24:48
24 hours ago, the emergency animal hospital, it's started, yes, he's in good shape. He's a deliveryman. She's here for a check-up. This is a dog that has a luxating leg and a dog that has a tumor on its paw and unfortunately it will have to have it amputated. Today we have an appointment at the Frégis veterinary hospital. We're going to follow several operations on dogs and cats, the [__], scans, MRIs, punctures. This is a cat that will not survive. That's me, it's okay, it's crazy. I do n't have time to tell you more. We're leaving urgently. So now we're going behind the scenes. We're going to go and
see the whole imaging department. And it runs 24 hours a day, and in fact, 30% of the animals that come here come in emergency situations. Sometimes we have the clinic for big problems. Hello everyone, let's take a quick tour. So, what are you doing to the dog out of curiosity? So we prepare him for his exam. How are you? Isn't he too stressed? So you arrive at the So Thbo so I'm telling you, do n't put your hand there he's stressed, do n't put your hand there.
OK. No, but it's not planned [laughs] he's coming because he actually has missing teeth so they're going to do a scan and remove the responsible teeth because it's extremely painful and sometimes the fact that he's fearful is just because of that. Cyril, can you tell us about the animal hospital? Well then, welcome to Frégiss. Here we are in a veterinary hospital, a little bit like in a human hospital. We have existed since 1836. It is the largest structure in France, in fact, the 190 years of Fréis. We have four waiting rooms in total. There's something for cats, there's something for dogs. So we try to separate them naturally in order to provide them with comfort. So, what's wrong with your cat, madam So it's an old cat.
He's an old cat. 18 and a half years old. 18 years old. Amazing. An 18 and a half year old cat. It's, let's say, exceptional. Unfortunately, he was diagnosed with limpo 3 or 4 months ago. It is one of the bad cancers. Let's say. You know, a cat is a very sensitive being, so we're going to try to put them in the best possible conditions. We have what are called feromones, small odorous substances that will be constantly diffused in the room. We don't feel anything, but the animal feels it and it's soothing. This dog had surgery yesterday to treat instability in his carpus. He had a slight pre-dislocation, you could say, in his wrist. He underwent surgery with implants. That
's a large padded bandage. And we molded a plaster cast that will go to reinforce it. This is a dog belonging to one of our nurses who works at the aqueduct. It's a dog we know well. Alex, what's wrong with the dog now It's a small cat that came to us because it showed acute neurological signs. He started to turn in circles on one side and experienced a kind of facial paralysis. So what could be causing this? It could be due to a number of things, but since it's a young dog, we suspect an inflammatory disease, so meningoencephalitis, and so we did, yeah, basically here we are at the level of the eyes and here
you see that there is a kind of whitish area that appears which is not at all present on the other side and you see that this whitish area between before and after the contrast it is a little whiter all this is the meningoencephalitis of inflammation of the brain, what could it be due to then? Well in dogs it is often autoimmune diseases, we don't yet know why and in fact their own system, their white blood cells attack their brain. So what needs to be done to treat it? It needs to be treated first, we need to be sure that's what it is. We're going to perform a biopsy. Do you want to have the blood drawn, Sam? No, you can do it.
It's a bit difficult to do. Things could go wrong. He can die from the blood draw. Ah yeah, yeah, because behind it there's his brain, so his transal. So if we sting too far, it stops breathing and it decides. No, it's just happening. Is neurology in animals essentially the same as in humans? There are really many diseases that we have on both sides, in humans as well as in animals. And herniated discs are the same in dogs and humans. The animal is paralyzed; we will operate every hour of the day and night. It's a bit like ch but there's a stake: the faster you lose, the greater your chances of recovery, which are important because the less the bone marrow has suffered.
The clear liquid that came out is called orachin. OK. So that's what flows around the brain. This is what we recovered, which is in the syringe here, and this is what we're going to look at. Great! I just saw you about the German Shepherd. Probably the operation caused an infection where the lady had bandaged the dog, the dog ate some of the bandages and was then unwell. So now we're looking at his stomach. You see something white but in fact that is the foreign body which is present in these intestinal loops and we also notice signs of obstruction with this loop which is really dilated with fluid.
You have several foreign bodies in your stomach and from your stomach to the entire digestive system. Ah yeah, it's not the same surgery. OK. So there is an indication of urgency. What is the history of this building? So in 1836 there was a young veterinarian who came out of school and had the rather unusual idea of setting up an infirmary for dogs and cats. At one time, we didn't teach pets how to care for them. In veterinary schools, we learned about the care of cows, but for farm animals, in fact, it didn't exist. So he shows this first infirmary for dogs and cats, and then things progress little by little. Mr. Frégis, another
veterinarian at the end of the 19th century, bought this business, developed it, and worked with Pasteur to develop all the research work against rabies within Frégis' premises, which were at the time in Paris at the foot of the Marc hill. At the time, there were still sheep at the foot of the Marc goal. And that's how Régis lent his name to the structure. That's how its structure became known from an international point of view. Then things developed. Now there are about 70 veterinarians. The total team consists of 180 people. We are dedicated to the care of pets, dogs and cats. We're in the operating room now. Here you can see they are operating.
The dog has a temporomandibular joint infection. The timpanic bubble is the back of the ear. In fact, that's what allows you to know where you are in space. And now they are operating on him to remove the infection. And there, you'll see emergency surgeries throughout the day, you'll see loads and loads of them It's a greyhound, a wipet. Well, he has teeth that change color. This one, you see, is a little bit darker than the one right next to it . There is a 92% chance that she died inside. That means there is an abscess. Therefore, they will need to be devitalized or extracted.
I'm going to call people. Yes. Hello? Yes. Hello Dr. Koffman, this is the equipment at CHG Frégis. Yes hello. Good morning. I'm calling you about Jones. Did you see him eat the bandage or did you see him in the vomit? So, we saw it in the vomit, we've never seen it uh usually, he does stupid things actually, he eats them. Yeah, I understand. I understand that it's difficult to manage, right? Well, he must have torn off the bandage, he put it in the garden. And actually, it was when we bounced it the next morning, there was no more bandage and we said no, it's not possible, he ate it We were able to do the abdominal ultrasound
which shows that there is indeed a problem, an obstruction at the level of the stomach and at the level of the intestines and there are even signs of intestinal distress. From a budget perspective, all inclusive of the care provided so far, the ultrasound, stabilization, surgery, and hospitalization, the overall cost is approximately €4000. So if I don't do it, it's not going to work. We need to save the what. No, it's going to the operating room. I've come to see you, Adrien, I have an emergency room. Yeah, as soon as possible. There are already signs of parietal damage. The dog ate the bandages and he has no signs of periconia.
Just the pancreas starting to suffer a little Did you confirm with the owners or did you go through the process in the early afternoon? Wow, perfect. In dogs and cats, if you want to do a scan examination, you have to put them to sleep. In a man, you can ask him not to breathe or not to move for 30 seconds. That's not possible with dogs. Do you see the pops? Yeah. There he is, starting to fall asleep. Yeah. I'm starting to fall very slowly and what's going to happen is that we're going to do the scan and then we'll be able to take him directly to the operating room for surgery. No, little
nap. So, you know, it's like with humans, we have to put a small probe inside their trachea. So there, I go inside his trench, we put on the little tube, hop, we secure it. And so, that's where we'll go next, we'll give him his gas, actually. Anesthetic gas. His face is impressive. We also give him oxygen as a safety measure to oxygenate his heart during anesthesia so that he doesn't suffer. The tongue sticking out is impressive, I think. They also sleep with their eyes open, unlike humans. That's why we give them artificial tears to prevent ulcers from forming in their eyes. To provide comfort for the animals, we have small blankets that are
impregnated with ferom on the small cage. There you go, that keeps them calm, actually. And cats prefer a little darkness. And yes, you see, it's placed here on a small stand directly at the owner's eye level. Cécile, what's going on with our friend there? Today, in the autumn, she is coming in for a check-up for her heart condition. One and a half years after her heart surgery, she had a valve replacement. This is a disease that can be found in all Cavalier King Charles Spaniels as they get older. What we see here is the beating heart. These are ultrasound machines like the ones you see in human hospitals. The small heart valve wasn't closing properly, so a small device was put in place.
There, he attached the two parts of the valve to make it close a little better. Actually, everything is fine. The disease has stopped progressing. It was a major operation. It was a very large operation. And if you hadn't done that operation, the dog would have died. Autumn, she would have died today. Perhaps you recognize the Bernese Mountain Dog. Yeah, it's okay, everything's fine. Yeah. Great!
Here is the scanner, a little bit here, this is the scanner and this too, these are machines that are normally used for children. In fact, if you look at the screen, you can see some little animations that are dedicated to the child. Ambre, so you're a radiology technician, is that right? What are you going to do? What are you looking at? How do you sort all that out? We're going to do a frontal and lateral x-ray of his head first, and then we're going to do the scan. Basically, we're going to cut like slices of sausage from the tip of the neck's snout to the beginning of the neck, and then
allows us to make a reconstruction in all planes of space. You can modify the search in any direction. So while I'm still handling the ASVs who are next to me, checking the anesthesia, checking that all the vital signs are stable, and so on. Can we inject it or not? Yes, they will inject the contrast agent. It's a type of dye and the goal is to color anything that is highly vascularized. The thing is, as soon as there is inflammation, a tumor or things like that, there is hypervascularization which takes place and so, in fact, there will be areas where it will flare up. So this is bone, so it's still completely white there. The two little dots, for example, are blood vessels that pass under the tongue. And then, suddenly,
the stretcher glands become whiter. It involves two diagnoses. Exactly. Camille, we have a cat next to us. What happened there? a diaphragmatic hernia. The separation that occurs between its thorax and its abdomen. There was an opening that occurred and as a result the abdominal organs moved up into his thorax which means that he actually has difficulty breathing and expanding his [stools]. So the plan is indeed to put everything that is here inside the belly and then come back and close it up. So how does that happen? He was in shock. The cat's history is not very well known. It was adopted recently. This could be a road traffic accident or a fall from a window.
Raphael, what are you doing to the cat? He was given initial medication to sedate him. It's a bit like a big anxiolytic in form so that he can fall asleep in better conditions. We really need to try to limit the stress on their heartbeat as much as possible. The idea is also to give him a little bit of oxygen because he's a cat whose lungs don't expand properly. So you studied to become an anesthesiologist, unlike the classic veterinary studies. I did an internship afterwards I did several anal assists. I was a clinician in anesthesia in other places and I am going to take a diploma that will make me a specialist in veterinary anesthesia. So TZ, what's your job? So my job is ASV, that's
veterinary nurse. My role is to prepare the animal from the preparation to the operating room until it wakes up, so that I can be an aid to the veterinarian and ensure the animal's safety. What kind of studies are required to become an ASV? 2 years of studies at Gypsa and then afterwards there is always further training available within CHV. So Mi, you're a stomatologist, you're going to analyze the images we just saw. What do you see? What can you say? So here you see this is a cross-sectional imaging examination where we can see the small nose and we are going to focus in particular on bone loss and see if there are already teeth that may be abscessed. So we can
already see that there is a bit of a loss of attachment. You can normally see here that the neck of the tooth is located there. The bone should be there and in fact it is here due to lack of care because the bacteria that line the surface of the tooth, what we call dental plaque, well these bacteria will generate an inflammatory phenomenon around the teeth and then there will be this loosening and which can evolve into a dental abscess. Not really customary, he to brush his dog's teeth, but unfortunately it should be because they are in the same way as we are in this type of disease.
This dog is doing quite well at the moment, but he is still quite young, he is only 4 or 5 years old. Is there still an operation or not? There is still an operation, a scaling, a polishing and a debriding of the roots. How much does an operation cost? Because there are no refunds. So the kitten is neither diaphragmatic nor non-diaphragmatic. So it's true that there are a lot of things. He received his anesthesia with his scanner. He is going to have surgery; he will be hospitalized for several days. In my opinion, it will be between €2500 and €3000.
Naturally, we're entering a slightly complicated area, aren't we? Because when you have a pet, well, as they say, you have to try to take responsibility for it. So people are going to try to pay in installments. Sometimes they will try to see with associations if they can find financial assistance. Pet insurance is not mandatory. They are for the car, but statistically, you are much more likely to have a problem with your pet than with your car. But it's certain that today, unfortunately, it comes at a cost. Roberta, where are we here? So, here we are in the physiotherapy and functional rehabilitation center.
All right. This is weight training for dogs, this is the sports part. Awesome. It's all the post-op stuff, all the pain. Also does joint movements, laser for pain and inflammation. And then we repair with exercises to, uh, pre-build muscle. Yeah. What's bothering the dog there? Proprioception. It works on propositional perception and the deep muscles. It's like, in quotes, a Pilates. What happened to this dog? Who underwent surgery? No, he's old enough. I have arthritis. So he couldn't get up anymore to go for his walks and now he's tired. It doesn't look like it, but it's very tiring. And it's the same when you put it in water, it's the same thing. We have him walk in the water
so he doesn't have the weight but can rebuild muscle more easily. So this is her first hydrotherapy session. He's an old dog, so it will do him good to regain some mobility. Ah yes, I think he'll do it for you. Ah OK. You can feel it now. You gave a little surprise, huh? [laughs] Or I think dog poop is something you're used to, right? Not here. Oh yes, well, not necessarily in the water. So. No, but that does the old dogs good. It stimulates them. It's good for digestion, it's good for lots of things. Have you finished your nonsense So this is his first session.
It'll do him good for everything related to arthritis, everything mechanical, back pain and all that. Dogs that are, for example, extremely rusty in the morning when they get up, are a little less so. We're going to go see the little dog who had his scanner. We have to complete the evaluation with an instrumental examination and in particular here, I came across this, that is to say that I manage to pass through from one part to the other, it is a strict extraction criterion. We pass a first instrument here in the agency which we push a little bit further. And so now we can see the bone. And so now we're going to take a strawberry to remove a little more bone. and to cut the tooth, both roots. So
it exists as a training, so you were telling me about dog dentistry, everything related to the jaw, so that's what we call stomatology and maxillofacial surgery, basic veterinary medicine, 6 or 7 years. And then you continue with 1 year of internship where you pre-specialize by species and then another 3 years of specialty. You can choose between twenty or thirty specialties now. It's quite vast. So now, to dislocate the root, you actually have to press. These are very gentle movements, because otherwise we risk breaking the root. Hop! And there you have it.
Wow! It was removed completely. Magnificent, isn't it! So what exactly is post-op for dogs? So, uh, often it's a painkiller for a few days, like we would do at home. No need for antibiotics, it seems. Nordic countries, for example, hardly ever use antibiotics in dentistry, whereas in France we still have this bad habit. This has unfortunately harmful effects on the environment and on all the bacterial resistance that can be generated. Gorgeous. Yan. Where are we? So here we are in the intensive care unit of Frégis Hospital. This is a service dedicated to all critical animals that are, in quotes, on the verge of death. Sometimes we have emergencies of a little bit of everything that
sometimes require a visit here, and we have more serious cases that sometimes stay for days and days. So here I have a little bull terrier. So he had his gallbladder removed because his gallbladder had perforated and become infected. It actually released a lot of very irritating, very infected bile salts into his stomach. So he had surgery to remove his gallbladder and have a major abdominal lavage. That's why he has a drain, you see, coming out of his stomach with a little bulb right there. And the idea is that he tries to recover from this, but it's basically surgery with a rather mixed prognosis. There is almost a 40% mortality rate. So I'm a little bit worried.
Well, let's keep our fingers crossed for him. So, you kill another little dog here. Here, I have a little 6-year-old chihuahua, we received him in respiratory distress with lots of water in his lungs and we put diuretics on him to dehydrate him, purify the water from his lungs and now he is completely oxygen-deprived. He's doing very well. He'll be out tonight, just like the bodybuilder. [grunt] Exactly to [laughs] dry. Ah, so you're finished? That's it Yeah, we're done. Therefore, we need to move quite quickly on these surgeries. They can really decompensate quite quickly in terms of respiratory function.
Priority to the chat before the video. Exement. And so, that's exactly what we saw on the scan. All the belly fat was indeed around the lungs. We managed to put everything back together properly and close the diaphragm between the two. So everything went well. Everything went very well. A great deal, huh? Yeah. So these are things we see quite frequently here. Unfortunately, as soon as people, well, the weather is nice, it's a little warm, they open the windows and the cats fall in, and it's very, very frequent. Right now, we're getting almost one a day. Yesterday, a cat fell from the 4th floor and fractured its jaw. So here we see a fracture of the lower jaw. You see, it's completely deviated and it's a fracture that's open in the
mouth, so it's contaminated. This tooth is likely to get infected. If the tooth is not treated at the same time, the risk is that it will never heal. For all people who have cats, myself included, how can the owner realize early on that there is a problem with their cat? So, it's quite frustrating because cats, being predators, will try to hide everything they can and they'll succeed. In fact, often when they have truly advanced clinical signs, it is already because the disease is already quite advanced. typically respiratory distress. A cat that is breathing poorly will mask it, mask it and we will realize it when you breathe with your mouth open for example, but that means it was already very advanced. So in fact, you
really need to have a keen eye, to see the slightest change in behavior, the change in food intake, if they are less hungry, if they drink less, if they are more in their corner a little more prostrate. This could already be a sign of a fairly advanced illness that requires medical attention. Adrien, what's your job here? I am a veterinary surgeon, I only do surgery. So, it could be consultations and operating rooms.
OK. And now we're going to operate on our dear friend who is behind us. It was the German shepherd who ate his bandages. That's it. The goal is to open the abdomen, palpate the intestines, feel where the foreign body or bodies are, manually move the foreign bodies up into the stomach, so that there is nothing left in the intestine and everything is in the stomach, and open only the stomach. Sometimes, unfortunately, especially when the foreign bodies are too large, they fail to come up. And in that case, there are two possibilities.
Either we only open to remove the foreign body, or the intestines have already suffered too much. There are already signs of necrosis in the intestines, and in this case, a piece of the intestine needs to be cut out, which is a more complex surgery and, above all, one that is associated with a greater risk of complications So this is an American bulldog who has a heart tumor that developed many months ago, which caused what is called pericardial effusion, and which meant that the heart was not functioning properly because it was being compressed by this fluid, and now he is developing arrhythmias, so these are heart rhythm disorders that cause
him to have seizures where he becomes incapacitated, he faints, in fact, because of this. He is a dog who is, how old is he? He is 10 years old. And so he's going to see the cardiologists today. They are going to give him an ECG. So it's a continuous 24- hour electrocardiogram to see exactly what's happening in terms of arrhythmia in his heart. This is a little cat that actually died 2 days ago. So he died because he was hospitalized for a gallbladder infection, a little bit like the dog. He hadn't farted, so he didn't need surgery. But because of his illness he had what is called a vasovagal syncope
where his heart rate dropped very low and his heart stopped. Perform resuscitation for 15 minutes. So we massaged the heart, injected with adrenaline. He eventually survived and left. So it's been two days since he left again. He survived, that's all. He survived. That's it. W is a cat. How old is he now? He's 10 years old, and we were saying, what was the record? I was told I was 28 years old, I think. Here, I've already seen 27 or 28-year-olds. So no, we are currently taking a sample for a blood donation. Whoa! So, we have to calm the animals down a little bit for that, but actually, it's still a very nice action.
How much blood will you take from the animal? 350 ml. It's a 30kg dog, so that's roughly 10ml per kilo. This is a dog that is in good health, whose blood tests are good. He's young, so he's a great candidate. And do animals also have A+, B+, A-? Exactly. We will also type the blood because in fact we won't be able to use just any blood on another animal. There are blood types that are more or less rare. So we are constantly looking for blood to bolster our blood bank. This is a silly question, but does dog blood correspond to cat blood? Nothing to do with it. So, should people be encouraged to donate blood from their animals?
It's absolutely necessary. They have to come to the hospital here, for example? So, they will come to the hospital. They will register on our website. You know, it's simply frégis.com. They are going to sign up for a day in English. Their animal is sampled and then afterwards they get lots of little gifts for the animals to congratulate them and reward them and then it really allows us to save lots of lives on a daily basis, really and here we are in Paris but for those who live in the provinces the particularity is that blood cannot be exported so people have to come here to Paris to Surfrégiste to donate blood but
people come from very far away regularly it is quite impressive to see the generosity of people for that what operation are you going to do on this dog so we have a female dog who ate a foreign object stuck in her stomach. The goal is to succeed, using a camera and passing through her natural orifices, i.e., her mouth, in removing the foreign body, starting with the removal of swimsuits and underwear. Yeah. When I returned them to the [laughs] owner, they were all not his. No, no, what a story. And so Hug will proceed with what is called a gastroscopy using the camera we have above. So here we are, inside the dog's mouth. Here, we are in his neusophagus. So, the tube that leads to the stomach. And the
small green tube that we see here is a feeding tube that had to be placed in the hospital to nourish her. So this probe will guide us towards the stomach. And here we are at the end of the usophagus, so the tube. And then, Hug, it goes right into the stomach and we can see the foreign body directly. Yes, that's the problem right there. So. So that's what we're going to try to remove, which has been stuck in her stomach for some time and is making her sick. We can see that there are several, hey, there's even another one here. And so Hug is heading towards the exit of the stomach which leads to the small intestine. So we can see that there's nothing stuck inside. Pauline, who is also one of our residents, will help Hug manage
the endoscopy and we have different clamp systems. So we put the clamp in the tube. So. Ah, it's the pliers. And so, we grabbed a piece. Hug will try to gently remove one of the pieces. So. Wow, incredible. We're going to come out through the mouth. Grab him at the level of the cardia before he leaves. Damn, did he get FTA? You add a little more medicine, what is it? We can see that on the screen, his heart rate is higher than normal. That's not normal. And this is often the case when dogs are in pain during the examination. So even if she is
anesthetized, we absolutely do not want her to suffer or be in pain. So. And first, we have a first piece of plastic that we removed. Ah yeah, compared to an operation where you have to open someone up, it's still more pleasant for the dog. It's an outpatient procedure. Here, we have the second piece to grab and remove. There's still quite a bit left, hey. He ate a lot of it. Alex, so here we are in the lab. That's it. What we're going to do is look at what we've taken from a small cell to try to count the cells we see precisely to see if there are inflammatory cells in what's good is that you are I
find that the structure in fact, everything happens super fast. You know, you're not going to have to send it here and there, wait 2 days. We do everything, we do everything pretty quickly. That's the pH, like in a swimming pool. It's like at the swimming pool, but here it's actually for the protein in his cerebrospinal fluid. If there is inflammation, we expect the proteins to increase. Well, you see, disaster is imminent. We don't have that many, we don't have that many prs. We're just here. It's not catastrophic. What we want to see is whether there are white blood cells or red blood cells in the fluid. A bit of a
shock. There aren't many. What happens is that if the dog has had, for example, cortisone, it can interfere with the puncture. Even if we have few cells at the puncture, we still suspect this disease in view of everything we have said before, his age, the clinical sign, all of that, it goes together. And that allows us to say, we're going to offer a treatment to people. We've come to pay a little visit to the cattery. So here we have a catty one that we call cat friendly. We have a song that we made specifically with a producer to try and reassure them. There are long waves that are special, with small circular sounds in the background music. We will leave these lights on permanently and when night comes, since they cannot see the
red light, it allows us to give them care without disturbing them. Are these the gloves you sometimes use When we can't calm them down enough, when we absolutely want to avoid putting them to sleep or tranquilizing them, sometimes we have to use drastic measures. That's not surprising. Unfortunately, I called the owner this morning because the cat's condition was deteriorating. He had been under observation for a few days in hospital for pancreatitis which was beginning to cause necrosis of his pancreas. And then, probably during the night, a complication arose that is feared with this type of disease, which is a perforation causing a major infection inside the abdomen. So this is a cat that's not going to survive.
Technically, I could propose something to the owner. That's what I did, right? I suggested he go and have surgery to close it up. However, given this major pancreatitis, the prognosis remains poor despite the surgery. The owner preferred to stop. We're talking a lot right now about all this end-of-life stuff, but here my cat is suffering, it's part of it, I'm okay. Yeah, it's crazy, we're lucky though, with animals, to be able to accompany them like this, it's hard, it's hard, I imagine to announce bad news like this, what's hardest is when we follow animals for a long time, when it's owners we've been following
for 1, 2, 3, 4 years, when we've had moments of joy too, when we've had therapeutic successes, we've saved the animal for a few months, a few years, and then unfortunately sometimes we reach our limits. Do you still have that sensitivity, or do you just do your job when you're there? It's certainly true that, especially in its intensive form, I think we have a mortality rate that is still not negligible, right? I think that almost 30 to 40% of critically ill animals end up dying. Yeah, I think it's definitely necessary to detach it. It comes at the beginning the prayers years when we only do that at the beginning we are very sensitive and very affected by the cases a certain distance so as not to there is still a task we
still take our animals we adore them we cherish them a lot but it will be that if at each death we start to be well it is complicated for the continuation of passions. I understand. [laughs] It's tough. Yeah, that's the reality, it's not easy, but that's the reality on the ground too. And the goal is to save even more. Ah, exactly. We saw that there was a tkel who had arrived. What's wrong with him? This is a dog that arrived in an emergency because for the past two days, it has been progressively paralyzed in its hind legs and now it
is in critical condition, it can no longer walk. We examine him neurologically and we realize that indeed, there are really deficits only on the hind legs, not on the front legs, and so we say it's a spinal cord injury. We do the MRI, we have his spinal cord and we actually have at this point an interruption with a compression of the spinal cord. That 's a hercale, it crushes more than 50% of the marrow. So the idea is to go and operate on that. We're going to recover all the material that's crushing this spinal cord to relieve it and allow it to return to its proper place. Let's go. THANKS. like that.
Ah wait, I'm putting some in. We're going to open it up to the column level. So actually, we see the blue here. Yeah. What is this blue? That's precisely the dye that was injected. Oh yes. To mark the vertebra that we per We also have hernias on French dogs too, which have a lot of hernias. And in order to access the spinal cord, we have to remove all these muscles, all these insertions. Otherwise we can't get to the right place. What you're going to have to mill is the white thing we see there. Yeah, that's it. And a little further on, actually
The layer of bone, it is not very thick in that area. So, in fact, we'll get to the level of the marrow quite quickly. The hernia, in fact, is a material that's a little bit like toothpaste, a little bit whitish. And then, all that's left is to sew it up and we're good to go. That's it. We'll let you scratch away at the end. In this case, his situation is quite serious. So here we have a little cat named Arthur who had thoracic surgery performed by Dr. Poncet. He had fatty fluid accumulating in his chest, which prevented him from breathing properly. And so my colleague Dr. Ponçait went to explore this uh at the level of the thorax surgically to suture the vessels that were causing problems. And now he is in the recovery phase,
but he woke up, you see, yesterday afternoon. He is still very weak, he has a lot of trouble getting up, he has trouble maintaining his blood pressure. So this is a very serious case, it's a real intensive care situation where he has adrenaline in a continuous infusion to try to maintain his blood pressure. OK. We have an appointment at the operating room. Come with me. Approximately how long will this operation take Actually, it really depends on what you find. Ah, there is still some uncertainty about the state of the intestines, the state of the stomach. What's the weirdest thing you've ever found in a dog?
Balls happen, toys, junk, underwear, that can happen. One of the skewers found a knife, you told me? Yeah. Wow, a knife blade and he got out. Yeah. Who eats glass. In fact, it eats an entire dog. And a surgery that has personally affected you we can lead you to treat exotic animals, a bear, lynxes. But not here then. No, not here. Here, I made some birds. Whoa! Offered a bird. Whoa! We have the dog that performed the fluid extraction from the brain.
Yeah. So how does he get there? He already has two treatments in place. He is already receiving an immunomodulator infusion. So it's to calm the immune system. And yet, the dog is really very unaware. He is on the verge of a coma. So, in his case, it's a very, very serious situation where we hope the inflammation will subside so that his brain can recover, but the prognosis is quite poor at the moment. Here we can see that the cage, it's in a box. What does that mean? This is an airtight cage that allows you to increase the oxygen level in what you breathe. So this is a cat that was brought in for an asthma attack, having arrived in respiratory distress last
night, and now it's already much better. We are trying to start weaning him off oxygen. I'm going to do a little drawing. So you open it now, that's it, we're starting to open the skin. Next, there is subcutine tissue with fat. Yeah, that's where you go through different layers. In fact, what is the main difference with a human body, with human skin, the layers? I believe that the vascularization is not quite the same. Another difference is that a dog's skin is considerably more mobile. The cat's skin even more so.
Whereas on a human, you can't stretch the skin as much as you can on some dogs. In all of this, we have the liver, we have the stomach which is underneath, we can already feel the foreign body through it. So this is normal intestine, it has a normal color, a normal texture. And we probably find that it's a bit empty because, oh okay, it's an intestine then. There, we can already feel something. The consistency is not the same at all. The intestine is slightly dilated. I think that can be fixed. We'll see if there were any injuries. It might be a little more than the dynom because we still haven't come back up.
The dog couldn't have eliminated that through feces. It happens, but in this case there were signs of obstruction. There are dogs that ate 10 socks that were passed around and were eventually found by their owners at their homes. But all it takes is for it to get stuck in the stomach. It might not work. So in the stomach, there are indeed several pieces, but we can use forceps and pull very gently. What is it? It's a piece of bandage. A bit elastic, like a bandage. There are. I don't know if it's extra hairs. There's a smell too, you know.
Yeah, you ca n't see that in the video. But you don't smell it in the video, but there is a smell. Whoa! What the [__]? Ah, it's not a bandage, it's the whole box Whoa! Ah, no wonder he couldn't make it to the toilet. And this is the other part that is stuck in the intestine that we will slowly bring back up. I help him get back up a little He'll be relieved, won't he? Well, I hope so. Yeah. Impressive. Whoa! It doesn't stop. The thing looks like a lonely green one.
Worms can form foreign bodies. Yeah. To create obstructions primarily on young animals. So. Oh dear. Well done! Amazing! So we put this in, it's dirty, we've removed everything. Oh, that's going to be a relief. He will sleep well. Thank you very much anyway. Thank you so much. Good luck. A big thank you to the medical staff for taking care of our pets. Thank goodness they're here. Thank you so much. Hail in all.
