Andrew Wester

I’m an Emergency Veterinarian who has made the move 1/2 way around the world to Australia. Now I have more letters after my name. MANZCVS (ECC)

[Andrew Wester @AndrewWester]

@DocPriyamMD In veterinary medicine if a dog had blood glucose that high, I would be questioning the diagnosis of DKA and would be thinking about Hyperglycemic Hyperosmotic Syndrome

[Andrew Wester @AndrewWester]

@straczynski At least you didn’t move to San Diego around the year of 2150…….

[Andrew Wester @AndrewWester]

@docakx If this was a dog, it would be laryngeal paralysis which is a part of a neurologic disorder known as Geriatric Onset Laryngeal Paralysis Polyneuropathy (GOLPP)

[Andrew Wester @AndrewWester]

@FebbraroMichael @krassenstein Is this 4D, 7D or 100D chess?

[Andrew Wester @AndrewWester]

@kh505043 Would sodium nitroprusside also work in this situation?

[Andrew Wester @AndrewWester]

@IhabFathiSulima We don’t see that clinical sign in vet med for hypocalcemia. Although hypocalcemia can happen for a variety of reasons, the most common presentation I see on emergency is post-partum hypocalcemia These patients are coming in with severe muscle tremor/hyperthermia

[Andrew Wester @AndrewWester]

@drkeithsiau I see this in dogs every once in a while. Managed via ex-lap and gastrotomy

[Andrew Wester @AndrewWester]

@Doctors__squad Truly no break in sterility (other then opening up to the air). Welcome to veterinary medicine every day

[Andrew Wester @AndrewWester]

@PharmWise Also seen a PAPP toxicosis. Para-aminopropiophenone is a toxin used to bait wildlife in the Australian Outback. Causes methemoglobinemia. Considered “safer” than 1080 since it has an antidote

[Andrew Wester @AndrewWester]

@PharmWise A. In veterinary medicine paracetamol toxicosis is a main differential, especially in cats which lack glucoronidation pathways in the liver, causing all paracetamol to go through the p450 pathway, depleting glutathione quickly. <5 mg/kg is toxic

[Andrew Wester @AndrewWester]

@drkeithsiau That dog is currently on a mechanical ventilator

[Andrew Wester @AndrewWester]

@drkeithsiau You didn’t put your dog on tick prevention and then go camping in an area known for paralysis ticks

[Andrew Wester @AndrewWester]

@drkeithsiau At least they weren’t Pennies (minted after ‘81 or ‘85) and you are dealing with zinc toxicosis. Seen that many times in dogs

[Andrew Wester @AndrewWester]

@IhabFathiSulima Brass monkey

[Andrew Wester @AndrewWester]

@drkeithsiau Veterinarians have one of the highest rates of suicide of any profession. #NOMV

[Andrew Wester @AndrewWester]

@drkeithsiau Use the endoscopic grabby grabbies (the actual term used in our hospital) to remove it

[Andrew Wester @AndrewWester]

@TheKoshurDoc It is not often that enteral feeding is not contraindicated, but if it was, then probably would do TPN, but the vast majority of the time it would be enteral feeding. Plus if you are doing TPN, there is a good chance it would be a $15000-25000 case. Most people cannot afford

[Andrew Wester @AndrewWester]

@drkeithsiau As a veterinarian (where we don’t see this often if at all) I would be ordering sucralfate as soon as possible

[Andrew Wester @AndrewWester]

@ZacharyLevi Air New Zealand has been doing this for a while. It is called SkyCouch. For long haul flights from Australia to the US, it is amazing