Anatomy of a Break – Part Two

This is a post I have tried to put off writing.

A few weeks ago, I wrote about Bobo, who had badly broken a leg. This was missed by a vet, and so poor Bobo had spent time in pain, and now was faced with a complicated operation to save the leg.

Almost unbelievably, Bobo died under general anaesthetic last Friday.

I wrote up a case study on the subject, and I’ve had the chance to explain it to her old owner Sophie in person, thanks to a helpfully timed genetics conference. And I’ve talked about it to mum over and over. I won’t go into the detail again here. Suffice to say, the operation to save her leg didn’t work. When she was brought back under anaesthetic to amputate her leg, she suffered a cardiac arrest and could not be revived.

It’s incredibly unusual to lose a cat under general anaesthetic these days, even one who has been through several with some infections. The staff were shocked, and have been very kind to my mum, sending her a card and Forget-Me-Not seeds.

In a horrible echo, Mum’s new neighbour found her own cat returning home with a half-severed tongue. It appears as though there’s something in the area attacking cats, be it another cat in the area, or a dog, or whatever.

And I have just submitted my old MSc project for publication, about how online pet obituaries can help shine a light on successful human-animal bonds. One of the interesting little results we found in that project was the preponderance of people justifying their choice to euthanise, if that’s what they did. People recite clinical information, talk about lack of pain, the need for a ‘good death’. I find myself doing this too, going over the advice I gave, analysing where I could have saved Bobo. And I know that Mum has been doing the exact same.

Some theories suggest we have companion animals because the short nature of those bonds prepare us for what happens in human-human bonds. It prepares us to look after children, it prepares us to grieve, it prepares us to have someone depending on us. The nature of our bond with our pets is unique, though.  When Athena was moaning at me this week I was able to say to her “You know, some other little cats are dead, how would you like that?” which you would never say to a human, child or adult, but you can completely say to an animal. When Athena was trying to upturn her water fountain on Friday night, I sang, to the tune of ‘Maria’, a song about a kitten who got wet paws.

The nature of the human-pet bond is such that we can be brutally honest with them, exposing a part of ourselves that we wouldn’t normally expose to other humans. The loss of a companion animal does not just encompass the loss of something you love, but a specific and unique loss – the loss of a confidant, the loss of a proxy family member, the loss of a little extension of yourself.

Hug your babies close, if they’ll let you, and tell them you love them, which they might not fully understand. What we have with our pets is special, and when it’s unexpectedly robbed from you, that is a break that is hard to heal.

Goodbye Bobo, you will be very much missed.

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Anatomy of a Break – Chronicles of Bobo Part One

The black and white cat you sometimes see in the Fluffy Sciences banner is called Bobo.

I met Bobo in January 2010, back when she was called Bono, and was my friend Sophie’s cat. Only six months earlier I had sat with my little tuxedo cat, Posie, in the vet’s office while we overdosed her with pentobarbitol, and let her slip away from her days wracked with arthritic pain, liver failure and dementia. Bono was a very different cat to Posie, confident where Posie would hide . . . slightly dimmer than Posie which really said something because Posie once got a fright when she thought a tree sneaked up behind her.

Come December 2011 and life has intervened, Bobo needs somewhere to stay for Christmas. I know, as friends do, that this isn’t just somewhere to stay for Christmas really, and so I begin some political machinations.

Mum, I say, poor Sophie doesn’t know what to do with her cat over Christmas, I was wondering if I should take her . . .

Sophie, I say, poor Mum misses our old cat so much, she’s been thinking about getting a new one, I think if she looks after Bono for Christmas .

One Christmas stay later, in 2012 Bono moves to my mum’s for good and after a little while becomes Bobo. I feel like a master manipulator. In 2013, my little sister moves out and Bobo becomes surrogate daughter for someone with empty nest syndrome. She is spoiled rotten, and Athena should recognise that her Aunty Bobo was instrumental in making me realise I needed another cat.

But I’m talking about Bobo for a reason. Two weeks ago now I got a frantic phonecall from my mum, on a girly weekend in York, and panicked because Bobo had been found in the hall howling and unable to walk. My stepdad assumed she’d been hit by a car and took her to the vet’s.

A vet, late on a Friday afternoon. A vet who removed my stepdad from the examination room and returned a verdict of cat bites. Prescribed antibiotics and sent her home.

When you work in a vet school, when you work with vet students, you feel a lot of sympathy for vets. I have little sympathy for this one. I cannot understand why this vet didn’t prescribe pain meds, when behaviourally the cat was so distressed the owner had to be sent from the room, when the owner assumed a car accident because of the levels of pain being shown. I can’t understand that.

I also can’t understand how in such an examination, the vet could miss a dislocated leg and a fracture at the ankle.

This week, because Bobo was still in pain, she was taken back to the vets to see her regular vet, who immediately prescribed more antibiotics, steroids and scheduled her for a general anaesthetic for a thorough examination and x-ray. 13 days after the injury, the break was discovered. Bobo’s options were a transfer to Vet’s Now in Glasgow for a risky surgery which might save the leg, or an amputation.

Which would you do?

The surgery carries risk and a prolonged period of recovery, where Bobo will need to be caged for at least six weeks. The amputation carries long term behavioural limitation. Which would you choose?

In an attempt to give my mum the best advice I could I surveyed as many vets as I could find on Friday afternoon, and the answers are mixed. There’s no clear answer here at all, and I couldn’t help but ask for photos and videos to use in teaching. What do you do?

Bobo is currently in hospital, waiting for the surgery that might save her leg. For the next couple of weeks, we’ll talk about her instead of Athena.

Athena’s grudgingly allowed this.

Badger Friday! Shelter Part Two

I have a host of goodies for you this Fluffy Friday Badger Friday.

We have another Behind the Scenes blog post in our MOOC – remember to sign up for free here!

The Animal Welfare Hub has a new app for assessing horse grimaces and assessing pain in horses – join the Animal Welfare Hub here.

And there’s another Shelter episode. See you next week!

 

Learning About Pain in Animals

Today the AWIN project released five online learning objects on their Animal Welfare Hub. I have to confess an ulterior motive to sharing these: I had a hand in creating them.

The Animal Welfare Hub requires registration, but it’s free and once registered you can find animal welfare courses online, download learning objects, and share your own events, courses and materials. It’s designed to be your one stop shop for animal welfare resources.

The learning objects I’m sharing today are about animal pain. They’re aimed at vet nurse students, vet students, and as some refresher training for vets and vet nurses, but the beautiful thing about learning objects is that anyone can access them. You can take them at your own pace. You don’t need to read all the information present, and can direct your own learning.

By having these learning objects online we can also reach a global audience. Supplying the 7 billion with animal products (everything from meat, eggs, dairy, leather, etc.) results in a huge demand for animals. It’s more important than ever to share animal welfare knowledge between countries so we can learn from one another.

Anyway – first you have to make an account on the Animal Welfare Hub and then you can follow the direct links below to check out the learning objects. They can be downloaded and used for education, so long as you say where you got them from. Hopefully you’ll find them useful, and let us know any feedback you have.

1. What is animal pain?

2. How is pain produced?

3. How is pain assessed?

4. How is pain treated?

5. Attitudes to animal pain.