound needs to probably be be cleaned daily and covered to prevent infection and leaving patches of blood all around. You might also use a shirt.

Was the spot shaved 10" long? It's usually unnecessary to shave the neck for a blood draw. Mine have had several... they just quirt the area with alcohol, find the vein, take the sample and send them on their way.
Sure would not instill confidence in the vet tech nor the vet. Personally I'd be considering taking my dog to a new vet in the future and telling the old one why. Why the neck?? Could be there was some skin irritation there to begin with but such as wound?? Good point above, was this razor rash that your baby scrached with her nails and opened the skin? Something isn't right.

Such a large gash ......I'd be thinking antibiotics in addition to daily washing. We are still dealing with Glacier's cyst and Jack's nose so the medical care sign is always out.
thanks for responding. They always take blood from her neck, thought it was normal?! When i spoke to the head vet last night she said it was a reaction to the clippers along with the heat. But wow surely this isnt normal!? If i knew this would happen i would have ask my groomer to shave her. Its massive, i wouldnt say i looks like she has been scratching because the whole wound is bleeding, not parts of it.

Im not happy because of their "its normal" attitude and expecting me to pay for soothing cream. I have put pure aloe vera on her today but now im thinking its probly best left to dry out. feel very let down by them, as does tinkerbell im sure!
I wonder if they sterilized the clipper-blade after having used it previously. I wonder if they had shaved a previous dog with the blade and bacteria was on the blade. That with the heat, may have caused the reaction.

But whatever the case, poor puppy!!
Quote:
They always take blood from her neck, thought it was normal?!

Mine are all drawn from the neck... it's faster and my dogs don't even respond to it. One tech or me holds the dog, the other tech draws the blood. I think either way is acceptable. It used to be they would shave the leg and draw the blood, the same way as when putting in a catheter for surgery. Shaving has caused mine licking problems later on as the hair came back in.
At my vet they take them out the back to take blood. personally i think the blade was either blunt or not clean, or both. really not good enough for the local animal hospital, she was very careful with her words when i asked if she thought the wound was acceptable for a simple blood test.

Think im going to wait for her to get better and make a formal complaint, because it is so bad.
yes, thinking rookie tech with dull blade or wrong blade setting. sheesh
think i'd use ointment and a gauze wrap. just to grab blood and protect, lightly taped lengthwise, it would still get air.
Poor puppy! I would get her to another vet, as five days is a long time not to be healing at all. Sounds like she already might have an infection brewing, so better safe than sorry. Then I would give my old vet the bill.

Oscar's vet also takes blood from his neck (jugular), as it works best for Oscar. I stay in the room, though, and they never shave for a blood draw, ever. They only shave him for an IV insertion. Oscar has gotten razor burn from an IV shave before, but it healed very quickly with a Chlorhexiderm Flush solution a couple times a day. It was never what I would call "raw". It's possible that the blade was dull, or had gotten too hot.

Hope your pup is better soon.

Laurie and Oscar
Oh, I am thinking...could it need a stitch or two? Another Vet is definately in order. And perhaps some sort of antibiotics...I wouldn't wait too mucnlonger to get an opinion and then I would send the bill to the original vet :twisted: With a nasty letter about suing...

Worry about that later.... now its time to take care of this poor pup who may have an infection already and is extremely uncomfortable in pain ...Hope she feels better soon...
Ashley wrote:
Oh, I am thinking...could it need a stitch or two? .


Thank you for responding, no stitches are needed, as it is the whole area that was bleeding....literally looks like the top layer of skin has been taken off :cry: cant describle it any other way. When i phoned the vet yesterday for her blood results, it was on her record as a "clipper rash" RASH i asked....i wouldnt say it was a rash, but il not row with a vet as to be fair he obvioulsy didnt shave her.

I will wait for bell to be better and then write it all in a letter.

On a slightly happier note, the wound has today stopped bleeding and looks like it is on the mend, just need it to heal quickly for her :?
I think that you should mention it sooner rather than later. What if that tech tries another blood draw from another dog and things are even worse for the next dog. The vet needs to be informed immediately so that that tech can be pulled and retrained before handling another dog solo. if they didn't clean the blades (a basic thing they should know), clipped to much hair, allowed blades to heat up etc that tech doesn't have a clue as to what they are doing. If it was me I would be right back there raising holy X@$&**!@ since he now needs antiobiotics and it has got to be painful. :twisted: :twisted:
sheepiegail wrote:
The vet needs to be informed immediately


Thank you for responding, The vet knows, i saw the head vet armed with photos as i refused to bring tinkerbell out as her harness would rub on the wound. She was very careful with her words! Tinkerbells actual vet called me yesterday with the results of her bloods and asked about her "rash" so thats how i know they have recorded as a rash, didnt want a row i was too upset, best way for me to handle it is to write it down, or il not get my point across.

Il be informing the rspca aswell, to see what they say.
Well, what can i say, I took tinkerbell back to the vets to show her the wound, and again she said it was "normal" i said i didnt agree and decided to write a complaint. She did give a free consultation though, thats certainly isnt normal :oops:

anyway, yestersday unfortunatley in a dramatic afternoon, all became clear about tinkerbell bleeding. Was a very frightening day, as i found her vomitting a huge amount of blood :cry: i got her to the out of hours vet who was fantastic, sedated her and after a couple of hours found out that her white platlets are very low, which is causing her to bleed. he thinks it is her immune system fighting her platlets. Today im taking her to our vets to have another blood test to confirm what he thinks. He gave me so much information i cant remember what else it could be, i just know today i have to be very careful and make sure she doesnt bleed in anyway. Very scary time for us.

Looking back at the last couple of weeks, i wish my vet had looked further into her bleeding, knowing what i know now, it could have been a terrible outcome.

the emergancy vet shaved an inch square for her bloods! which is so much better and where they shaved her leg to sedate her they bandaged her up to stop the bleeding. he said this isnt rare in female oes, has anyone got any advice or info?

Poor tinkerbell, she is only 5 and has had it very tough :cry:
Oh, poor Tinkerbell.

Lots of virtual hugs and sloppy wet sheepie kisses to her.

And poor you...this must be so hard.
We are so sorry to hear that Tinkerbell is still not feeling well. Hopefully you will be able to get to the bottom of the white blood cell issue. I am waiting to hear how your vet explains this, after her insistence that Tinkerbell's bleeding wound was "normal" :evil: .

I guess I still don't understand why all the vets near you shave for a blood draw. In the 11 years that we've had OES, and the frequent multiple blood draws, no vet I have ever seen has shaved Oscar (or Quincy) for a blood draw. And after everything that Tinkerbell is struggling with, why risk shaving her again, just to take blood? They've taken Oscar's blood from his hind legs, and from his jugular, with never a clipper in sight.

Poor Tinkerbell. We are sending her and you healing vibes.

Laurie and Oscar
There really is no documented need to shave the area before a blood draw. It actually has been proven (in humans) to introduce staph and other bacteria on the skin into the site. That is why shaving surgical sites has been basically discontinued in humans. And just a clipper used for both in surgical sites that involve hairy areas.
Blood draws are NOT surgery - no need to shave. A quick squirt of disinfectant liquid is enough. I know some vets shave, but I've never had one that does it where I go. I think it is done 1) - to charge more money; or 2) old fashioned and outdated (and not current and UTD with new practices, so I would be scared what else they aren't UTD on). If I went to a vet that wanted to shave for a blood draw, it would be a bad sign to me. :?

Mine all get drawn in the foreleg. My vet gets blood easily, even on my bassets and foster bassets. They are notoriously hard to draw, as they have squiggly veins from those dwarfed front legs. The vet techs use their hand/thumb to apply pressure (tourniquet) while holding onto the dog, vet draws the blood. Super simple, never a mark, bleeding or infection.

I'm sorry you are having to deal with this, and Tinkerbell is suffering.
I'm confused from your post.
I assume it is her platlet count is very low, which is causing her bleeding. Autoimmune thrombocytopenia, I would guess. High dose prednisolone is used, with or without cytoxin (the need for cytoxin depends on several factors/findings).
You may want to consider an internal medicine vet.
Dawn, thanks for the info. My vets are always looking at the latest research and are committed to staying on top of the current standards, which is why Oscar is still alive today.

I was wondering about Thrombocytopenia as well, but I have never had a dog with this issue.

Thinking continued good thoughts for Tinkerbell.


Laurie and Oscar
Quote:
If I went to a vet that wanted to shave for a blood draw, it would be a bad sign to me. :?
Quote:


To be honest i dont know a vet round here that doesnt shave for bloods, i hadnt got a problem with the shaving, i was very upset because it looked like a blunt clipper/blade was used or maybe dirty, but now after her bleed from her stomach all has become clear as to why the area appeared to be so bad, she didnt stop bleeding because her blood cant clot. What i have since made VERY clear to my vet, is when they shave for bloods now its to be no bigger than an inch square.

Quote:
I'm sorry you are having to deal with this, and Tinkerbell is suffering.[/quote]

Thank you for your response, its good to hear the differences and advice from around the world
[quote][/quote]I was wondering about Thrombocytopenia as well, but I have never had a dog with this issue.[quote]

Thrombocytopenia
refers to an abnormally low blood-concentration of platelets, which are blood cells that promote blood clotting after injury to the lining of the blood vessels. When the concentration of platelets becomes too low, bruising and bleeding may occur. Dogs with blood platelet concentrations of less than 40,000 per microliter of blood are at risk for spontaneous bleeding.

Abnormally low platelet numbers in blood can be caused by a variety of disease processes. These include failure to produce new platelets in the bone marrow, premature destruction of circulating platelets often by the body's own immune system, sequestration or storing of platelets in organs, and consumption of platelets at a rate that exceeds production in the bone marrow.

Dogs of either gender, any age and any breed can suffer from thrombocytopenia.

The severity of bleeding associated with thrombocytopenia depends on how low the platelet numbers fall.

Tinkerbell platelets are now lower than 40,000 :cry: but hopefully when all the results come back we can start treating her, im not wanting to think about the other possibliltes yet.

more info can be found at http://www.petplace.com/dogs/thrombocyt ... page1.aspx

Thank you for your thoughts at this scary time
Tinkerbell has immune mediated thrombocytopenia, she is on steriods now, will find out on wednesday if they are helping her.

What i will be doing when she is better is getting legal advice as when the vet told me all her bloods were "spot on" her white platelets were actually 10 and he missed it!!!! she then went on to have a big bleed, im so angry but am holding my tougue while she is so poorly, just want her better.
:( Tinkerbell, hang in there honey. Your mama is going to be kicking some "vet behind" on your behalf, as soon as you're feeling better.

:ghug: :ghug: :ghug:

Laurie and Oscar
It doesn't make things better but Docotors, human included, make mistakes all the time. I insist on seeing the results of any blood work and question everything. And if need be, I get another opinion.

BTW, my Vet also shaves the hair a bit for blood work. And he is a great, up to date vet. Maybe the shave or not to shave depends on their schooling or where they practice. But is common here.

Hope your baby feels better soon. Sending sheepie hugs :ghug:
Ashley wrote:
It doesn't make things better but Docotors, human included, make mistakes all the time. I insist on seeing the results of any blood work and question everything. And if need be, I get another opinion.

BTW, my Vet also shaves the hair a bit for blood work. And he is a great, up to date vet. Maybe the shave or not to shave depends on their schooling or where they practice. But is common here.

Hope your baby feels better soon. Sending sheepie hugs :ghug:



I have definatley learnt a very big lesson and will now, always request a copy of everything. I know we all make mistakes, but they took blood, gave results as all spot on, then listened to me for a week tell them that tinkerbell wouldnt stop bleeding! im still in disbelief to be honest. She could have bled of death. Im angry at myself aswell for not looking at the results. The emergancy vet gave me a copy of everything, something my vet doesnt do unless requested.

Tinkerbell is so poorly at the moment and the only thing keeping me at the vet is the fact that the clinical director is now treating her and i have read so much about the condition i went with lots of questions so she knew i wouldnt be a push over.

Sorry i will stop ranting i just want tinkerbell back to normal, i hate taking her to the vet now :cry: i dont trust them.

Iv no problem with them shaving a small area to take bloods, it was her whole neck i was not happy with, (and the fact she didnt stop bleeding for 7 days) and will in asking why in my complaint

I really will shhh now lol sorry and thank you for all your well wishes for tinkerbell :D
I hope Tinkerbell improves and yes, if you plan to do anything legally, keep it off the internet as you never know who is "listening"! 8O I don't mean the members!

I never really thought to look at results, etc either. So don't beat yourself up over it. Always placed my complete trust in doctors - after all THEY are the ones who went to med school, not me. Unfortunately I learned alot about doctors and hospitals and I hate to say it, its scary out there. You must be on your toes...

Hope Tinkelbell gets better. Love her name by the way!
Once you get over this episode, you may want to consider having her followed by an internist or even better would be a hematologist/oncologist. The H/O combination is quite common and doesn't mean that Tinkerbell has cancer. These are just the experts in dealing with problems with the blood. (I used to work for an H/O for people).

Fingers crossed for good numbers.
You need to contact Dr. Dodds immediately. Forward blood work to her via fax. Go to her website Hemopet and there are articles about treating autoimmune diseases like trombocytopenia(spelling). An OES customer of mine has this issue (i'm not saying this is your issue) My point is her vet was treating it differently than Jean does, she insisted she follow Dr. Dodds protocal and the dog survived. Most vets dont know what to do with this, but this is all Dr. Dodds deals with. Bloody noses, easy to bruise are common symptoms and it happens fast. If you are unsure about what you find on the website call me and I will help you. Dr .Dods is in CA so you should do it ASAP. My cell is 847.858.0609
sorry i typed this before seeing Page 2 of the replys. Please contact Dr. Dodds she knows OES
4sq wrote:
You need to contact Dr. Dodds immediately. Forward blood work to her via fax. Go to her website Hemopet and there are articles about treating autoimmune diseases like trombocytopenia(spelling). An OES customer of mine has this issue (i'm not saying this is your issue) My point is her vet was treating it differently than Jean does, she insisted she follow Dr. Dodds protocal and the dog survived. Most vets dont know what to do with this, but this is all Dr. Dodds deals with. Bloody noses, easy to bruise are common symptoms and it happens fast. If you are unsure about what you find on the website call me and I will help you. Dr .Dods is in CA so you should do it ASAP. My cell is 847.858.0609
sorry i typed this before seeing Page 2 of the replys. Please contact Dr. Dodds she knows OES


Thank you, i will definatly look up Dr Dodds. I would call you but im in the uk, but if we could talk via email that would be great? i have read alot about the condition but finding out from someone would be great.
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