太僕動物醫院(南京院) 台北24小時重症加護醫院-狗貓夜間急診-ICU氧氣病房-牙科.根管手術-內視鏡-心臟-透析洗腎-高壓氧-犬貓輸血 - Section 5

Nanjing Taipu Animal Hospital 2022/4/17 Sunday 3:30 pm, a male veterinarian surnamed Wang "does not have medical ethics". Yesterday, Chang Chang vomited more than five times at home, and immediately took him to Taipu Nanjing emergency room in the early morning. Today, I learned that the pancreas index has soared, and Chang Chang is very uncomfortable. Today I (the owner) asked about the content of the inspection report, the veterinarian said that you don't need to know the content, it's fine for our doctors to know. When I asked if I needed to draw blood again, I started to get impatient. Don't owners need to know that their pets are healthy? With an advance payment of $11,000 in cash, our owner spends money and is angry. The attitude is very bad. The doctor wants to win or lose with the client. Please transfer the owner if he is not satisfied. Dogs are my family's madness for asking one more question, very bad, unprofessional. (Specially referring to the male doctor surnamed Wang on duty in Taipu that day, and has nothing to do with other staff in Taipu Nanjing)

At 9 o'clock in the morning, the cat was in a physical condition, and immediately called to ask if he could see a doctor. He said that he could come directly. After waiting for more than an hour at the clinic, he could not see a doctor. Therefore, the doctor can only see the doctor after examining the hospitalized cats, so the call is to ask sadness? Are you going to let us come over and wait? I finally started seeing the doctor at 10:30. The doctor was very kind and provided a lot of advice and situation changes, but the quality of the staff at the counter was really uncomplimentable.

It is very, very, very not recommended to come to Taipu, it will seriously delay the condition, and the child will suffer. Physician is very inactive and slow to procrastinate. The blood test alone can take half a day, and I can't make a quick decision. I don't have the speed and judgment ability that an emergency department should have. I left the child and I alone in the clinic to wait several times; Pancreatitis, don't hurry up with infusions and morphine. When the child becomes more and more serious, he is breathing heavily and has bloody stools. He called doctors and nurses for a long time and couldn't find anyone. It was a terrible experience in seeing a doctor. When the doctor suggested hospitalization, it was almost 4:30. Who would dare to leave the child there to die!

Dogs get older and have tumors Referred to hospital for observation The counter also told us that the needles have been installed and we will wait in line to see After almost an hour of waiting, it's finally our turn The needles are still not safe at first glance.. I asked the lady who took me to see what examination did I do at this time. The lady who took me to see was not clear and should ask the upstairs (???) No matter how many outpatients you have today The intensive care fee is charged. Is it reasonable to take the owner away from the owner and throw it in the cage for one hour without priority placement? And it's just an ordinary iron cage. Inspections and drugs in the hospital are also indiscriminate. When I was discharged from the hospital, the doctor said that no morphine was given, only light painkillers were given, and the morphine medication was charged at the checkout. After inquiring, he changed his mind and said that he was taking oral morphine, so he charged 800 for morphine injection, and 1200 for morphine (so is it necessary to give morphine? ?) The overall experience is very poor, I feel that the internal communication needs to be strengthened It is not recommended to bring hairy babies here for medical treatment

Thank you very much to the doctors Taipu (Dr. Xiong is so cute and gentle), the lovely assistants and the gentle counter sisters who took care of our 14-year-old CKD+IBD open intestinal sampling + mast cell tumor cat wii, wii recovered It’s not bad. I’m getting fat, full of energy, and I’ll be tricky. My family, my family and Wii are all very grateful to you ?‍♀️

Thanks to Dr. Wang and Dr. Ai, Let Tachibana Maru still stay with me full of vitality now! Recalling the 19-year-old Wanwan two months ago Sudden pancreatitis diabetes, I had pneumonia in another hospital for two days, Originally, the doctor said it was not saved, but I didn’t want to give up Fortunately, I was referred by a friend to Taipu for hospitalization. The doctor is very professional and patient, After staying for more than two weeks, Marumaru was finally pulled back from the ghost gate Later, I was discharged from the hospital and taught me how to take care of me very carefully. It was really hard to take care of me when I was discharged from the hospital. I often call to ask questions and answer me patiently Now it’s finally stable and ready to be 20 years old~ Thank you for your protection!

Update on 10/26, I will be accused of expressing emotions and false messages here. Since the first day I entered Taipu, because the examination room cannot record, I will use my mobile phone to record the mentions of the day immediately after the consultation and the call. Questions and the doctor's reply, there is no misunderstanding of the doctor's order. Regarding the amount of water that has been mentioned in the palindrome, it takes more time. The two of our family take care of it together, almost 24 hours a day. I check the condition of the cat every hour at night (so I went to Taipu’s midnight emergency department in the middle) All the things the doctor explained were carried out conscientiously. The problem was that the cat just couldn't drink more and vomit. This part alone mentioned many times and did not propose a solution. The cat died after being transferred to another hospital. Why didn't his emotions be directed at other hospitals? There is no comparison and no harm. Only when you transfer to the hospital, you know the difference. I have carefully crawled through all your one-star evaluations and read your replies. I really don’t need to withhold the emotional hats of the owner to show your empathy. , Do not reply again. ——————————————————— Stepping into Taipu is the decision I regret the most in my life. The cat was hospitalized on 10/3, discharged on 10/12, and left on 10/30. The 10-day fee is 99490 yuan, and the 10/17 return visit fee is 7390 yuan. My cat is 21 years old. Kidney failure, pancreatitis, and diabetes (the needle has been controlled) are well controlled. For 6 years of care, I attach great importance to his medical treatment and diet. I also actively understand the care of related diseases. Every three months Regular health checkups. On the night of 10/2, he found that he had a bad appetite, and only half of the food for dinner was eaten. 10/3 did not eat in the morning. Contact the hospital you usually see immediately, but because the appointments are full, the hospital recommends that you go to Taipu or Duke first. Although I saw some controversy about Google reviews, I still chose to see a doctor first because I was afraid of delaying the cat. After the blood test, the pancreatitis recurred and the blood sugar was over 300. After the doctor asked about the usual care methods, he knew that the cat had also installed a nasal feeding tube due to diabetes the year before, and told that it was discovered very early. Go, the situation is much worse than this time, I didn't expect to find out early this time...) But I still need to be hospitalized. During the kidney ultrasound scan, the heart was scanned incidentally (the scan is not complete). The heart is a little deformed, but it is not enough to take medicine. Therefore, they do not recommend intravenous injection, but a nasal feeding tube. (After thinking about it, I didn’t eat a meal. Why didn’t I prescribe an appetite booster first, combined with subcutaneous and antibiotics, and observe for 1 to 2 days to see if the cat can eat on its own? My cat is very nervous, and the pressure of hospitalization affects his body. When I was discharged from the hospital, the doctor also said that the cat’s stress has a great impact on the body. I need to go home and take care of it to see if I can get better. Why is it so easy to ask for hospitalization?) Before I was hospitalized, I told the doctor that I would try to do only necessary tests. , Because he is very old and doesn’t want to suffer too much toss , But respect the profession of the hospital), the doctor took the cat downstairs to prepare for the hospitalization. The owner could not accompany him. I heard the cat screaming all the time... my heart was broken, but I told myself it was all for his good... Taipu’s advantages are available to doctors 24H, and will respond patiently, but they did not solve my problems, making me more and more uneasy. I think the doctor can’t discuss it (he will tell me professionally and carefully) You, but you said he will not seriously consider it, the problem is that his professionalism has not solved any of my problems) 1. Regarding the weakness of the hind feet. Before I was hospitalized, my cat was in good spirits and moved freely, but when I was discharged from the hospital, the cat became very weak (the photos are before and on the day of discharge) and his feet were weak and unable to walk. At first, the doctor said that it might be affected by mood drugs (the second day of hospitalization) The cat lay on his side and couldn’t move). During the hospital visit, he found that he was paralyzed all the time. The doctor changed to say that it was a thrombus (they were judged to be a thrombus after many inquiries in the middle), but I said it was the same as his previous neurological condition caused by diabetes. , And I can feel the pulse on the hind legs, and the pads are warm. It should be "plantar movement"? The doctor still said it was a thrombus. It was not until the 10/17 visit that the doctor said that the hind foot should be a nerve problem. (I have been trying to figure out whether it is a plantar movement, but I am worried that the blood sugar is not controlled well, so I have been weak, and then the blood candy is not controlled...) And this part is also very strange. The cat has no problem with his feet before and after the hospital. If you really said that your blood sugar has been properly controlled during hospitalization, will it cause such severe neuropathy? 2. Blood sugar. When he was discharged from the hospital, the doctor informed that he had captured his insulin dose, but I went home to take a blood glucose test and found fasting blood glucose (low point) 287 (Like Taipu, I use Roche Zhiyi. After many comparisons with the animal hospital, this The value *1.13~1.26 is equal to the blood glucose meter for animals, so the actual blood sugar has exceeded 350) A well-controlled blood sugar should be maintained between 120 and 250, so I immediately called to ask the doctor, but the doctor replied that he thinks this blood sugar is pretty good (What???) After a meal, the blood sugar reached 383 (converted to the actual blood sugar of 482), I really think this is a very problematic blood sugar (later confirmed that this blood sugar is fundamentally problematic) 3. Tube filling. Cats have to eat 210 calories a day. The Royal ICU kidney recommended by the doctor is only 1 calorie per CC. It is divided into 105CC in the morning and evening. If you have experience in feeding or tube feeding, you should know that every meal needs to be fed to 105CC. What a torture, not to mention pushing back and forth with water and liquid medicine. About 300CC of liquid every day must be fed with insulin within a specified time. Even if we feed it slowly, the cat is still nauseated and drools a lot (too much saliva is also It can cause hypokalemia, but Taipu has no other solution except for telling me to feed more slowly. After the referral, the doctor immediately prescribed antiemetic injections and adjusted the volume of food) In addition to the problem of too much food, because diabetes is completely opposite to the diet required by the kidneys, the food recommended by the doctor is for kidney cats. After feeding, the blood sugar climbs too fast and too high (the blood sugar at the time of return is 477), so I asked if it is possible Change to feeding Emery (4.646 kcal per gram, 4 times the calories of Royal, and it is not for kidney cats, so there is a chance to stabilize blood sugar, first stabilize blood sugar before processing the kidneys, otherwise high blood sugar will cause great damage to internal organs), doctor They only said that their nasal feeding tubes are thinner. If you want to avoid clogging, you need to be more diluted. After the dilution, it may be similar to the royal family. The doctor immediately googled Emory’s instructions, which clearly stated the appropriate brewing ratio of 5FR (the size of the nasal feeding tube used by too servant) for the nasal feeding tube, and immediately calculated the calories per CC after brewing. Only 120CC can reach it. 210 calories, enough to be 90CC less, and the highest blood glucose curve after changing food falls at 209, the degree of effort varies greatly) 4. Dehydration & uremia. One of the symptoms of diabetes is excessive drinking and urine. I record the cat's excretion at home every day. Because blood sugar is not well controlled, and the rebound is very slow when lifting his skin, I have been worried that the cat may have dehydration problems. The answer I got 2 times was that he drank too much so he urinates more normally. BUN increased to 89 and CREA increased to 3 during the visit. The only way for doctors to deal with is to drink 60CC of water a day... (I have already drunk 300CC a day. The cat’s nausea and the volume of food can’t be resolved. Plus 60CC, and 60CC can lower the uremia? Cats with high uremia will be nauseous, it is impossible to eat from the mouth, tube feeding is easier to vomit. Taipu did not give a specific care plan, and then proposed They wouldn’t think about it. At this time, I have already felt that they felt that the cat was not saved and was procrastinating). After the referral, the doctor said that the cat was severely dehydrated and the BUN rose to 120... Tell me that the cat is dehydrated and keep saying that the urine is normal... The above problems affect each other and I have asked many times, but I have not been able to get a solution. The treatment was very active when I was hospitalized, and the treatment after discharge was very negative. The doctor was patient and spent a lot of time listening to my statement, but it was not resolved at all. Question, the cat is very old. There are many problems. I know that it is not a request to be rescued, but at least a specific treatment can be provided, right? It seems that the only thing I can get is to drink more 60CC of water. After the transfer, the doctor immediately gave the direction of care, and the questions raised can be adjusted after discussion. I feel that I really have ulterior motives in taking care of my cat. Even if the cat finally leaves, I am still very grateful. All the problems that have occurred in the past have been told to Doctor Taipu, but they are not taken to heart. I don't know if I have professional and inexperienced, or I feel that the cat has no chance at all? The photo was taken before the cat was hospitalized, and it became like this after he was discharged from the hospital. I have been wondering if he would be able to live to 22 years old if I was immediately transferred to the hospital...