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Carolina Raptor Center

22641

Problems

Notes

Costs

Admission date	2019-07-21
Final date	2019-08-27
Days in captivity	37
Species	BADO - Barred owl
Age	A5Y
Sex	UNK
Status	E
Band

Feather damage - Major

Neurologic - Head tilt

Ocular - evisceration, OD

Overgrown beak

Cause of injury: Unknown

Anesthetic risk
Non-releasable on admission

Found in NC
NA county

Here is a summary of this patient's treatments and expenses:

Desc Qty Cost Subtotal

Examination 1 120.00 120.00

Daily rate 37 15.40 569.80

Total 689.80

Costs are estimates based on fees charged at a local avian specialist.

Radiographs and images
No images for this patient

2019-08-27 13:15 me

Euthanized after Jean C. approved, per DES
1 cc Pentobarb IC under 5% ISO 

2019-08-26 15:45 MAR/RMB

Leftovers: 26
68 g ck  BAR, flying from perch to perch, food place on a perch but not next to him
because he kept flying

2019-08-26 13:39 des

BAR. A little more difficult to handle today.

Anesthetized with iso via mask. Still has the bradycardia but maybe not as bad as previous sessions. This is about the 6th bandage change and the socket looks alot worse. We have been using honey the last few times and that clearly hasn't helped. Much of the socket surface is raw with alot of white cheesy debris. It also bled alot more today and there are some raw patched just under the lip of the socket that were not there before.

Given that this bird will not tolerate anesthesia for any length of time, we are out of options and I highly recommend euthanasia as this cannot be managed long term.  I emailed Jean C regarding my recommendation.

Coped beak - looks alot better now.

2019-08-25 16:45 SC/MLM

Leftovers: 21
70g m/ck

2019-08-24 17:15 MEM, SC, JN

Leftovers: 45
65g m, BAR/perched/flying

2019-08-23 16:30 JT/MMC/KSF/RMB

Leftovers: 108
Food: 71 g m

QARP

2019-08-22 16:00 KGD/RMB/AE

Leftovers: 41
Group treatment: 2 patients
187 g dk m , LO wet

2019-08-21 16:50 SC/BC/MLM

Leftovers: 151
Group treatment: 2 patients
181 g dark m +vit/ca

2019-08-20 16:30 var/dr

Group treatment: 2 patients
181 g dk m c/u, NOLO

2019-08-19 17:00 mar/lea

Leftovers: 68
Group treatment: 2 patients
192 g m/ck + vit/ca

2019-08-19 13:13 des/ces

BAR. Packing intact.

Anesthetized quickly with iso via mask. The socket is very clean. There is a wedge about 40% of still raw area. But it looks better. Maybe the honey helped. Flushed and redressed with honey, duoderm and packed with sterile gauze.

2019-08-18 17:00 kjl

Group treatment: 2 patients
95,93g dk m c1/2, 68g LO(R)

2019-08-17 17:34 KJL/BPH/RMB/MEM

Leftovers: 65
Group entry: 2 animals
Food in cage: 188 g dark m cut in half  

BARP

2019-08-16 16:45 jt

Leftovers: 55
Group treatment: 2 patients
183 g m/ck

2019-08-15 17:00 ah/kjd

Group entry: 2 animals
Food in cage: 190 g dk mouse TOTAL; 18 g LO; found 2 pellets

2019-08-14 16:50 RMB/LMV

Leftovers: 46
Group treatment: 2 patients
188 g ck  Head tilt - QAR; other BAR

2019-08-13 16:30 dr

Leftovers: 73
Group treatment: 2 patients
107 g dk m

2019-08-13 10:40 des

Weight: 793 grams
Sitting in box.

Anesthetized lightly with iso via mask. HR went from 210 to very slow again very quickly.
Gauze in place and clean. The raw patch seems a bit larger now. Very clean but maybe 30% wedge. There was some wet exudate near the rim of the socket. Flushed. Nothing to debride.
Not improved and raw patch may be larger.
Tried organic honey + duoderm and packed with gauze again.
Prognosis is not great.



Eye exam
Exam date - 2019-08-13
Examiner - des
RIGHTLEFT
PLRMenacePLRMenace
NEGNEG+++
Stain Stain 
DNE DNE 
Right eye:
Left eye:
Very visual but pupil is large
and PLR is minimal. There is a
very distinct pink/black patter
but it is very chaotic with swirls
and some fine pepper speckling
overlaid. Very odd but his vision
seems ok

2019-08-12 17:00 BG

Group treatment: 2 patients
187g DM, Vit+Ca, NOLO

2019-08-11 16:30 SC/RMB/KJL

Group treatment: 2 patients
176g dk M

2019-08-10 16:30 BPH/KJL

Leftovers: 131
Group entry: 2 animals
Food: 185 dark m

2019-08-09 17:30 jt

Leftovers: 17
Group treatment: 2 patients
188 g ck 

2019-08-08 16:30 kjd

Leftovers: 0
Group treatment: 2 patients
137g m

2019-08-07 17:30 TCR/LMV/RMB

Leftovers: 0
70 g M placed on perch  BAR

2019-08-06 17:00 var

72 g m, NOLO

2019-08-05 10:30 des

BAR. 34 g LO(R) but not placed on perch next to him.

Anesthetized with iso via mask. Same as before. Severe bradycardia immediately but no arrhythmia.
Socket is very clean. No debris. Flushed with saline. The wound wedge may be healing. Dressed with duoderm and packed with 1/4 sterile gauze.

----------- ORDER CHANGE -------------
Switch to SID.
Stop sulfatrim

Food: 66 g m, place on perch beside bird (+ vit + Ca) Watch food intake carefully
Wound care/bandage change: 

2019-08-04 17:17 kjl

Leftovers: 0
Food: 34gm 
Sulfatrim: 0.71 cc (48 mg/ml susp) PO

2019-08-04 09:30 fm

Leftovers: 34
Food: 37 g m place on perch beside bird (+ vit + Ca) Watch food intake carefully
Sulfatrim: 0.71 cc (48 mg/ml susp) PO

2019-08-03 17:00 BPH/MEM

Leftovers: 26
Food: 37 g Q, place on perch beside bird 
Sulfatrim: 0.71 cc (48 mg/ml susp) PO

BARP

2019-08-03 08:45 me/rep

Food: 32 g m, place on perch beside bird  Watch food intake carefully
Sulfatrim: 0.71 cc (48 mg/ml susp) PO
NOLO
Bird in box - flew out (struggling)

2019-08-02 17:01 jt/pb

NOLO

Food: 30 g m place on perch beside bird (+ vit + Ca) Watch food intake carefully
Sulfatrim: 0.71 cc (48 mg/ml susp) PO

2019-08-02 08:30 ces/dle

NOLO

Food: 35 g m (+ vit + Ca) 
Sulfatrim: 0.71 cc (48 mg/ml susp) PO

2019-08-01 17:29 kjd

All LO(R)
Food: 33g m, place on perch beside bird (+ vit + Ca) Watch food intake carefully
Sulfatrim: 0.71 cc (48 mg/ml susp) PO

2019-08-01 09:30 des/ces

BAR. NOLO

Anesthetized with iso via mask. Same situation with immediate bradycardia and this time had some arrhythmia as well. Worked fast. Socket/wound mostly unchanged. Still a raw wound at the back. There was some cheesy debris as well. Flushed and debrided. Dressed with duoderm + sterile gauze. No SSD as I want to see if the debris was real or just SSD.

Food: 39 g m, place on perch beside bird (+ vit + Ca)
Sulfatrim: 0.71 cc (48 mg/ml susp) PO

2019-07-31 17:37 TCR/LVM

Leftovers: 0
Food: 30g m, place on perch beside bird 

Sulfatrim: 0.71 cc (48 mg/ml susp) PO

Placed food beside BDOW, then he flew away from food

2019-07-31 09:05 ces

Perching, NOLO!  Slight head tilt.  

Food: 30 g m (+ vit + Ca)

2019-07-30 17:01 dr/var

Food: 36 g m, NOLO!!!
Sulfatrim: 0.71 cc (48 mg/ml susp) PO

----------- ORDER CHANGE -------------
Place food on perch beside bird

2019-07-30 09:40 NEN/SC/PBH

Leftovers: 33
Food: 33 g m
Force feed: 40 g m 
30 ml SQ fluids 
Sulfatrim: 0.71 cc (48 mg/ml susp) PO

Treated upright, very fiesty, put food in hut on perch which is where we found him.

2019-07-29 16:55 bg

Leftovers: 34
Food: 35 g m
Sulfatrim: 0.71 cc (48 mg/ml susp) PO

2019-07-29 09:52 des/ces

Weight: 659 grams
BAR but stressed. All LO - still not eating. Head tilt present.
Weight is down a good bit. Has not eaten since the procedure last week.

Attemptedt anesthetize again but has some problem with bradycardia (HR 75 BMP) immediately and could not even get deep enough to intubate. Worked quickly. Socket very clean. Flushed eye. About 70% has healthy skin. 30% wedge dorsal is rough and not epitheilialized. Dressed wound with SSD + duoderm and packed with 1/4 of a 2x2 gauze.

LRS 30 ml SQ
Food: 36 g m (+ vit + Ca)
Force feed: 50 g m with sulfatrim
Sulfatrim: 0.71 cc (48 mg/ml susp) PO

Definitely a difficult case but I think we can get the wound to heal.

2019-07-28 16:52 ksf/mm

All LO(R)
Food: 35g m
Sulfatrim: 0.71 cc (48 mg/ml susp) PO

2019-07-28 09:20 laf/fm

Leftovers: 31
BAR, still not eating.

Food: 35 g m
Force feed: 33 g m
Sulfatrim: 0.71 cc (48 mg/ml susp) PO

2019-07-27 17:45 RMB/MEM/BPH

Leftovers: 33
Food: 32 g m
Sulfatrim: 0.71 cc (48 mg/ml susp) PO


BAR

2019-07-27 08:15 rep/sc/sag

Leftovers: 34
Food: 30 g m 
Force feed: 30 g m 
Sulfatrim: 0.71 cc (48 mg/ml susp) PO

2019-07-26 16:45 jt

Leftovers: 39
Food: 35 g m
Sulfatrim: 0.71 cc (48 mg/ml susp) PO


----------- ORDER CHANGE -------------
Start FF as needed

2019-07-26 08:10 ksf

29 g LO(R)
Food: 39 g m (+ vit + Ca)
Sulfatrim: 0.71 cc (48 mg/ml susp) PO

DES - NOTE: he has missed the last 2 meals since we anesthetized and cleaned the socket. I wonder if the gauze packing is bothering him... In good body condition so not a concern yet.

2019-07-25 17:46 ae

All LO(R)
Food: 32 g m 
Sulfatrim: 0.71 cc (48 mg/ml susp) PO

2019-07-25 08:58 ces/des

Perched. Head tilt to right. NOLO
Pretty difficult to handle.

Anesthetized with iso via mask to examine eye. Intubated with 3.0 mm ET tube.
Torb 0.15 ml IM
LRS 30 ml SQ
Did not have much time. Became apneic and bradycardic (about 60 BPM) almost immediately.
The socket was partially filled with necrotic debris and inflammatory exudate.
I was able to clean out the socket and flush it well. There is healthy skin covering about 80% of the inner surface. There is an open, bleeding wound at the very back. Dressed with SSD and packed with gauze. Had to rush so didn't have time for anything else

Recovery was quick.
Note feathers are in poor condition and upper beak is overgrown and somewhat deformed. We coped it to start to reshape but it will take some work over time.

Food in cage: 29 g m
Sulfatrim 0.7 ml

Plan: this bird is a major surgical risk but I think we can just manage this wound with very short sessions.
----------- ORDER CHANGE -------------
Switch to BID.
Start Sulfatrim.

I am definitely concerned about this bird's quality of life and the husbandry practices.


Feather check
RightLeft
0987654321Tail1234567890
 654321123456 
 
  Ok  Fault bar  Dystrophic
  Old  Curled  Broken, not impable
  Extra  Tipped  Missing
  IB, mature  Soiled  Mutilated
  IB  Bent  Unknown
  Imped  Broken, impable   
  Frayed  Singed   
     Stripped   

2019-07-24 17:30 TCR/LMV/RMB

Leftovers: 0
55 g M, Head tilt to right  QAR

2019-07-23 16:45 dr

Leftovers: 61
51 g m

2019-07-22 16:30 BG

59g M, Vit+Ca, NOLO

2019-07-21 10:40 lea

Has already eaten a mouse. Perched under the small shelter

2019-07-21 08:53 lea/laf

Weight: 713 grams, Keel score: 3.0
Transferred from Jean C. This bird is used for programs and whether or not anything can be done to OD, Jean C wants the bird back for educational use.
Had evisceration surgery in 2014.

------------- PHYSICAL EXAM FINDINGS ----------------
Head
  Behavior and Neuro: BAR
Body
Wings
Legs

Bird had not eaten from last night, stressed. Weighed and moved to R12b with 44 g dk m