http://spaces.msn.com/petpeeves6003/ This is an interesting site by an er vet. I found it when I should have been writing.
I have been out of school for about 2 weeks now. I can't stop thinking about my last patient. Her name was Gracie. She was a 5 year old female Golden Retriever who presented with severe hypercalcemia. The first thing a vet should think of for hypercalcemia in a dog with this signalment is lymphoma. The differentials are lymphoma, lymphoma, lymphoma, hyperparathyroidism, lymphoma, renal failure, lymphoma... You get the picture! I took care of her during my last weekend on clinics. I basically just stabilized her with fluids, monitored her blood pressure, and tried to get her to eat. The problem was that she came in on emergency that Friday night and everything was closed so we couldn't ultrasound or do any other diagnostics until Monday. Her owners were great and very concerned. When I transferred her case that Monday morning to the new senior I called them and told them I would not be contacting them anymore. Well, diagnostics revealed advanced, metastatic lymphoma. Stage 3b. Bad. The owners said they wouldn't mind me calling them instead of the new student but I didn't want to piss the student off by doing it. I can't help but think about her and wonder if I should have been the one to call her owners. Or if I should have just called them a few days after she went home to see how she was doing.
She was a great dog.