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Carolina Raptor Center

26068

Problems

Notes

Costs

Admission date	2024-03-02
Final date	-
Days in captivity	58
Species	BAEA - Bald eagle
Age	SY
Sex	UNK
Status	Reh
Band

Blood in mouth

Hole in left side of beak

Soft tissue wounds - left wrist

Soft tissue wounds - right wrist

Cause of injury: Fish hook

Active patient

Found in Norwood,NC
Stanly county

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

Desc Qty Cost Subtotal

Examination 1 120.00 120.00

Daily rate 58 18.20 1055.60

Radiographs 10 300.00 3000.00

Blood lead 2 180.00 360.00

Total 4535.60

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

Radiographs and images
2024-03-08	2024-03-08	2024-03-08	2024-03-08	2024-03-08	2024-03-08	2024-03-08
2024-03-08	2024-03-08	2024-03-08	2024-03-08	2024-03-12	2024-03-12	2024-03-12
2024-03-12	2024-03-18	2024-03-18	2024-03-29	2024-04-02	2024-04-18	2024-04-18
2024-04-18	2024-04-26	2024-04-26	2024-04-26	2024-04-26	2024-04-26

2024-04-29 09:55 eb/me

Leftovers: 0
Food: 468 g F (+ vit + Ca) Watch food intake carefully
DO NOT ENTER! Toss food from door and leave leftovers

tossed food inside 
observed bird perched 
nolo visible from door

2024-04-28 09:40 DG/CD

Leftovers: 0
Food: 475 g R
DO NOT ENTER! Toss food from door and leave leftovers

BAR, perched, stayed on perch while food was thrown in, NOLO

2024-04-27 12:00 AH/CD

455g R

Unable to recover leftovers. BARP. Alert to feeder presence. Did not show any defensive/aggreive signs. Did not attempt to fly.

2024-04-26 12:38 Dr. G/MS

Weight: 4304 grams, Keel score: 3.0, Leftovers: 0
Weight change: +84 g (2 %)
Food: 434 g R (+ vit + Ca)
Vet check: Check carpi
Wound care/bandage change

BARP, flew p2p once, then jumped to ground. Both wrists, especially the R wrist, bleeding. Bird was much more feisty in hand today, continuously trying to turn around to bite me. NOLO, just scraps and lots of pellets.

VET NOTES
Brought inside for evaluation of carpal lesions. 
Anesthetized w/ Isoflurane for exam. 
R lesion - measure 2x1x0.5 cm. Scabbed, to me looks much more dry and discrete. Oozing fairly minimal from this wrist
L lesion = 3 x 2.5 x 1 cm
Tape is partially covering this lesion proximally. It is unclear to me whether the lesion got bigger, or whether he pulled at it. The part that is not covered by tape is partially scabbed. There is some cloudy liquid expressed from the middle of the lesion when squeezed. 
NOTE: I measured with a different tool this week - I do believe the right side lesion was smaller, just not reflected in my measurements.
At this point we decided to just let the wings be. It seems that when exposed to the air the lesions want to scab, so we flushed well, coated in silver gel, and left open. 
Check without handling in 1 week just to see what is visible from afar (obvious bleeding, wing droop, etc). 
Catch up and recheck in 2 weeks. 
Weight is much better today. Scabs on face and inside metacarpals are minimal. Dr Gardner

2024-04-25 09:48 mkf/me

Leftovers: 0
Food: 420 g F  Watch food intake carefully
DO NOT ENTER, toss food from door. Wrist bandages in place?

No observed lo.
Bar - Perched and watching
Bandage appeared intact from the half cage distance

2024-04-24 12:15 RTS/MS

Food: 486 g P(+ vit + Ca) 
Did NOT ENTER, PERCHED, tossed food from door. Wrist bandages in place

2024-04-23 10:00 ao/ms

Food: 523 g P Watch food intake carefully

DO NOT ENTER, toss food from door. 

2024-04-22 11:30 bt

Leftovers: 270
Food: 475 g F
270 g LO (+ vit + Ca) Watch food intake carefully

2024-04-22 11:15 sc/me

Volunteer said that the wrist bandages are falling off. ME/SC went to look at. The R wrist has some tape hanging down off of the wrist but the L looks mostly intact. Neither ME/SC were here for the last bandage check and she seems to be doing ok. Opted to leave until tomorrow when MS is here to lend a hand.

2024-04-21 12:20 jn/cd

Food: 433g R
nolo
BAR; on ground, then flew to perch

2024-04-20 15:55 MS

Leftovers: 0
Food: 435 g R
Enrofloxacin: 5 tabs (22.7 mg tab) PO

BARP, tossed food from door.

----------- ORDER CHANGE -------------
inc food

2024-04-20 14:41 Dr G/ MS

Weight: 4220 grams, Keel score: 3.0
Weight change: -286 g (6 %)

Gauze in place over both carpi but bleeding through. 
Sedated with Isoflurane and removed both tapes and gauzes. The right carpus lesion looks less protruberant, darker pink and looks to be shrinking. The one on the right carpus is still quite large - definitely improved from last week, but still has some yellow exudate sticking to it and has some flabby protrusions, as before. 
Flushed both - did not scrub. Decided to go back to the microbial super sponge, as it seemed that had made a big difference. As long as these wounds are exudative I think we need something that will absorb that and dry them out, and it seems that product did it well. 
I measured the lesions so that we can have a definitive way of telling if they are shrinking: 
Right carpus lesion - 1.5 x 2 cm, 0.5 cm tall
Left carpus lesion - 2.5 x 2.5 cm 1 cm tall

Silver gel then double layer of super sponge, then white tape. 
Bird is getting some lesions on head, left side (see pictures). They are superficial and scabbed. Also small scabs along the inside of the metacarpals. 
Bandage change every 3 days for now. 
Would love to handle less - but am not ready to decrease bandage changes right now. 
Weight is down quite a bit - stress?
Dr Gardner

2024-04-19 11:30 ME/cs

Leftovers: 0
Food: 442 g R (+ vit + Ca)
Enrofloxacin: 5 tabs (22.7 mg tab) PO
QAR-P
NOLO visible 
Wrist bandage in place

2024-04-18 16:06 jb/mgs/ms

Fed 409g rat

2024-04-18 14:59 MS

Leftovers: 0
Wound care/bandage change: Carpi - bandage change with microbial super sponge - see notes. Send pictures to Dr G
DO NOT ENTER, toss food from door. Wrist bandages in place?

BARP, flew p2p then bullied off perch to the ground. Bitey and fiesty. Did wound care awake and outside. Removed gauze bandage from R wrist and scab lifted off entirely, revealing fresh tissue. L wrist was drier, but no scabbing. Flushed both with LRS, patted dry and applied Silver Gel with non-woven gauze. Sent pics to Dr. G. NOLO, scattered R skins.

2024-04-17 12:47 bt/ms

Leftovers: 0
Food: 409 g R(+ vit + Ca) Watch food intake carefully
Enrofloxacin: 5 tabs (22.7 mg tab) PO
QARP
Did notice some rat leftover, did not enter enclosure, tossed food

2024-04-16 09:15 AO

Leftovers: 0
Food: 404 g R. Watch food intake carefully
Enrofloxacin: 5 tabs (22.7 mg tab) PO
DO NOT ENTER, toss food from door. Wrist bandages in place?

BAR, Perched. Bird flew from left to right side when food was tossed into enclosure. Could see the wrist bandages but not the best view since I could not go in. Did not see any LO.

2024-04-15 17:20 sc/me

Food: 399g F (+ vit + Ca)
Enrofloxacin: 5 tabs (22.7 mg tab) PO

Handled for wound care. The wrist are both open but more dried out. Opted to place under 3% ISO via mask. Breathed heavily during procedure. With dr G's guidance, flushed, added silver gel and covered with gauze padding. Used 1/2 inch tape to secure padding to wing. Each bumper/bandage is minimal so hopefully it will stay on until the next wound care. 

2024-04-14 13:21 jn/cd

Food: 423g R
Enrofloxacin: 5 tabs (22.7 mg tab) PO
nolo
BAR

2024-04-13 10:45 AH/BW

395g R

Unable to recover leftovers. BARP. Alert to feeder presence. Not defensive.

2024-04-12 16:16 LT/CD

Leftovers: 0
Food: 471 g P (+ vit + Ca) Watch food intake carefully
Enrofloxacin: 5 tabs (22.7 mg tab) PO


BAQP on far right perch. No leftovers

2024-04-12 13:52 Dr. G/MS

Weight: 4506 grams
Weight change: -13 g (0 %)
Bird on high perch. BAR. A whole fish, some rat parts LO. Did not weigh since older.
Brought inside and put under anesthesia. Removed both bandages - underneath there was a lot of moist yellowish exudate, fouling the feathers and overall making a mess. Both carpi have a huge amount of "proud flesh" that is not allowing the skin to grow over and have a chance to cover the wound. 
Cleaned area as well as possible and dried. Today we used a product called "antimicrobial super sponge". It is a loose weave, antimicrobial mat that is supposed to be used for burn victims. 
I put Silver gel over the lesions, then a double layer of the sponge, then anchored on either end with Tegaderm and tape. NO TEGADERM OVER THE TAPE. The idea is to let the area breath, and Tegaderm is too air tight. 
Change this every 3 days - will check next Saturday. Please send Dr G images. Dr Gardner

2024-04-11 11:00 mgs/me

Food in cage: 424g R; Enrofloxacin 5 tabs crushed

BAR and perched on entry.
Think wrist bandages in place - difficult to see at distance.

Leftovers but did not removed as per instructions to not enter.

2024-04-10 11:02 RTS/MS

Leftovers: 0
Food: 418 g R (+ vit + Ca) 
Enrofloxacin: 5 tabs (22.7 mg tab) PO
DO NOT ENTER, toss food from door. Wrist bandages in place?

No Entry Food Tossed from Door, BAR, Perched

2024-04-09 12:40 ao

Leftovers: 0
Food: 458 g Fish Watch food intake carefully
Enrofloxacin: 5 tabs (22.7 mg tab) PO

BAR, Perched. Bird left the rat skin but ate the inside. While I collected the trash, bird flew to other perch but did not land successfully. After I walked out enclosure, I heard the bird fly around twice. NOLO.

2024-04-08 14:15 sc/me

L wrist bumper seen falling. opted to grab to fix. Scrubbed and flushed. There is a large scab that came off. The rest of the tissue has fresh bleeding and seems the be in better shape than when I last saw. It has gotten smaller in size. Added Silver gel, hydrocolloid patch, telfa, gauze and tega. the R was still on well, opted to resecure with additional tegaderm. Flew up to perch

2024-04-08 12:13 me/sc/sec

Leftovers: 146
Food: 423g R (+ vit + Ca) Watch food intake carefully 146g LO P+F
Enrofloxacin: 5 tabs (22.7 mg tab) PO
DO NOT ENTER, toss food from door. Wrist bandages in place?- left wrist bandage has slipped a bit, alerted staff

2024-04-07 13:00 ah

Food: 370 g P Watch food intake carefully
Enrofloxacin: 5 tabs (22.7 mg tab) PO
DO NOT ENTER, tossed food from door. 
Perched and alert
Some LO's - not removed

2024-04-06 17:07 Dr. G/MS

Weight: 4519 grams, Keel score: 3.0, Leftovers: 0
Weight change: +108 g (2 %)
Food: 409 g F (+ vit + Ca) 
Enrofloxacin: 5 tabs (22.7 mg tab) PO
Vet check: Check wrists and beak, blood lead?
Blood: lead 
Weighed
Keel check

VET NOTES
Bird is BAR and flying in habitats. Carpal bumpers still intact. 
Milan and I anesthethized - I intubated but bird kept waking and shaking head, making odd vocalizations with the tube in. Ultimately we extubated and maintained on a mask. We could never find out why he reacted that way to the tube. Post-anesthesia there was a small amount of blood and inflammation in the glottis. 

Removed both bumpers - the granulation tissue on both is exuberant and lobulated, very moist and somewhat smelly. On both carpi the granulation bed seemed to extend fairly far above the joint and the skin, the potential for deeper communication seems to be resolved. 
Today I used Manuka honey patches on both carpi, then re-bandaged with padding. However, the way I have handled these in the past is to protect the area byt surrounding it with bumpers, but leaving it open for treatment and most importantly, open to the air. Generally this exuberant granulation tissue shrinks up and scabs. I usually like to treat w/ some silver gel if possible. 

Bandage change Tuesday (Milan). Consider protecting but leaving open. I will check 4/12. 

There are small abrasions from capture on face, and on the medial distal CMCs. Applied silver gel to both. 
Dr Gardner


Blood lead
Collection date2024-04-06
Level0.00 

2024-04-05 12:00 me/kjd

Leftovers: 0
Food: 425g P(+ vit + Ca) Watch food intake carefully
Enrofloxacin: 5 tabs (22.7 mg tab) PO
DO NOT ENTER, toss food from door. Wrist bandages in place?  Perched, couldn't see bandages
NOLO

2024-04-04 12:00 MGS/MS

Leftovers: 245
Food in cage: 410g R; Enrofloxacin: 5 tabs crushed

BAR; perched and did not move feet from that spot
Assume wrist bandage ok from distance

2024-04-03 11:24 RTS/MS

Leftovers: 0
Food: 400-425 g F/P/R (+ vit + Ca) Watch food intake carefully
Enrofloxacin: 5 tabs (22.7 mg tab) PO
DO NOT ENTER, toss food from door. Wrist bandages in place?

410gR+Vit&Ca,+5Tabs ENRO, BAR, Perched, NoLo 

2024-04-02 12:29 MS

Leftovers: 185
Food: g F 
Enrofloxacin: 5 tabs (22.7 mg tab) PO
Wound care/bandage change: Carpi - bandage change - see notes from 3/29 (Duoderm L side). Send pictures to Dr G

BARP, hopped to ground and ran around. Anesthetized under 2.5% iso for wound care. Cleared as much DuoDerm from wrists as possible. Both wrists still have healthy, pink tissue, but L side is bigger and deeper than the right. Flushed and reapplied Silver Gel with Duo + telfa/tega bandage. Applied gauze bumpers with paper tape and reinforced with medical tape around primaries. Didn't get pic of R wrist. Recovery was uneventful. 185 g older LOs in enclosure, probably since F6 is do not enter.

2024-04-01 12:22 sc/me/sec

Leftovers: 161
Food: 432 g R (+ vit + Ca) Watch food intake carefully
LO- pig and fish 161g
Enrofloxacin: 5 tabs (22.7 mg tab) PO
DO NOT ENTER, toss food from door. Wrist bandages in place?- yes 
BAR-P, did not move when I entered to pick up LO

2024-03-31 13:15 cd/jn

Food: 429g p
Enrofloxacin: 5 tabs (22.7 mg tab) PO
nolo; BAR

2024-03-30 11:00 AH/BW

Leftovers: 67
416g R
5 tabs Enro (22.7mg tab)

67g F recovered. BARP. Perched upon entry. Alert to feeder presence. 

2024-03-29 16:48 LT/CD

Leftovers: 0
Food: 425 g F/R (+ vit + Ca) Watch food intake carefully
Enrofloxacin: 5 tabs (22.7 mg tab) PO
Weigh
Keel check
DO NOT ENTER, toss food from door. Wrist bandages in place?

BARP. Food tossed in without entering enclosure. Wrist bandages seem in place

2024-03-29 10:15 MS/Dr. G

Weight: 4411 grams, Keel score: 3.0, Leftovers: 0
Weight change: -23 g (1 %)
Food: 425 g R/F (+ vit + Ca)
Enrofloxacin: 5 tabs (22.7 mg tab) PO
Weighed
Keel check

VET NOTES
Anesthetized and removed both bumpers (they had stayed intact). The left carpus according to Sunny looked improved - once the scabbing and necrotic tissue was removed there was an around 1.5 cm ulcer with granulation tissue around the outside, fairly deep in the middle. Most was pink and healthy although I was a bit concerned that we had joint fluid oozing out of the deeper area. 
Flushed and gently debrided. Placed Duoderm w/ a tiny bit of Silver gel, then Telfa, Tegaderm (both anchored w/ white tape around the wing) and finally some gauze w/ Telfa taped over the top. The right carpus looked a bit better, although centrally the granulation tissue looked a bit "tattered". Covered with Collasate then bandaged similarly to the left carpus. 
Beak looks great. Still some divots in the keratin but the defect appears to be filled in and no longer penetrating into the nasal cavity. 
Would like the wing bandages changed Tuesday and again Saturday. Please send pictures Tuesday. If the right wing is not healing we may consider Duoderm on it as well. Can release as long as joint appears to be covered. Continue antibiotic for now. 
Feather score decent - should not require any intervention. Dr Gardner

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   

2024-03-28 16:50 MS

----------- ORDER CHANGE -------------
d/c terb

2024-03-28 11:55 mgs/me

Leftovers: 326
Food in cage: 400 g F; Enrofloxacin: 5 tabs crushed; Terbinafine: 2.46cc

BAR and perched.  Did spread wings.  Wrist bandage in place

2024-03-28 11:10 me

Flew several cage lengths while I was working at a nearby enclosure - crashed a couple of times

2024-03-27 13:55 jh/cd

Leftovers: 164
Food: 423 g R (+ vit + Ca) Watch food intake carefully
Enrofloxacin: 5 tabs (22.7 mg tab) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO

BARP, didnt leave perch but watched me closely while I tossed food in and grabbed lo's
Bumpers both in place
LO 164 g R

2024-03-26 14:00 ms/me

R wrist bumper had slipped distally. Wrist wound about the same as yesterday. Cleaned R wrist briefly, applied SSD, telfa and pulled wrist bumper back into position, used several large Tegaderm pieces to hold bandage inplace

Added more Tegaderm to L wrist as well - edges starting to curl up a bit

2024-03-26 10:30 AO

Leftovers: 0
Food: 438 g Rat
Enrofloxacin: 5 tabs (22.7 mg tab) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO
Check that beak lesion looks sealed when treating carpi

BAR. Tried flying around when EG and I walked in but hit the wall and fell. Did not get back onto perch after this but kept running at L corner? seemed a bit unsual that he did not try flying back up. His L wrist bumper was good but R wrist bumper was slipping. NOLO.

2024-03-25 16:35 me

Bird on ground, wrist bumpers intact;
1 of 2 fish gone

2024-03-25 12:48 sc/me

Weight: 4434 grams
Weight change: +333 g (8 %)

Food: 436 g F (+ vit + Ca)
Enrofloxacin: 5 tabs (22.7 mg tab) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO
Wound care/bandage change: Carpi - check that bumpers are in place, clean/Silver gel L carpus. 
Check that beak lesion looks sealed when treating carpi


Grabbed to look at the wrists. the L is much worse than the R. The R has no active bleeding. new skin is growing in. We debrided a little dead skin added silver gel, mesh, telfa, gauze padding, tega and tape. The L side is very inflamed and the tissue is cracked open into 3 large pieces. active bleeding on this wrist and the telfa/tega fell off. Opted to use a little surgerical to try to hold the 3 larger pieces of tissue together. Scrubbed well and flushed. Silver gel, mesh, telfa, tape, gauze, tega and more tape. The goal is to make these stay on and put her somewhere large enough that she isn't banging around. Beak looks good. I picked a little bit out of the most distal hole and there was a little fresh blood. Applied a layer of silver gel over. Hopefully we can switch to wound care and handling 1-2x a week. 

Moved to F6. Wobbly when placed in enclosure.

Recheck on Friday

2024-03-24 13:31 ME/JN

Leftovers: 0
Food: 416g F
Enrofloxacin: 5 tabs (22.7 mg tab) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO
nolo
BAR

2024-03-23 10:45 AH/BW

Leftovers: 234
489g R
5 tab Enro PO (22.7mg tab)
2.46cc Terb PO (25mg/ml susp)

234g F recovered. BARP. Perched on entry. Aware of feeder presence, not defensive or aggressive.

2024-03-22 15:02 kd/me

Leftovers: 0
Food: 431 g F (+ vit + Ca) Watch food intake carefully
Enrofloxacin: 5 tabs (22.7 mg tab) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO
NOLO
Wound care/bandage change: Cleaned both wrist wounds - both seem larger, L is quite bloody; applied SSD, lg cornpads, telfa, extra gauze for padding and tegaderm to hold it all in place

MOVED TO:R 5 which has crash strips

2024-03-21 11:12 mgs/ms

Leftovers: 0
Food in cage: 424 g F; Enrofloxacin 5 tabs crushed; Terbinafine 2.46 cc

On entering, flew several times.  Then remained perched. Looked fine in flight on brief viewing.  BAR

2024-03-20 11:35 TR/SC

Leftovers: 0
Food: 207 g F (+ vit + Ca) 
Enrofloxacin: 5 tabs (22.7 mg tab) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO
Wound care/bandage change: Carpi - check that bumpers are in place, clean/Silver gel L carpus. 
Check that beak lesion looks sealed when treating carpi

Veterinary Exam  3/20/24:
Patient was placed under brief Isoflurane anesthesia for treatment. 

Superficially beak appears healed. 

R carpus had some mild scabbing and oozing but the skin appears intact. Removed matted feathers and placed bumpers,sterile saline flush, anchored with tape to try to keep intact. 
The L carpus has an open area with mild clear drainage and some dry scabbed skin about 1 cm in diameter. Cleaned, flushed, then applied Silver gel, bumper with tape anchor.  

P: Check carpi every 2-3 days to make sure bumpers are intact, and to treat L wing. 

Continue Enrofloxacin for beak and for wing. 

Dr. Ritzman

2024-03-19 14:05 lkm/bw

Leftovers: 0
Food: 406 g F/R 
Enrofloxacin: 5 tabs (22.7 mg tab) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO
Check that beak lesion looks sealed when treating carpi

QARP, bandages are good, did not acknowledge me until I put the food down, she showed some signs of defensiveness otherwise pretty quiet. Flew down to eat as soon as I walked away from the enclosure, NOLO

2024-03-18 12:14 me/sec

Leftovers: 0
Food: 429 g F (+ vit + Ca) Watch food intake carefully NOLO
Enrofloxacin: 5 tabs (22.7 mg tab) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO

He was moved to R6

2024-03-18 11:28 RMB/ME

Volunteer reported left wrist was bloody.  Grabbed for treatment.  Scrubbed both wrist, flushed.  Covered with silver gel and corn pad.  Over that was placed folded piece of telfa and large tegaderm.

Moved to R6 for more space.

2024-03-17 14:26 JN/RMB

Food: 407g R
Enrofloxacin: 5 tabs (22.7 mg tab) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO
nolo; BAR

2024-03-16 11:00 AH/BW

Leftovers: 0
475g R
5 tabs Enro (22.7mg tab)
2.46cc Terb (25mg/ml susp)

NOLO. BARP. Upon entry, bird was perched immediately to right of door. Became defensive, did not attempt flight. Food tossed in through partialy open door.

2024-03-15 18:28 rmb/lt

Leftovers: 0
Food: 188 g R (+ vit + Ca) Watch food intake carefully
Terbinafine: 2.46 cc (25 mg/ml susp) PO

BARP
No leftovers
Very alert and responsive

2024-03-15 12:34 Dr G/ SC/ Claire

Weight: 4101 grams, Leftovers: 0
Weight change: -32 g (1 %)
Food: 157 g F/(+ vit + Ca) Watch food intake carefully
Enrofloxacin: 2 tabs (22.7 mg tab) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO
Check that beak lesion looks sealed when treating carpi

Superficially beak appears healed. Anesthetized and intubated, scraped away the softer tissue and there is still a small defect into the nasal passage. When flushing there does not appear to be much if any communication with the nare. Applied Collasate - I would like to leave this area alone for 2 weeks and hopefully by then it will be mostly filled in. 
Forgot to look at the carpi until he was awake but he was quiet and allowed me to do it. 
R carpus had some mild scabbing and oozing but the skin appears intact. Removed matted feathers and placed bumpers, anchored with tape to try to keep intact. 
The L carpus has an open area with some oozing and some dry scabbed skin about 1 cm in diameter. Cleaned, flushed, then applied Silver gel, bumper. 
P: Check carpi every 2-3 days to make sure bumpers are intact, and to treat L wing. 
If L wing is scabbing I like to keep it uncovered w/ just the corn pad, so it can be treated, so that is something that we can try. 
OK to d/c Clindamycin - continue Enrofloxacin for beak and for wing. 
OK to d/c Meloxicam, Clindamycin. Change Enrofloxacin to SID for decreased stressed. Dr Gardner

2024-03-14 09:38 JH/ME

Leftovers: 0
Food: 246 g F
Clindamycin: 2 cap AM 
Enrofloxacin: 3 TABS (22.7 mg tab) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO
Meloxicam: 1.44 cc (1.5 mg/ml susp) PO

BAR, perched by door facing wall, watched closely while i dropped food but did not move much. Wrist bandage in pieces on floor
NOLO

2024-03-13 15:59 MB/RMB

Leftovers: 0
Food: 184 g F (+ vit + Ca) Watch food intake carefully
Clindamycin:  3 cap PM (150 mg cap) PO
Enrofloxacin: 3 TABS (22.7 mg tab) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO
Meloxicam: 1.44 cc (1.5 mg/ml susp) PO

BAR NOLO
Perched by door, vocal upon entrance, stayed on perch, watching closely, interested in food cup

2024-03-13 09:45 ao

Leftovers: 0
Food: 204 g F (+ vit + Ca)
Clindamycin: 2 cap AM / 3 cap PM (150 mg cap) PO
Enrofloxacin: 3 TABS (22.7 mg tab) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO
Meloxicam: 1.44 cc (1.5 mg/ml susp) PO

BAR, Perched. Seems to like the perch closest to door (like the old resident RTHA) but flew away when I stepped inside. Had NOLO, and did not eat food as soon as it was placed. Seemed to be eyeing the food but did not fly down. Did open beak a couple of times but no noise came out?

2024-03-12 16:05 lkm/bw

Leftovers: 0
Food: 204 g R 
Clindamycin: 3 cap PM (150 mg cap) PO
Enrofloxacin: 3 TABS (22.7 mg tab) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO
Meloxicam: 1.44 cc (1.5 mg/ml susp) PO

BARP, on perch by door, defensive at first, opened beak a couple times but no sound, she watched me the whole time but made no movement, NOLO

2024-03-12 11:07 MS

Leftovers: 0
Food: 203 g F
Clindamycin: 2 cap AM / 3 cap PM (150 mg cap) PO
Enrofloxacin: 3 TABS (22.7 mg tab) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO
Meloxicam: 1.44 cc (1.5 mg/ml susp) PO
Wound care/bandage change: Clean and measure hole in beak, apply Silver Gel 

BARP, feisty and bitey. Anesthetized under 2-3% iso and intubated for wound care. Looks relatively filled in, flushed with LRS and scrubbed with chlorhex. May not have scrubbed hard enough - Dr. G said it was easily removed last week. wrist bumpers were nonexistent, so redid those. L wrist slightly worse than R. HR was irregular througout, but recovery was uneventful. Sprayed enclosure down and removed old casts. NOLO.

2024-03-11 15:49 RMB/SRM

Leftovers: 0
Food: 217 g F (+ vit + Ca) Watch food intake carefully
Clindamycin: 2 cap AM / 3 cap PM (150 mg cap) PO
Enrofloxacin: 3 TABS (22.7 mg tab) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO
Meloxicam: 1.44 cc (1.5 mg/ml susp) PO

bar, on the ground, quite, did get defencive when I entered

2024-03-11 08:50 eb/me

Leftovers: 0
Food: 192 g F (+ vit + Ca) Watch food intake carefully
Clindamycin: 2 cap AM / 3 cap PM (150 mg cap) PO
Enrofloxacin: 3 TABS (22.7 mg tab) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO
Meloxicam: 1.44 cc (1.5 mg/ml susp) PO

BAR
perched when I walked up, then went to ground
went back to perch upon entry
nolo
the exam table was down, so I put back up

2024-03-10 17:34 bw/kl

Leftovers: 0
Food: 176 g F
Clindamycin: 2 cap AM / 3 cap PM (150 mg cap) PO
Enrofloxacin: 3 TABS (22.7 mg tab) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO
Meloxicam: 1.44 cc (1.5 mg/ml susp) PO
Wound care/bandage change: Clean and measure hole in beak, apply Silver Gel 
Band me?

BAR perched
nolo
Observed for a bit, did not go to food during observation.

2024-03-10 11:54 RMB

Leftovers: 0
Food: 192 g F/ (+ vit + Ca) Watch food intake carefully
Clindamycin: 2 cap AM 
Enrofloxacin: 3 TABS (22.7 mg tab) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO
Meloxicam: 1.44 cc (1.5 mg/ml susp) PO
Wound care/bandage change: Clean and measure hole in beak, apply Silver Gel - scrubbed wound and packed with silver gel and collasate
Band me?-forgot


BAR, NOLO

2024-03-09 16:42 TM/MS

Leftovers: 156
Food: 180g R
Clindamycin: 2 cap AM / 3 cap PM (150 mg cap) PO
Enrofloxacin: 3 TABS (22.7 mg tab) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO
Meloxicam: 1.44 cc (1.5 mg/ml susp) PO

QAR, P
perched on corner where door opens to. I walked past to collect LOs, she did not react, no defensive posture. 
The exam table was down so I put it back up.
She opened mouth wide a few times, but did not vocalize. 

whole LO rat 156 g 

2024-03-09 08:30 bw/mm

Leftovers: 0
Food: 186 g R Watch food intake carefully
Clindamycin: 2 cap AM / 3 cap PM (150 mg cap) PO
Enrofloxacin: 3 TABS (22.7 mg tab) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO
Meloxicam: 1.44 cc (1.5 mg/ml susp) PO
Quiet, perched.

2024-03-08 16:34 RMB/LT

Leftovers: 0
Food: 190 g F (+ vit + Ca) Watch food intake carefully
Clindamycin: 2 cap AM / 3 cap PM (150 mg cap) PO
Enrofloxacin: 3 TABS (22.7 mg tab) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO
Meloxicam: 1.44 cc (1.5 mg/ml susp) PO

BARP
Very alert and responsive to movement.
No leftovers

2024-03-08 10:31 Dr. G/ME

Leftovers: 58
Food: 175 g F (+ vit + Ca)
Clindamycin: 2 cap AM 
Enrofloxacin: 3 TABS (22.7 mg tab) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO
Meloxicam: 1.44 cc (1.5 mg/ml susp) PO
Vet check: Sedated beak flush and check
Radiograph: intake
Wound care/bandage change: Clean hole in beak - silver gel and collasate if possible

BARP, tried slapping me with wing. 58 g LO. Wrist bumpers were applied, bird has been banging up L wrist.

VET NOTES
Anesthetized for radiographs and beak check. 
Radiographs of body - nsf
Brought upstairs and intubated. Cleaned out the defect in the beak, underneath the hole looked clean. It looks like the hook only punched into the side of the beak and not into the mouth, which is good. It must have fallen out backwards in transport, leaving a bit of a larger hole because of the barb. 
Cleaned out the defect w/ dental tool and flushed (with gauze in mouth). It looks as though the defect does not communicate with the choana but does with the left nare. 
Applied Silver gel but not collasate. The defect measures 4 mm from edge to edge today - will keep measuring to track improvement. From what I am reading this type of defect should fill in, but I am not sure the time-line. 
Did radiographs of beak - sinus appears clear, hole is visible but not very distinct. 

2024-03-07 16:46 RMB/KK

Leftovers: 39
Food: 195 g F
Clindamycin: 2 cap AM / 3 cap PM (150 mg cap) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO
Meloxicam: 1.44 cc (1.5 mg/ml susp) PO

BARP  39g F LO Removed

2024-03-07 10:14 mkf/me

Leftovers: 192
Food: 190 g F
Clindamycin: 2 cap AM / 3 cap PM (150 mg cap) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO
Meloxicam: 1.44 cc (1.5 mg/ml susp) PO

BAR, Perched entire time. Defensive huffing sounds, then spread wings.
192 g lo

2024-03-06 21:04 MS

Blood lead
Collection date2024-03-06
Level6.88 ug/dL

2024-03-06 16:10 MB/RMB

Leftovers: 0
Food: 185 g R (+ vit + Ca) Watch food intake carefully
Clindamycin: 3 cap PM (150 mg cap) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO
Meloxicam: 1.44 cc (1.5 mg/ml susp) PO

BAR NOLO
Perched by door, wings out drying
Watching from perch, did not move from perch

2024-03-06 14:45 RMB

HPAI test results: Not Detected

2024-03-06 11:41 RMB/BH/AO

Weight: 4133 grams, Keel score: 3.0, Leftovers: 148
Weight change: -12 g (0 %)
Food: 150-200g F - t (+ vit + Ca) Watch food intake carefully
FF: 75 g M
Clindamycin: 2 cap AM / 3 cap PM (150 mg cap) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO
Meloxicam: 1.44 cc (1.5 mg/ml susp) PO
Radiograph: if HPAI test has come back neg
Wound care/bandage change: Clean hole in beak - silver gel and collasate if possible
USE PPE through end of day 3/8, or until HPAI test comes back

BARP, 148 g LO

FF a little with meds since LOs

Srubbed wound, some discharge and old blood.  Flushed well.  Packed with silver gel and covered wit collasate.

2024-03-05 16:05 lkm/bw

Food: 183 g R - tossed in to avoid using ppe 
Clindamycin: 3 cap PM (150 mg cap) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO
Meloxicam: 1.44 cc (1.5 mg/ml susp) PO
USE PPE through end of day 3/8, or until HPAI test comes back

QARP, tossed in food because not wearing ppe, LO whole fish and fish without head from previous feeding, did not get LO because not wearing ppe.  Watched through the door, bird was looking around and paying attention to noises outside her enclosure.

2024-03-05 09:08 eg/me

Leftovers: 153
Food: 164g F - toss in to avoid using ppe (+ vit + Ca) Watch food intake carefully
Clindamycin: 2 cap AM / 3 cap PM (150 mg cap) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO
Meloxicam: 1.44 cc (1.5 mg/ml susp) PO

153 g LO R
tossed food in

2024-03-04 18:04 JH/RMB

Food: 149 g R (+ vit + Ca) Watch food intake carefully
Clindamycin: 3 cap PM (150 mg cap) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO
Meloxicam: 1.44 cc (1.5 mg/ml susp) PO

QAR, perched, 3 fish LO - did not collect to avoid PPE. Left new food on ground beside door to avoid PPE

2024-03-04 12:13 sc

Weight: 4145 grams
Weight change: +41 g (1 %)
Food: 185g F (+ vit + Ca)
Clindamycin: 2 cap AM (150 mg cap) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO
Meloxicam: 1.44 cc (1.5 mg/ml susp) PO
Vet check: Swab for HPAI and send off FedEx


Perched and BAR. Able to go up and grab off perch. A little QAR once in hand. Brought into ISO and got blood for lead, HPAI sample for test and checked hole in beak. Scrubbed and flushed again. Still a little fresh blood coming from choana. Put silver gel into the wound in beak and then covered with a thin layer of collasate to try to keep it clean. We will plan for wound care EOD to make sure it stays clean.

2024-03-03 16:51 BW/KL

Food: 181 g Fish head
Clindamycin: 2 cap AM / 3 cap PM (150 mg cap) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO
Meloxicam: 1.44 cc (1.5 mg/ml susp) PO
Fecal
USE PPE through end of day 3/8, or until HPAI test comes back

BAR perched
LO:half fish; older fish is further back in run near main perch.

2024-03-03 11:46 RDF/RMB

Food: 200g F - toss in to avoid using ppe (+ vit + Ca) Watch food intake carefully
Clindamycin: 2 cap AM / 3 cap PM (150 mg cap) PO
Terbinafine: 2.46 cc (25 mg/ml susp) PO
Meloxicam: 1.44 cc (1.5 mg/ml susp) PO
USE PPE through end of day 3/8, or until HPAI test comes back
QARP, tried flying and hit wall before settling on the ground. Food dropped from doorway. LO, but not able to recover due to HPAI precautions.

2024-03-02 18:07 sc

US FWS notified via email: species of interest admitted.

2024-03-02 17:25 sc/bw

Weight: 4104 grams, Keel score: 3.0
Finder say the bird fall from a tree. Was able to approach and got pictures of the bird with a hook in his beak. The hook was a part of a larger lure with 2 3 headed hooks on it. Able to contain and get transport from crc volunteer.

------------- PHYSICAL EXAM FINDINGS ----------------
Head
  Behavior and Neuro: BAR
    Choana: a little bit of fresh blood coming from
  Beak: Hole midway long the left side of the beak from fish hook
Body
  Body condition score: 3
Wings
  Left wing: WNL
  Right wing: WNL
Legs
  Left leg: WNL
  Right leg: WNL
  Ectoparasites: none seen

Exam notes: Quiet in the box but BAR once out. She managed to get the hook out of her beak along with way. There is a scab of dried blood and part of the beak is flaking near the hole. Scrubbed and flushed multiple times. Only 1 small hole found, there are other areas that are rough along the beak, probably from the other hooks dragging along it. There is fresh blood in the choana, swabbbed away quickly. Placed silver gel over the hole and rough area. Otherwise this bird is in good shape. There are a lot of white/light feathers along the body and wings. Placed outside in DLB1.

Treatment
2.46cc terbinafine PO
2 caps clinda
448g almost whole fish