A Day in the Life of a Surgery Registered Veterinary Technician

Story by Brie Worrell

Many people do not know what an RVT or Registered Veterinary Technician is and what they do on a daily basis. An RVT is comparable to a nurse in human medicine. The daily tasks of an RVT include: taking histories on patients that come in for exams, setting up patients in the hospital to make sure they are comfortable, drawing blood from patients, medicating/performing treatments on patients, taking radiographs, filling medications, setting the patient up for surgery, monitoring them during surgery, and recovering the patient after surgery. At our clinic, there are several different positions our RVTs can fill each day including Surgery, Recovery, and Appointment Tech roles. Today, we are going to highlight the last couple of tasks that a Surgery Tech performs almost on a daily basis.

 A surgery tech starts the day by making sure that all patients who have a procedure scheduled that day are set up in their holding cages and are comfortable. They then discuss the schedule of the day with the surgeon and decide what order the patients go in. After the first patient is selected, the tech sets up the surgery table with all of the supplies needed for the procedure from the drape to keep the table clean to the sterile surgery instruments for the procedure. They receive the sedation drugs from the recovery tech and sedate the patient. Once the patient is sedate, the tech preps the patient for surgery by taking radiographs if needed, drawing blood for blood work, placing a catheter, intubating the patient (placing an endotracheal tube down the patient’s airway so that the tech can breathe for the patient during the procedure), shaving and cleaning the surgery site, administering a pain block around the surgery site, and placing monitoring equipment on the patient. The monitoring equipment helps the tech monitor the patient’s heart rate, breathing rate, blood oxygenation, CO2 levels, temperature, and blood pressure.

Once all of this is complete and the tech is happy with the patient’s status, the surgeon enters the surgery suite and performs the procedure. During the procedure the tech is constantly keeping track of all of the patient’s vitals and making adjustments as needed. The tech is running the anesthetic gas administered to the patient the entire time and makes adjustments to levels whenever needed making sure the patient is at a quality level of anesthesia. They also open any sterile instruments the surgeon requires throughout the procedure.

 Once the procedure is finished, the tech wakes the patient up by stopping the anesthetic gas and administering oxygen to help the patient wake up smoothly. Once the patient is starting to wake up, they extubate (remove the endotracheal tube from the patient’s airway) to allow the patient to fully breathe on their own. They make sure the patient is clean and dry from the procedure and able to fully function on their own before leaving the surgical suite. They take the patient back to the hospital and hand them off to the recovery tech who wakes them up the rest of the way and monitors the patient till they go home. The surgical tech then has to clean/sterilize the surgical instruments and surgical suite before repeating the process for the rest of the procedures throughout the day.

At the end of the day, when patients go home, the surgical technician takes the patient to the client and lets the client know how the procedure went, what to expect as the patient recovers at home, and demonstrates how to medicate the patient if medications are sent home. They then deep clean the surgical suite from top to bottom and re-sterilizes all of the remaining surgical instruments used throughout the day.

It is a full day for a surgical technician but one that is fulfilling! Seeing the patients go home at the end of the day with a medical problem resolved is a great feeling.

We look forward to sharing more about what our hospital staff does each day for the care and health of our patients!

The Little Lizard Who Would Not Stay Put

This little Chinese Water Dragon went for a car ride to come see us recently. Since it’s safest for him and all other pets to travel in secure carriers and we require all pets to be contained in the waiting room, he came to the clinic in the best carrier his owners had on hand. To make him comfortable, his owners put in a nice fleece blanket and something to hide in. However, when he arrived at the clinic and his carrier was opened, he was missing! We quickly called his owners. They carefully checked their car and found him hiding out. Luckily, there was no harm done and he did well for his visit. Next time, we’re sure he will come in a carrier with much smaller bars! Are you unsure about what kind of carrier your exotic pet needs? We have seen just about EVERYTHING, so we can always let you know what works best! Give us a call and we would be happy to give you some recommendations!

Succulent Orphanage

Story By Brie Worrell

 

This winter, the Avian and Exotic Inn is home to not only a variety of exotic pets but succulents as well. It started with the Boarding Supervisor bringing her little family of succulents to the boarding facility to save them from her plant-eating cat. A few days later, a tech asked if she could bring her succulent to live at the boarding facility over-winter. With that, the succulent orphanage began. Soon after, more succulents appeared at the doorstep of the Avian and Exotic Inn. Most needed some TLC. Some (Theodore) had bite wounds, others(Sebastian) with water or sun burns, and others (Sawyer) with over-watering. The Boarding Assistants care for the succulent orphans, giving them proper husbandry including borrowing a UVB bulb from the reptile room to provide heat and UVB to help them heal and grow. Many of the succulents have come from near death and are now thriving in our succulent haven. In spring, some of them will return to their original homes but others will find their forever home at the Avian and Exotic Inn.

 

How much space do pet chickens really need?

The answer to this question depends on who you ask!  The official answer from the United Egg Producers Animal Husbandry Guidelines for US Egg Laying Flocks, 2017 edition states 67-86 square inches of usable space per bird.  These figures were established after research to determine what amount of space is large enough to reduce obvious stress behaviors, but small enough to keep egg production costs reasonable for consumers.Since pet poultry owners usually choose to emphasize cozy surroundings and environmental enrichment over costs associated with egg production, we recommend much more space per bird.  Many hobby sites recommend 3 ft/bird in the enclosure, and minimum 10 ft/bird in the outdoor run.  This sounds like a reasonable option.  Here are a few more considerations:

1. The cute ready-made coops you see online look great with a few chicks in them. However, once the chicks are full grown, they are usually way too small.  Be sure the space reflects the size of the ADULT birds, and not the chicks.
2. Even the most peaceful hens will establish a pecking order (this is actually where that expression is from!).  Lower ranking hens need to be able to avoid the boss hens, and need enough space to be able to do just that.
3. The ideal coop is well ventilated and easy to clean.  If it’s tough to get in there and remove the mess, most people avoid doing it.  We recommend emphasizing ability to clean over style and beauty of the coop.
4. Most infectious diseases we see in pet poultry happen after owners buy birds from multiple sources, pick up birds at auctions, or fail to buy vaccinated birds.  For the least chance of having an infectious disease in your flock, buy all birds from a “closed” hatchery, pay a little to have them vaccinated, and resist the temptation to add birds from any other sources.

The Indiana State Board of Health has great resources for both poultry producers and pet poultry enthusists.  Go here: https://www.in.gov/boah/2721.htm <%22> We especially like the links on biosecurity, and a free program where you can have your flock’s eggs tested for diseases such as Salmonella.

Questions on pet poultry?  Call us!

Are you and your pets ready for a fire emergency?

Fire preparedness is important for EVERYONE, but have you thought about a special plan for your exotic pets? We had a conversation with Nina Powell, Deputy Fire Marshall for the Pike Township Fire Department, and asked her advice. Specifically, we asked:

1. Are those little window stickers that alert fire fighters to the presence of pets REALLY helpful? Will fire fighters look at them and try to find the pets?
2. What if the pet is something unfamiliar and a little unusual, for example, a SNAKE? Will fire fighters rescue pets like that?

Nina assured us that the stickers are useful, and as long as the humans residents are safe, and fire fighters aren’t putting themselves and others in danger, they will make an effort to get pets safely out. She recommends using large stickers, and placing them prominently on both the front and rear doors right where they will be clearly visible. She laughed at our question about rescuing snakes-but quickly replied that all pets are important and special.

However, there are some things exotic pet owners can do that will really help fire fighters in these situations. We think her advice is excellent:

1. Have carriers for each pet ready and easily visible, for example tucked under the cage or right next to it.
2. Place a laminated instruction sheet on each carrier identifying and describing the pet, and any tips someone unfamiliar with that species would find useful. We made a couple of examples here:

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So where do you get window/door stickers specifically for exotic pets? You can have them custom printed, or we’ve made a large stack of them; pick yours up any time during clinic hours.

Stickers are $2.00 and proceeds go towards the Veterinary Care Charitable Fund: https://www.vccfund.org/forms/donation-form/?ref=661&company=Avian%20and%20Exotic%20Animal%20Clinic

Nina also reminds us to check smoke detectors regularly and have an escape plan that all families know and have practiced! See this fun link where kids can help in the planning process: https://www.nfpa.org/~/media/files/public-education/campaigns/fire-prevention-week/fpw17/fpw17escapeplangrid.pdf

Rescue Spotlight: Gabriel Foundation

Avian and Exotic Animal Clinic loves exotic animal rescues. We work closely with Indiana House Rabbit Society (IHRS) http://www.indianahrs.org/ and Exotic Animal Pet Rescue and Sanctuary (EARPS) http://earps.org/. Today we would like to tell you about a rescue we love a little further from home, the Gabriel Foundation https://thegabrielfoundation.org/ in Colorado. Dr. Lennox has had the opportunity to visit and volunteer on several occasions, and the facility and staff, and their dedication to parrot welfare is exceptional. The quality of enrichment and access to beautiful spacious outdoor aviaries are just a few of the things we like about the Gabriel Foundation.

Like all rescues, the Gabriel Foundation struggles with so many birds and limited resources. The foundation is in the midst of transferring 44 birds from another rescue in Pennsylvania to their home in Colorado. The Lafeber Company has agreed to match donations, up to $5000.00 for the next few weeks. Join us in helping the newcomers settle into their new home.

Memories of 2017

We bid a fond farewell to 2017, which brought about a lot of great changes for our clinic, some wonderful stories, and some loss.  We welcomed two new residents, and saw two AEAC doctors become board certified exotic specialists!  We had our Open House for the Avian and Exotic Inn, and much more. Here are some of our staff’s fondest memories of the year:

“Buddy” the chinchilla who chewed on an electrical cord and suffered some disfiguring burns and was hospitalized for treatment.  We warned her owner about the severity of the wounds, but when we presented her back to her owner, he immediately told her she looked beautiful!

“Peanut” the guinea pig who was diagnosed with a rare genetic bone disease that is considered untreatable…..actually improve and do very well with a simple miraculous cure-a UV light!

Our elderly cockatiel friend “Sammy” who after a very difficult surgery kept calling to Brie from the incubator, and then spent an hour and a half with her singing and preening and eating treats!

Merry Christmas and Happy Holidays from the Avian and Exotic Animal Clinic!

We will be closed:

• Sunday, Christmas Eve
• Monday, Christmas Day
• Tuesday, December 26th

We will reopen on Wednesday, December 27th at 8 AM.

We will be closed Monday, New Year’s Day, and reopen Tuesday, January 2nd, at 8 AM.

If you wish, you can leave us a message for a call back next business day.  If you have an emergency with your pet that cannot wait until the clinic reopens, call the general clinic number for instructions on how to reach the doctor on call.

We hope Santa is good and brings wonderful things to you and your pets!  And best wishes for a wonderful 2018!

Looking for a special gift for a special exotic pet?

EARPS and Indiana House Rabbit Society have their wonderful Christmas gifts and baskets designed to provide fun and enrichment, and raise funds for our exotic animals rescues!   Here are a few of the goodies we have available:

• Christmas Tree Enrichment Toys for shredding
• Holiday Hammocks for rats and ferrets
• Treat ornaments for rabbits and rodents
• ……and more!

The staff of the Avian and Exotic Animal Clinic would like to announce two brand new exotic animal specialists!

Our own Dr. Samantha Swisher passed her final examination last week and was awarded her American Board of Veterinary Practitioners (ABVP) specialty in Exotic Companion Medicine!  You may remember Dr. Swisher completed her exotic companion mammal residency with us a few years back, and stayed on with us as an associate.  Now Indiana has two board certified specialists in one location-congratulations Dr. Swisher!

 

In related news, we learned that Dr. Amber Lee, AEAC alumni passed her final examination and was awarded her American Board of Veterinary Practitioners (ABVP) specialty in Avian medicine!  Dr. Lee completed her residency with us as well, and is practicing exotic animal medicine on the East Coast.

 

We are very proud of both doctors and their accomplishments, which required years of work and study.

 

For more information on ABVP specialization, go to www.abvp.org

 

 

 

Our Good Samaritan Focus: The Amazing Trash Rescue

 The staff was surprised to see a commercial trash truck pull into the parking lot across the street from the clinic, and the driver rush in carrying a box of birds.  The driver had found the wild birds trapped in sticky goo, and left in a box along with the trash to throw away.  The driver risked his job to take the truck off the route to get the birds help! Cleaning them up was no easy task! Each bird was sedated, cleansed, rinsed and dried. The whole process took the better part of an hour and the the birds rested quietly overnight in a warm incubator while they dried. The next day, our amazing bird rehabbers Liz and Chris Hatton came and picked them up. They report that these little guys have made a full recovery, were released, and still visit their feeders occasionally! 

We just wanted to say a big THANK YOU to the trash truck driver and all the wonderful folks out there who care enough about our native wildlife to bring them here for help! We couldn't continue our wildlife mission without you!

 

The Truth about "Micro Teacup" Mini Pigs

Mini pigs make great pets, no doubt about that!  For those wishing to add a pet pig to the household (or barnyard), remember it’s buyer beware!  ALL baby pigs are small!  Some unscrupulous breeders sell baby pigs far younger than recommended so they look small, but hide the fact they will be much larger than grown. Remember that a miniature pig is not full grown until 5 years of age and a healthy adult miniature pig should weigh between 40-120 lbs, depending on the breed. If the breeder says that your pig will be smaller than that, they are either misleading you or selling an unhealthy pig. How can you be sure your mini pig stays mini?

1. Check the references of the breeder, and ask to talk with other buyers and possibly visit their pigs.  Avoid breeders who won’t get put you in contact with other buyers.
2. Ask to see the parents. Of course, you could always be shown other pigs who are not the parents, but if the breeder hesitates or declines, walk away. Again, remember that pigs are not fully grown until 5 years of age and can be bred well before that, so the parents may not be fully grown yet either!
3. Never buy a bottle fed or pre-weaned pig; these animals are at higher risk for medical and behavioral problems.  Only buy pigs that are completely weaned and eating solid food well.
4. NEVER buy the runt; this actually goes for any species!  (This doesn’t mean we don’t love rescuing them!)
5. Only buy pets from breeders with a health guarantee, and bring your new pig for a health check up as soon as possible after purchase. If your pig has not been spayed or neutered before purchase, it is very important to arrange the surgery while they are still relatively small, as surgery is generally cheaper and recovery is faster when pigs are still small. We recommend spaying all pet pigs for medical and behavioral reasons.

Remember pot belly pigs should eat commercial food designed for pet pigs, never for farm pigs.  Avoid obesity and all the secondary health problems by never feeding your pig from the table, and only offering healthy vegetables and some fruits for treats.  Free range pigs allowed to graze and get exercise are almost always the healthiest!

Pigs are very smart and can develop behavior problems if not properly trained and enriched. While many owners find this to be the best part of owning a pig, it can be a lot of work and isn't for everyone. We offer free pre-purchase consults for all new pet-owners and we strongly recommend that you come meet with us BEFORE you purchase your pig to make sure that you are prepared to provide everything she needs to live a long and happy life!

Parrot Wings: to trim or not to trim?

Since the arrival of the beautiful Natural Encounters macaws at the Indianapolis Zoo, we’ve had some inquiries on whether or not our pet birds should be given the opportunity to fly. Firstly, flying free like the zoo bird is not safe for pet birds, and requires skilled trainers and many, many hours of flight training. We do not recommend allowing your pet to free fly outdoors at all.

However, many of our pets can benefit from limited free flight in a safe indoor environment, like a special large flight cage, or a room devoted to flight.  The flight area must be safe and free of moving obstacles, sources of toxins and large windows that might look like a place to fly if the bird gets spooked.

It’s also important to remember that not all birds are good fliers. Some did not get the opportunity to learn while young, and may be fearful at the prospect.  Some can be gradually taught, but some are never comfortable.

And of course, birds whose wings are not trimmed are always a ‘flight risk” should they accidentally escape outdoors, so special vigilance is required.

If there is not a safe place for your bird to fly, the bird is safer with a wing trim.

Want to find out more about safe limited flight for pet birds, and whether a wing trim is the best choice for your bird?  Give us a call. Another excellent resource is here:http://www.goodbirdinc.com/

Run Away Exotics!

We had a recent call asking if anyone had found a lost adult sulcata tortoise.  (These tortoises can grow very large and strong and are good at escaping from outdoor enclosures.)  Last week we saw a young ferret for a check up after he escaped outdoors for several days.  Every year we get calls from people who find lost parrots.  Besides being very careful about maintaining a secure enclosure, what else can exotic pet owners do? Many can’t “wear” ID like a tag on a dog collar.  However, nearly very exotic pet can get a microchip (yes, reptiles and birds too!). 

We scan every lost pet that good Samaritans bring in for check ups, or who are brought in by one of our partner rescues. If there’s a chip, we have a place to start to reunite the lost pet with the owner.

Thinking about a microchip for your exotic pet?  Give us a call and we will go over the entire process.

Hey Pet Poultry Owners: Are you practicing good Biosecurity?

It can make all the difference in keeping your bird healthy! One of the most common scenarios we see at the clinic is disease in a flock that occurs a short time after adding new birds; in every case, good Biosecurity principles were not followed.  Do you know how to quarantine your birds?  (It’s may be trickier than you think).  Do you know how long you should quarantine a new bird?  How about how long to quarantine after a bird comes back from a bird show?

Find out everything you need to know in this terrific downloadable guide here.

Hidden Dangers from Pet Chickens?

Pet chickens are hugely popular in the Indianapolis area and elsewhere.  It’s hard to resist a fluffy chick. However, the Centers for Disease Control (CDC) is seeing an unusual increase in the number of people (including children) who are becoming sick from bacteria acquired from handling pet poultry, especially chicks and ducklings.  Check out the CDC's data here.

People with impaired immune systems should probably not handle pet poultry at all.  For the rest, carefully wash hands after touching, and keep a bottle of hand sanitizer near the enclosure if soap and water are not nearby.  Be sure to monitor children carefully and be sure that wash and don’t eat food while handling pet poultry.

If you have any questions about pet poultry, and how to them healthy, give us a call or email.

And whatever you do, even though it’s hard, try to resist kissing your chickens!

Did you know we see pet goats?

Goats are great pets.  Many of our clients with a few acres are getting a pet goat or two, just for fun (or maybe for “goat yoga”)!  Goats are easy to keep, but a few simple precautions can help keep them healthy. If you are thinking about a pet goat, give us a call, and we’d be happy to discuss diet, vaccines and routine deworming.  We also are available in case of injury or illness as well.

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Winged Encounters at the Indianapolis Zoo

Hey Bird Lovers!  Looking for something fun to do before the weather changes? We highly recommend Winged Encounters at the Indianapolis Zoo!  This is an amazing chance to see beautiful macaws in full flight, and to watch professional trainers at work. The Indy birds are a group that include blue and gold, blue throated, green wing, Hyacinth macaws and more!  The birds grew up together and started learning at a very young age. The flight you will see is a result of a series of small “baby steps” that are rewarded at every phase.  No bird is ever forced to perform, and birds receive only positive reinforcement.  One important concept is that to build trust, if a bird does not want to fly that day, or prefers not to step up to a trainer, he or she does not have to.  We learned a lot of tips that owners can apply to help relationships with their own pet birds. 

The zoo birds fly until fall….when you see them, tell them their fans at Avian and Exotic said hello!

Introducing Dr. Taylor Lewis!

Avian and Exotic Animal Clinic is pleased to introduce Dr. Taylor Lewis, our new Exotic Companion Mammal Resident. Dr. Taylor is a native of Indiana and actually grew up here, but attended veterinary school at the University of Tennessee. She completed a rotating internship at IndyVet Emergency Clinic in Indianapolis, then a specialty internship in avian and exotic animal medicine and surgery at Red Bank Veterinary Hospital in New Jersey. She actually spent time as a student here at Avian and Exotic Animal Clinic in 2015, so she’s already familiar with us! We looking forward to helping Taylor on her journey towards a specialty degree in Exotic Companion Medicine through the American Board of Veterinary Practitioners (ABVP). Learn more about ABVP here:  www.abvp.org.

Spay and Neuter for Exotic Pets? Is this really important?

We all know the benefits of spay and neuter for dogs and cats, and most people are very comfortable with the idea. Is there any need to spay and neuter exotic pets? The answer is actually quite complicated, and depends entirely on the type of pet. Spay and neuter is always beneficial when owners want to keep a male and female together, but not end up with lots of “extra” pets. However, there are some other important reasons why some exotic pets benefit from spay and neuter.

Take the following quiz, and test your exotic pet reproductive knowledge!

Which of the following exotic pets has an unusually high risk of uterine cancer if she is not spayed (up to 70%, depending on breed)?

1. Ferret
2. Rat
3. Rabbit

Which exotic pet will probably never experience all-too-common mammary tumors if she is spayed early?

1. Rat
2. Guinea pig
3. Sugar Glider

Which exotic pet really smells TERRIBLE if he is not neutered?

1. Rabbits and rats
2. Ferrets and guinea pigs
3. Ferrets and sugar gliders

Answers:

1. The rabbit! Surveys show an incidence of up to 80% once rabbits reach the age of 5 or 6. Many will not die of the cancer, but can experience symptoms such as vaginal bleeding and weight loss. In some cases, cancer can spread to the lungs or other organs. Spaying is a simple option to help prevent, and even treat uterine cancer in the rabbit.  

2. Some strains of rats have a very high incidence of mammary tumors, which can become very large, sometimes larger than the rat! Mammary tumors are influenced by estrogen, and can be prevented by removing the ovaries (it’s not even necessary to remove the entire uterus)!

3. Male ferrets and sugar gliders that are not neutered have a very strong odor, which most people find objectionable. Male sugar gliders can be neutered; however we recommend implantable “birth control” for male ferrets instead of neutering.