- 16 hours ago
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00:00I'm so scared.
00:04There is a round object.
00:07Going in.
00:09Hmm.
00:10Captain, you're special in more than one way.
00:13Captain, he means everything to me.
00:16I'm tired and scared.
00:18He's trying to get out of the stomach.
00:20That makes it somewhat challenging.
00:23Come on.
00:26What is that?
00:30I'm Eugene Gradesky.
00:34Over the years, I have removed many weird and wonderful foreign bodies out of animals.
00:39Going in.
00:41My dad, he's like, there was a disgusting magician doing a trick.
00:44Oh!
00:45Dr. Gradesky is a legend.
00:46Going in.
00:47Bingo.
00:48I have removed an intact light bulb, a two-carat diamond ring, a garden hose from a lion.
00:54Underwear.
00:55Yuck.
01:00Hi, handsome.
01:15Go, go, go, go, go, go, go.
01:18Believed, one-and-a-half-year-old Kai has dined on something worrisome.
01:23He presented because he was vomiting up everything.
01:28Not even able to keep water down.
01:30It's something that's highly concerning.
01:34We adopted Kai a month and a half ago.
01:44He's so sweet.
01:45He's so gentle.
01:46He does not have a mean bone in his body.
01:50Dr. Chi let me know that they're calling an endoscopist.
01:56So, fingers crossed.
01:59For suspected foreign body cases, mobile vet Dr. Eugene Gorodetsky is the go-to.
02:05I have been coming to this clinic for close to the past 20 years.
02:11I come in through the back door.
02:14Howdy.
02:14How are you?
02:16Hey, guys.
02:17I'm all right.
02:18I don't even know what their front office looks like because I have never been there.
02:23So, these are the x-rays?
02:25Uh-huh.
02:26On Kai's x-ray, we see large, irregularly shaped object located within the stomach.
02:33And did you measure it?
02:35It's about three and a half centimeters across.
02:37Now we need to see which part of the stomach the foreign object is in and whether it is stuck.
02:45All right.
02:45Fingers crossed.
02:48I just gave him more pre-med IV.
02:50Okay.
02:51So, getting sleepy now.
02:54Sleepy is helpful.
02:56I hope that he is quite comfortable at the moment.
02:59And we'll go into left lateral piece.
03:05Good.
03:10I think he's good.
03:11Okay.
03:13Going in.
03:20The endoscope has 120 watt halogen light
03:24that allows Dr. G to search Kai's digestive system for anything unusual.
03:33Oh.
03:33I think there it is.
03:38The object certainly does appear irregular and not particularly smooth.
03:46Judging by the size and what shape it is, what we're seeing appears to be a stone.
03:54It's sort of triangular-ish.
04:01Oh.
04:04Oh, wow.
04:05Let's see what we can do with it.
04:09This is called a large diameter helical basket.
04:14In order to get an object that is relatively large, basket is by far the best instrument to use.
04:22Hopefully this size will suffice.
04:24There is a multitude of different baskets that can be used for things of different shapes, sizes.
04:32It is sitting in an awkward spot.
04:43Not simple.
04:43And it's just sort of nook and cranny of the stomach and I have to really turn the scope.
04:57The foreign body is not in the open, if you will.
05:01Work with me.
05:08Frog leg the hind end, please.
05:11Basically, when you position the dog differently, you change the anatomy of the stomach.
05:18When the dog is on his abdomen, in some cases, it is easier for me to get hold of the foreign body.
05:26Your best way to grab a rock is so the narrowest part of it goes through first,
05:37and then the larger part, if all goes according to the plan.
05:46Okay.
05:47I believe we have it.
05:50Whenever Dr. Gorodetsky is here, we all crowd around, especially the moment of knowing something
05:54is on its way out.
05:58Oh, I felt that.
05:59So, ready or not.
06:05Oh.
06:21Okay.
06:22Here it comes.
06:24Wow.
06:27Okay.
06:28First try.
06:30Dr. G frees Kai from a rock in a hard place.
06:36The rock was reasonably large. It was reasonably unpleasantly shaped.
06:42It came out and that makes me happy.
06:45The esophagus looks happy.
06:52We are all clear.
06:54And out and in.
06:56Kai, he should bounce back super quickly.
07:00Definitely would count this as a huge win.
07:02Thanks so much for coming on such short notice.
07:04Pleasure.
07:04All right.
07:05Take care.
07:05It keeps me interested in what I do.
07:08All right, Kai.
07:16Ready?
07:17Hi, my baby.
07:19Hello, Lori.
07:19How are you?
07:20We're all done for today.
07:21How are you?
07:22How are you doing?
07:23I'm feeling excited and really, really happy.
07:26You can hold on to this as a souvenir.
07:30Are you kidding me?
07:32Wow.
07:34I can't even imagine how it would have felt in his stomach.
07:38But it's thankful that it's out and he's good to go home.
07:41He'll be feeling much better and back to his old self again.
07:44Thank you so much.
07:45You're very welcome.
07:47We love that little boy so much.
07:48Yeah, he is our rock star.
07:50Literally.
07:52And you go, okay.
07:54That's a good boy.
07:55I'm so scared.
08:09Today, we have got Captain, a male cat, suspecting some foreign body ingestion.
08:15Captain, the great tabby, is acting a little off.
08:26Captain.
08:26He kind of stopped playing.
08:28Played for maybe five minutes instead of his normal hour.
08:31He's normally super excited for food, but he's just kind of, eh.
08:37I am quite worried.
08:47Heading to his second case today, Dr. G is joined by his oldest son, Ben.
08:53All right.
08:54We got to fill you up for the next procedure.
08:57You hungry for some Ukrainian treats?
09:01Or am I to say no to Ukrainian treats?
09:03Cherry pirazhok.
09:05Little hand pie.
09:06Mm-hmm.
09:07Cheers, you.
09:11Assisting Dr. G for the summer, Ben spent the morning planning clinic outreach.
09:16So when you have, like, a never-ending day of procedures, how do you do food?
09:24Uh, Regina usually makes me something.
09:27She's an amazing partner, an amazing mother.
09:30She's been packing you snacks for many decades now.
09:34Did you ever feel, like, challenged by the reality of having kids as you were trying to figure out your career?
09:42I am not the analyzing type, and I hope it was not too traumatic of an experience for you.
09:50No, just traumatic enough.
09:51The perfect shade and flavor of trauma.
10:03Howdy.
10:11We've got x-rays here?
10:13Yes.
10:17So you can see, this is the foreign body.
10:20Clearly, there is a roundish object in the stomach.
10:24It looks like it's about one centimeter in diameter.
10:28Something plastic.
10:29Maybe not.
10:31I'd be hard-pressed to see if it is a piece of plastic.
10:35Some types are quite visible on the x-rays, whereas other types are not.
10:40It's something that we're going to see once we're in there.
10:44His one leg is amputated.
10:46Did you see?
10:47No.
10:50Interesting.
10:51Hey, Captain, you're special in more than one way.
10:54Any animal with physical disability certainly does elicit some warm feelings.
11:01One of my dogs is similarly challenged.
11:05One of her legs is shorter than the other, and she's missing most of her toes.
11:15Ken, left lateral, please.
11:19We've got to do right by Captain.
11:22He's a survivor.
11:28Okay, going in.
11:30Okay, so the esophagus looks normal.
11:46And now I'm in the stomach.
11:54Hm.
11:54Yeah, there are some kibbles in there.
12:00The stomach contains a significant amount of food.
12:03And that makes it somewhat challenging.
12:08Not seeing.
12:15Hm.
12:15It's a little sad.
12:27It's a little sad.
12:39Captain.
12:39He means everything to me.
12:40He just brings a smile to my face.
12:46He never really grew out of the kitten phase.
12:49He's just really energetic.
12:52I sometimes look at him and start crying because I just love him so much.
12:59I don't know what's going to happen.
13:01I'm tired and scared.
13:03Why am I not seeing the front body?
13:25Dr. G is minutes into a hunt for an unknown object scarfed by two-year-old captain.
13:33I see the foreign body.
13:41It is shiny and also it's black.
13:45The object in the middle of the screen?
13:46Oh yeah.
13:48Nothing should be that black and gooey.
13:52Typically not.
13:53It's not totally clear what it is.
13:55The answer to that mystery lies inside of Captain.
13:59It's trying to get out of the stomach as we speak.
14:03The item is about to move into a narrow area prone to blockage where it can be challenging to
14:09retrieve foreign bodies from.
14:11It is in the outflow from the stomach into the small intestine going to cause a problem.
14:19Dragging it back into the stomach can be a challenge as well.
14:23Up to the first part of a small intestine, endoscopist can go.
14:28If it passes through, in that case it will be surgical intervention.
14:35It will be more risky.
14:40Ah, there.
14:41What I'm going to use for removal is long radiator forceps.
14:49We just want to make sure that we get a decent hold of it.
14:52You have to get the foreign body in the retrieval instrument.
15:07Okay.
15:24Let's see if we can get it out.
15:26You try to gently manipulate it so you don't drop it.
15:37Okay.
15:37And there it is.
15:46What is that?
15:53Captain is clear of a curious snack nearly too far gone.
16:01Captain.
16:02What are you thinking?
16:02Why did you eat that?
16:03All right.
16:04And out and done.
16:08Captain is no longer in potential danger.
16:11Mission accomplished.
16:20All right.
16:23Quite the chewed.
16:25Whatever this thing is, it was amazing to see my dad not break a sweat.
16:30All right, you guys have a good night.
16:31Okay.
16:32This case was exciting, but there is no time to waste.
16:36Onto the next endoscopy.
16:54Okay, you ready to go home, buddy?
16:58Let's go see your parents.
17:02I'm very relieved.
17:08Yeah, I'm really excited to just take him home, relax on the couch, maybe put on a trashy movie,
17:15and just snuggle for a while.
17:17So I do have the foreign body here.
17:24Oh, geez.
17:25We found this piece of plastic.
17:39Yeah.
17:40Owners of Captain, the three-legged cat have a hunch about what he's gobbled.
17:46We found this piece of plastic.
17:49This was a feather toy.
17:52The other part of this toy holds the feathers, and this lines up.
18:05It looks like it is all there.
18:08This is probably like the third time where he's eaten toys.
18:14The first time it was a bell.
18:16The second time it was like, what kind of toy was it?
18:20It was that little fiber mouse.
18:22Oh, yeah, he just ate the whole thing.
18:26It turns out Captain is a repeat offender.
18:31He's not learned his lesson at all.
18:33No.
18:35We are definitely going to change how we play with him,
18:39just to minimize the risk of this happening again.
18:42Yeah.
18:43We got some calming cat music in the car for you, don't worry.
18:45And keep a very close eye on him whenever he does get a toy.
19:01Lots of dogs out to play.
19:04You guys want to run around too?
19:06My schedule is busy.
19:08Do we have ball in your pocket?
19:10I do.
19:11I do not often have a lot of time to spend with my two-legged family or four-legged family.
19:22Animals have always been so important to my dad.
19:27Maura got it.
19:30She's running so great.
19:32Maura has fully recovered from her back surgery.
19:35They're often patients that would either be like abandoned,
19:39or the people would bring them in and say put them down.
19:41She could not use her hind legs at all.
19:45And now she, well, she chases schnitzel usually unsuccessfully, but she tries.
19:50That's amazing.
19:52That's how we were raised.
19:54If someone is hurt, if someone is sick, nurse them back to health.
19:58We've had animals for the past 35, 36 years.
20:08I can't imagine myself living without animals.
20:11And not even one animal will suffice.
20:14You need a variety.
20:15You've got two survivors here.
20:18Yeah.
20:19Well, they're special, each in their own way.
20:22Yeah.
20:22To me, they purify you.
20:26They make you believe that, at times, you are what they think you are.
20:32I wonder if you would provide me with the same level of medical care if I ever had an emergency.
20:39We'll think about this, yeah.
20:40Well, uh, grow a tail and then we'll talk.
20:43Okay.
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