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00:00Oh, I know.
00:05Bean appears to have a very distended stomach.
00:08Yeah, there's something in there.
00:10What does it look like?
00:11Grayish.
00:12The whole canal is blocked.
00:15Why can't I grab it?
00:17He's being stubborn.
00:19He's actually stressing out.
00:21I hope we don't need to do surgery.
00:24Oh.
00:27It is putting up a fight.
00:29I'm Eugene Grodeski.
00:34Over the years, I have removed many weird and wonderful foreign bodies out of animals.
00:40Doing it.
00:41My dad, he's like the most disgusting magician doing a trick.
00:44Oh!
00:45Dr. Grodeski is a legend.
00:47Doing it.
00:48Bingo.
00:49I have removed an intact light bulb, a two-carat diamond ring, a garden hose from a lion.
00:55Underwear.
00:56Yuck.
00:59Good afternoon.
01:00This is Alcada's Animal Hospital.
01:02Good girl.
01:04Tisa's been having some episodes of vomiting in the middle of the night.
01:22Come here.
01:23Tisa.
01:24Seven-year-old Tisa's behavior is far from normal.
01:28She's energetic.
01:29She's bouncy.
01:30She loves going to the dog park, throwing that ball.
01:33But then this morning, she wouldn't participate in activities, which is very unusual for her.
01:37So...
01:38We have called Grodeski just to see if there's anything like foreign body.
01:56Hi.
01:57Good afternoon.
01:58Endoscopy can also check for other possibilities.
02:09There you go, sweetheart.
02:11Any mass in the stomach or any inflammations and ulcers.
02:14We need to find out what's going on.
02:17Tisa's owner, a healthcare professional, is on high alert.
02:22Jillian, other way around.
02:23All right.
02:24Perfect.
02:25Perfect.
02:26I'm an intensive care nurse.
02:27Witnessed enough things and been in enough rooms that I'm feeling anxious about what we'll
02:32find.
02:37She's silky, hey?
02:38Mm-hmm.
02:39Soft.
02:40Soft.
02:41How are you feeling?
02:42Just hoping this is going to be over.
02:45Yeah, I hope so, too.
02:47Jill's a loving, devoted owner.
02:49And you can tell that she has a really strong understanding of the stakes of a situation like
02:54this.
03:00You know, there always is a possibility of something growing where it's not supposed to be.
03:05In this case, material does not show up on the x-rays.
03:10I'm not at all confident as to what is going on with Tisa.
03:15Good girl.
03:18One, two, three.
03:24Going in.
03:29All right, so we are coming to the end of the esophagus.
03:33And now we are through it.
03:36The approach is to have a good look around the stomach for any abnormalities.
03:48Hmm.
03:50So far I'm seeing a bunch of foam and fluid.
03:53What I see inside of Tisa is saliva.
03:59My lens is pretty much covered by a very viscous, mucus-like material.
04:08It's a telltale sign that Tisa is not well.
04:12Normally, any dog every minute will swallow a little bit of saliva.
04:17When the dog is dehydrated, that saliva becomes more viscous.
04:22This is what I suspect has happened with Tisa.
04:26May I ask you for some warm water?
04:29Thank you so much.
04:31Yeah, here is good.
04:33To see what is happening within the stomach.
04:36They have to dilute the fluid and then try to suction.
04:43To water down and remove excess saliva, Dr. G's classic optical endoscope has a channel where liquid can flow out and be sucked in.
04:53In.
04:59And clear.
05:00Yeah, unfortunately, I'm not seeing any foreign material so far.
05:13It can potentially be something as bad as cancer.
05:16Let's hope that's not what it is.
05:17Hold on, what's that right there?
05:18There is something questionable.
05:46Do you see something there?
06:04Okay.
06:07There is a medical mystery inside Tisa.
06:11Her owner, a nurse, is eager for a diagnosis.
06:18Jill knows all about the intensity of medical procedures, but to see this on her dog, that's outside of the ordinary for her.
06:28I do not see any ulcers or evidence of cancer.
06:34But there is something there.
06:44What I see is a strange yellowish material.
06:48I'm not 100% certain as to what it is.
06:52What kind of tool are you going to use to try and extract it?
06:55A basket.
06:56The wire basket can be advanced through the instrument channel of the endoscope and open inside the stomach.
07:05I think it's a piece of food, but I'll poke at it.
07:09It's pretty hard. It's not food.
07:14Okay, let's take it out and see what it is.
07:19Once you have a basket around the foreign body, you try to constrict the basket so it grabs strongly enough to get it out.
07:34Okay, so whatever I saw is coming up.
07:37Oh.
07:41Okay.
07:43What in the world is it?
07:47It's this yellow gemstone looking shard.
07:57Looks like a piece of a comet that broke off.
08:00A cartilage or something.
08:02Oh my gosh.
08:04I know what that's from.
08:05It's a bone piece.
08:08You're right. I think that's bone.
08:10Yeah.
08:11You called it.
08:13She has multiple bones.
08:15A bone has probably fractured a bit and she decided to swallow the pieces.
08:20What was it from?
08:22An old knuckle bone that we had in her toy box.
08:26Okay.
08:28And I think there is one more.
08:29I have seen many dogs die from ingesting bones, whether it's cooked bones, raw bones, chicken bones, beef bones.
08:42Whoa.
08:47Yeah, she swallowed bone fragments. Look at that.
08:49When I see this, it means I need to go and clean out Tisa's toy box.
08:59Because there's obviously something in there that shouldn't be.
09:02That's why my dogs never see any bones.
09:07Yeah, that's clear.
09:09You can let go of the neck and the rest of your hands.
09:12I can't feel it.
09:14Well, that's your exercise for the day.
09:17And...
09:18And...
09:21All done, Tis?
09:24My pet ate bone fragments.
09:29Thank you so much. I really appreciate everything.
09:31My pleasure.
09:32Thank you, thank you.
09:34I feel immense relief.
09:35Hopefully, that'll be the end of the problem.
09:38Time to wake up.
09:39Okay.
09:41Hopefully, Tisa will be a happy girl and that's what we want to see.
09:45Tisa!
09:49Here, grab that.
09:51Alright, take it easy.
09:52Cheers.
09:57Let's go back to your bed now.
09:59I just want to thank my vet team.
10:02You gonna wake up?
10:04They're amazing.
10:18Beans is lethargic, smacking your lips, not eating properly.
10:28Two-year-old Beans' curious symptoms have his regular vet concerned.
10:34I'm seeing Beans since Beans like little kitten.
10:38Very active cat, very alert.
10:40So today, that is like surprising.
10:42I've been really struggling with how long your days are.
10:59It's not just like they're rolling new patients into the same room for you.
11:04You're moving, you're picking up all of your stuff, blitzing across huge distances.
11:11What's your record for like most procedures?
11:14Eight procedures in a day was the record.
11:18Oh, man.
11:19And that is not easy.
11:21I want a nap after hearing you describe that day.
11:25I don't question that for a second.
11:27On his x-rays, Beans appears to have a very distended stomach.
11:41It can mean that there is physical obstruction.
11:44Like, pretty gassy.
11:46There are pockets of gas where typically you wouldn't see gas.
11:50That makes me suspicious for foreign material.
11:52There's no much here.
11:53Oh, Rich.
11:54Any time you are ready to induce, I'm good to go.
11:57Yeah.
12:01Looking at Beans, I'm seeing that he's a beautiful boy.
12:10I'm hoping my dad can help Beans feel better.
12:13Okay, going into the esophagus.
12:15You're seeing anything?
12:32Yeah, there is something in there.
12:34What does it look like?
12:36The outflow appears to be blocked.
12:40Um, there is something fabric-y in there.
12:48Dr. G has confirmed the presence of an unusual object,
12:53obstructing Beans' digestive tract.
12:56Let me try and grab it.
12:59I'm going to start with the small reticator forceps.
13:05It gives me a decent grip.
13:07I can try biting it from different directions and see if I can move it.
13:22Well, it looks like it's moving freely.
13:24So, let's see what we can get out.
13:27It's this, like, clump of slimy, globby fur.
13:44It smells gross.
13:46Looks like hairball.
13:51That's just an aggregation of cat hair.
13:53There must be something larger.
14:04Okay, the whole canal is blocked by this, whatever it is.
14:07So, let's see what we can do with it.
14:17Ah.
14:22Why can't I grab it?
14:23I do get some difficulties with this particular foreign body.
14:29I can't get a hold of it.
14:35It's being stubborn.
14:37It's mildly frustrating.
14:39Mmm.
14:45Okay, got something else?
14:47Possibly.
14:55Oh, no.
14:57That's not what we need.
14:59It's just a small bit of something.
15:01With the item stuck in Bean's digestive tract, small forceps cannot dislodge it.
15:08I need something to change in order to gain some advantage.
15:15You gonna switch to a different tool?
15:18Mm-hmm.
15:19Just longer jaws.
15:21Potentially more powerful, so we'll see if that does anything different.
15:25Let's keep our fingers crossed.
15:27I am advancing my game plan.
15:40Dr. G aims to grip more of the object, so it will move freely out of Bean.
15:52Nope.
15:53Didn't get it.
15:54Okay.
15:55The foreign body is still stubborn.
15:58It doesn't want to come out.
16:02One more attempt.
16:15Hold on.
16:16My dad, this is one of those times where I can see that he's actually stressing out.
16:28I lost it.
16:41If Dr. Jejean can't take out the foreign body, we right away open up the cat and take it out the other way.
16:49I hope we don't need to do surgery.
16:52Nope.
16:53Didn't get it.
16:54Dr. G is minutes into a struggle with a bizarre object stuck inside Bean.
16:55I am going to pick-headedly persist.
16:56Dr. G is minutes into a struggle with a bizarre object stuck inside Bean.
17:08I am going to pick-headedly persist.
17:09Okay.
17:10Looks like I moved it, whatever the hell it is.
17:11It does look something like, I don't know, a rat to pick-head.
17:14Oh.
17:15Oh.
17:16Oh.
17:17What's up?
17:18Oh.
17:19That looks.
17:20It looks like a...
17:21Oh.
17:23Oh.
17:24Oh.
17:25Oh.
17:26What's up?
17:28It looks like I moved it, whatever the hell it is.
17:35It does look something like a, I don't know, a rat toupee.
17:38Oh. Oh.
17:40What's up?
17:43That looks like a hedgehog.
17:50It is spiky, it is gray, and it is putting up a fight.
17:54Does anyone know rodent CPR?
17:56I really hope my dad is joking.
18:00I'm not ready for a hedgehog to come out of a cat.
18:07Yes.
18:08Okay.
18:09We are in business.
18:11I moved it.
18:12Okay.
18:15Now it is in an unstuck position.
18:18I have a decent chance of getting it out.
18:26Okay.
18:27One whatever coming up.
18:39Whoa.
18:40Whoa.
18:41Whew.
18:42It's got this, like, gray, oblong shape.
18:57It's rodent-like.
18:58Oh, my God, call the exterminator.
19:01I told you a hedgehog.
19:03That does not look like a hedgehog to me, to be honest with you.
19:06It's like, are you disputing my zoological knowledge?
19:10No, I would never.
19:11Hey, a little mouse toy or something?
19:14This thing looks like a toy mouse that has seen better days.
19:19Okay.
19:20Well, this is a big one.
19:22Mm-hmm.
19:23I have no idea what this animal is.
19:26To be honest, it is the least of my concerns at the moment.
19:29Clean.
19:30Good, good, good.
19:31Okay.
19:32All that matters is Bean should be able to go home.
19:39Why did you eat toy?
19:42I hope he's going to learn the lesson and stop eating toy mouse.
19:50What can I do to make your life better?
19:53Make sympathetic noises.
19:55Oh, you're such a hard worker.
19:58You have so much stamina.
20:02In the end, this procedure was a success.
20:04Don't quit your day job yet.
20:07What is my day job exactly?
20:09A huge relief at the end of a long and hard day.
20:14Well, thank you for coming in.
20:16You guys have a good day.
20:17Nice to meet you.
20:18Cheers. Bye-bye.
20:19Bye.
20:31That's not water.
20:32That's coffee.
20:33You're going to dehydrate yourself.
20:34You've got to stay hydrated for your patience.
20:35All right.
20:36I'm going to get some water over here.
20:37Yeah.
20:38I'm going to get some water over here.
20:40All right.
20:41I'm going to get some water over here.
20:43Yeah.
20:44Boy.
20:45I'm going to get some water on the pole.
20:46Until then, we're making fun.
20:47I'm out.
20:48I'm going to get some water on the card.
20:49I'm gonna get some water on the card.
20:50I'm going to get some water on the card.
20:52I'm going to get a light out.
20:53I might go anticipate too little one more.
20:54I'm gonna do the key.
20:55I'll get some water on that gear.
20:56Yes.
20:57You'll get a dog.
20:58And you'll be 나쁜 kilometer.
20:59In the name of the card La позa.
21:00I'll work for a long time.
21:02Selfish income.
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