So I take the same bus to work every week and the same bus home in the evening. Four days a week. You would think that I would notice patterns. Like the same people waiting at the stop with me, or certain people on the bus. Well I haven't! And this bothers me!! I am always expecting it, so far all I have noticed is one woman running in the park every evening who is having a tough time with it.
Well today my Australian bus journeys came full circle. My first day on the bus I had no idea when to push the 'stop' button so I asked this nice old man who looks just like my UHON Theatre class teacher! He helped me figure out when to stop and even told me which bus to take home. Today on my bus ride home, who gets on other than my theatre class teacher twin! The bus was packed and one of the only open seats left was next to me! So he sits down, and my awkwardness comes out! I have my headphones on so conversation was out of the question. But I kept wondering "does he recognize me?" "does he realize I am taking a different bus than he told me to?" "should I say something?!" So I clearly decide the best thing to do is to not make eye contact but rather awkwardly look away the whole time! But I still found it neat that he ended up sitting next to me.
Now onto Ralph.
At work yesterday I come in and see that we have a blood transfusion and a spleen removal on the board. It was an adorable Jack Russell Terrier named Ralph! The doctor didn't think he would even be able to undergo surgery but that we would try keeping him on oxygen all morning and the blood transfusion. At this point the dog's body temperature is so low that the thermometer won't even read that he has a temperature! So I made Ralph my project. I held his oxygen mask all morning, all the employees worked through lunch to keep him warm and do the blood transfusion from the donor dog to ralph. Well in the afternoon the vet decided he was strong enough so we begin the operation! The tumor in this dog's abdomen was massive! The dog weighed 12 pounds and the tumor weighed 2 of those 12 pounds! But the dog was doing well during surgery and everyone was happy with the way it was going! Both surgeons were scrubbed in and I was assigned to take pictures because it was the biggest tumor either of them had seen on a dog this small. They had trouble figuring out where the tumor was attached. And because of the massive internal bleeding we had to do a lot of suctioning and literally just tipping the dog sideways to let all the blood out. We originally thought spleen but we pulled the spleen through the drape and saw that it was tumor free so then they just had to cut around the tumor until they found an attachment. Turn out it was intestinal but easy enough to remove. Things are still going fine and now just the one surgeon is beginning the stitches.
Suddenly Ralph starts gasping and seizing. The doctor described them as "agonal breaths" so I ask, "what do you mean by agonal breaths?" Her response: He's dying.
All of a sudden this operating room kicks into high gear! I am so glad they made me learn what to do in a dog dying in operation situation because I would have had no idea! I get the adrenaline ready while the other nurse starts manually ventilating Ralph. I start injecting doses of adrenaline through the IV drip while listening to the heart beat. I have never seen a surgeon stitch up an entire abdomen this fast! She flew through those stitches and gets all the surgical drapes off in a matter of a few minutes. She flips Ralph on his side, we give him another dose of blood, but it was too late and Ralph died. The other nurse was really upset and refused to cut off his oxygen for a few moments. Now this is a clinic of all girls, and all the nurses and vets are crying as the doctor was informing the owner. This is one of those moments when I wished I cried at normal times. haha. But in all seriousness, Ralph was an adorable dog and it was a tough day with a not so happy ending. But I got to be involved in my first blood transfusion, and see an amazing surgery! And if it helps, Ralph was 14 years old (that is very old in dog years), and the tumor we later found out had metastasized to his entire body. It was good to see a tough day and an intense surgery, good to know that even after a day like that there is still nothing I would rather be that a veterinarian!
Now I head to Sydney! Should be a stupendous weekend! :)