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Discussion Starter · #1 ·
I started using Kansas State's CollVetMed Tchng Hospl Small Animal Clinic with Bess.

I was growing increasingly dissatisfied with our vet. I'd been taking Bess repeatedly to "Dr. Stump" -- who had great dogside manners with owners -- and he'd been giving her penicillin shots saying she was digging in the yard and that was creating the bleeding toenails.

But a child psychiatrist colleague & wife came to dinner at our home and Bess (as usual) was schmoozing them (as she did any new person) and I mentioned that Bess had some crumbling toe nails on a paw. Dave lifted up the paw, sniffed it, and said it was caused by a fungal infection on the toenails. (Which was true.)

When shortly later Dr. S. found breast tumors and wanted to operate, I decided to take Bess to K-State instead. They found the cancer had metastasized to her lymph and so did a radical mastectomy PLUS a partial lymphectomy.

Bess was 7 and lived 7 more wonderful years.

We did all of our "vet-ing" with them after that. I figured if "Dr. Stump" had operated, he wouldn't have caught the metastasis problem and Bess would have been gone within a year.

So when I got Puff, I headed back to K-State.

We've been there many times -- Puff's not that unhealthy, it's that I'm concerned (MUCH more so her first year).

A few times, we've gotten bad or mediocre advice; BUT most of the time they've been great (and my costs are less than in Topeka). They're especially convenient for us -- it's a 55 mile trip, mainly interstate, and it takes 60 minutes.

Our usual vet noticed a bump on the outer edge of Puff's (L) eyelid about a year or two ago. It stayed just a bump until about 6 months ago when it started growing. Itgot about 1/8th inch (3 mm) wide and about 1/4" long (6 mm), a dark chocolate color as is the "mascara she lines her eyes with." ;D

I called KSU-CVM in early January and got an appointment for today at 2:30. The opthamologist wasn't sure (understandably) without first examining her whether they could remove it the same day or whether Puff would need an operation that would need her to stay overnight.

Puff got a thorough opthamological exam -- for internal pressure, eyes dilated and peered into with an scope, for tear production, etc. Very similar to what I got before and after a cataract operation (except they didn't ask Puff to read an eye chart and didn't give her dark glasses to wear after).

The opthamalogist said it appeared to be a papilloma (wart, skin tag) but possibly it was an adenoma. She suspected it was not malignant but we couldn't be sure without a pathology lab check.

Our options were to have it surgically cut off without anesthesia or to use a fast acting anesthesia and do a CO2 laser surgery; the latter would destroy any basal cells contributing to it. I could skip the pathology evaluation or (more $$) have it done as I wished.

Since the examining doctor had called in a 4th year vetmed student to assist me in holding Puff still for the exam, and then called in another, and then yet a third to hold Puff still for the exam and the preliminary tests -- would you believe that Puff does not submit very docilely for such exams? -- I thought, hey, why not go with the laser and anesthesia and maybe avoid any stray marks of Zorro all across her head? ;D

Puff doesn't like being separated from me but had no choice on a leash. She disappeared through the door, shooting me a backward glance that asked where had she gone wrong, why I was forsaking her to these people?

They called my cell phone an hour later and told me I could pick Puff up. When I saw her, it was as if the growth had never been there -- no sign of surgery, bleeding, nothing.

The bill:

Exam, Opthamology_________________$ 75.00
CO2 Laser Eqpmt fee__________________67.00
Sedation SA protocol__________________14.00
Histology Path H&E biopsy______________36.00
Formalin Tube (FA)____________________00.50
================================

Total______________________________$192.50

BTW, they also trimmed all of Puff's nails (no charge) while she was zonked.

An advantage of a SVM/CVM Teaching Hospital is that they have the most advanced equipment and the specialists. I am well pleased.

Typically, on most visits, Puff is weighed as we check in, then we're met by a 4th year vetmed student who gathers the needed information -- symptoms, how long, changes, diet, activities, etc., and takes vitals (pulse, respiration, BP, temp) -- and then gets the DVM. The DVM reads it, asks questions, takes vitals again, and then either prescribes or takes the dog off for brief treatment.

For those of you who want to consider using these wonderful resources, here's a link to the websites of those CVMs/SVMs in the USA and Canada.

http://www.vetmed.ucdavis.edu/vetnet.html

I haven't counted but I think a little over half of these allow client referral while less than half require a referral from a vet.

(My hunch is that which is which is mostly a supply and demand thing. The school or college needs enough different cases to use for training their students. If they're located away from population centers, they'll usually be more permissive in order to bring cases in and also there will be fewer vets who give them flak for competition -- and the reverse.)
 

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Re: Puff's eye surgery @ KSU's CVM-TH; + using a CollVetMed Tchng Hospl

**** that's cheap, bob.

two x-rays and some cosequin cost me 265 the other day...
 

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Re: Puff's eye surgery @ KSU's CVM-TH; + using a CollVetMed Tchng Hospl

I think your vet teaching hospitals must work in a different way to over here in Oz. The one near to us has to be the most expensive place in the state!!

Glad Puff's surgery went well. How long until you get the pathology results?
 

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Re: Puff's eye surgery @ KSU's CVM-TH; + using a CollVetMed Tchng Hospl

Dang that's cheap!! Would have been at least twice that at MSU.

Glad Puff's surgery went well.
 

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Re: Puff's eye surgery @ KSU's CVM-TH; + using a CollVetMed Tchng Hospl

I've heard that a lot of teaching hospitals are very reasonable costwise... Unfortunately, Colorado State (in my town) is significantly more expensive than the regular vets. :( I'm glad your dog's surgery went well. Once you find a good vet, they're worth their weight in gold!
 

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Re: Puff's eye surgery @ KSU's CVM-TH; + using a CollVetMed Tchng Hospl

Glad Puff's surgery went well, Bob. My vet is outrageoulsy expensive (at least I think so). I think I'll have a look at your link to see what's in my area.
 

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Re: Puff's eye surgery @ KSU's CVM-TH; + using a CollVetMed Tchng Hospl

I'm glad Puff's surgery was a success. Hoping for a speedy recovery and good pathology results as well.

Oh boy that IS cheap! For the total cost you don't even get the anesthetic over here! :)
 

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Re: Puff's eye surgery @ KSU's CVM-TH; + using a CollVetMed Tchng Hospl

You are very lucky to have a wonderful resource so close. We don't have anything like that nearby.

Sending healing thoughts to Puff.
 

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Discussion Starter · #9 ·
Re: Puff's eye surgery @ KSU's CVM-TH; + using a CollVetMed Tchng Hospl

Thank you for your wishes for Puff, I appreciate them. I'm sure there's a healing process but it appears to be very minor. They listed a number of things to watch out for (squinting, tearing, rubbing, color change, cloudiness, loss of vision) and if any were present to contact them immediately. But I've seen none of those.

I looked again closely (with my glasses on) and there is a slight concavity in the place where once the "skin tag" stood. Puff sure squirms when I try to look so I only get fleeting glimpses.

They said the histopathology results should be back "toward the end of next week."

After they call me, I'll add UPDATE to this thread's subject title and pass on what they found onto this post.

Also, I think I'll post a poll on Lab Chat asking for what experiences people have had using Coll or Sch of VetMed services.
 

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Re: Puff's eye surgery @ KSU's CVM-TH; + using a CollVetMed Tchng Hospl

Bob, glad to hear Puff is doing better.
Olie
 

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Discussion Starter · #11 ·
Re: Puff's eye surgery @ KSU's CVM-TH; + using a CollVetMed Tchng Hospl

I'd previously said:
I looked again closely (with my glasses on) and there is a slight concavity in the place where once the "skin tag" stood. Puff sure squirms when I try to look so I only get fleeting glimpses.
Yesterday afternoon I noticed some swelling at the location of the surgery and it's continued today. If it gets worse, I'll call their emergency service but if it stays the same, perhaps I'll call Monday. It's not large, at first I thought it was some eye gunk or a booger, but it doesn't wipe away.
 

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Re: Puff's eye surgery @ KSU's CVM-TH; + using a CollVetMed Tchng Hospl

I just saw this Bob. I am glad Puff's experience was good. That was a great price. Molly was at the vet for her vomiting, $180. That was exam, full blood panel & Reglan for her tummy.

I hope the swelling is down. Please keep us posted on that.

The closest Vet Teaching Hospitals we have are either Penn State or Ohio State. Our friend took his lab to Ohio State for surgical repair of a broken leg. Here in Pittsburgh the options were to fuse the joint. He would have been stiff-legged. He went to Ohio State for another opinion. They did a new procedure that would allow flexibilty & movement in the joint. It is a 2 1/2 hour drive for us but he said it was well worth it. You are correct about the Vet teaching hospitals having state of the art equipment & procedures.
 

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Discussion Starter · #13 ·
Re: Pathology report; Puff's healing progression

K-State called and the histopathology report said that it was indeed, as suspected, a papilloma (i.e., not malignant, a wart caused by a virus). <sigh of relief> ;D

Puff at first had almost no visible sign of surgery -- just a slight concavity where the skin tag had been removed.

A couple days later, it had ballooned into looking like a good size booger was in that spot but it didn't wipe away,and was apparently caused by some swelling. I thought if it continued through today, I'd call and see if I should come in.

Yesterday and today, the swollen, booger appearance had vanished and now there's a darkish scab -- not on the edge of the lower eyelid where the base of the skin tag had been, but a little more to the front side of the skin.

I called K-State and they said it sounds like she's doing fine.

They had asked me to call them immediately if there were any signs of pain (squinting, tearing, etc.) or other visual symptoms and she's had none of those.
 

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Glad to hear Puff's doing well and that the cost was considerably affordable! I checked the website and unfortunately, the nearest to us would be Penn State, about a 3 hour drive. Max also has a tag on his eye which we're treating with cortizone right now. If surgery becomes necessary I might consider the drive if the cost is low enough. From a previous experience with a similar surgery, our cost ran $875.00 at the vet. I would welcome the long ride at a decent price.
 

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Discussion Starter · #15 ·
I checked the website and unfortunately, the nearest to us would be Penn State, about a 3 hour drive.
You might check again -- I don't think Penn State has a CVM but UPenn does, in Philadelphia, only about a 2 hour drive from NYC. (Remember Barbaro?)

Farther away from you would be Cornell in Ithaca but I think they require a vet referral or Tufts SVM in (Grafton? Walpole?) Mass (not Boston, where the main campus of Tufts U is located).

Those 3 are among the top CVM/SVMs in the USA.
 

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Bob Pr. said:
I checked the website and unfortunately, the nearest to us would be Penn State, about a 3 hour drive.
You might check again -- I don't think Penn State has a CVM but UPenn does, in Philadelphia, only about a 2 hour drive from NYC. (Remember Barbaro?)

Farther away from you would be Cornell in Ithaca but I think they require a vet referral or Tufts SVM in (Grafton? Walpole?) Mass (not Boston, where the main campus of Tufts U is located).

Those 3 are among the top CVM/SVMs in the USA.
Thanks, you are right!! I've never used a CVM since most of our check-ups have been routine or immediate emergency. If surgery should become necessary it is certainly something I am going to seriously consider. Thank you.
 
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