My receptionist Ericka was in tears. The caller had said some pretty mean things, and she’s sensitive to what people say to her. She thrust the phone towards me, and pleaded for me to deal with it, “She doesn’t understand we don’t have any appointments available and, anyway, we’ll be closed in 45 minutes.” Some lady’s dog hadn’t “eated” in 4 days, and so she thinks she’s really pretty sick, and what was I gonna do about it? On such a hectic afternoon, I was glad to take the load off the front desk, and proceeded with the best defense being a good offense. “So he hasn’t eaten in 4 days? Wow, you rushed right in! What makes you think it’s serious now” The colloquialism of her words and accents made it difficult to understand, even for a small town Missoura hick like myself, but I did make out something about not having much money, something about only having a hunnert dollas. Knowing it sounded like a major medical workup, our lab equipment had an hour back log of tests waiting, and it
been a really long day already, I told her that I could see her at 9:15 the next day. My technician Jenny cringed, knowing full well that I had no openings, even for something minor, at 9:15 tomorrow, or anytime, all day. She also thought the front staff might not be very happy when I had allowed someone so rude and disrespectful, accusing them of not caring, to come in when they had been telling good, regular, polite clients that we were booked until next week. I had a funny feeling about this one. I knew this woman’s dog was pretty sick, and a “hunnert dollas” wouldn’t even get her in the front door of the emergency clinic tonight. I hoped it would wait. And that it wasn’t too serious to throw my schedule into seizures tomorrow.
Frankly, I forgot about her until the next morning, when I walked into the exam room. My flippant attitude about her apparent lack of concern for “Baby Girl” quickly dissipated. The “homeless person” stench was overpowering and was immediately telling as to why the visit had been postponed. This poor 12 year old dog couldn’t even lift her head. Indeed, she had not eaten in 5 days now, but was drinking lots of water. “She’s not spayed,” Jenny whispered to me, in case I missed the obvious. We both knew what it was from the history. A pyometra is an infected uterus, life threatening, and one of the important reasons why a female dog or cat should be spayed if she won’t be used for breeding. I’ll spare you the details, but it is typically fatal before five days, from internal rupture, much like a child’s appendix can rupture, spreading bacterial poison and toxins throughout the body.
The pre-surgical workup of confirmatory lab tests and X-Rays alone is about $300, and if it was a pyometra, could easily exceed $1200-1500. And the patient could die, regardless of our best efforts, especially if the uterus had already ruptured. She hadn’t come in because she had been scraping together, begging, and borrowing to get some money together to get her dog fixed.