1 00:00:02,102 --> 00:00:03,020 DR OAKLEY: Wah! 2 00:00:03,103 --> 00:00:05,606 (laughter) 3 00:00:05,689 --> 00:00:08,525 NARRATOR: It's a busy spring day at Dr. Michelle Oakley's clinic. 4 00:00:08,609 --> 00:00:10,569 DR OAKLEY (off-screen): It's hysterical, they just drag roll. 5 00:00:10,652 --> 00:00:15,657 They will jump. Okay, guys. Come on down, one at a time. 6 00:00:15,741 --> 00:00:20,037 NARRATOR: The office isn't open yet, so she's taking care of some family business first. 7 00:00:20,120 --> 00:00:21,538 DR OAKLEY: My girl Bindi. 8 00:00:21,622 --> 00:00:23,248 She had eight puppies. 9 00:00:26,668 --> 00:00:30,005 NARRATOR: Before the pups can go to their forever homes, they need one more exam and a 10 00:00:30,088 --> 00:00:32,215 little TLC. 11 00:00:32,299 --> 00:00:35,010 DR OAKLEY (off-screen): The eight puppies are getting their first vaccines. 12 00:00:35,093 --> 00:00:37,596 They're just over six weeks old now. So, it is time. 13 00:00:37,679 --> 00:00:39,723 It's time, you little babies. 14 00:00:39,806 --> 00:00:42,559 Look at that little pink spot on his nose. 15 00:00:42,643 --> 00:00:44,019 You're so beautiful. 16 00:00:44,102 --> 00:00:45,646 A little poke. 17 00:00:45,729 --> 00:00:48,023 Oh, oh, what? 18 00:00:48,106 --> 00:00:49,733 All done! All done! 19 00:00:49,816 --> 00:00:53,445 NARRATOR: The bouncing babies are off to their new homes! 20 00:00:53,528 --> 00:00:57,574 Next, a more mature patient makes her way into the clinic. 21 00:00:59,576 --> 00:01:02,579 DR OAKLEY (off-screen): So, Tony is bringing his older cat in, like, he's quite old, 22 00:01:02,663 --> 00:01:04,748 a and I don't mean Tony, I mean the cat. 23 00:01:04,831 --> 00:01:06,083 He's been having some issues. 24 00:01:06,166 --> 00:01:08,460 I think he had some seizuring. Hey, Tony, come on in. 25 00:01:08,543 --> 00:01:11,171 TONY: How you doing? DR OAKLEY: Good, how are you? TONY: I'm doing good. 26 00:01:11,254 --> 00:01:13,715 DR OAKLEY: Good. And how is Harri? This is Harri, right? 27 00:01:13,799 --> 00:01:14,758 TONY: This is Harri. 28 00:01:14,841 --> 00:01:16,093 Harri's just part of the family. 29 00:01:16,176 --> 00:01:18,095 Got her when she was really small, about six weeks old, 30 00:01:18,178 --> 00:01:21,848 and she's just like one of the kids basically. 31 00:01:21,932 --> 00:01:24,476 DR OAKLEY: Hi, how are you? 32 00:01:24,559 --> 00:01:26,019 And so, how old is she? 33 00:01:26,103 --> 00:01:27,688 TONY: She's 20. 34 00:01:27,771 --> 00:01:30,565 This fall she'll be 20. Harri is a unique cat. 35 00:01:30,649 --> 00:01:32,776 I let her ride in the truck with me. 36 00:01:32,859 --> 00:01:35,237 Pretty much takes in the scenery just like the rest of us. 37 00:01:35,320 --> 00:01:38,532 DR OAKLEY: Has she used up any of her nine lives in her 20 years? 38 00:01:38,615 --> 00:01:41,076 TONY: Um, one time. DR OAKLEY: Oh, really? 39 00:01:41,159 --> 00:01:44,287 TONY: Snatched a T-bone off the countertop before I got it cooked and that was, 40 00:01:44,371 --> 00:01:48,125 that was pretty much, it was, it was almost the end, but I changed my mind, so. 41 00:01:48,208 --> 00:01:51,837 DR OAKLEY: She's got some expensive taste, I'm impressed. 42 00:01:51,920 --> 00:01:53,338 TONY: Yes, she does. 43 00:01:53,422 --> 00:01:56,508 DR OAKLEY: I think you were telling me before that she was maybe having some issues with 44 00:01:56,591 --> 00:01:58,218 seizures, you thought? 45 00:01:58,301 --> 00:01:59,511 TONY: Seizures, yeah. DR OAKLEY (off-screen): What did you see exactly? 46 00:01:59,594 --> 00:02:01,680 TONY (off-screen): Starting in 2017 she had the first one. 47 00:02:01,763 --> 00:02:03,390 DR OAKLEY (off-screen): Okay. TONY: And, um, they took a look at her, 48 00:02:03,473 --> 00:02:04,725 they couldn't find anything. 49 00:02:04,808 --> 00:02:07,436 DR OAKLEY (off-screen): Okay. How long did the seizure last that first time? 50 00:02:07,519 --> 00:02:08,979 TONY: I don't think they go over a minute. 51 00:02:09,062 --> 00:02:10,313 DR OAKLEY: Okay. 52 00:02:10,397 --> 00:02:13,275 There's a lot of different things that can cause seizures in cats in general, 53 00:02:13,358 --> 00:02:16,778 but it's definitely worth looking early on, because if they start to increase in 54 00:02:16,862 --> 00:02:20,824 frequency, then we wanna slow that down, because it can be really hard on them. 55 00:02:20,907 --> 00:02:22,909 NARRATOR: Repeated seizures can weaken animals 56 00:02:22,993 --> 00:02:26,037 and may even cause permanent brain damage. 57 00:02:26,121 --> 00:02:28,999 TONY (off-screen): It'd be really terrible for us to have to let Harri go at this point. 58 00:02:29,082 --> 00:02:33,754 We just want to provide her with the best life we can for whatever years she's got left. 59 00:02:33,837 --> 00:02:39,259 DR OAKLEY: So I'm gonna have, just go ahead, give her a good physical, okay, and then, um, 60 00:02:39,342 --> 00:02:40,802 we'll see what we find. 61 00:02:40,886 --> 00:02:43,597 When's the last time she had a seizure, that you noticed? 62 00:02:43,680 --> 00:02:46,808 TONY: About a week, ten days ago, I would say. DR OAKLEY: Okay. 63 00:02:46,892 --> 00:02:49,519 Harri is definitely having more than one seizure a month. 64 00:02:49,603 --> 00:02:51,521 So, I'm just gonna feel her thyroid. 65 00:02:51,605 --> 00:02:54,107 If that's what he's seeing then there's probably two or three a month. 66 00:02:54,191 --> 00:02:56,443 You know, it's just, he won't be able to see Harri all the time. 67 00:02:56,526 --> 00:02:59,029 TONY: Yeah. DR OAKLEY: That's the thing, is like they could be having them 68 00:02:59,112 --> 00:03:00,572 during the day or during the night. 69 00:03:00,655 --> 00:03:04,951 One thing I would recommend is that we get a blood sample and send it in 70 00:03:05,035 --> 00:03:06,411 and check in on things. 71 00:03:06,495 --> 00:03:09,581 If there's anything to do with sort of her inner metabolism that's setting them off. 72 00:03:09,664 --> 00:03:13,919 Seizures that just show up as the cats get older, it can be something like her glucose in 73 00:03:14,002 --> 00:03:15,462 her body is too low. 74 00:03:15,545 --> 00:03:18,298 Her liver, it may not be getting rid of toxins very well. 75 00:03:18,381 --> 00:03:22,511 So, we can check and look for those, all those things and see what we can do 76 00:03:22,594 --> 00:03:24,095 to keep her going. 77 00:03:24,179 --> 00:03:28,183 NARRATOR: A blood sample may be key to Harri's diagnosis, but obtaining that sample will 78 00:03:28,266 --> 00:03:30,227 be no walk in the park. 79 00:03:30,310 --> 00:03:32,395 DR OAKLEY (off-screen): She won't like it, for the blood sample. 80 00:03:32,479 --> 00:03:33,522 TONY (off-screen): Yeah, but that's okay. 81 00:03:33,605 --> 00:03:36,483 When she gets aggravated, you know, it's like anything else, you know. 82 00:03:36,566 --> 00:03:37,818 DR OAKLEY (off-screen): Yeah. TONY: So. 83 00:03:37,901 --> 00:03:39,569 DR OAKLEY: Are you warning me? 84 00:03:39,653 --> 00:03:43,240 Getting blood samples from older cats can be tricky, 85 00:03:43,323 --> 00:03:44,491 especially if they're dehydrated. 86 00:03:44,574 --> 00:03:46,076 Their skin can be thick. 87 00:03:46,159 --> 00:03:48,829 And it's, it definitely takes two. 88 00:03:48,912 --> 00:03:51,915 NARRATOR: The vet tech's shift hasn't started, so Tony will pinch hit 89 00:03:51,998 --> 00:03:54,042 to help get the job done. 90 00:03:54,125 --> 00:03:55,836 DR OAKLEY: We could try with you holding her right now actually. 91 00:03:55,919 --> 00:03:59,840 And if, the only, the only thing is it's tricky to hold them in the right position. 92 00:03:59,923 --> 00:04:02,008 TONY: Right. DR OAKLEY: But I'll let you try. Okay? 93 00:04:02,092 --> 00:04:03,635 TONY: Okay. And I'm horribly allergic. 94 00:04:03,718 --> 00:04:05,345 DR OAKLEY: What? TONY: Oh, yeah. 95 00:04:05,428 --> 00:04:06,555 DR OAKLEY: You're allergic to her? 96 00:04:06,638 --> 00:04:08,181 TONY: I'm gonna have to go home and wash my hands and face. 97 00:04:08,265 --> 00:04:09,933 DR OAKLEY: Okay, should I get the Benadryl on standby? 98 00:04:10,016 --> 00:04:11,101 TONY: No, no, I got that already. 99 00:04:11,184 --> 00:04:12,477 DR OAKLEY: Okay. Oh, you took it before you came? 100 00:04:12,561 --> 00:04:14,980 TONY: Yeah, I took Benadryl before I come, because I gotta handle her so much. 101 00:04:15,063 --> 00:04:16,648 DR OAKLEY: You can tell he loves that cat. 102 00:04:16,731 --> 00:04:18,775 I mean, he's allergic to cats! 103 00:04:18,859 --> 00:04:20,569 You know, and he's like, that's okay. 104 00:04:20,652 --> 00:04:22,571 Are you sure you're good with stirring up more cat hair and stuff? 105 00:04:22,654 --> 00:04:24,072 TONY: Sure. Yup. DR OAKLEY: Okay. 106 00:04:24,155 --> 00:04:25,407 TONY: Yeah, I've got lots of the inhaler left, I'm good. 107 00:04:25,490 --> 00:04:26,658 DR OAKLEY: Okay, good. 108 00:04:26,741 --> 00:04:30,120 When we love another little creature, you know, we're willing to have some 109 00:04:30,203 --> 00:04:31,663 compromises for sure. 110 00:04:31,746 --> 00:04:34,291 If you could come, like, towards the end of the table and put a finger between those 111 00:04:34,374 --> 00:04:35,709 toes, so you can. 112 00:04:35,792 --> 00:04:37,127 TONY (off-screen): Easy, sweetie pie. 113 00:04:37,210 --> 00:04:38,795 DR OAKLEY: It's okay, sweetheart. 114 00:04:38,879 --> 00:04:40,922 TONY (off-screen): I know, sweetie. 115 00:04:41,006 --> 00:04:42,257 DR OAKLEY: Oop, hold still. TONY (off-screen): I know. 116 00:04:42,340 --> 00:04:43,258 Nope. Ow! Easy! 117 00:04:43,341 --> 00:04:44,593 DR OAKLEY: Nope, too much. 118 00:04:44,676 --> 00:04:47,345 The more Tony is trying to restrain her, the more of her hair and fluff 119 00:04:47,429 --> 00:04:48,930 that's getting in the air. 120 00:04:49,014 --> 00:04:50,932 (coughs) 121 00:04:51,016 --> 00:04:53,268 There, there is definitely medication that we can give cats. 122 00:04:53,351 --> 00:04:54,477 Oh, uh-oh. 123 00:04:54,561 --> 00:04:56,146 TONY: No, I'm all good. 124 00:04:56,229 --> 00:04:59,441 DR OAKLEY (off-screen): Okay. So, he needs his inhaler now. 125 00:04:59,524 --> 00:05:01,568 It's definitely not working out. 126 00:05:05,572 --> 00:05:07,699 Oh, man, that's so sad! 127 00:05:07,782 --> 00:05:12,329 NARRATOR: Not a moment too soon, Michelle's trusted vet tech Nicole Holm arrives. 128 00:05:12,412 --> 00:05:13,705 DR OAKLEY: Hello! 129 00:05:13,788 --> 00:05:16,374 Welcome. Good timing. 130 00:05:16,458 --> 00:05:20,879 We're just gonna try and get blood from this sweet old biddy, 131 00:05:20,962 --> 00:05:22,714 and I said you were the best, so. 132 00:05:22,797 --> 00:05:24,925 (laughs) 133 00:05:25,008 --> 00:05:26,801 NICOLE: Oh, honey bunny. 134 00:05:26,885 --> 00:05:28,470 DR OAKLEY: Nicole is a good cat wrangler. 135 00:05:28,553 --> 00:05:29,554 Do you wanna poke, or do you want me to poke? 136 00:05:29,971 --> 00:05:31,681 NICOLE: I can hold, if you wanna poke. 137 00:05:32,390 --> 00:05:33,433 DR OAKLEY: Yeah, I'll poke first, then if I don't get it, you can try. 138 00:05:33,767 --> 00:05:35,435 NICOLE: Look at you, just back clear away. 139 00:05:37,395 --> 00:05:38,313 DR OAKLEY (off-screen): Yeah. NICOLE (off-screen): Uh-huh. 140 00:05:38,396 --> 00:05:40,273 DR OAKLEY: She's really good at working with the patients. 141 00:05:40,357 --> 00:05:42,609 So, let's put these on, 'cause these I know. 142 00:05:42,692 --> 00:05:46,488 She is invaluable when it comes to getting a tricky sample done. 143 00:05:46,571 --> 00:05:50,200 NICOLE (off-screen): Hold still. DR OAKLEY (off-screen): Nope. 144 00:05:50,283 --> 00:05:52,160 No, but it's okay. 145 00:05:52,243 --> 00:05:53,745 We're right there, we're right there. 146 00:05:55,997 --> 00:05:58,291 NICOLE: Go tell your mommy all about it. 147 00:05:58,375 --> 00:06:01,211 DR OAKLEY: Nicole steps up and it's always like, boom, you know? 148 00:06:01,294 --> 00:06:04,214 It's partly that we work together so much, but it's partly because she just knows 149 00:06:04,297 --> 00:06:07,258 exactly how to hold them and restrain them in just the right spot. 150 00:06:07,342 --> 00:06:09,052 Okay. 151 00:06:09,135 --> 00:06:11,096 Now she gets lots of love. 152 00:06:11,179 --> 00:06:14,224 Poor old thing, go see your, go see your dad. 153 00:06:14,307 --> 00:06:16,101 Thank you, Nicole. 154 00:06:16,184 --> 00:06:17,560 NICOLE (off-screen): Yep. 155 00:06:17,644 --> 00:06:20,814 NARRATOR: Within a few days, Michelle should have lab results back for Harri. 156 00:06:20,897 --> 00:06:23,233 DR OAKLEY: If she starts to have any difference in her seizures, then let me know, 157 00:06:23,316 --> 00:06:24,776 'cause we can certainly help calm that down. 158 00:06:24,859 --> 00:06:27,237 TONY: Okay. Okay. DR OAKLEY: You know, we can give valium-type medication. 159 00:06:27,320 --> 00:06:29,656 If that becomes necessary, we can help you out with that, okay? 160 00:06:29,739 --> 00:06:31,658 TONY: Okay, perfect. Thank you so much. 161 00:06:31,741 --> 00:06:32,784 DR OAKLEY: Thank you, Tony. TONY: You bet. 162 00:06:32,867 --> 00:06:34,452 DR OAKLEY: It's always great to see you! 163 00:06:34,536 --> 00:06:36,287 TONY: You betcha. Always good to see you, too. DR OAKLEY: Alright. 164 00:06:39,833 --> 00:06:42,293 NARRATOR: Nicole's not only Dr. Oakley's colleague and friend. 165 00:06:42,377 --> 00:06:44,379 DR OAKLEY: Nicole's dog. 166 00:06:44,462 --> 00:06:47,090 NARRATOR: She's also doggie grandma to the next patient. 167 00:06:47,173 --> 00:06:48,883 DR OAKLEY: Actually, I think it's your son's dog. 168 00:06:48,967 --> 00:06:50,510 NICOLE: She's, she really is Corbin's dog. 169 00:06:50,593 --> 00:06:53,638 We're going to have Zoey, our little French bulldog, and my oldest son Corbin 170 00:06:53,722 --> 00:06:55,098 coming in today. 171 00:06:55,181 --> 00:06:57,434 Zoey! Hi, pig. 172 00:06:57,517 --> 00:07:01,730 CORBIN: We brought Zoey to Dr. Oakley because she has a weird, like, neck lump on her, 173 00:07:01,813 --> 00:07:04,566 and then there's one on her front left leg as well. 174 00:07:04,649 --> 00:07:07,277 DR OAKLEY: Oh, my gosh. There's the cutest little potbelly pig. 175 00:07:07,360 --> 00:07:08,403 NICOLE: Hi, piggy. 176 00:07:08,486 --> 00:07:09,863 DR OAKLEY: Is that a dog or is that a potbelly pig? 177 00:07:09,946 --> 00:07:12,032 Oh, Zoey, I'm only kidding! 178 00:07:12,115 --> 00:07:13,825 What? We're friends. 179 00:07:13,908 --> 00:07:15,368 NICOLE: She's like, "We are not friends." 180 00:07:15,452 --> 00:07:16,745 DR OAKLEY: We are so friends. 181 00:07:16,828 --> 00:07:19,080 Zoey has a cyst on her back kind of in between her shoulder blades. 182 00:07:19,164 --> 00:07:22,876 It's literally just a sac of either pus or fluid. 183 00:07:22,959 --> 00:07:24,794 Okay, let's turn you this way a little bit. 184 00:07:24,878 --> 00:07:27,088 Look at that face! 185 00:07:27,172 --> 00:07:30,759 We've drained it once, and we're hoping that it would just close up, 186 00:07:30,842 --> 00:07:33,970 but like a lot of cysts do, it came back. 187 00:07:34,054 --> 00:07:37,015 Zoey! That is way bigger. 188 00:07:37,098 --> 00:07:38,475 NICOLE: Yeah. 189 00:07:38,558 --> 00:07:40,060 It kind of came back with a vengeance. 190 00:07:40,143 --> 00:07:43,521 DR OAKLEY: If you don't remove the whole lining of it, they tend to, to refill. 191 00:07:43,605 --> 00:07:46,483 So we need to take the whole sac of the cyst out this time. 192 00:07:46,566 --> 00:07:48,735 We're going big or going home. 193 00:07:48,818 --> 00:07:50,862 This is your spring haircut. 194 00:07:50,945 --> 00:07:54,157 CORBIN (off-screen): She's never going to trust any of you ever again. 195 00:07:54,240 --> 00:07:57,327 DR OAKLEY (off-screen): I know. I'm so sorry about that haircut. 196 00:07:57,410 --> 00:08:01,873 The plan is I'm going to put a little bit of scrub-a-dub in there, 197 00:08:01,956 --> 00:08:06,628 and then I'm gonna put a big needle to try and just drain it, and if I can shrink it, 198 00:08:06,711 --> 00:08:09,172 that'll also make it a little bit easier for me to remove. 199 00:08:09,255 --> 00:08:10,131 Okay. Ready? 200 00:08:10,215 --> 00:08:11,424 NICOLE: Alright. Here we go. 201 00:08:11,508 --> 00:08:14,302 NARRATOR: The needle will act as a pressure release valve, to drain fluid. 202 00:08:14,385 --> 00:08:16,471 DR OAKLEY: Ooh! Ooh! 203 00:08:16,554 --> 00:08:19,057 NARRATOR: But what comes out is unexpected. 204 00:08:19,140 --> 00:08:20,100 CORBIN (off-screen): Ewww. 205 00:08:20,183 --> 00:08:21,226 DR OAKLEY (off-screen): Oh, dude. 206 00:08:21,309 --> 00:08:22,936 (laughing) 207 00:08:23,019 --> 00:08:26,022 As I'm draining the cyst, there's blood spurting out. 208 00:08:26,106 --> 00:08:27,732 This is like geyser town. 209 00:08:27,816 --> 00:08:28,733 CORBIN (off-screen): Ugh. 210 00:08:28,817 --> 00:08:32,195 DR OAKLEY: It's still just. Ew! Ew! 211 00:08:32,278 --> 00:08:33,446 CORBIN: Yeah. 212 00:08:33,530 --> 00:08:35,990 NARRATOR: The lump is fully drained and ready for removal. 213 00:08:36,074 --> 00:08:37,992 DR OAKLEY: Actually, Corbin, would you get some gloves on? 214 00:08:38,076 --> 00:08:40,203 'Cause I might need your mom to do other stuff. 215 00:08:40,286 --> 00:08:42,122 NICOLE: So you get to hold. Box, right. 216 00:08:42,205 --> 00:08:43,581 CORBIN: What? 217 00:08:43,665 --> 00:08:48,002 NICOLE: Corbin has never been a part of surgery or medical anything before. 218 00:08:48,086 --> 00:08:50,338 It is not his, his forte at all. 219 00:08:50,421 --> 00:08:52,173 DR OAKLEY: This is basically what you're going to be doing is 220 00:08:52,257 --> 00:08:53,591 keeping that stretched for me. 221 00:08:53,675 --> 00:08:58,805 CORBIN: My one job is the official wrinkle-holder-backer for the dog. 222 00:08:58,888 --> 00:09:00,723 DR OAKLEY (off-screen): Corbin's gonna kinda keep some tension there 223 00:09:00,807 --> 00:09:03,893 so I can see what I'm doing. Otherwise, her neck is so short. 224 00:09:03,977 --> 00:09:07,063 Okay. Skin retracted. 225 00:09:07,147 --> 00:09:10,316 CORBIN (off-screen): They make forceps for this. 226 00:09:10,400 --> 00:09:13,403 DR OAKLEY: Hi! Hi! 227 00:09:13,486 --> 00:09:16,656 So, I'm gonna go there and a little around. 228 00:09:16,739 --> 00:09:22,495 NARRATOR: An injection of local anesthesia, and it's time for the first cut. 229 00:09:22,579 --> 00:09:25,039 CORBIN: Ugh. 230 00:09:25,123 --> 00:09:28,501 DR OAKLEY: If you feel at all funny, Corbin, let me know, because. 231 00:09:28,585 --> 00:09:31,838 NICOLE: Yeah, 'cause I'm not picking you up off the floor. 232 00:09:31,921 --> 00:09:35,216 CORBIN: I'm not gonna faint. It's just gross. 233 00:09:35,300 --> 00:09:37,177 I'm just stooped over. 234 00:09:37,260 --> 00:09:39,679 DR OAKLEY (off-screen): Uh-huh. 235 00:09:39,762 --> 00:09:41,472 CORBIN: This is going in the bank of repressed memories. 236 00:09:41,556 --> 00:09:43,641 (laughter) 237 00:09:43,725 --> 00:09:45,685 DR OAKLEY: You'll be paying for therapy on this later. 238 00:09:45,768 --> 00:09:49,480 NICOLE (off-screen): Making sure you're not passing out on me. 239 00:09:49,564 --> 00:09:53,610 Seeing all the gunk and everything was getting to be a bit much for him. 240 00:09:53,693 --> 00:09:55,862 DR OAKLEY: Like, can you grab a chair and just put it behind him 241 00:09:55,945 --> 00:09:58,156 just in case? Awesome. 242 00:09:58,239 --> 00:10:01,826 NICOLE: I think it's an eye-opener for Corbin to really see what we do. 243 00:10:01,910 --> 00:10:03,411 Yeah. 244 00:10:03,494 --> 00:10:06,414 CORBIN (off-screen): It's kind of like when you stand up too fast and your head just kind of, 245 00:10:06,497 --> 00:10:07,957 you start seeing little black spots. 246 00:10:08,041 --> 00:10:11,336 I think it's just seeing all of the mushy bits inside a living thing. 247 00:10:11,419 --> 00:10:14,047 DR OAKLEY: Well, yeah! I love Corbin. 248 00:10:14,130 --> 00:10:15,298 He's got a lot of spunk. 249 00:10:15,381 --> 00:10:17,133 CORBIN: It's fine if you don't look at it, it doesn't exist. 250 00:10:17,217 --> 00:10:19,177 DR OAKLEY (off-screen): Okay. NICOLE (off-screen): Okay. 251 00:10:19,260 --> 00:10:20,470 DR OAKLEY (off-screen): He's got just the right amount of sass, 252 00:10:20,553 --> 00:10:24,015 until he almost fell on his, it rhymes with sass. 253 00:10:24,098 --> 00:10:26,559 CORBIN: Ugh! 254 00:10:26,643 --> 00:10:29,896 DR OAKLEY (off-screen): Slow and steady. 255 00:10:29,979 --> 00:10:32,190 NARRATOR: Michelle makes headway opening the area. 256 00:10:32,273 --> 00:10:34,192 DR OAKLEY: Why is it bleeding so much? It's really strange. 257 00:10:34,275 --> 00:10:35,610 NICOLE: I don't know. 258 00:10:35,693 --> 00:10:38,112 NARRATOR: But there could be bigger problems. 259 00:10:38,196 --> 00:10:40,323 DR OAKLEY: This is really a lot of fresh blood. 260 00:10:40,406 --> 00:10:42,784 Okay, well, we will proceed with caution on this. 261 00:10:42,867 --> 00:10:47,538 So, the more I'm trying to undermine the sac and get around it, 262 00:10:47,622 --> 00:10:49,165 the more it's bleeding. 263 00:10:49,249 --> 00:10:51,376 And I'm not talking about a little bit of oozing. 264 00:10:51,459 --> 00:10:53,711 I mean, this is becoming hemorrhage. 265 00:10:53,795 --> 00:10:56,839 Like this is way too much bleeding for a cyst. 266 00:10:56,923 --> 00:10:59,968 Like, that's fresh blood. 267 00:11:00,051 --> 00:11:04,180 This is not expected. This is something that looks cancerous. 268 00:11:04,264 --> 00:11:06,307 I think it's a tumor, honestly. 269 00:11:13,231 --> 00:11:15,149 DR OAKLEY (off-screen): This is part of the sac, I think. 270 00:11:15,233 --> 00:11:18,778 NARRATOR: A routine surgery to remove a cyst from Zoey, the French bulldog, 271 00:11:18,861 --> 00:11:20,613 just took a turn. 272 00:11:20,697 --> 00:11:23,074 DR OAKLEY: Why is it bleeding so much? It's really strange. 273 00:11:23,157 --> 00:11:24,284 NICOLE: I don't know. 274 00:11:24,367 --> 00:11:27,328 DR OAKLEY: It has so much blood flow, and instantly I think of tumors that, 275 00:11:27,412 --> 00:11:29,330 you know, affect the blood vessels. 276 00:11:29,414 --> 00:11:32,166 I think what's happening is there's a little tumor that's bleeding like stink and it's 277 00:11:32,250 --> 00:11:34,085 filling up the capsule around it. 278 00:11:34,168 --> 00:11:39,716 It's got some depth to it so that definitely implies malignancy. 279 00:11:39,799 --> 00:11:42,635 So, it definitely is one that needs to be removed. 280 00:11:42,719 --> 00:11:47,015 NARRATOR: But removing this tumor will be a complicated procedure requiring 281 00:11:47,098 --> 00:11:49,058 a careful game plan. 282 00:11:49,142 --> 00:11:50,059 DR OAKLEY (off-screen): Good girl. 283 00:11:50,143 --> 00:11:51,561 NICOLE (off-screen): It's okay, baby. 284 00:11:51,644 --> 00:11:54,188 DR OAKLEY: I would like to take a bit of a biopsy of that mass if I can do that without 285 00:11:54,272 --> 00:11:55,940 causing a whole bunch of more bleeding. 286 00:11:56,024 --> 00:11:57,358 NICOLE: It's okay. 287 00:11:57,442 --> 00:12:00,987 DR OAKLEY: Some tumors, especially ones that bleed a lot, can spread quite easily, 288 00:12:01,070 --> 00:12:03,031 they can be in a lot of parts of her body already. 289 00:12:03,114 --> 00:12:04,198 We're literally done. 290 00:12:04,282 --> 00:12:05,950 All I gotta do now is just suture that. 291 00:12:06,034 --> 00:12:10,496 So I'm gonna wanna do more staging before we put her through a big surgery. Hey. 292 00:12:10,580 --> 00:12:13,541 NARRATOR: Surgery will have to wait until the lab results come in. 293 00:12:13,624 --> 00:12:16,544 DR OAKLEY: I don't know what that was, Zoey, but that was no cyst. 294 00:12:16,627 --> 00:12:20,923 NARRATOR: There's still one more lump for Dr. Oakley to examine. 295 00:12:21,007 --> 00:12:24,302 DR OAKLEY (off-screen): And now, she has a very similar mass right here. 296 00:12:24,385 --> 00:12:26,888 It feels kind of like the one that's in there. 297 00:12:26,971 --> 00:12:29,223 So, we're just gonna do a biopsy of this one. 298 00:12:29,307 --> 00:12:31,225 We've done a local, we've cleaned it. 299 00:12:31,309 --> 00:12:33,478 Now, I'm just gonna take a little sample in there. 300 00:12:33,561 --> 00:12:36,147 She clearly can't feel that, which is great. 301 00:12:36,230 --> 00:12:39,859 So now I just take that out of there. 302 00:12:39,942 --> 00:12:41,527 NICOLE: It's like a little core sample in there. 303 00:12:41,611 --> 00:12:42,737 DR OAKLEY: Other one's gonna bleed a lot, too. 304 00:12:42,820 --> 00:12:44,364 I think they're the same kind of thing. 305 00:12:44,447 --> 00:12:47,950 It's possible that the mass on her leg has spread from the one on her back. 306 00:12:48,034 --> 00:12:50,370 So, we're definitely gonna want to get all of these samples in 307 00:12:50,453 --> 00:12:51,871 to get them looked at. 308 00:12:51,954 --> 00:12:56,417 So then we will put this little core sample into there. 309 00:12:56,501 --> 00:12:59,212 NICOLE: Zoey, um, is definitely Corbin's buddy. 310 00:12:59,295 --> 00:13:00,797 He leaves for college this fall. 311 00:13:00,880 --> 00:13:03,758 So, I really, really want to be able to keep her healthy. 312 00:13:03,841 --> 00:13:06,886 It would be really hard for him to get news that she passed away or that she's 313 00:13:06,969 --> 00:13:08,971 gotten sicker while he's gone. 314 00:13:12,100 --> 00:13:16,396 DR OAKLEY: Darn, I was hoping that you just had a cyst that we could just assist with. 315 00:13:16,479 --> 00:13:19,649 There's a little bit more pressure when you're helping out a friend and a colleague 316 00:13:19,732 --> 00:13:21,442 who's helped me countless times. 317 00:13:21,526 --> 00:13:25,405 So, I want to make sure we do what we can for Zoey, and I want to make sure 318 00:13:25,488 --> 00:13:26,989 we do it right. 319 00:13:27,073 --> 00:13:31,160 NARRATOR: Michelle places a rush on Zoey's samples, hoping to have intel by week's end. 320 00:13:35,039 --> 00:13:38,626 Next, she's off to the Alaska Wildlife Conservation Center. 321 00:13:38,709 --> 00:13:40,628 DR OAKLEY (off-screen): Well, it's perfect weather for reindeer work. 322 00:13:40,711 --> 00:13:41,963 SARAH (off-screen): Yeah! 323 00:13:42,046 --> 00:13:44,257 NARRATOR: Where a two-year-old reindeer has a peculiar problem. 324 00:13:44,340 --> 00:13:46,008 DR OAKLEY: Hi, gang! So, who is this one? 325 00:13:46,092 --> 00:13:47,427 SARAH (off-screen): Uh, this is Neville. 326 00:13:47,510 --> 00:13:48,928 DR OAKLEY (off-screen): Neville! Right. 327 00:13:49,011 --> 00:13:50,388 SARAH (off-screen): He's our steer. 328 00:13:50,471 --> 00:13:55,184 Neville currently has his old antlers from last year, still on top of his head while 329 00:13:55,268 --> 00:13:57,728 he is growing his new antlers underneath. 330 00:13:57,812 --> 00:14:01,107 DR OAKLEY: So last year, he would have gone through an antler cycle, and they, 331 00:14:01,190 --> 00:14:02,650 this is the first antler cycle? 332 00:14:02,733 --> 00:14:04,068 SARAH: This is the first antler cycle since he's been castrated. 333 00:14:04,152 --> 00:14:06,446 DR OAKLEY (off-screen): Since he's been castrated. Okay. 334 00:14:06,529 --> 00:14:11,033 As the antler basically dies each year, it turns into solid hard bone and then it gets, 335 00:14:11,117 --> 00:14:14,203 it just through hormone cycles, it should just naturally come off after a 336 00:14:14,287 --> 00:14:15,663 period of months. 337 00:14:15,746 --> 00:14:18,416 That didn't happen in this guy, and it's still really well attached. 338 00:14:18,499 --> 00:14:20,793 So, was he castrated as a baby or an adult or? 339 00:14:20,877 --> 00:14:22,712 SARAH: He was castrated at a year old. 340 00:14:22,795 --> 00:14:25,590 DR OAKLEY: Because he's a steer, that means he has no testicles, 341 00:14:25,673 --> 00:14:27,884 so that means he's got no major hormones circulating to kinda get that 342 00:14:27,967 --> 00:14:30,052 antler cycle going. 343 00:14:30,136 --> 00:14:31,345 SARAH (off-screen): Yeah. 344 00:14:31,429 --> 00:14:34,348 DR OAKLEY: Usually reindeer steers do just fine being castrated, you know, 345 00:14:34,432 --> 00:14:35,808 without the hormones. 346 00:14:35,892 --> 00:14:38,394 But every now and then I think, you know, you will get something weird like this. 347 00:14:38,478 --> 00:14:42,440 That old antler is sticking out like that, sometimes they'll bump and break it. 348 00:14:42,523 --> 00:14:44,942 And that can be a, a big issue. 349 00:14:45,026 --> 00:14:47,445 I'm kinda worried because they're still so solid in there, 350 00:14:47,528 --> 00:14:50,448 it could either damage the base of the pedicle that's growing or it could 351 00:14:50,531 --> 00:14:52,033 even crack the skull, so. 352 00:14:52,116 --> 00:14:53,534 SARAH: Ooh. 353 00:14:53,618 --> 00:14:55,536 DR OAKLEY: Dude, why aren't you losing your antler? 354 00:14:55,620 --> 00:14:58,706 NARRATOR: Today's goal, get the protrusion off Neville's skull, 355 00:14:58,789 --> 00:15:01,792 so he can grow a proper rack like his penmates. 356 00:15:01,876 --> 00:15:04,795 DR OAKLEY: Hello, Neville. 357 00:15:04,879 --> 00:15:07,381 How's it going? Is that your brother? 358 00:15:07,465 --> 00:15:08,758 Are you the Neville Brothers? 359 00:15:08,841 --> 00:15:10,593 Neville is kinda looking over Chuckles. 360 00:15:10,676 --> 00:15:14,555 Chuckles is a big, strong bull and he gets a ridiculously impressive rack. 361 00:15:14,639 --> 00:15:16,057 I love how these feel. 362 00:15:16,140 --> 00:15:18,059 Oh, they're so warm. 363 00:15:18,142 --> 00:15:19,435 SARAH (off-screen): So warm. DR OAKLEY: I know. So nice. 364 00:15:19,519 --> 00:15:21,854 I feel kind of bad that he's gonna have to look at that all season. 365 00:15:21,938 --> 00:15:24,607 But they're buddies, he'll get over it. 366 00:15:24,690 --> 00:15:27,735 I'm gonna help you with that odd thing you got going there. 367 00:15:27,818 --> 00:15:29,737 SARAH (off-screen): Come on, Chuck. 368 00:15:29,820 --> 00:15:32,365 DR OAKLEY: Okay, let me get some glovies on and I'll have a feel. 369 00:15:32,448 --> 00:15:36,410 What we're going to do is actually remove the old antler at least as much of it as we 370 00:15:36,494 --> 00:15:38,079 can get at today. 371 00:15:38,162 --> 00:15:41,249 NARRATOR: A serrated wire will quickly get the job done. 372 00:15:41,332 --> 00:15:44,544 DR OAKLEY (off-screen): The restraint is going to be really important here 'cause it 373 00:15:44,627 --> 00:15:47,672 won't take long, but I don't want him to poke somebody in the eye with that. 374 00:15:47,755 --> 00:15:51,801 SARAH: Shh, I know, bud, you're gonna hate it. 375 00:15:51,884 --> 00:15:54,387 DR OAKLEY: No, this is too dangerous with Brittany's head there. 376 00:15:54,470 --> 00:15:55,721 SARAH: Alright, let me try something. 377 00:15:55,805 --> 00:15:57,807 DR OAKLEY (off-screen): Okay, let's try that. 378 00:16:01,894 --> 00:16:04,772 SARAH: Good boy. 379 00:16:04,855 --> 00:16:06,440 Shh. 380 00:16:09,402 --> 00:16:10,570 DR OAKLEY: Ahh! 381 00:16:10,653 --> 00:16:12,530 SARAH: It's alright, bud, it's okay. DR OAKLEY: Almost. 382 00:16:12,613 --> 00:16:15,866 NARRATOR: Neville feels no pain as wire cuts through dead bone. 383 00:16:15,950 --> 00:16:19,829 SARAH: Come on, bud. It's okay. 384 00:16:19,912 --> 00:16:22,540 It's alright. Good boy! 385 00:16:22,623 --> 00:16:26,127 Look how handsome you are now you got that weird antler cut off. 386 00:16:26,210 --> 00:16:31,257 NARRATOR: To get his antler cycle back on track, Neville's hormones need regulating. 387 00:16:31,340 --> 00:16:34,385 DR OAKLEY: I'm going to be now cleaning off the back of his ear and putting a little 388 00:16:34,468 --> 00:16:35,970 hormone implant in there. 389 00:16:36,053 --> 00:16:38,097 SARAH (off-screen): You're not gonna like this. 390 00:16:38,180 --> 00:16:39,974 DR OAKLEY (off-screen): Okay, are you guys ready? 391 00:16:40,057 --> 00:16:45,521 That's going to allow his antler to slowly continue to grow, 392 00:16:45,605 --> 00:16:50,568 but it's also going to eventually wear off and shut that whole cycle down so that 393 00:16:50,651 --> 00:16:53,112 then he'll shed his antlers earlier than normal. 394 00:16:53,195 --> 00:16:55,740 He should be on the road to, to antler correction. 395 00:16:55,823 --> 00:16:57,742 You're just gonna have antler envy. 396 00:16:57,825 --> 00:17:00,745 No one's going to compare the lovely rack that Chuckles has. 397 00:17:00,828 --> 00:17:01,704 SARAH (off-screen): Right? 398 00:17:01,787 --> 00:17:03,456 NARRATOR: Michelle's work today isn't done. 399 00:17:03,539 --> 00:17:06,709 This reindeer has head-to-toe problems. 400 00:17:06,792 --> 00:17:10,004 SARAH: Is there anything you wanted to do about the hair on the leg? 401 00:17:10,087 --> 00:17:12,214 Like he licks his legs a lot. 402 00:17:12,298 --> 00:17:13,591 DR OAKLEY (off-screen): Oh, okay. 403 00:17:13,674 --> 00:17:16,385 One other thing that they've noticed with Neville is that all four of his legs, 404 00:17:16,469 --> 00:17:20,056 most of the hair has been like what's called barbered, or almost chewed down. 405 00:17:20,139 --> 00:17:22,600 It's very short and even missing in some spots. 406 00:17:22,683 --> 00:17:24,935 SARAH (off-screen): So, I don't know if that's just from his obsessive licking. 407 00:17:25,019 --> 00:17:27,063 DR OAKLEY: Yeah, we wanna do a scrape. 408 00:17:27,146 --> 00:17:30,775 I've seen that a lot in other animals, and it often has to do with a mite infection. 409 00:17:30,858 --> 00:17:33,653 NARRATOR: Mites dwell just beneath the surface of the skin. 410 00:17:33,736 --> 00:17:37,448 Michelle uses a dulled razor blade to get to where they hide. 411 00:17:37,531 --> 00:17:40,534 DR OAKLEY (off-screen): You can see I'm not cutting him, but I am like taking that 412 00:17:40,618 --> 00:17:41,911 top layer of skin. 413 00:17:41,994 --> 00:17:44,664 I'm trying to get at the follicles 'cause that's where the mites like to hang. 414 00:17:44,747 --> 00:17:47,375 Sometimes you do your scrape and you don't find anything. 415 00:17:47,458 --> 00:17:49,085 It can be nutritional. 416 00:17:49,168 --> 00:17:51,003 It can even just be behavioral. 417 00:17:51,087 --> 00:17:53,631 Sometimes from stress they'll lick and lick and lick, which is one of the hardest things 418 00:17:53,714 --> 00:17:55,132 to, to try and diagnose. 419 00:17:55,216 --> 00:17:58,135 SARAH: Look at all the team bonding we're doing right now. 420 00:17:58,219 --> 00:17:59,679 This is great. 421 00:17:59,762 --> 00:18:02,181 DR OAKLEY: I'm really actually hoping we find mites, because I know what to do with that 422 00:18:02,264 --> 00:18:03,808 and we can get him feeling better quick. 423 00:18:03,891 --> 00:18:07,937 NARRATOR: Now, it's on to the infirmary to see if it's a slam dunk diagnosis. 424 00:18:08,020 --> 00:18:09,397 DR OAKLEY: I'm so excited! 425 00:18:09,480 --> 00:18:12,233 Don't run with slides in your hand. 426 00:18:12,316 --> 00:18:14,610 Cooties! 427 00:18:14,694 --> 00:18:17,071 Cooties coming, I hope. 428 00:18:22,076 --> 00:18:25,579 NARRATOR: Dr. Oakley suspects Neville the reindeer may be infested with mites. 429 00:18:25,663 --> 00:18:27,665 DR OAKLEY: Oh, yeah, baby! 430 00:18:27,748 --> 00:18:29,583 I got the mother lode. 431 00:18:29,667 --> 00:18:31,043 The mite mother lode. 432 00:18:31,127 --> 00:18:32,461 So, we found mites. 433 00:18:32,545 --> 00:18:33,796 I love it. 434 00:18:33,879 --> 00:18:36,006 Especially because that now I know what I can do to help him. 435 00:18:36,090 --> 00:18:38,175 Look at that, ooh! 436 00:18:38,259 --> 00:18:40,636 Awesome! 437 00:18:40,720 --> 00:18:42,722 And so creepy. 438 00:18:42,805 --> 00:18:47,059 They are chewing and kind of eating the skin tissue. 439 00:18:47,143 --> 00:18:50,062 So they definitely cause the animal to be quite itchy. 440 00:18:50,146 --> 00:18:53,441 Now this is like, dude's got cooties! 441 00:18:53,524 --> 00:18:56,777 Oh, man, that's so cool. 442 00:18:56,861 --> 00:18:59,864 Don't, don't itch me. 443 00:18:59,947 --> 00:19:02,658 They are contagious. They can spread to other animals on the property. 444 00:19:02,742 --> 00:19:05,661 You know, there's two animals in there, in this pen in particular is 445 00:19:05,745 --> 00:19:07,496 Chuckles and Neville. 446 00:19:07,580 --> 00:19:09,165 So we'll have to treat them both. 447 00:19:12,752 --> 00:19:16,130 I love when I know what it is and I know how to treat it. 448 00:19:16,213 --> 00:19:19,508 NARRATOR: That treatment could go beyond reindeer. 449 00:19:19,592 --> 00:19:21,469 DR OAKLEY: Oh, my gosh, Arnold. 450 00:19:21,552 --> 00:19:24,096 NARRATOR: Arnold the moose may be the next victim. 451 00:19:24,180 --> 00:19:25,723 DR OAKLEY: You don't have cooties, too, do you? 452 00:19:25,806 --> 00:19:28,851 He's barbering and chewing at his feet, too. 453 00:19:28,934 --> 00:19:31,979 That's not good. 454 00:19:32,062 --> 00:19:37,151 Good news is, he's got mites, and I mean he's loaded. 455 00:19:37,234 --> 00:19:39,069 It's gnarly. 456 00:19:39,153 --> 00:19:40,613 SARAH (off-screen): Wow. DR OAKLEY: They're swimming. 457 00:19:40,696 --> 00:19:44,784 And the bad news is they both have to be treated, and I see that Arnold is missing hair 458 00:19:44,867 --> 00:19:46,619 around his feet, too. 459 00:19:46,702 --> 00:19:48,037 SARAH: Should we treat him, too? 460 00:19:48,120 --> 00:19:49,872 Just since they're all in the same neighborhood? 461 00:19:49,955 --> 00:19:54,210 DR OAKLEY: The big issue is that some of the same folks that are working with the 462 00:19:54,293 --> 00:19:57,296 moose are going over and working with the larger pen of reindeer. 463 00:19:57,379 --> 00:20:00,466 You know, both pens of reindeer are sharing halters and lead ropes. 464 00:20:00,549 --> 00:20:04,136 What it means is they can transfer disease or they can transfer like these mites. 465 00:20:04,220 --> 00:20:07,723 So, the thing is, these mites can get carried on our clothing, 466 00:20:07,807 --> 00:20:10,476 they can get carried, they can come in on like straw and hay. 467 00:20:10,559 --> 00:20:11,936 SARAH: Oh, gnarly. 468 00:20:12,019 --> 00:20:14,605 DR OAKLEY: So, what we're gonna need to do is start instituting some really good 469 00:20:14,688 --> 00:20:17,817 biosecurity to try and keep this mite situation in one pen 470 00:20:17,900 --> 00:20:19,902 and get rid of it once and for all. 471 00:20:19,985 --> 00:20:22,488 You need to, like, probably be changing coveralls. 472 00:20:22,571 --> 00:20:24,073 SARAH: Be super bio-secure. 473 00:20:24,156 --> 00:20:27,952 NARRATOR: Michelle shows the AWCC staff how to treat their animals 474 00:20:28,035 --> 00:20:29,745 with medicated injections. 475 00:20:29,829 --> 00:20:32,122 DR OAKLEY (off-screen): And this stuff stings. You do have to restrain them. 476 00:20:32,206 --> 00:20:34,124 SARAH: Oh, boy. 477 00:20:34,208 --> 00:20:36,210 NARRATOR: This treatment is not "one and done." 478 00:20:36,293 --> 00:20:37,920 DR OAKLEY (off-screen): Mites can be a little stubborn. 479 00:20:38,003 --> 00:20:40,673 They can be hard to get rid of. 480 00:20:40,756 --> 00:20:43,384 SARAH: Good boy. No, that's not a good boy! 481 00:20:43,467 --> 00:20:46,971 DR OAKLEY: Even if I kill the mites that are there right now, they will have laid eggs. 482 00:20:47,054 --> 00:20:49,223 Okay. We're good. Awesome. 483 00:20:49,306 --> 00:20:51,058 He was a good boy. 484 00:20:51,141 --> 00:20:52,643 SARAH (off-screen): Oh, Neville! DR OAKLEY: Your turn. 485 00:20:52,726 --> 00:20:55,479 We might have to do multiple treatments to try and, you know, 486 00:20:55,563 --> 00:20:57,565 sort of totally get rid of life cycle. 487 00:20:57,648 --> 00:20:59,024 SARAH (off-screen): Good boy! 488 00:20:59,108 --> 00:21:00,734 DR OAKLEY: Aw, what a good boy. 489 00:21:00,818 --> 00:21:02,069 SARAH: He did better than Chuck! DR OAKLEY: He was. 490 00:21:02,152 --> 00:21:03,737 He's like the star patient. 491 00:21:03,821 --> 00:21:06,782 NARRATOR: Neville should be parasite-free within the next couple weeks. 492 00:21:06,866 --> 00:21:08,951 DR OAKLEY: So, you don't have kids. You haven't dealt with lice. 493 00:21:09,034 --> 00:21:11,078 SARAH: I was gonna say, I've never had lice. 494 00:21:11,161 --> 00:21:13,622 DR OAKLEY: Try three girls with long hair. 495 00:21:13,706 --> 00:21:15,416 SARAH: Yikes. 496 00:21:20,629 --> 00:21:23,507 NARRATOR: As a new day dawns in Haines, Michelle prepares for 497 00:21:23,591 --> 00:21:25,426 an important follow-up visit. 498 00:21:25,509 --> 00:21:29,638 DR OAKLEY: So, next we're going to have in Nicole with her dog, Zoey. 499 00:21:29,722 --> 00:21:35,853 When Zoey came in a few days ago, we thought we had a simple cyst to remove. 500 00:21:35,936 --> 00:21:37,855 This is part of the sac, I think. 501 00:21:37,938 --> 00:21:41,525 Then, suddenly, there was a heck of a lot of blood and what I could actually feel 502 00:21:41,609 --> 00:21:43,027 was a mass. 503 00:21:43,110 --> 00:21:44,904 I think it's a tumor, honestly. 504 00:21:44,987 --> 00:21:47,781 And so I'm just worried that there's maybe something more going on. 505 00:21:47,865 --> 00:21:51,368 NARRATOR: While Michelle awaits biopsy results on the mass, 506 00:21:51,452 --> 00:21:54,788 she's decided to take matters into her own hands. 507 00:21:54,872 --> 00:21:58,542 DR OAKLEY: Histopathology will take about a week, so the best thing we can do right now is 508 00:21:58,626 --> 00:22:01,462 see if it's metastasized or spread anywhere. 509 00:22:01,545 --> 00:22:02,546 Hello, Nicole! 510 00:22:02,630 --> 00:22:03,547 NICOLE (off-screen): Hello, hello! Come on, Zoey. 511 00:22:03,631 --> 00:22:06,300 NARRATOR: Detecting malignant tumors takes a trained eye. 512 00:22:06,383 --> 00:22:08,218 So Michelle's brought in help. 513 00:22:08,302 --> 00:22:10,930 DR OAKLEY: What we're looking for could be really bad news. 514 00:22:11,013 --> 00:22:12,556 But it's, it's good timing. 515 00:22:12,640 --> 00:22:13,891 I've got Dr. Eric here. 516 00:22:13,974 --> 00:22:15,726 Would you like to start with rads or ultrasound? 517 00:22:15,809 --> 00:22:16,727 DR ERIC: Uh, we can start with rads first. 518 00:22:16,810 --> 00:22:17,728 DR OAKLEY: Sure. Okay. 519 00:22:17,811 --> 00:22:19,313 DR ERIC: Whatever's comfortable with you is fine by me. 520 00:22:19,396 --> 00:22:21,023 DR OAKLEY (off-screen): So, Eric is a radiologist. 521 00:22:21,106 --> 00:22:24,818 He's, um, been helping us a lot because he specializes in both, you know, 522 00:22:24,902 --> 00:22:27,821 using x-rays and ultrasound to try and find masses. 523 00:22:27,905 --> 00:22:32,076 DR ERIC: We'll stage her chest and her abdomen looking for any other sorts of masses 524 00:22:32,159 --> 00:22:34,620 which could change the decision-making process. 525 00:22:34,703 --> 00:22:38,332 DR ERIC (off-screen): What we're doing with Zoey today is actually looking at her 526 00:22:38,415 --> 00:22:42,586 individual organs to get a better idea if this disease process is focal 527 00:22:42,670 --> 00:22:45,047 or if it's spread throughout the body. 528 00:22:45,130 --> 00:22:46,340 DR OAKLEY: We can do the plate, too. 529 00:22:46,423 --> 00:22:48,592 NARRATOR: First, a chest x-ray to check Zoey's lungs. 530 00:22:48,676 --> 00:22:50,719 DR OAKLEY: There. Oh, you're just the perfect size. 531 00:22:50,803 --> 00:22:52,638 Look at that! You fit right on there. 532 00:22:52,721 --> 00:22:56,392 You can pull her in more this way, I think, right there. Okay. 533 00:22:56,475 --> 00:22:59,311 NICOLE (off-screen): Nope! I'm holding your foot. 534 00:22:59,395 --> 00:23:02,398 The greatest fear that I have with these radiographs and ultrasound is that we're gonna 535 00:23:02,481 --> 00:23:06,527 find tumors inside, that she's got 'em in her organs or her lungs and it'll be something 536 00:23:06,610 --> 00:23:08,696 that we won't be able to do anything about. 537 00:23:08,779 --> 00:23:10,864 DR ERIC (off-screen): X-ray is coming! 538 00:23:10,948 --> 00:23:13,909 NICOLE: Wee, roll you over. 539 00:23:13,993 --> 00:23:15,369 DR OAKLEY: Oh, my God. 540 00:23:15,452 --> 00:23:16,370 (beep) 541 00:23:16,453 --> 00:23:17,830 Nice! 542 00:23:17,913 --> 00:23:19,707 NICOLE: Such a good girl! 543 00:23:19,790 --> 00:23:21,417 DR OAKLEY (off-screen): Poor beauty. 544 00:23:21,500 --> 00:23:26,255 NARRATOR: If masses are growing inside Zoey's lungs, her prognosis may be grave. 545 00:23:26,338 --> 00:23:27,965 DR ERIC: So, this is Zoey on her back. 546 00:23:28,048 --> 00:23:31,885 Um, and so this is her heart here, and what we're looking for here in her case in 547 00:23:31,969 --> 00:23:35,347 particular is are there any nodules or anything that we can identify, 548 00:23:35,431 --> 00:23:38,851 within her lungs, and we have three views to look at that. 549 00:23:38,934 --> 00:23:43,147 And all views show very similar findings which are basically normal. 550 00:23:43,230 --> 00:23:45,566 DR OAKLEY: Yay, that's good news! NICOLE: Awesome, yeah. 551 00:23:45,649 --> 00:23:49,528 NARRATOR: A clear chest x-ray is promising, but Zoey faces another hurdle. 552 00:23:49,611 --> 00:23:52,197 DR OAKLEY (off-screen): Next test you need to pass, Zoey, is ultrasound. 553 00:23:52,281 --> 00:23:56,118 DR ERIC (off-screen): Never have too much lube. 554 00:23:56,201 --> 00:23:58,871 DR OAKLEY: That is a fact of life. 555 00:23:58,954 --> 00:24:02,458 NARRATOR: The ultrasound checks for masses inside Zoey's other major organs. 556 00:24:02,541 --> 00:24:04,668 DR ERIC: We're gonna check everything since we don't know what specific 557 00:24:04,752 --> 00:24:06,962 tumor type we're looking for. 558 00:24:07,046 --> 00:24:10,632 DR OAKLEY: So, we're gonna look at all the main places that certain types of cancers 559 00:24:10,716 --> 00:24:12,134 like to spread. 560 00:24:12,217 --> 00:24:13,302 DR ERIC (off-screen): That's her gallbladder right there, and there's a little bit of 561 00:24:13,385 --> 00:24:14,636 debris in it. 562 00:24:14,720 --> 00:24:16,930 Just off to midline right there, that's her pancreas. 563 00:24:17,014 --> 00:24:19,600 DR OAKLEY: Do we see anything growing in the abdomen that makes us suspicious that this 564 00:24:19,683 --> 00:24:23,062 is a lot more, you know, dangerous than, than, than we hope. 565 00:24:23,145 --> 00:24:25,981 DR ERIC (off-screen): This is her stomach and then that's actually the colon. 566 00:24:26,065 --> 00:24:28,025 DR OAKLEY: Okay. DR ERIC: So, there's definitely some. 567 00:24:28,108 --> 00:24:29,401 DR OAKLEY: Poop happens there. 568 00:24:29,485 --> 00:24:31,153 DR ERIC: Yeah, some dog toots in there for sure. 569 00:24:31,236 --> 00:24:32,946 DR OAKLEY (off-screen): Come on, sweet pea. 570 00:24:33,030 --> 00:24:33,947 DR ERIC (off-screen): You're okay. 571 00:24:34,031 --> 00:24:38,327 So, I don't see anything sinister in her abdomen. 572 00:24:38,410 --> 00:24:40,704 NICOLE: Awesome. DR ERIC: That's great. That's great news. 573 00:24:40,788 --> 00:24:45,042 NARRATOR: Another positive sign, but Zoey's not yet out of the woods. 574 00:24:45,125 --> 00:24:50,255 They need to check the tumor itself to tell if it's benign or malignant. 575 00:24:50,339 --> 00:24:52,966 DR ERIC: Looks like down towards the base, exactly what you were seeing, 576 00:24:53,050 --> 00:24:56,470 and you can tell that this is a complex cavitation, thick-walled, 577 00:24:56,553 --> 00:24:59,932 and it has some changes in the wall diameter. 578 00:25:00,015 --> 00:25:03,519 DR OAKLEY (off-screen): We can see now with ultrasound how complicated 579 00:25:03,602 --> 00:25:05,687 this mass is on the, on the back. 580 00:25:05,771 --> 00:25:07,689 So, there's a lot of big vessels feeding it. 581 00:25:07,773 --> 00:25:10,901 DR ERIC: But it does also have a stalk that goes down that you can actually 582 00:25:10,984 --> 00:25:13,195 identify here as well. 583 00:25:13,278 --> 00:25:15,864 NARRATOR: A stalk means the mass is deeper than expected. 584 00:25:15,948 --> 00:25:19,409 DR ERIC (off-screen): It extends right down on top of the, of the tissue, 585 00:25:19,493 --> 00:25:20,410 of the muscle tissue planes. 586 00:25:20,494 --> 00:25:23,455 NICOLE: So not down into, like, spine? 587 00:25:23,539 --> 00:25:26,708 DR ERIC: We can't see that far right here, but let me see if I can get 588 00:25:26,792 --> 00:25:28,085 a better look at it. 589 00:25:28,168 --> 00:25:29,419 Hold on, Zoey. 590 00:25:29,503 --> 00:25:32,673 NARRATOR: If the tumor extends into Zoey's spine, it may be inoperable. 591 00:25:32,756 --> 00:25:34,633 NICOLE: You're being a good girl. 592 00:25:34,716 --> 00:25:38,053 It is concerning as to whether or not that's going to get into her spinal cord or 593 00:25:38,137 --> 00:25:41,056 anything else in that nerve cluster in her neck. 594 00:25:41,140 --> 00:25:44,184 It's definitely a worry that this is something more invasive. 595 00:25:48,313 --> 00:25:49,439 DR OAKLEY (off-screen): Poor beauty. 596 00:25:49,523 --> 00:25:52,234 NARRATOR: Zoey's tumor may be encroaching on her spinal column, 597 00:25:52,317 --> 00:25:54,820 potentially impossible to remove. 598 00:25:54,903 --> 00:25:58,365 DR ERIC: It does appear to be a nodule sitting right down here at the base, 599 00:25:58,448 --> 00:26:00,868 which is right at the base, just making sort of a stalk. 600 00:26:00,951 --> 00:26:05,205 NARRATOR: Radiologist Dr. Eric Johnson tries to determine how deep it goes. 601 00:26:05,289 --> 00:26:07,207 DR ERIC: The tissue planes are so reflective there, 602 00:26:07,291 --> 00:26:08,709 I can't really see the far margin. 603 00:26:08,792 --> 00:26:13,881 NARRATOR: The inability to determine how far Zoey's mass extends is concerning. 604 00:26:13,964 --> 00:26:17,718 DR OAKLEY: The bad news is that it looks like a malignant tumor. 605 00:26:17,801 --> 00:26:20,888 And the really bad news is it's, like, extensive. 606 00:26:20,971 --> 00:26:24,224 It still doesn't tell us exactly what type of tumor, but it, 607 00:26:24,308 --> 00:26:25,809 it makes me very worried. 608 00:26:25,893 --> 00:26:28,478 I mean, I'm glad we sent a sample in, because I think we gotta know first what it is 609 00:26:28,562 --> 00:26:30,480 before we get too carried away. 610 00:26:30,564 --> 00:26:31,732 NICOLE: Decide whether or not to go back in and remove it? 611 00:26:31,815 --> 00:26:33,192 DR OAKLEY: And how, and all that. 612 00:26:33,275 --> 00:26:35,027 It's gonna be a big procedure to remove that. 613 00:26:35,110 --> 00:26:36,653 And it needs to be done soon. 614 00:26:36,737 --> 00:26:40,032 But you need to know what type of tumor it is so you can have an idea of how deep you need 615 00:26:40,115 --> 00:26:42,409 to go when you're doing the surgery itself. 616 00:26:42,492 --> 00:26:45,370 As soon as I get the pathology results, we'll talk about it and make a plan. 617 00:26:45,454 --> 00:26:46,371 NICOLE: Okay. DR OAKLEY: Okay? 618 00:26:46,455 --> 00:26:47,706 NICOLE: Sounds great! DR OAKLEY: Okay. 619 00:26:47,789 --> 00:26:50,709 NARRATOR: The wait for the all-important lab results continues. 620 00:26:50,792 --> 00:26:53,253 NICOLE: You know, everything up here takes a little bit longer. 621 00:26:53,337 --> 00:26:56,298 Um, so, it's definitely waiting on pins and needles to get those reports back. 622 00:26:56,381 --> 00:26:57,466 See you soon. 623 00:26:57,549 --> 00:26:58,967 DR OAKLEY (off-screen): Okay. Sounds good. NICOLE: Come on, piggy. 624 00:26:59,051 --> 00:27:04,264 DR OAKLEY (off-screen): Tony Maloney baloney. 625 00:27:04,348 --> 00:27:09,436 NARRATOR: For Tony Malone, the wait's over to find out what might be causing his 626 00:27:09,519 --> 00:27:11,563 20-year-old cat's seizures. 627 00:27:11,647 --> 00:27:14,441 DR OAKLEY (off-screen): Harri has had issues with seizures for a couple years. 628 00:27:14,524 --> 00:27:18,070 Tony even said that the last one seemed like it really took a lot out of her. 629 00:27:18,153 --> 00:27:19,071 TONY (over phone): Hello? 630 00:27:19,154 --> 00:27:20,447 DR OAKLEY: Hey, Tony, it's Michelle Oakley calling. 631 00:27:20,530 --> 00:27:21,865 TONY (over phone): Hey! 632 00:27:21,949 --> 00:27:24,326 DR OAKLEY: You know, it's really important that we figure this out and see what 633 00:27:24,409 --> 00:27:25,911 we can do to keep her going. 634 00:27:25,994 --> 00:27:30,832 So, I got results back on Harri's blood, and the thyroid looks normal, 635 00:27:30,916 --> 00:27:35,087 but her kidney enzymes are both elevated. 636 00:27:35,170 --> 00:27:38,548 As expected, as an older cat, her kidneys start to slow down a bit. 637 00:27:38,632 --> 00:27:43,262 Certainly, if her kidneys aren't functioning and she's having a lot of breakdown 638 00:27:43,345 --> 00:27:46,056 products that build up in her blood, her seizures will increase. 639 00:27:46,139 --> 00:27:50,477 What I think we can do to slow down the progression of the kidney issue is just change 640 00:27:50,560 --> 00:27:53,814 her diet to a kidney food that's kind of designed to make 641 00:27:53,897 --> 00:27:55,983 everything easier on the kidneys. 642 00:27:56,066 --> 00:28:00,112 Cat kidney diets have different types of protein and sometimes a bit lower protein 643 00:28:00,195 --> 00:28:04,825 that is just basically easier for the kidneys to break down some of those products. 644 00:28:04,908 --> 00:28:06,451 TONY (over phone) : Okay, well, that will probably 645 00:28:06,535 --> 00:28:08,328 save me some on the grocery bill, too. 646 00:28:08,412 --> 00:28:11,164 Maybe she won't keep sniping steaks off the table, so. 647 00:28:11,248 --> 00:28:13,166 DR OAKLEY: I can't guarantee that. 648 00:28:13,250 --> 00:28:16,962 I definitely can't guarantee that, but it'll definitely keep her feeling good a lot 649 00:28:17,045 --> 00:28:18,297 longer, so. 650 00:28:18,380 --> 00:28:19,756 TONY (over phone): Perfect. That's wonderful. 651 00:28:19,840 --> 00:28:21,425 Well, that's great news. Thank you so much. 652 00:28:21,508 --> 00:28:23,260 DR OAKLEY: Okay. You're welcome. I'll see you around. 653 00:28:23,343 --> 00:28:24,594 Things are looking up. 654 00:28:24,678 --> 00:28:28,223 As long as she stays on that diet and steers clear of Tony's T-bone steaks, 655 00:28:28,307 --> 00:28:31,018 I think she's got a whole lot of cat lives left. 656 00:28:31,101 --> 00:28:34,980 NARRATOR: Michelle's on the road again and back to the 657 00:28:35,063 --> 00:28:37,649 Alaska Wildlife Conservation Center. 658 00:28:37,733 --> 00:28:39,276 DR OAKLEY: There they are. 659 00:28:39,359 --> 00:28:40,777 So cute. 660 00:28:40,861 --> 00:28:42,029 SARAH (off-screen): They're ready! 661 00:28:42,112 --> 00:28:43,363 DR OAKLEY (off-screen): A little petite deer. 662 00:28:43,447 --> 00:28:45,907 So, we're gonna go check out Mai, the Sitka deer today. 663 00:28:45,991 --> 00:28:48,952 Mai was found when she was just a baby. 664 00:28:49,036 --> 00:28:52,039 And she was found basically like swimming out in the middle of a lake by herself. 665 00:28:52,122 --> 00:28:55,250 So they, you know, pulled her out of the lake. 666 00:28:55,334 --> 00:28:57,252 SARAH: There were enough people out on the water boating. 667 00:28:57,336 --> 00:28:58,378 DR OAKLEY: Oh, they saw. 668 00:28:58,462 --> 00:28:59,838 SARAH: So I think that's kinda how it happened. 669 00:28:59,921 --> 00:29:00,922 DR OAKLEY: Oh. They brought her into the wildlife center 670 00:29:01,006 --> 00:29:02,841 and they've been taking care of her ever since. 671 00:29:02,924 --> 00:29:06,303 SARAH: She actually didn't get on a bottle right away, we had to train her with a bowl, 672 00:29:06,386 --> 00:29:07,429 like a bucket. 673 00:29:07,512 --> 00:29:08,680 DR OAKLEY: Oh, yeah. 674 00:29:08,764 --> 00:29:11,516 NARRATOR: Mai's last visit with Dr. Oakley didn't go so well. 675 00:29:11,600 --> 00:29:14,311 DR OAKLEY: I immobilized her a couple months ago just to do a routine exam. 676 00:29:14,394 --> 00:29:16,438 And we found some very large lymph nodes. 677 00:29:16,521 --> 00:29:20,442 What is going on here? Unbelievable. 678 00:29:20,525 --> 00:29:22,110 I feel a big knot here. 679 00:29:22,194 --> 00:29:24,571 It's definitely not common for a lymph node to be that large. 680 00:29:24,654 --> 00:29:27,699 It could be a growth, a tumor type of cancer. 681 00:29:27,783 --> 00:29:29,910 It definitely shouldn't be the size of a big fat plum. 682 00:29:29,993 --> 00:29:34,623 So we actually need to get in there and get a biopsy, and send it off 683 00:29:34,706 --> 00:29:36,708 to a pathologist and see what they see. 684 00:29:36,792 --> 00:29:38,377 I'm ready to poke. 685 00:29:38,460 --> 00:29:42,297 NARRATOR: Michelle will use her trusty stick pole to administer anesthesia. 686 00:29:42,381 --> 00:29:44,466 DR OAKLEY: Doo-doo-doo. 687 00:29:44,549 --> 00:29:47,844 Just pretend. I stand here now and pretend like I'm doing nothing to nobody. 688 00:29:47,928 --> 00:29:53,517 ♪ ♪ 689 00:29:56,186 --> 00:29:57,771 Perfect. 690 00:29:57,854 --> 00:30:02,109 So, you can get the injection time was right rear, right hip. 691 00:30:02,192 --> 00:30:05,737 SARAH: Oh, there you go. Heavy steps. 692 00:30:05,821 --> 00:30:08,240 DR OAKLEY: So, we'll probably move her in now. Is that okay? 693 00:30:08,323 --> 00:30:10,033 SARAH: Okay. DR OAKLEY: Oh, not right, not right now, I mean. 694 00:30:10,117 --> 00:30:12,411 Yeah, when she's like out-out, we'll just have to. 695 00:30:12,494 --> 00:30:15,038 SARAH: Pick her up? Okay. 696 00:30:15,122 --> 00:30:16,665 DR OAKLEY: We can do that, can't we? 697 00:30:16,748 --> 00:30:18,083 SARAH: Yeah. DR OAKLEY: Okay, but not right now. 698 00:30:18,166 --> 00:30:21,294 SARAH: Awesome. DR OAKLEY: Now. No, I'm just kidding. Not now. 699 00:30:21,378 --> 00:30:22,337 SARAH: Not now. DR OAKLEY: No, seriously, not now. 700 00:30:22,421 --> 00:30:25,465 NARRATOR: The team must move Mai into the barn to provide 701 00:30:25,549 --> 00:30:27,968 a controlled environment for surgery. 702 00:30:28,051 --> 00:30:30,011 DR OAKLEY: Yeah, we take as many precautions as we can. 703 00:30:30,095 --> 00:30:33,598 Try to make it as close to what you would do in a clinic setting. 704 00:30:33,682 --> 00:30:35,725 Oh! 705 00:30:35,809 --> 00:30:37,185 Is anybody else lifting? 706 00:30:37,269 --> 00:30:41,481 NARRATOR: Top priority, stabilize the patient. 707 00:30:41,565 --> 00:30:44,401 DR OAKLEY: One of the first things I do is pull out her tongue so I can look at her 708 00:30:44,484 --> 00:30:45,777 color, open up her airway. 709 00:30:45,861 --> 00:30:50,031 You don't want to put oxygen too far in, so I'm gonna measure. 710 00:30:53,952 --> 00:30:56,163 NARRATOR: Mai's all set, but something's wrong. 711 00:30:56,246 --> 00:30:59,040 DR OAKLEY: Her oxygen is only about 83%, which is quite low. 712 00:30:59,124 --> 00:31:01,835 Her color's kinda ugly. 713 00:31:01,918 --> 00:31:04,045 SARAH: Is she breathing? 714 00:31:04,129 --> 00:31:06,131 DR OAKLEY: Hang on two seconds. 715 00:31:06,214 --> 00:31:07,549 We got a little situation here. 716 00:31:12,429 --> 00:31:14,931 NARRATOR: A Sitka deer needs a troubling lump biopsied. 717 00:31:15,015 --> 00:31:16,224 SARAH (off-screen): Is she breathing? 718 00:31:16,308 --> 00:31:18,101 NARRATOR: But her respiration rate is plummeting. 719 00:31:18,185 --> 00:31:20,520 DR OAKLEY: Yes, I know, we're working on it. 720 00:31:20,604 --> 00:31:25,942 There's no perfect drug for immobilizing an animal, like, for the anesthesia. 721 00:31:26,026 --> 00:31:28,195 Sometimes they will have a little bit of a decreased 722 00:31:28,278 --> 00:31:30,155 respiration rate or oxygenation. 723 00:31:30,238 --> 00:31:33,241 NARRATOR: The team acts fast to crank up her oxygen. 724 00:31:33,325 --> 00:31:34,784 DR OAKLEY: Can you crank it to four? 725 00:31:40,081 --> 00:31:41,917 There we go. 726 00:31:42,000 --> 00:31:43,210 It's looking better. 727 00:31:43,293 --> 00:31:45,337 SARAH (off-screen): Yeah, look at the pink come back. DR OAKLEY: Yeah. 728 00:31:45,420 --> 00:31:47,422 NARRATOR: Michelle resumes the exam. 729 00:31:47,506 --> 00:31:50,967 DR OAKLEY: Okay. So what I'm doing right now is I'm holding on to her lymph node. 730 00:31:51,051 --> 00:31:54,930 That's one that should be probably about the size of a flat lima bean, 731 00:31:55,013 --> 00:31:56,556 and it should be hard to find. 732 00:31:56,640 --> 00:31:58,183 And now it's like a plum. 733 00:31:58,266 --> 00:31:59,935 She's got two lymph nodes that are big. 734 00:32:00,018 --> 00:32:03,063 So that tells me that something systemic is going on that has, you know, 735 00:32:03,146 --> 00:32:05,232 went from one lymph node now in another one. 736 00:32:05,315 --> 00:32:08,652 They're both dealing with whatever this foreign substance is. 737 00:32:08,735 --> 00:32:10,654 It can be a bacteria, it can be a virus. 738 00:32:10,737 --> 00:32:14,533 And they can also get tumors, lymphoma and different types of cancers that can cause 739 00:32:14,616 --> 00:32:16,368 big lymph nodes, too. 740 00:32:16,451 --> 00:32:19,621 So, we want to be sure that we're on top of it here. Alright. 741 00:32:19,704 --> 00:32:22,666 NARRATOR: Michelle takes a core biopsy of Mai's lymph node. 742 00:32:22,749 --> 00:32:26,086 DR OAKLEY: So, I'm just putting the biopsy now. Oh, yeah. 743 00:32:26,169 --> 00:32:27,671 That's what I wanted right there. 744 00:32:27,754 --> 00:32:29,548 Now that's a biopsy. 745 00:32:29,631 --> 00:32:32,008 And so now I'm just gonna clean that up and close it. 746 00:32:32,092 --> 00:32:35,262 Now I'm gonna close the sub-Q tissues. 747 00:32:35,345 --> 00:32:36,888 Gonna cut in there. 748 00:32:36,972 --> 00:32:40,600 NARRATOR: The team takes advantage of Mai's anesthesia for a full checkup. 749 00:32:40,684 --> 00:32:44,396 DR OAKLEY: Beautiful but strange optic disc. 750 00:32:44,479 --> 00:32:46,398 Eyes look good. 751 00:32:46,481 --> 00:32:48,650 You can see they have no teeth at the top. 752 00:32:48,733 --> 00:32:51,361 Syringe. I'm just gonna get a blood sample. 753 00:32:51,444 --> 00:32:54,614 Okay! We've got our stuff, guys. 754 00:32:54,698 --> 00:33:00,620 She looks sounds, smells, appears, absolutely normal. 755 00:33:00,704 --> 00:33:03,373 It's just those weird lumps. 756 00:33:03,456 --> 00:33:08,003 SARAH: So best-case scenario, this lymph node that we took the samples from today, 757 00:33:08,086 --> 00:33:10,046 it's just a bacterial infection that we can treat with antibiotics 758 00:33:10,130 --> 00:33:12,215 and we can move on. Oh. 759 00:33:12,299 --> 00:33:16,469 DR OAKLEY: There we go. Look at that. Nice. 760 00:33:16,553 --> 00:33:18,096 SARAH: Sweet. DR OAKLEY: Uh-huh. 761 00:33:18,179 --> 00:33:21,016 SARAH: Worst-case scenario is if it comes back, that it's cancerous, 762 00:33:21,099 --> 00:33:23,560 then we kinda have to take some other things into consideration. 763 00:33:23,643 --> 00:33:25,812 DR OAKLEY: Aww, just look at her face! 764 00:33:25,895 --> 00:33:28,189 What a good sister. 765 00:33:28,273 --> 00:33:29,774 Nice. Okay. 766 00:33:29,858 --> 00:33:33,570 Now let's get our samples sent in and see what we find out. 767 00:33:33,653 --> 00:33:37,574 NARRATOR: Another set of biopsies go out to the lab, 768 00:33:37,657 --> 00:33:39,993 and Zoey's results are finally in. 769 00:33:40,076 --> 00:33:45,248 DR OAKLEY (off-screen): So, the tumor on Zoey's back is a type of papillary adenoma. 770 00:33:45,332 --> 00:33:49,502 It's actually like an apocrine or sweat gland tumor. 771 00:33:49,586 --> 00:33:52,672 So, it is a cancerous type tumor. It does need to be removed. 772 00:33:52,756 --> 00:33:54,507 And it's gonna be tricky to remove it, because it's got 773 00:33:54,591 --> 00:33:56,718 such large vessels coming to it. 774 00:33:56,801 --> 00:33:59,679 NARRATOR: As for the lump on her leg, more worrisome news. 775 00:33:59,763 --> 00:34:02,891 DR OAKLEY (off-screen): Zoey has a mast cell tumor on her front leg. 776 00:34:02,974 --> 00:34:05,560 You can't really predict how they'll act. 777 00:34:05,644 --> 00:34:08,897 It can metastasize and spread, especially to the lungs. 778 00:34:08,980 --> 00:34:10,982 It's definitely life-threatening. 779 00:34:11,066 --> 00:34:14,653 NARRATOR: Zoey needs surgery immediately. 780 00:34:14,736 --> 00:34:18,782 DR OAKLEY: I was really hoping to help Zoey as quick as possible. 781 00:34:18,865 --> 00:34:23,620 But because I'm away, it would be best for Nicole if she can take Zoey to a bigger center 782 00:34:23,703 --> 00:34:24,996 and get this done right away. 783 00:34:25,080 --> 00:34:27,540 She's gonna have to travel a bit, but it's really important 784 00:34:27,624 --> 00:34:29,376 that she gets it done quickly for Zoey. 785 00:34:33,630 --> 00:34:38,635 NARRATOR: A plan's in place for Zoey. Now Michelle has one more case at the AWCC. 786 00:34:38,718 --> 00:34:40,679 DR OAKLEY: Porcupine posse. 787 00:34:40,762 --> 00:34:44,015 SARAH: Gonna go get a porky. DR OAKLEY: Ready to go. 788 00:34:44,099 --> 00:34:46,976 So, we're just getting ready to catch Snickers. 789 00:34:47,060 --> 00:34:49,020 Um, we want to have a look at him. 790 00:34:49,104 --> 00:34:53,108 He's got a problem with his tail, so he's been losing a little bit of his quills, 791 00:34:53,191 --> 00:34:55,110 and not on purpose. 792 00:34:55,193 --> 00:34:59,823 NARRATOR: Snickers was raised illegally as a pet, then rescued by the AWCC. 793 00:34:59,906 --> 00:35:02,909 SARAH: Snickers is AWCC's education ambassador. 794 00:35:02,992 --> 00:35:07,288 He's been around since 2007 for us, so he's been around for a number of years. 795 00:35:07,372 --> 00:35:11,960 NARRATOR: Today's challenge, treat the porcupine without getting poked. 796 00:35:12,043 --> 00:35:14,546 DR OAKLEY: No veterinarians will be hurt in this procedure. 797 00:35:14,629 --> 00:35:16,256 Oh, my goodness, Snickers. 798 00:35:16,339 --> 00:35:18,967 I just love you so much. 799 00:35:19,050 --> 00:35:22,679 You're the cutest little round pin cushion I've ever seen. 800 00:35:22,762 --> 00:35:24,180 SARAH (off-screen): Old, old man. 801 00:35:24,264 --> 00:35:26,099 DR OAKLEY (off-screen): And Snickers has got some moves. 802 00:35:26,182 --> 00:35:28,017 SARAH (off-screen): Snickers is a little famous. 803 00:35:28,101 --> 00:35:29,394 He's an Internet sensation. 804 00:35:29,477 --> 00:35:32,480 And he has been caught dancing and doing his own little jig. 805 00:35:32,564 --> 00:35:38,570 ♪ ♪ 806 00:35:44,534 --> 00:35:46,244 SARAH (off-screen): And he does that even still. 807 00:35:46,327 --> 00:35:48,246 We really love him. He's a fan favorite out here. 808 00:35:48,329 --> 00:35:50,248 MAN: You want me to go backwards? SARAH: I got it. 809 00:35:53,126 --> 00:35:54,627 Ready? 810 00:35:54,711 --> 00:35:58,965 NARRATOR: At 15 years of age, Snickers is an old man and more vulnerable to illness. 811 00:35:59,048 --> 00:36:03,261 SARAH (off-screen): Snickers has some weird skin, oily-looking mess that he's got 812 00:36:03,344 --> 00:36:06,097 going on in his quills, especially on his underside, 813 00:36:06,181 --> 00:36:08,224 it seemed to have gotten worse. 814 00:36:08,308 --> 00:36:09,809 DR OAKLEY (off-screen): Ooh, that tail. 815 00:36:09,893 --> 00:36:11,102 SARAH (off-screen): Yeah. DR OAKLEY (off-screen): I see what you mean. 816 00:36:11,186 --> 00:36:12,854 Oh, yeah, that doesn't look right. 817 00:36:12,937 --> 00:36:15,690 NARRATOR: To find out what's troubling this porcupine, 818 00:36:15,774 --> 00:36:18,568 Michelle faces a dangerous prospect. 819 00:36:18,651 --> 00:36:21,780 DR OAKLEY (off-screen): Please don't swat me with it. 820 00:36:21,863 --> 00:36:24,991 So how these guys actually stick you with their quills is not shooting them, 821 00:36:25,074 --> 00:36:27,035 or I'd have a face full of quills right now. 822 00:36:27,118 --> 00:36:32,040 What they do when they're angry is they whip their tail around and hit you with it. 823 00:36:32,123 --> 00:36:36,002 So his, all his little quills and all his wool are gone. 824 00:36:36,085 --> 00:36:41,674 He's got some, like, crusty layers of skin and, like, 825 00:36:41,758 --> 00:36:44,219 actually the quills and hair have all like 826 00:36:44,302 --> 00:36:46,054 fallen off his tail, the top of his tail. 827 00:36:46,137 --> 00:36:47,680 I know. 828 00:36:47,764 --> 00:36:49,057 Muh, muh, muh. 829 00:36:49,140 --> 00:36:53,228 Um, like, some of the quills are missing the normal black tips. 830 00:36:53,311 --> 00:36:54,229 SARAH (off-screen): Yeah. 831 00:36:54,312 --> 00:36:56,064 DR OAKLEY: You know, the quills will fall off naturally, 832 00:36:56,147 --> 00:36:59,359 but it's almost bald, and so it's looking like there's some type of skin infection. 833 00:36:59,442 --> 00:37:04,572 Another thing that can cause hair loss or quill loss, 'cause quills are really just 834 00:37:04,656 --> 00:37:09,202 special hairs, are any type of parasite infection, like mites, lice. 835 00:37:09,285 --> 00:37:11,955 SARAH (off-screen): Yeah. DR OAKLEY: Do you see that? It's like all here, too. 836 00:37:12,038 --> 00:37:16,376 NARRATOR: Resident reindeer and moose are already battling an outbreak of mites. 837 00:37:16,459 --> 00:37:20,380 Now Michelle must check Snickers, too. 838 00:37:20,463 --> 00:37:23,049 DR OAKLEY: I mean, who would've thought, you know? 839 00:37:23,132 --> 00:37:25,260 NARRATOR: But this is where things get tricky. 840 00:37:25,343 --> 00:37:26,344 DR OAKLEY (off-screen): I know, love. 841 00:37:26,427 --> 00:37:27,720 I know, I know you don't like me. 842 00:37:27,804 --> 00:37:30,306 So, what I'm gonna do with the scalpel is not cut him at all. 843 00:37:30,390 --> 00:37:34,269 I'm gonna dull out the blade first. 844 00:37:34,352 --> 00:37:39,148 I'm just gonna try and scrape the top layer of cells off of his skin. 845 00:37:39,232 --> 00:37:41,943 That's where the mites are. They're down in the follicles. 846 00:37:42,026 --> 00:37:45,989 NARRATOR: To soothe the prickly patient, Sarah comes armed with treats. 847 00:37:46,072 --> 00:37:48,283 DR OAKLEY: Let me see if I can multi-tool here. 848 00:37:48,366 --> 00:37:50,159 SARAH (off-screen): Oh, look at that. DR OAKLEY: Yeah. 849 00:37:50,243 --> 00:37:52,412 SARAH (off-screen): Alright, and grape is in his mouth. 850 00:37:52,495 --> 00:37:54,664 DR OAKLEY: Hold on, hold on! Whoa! Whoa! 851 00:37:54,747 --> 00:37:55,957 SARAH: Snicky! 852 00:37:56,040 --> 00:37:59,210 Boy, if a porcupine could curse, he is cursing you out right now. 853 00:37:59,294 --> 00:38:00,461 DR OAKLEY (off-screen): He's mad at me. 854 00:38:00,545 --> 00:38:03,506 I hate that I'm having to bug him, it's making him very sassy. 855 00:38:03,590 --> 00:38:06,843 He easily could be whipping that tail around, which is, you know, 856 00:38:06,926 --> 00:38:08,803 that's a porcupine trademark move. 857 00:38:08,887 --> 00:38:10,388 I'm gonna try and prick him here. 858 00:38:10,471 --> 00:38:11,723 (growl) 859 00:38:11,806 --> 00:38:13,433 Oh, that was a growl. 860 00:38:13,516 --> 00:38:15,184 He literally growled at me. 861 00:38:15,268 --> 00:38:16,936 I've never heard a porcupine growl. 862 00:38:17,020 --> 00:38:18,938 I don't want to get stuck with any of those quills. 863 00:38:19,022 --> 00:38:21,858 I got some crust, but I need to go deeper. 864 00:38:21,941 --> 00:38:24,444 Mites are like under the skin, so I need to really. 865 00:38:24,527 --> 00:38:26,404 SARAH (off-screen): Snicks. 866 00:38:26,487 --> 00:38:27,697 DR OAKLEY: Keep up your hair, it's probably got. Ow! 867 00:38:27,780 --> 00:38:29,282 You little stink pot. 868 00:38:33,244 --> 00:38:37,415 NARRATOR: Dr. Oakley is checking Snickers the porcupine for mites by taking 869 00:38:37,498 --> 00:38:40,126 a skin sample from beneath his quills. 870 00:38:40,209 --> 00:38:43,922 SARAH (off-screen): Boy, if a porcupine could curse, he is cursing you out right now. 871 00:38:44,005 --> 00:38:44,923 DR OAKLEY (off-screen): He's mad at me. 872 00:38:45,006 --> 00:38:46,966 He knows that's where his owies are. 873 00:38:47,050 --> 00:38:49,719 He knows we're trying to help him, but he's gonna protest. 874 00:38:49,802 --> 00:38:51,387 He's gonna let us know he doesn't like it. 875 00:38:51,471 --> 00:38:54,098 Unfortunately, I have to scrape till it looks reddish, you know, 876 00:38:54,182 --> 00:38:57,310 'cause that means I'm getting down into the layer where the mites like to hide. 877 00:38:57,393 --> 00:38:59,354 I'm gonna try and prick him here. 878 00:38:59,437 --> 00:39:01,314 Ow! You little stink pot. 879 00:39:01,397 --> 00:39:03,149 That's not how I thought you would get me. 880 00:39:03,232 --> 00:39:05,360 SARAH (off-screen): Did he bite you? DR OAKLEY: He tried. 881 00:39:05,443 --> 00:39:08,529 NARRATOR: Michelle finally gets the sample she needs. 882 00:39:08,613 --> 00:39:11,491 DR OAKLEY (off-screen): What a good boy, Snickers. 883 00:39:11,574 --> 00:39:13,701 NARRATOR: And begins her search for tiny parasites. 884 00:39:13,785 --> 00:39:15,662 DR OAKLEY (off-screen): Oh, Snickers. 885 00:39:15,745 --> 00:39:18,456 Got my back turned and you're going to bite me in the booty, huh? 886 00:39:18,539 --> 00:39:22,835 I almost kind of wish I see it, to be honest, because it's an easy thing to treat. 887 00:39:22,919 --> 00:39:25,880 Okay, well, I'm not seeing mites, buddy. 888 00:39:25,964 --> 00:39:27,632 SARAH (off-screen): Ooh, no mites? 889 00:39:27,715 --> 00:39:29,467 DR OAKLEY (off-screen): Nothing creepy or crawly. 890 00:39:29,550 --> 00:39:31,844 Now I'm just kinda going and lifting. 891 00:39:31,928 --> 00:39:34,055 NARRATOR: The absence of parasites leads Michelle to 892 00:39:34,138 --> 00:39:36,432 suspect another irritating condition. 893 00:39:36,516 --> 00:39:39,727 DR OAKLEY: He's getting like a skin fold dermatitis, which is basically just an infection of 894 00:39:39,811 --> 00:39:41,062 the skin around it. 895 00:39:41,145 --> 00:39:43,564 They can get these skin folds, little multiple muffin tops 896 00:39:43,648 --> 00:39:45,441 that can get infected in there. 897 00:39:45,525 --> 00:39:47,360 (chirping) 898 00:39:47,443 --> 00:39:50,279 They can get, you know, lots of bacteria, it's often a yeast infection 899 00:39:50,363 --> 00:39:51,781 that gets going in there. 900 00:39:51,864 --> 00:39:53,908 So I'm glad we're gonna catch it now and deal with it. 901 00:39:53,992 --> 00:39:57,996 NARRATOR: Antibacterial spray will help dry out the porcupine's folds. 902 00:39:58,079 --> 00:39:59,747 DR OAKLEY: He might just be too chunky. 903 00:39:59,831 --> 00:40:01,290 SARAH: Eh! 904 00:40:01,374 --> 00:40:02,959 DR OAKLEY: 'Cause he has a lot of folds. Ooh, look at that! 905 00:40:03,042 --> 00:40:04,127 Now I can really see it. 906 00:40:04,210 --> 00:40:05,878 He's getting mad at me so he's showing me. Ow! 907 00:40:05,962 --> 00:40:07,296 SARAH (off-screen): It's okay, bud. 908 00:40:07,380 --> 00:40:12,093 NARRATOR: To stop the dermatitis, Michelle soaks every nook and quill. 909 00:40:12,176 --> 00:40:14,679 DR OAKLEY: I can basically kinda lift him up into like a wheelbarrow, 910 00:40:14,762 --> 00:40:17,223 and then I can get a really good look at his belly. 911 00:40:17,306 --> 00:40:19,058 I can look at the insides of his legs. 912 00:40:19,142 --> 00:40:21,602 Okay. Hang on. I'm sorry. I just want to look. 913 00:40:21,686 --> 00:40:27,525 Ay! Those are in me! Ow. 914 00:40:27,608 --> 00:40:30,695 All in a day's work! 915 00:40:30,778 --> 00:40:35,199 NARRATOR: In addition to topical spray, a course of antibiotics will treat the 916 00:40:35,283 --> 00:40:37,827 problem from the inside out. 917 00:40:37,910 --> 00:40:40,121 DR OAKLEY: We can put it, you know, like in an avocado or something. 918 00:40:40,204 --> 00:40:43,458 I know, I'm sorry, you were so good, but at least we didn't have to put you 919 00:40:43,541 --> 00:40:45,084 through another anesthesia. 920 00:40:45,168 --> 00:40:46,878 SARAH: Yeah, put him down. 921 00:40:46,961 --> 00:40:49,589 NARRATOR: Over the coming months, Snickers should regrow his lost quills. 922 00:40:49,672 --> 00:40:52,633 The team will continue to monitor his progress. 923 00:40:52,717 --> 00:40:55,178 SARAH: Well, if you're okay, then we'll take him back. 924 00:40:55,261 --> 00:40:57,221 DR OAKLEY (off-screen): I'm good. Let's take him back. 925 00:40:57,305 --> 00:40:59,307 We're gonna see if we can clear it up with some medications, 926 00:40:59,390 --> 00:41:01,517 but if that doesn't work, we're gonna need to dig a little deeper. 927 00:41:01,601 --> 00:41:03,686 See ya, Snickers! 928 00:41:07,190 --> 00:41:11,611 NARRATOR: It's a new day, and Dr. Oakley has one patient left to see at the AWCC. 929 00:41:11,694 --> 00:41:15,448 Biopsy results are in for Mai's swollen lymph nodes. 930 00:41:15,531 --> 00:41:18,493 SARAH: There she is. DR OAKLEY: Oh, yeah, Miss Mai. 931 00:41:18,576 --> 00:41:20,161 So, results were clean. 932 00:41:20,244 --> 00:41:22,371 I don't know what that lump was, the lumps were. 933 00:41:22,455 --> 00:41:25,917 But they are just showing up as, like, normal lymph node tissue. 934 00:41:26,000 --> 00:41:29,337 A little reactive but nothing, nothing scary. 935 00:41:29,420 --> 00:41:30,838 SARAH: Well, that's good news. DR OAKLEY: Yeah. 936 00:41:30,922 --> 00:41:35,134 Likely, she was fighting some type of infection and just was able to, to get over it. 937 00:41:35,218 --> 00:41:37,011 She looks good and doing well. 938 00:41:37,095 --> 00:41:38,971 SARAH: Cool. DR OAKLEY: Good stuff. 939 00:41:39,055 --> 00:41:45,019 NARRATOR: After a long stretch away, it's finally time to head home 940 00:41:45,103 --> 00:41:47,271 and touch base with familiar faces. 941 00:41:47,355 --> 00:41:51,359 DR OAKLEY (off-screen): Zoey! Zoey, you're a champ! 942 00:41:51,442 --> 00:41:52,735 NICOLE: She's like nope! 943 00:41:52,819 --> 00:41:55,446 Last time you guys picked on me, I'm not staying here! 944 00:41:55,530 --> 00:41:57,031 DR OAKLEY: Absolutely not! 945 00:41:57,115 --> 00:42:01,244 NARRATOR: Nicole Holm takes the day off from her vet tech duties to bring her own pup in 946 00:42:01,327 --> 00:42:03,162 for a post-surgical checkup. 947 00:42:03,246 --> 00:42:05,790 DR OAKLEY: So Zoey had surgery in Whitehorse. 948 00:42:05,873 --> 00:42:09,627 We were really concerned about the masses we had found and also the location of them. 949 00:42:09,710 --> 00:42:11,879 And now we're kind of watching her like a hawk. 950 00:42:11,963 --> 00:42:15,299 NARRATOR: Turns out, the situation was even worse than they thought. 951 00:42:15,383 --> 00:42:18,052 NICOLE: So, they found two more tumors on her that they said were mast cells as well. 952 00:42:18,136 --> 00:42:20,429 DR OAKLEY: Okay, okay. NICOLE: So, we went up. 953 00:42:20,513 --> 00:42:22,098 DR OAKLEY: Oh, I'm so glad we got you in. 954 00:42:22,181 --> 00:42:23,724 Oh, yeah. Look at the size of that thing. 955 00:42:23,808 --> 00:42:26,060 That was not what we were expecting, was it? 956 00:42:26,144 --> 00:42:27,311 NICOLE (off-screen): No. 957 00:42:27,395 --> 00:42:31,065 DR OAKLEY: So that one was a cancerous mass, but not a mast cell tumor. 958 00:42:31,149 --> 00:42:32,859 NICOLE: Correct. DR OAKLEY: And that was the one surgery is curative, 959 00:42:32,942 --> 00:42:34,068 you're all done. 960 00:42:34,152 --> 00:42:35,778 NICOLE (off-screen): Yeah, and they said it was fine. DR OAKLEY: Good. 961 00:42:35,862 --> 00:42:38,030 That's amazing they got it to close, 'cause you really go deep and wide on that. 962 00:42:38,114 --> 00:42:39,615 NICOLE: They said that was one, too. 963 00:42:39,699 --> 00:42:42,493 DR OAKLEY: Whoa! Frankenpup. NICOLE (off-screen): So, yeah. 964 00:42:42,577 --> 00:42:46,956 NARRATOR: Despite four large surgical sites, Zoey is taking it all in stride. 965 00:42:47,039 --> 00:42:50,877 NICOLE (off-screen): This one here on her elbow was the other one that we knew about. 966 00:42:50,960 --> 00:42:52,128 DR OAKLEY (off-screen): Okay. 967 00:42:52,211 --> 00:42:53,713 NICOLE (off-screen): Zoey acts like nothing happened. 968 00:42:53,796 --> 00:42:56,799 She is running around, and you wouldn't think anything's wrong with her if you couldn't 969 00:42:56,883 --> 00:42:58,467 see the suture lines on her. 970 00:42:58,551 --> 00:43:01,762 DR OAKLEY: Like again, touch wood, it certainly looks like it's gonna hold. 971 00:43:01,846 --> 00:43:04,223 NICOLE (off-screen): You know, it's always harder when it's your family pets 972 00:43:04,307 --> 00:43:05,683 or your family patients. 973 00:43:05,766 --> 00:43:07,768 But definitely, yeah, ready to get back to my regular role and not be 974 00:43:07,852 --> 00:43:09,812 worrying about my own pets so much. 975 00:43:09,896 --> 00:43:11,731 DR OAKLEY (off-screen): Well, thanks for bringing her in. NICOLE (off-screen): Yep! 976 00:43:11,814 --> 00:43:13,357 DR OAKLEY: I'm glad we don't have anything that we're needing to do. 977 00:43:13,441 --> 00:43:14,859 That's awesome. 978 00:43:14,942 --> 00:43:17,820 NICOLE: I just need her to, like, be healthy and happy, so that when Corbin comes home 979 00:43:17,904 --> 00:43:19,947 from his first year of college, he still has a dog. 980 00:43:20,031 --> 00:43:21,532 DR OAKLEY: Yes, I know. 981 00:43:21,616 --> 00:43:23,075 Nicole is a good friend. 982 00:43:23,159 --> 00:43:26,662 And she kind of drops everything to come in, help everybody else's animal in town. 983 00:43:26,746 --> 00:43:30,082 So, you know, with her baby Zoey, I'm, you know, really hoping that we can make sure 984 00:43:30,166 --> 00:43:33,002 that she heals up quickly and have no other issues. 985 00:43:33,085 --> 00:43:35,755 NICOLE: Yeah, I mean, she's pretty much acting like a normal little piggy. 986 00:43:35,838 --> 00:43:37,048 DR OAKLEY: Yay! NICOLE: Aren't ya? 987 00:43:37,131 --> 00:43:38,132 DR OAKLEY: Like a normal piggy. 988 00:43:38,216 --> 00:43:39,592 NICOLE: Normal piggy. She's happy. 989 00:43:39,675 --> 00:43:43,054 DR OAKLEY: Okay, see you guys! NICOLE: Okay. Bye, piggy. DR OAKLEY: Have a good day!