Tuesday, June 14, 2011

How to give a horse his eye medications, or, What is an SPL?

One of my patients on my Large Animal Medicine rotation had a very sick eye, for which he needed approximately 9187346 medications every few hours. Getting eye meds into a horse is not easy. Their eyelid muscles are so strong that we routinely nerve block their eyelids before doing eye exams, because otherwise it would be impossible to hold their eyes open. This is, of course, not practical for hourly medications. But they hate having things put in their eyes (who doesn’t?), and they can throw their heads up very high in addition to squeezing their eyes tightly shut. This particular horse was especially tall, as well, and could hold his head well out of my arm’s reach.

The solution in these cases is to put in a sub-palpebral lavage (SPL). “Palpebral” is the science word for “having to do with eyelids,” so an SPL enables you to lavage (wash) underneath an eyelid. This is how it works: you take a big needle, which you stick through the horse’s upper eyelid coming from the underside (the side facing the eye). You use the needle to pull a slender tube through the eyelid, so that its end is sticking just under the eyelid, and the rest of the tube runs up over the horse’s head and down its neck. You affix the far end of the tube to the horse’s mane, with an injection cap on the end. In my hospital, a popsicle stick is involved in the tube/injection cap/mane connection, to stabilize the entire apparatus.

Now when you want to give an eye drop, you can use a syringe and needle to inject it through the injection cap into the tube. You then inject air after it to push it through the long tube and into the horse’s eye. They do find this annoying, and once they learn the routine, will dance around in an attempt to not let you actually stick the needle into the injection cap on their neck. However, getting at their neck is worlds easier than getting at their eye. My patient was relatively good for the whole thing, so that I could do it without asking anyone else to hold his head. He always got a cookie after each medication administration (which added up to a lot of cookies in the end). When it was over he would immediately stick his nose agaist my shirt to get his treat. The SPL was annoying for all concerned, but so much better than the alternative.

Saturday, June 4, 2011

Shelter medicine externship

I recently spent two weeks of elective time at a shelter medicine externship at a different vet school. Half the time was spent in academic pursuits on campus — going to journal club, going to talks and lectures about shelter medicine, etc. The other half was at the shelter, doing high volume spay/neuter, temperament tests, treating sick animals.

  • Pulling worms out of a kitten’s butt (“Wow, can I?”)
  • STRAY GOLDFISH. It is more amusing not to explain, but I will say that it was found in a ditch in a grocery store parking lot.
  • Ratlings! Five week old foster rats came in for a visit. They had been well socialized and were extremely friendly. I badly wanted to adopt one, but suspected it would not get along with my cat.
  • Seeing exactly how fast 8 week old kittens recover from spay/neuter surgery. Spay surgery is no small deal, but those girl kittens were literally climbing the walls of their cage 30 minutes later. I am sold on pediatric spay/neuter.
  • Helping to set up play groups of shelter dogs and getting to watch them play together. It was lovely.
Shelter medicine is in large part population medicine, or herd health. Of course you do need to pull the occasional worm out of the rectum of a kitten, but you also need to think about how to keep animals out of the shelter in the first place, and how to keep them from getting sick once they are there. Daily rounds in my vet school’s small animal hospital are about the specifics of what diagnostics were done on an animal yesterday and what needs to be done today; daily rounds in the shelter were about why an animal hadn’t been moved to the adoption floor yet or how to deal with the placement of a feral cat. I knew that shelter medicine had a large preventative component to it but was not prepared for quite how large the component actually was. I was enthusiastic; I really like this kind of medicine.