- 1 week ago
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00:00Many of the hardest to treat pets in Britain
00:02Right, it's hedgehog time
00:04are brought to one extraordinary practice
00:08run by the man known as the Bionic Vet
00:11Professor Noel Fitzpatrick
00:13What we're gonna do has never been done before, ever
00:17He performs some of the most advanced procedures ever attempted
00:20It's the smallest total hip replacement in the world today
00:23This is a textbook result
00:25Actually it's not even in the textbook
00:27As the lives of his patients and their families hang in the balance
00:31I've never seen an infection take hold this quick ever in my life actually
00:34Noel continues to find new ways to give them a chance
00:37Of course we don't know if it'll work
00:39That dog is the only thing that even makes me carry on
00:43Offering hope against all the odds
00:49Hello, hello
00:51She wants to say, this is my new bionic leg
00:54It's just a miracle
00:57Oh, good morning
01:09Good morning
01:11Fitzpatrick referrals gets its fair share of unusual visitors
01:15Leo!
01:17Leo!
01:18Hi Bobba
01:19Hi Bobba
01:20Oh, he wants to cuddle
01:22But today, it's not the animals who are causing a stir
01:27Hiya, how are you?
01:29How are you?
01:30Take a seat, we're lovely
01:32Yeah
01:34Mark Owen from the pop band Take That
01:36Matt, has brought his 18 month old Doberman Arnold into the surgery
01:41It's his first visit to the Fitzpatrick practice
01:44He's quite excited about meeting some other dogs
01:47We've got two more dogs
01:49We've got two more dogs
01:50Betty
01:51Our bulldog
01:52And Arthur
01:53Who's a little terrier
01:55They come bigger every time
01:56We started with the terrier
01:58Then the bulldog came in
01:59Now this
02:00And so what next
02:02I don't know
02:03Quite like those wolfhounds
02:04As I shrink
02:06Our dogs grow
02:07Yeah
02:08Mark's bulldog, Betty
02:10Has previously been treated by Noel
02:12But today it's Arnold
02:14Who is suffering with a limp
02:16I think it might have been the terrier that caused this
02:18They like wrestling with each other
02:20And I don't know if he's twisted it or landed funny
02:23But we'll see
02:25He's very good
02:26Very good boy
02:27Alright, yeah
02:28Out
02:29Mark
02:30I'm ready
02:31How are you, mate?
02:32Let's go outside
02:33Gosh, he's big
02:34Hey, mate
02:36How are you?
02:37How are you?
02:38He's big
02:39He is, isn't he?
02:40How are you?
02:41Great to see you
02:42So tell me, what's happening?
02:43I'm not 100% sure
02:44Probably about four weeks ago
02:46I noticed he was limping
02:48Which leg?
02:49Left leg
02:50He's not putting any weight on it, really
02:51Has he ever had anything like this before?
02:53No
02:54Okay, I'm just going to get you to walk this way
02:56Okay
02:57I'm just going to video his gaze
02:58Good boy
02:59Come back, yeah
03:00That's it
03:01He's strong, isn't he?
03:02Keep going straight
03:03Keep going straight
03:04He's not a dancer
03:05He'd never make take that on stage, would he?
03:06Always put away on me
03:09Gosh, the choreography here is all out of sync
03:12I'm going to have to sort that out for you
03:14Come on, buddy
03:15We've got to examine you
03:16Go this way
03:17We're going to have a little look
03:18Darby, I'm going to need a hand
03:20If you would just talk to his head, calm him down and keep him comfy
03:23Yeah, good boy
03:24Good boy
03:25Alright, big fella
03:26Hold tight
03:27Okay, mister
03:28You okay?
03:29Oh yeah, I can see straight away what the problem is
03:32The cruciate ligament's ruptured
03:34Cruciate
03:35Yeah, yeah, yeah
03:36Let's go inside and I'll talk to you about it
03:37Okay
03:38Is he called Arnold after shorts now, girl?
03:40Yeah
03:41Good
03:42Noel thinks that Arnold may have torn one of the two cruciate ligaments that restrain the movement of the knee
03:49It's a problem sometimes associated with large breeds with upright back legs
03:55Do you see how straight from here right down to here?
04:00Look, it's quite straight
04:01Now, if you look at the top of the tibia, that's called a tibial plateau
04:05So in a dog that stands like that, it will be roughly there
04:08But in a dog that stands more upright, the effect of the slope is greater
04:12Meaning that the femur has a greater propensity to slip down the slope
04:16So if we look at this, as the femur moves, the ligament frays
04:21The slipping femur can also cause damage to one of the blocks of cartilage between the femur and tibia
04:27Known as the medial meniscus
04:29I'm just going to check his meniscus
04:31Pull tight
04:32Okay, you ready?
04:33One, two, three
04:37Yeah, okay, I thought that might happen
04:39All right, big guy, you're done
04:41Almost certainly, that meniscus has been stretched and torn
04:45Now that's very important because then there's less cushioning between the femur and the tibia
04:51There's two problems
04:53Correct
04:54Yeah
04:55So what we want to try and do is address it permanently
04:58So instead of trying to replace the ligament, we alter the slope so that it cannot slip anymore
05:05Noel will operate today
05:07So the risks are mechanical failure of the implants and infection
05:12So he must not lick it
05:14He must have a head collar on it
05:16Hmm?
05:17Because, mate, Arnold, we can't have Mr. Schwarzenegger getting an infection
05:20Or indeed not being able to pump iron afterwards
05:23It's lovely to see you
05:25You take care, mate
05:26Thank you, I really appreciate you
05:27My entire pleasure
05:28I'll see you soon
05:29Come on, mate
05:30Cheers
05:36Never nice when you leave with the dog and then you leave with the lead, don't you?
05:40Never do
05:41Always a bit of a strange feeling
05:44I was hoping he'd say, oh, you know, give him a paracetamol, it'll be all right in a couple of days, you know
05:49But, er, yeah, I'm glad he's here, because he's been miserable, sat at home
05:56So, you just want him to get right, don't you?
05:59So, er, I'm glad he's here
06:06The animals that come into the surgery are often the centre of their family's world
06:11Eww
06:16But there are those who take things a step further
06:18She's got some style going on
06:22A lot of dogs come in with little lunchboxes
06:25Fish, chicken, vegetables, like, they eat better than me
06:29Their dog doesn't drink tap water, they only drink bottled water
06:34And they request that their animal watches The Simpsons at 6pm or the news
06:41They look so beautiful
06:44Families will just go to extraordinary lengths for their pets to make them happy
06:52One such family are the Maloneys
06:55They've brought Benji, a fluffy four-year-old cotton sioux
06:59All the way from Noel's homeland, Ireland
07:02Oh, we're everywhere, we're like mushrooms, the Irishman
07:05We pop up everywhere
07:07Jacki, Eddie and their daughter Jenny live in Dublin with their two dogs Max and Benji
07:15Benji was actually a gift for our eldest daughter Jennifer for her 21st birthday
07:22He's a mix between a cotton, a tiller and a shih tzu
07:26Just really, really cute
07:30I would love to say that I don't spoil him
07:34He quite likes to be blow dried
07:39He's like any woman in the hairdressers, he's very demanding
07:41He makes himself the master of the house
07:44He makes himself the master of the house
07:46Keeps me in check anyway, lets me know my place
07:49Benji may rule the roost, but not everything in his life is as rosy
07:56We noticed that he was quite stiff
07:59And for a young dog it didn't seem right
08:02We had some investigation with our own vet
08:05And he was diagnosed with hip dysplasia
08:08If you go in to touch his hind quarter, he will, he will turn at you
08:14Not snap, but it's quite clear that there is pain there
08:18It's terrible to see him in so much pain
08:20It's not what a young dog should be going through
08:23The worse it gets, the guiltier you feel
08:25So that's when we decide, you know, we have to do something
08:29The family have made the 400 mile journey
08:33To see what can be done for Benji's hip pain
08:36We're pretty much 12 hours on the road to get here
08:39It was a long trip, but hopefully, hopefully worth it
08:42I can't think of anything we wouldn't do for it
08:44I honestly think the pecking order goes dogs then kids
08:49She finally realises
08:51Benji, please
08:53Hello
08:55Hi, how are you?
08:56Jenny and?
08:57Jackie
08:58Jackie and?
08:59Eddie
09:00Eddie, great
09:01All with an E at the end or a Y at the end
09:03I've looked at the history and it's quite checkered
09:06You've had elbow problems and you've had hip problems
09:08So what brings you here?
09:10So he has a bowed elbow which looks dramatic
09:13But that's not his big issue
09:15We found out he had hip dysplasia about two years ago
09:18Okay, so let me physically examine him
09:20I'll just pop him up on there for you please, thanks
09:22Alright big guy, so hold his head there for me if you would
09:25Okay
09:27He's in quite a lot of pain with that isn't he?
09:31Let me check the left hip
09:33It's okay
09:35Yeah, they're both bad but the right one is slightly worse, yeah
09:40Okay
09:42Benji could continue with painkillers or have injections
09:46But the family are hoping for a more permanent solution
09:49If we were to do surgery on his hips
09:51There's really just two options
09:53One is a femoral head and neck excision
09:55Whereby people chop off the femoral head
09:57Throw it away and you're just left with a false joint
10:00With femoral head and neck excision you don't get full force on their leg
10:03And that is a problem because if you're shifting more body weight forward
10:08Because of the hip pain on the back
10:10That's worse for the elbows
10:11Yeah
10:12From a scientific point of view a total hip replacement is a superior outcome
10:16Yeah
10:17But bear in mind if we do the right hip we may still have to do the left hip
10:21Yeah
10:23But pain wise if we do nothing it's going to get worse
10:28Very very cute but unfortunately not genetically blessed in the joint department
10:32Yeah, yeah
10:33Well it's up to you guys do you want to take some time to think?
10:36Do you need to think?
10:38Not really
10:39If we do a total hip replacement and it works we'll all be extremely happy
10:43Yeah, okay
10:45But if we fail you'd have to accept that you'd have to go back in and leave him with a femoral head and neck excision
10:52Which still may be better than what you have now
10:54But it's a lot to put the dog through
10:58Yeah
10:59He's in so much pain
11:02So you go with the hip replacement
11:05Yeah
11:07Okay
11:08I mean it's all about quality of life that's it
11:11Well that's it, that's all we want from him
11:13Yeah, okay so is there anything else you want to ask me about the technical detail?
11:18No because we know nothing about the technical detail otherwise
11:22We could do the surgery ourselves
11:24Well all we want is for him to be happy and well
11:27My mum will be so disappointed if this doesn't work out I don't think I'll ever be able to go back home again
11:33You won't, the Maloneys will make your name mud if anything happens to our baby
11:38I know, I expect the Irish Mafia on me
11:41Thank you very much, thank you, bye
11:44The Maloneys will head to a local hotel and wait for Noel's call
11:48You can see the pain he's in
11:49Yeah
11:50You know, he's only four, it's not going to get any better, I don't think he had a choice
11:54It was emotional leaving him, I think it's
12:01The worry will start when we drive away
12:05He's too young to just rely on tablets, so
12:09It was the right decision
12:10Mark Owen's 18-month-old doberman Arnold has been prepped for surgery on his knee
12:27Are you a take that fan?
12:29Isn't everybody a take that fan?
12:30All right, everybody
12:36Arnold is having an arthroscopy, where a camera is used to investigate how badly the meniscus cartilage is damaged
12:45I think that's it right there
12:47Oh yeah, it's torn, it's flipping forward, it's really shredded actually, this is really bad news
12:52That is beyond repair, no wonder he's in so much pain
12:55As it cannot be repaired, Noel needs to release the trapped meniscus and cut out the damaged part
13:02So you can see the knife underneath the cartilage there now, then we just pull the hook
13:07And then we just pull the piece out
13:10That's it right there
13:12Next, Noel must address the slipping knee
13:15Noel plans to alter the angle of the top of the tibia by cutting into the bone and rotating the top section to level off the slope
13:26The bone can then be fixed into position with a plate and screws
13:30Are you ready?
13:34Yep
13:35Go
13:41All right, that's us through
13:43Now we rotate it
13:46Like so
13:48And that means that this whole top segment has been rotated around 8mm
13:52And it's locked in position permanently with a plate
14:01The alignment's good
14:04Yep
14:06The slipping has been neutralised
14:08So that's good
14:10With the knee stabilised, there's one final procedure that may help to future-proof Arnold
14:16I'm concerned about the arthritis that is inevitably going to happen inside the knee
14:20As a result of the fact that the cartilage was badly damaged and I had to cut out a big piece of it
14:26Now there's some evidence, if we get in there early and put some stem cells
14:32Inside the joint, we may be able to decrease the tendency towards inflammation
14:37So what I'm going to do now before we wake him up is I'm going to take a little piece of fat from his groin
14:43And we're going to extract the regenerative cells and we're going to re-inject them into his joint at a later date
14:49Arnold will remain at the practice overnight before he can go home to Mark
14:54It's lunchtime and Noel's latest patient has arrived at the surgery
15:08Eight month old border collie Kite has brought his family along for moral support
15:14Yeap
15:16All seven of them
15:18Go, go, go, go
15:20I've competed in agility and I guess I've got more dogs than the average person
15:25Come here guys
15:27In my world it's not unusual
15:29We compete from the end of March through to the end of October
15:33So it's not just a hobby, it's a way of life
15:36With so many dogs under her wing, Jackie is no stranger to Fitzpatrick's
15:41Fern's had double hip replacement and she was competing again within five and a half months of the surgery
15:49And one right up to the top level which was really quite a feat for any dog
15:54I mean quite frankly if it wasn't for Noel she wouldn't be here
15:57Now another of Jackie's waggy family is in need of Noel's help
16:03Kite slipped on the laminated floor when he was five months old and crashed into a dog gate with his shoulder
16:08Every time he thought he was better he'd be lame again and I was getting concerned that it was something more
16:17He wants to run, he wants to do things, he wants to play and he can't do any of that at the moment
16:22You know all of that has had to stop
16:26I'm finding it really hard, I love doing the early puppy training
16:28It's building that partnership with the dog that you need for later and you know we're really missing out on that, it's horrible
16:36Jackie is determined to get Kite back up to speed
16:40I'm really hoping we can find out why he's going lame, I really hope he doesn't need surgery
16:45I particularly hope that it's not a condition they think it may be which is called OCD which is a malformation of the cartilage in the shoulder
16:51Hopefully it is just an injury that's taking time to heal but we'll just have to cross fingers and see what Noel says on that one
16:58Come on sunshine
17:00Hey, how are you? Nice to see you
17:02I'm alright, thanks
17:04I've just checked, I've seen one, two, three, four, five, six of your dogs now
17:08Yes, it's a bit like Hotel California isn't it, you can check out every time you like but you can never leave
17:13As fast as one gets signed off somebody else is
17:14I'm not sure that's what the Eagles were writing about
17:17No
17:19You're right, yeah
17:21So in the sequence of events here with Kite, can you fill me in from the very beginning?
17:25Initially he seemed, he was a little bit lame but not too bad
17:28But then since then it's been intermittent
17:31My own vet's thinking OCD, I'm hoping it's not
17:34Young dogs can develop osteochondritis dissecans or OCD when cartilage doesn't properly convert to bone
17:41This thickened tissue can flake off and if joint fluid gets under it cause lameness and pain
17:47So is it your impression then that this is trauma or is your gut feel that it's a joint issue?
17:55I'm not certain, I think if it was a trauma, I think it would have probably got a lot better by now
18:02I think the fact that it keeps coming back is the thing that's bothering me
18:06We've not had it in the breeding line before, we've been very very careful, it's not cropped up
18:10Yeah, a shoulder OCD, if it is that, is very difficult to predict
18:14Yeah
18:15Very difficult
18:16Yeah
18:18Kite will need a CT scan before Noel can say for sure what is causing his lameness
18:23If it is OCD, what's the sort of prognosis for recovery from the point of view of agility?
18:28Does that mean that his agility career is out the window or?
18:31It doesn't mean I'm just cancer
18:33Okay
18:35I'm waiting around
18:37Kites, Mom
18:38Okay
18:40Thank you for service, eh?
18:43Hey
18:44Hi, now
18:45Well, you were right
18:46What?
18:47It is OCD
18:48Hmm
18:49Yeah, sorry about that
18:50What do I do to my dogs? I'm so careful with them
18:51It's not your fault
18:52It's not your fault
18:53It's not your fault
18:54I can't believe it
18:55But it is there
18:56So, um, let's look at the images together
18:59There's a hole in the humoral head right there
19:00Yeah
19:01But it is there
19:02So, um, let's look at the images together
19:04yeah sorry about that what do I do to my dogs I'm so careful with them it's not
19:10your fault it's not your fault but it is there so let's look at the images
19:20together there's a hole in the humeral head right there yeah but it's not a
19:26massive hole well I've seen much bigger than that okay conventionally we would
19:32do one of two things we would either do nothing at all and wait and let nature
19:37take its course or we would go in and take the damaged bit of cartilage out and
19:42poke underneath to try and stimulate some growth of a scar okay but we'd like
19:49this dog to go on and be a grade 7 agility dog yes you know yeah absolutely yeah
19:55so ultimately we we'd be wanting to make decisions that are in the interests of an
20:01Olympian rather than the decisions that are in the interest of couch potato yeah
20:05one option is for kite to have a synthetic plug inserted into the damaged area but
20:11for a lesion of this size and position there may be an even more cutting-edge
20:15solution recently it's become possible to take cells from fat and in the
20:21laboratory try and differentiate them into cartilage cells inject them all back in as
20:26as a plug yeah we don't know for sure but the current science would seem to converge on a
20:31point that we can help the body to heal itself okay brilliant as well as their anti-inflammatory
20:38properties certain types of stem cells may help to regenerate and repair damaged cartilage if
20:44we're lucky that would maximize our chances of athletic success do that then I think I'll tell you to click on
20:52whilst Jackie waits kite will have a short operation to remove fat from which anti-inflammatory and
20:58potentially regenerative cells will be grown I was really really gutted when they'll confirm that
21:04it was OCD probably about the worst news that we could have however no has got a plan so fingers
21:14frosted it's all gonna work he's very sleepy kite will return to Fitzpatrick's in two weeks for
21:22the second part of the surgery in the meantime he's in safe hands oh yeah you know he's just licking his
21:36bump two seconds ago all right let's go four-year-old cotton sue Benji is about to have his total hip
21:49replacement surgery no has completed this operation around a thousand times before but this particular
21:56crossbreed is a first dwarf breed dogs have very specific requirements for total hip replacement so it
22:05needs to be super careful how we position the implants there's a lot that can go wrong having
22:12removed the old femur head no drills out the arthritic socket to make room for the new cup wow that's tight
22:20the challenge with Benji specifically is that relative to the size of his pelvis he's a particularly heavy
22:28dog and that makes my job doubly hard because I've got to put quite a big cup in him to get a big enough
22:36head in here to support this body weight and actually he doesn't really have room for that cup
22:43with the socket finally prepared the cup must be cemented into place at exactly the right angle this is
22:57quite challenging I'm holding the cup in with my finger right now trying to get the correct direction
23:03on it we've got to bear in mind the single biggest risk with this operation is this location no almost now
23:12drill into the seven and a half millimeter thick bone marrow cavity of the femur cement is then pumped
23:23into the cavity ready to receive the implant okay so we've got the new stem and the new heading now it's
23:34got a nice big surface area which is akin to what Benji would have had in real life the artificial head can
23:41now be popped into the new socket the plastic liner here has a lip on it that should prevent the head
23:50slipping out so if I pull here this will not pull out the socket like so we'll stitch up no calls for
24:00Maloney's at their hotel to give them the good news thank you for calling hotels one to book a new
24:07reservation I don't want to book a reservation I don't want customer service do you have the right
24:15angle for an acetabular component I didn't get that hello hi is that Jenny it is yeah hi Jenny right so
24:27I've just finished the operation it went fine but it was very challenging the angles on the on the pelvic
24:33cup were quite like a Shih Tzu but exaggerated I certainly did but unfortunately it is as bad as this
24:44one all right so this is part one or two in fairness I'm afraid so guys yeah yeah oh well at least he'll
24:51know the angles for the next only a fella from Dublin would tell a culture how to do his job we aim
25:00to please yeah okay guys good night now in a few days Benji will be able to go home but only if his
25:08recovery goes well will Noel be able to replace his second hip
25:12nothing wrong with your appetite since the surgery on his knee Mark Owens Doberman Arnold has been
25:26recovering in kennels there you go right put your party hats on he's almost ready to go home
25:34come on then buddy but first Noel wants to check how he's using the leg okay so he's doing good I
25:41wasn't sure if I'd be happy now but this is beautiful off you go yeah it's gonna take him
25:47probably another six weeks or so to recover properly the thing is we got to have patience and believe but at
25:53the same time never forget that everything changes and it only takes a minute for things to go wrong
25:57so I guess we got to hold on and and pray good boy this could be the greatest day of your life mate
26:04how many more take that lyrics can I fit in lots we could keep going and going
26:10Mark Owen is back to pick up his beloved Doberman Arnold looking forward to getting him home the kids are desperate to see
26:28we went out and got him new dog beds and new treats to entertain him because Arnold usually when he gets a bit frustrated decides he wants to eat the house but yeah he's really gonna have to rest
26:37but yeah he's really gonna have to rest and that's he's probably gonna do a lot of oh
26:42does it have its own cup or do you put a cup yeah what do you want coffee with milk with milk
26:52hopefully it gives you milk yeah perfect thank you you're welcome
26:58hey mark hi you know mate you've been working hard all week oh uh probably not as hard as you listen
27:14he's doing great yeah I mean he he's he's already recovered tremendously well as I chewed up any of your
27:20stuff easy he's actually been very good the only thing really that could go wrong in my view is if
27:28he were to lick it and get an infection so he must keep his collar on for two weeks or if he were to run
27:34and break his screws oh I imagine that any questions no can we see him yes Arnold will need to return to
27:45Fitzpatrick's to have the stem cell injection but for now he and mark can be reunited
27:50so nice to get him back and Andy and he recognized us which is a good thing I feel like I've not seen
28:09him for ages he's been here five days I've got a funny feeling he's a little bit angry how could
28:14you are you ready mister should we go yeah in around a week's time the stem cells will be ready and Arnold
28:24will be back the most beautiful cape so pretty so fluffy Jackie has brought eight-month-old collie kite
28:38in for stem cell regenerative surgery to repair the OCD affecting his shoulder while kite is prepped
28:47for the operation Noel can't resist popping out to say hello to an old friend hi Bubba how you doing
28:53Noel's ex-patient Fern is now an award-winning agility dog sit up up up up hold it now that is a double hip
29:04replacement right there up up hold it oh my goodness that's not bad is it Noel did a fantastic job on
29:12Fern it does make me a lot more confident about kite because I know that he's in the best possible
29:17hands he's my golden boy and he's golden inside and out he's just very precious and I shall miss him a
29:22lot a lot let's do it the OCD hole in kites shoulder is in a difficult spot so Noel is using
29:32arthroscopy to locate it and check the joint we can see that the the hole we're interested in is right
29:41there it's just coming up there like an iceberg cracking off from the mainland I think we're going to
29:47have trouble it's in a quite a difficult spot it's right back far in the joint Noel widens the opening to reach
29:54the cartilage defect so he can accurately place the stem cells in position when we look down this hole
29:59now we can see it quite clearly and we can see where the the cartilage is flaking off so we're just
30:06going to poke the flap down here with this little spoon leaving a crater behind Noel then uses a pin to
30:16make holes in the raw bed it's called osteostasis and it's where we try and promote blood supply to grow into that region and provide
30:27cells for healing the mix of kite stem cells blood platelets and fibrin and natural glue can then be injected into the site now the
30:37goal is partly anti-inflammatory so the cells will hopefully reduce inflammation within the joint and partly regenerative
30:45so the cells will hopefully produce a better scar over this hole than we would otherwise have if we did
30:52nothing the surgery has taken less than an hour but for kite it could make all the difference to his future
30:58agility success so there we go three stitches and we are done
31:04hello Benji take a seat guys thank you four weeks ago four-year-old fluffball Benji had his right hip replaced
31:20yeah today doting grandparents Jackie and Eddie have brought him back from Ireland
31:26to see if he's recovered enough for the left hip surgery to go ahead hopefully he's uh he's improving
31:33good good enough to have it done and then he can just have the road recovery Jennifer unfortunately
31:40couldn't come so she's very anxiously at home waiting for the phone call whether he the other operation
31:46will go ahead you know what's going to happen don't you I'm sorry Benji Maloney please
31:54hi guys hello how are things going things are going very well our biggest problem is our patient here
32:03as far as he's concerned doesn't want to play the ball as far as he's concerned he's fixed he's fully
32:07better yes yeah and wants to get back to all activities all activities cushion related all cushion
32:14humping oh you're a naughty boy okay good so he's walking well on it I'm a little worried he's
32:24concerned that he does seem to I don't think he's putting his full weight all right so he's not bearing
32:29full weight on it you think yeah I don't think so we're still moving fine functionally let me check
32:35the other side it could be that he's now unbalanced yeah yeah it could be that he's unbalanced because of
32:42that painful one yeah baby more than likely I mean please God it looks fine on the x-ray picture if
32:48he's not using it as much though is it too early for us to go with the second one or well the x-ray
32:54will tell us yeah okay yeah it's in the back of your mind though I hope for his sake everything is
33:10all right Benji's rides are just up that hip looks good no problem there so we need to do the other hip I'll
33:23send him home now Benji's folks you can go home so we're gonna proceed okay hip looks fine so you you
33:34can go I'll figure it so when will you proceed now I'm gonna change I'm not into theater right now
33:41so they did at least give you a brace and drink before they told I kind of thought we'd see him
33:49before that but I can understand that if they haven't sedated and relaxed it's better for him I don't know
33:56if it's better for me but we trust Noel I'm sure everything is good so he wouldn't do it if he didn't
34:02think it was the right thing to do try and be brave he'll be fine he's Irish we trust him we know
34:09we'll get him if he does anything wrong yes yes we know where he's from
34:13that bust the collar is huge it's two and a half weeks since his knee operation and Doberman Arnold is
34:34back to have his anti-inflammatory stem cells inserted hey buddy how you doing mate but it's an anxious wait
34:41for mark as it seems Arnold's been living up to his terminator name he did unfortunately get his
34:48collar off and had a couple of licks at his surgical site so I'm a little concerned about that as it's
34:55still somewhat inflamed and certainly I can't inject stem cells if there's any risk of infection Arnold
35:03will need an x-ray picture of his implant and fluid from his swollen knee will have to be tested in the lab
35:09all right let's wake him up I got them you see he's one of those famous people in the whole world and
35:18he's so nice it's madness now Arnold's daddy right no must tell mark his decision so I've had a look
35:31yeah yeah the licking may have caused an issue it's really yeah okay so it's a bit more inflamed than I'd
35:39like it to be so I am not injecting the stem cells today that's eight million cells that I'm now gonna
35:47have to flush down the toilet really not literally but I'm gonna have to dispose of sadly so I'll have
35:52to grow eight million more because they only stay alive for a window and that window is today oh so
36:00it it is what it is it's fine look dogs are dogs you've actually done a great job at keeping him as
36:06calm as you can you turn your back for one second he demolishes the collar what do you do yes he's a
36:12eight several collars these is eating no what do you do yeah the good news is the implants are great
36:17good so there is no problem with the implants and the bone is healing fine brilliant oh here he is for
36:26now Arnold must head home with his tail between his legs come on mister and wait for another eight
36:32million stem cells to grow it's been six weeks since fluffy cotton Sue Benji's second hip operation
36:47I'm actually amazed he's like a new dog as far as he's concerned he's fully healed so hopefully we
36:54get confirmation today that he's well on his way but there's no we haven't seen any problems with
37:00no at all sure we have except he's getting even lazier yes yeah he does any time there's a step to get
37:07up on something he stands and waits for his servants to move him our worry is that he might never jump again
37:13yes he may never do steps again just why would you yeah that's quite nice to be lifted everywhere
37:19I might try it myself I don't think it would work Benji today the pampered pooch will have x-ray
37:26pictures taken to ensure the joints are healed and functioning properly hi this looks great oh that's
37:34great because as much as we thought it was good you're always afraid you're being of course of course you
37:39are but it actually does look great yeah everything's in position everything's looking nice I'm very
37:45happy and you can quite clearly see he's out of pain he's a different dog there hasn't been a whimper out
37:50from now yeah yeah I can't thank you no well no it's a deep joy for me to give back to my homeland
37:55I'll get him for you it's my pleasure my pleasure there he goes oh baby good boy oh baby now come here
38:07give me a cuddle before you go back it's a this is the first bilateral total hip I've done for an Irish
38:15dog so I'm thrilled all right mister and I'll see you when I get to Dublin we'll have a pint together
38:22all right you know you can't drink Guinness no now he's more shampoo being very noisy today a few
38:38weeks ago we had eight million stem cells bread made but unfortunately we couldn't use them so we had to
38:47do it again so there's in my head I'm imagining somewhere in a box is eight million little mini
38:53Arnold's crying back to him right now daddy daddy I don't know whether that's how it works today the
39:02mischief as Doberman is infection free so a new set of propagated stem cells harvested from his stored
39:09fat can be inserted no hopes by introducing stem cells from Arnold's fat mixed with his blood plasma
39:20their anti-inflammatory effect may reduce the impact of arthritis in his knee all right you got my friends
39:28there okay give me a five mil syringe please okay so inside this syringe is eight million potentially
39:36anti-inflammatory anti-inflammatory and regenerative stem cells and 80 million platelets there's quite a
39:43lot of healing possibility in 1.3 mil this is the future Arnold use it wisely Arnold will need a few
39:52more weeks rest to allow the cells time to take effect and the bone to completely heal good done good boy Arnold
40:06come on then you're going to enjoy this young man it's four months since budding agility champ
40:13kite had the operation to repair the OCD in his shoulder you ready for this then kite today after
40:20the sign-off from Noel he can finally start his agility training Kai Kai Kai Kai Kai Kai Kai come on then yes
40:29good boy good boy kites really enjoying being back with his family again and being able to run play he's
40:46a bit of a nutter but he's having to learn a bit of self-control as well but they can run as a pack the
40:51families together again which is really nice I'm thrilled to see the change in him yeah he's a much much
40:57happier dog you know now seeing him just enjoying life it's just absolutely fantastic and we've got a
41:06lot to thank no for two months after his knee surgery 18 month old Doberman Arnold is back for what
41:19should be his final checkup I'm a little bit concerned to be honest he was doing ever so well until
41:26um last week I noticed in limping again maybe I made a mistake of letting him go a little bit too soon
41:34I don't know I don't know I don't know I'm sure no to tell me
41:38oh
41:40it's okay it's okay
41:44you are you barking Arnold are you creating mayhem
41:50so what are you concerned about but he started limping on Friday night alrighty let me have a little feel of the knee
41:55yeah I'm hoping it was just a alright big fella he's had a bad day he's a good boy hold tight it feels
42:02very stable let's just have a look at the extra picture yeah maybe I just have to just be a bit
42:06gentle with him it's still early days yeah I did make one mistake I took him out onto the backfield
42:13and I thought you know what he got off there's nothing around big field nothing around you won't
42:20believe what happened to deal okay now you tell me and then you wonder why so he had a little scurry
42:28he had a scurry after two day and I scurried after him that might have been well not ideal but it
42:35probably means that it's okay he looks so happy he looks so happy right let's get an x-ray picture
42:46the images will show whether Arnold's deer chasing has caused any permanent damage
42:55alright you see that bone there yeah that's callous that bone is done the bone is completely
43:00healed that is not your issue yeah there's still some looseness in the meniscus honestly I think
43:06just being frank with you I think there was a little trauma done when he ran across the field
43:10but I'd be confident if you can keep him on the lead for sadly another four to six weeks but the
43:16bone is safe as a house there is nothing going to that is done done the metalwork is safe it's just
43:22the cartilage healing okay I'll get him for you good boy good boy now there we go mate there we go
43:36hey how's that well good news is the bones healed well bad news is four more weeks at least on the lead
43:43thank you very much my pleasure it's a tough lesson for Arnold and Mark but good news at least for the
43:50local wildlife who get a one-month reprieve before the Terminator returns in Dublin Bay Benji is once again
44:02reigning supreme he is so much better than I think any of us expected I never thought that this was
44:10possible I never thought he would be able to kind of go back to being a four-year-old dog Benny he believes
44:20he's master of the world not just the house they're both spoiled pooches and you know thankfully we'll
44:28continue to be so into the future we're very grateful snow for all he's done we don't need to send the
44:34Irish back here he did a good job very good job come on baby six months since his first visit to the
44:46practice the Terminator is running free I was doing fantastic he's back out and about off the lead he's
44:59very happy bouncing around everywhere this could be the greatest day of Arno's life cue the music come on
45:11he's a good dog he's a great dog he eats a few things now and again but what a dog doesn't
45:20it's been a bit of a challenge you know because he it's hard when you've got to keep him in confined
45:29spaces I'm just so relieved to see him back to himself again Nolan all the crew there have been fantastic with
45:38him you can you know they really care and that's how you can never hope for and they've got a good
45:45coffee machine I have to say goodbye come on then
46:08you
46:10you
46:11you
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