{"id":1610,"date":"2020-10-13T11:55:00","date_gmt":"2020-10-13T15:55:00","guid":{"rendered":"https:\/\/www.drphilzeltzman.com\/blog\/?p=1610"},"modified":"2022-07-11T11:03:55","modified_gmt":"2022-07-11T15:03:55","slug":"ninos-open-chest-surgery-reveals-a-shocking-finding","status":"publish","type":"post","link":"https:\/\/www.drphilzeltzman.com\/blog\/ninos-open-chest-surgery-reveals-a-shocking-finding\/","title":{"rendered":"Nino\u2019s open chest surgery reveals a shocking finding"},"content":{"rendered":"\n
Nino, a sweet 11 year old pit bull, had recently developed a cough.<\/p>\n\n\n\n
<\/figure><\/div>\n\n\n\n
Initially, he was coughing from time to time. Then the coughing became more frequent. His owner took him in to see his family vet. Chest X-rays revealed a shocking finding. Nino had a mass in his left lung. Statistically speaking, this was very likely to be cancer.<\/p>\n\n\n\nX-ray from side<\/figcaption><\/figure>\n\n\n\nX-ray from the front<\/figcaption><\/figure>\n\n\n\n
The X-rays above show the heart and the mass (with a broken line around it to show it better).<\/p>\n\n\n\n
Nino\u2019s owner says: \u201cWe were in disbelief and shock. He has always been a very active dog.\u201d<\/p>\n\n\n\n
The vet recommended an ultrasound of the chest to collect more information regarding the mass. According to the ultrasound, it measured about 8 by 9 cm (3 by 4 inches), so roughly about the size of your fist.<\/p>\n\n\n\n
The client continues: \u201cWe immediately left in search of a surgeon\u2019s opinion as we knew this would be a dangerous and heavy procedure.\u201d<\/p>\n\n\n\n
\u201cBy searching for recommended pet surgeons in Pennsylvania, we found your name and website, along with previous stories and reviews.\u201d<\/p>\n\n\n\n
Nino\u2019s owner reached out to me to discuss surgery (lung lobectomy). Could this mass be removed?<\/p>\n\n\n\n
Nino\u2019s owner said: \u201cAfter several consultations with you, we were hopeful but never more terrified. The level of risk explained was almost too much to handle for any loving pet parent. There was no choice other than to perform the surgery. You get a small sense of hope when you know you\u2019re doing the only thing possible to help him. But the doom and gloom prevail. We dreaded the surgery date until it finally came.\u201d<\/p>\n\n\n\n
We worked quickly to get Nino\u2019s surgery on our schedule.<\/p>\n\n\n\n
FAIR WARNING: THE FOLLOWING PICTURES ARE GRAPHIC.<\/p>\n\n\n\n
Once we got into surgery, there was one tiny little problem: the mass was much larger than the ultrasound suggested!<\/p>\n\n\n\n
It was about 15 cm (or 6 inches) in diameter, or about the size of a large grapefruit!<\/p>\n\n\n\n
REMINDER: THE FOLLOWING PICTURES ARE NOT FOR THE FAINT OF HEART.<\/p>\n\n\n\n
<\/figure><\/div>\n\n\n\n
Nino\u2019s owner and I had made a deal before surgery. If anything was different from what we thought, or if the risk was higher than expected, I would call him to brainstorm.<\/p>\n\n\n\n
Of course, I kept my promise. We talked in the middle of the open-chest surgery to discuss my findings. I said I was 90% sure I could remove the mass safely. The owner was committed to doing what was best for Nino, so he gave the OK to continue on with surgery.<\/p>\n\n\n\n
We went back to surgery. I will spare my sensitive readers of the details of the surgery, obviously it was somewhat delicate\u2026<\/p>\n\n\n\n
Meanwhile, the emotional roller coaster goes on: \u201cOnce we got your call that we could have a successful outcome with a 90% \u201cbelief,\u201d we were extremely excited. A huge weight felt like it was lifted, even though the hard work hadn\u2019t started yet. We continued to do nothing but pray and try to be positive through what will always be one the worst times of our lives yet.\u201d<\/p>\n\n\n\n
In order to remove the entire mass, it appeared that we would have to sacrifice the entire left lung, not just the one lobe as planned (removing a whole lung is called a pneumonectomy). In the end, the tumor was removed \u2013 safely. Pfew! Mission accomplished.<\/p>\n\n\n\n
(Quick crash course in anatomy if this makes no sense. We have 2 lungs, left and right. Each one is made of several parts or \u201clung lobes\u201d. So instead of removing just the lobe with the mass, we removed all lobes on the left, i.e. the entire left lung. The right lung of course stayed in place.)<\/p>\n\n\n\n
FINAL WARNING: THE NEXT PICTURE IS VERY GRAPHIC !!!<\/p>\n\n\n\n
<\/figure><\/div>\n\n\n\n
Once the left lung was removed, we needed a way to remove air and fluid from that side of the chest. This is done with a device called a chest tube. It usually only stays in place for a few days after surgery, and can be removed once there is no more air and not too much fluid left.<\/p>\n\n\n\n
Nino recovered from surgery and anesthesia smoothly.<\/p>\n\n\n\n
That\u2019s when I called the owner again to confirm that surgery was over and Nino was safe \u2013 for now.<\/p>\n\n\n\n
He later commented: \u201cThe news that the mass was removed and he was in recovery was simply a miracle. Nothing else compares to that feeling. Never been more thankful in my life.\u201d<\/p>\n\n\n\n
Nino was transferred to the local emergency clinic for overnight care, so the nurses could monitor Nino\u2019s comfort and breathing, and take care of the chest tube.<\/p>\n\n\n\n
Nino did so well overnight, that the chest tube was removed the very next day. He was discharged shortly after that. He recovered uneventfully at home.<\/p>\n\n\n\n
The next day, his owner sent this amazing update: \u201cHe\u2019s been resting and taking all medications without issue. We\u2019ve had no whining\/crying at all, and his appetite is great.\u201d<\/p>\n\n\n\n
In addition: \u201cNino has not coughed once. He hasn\u2019t moved much either, but he used to cough just sitting there. So that\u2019s great!<\/p>\n\n\n\n
We love having him back home. Nothing is better. And we were so glad to get him back sooner than expected.<\/p>\n\n\n\n
His breathing also seems to be much smoother and normal paced.\u201d<\/p>\n\n\n\n
About a week later, the biopsy results came back and confirmed the suspicion of lung cancer (pulmonary carcinoma).<\/p>\n\n\n\n
Two weeks after surgery, another great update: \u201cNino is still doing great. He is eating, drinking and relieving himself regularly with no issue. (\u2026)<\/p>\n\n\n\n
He has more energy and strength than expected, so our biggest battle lately is keeping him from running or playing.<\/p>\n\n\n\n
His breathing seems to be slower and more controlled than it was before his surgery and he seems more comfortable in general. We have had a couple random coughs but nothing alarming.\u201d<\/p>\n\n\n\n
In case you\u2019re wondering: dogs, like people, can live with only one lung. Nino may not be able to run a marathon, but this amazing 11 year old trooper should be able to live a happy, comfortable life as a family pet.<\/p>\n\n\n\n
<\/figure><\/div>\n\n\n\n
As of this writing, it\u2019s been over 2 months since surgery and the patient is doing well.<\/p>\n\n\n\n
Nino\u2019s super dedicated owner concludes: \u201cThanks to you and your team, we have a second shot at life. This has been a nightmare since our first visit with our vet. I had never been so scared of something and so scared of trusting anyone. You and your team saved our dog\u2019s life. There has been no greater moment in our lives.\u201d<\/p>\n\n\n\n
Phil Zeltzman, DVM, DACVS, CVJ, Fear Free Certified<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"
Nino, a sweet 11 year old pit bull, had recently developed a cough. Initially, he was coughing from time to time. Then the coughing became more frequent. His owner took him in to see his family vet. Chest X-rays revealed a shocking finding. Nino had a mass in his left lung. Statistically speaking, this was […]<\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[255,157,256,207,156],"class_list":["post-1610","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-lung-tumor","tag-phil-zeltzman","tag-pulmonary-carcinoma","tag-thoracic-surgery","tag-veterinary-surgeon"],"yoast_head":"\n
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