BERNIE – A1077930

Manhattan Center

My name is BERNIE. My Animal ID # is A1077930.
I am a male black chow chow mix. The shelter thinks I am about 3 YEARS old.

I came in the shelter as a STRAY on 06/18/2016 from NY 10474, owner surrender reason stated was STRAY.

MOST RECENT MEDICAL INFORMATION AND WEIGHT
06/23/2016 Exam Type CAGE EXAM – Medical Rating is 3 NC – MAJOR CONDITIONS NOT CONTAGIOUS, Behavior Rating is NONE, Weight 72.0 LBS.

06/23/16 10:38 vc bc pt does not allow handling for buprenorphine inj ok to add on tramadol PO BID instead , pt is adopted NH 6/22/16 e-collar still on, tail amp incision mostly scabbed over, with small region open but not actively bleeding P-patient will not allow handling or bandaging. will need to do so under sedation. Continue with supportive care. if no change in behavior afte 1 week of trazadone, can increase to BID 06/21/16 16:29 Pt removed E-collar this am and began mutilating tail. Ecollar replaced but bandage is on cage floor P: continue with supportive care. option to increase trazadone dosage to BID to help w behavior (though needs to be monitor for signs of GI bleed since also on NSAIDs, concern if pt keeps pulling off cone and mutilating tail will lead to ascending infection . perhaps best solution for this patient is to completely remove tail in another facility and offer more comprehensive pain management 06/20/16 10:52 QAR, resting amputated, end of tail incision open, E collar in place. convenia given on 6/18 A: tail amputation P: CWSC, carprofen po SID, buprenex SC BID as pain management. ok to move out and monitor in holding, schedule for reclosure. 0.7 cc buprenex given SC 6/19 Unable to examine due to temperament. Pt attempts to chew at tail but cannot reach with E-collar Visual examination of tail through cage (attempted exam with pt out of cage – spins and growls with aggression) shows granulation tissue forming at edges. Mild serosanguinous exudate present. Will need sedation for full exam. Will attempt if time later today AT 1.45 PM THE P TAKE OFF THE E-COLLAR AND BIT HIS TAIL AGAIN, TAKE THE SUTURE OFF THE P WAS SOO AGGRESSIVE SO I KEEP HIM IN MEDICAL AND SPRAY THE WOUND WITH ANTIBIOTIC TRYING THE 2NDRY INTENTION HEALING O- bar, CRT< 2 SEC, BSC-3.5/5 HR-130, RR- PANTING NORMAL ASS- -OPEN TAIL WOUND WITH BROKEN SACRAL BONE WITH POINTED EDGE – BONE AND NERVE SUPPLY WERE EXPOSED -TENT. DX.; THE WOUND IS RECENT , SUSPECTED THAT HUMAN USED CUTTING INSTUREMENT TO MAKE A WOUND IN THAT SHAPE( 45 DEGREE ANGEL ) PLAN- ANESTHESIA TELAZOLE 0.6 ML + ATROPIN 0.6 ML BOTH IM ISOFLURANE – RESHAPE THE WOUND >< THEN CLOSE THE SUBCUTE USING PDS 2-0 SIMPLE INTERRUPTED PATTERN SKIN CLOSURE – SIMPLE INTERRUPTED PATTERN PDS 2-0 -WOUND BANDAGED FOR 24 HRS THEN REMOVE IT THE BANDAGE E-COLLAR ON FOR 2 WS RECHECK I

06/18/2016 PET PROFILE MEMO
06/18/16 11:26 Basic Information Bernie was brought in as a stray by police after being found tied up in the street. While in the car loose on the way to the care center, officers say Bernie was a bit stressed but showed no signs of aggression. Behavior during intake Bernie was very stressed during intake. He kept attempting to bite at his injured tail, paced and stress panted. Despite stress and pains from an injured tail. Bernie showed no signs of aggression during intake.

WEB MEMO
No Web Memo

06/21/2016 BEHAVIOR EVALUATION – NH ONLY
Exam Type BEHAVIOR
Bernie has tolerated minimal handling in the care center. He came in as a stray and showed no aggression toward his finders but appeared distressed by his injury. This distressed behavior has continued in the care center, escalating in some cases to growling and spinning. We cannot be certain how much of his behavior is a result of pain, but it is likely that his injury is influencing his behavior. Due to Bernie’s medical condition and overall distress level he is not a candidate for a SAFER aggression assessment at this time. We recommend placing Bernie with a New Hope partner who can address his medical condition and then re-evaluate behavior post-recovery.

GROUP BEHAVIOR EVALUATION
No Group Behavior Summary

06/18/2016 INITIAL PHYSICAL EXAM
Medical rating was 2 NC – MINOR CONDITIONS NOT CONTAGIOUS, behavior rating was NONE
Scanned negative QARH Mild dental tartar Came into facility with tail injury, almost 2/3rd of tali was amputated Dog trying to chewing Dog was sedated with 0.6 ml Telazol and Isoflurane mask for full exam as per Dr. Shark Shaved the injury portion and sutured and bandaged by DVM Dog was very hyper, was unable to handle 25 e collar added Intial dose 1 ml buprenorphine and 3.3 ml convenia given SC AT 1.45 PM THE P TAKE OFF THE E-COLLAR AND BIT HIS TAIL AGAIN, TAKE THE SUTURE OFF THE P WAS SOO AGGRESSIVE SO I KEEP HIM IN MEDICAL AND SPRAY THE WOUND WITH ANTIBIOTIC TRYING THE 2NDRY INTENTION HEALING O- bar, CRT< 2 SEC, BSC-3.5/5 HR-130, RR- PANTING NORMAL ASS- -OPEN TAIL WOUND WITH BROKEN SACRAL BONE WITH POINTED EDGE – BONE AND NERVE SUPPLY WERE EXPOSED -TENT. DX.; THE WOUND IS RECENT , SUSPECTED THAT HUMAN USED CUTTING INSTUREMENT TO MAKE A WOUND IN THAT SHAPE( 45 DEGREE ANGEL ) PLAN- ANESTHESIA TELAZOLE 0.6 ML + ATROPIN 0.6 ML BOTH IM ISOFLURANE – RESHAPE THE WOUND >< THEN CLOSE THE SUBCUTE USING PDS 2-0 SIMPLE INTERRUPTED PATTERN SKIN CLOSURE – SIMPLE INTERRUPTED PATTERN PDS 2-0 -WOUND BANDAGED FOR 24 HRS THEN REMOVE IT THE BANDAGE E-COLLAR ON FOR 2 WS RECHECK IN 24 HRS SUTURE REMOVAL IN 2 WS BUPRENORPHINE 0.5 MG 1 ML SC BID X 5 DS CONVENIA INJ 3.3 ML SC *****AT 1.45PM THE P TAKE OFF THE E-COLLAR , THE SUTUTRES AND OPEN THE WOUND AGAIN RECOMMEND SPRAY 2 TO 3 TIMES A DAY WITH GENO 1 AND USE MANOKA HONEY IF POSSIBLE FOR 2NDRY INTENTION HEALING

06/23/2016 CAGE EXAM (LAST MAJOR EXAM)
Medical rating 3 NC – MAJOR CONDITIONS NOT CONTAGIOUS,
06/23/16 10:38 vc bc pt does not allow handling for buprenorphine inj ok to add on tramadol PO BID instead , pt is adopted NH 6/22/16 e-collar still on, tail amp incision mostly scabbed over, with small region open but not actively bleeding P-patient will not allow handling or bandaging. will need to do so under sedation. Continue with supportive care. if no change in behavior afte 1 week of trazadone, can increase to BID 06/21/16 16:29 Pt removed E-collar this am and began mutilating tail. Ecollar replaced but bandage is on cage floor P: continue with supportive care. option to increase trazadone dosage to BID to help w behavior (though needs to be monitor for signs of GI bleed since also on NSAIDs, concern if pt keeps pulling off cone and mutilating tail will lead to ascending infection . perhaps best solution for this patient is to completely remove tail in another facility and offer more comprehensive pain management 06/20/16 10:52 QAR, resting amputated, end of tail incision open, E collar in place. convenia given on 6/18 A: tail amputation P: CWSC, carprofen po SID, buprenex SC BID as pain management. ok to move out and monitor in holding, schedule for reclosure. 0.7 cc buprenex given SC 6/19 Unable to examine due to temperament. Pt attempts to chew at tail but cannot reach with E-collar Visual examination of tail through cage (attempted exam with pt out of cage – spins and growls with aggression) shows granulation tissue forming at edges. Mild serosanguinous exudate present. Will need sedation for full exam. Will attempt if time later today AT 1.45 PM THE P TAKE OFF THE E-COLLAR AND BIT HIS TAIL AGAIN, TAKE THE SUTURE OFF THE P WAS SOO AGGRESSIVE SO I KEEP HIM IN MEDICAL AND SPRAY THE WOUND WITH ANTIBIOTIC TRYING THE 2NDRY INTENTION HEALING O- bar, CRT< 2 SEC, BSC-3.5/5 HR-130, RR- PANTING NORMAL ASS- -OPEN TAIL WOUND WITH BROKEN SACRAL BONE WITH POINTED EDGE – BONE AND NERVE SUPPLY WERE EXPOSED -TENT. DX.; THE WOUND IS RECENT , SUSPECTED THAT HUMAN USED CUTTING INSTUREMENT TO MAKE A WOUND IN THAT SHAPE( 45 DEGREE ANGEL ) PLAN- ANESTHESIA TELAZOLE 0.6 ML + ATROPIN 0.6 ML BOTH IM ISOFLURANE – RESHAPE THE WOUND >< THEN CLOSE THE SUBCUTE USING PDS 2-0 SIMPLE INTERRUPTED PATTERN SKIN CLOSURE – SIMPLE INTERRUPTED PATTERN PDS 2-0 -WOUND BANDAGED FOR 24 HRS THEN REMOVE IT THE BANDAGE E-COLLAR ON FOR 2 WS RECHECK I

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