Ahh some days off...

Finally some days off, although they will not be nice and relaxing as usual because I have this stupid journal club artivle to work on and then my paper as well...stress...does it really ever end? Who are these happy non-stressful people? I would like to hurt them!!!! Hee hee - just kidding. Well, I was there at the clinic until 6am this morning...it was slow in the early day and then we got slammed later at night... I admitted a Goose!!! I know I think crazy as well,,,a pet 25yr old goose...and yes...the owner was very crazy...poor goose is "circling the drain" (close to death in ER terms!!!)...very lethargic, maggots in the hind end, increased respiratory effort with horrible sounding lungs and mucoid nasal discharge, history of elevated liver enzymes, not eating, random bleeding from the eye....ok can I tie all this together?...well, if has liver disease could be slowly dying and could explain the other illness, could have cancer of liver and spread to lungs, could have fungal infection (aspergillosis is common in birds and can cause a multitude of systemic signs all seen in this bird...hmmmm)...the bleeding in the eye? I have no clue and honestly that is not killing the bird so at 4am I really did not try to figure it out...started IV fluids, antibiotics (enrofloxacin/baytril), antifungal(itraconazole), and gavage feedings...also iced lines because temp was crazy high at 106.8f(normal high in birds is 105...i think). But, goose looks like it is trying to die...will it survive...most likely not, but we have been surprised in the past...and let me just say one thing...an owner kissing a goose should have been the first indication that this case was going to be crazy...she wasted 3 hours of my time because she couldn't make a decision... I then had a really cool orange cat that was fighting with his buddy cat and now was sitting with his tongue hanging out of mouth, not wanting to move jaw...I sedated to look but already had my suspicion which was confirmed...fracture of the mandibular symphysis (joint in your chin between the two side of lower jaw...ouchy!!! Needs to be fixed with a wire...very easy procedure, but owner young and not much money so I hospitalized overnight and he was going to call his vet this morning and see if they could fix for cheaper because cat also has teeth rotting out of head that need to be removed and since his is 11years old I recommended doing it all under one anesthesia if possible. Saw a little puppy that was stepped on...luckily no broken bones...sent home with rest and pain meds. Saw a blocked cat that owners had no money so me and the extern did an outpatient unblock and sent home...probably will re-block and warned owners of that but they were happy for the time being. What else...?? Euthanized a couple,....of course that happens nightly...old dogs...with cancer or neurological disease...ok..honestly I can't think of anything else I saw right now. I have to go to read through my articles because we are meeting today at 3pm to go through them...it is so hard because I have only had two hours of sleep today because of course being on shift all night doesn't allow me any chance to read my article so I had to wake up early today and read through stuff and study...not cool...smiling though....really really really trying hard to keep smiling through it all...