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00:00Epitides significantly decreased.
00:06Blood pressure was so low.
00:08As soon as we arrive, you can feel the tension in the room.
00:10Going into the stomach.
00:12Bingo!
00:14A piece ripped off.
00:16Yeah.
00:17Looks like we have something that is going into the small intestine.
00:21It is of significant concern.
00:23Let's see if we can grab the whole thing.
00:27We're in danger.
00:29I'm Eugene Gradesky.
00:35Over the years, I have removed many weird and wonderful foreign bodies out of animals.
00:41Going in.
00:42My dad, he's like the most disgusting magician doing a trick.
00:46Oh!
00:47Dr. Gradesky is a legend.
00:48Going in.
00:49Bingo!
00:50I have removed an intact light bulb, a two-carat diamond ring, a garden hose from a lion.
00:56Underwear.
00:57Yuck!
00:59Bingo!
01:00Bingo!
01:01Bingo!
01:02Bingo!
01:03Bingo!
01:04Bingo!
01:05Oh, what you crying for, babe?
01:23Percy, he's a character.
01:26He gets into everything.
01:28Hey, baby.
01:29No kisses today.
01:31No kisses.
01:32This time, 10-month-old Percy may have scarved a risky table scrap.
01:37I had to go and do something and didn't clear a corncob.
01:42I came back to an empty plate.
01:45You feel better?
01:46Yeah.
01:51Percy's vet clinic is an hour north of town.
01:54You're moving.
01:55You're picking up all of your stuff, blitzing across huge distances, driving from one region to another.
02:02One-of-a-kind mobile endoscopist, Dr. G, is en route with his son, Ben.
02:08I've done it likely hundreds of times, so I do have to head down to the T as to how many minutes it will take.
02:15Oh, he's an angel.
02:23Yeah.
02:23He's a very good boy.
02:24He's a good boy.
02:26In cases like Percy's, we've got to act now.
02:29Are we good to go?
02:31Corncob, they don't break down.
02:33They can certainly get stuck and cause a big problem.
02:35Well, that's a good-looking meathead.
02:38Yeah.
02:38Enormous, hungry Percy.
02:44Corncob can be considered an emergency case.
02:47Okay, it's reasonable.
02:48If they are not addressed in time, they can lead to full obstruction and potentially death.
02:57We good?
02:58Yes, we're good.
02:59Cool.
02:59Going in.
03:00With corncob, quite often you do not know exactly what you're facing.
03:20Don't sit.
03:22You don't know how diligent the dog was about chewing the thing.
03:30Yeah, there it is.
03:38I see what looks like a large, single piece of corncob.
03:46This is not our first corncob case this summer.
03:50Before joining my dad on the road, I had no idea that corncob were such a forbidden delight for dogs.
03:56Today, I plan to use a wire loop.
04:00Because you can constrict the snare around a relatively large object.
04:08While my dad focuses on the procedure, I get a chance to check in with Percy's owner.
04:16Percy is such a sweet dog.
04:18Oh, he's a sassy little thing.
04:22How did it happen?
04:23We were just finishing dinner.
04:26I put the plate up on the kitchen counter.
04:28It would kill me if something happened to him.
04:31I feel bad for her.
04:33This could have happened to anyone.
04:34Come on.
04:47Okay.
04:49I am able to get the snare around the foreign object.
04:53I don't think I have a very good grip on it, but let's try.
04:59As I am getting closer to the oral cavity, I do encounter resistance.
05:05Let go, please.
05:13And what I will ask you to do is I will ask you to open the mouth wide and straighten the head for me, please.
05:20And thank you.
05:22Actually, one more thing that you can do that would be useful.
05:24If you could please feel it in the neck and push it as I am pulling.
05:33Pulling.
05:49Okay.
05:54Dr. G relieves Percy of a corncob that's seen better days.
06:17That's a big one.
06:21It like smells.
06:23It is very gross.
06:27Okay.
06:29And out and done.
06:32Good job, Percy.
06:33Good job.
06:36Yeah, we'll make a good deal.
06:37Yes.
06:40Dr. Eugene's incredible.
06:42The whole team's really relieved.
06:44End of problem for Percy as long as he doesn't go home and eat another corncob.
06:48Percy.
06:49Did you learn your lesson?
06:50Stick to creamed corn from now on.
06:55I'm certain that Percy is capable of learning many new tricks.
06:59However, avoiding foods that are not good for him likely will not be one of them.
07:05All right.
07:06Thank you so much.
07:07Thank you guys.
07:08Yeah, thank you.
07:08And we'll see you next time.
07:10Yeah.
07:11Cheers.
07:12Bye.
07:12See you later, everyone.
07:13Have a good afternoon.
07:14Bye.
07:15Bye.
07:15Bye.
07:15Bye.
07:15I am so grateful, and I'm so happy he's going to be coming home with us now.
07:26Hey, thanks, guys.
07:28Let's go.
07:33You've got an appointment after here.
07:36You have to get your cookies and get the heck out of here, right?
07:39The baker who makes Dr. G's signature treats is married to a retired medical technician who services Dr. G's old-school equipment.
07:51I've been able to salvage a knob off of that scope, which is no longer functional.
07:58I have been using fiber optic endoscopic equipment for many, many years.
08:03And now we can take his scope, which is now repaired, put it into this case.
08:11I am extremely technophobic.
08:13It still does the job quite well.
08:15I've been talking to him a lot about monitors and what the last 30 years of tech have shown.
08:23But he's pretty happy with his old stuff.
08:25Here's your order.
08:26Thank you so much.
08:27Nice to meet you, man.
08:28Nice to meet you, too, and thanks for all the cookies.
08:31We'll talk to you again.
08:32All right.
08:33See you in a couple weeks.
08:37By now, we're probably talking of thousands of boxes, tens of thousands of cookies, tens of thousands of smiles.
08:44Yeah.
08:58Oh, this is going to be great.
09:01All right.
09:02Ben has sourced a digital endoscope system for Dr. G to try.
09:06Looking good, puppy dog.
09:09We're going to test some endoscopes on you.
09:12One of my missions is to convert my dad to digital, to bring him into the year 2024.
09:18This is going to be great.
09:19We're going to enter the 21st century.
09:22Fingers crossed.
09:23Hey, Papa.
09:24Come on in.
09:24I got something to show you.
09:26Ta-da.
09:28What have we got here?
09:30It certainly looks a little more advanced than what I'm using.
09:35It's shiny.
09:36He's pretty stuck in his ways.
09:37So I think it'll be tough to try and convince him, but I'm willing to try.
09:41Not like the kind you use.
09:42It's digital.
09:43It's on a monitor.
09:44And I have a test patient.
09:46If you wanted to test drive it out, see what you think.
09:49Sure.
09:50Okay.
09:51Let's see what we've got here.
09:58It's a bit sticky.
09:59It's brand new.
10:00First time using a brand new piece of equipment in your career?
10:06No.
10:07Yes.
10:09I am slightly apprehensive, but I have been pestered for long enough by my offspring.
10:17All right.
10:17Let's see if there is any foreign buddy in there.
10:20So I'm going to give it a try and see how it goes.
10:23This is great.
10:25The image is blowing my mind.
10:27Wow.
10:28Ah, hold on.
10:30What the hell is that?
10:32I don't know what that is.
10:34Okay.
10:35Wow.
10:36The unicorn.
10:39The view that I see on video is about the same as my ocular piece.
10:45Wahoo!
10:46All right.
10:47You're out now.
10:49For people that are watching, obviously it makes a lot of difference because they can actually
10:54see my field of view.
10:56We'll see if he's willing to take the leap into this new technology for his practice.
11:00Appetite is significantly decreased midday yesterday and totally appetite is gone.
11:23Pinole's symptoms, possibly caused by a foreign body, have his vet highly concerned.
11:31I can see the blood flow.
11:34Blood pressure was so low.
11:36I'm just going to text them to see over here.
11:46Today, I have an emergency for an body removal.
11:55Hello.
11:57Hi, Dr.
11:57Hello.
11:57So kitty cat?
12:00For cases like this, you go into overdrive and everything else falls by the side.
12:06As soon as we arrive in the clinic, you can feel the tension in the room.
12:20And no food since yesterday.
12:21No food since yesterday, midday.
12:23We all want to help Pinole as soon as possible.
12:29Today, one-year-old Pinole's urgent procedure will involve something new.
12:38Ben, we can set up the machine here.
12:41Dr. G has made the call to go digital.
12:47Working on video equipment certainly is useful for increasing the understanding of endoscopy.
12:55Water's working?
12:56Yep.
12:56Great.
12:57There's a screen for the first time ever for a live viewing party.
13:04Going in.
13:08I'm very excited.
13:09This is the first procedure that I'll actually be able to witness the whole thing.
13:16So, that's our esophagus.
13:20Wow.
13:22Seeing the journey down an animal's digestive tract.
13:26It feels like a wild water slide or something.
13:32And going into the stomach.
13:37Okay.
13:37And here is for...
13:39Oh, bingo.
13:43Something that doesn't belong in there.
13:51There it is.
13:52We all see it at the same moment.
13:54It's this, like, slick, saturated, greenish thing.
13:58That looks like fabric.
14:06And that would be my best guess as to what it is.
14:10Hopefully, we're going to find out firsthand.
14:12What kind of tool are you going to try and use here?
14:17A large radigator forceps.
14:21Longer radigator forceps are my go-to tool, number one.
14:26Let's see if we can get it out.
14:28From what I see right now, this appears to be one object.
14:35I'm going to do this.
14:36We can get it out of here.
14:39We can get it out of here.
14:40You're going to be one object.
14:41We can get it out of here.
14:41I'm going to do it.
14:42All right.
14:42I'm going to do it, you're going to do it.
14:43Do it, you're going to be one object.
14:44Broke.
14:46Piece ripped off?
14:48Yeah.
14:50Whoa.
14:52Like a goss pad or something like that.
14:56There's more?
14:58Yeah, there's more.
15:00It looks like we might have something that is going into the small intestine.
15:21Oh, yeah.
15:23I see a thread that is attached to the main body of the foreign material.
15:29I do not know how far that foreign body extends.
15:35I'm a little concerned there.
15:42Hm.
15:44The worst case scenario is the thread can cut into the wall of the intestine, necessitating surgery.
15:52They're in danger.
15:56I'm going to go as far as I can go.
16:02I'm going to go as far as I can go.
16:17Using his new digital endoscope, Dr. G chases a dangerous snack inside Pinoli.
16:24The second part of the foreign body is somewhere deep in the intestine, connected to this thread.
16:30The thread, a strand of a piece of gauze eaten by Pinoli, may be difficult to secure with the gapped teeth of Dr. G's large forceps.
16:51Let me change the forceps.
16:58I'm going to be using biopsy forceps.
17:01I can use them for something small because they are quite precise.
17:06We're halfway through the gastrointestinal tract of this cat.
17:11Okay, so let's see what we've got here.
17:14It's like a thin little strand running.
17:21Watching on the monitor, we all know that the pressure is really starting to build.
17:26I think I got it.
17:36I grab the thread and I give it a gentle tug.
17:41We're going to be very gentle.
17:45With the small, close together teeth of the biopsy forceps, Dr. G will try to carefully coax the foreign body out of Pinoli.
17:54I just need to make sure that I'm not applying any significant traction.
17:59Like it has to be very, very soft.
18:03This can be a life or death situation.
18:06I try to tug on the line without applying much pressure.
18:11Oh yeah, there is an aggregation there.
18:26Now I can see the rest of the foreign material.
18:32Let's see if we can grab the whole thing.
18:37Okay. Yeah.
18:51Our thread is mostly concentrated right about here.
18:58But most of that thing was going through the intestine.
19:01Yes.
19:03All this gauze is totally nasty.
19:06I'm very relieved to see that it's finally out.
19:08This was a tense one.
19:10Cat is good.
19:11I'm good.
19:12I wish Pinoli a speedy recovery.
19:20I'm happy that everything turned out the way it did.
19:23Good job.
19:24Good job, everyone.
19:25Okay, let me stop this.
19:28First digital procedure.
19:30I'm hopeful that my dad will keep working with this equipment.
19:33How did it feel on the screen?
19:36A little bit of adjustment.
19:38To everyone else, it's such an amazing tool.
19:42Excitement is way higher for me.
19:44It's kind of like when someone's listening to the radio
19:46versus watching a game on TV.
19:48There's a...
19:50Yeah, yeah, yeah.
19:51Just let me be in my 1930s, okay?
19:54Today I have been dragged into the 21st century.
19:57I'm quite pleased with the way the scope worked.
20:10I think we're ready to go.
20:11Thank you so much for coming.
20:12But of course.
20:14Thanks, Mark.
20:15Let it work out.
20:16Have a good day.
20:17Holy man, that was...
20:30That was intense.
20:32The precision and the focus with which you were moving,
20:35it was really, really amazing.
20:38Thank you, thank you, thank you.
20:40I...
20:42Try.
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