oxygenated fluids

youtube

In a recent video, Warped Perception filmed a model rocket engine firing underwater. Firstly, it’s no surprise that the engine would still operate underwater (after its wax waterproofing). The solid propellant inside the engine is a mixture of fuel and oxidizer, so it has all the oxygen it needs. Fluid dynamically speaking, though, this high-speed footage is just gorgeous. 

Ignition starts at about 3:22 with some cavitation as the exhaust gases start flowing. Notice how that initial bubble dimples the surface when it rises (3:48). At the same time, the expanding exhaust on the right side of the tank is forcing the water level higher on that side, triggering an overflow starting at about 3:55. At this point, the splashes start to obscure the engine somewhat, but that’s okay. Watch that sheet of liquid; it develops a thicker rim edge and starts forming ligaments around 4:10. Thanks to surface tension and the Plateau-Rayleigh instability, those ligaments start breaking into droplets (4:20). A couple seconds later, holes form in the liquid sheet, triggering a larger breakdown. By 4:45, you can see smoke-filled bubbles getting swept along by the splash, and larger holes are nucleating in that sheet. 

The second set of fireworks comes around 5:42, when the parachute ejection charge triggers. That second explosive triggers a big cavitation bubble and shock wave that utterly destroys the tank. If you look closely, you can see the cavitation bubble collapse and rebound as the pressure tries to adjust, but by that point, the tank is already falling. Really spectacular stuff!  (Video and image credit: Warped Perception)

Traps for New Vets: Part 3, Emergencies

You are rarely fully prepared for an emergency. For one thing, you often don’t know exactly what the emergency is until you’ve examined the animal. I’ve often had owners diagnose ‘bloat’ at home, which later turned out to be haemabdomen, heat stroke or even pregnancy once they arrive at the clinic.

There are things you can do, however, to be as close to prepared as you can be, especially in your first few weeks after graduation.

  • If you remember nothing else then please remember to go back to your first principles. If you go back to your first principles you will be able to figure out how to triage even a curly toed bunyip should you be presented with one. If you ever think you don’t know what to do, you are WRONG. You go back to your first principles and work your way up.
  • Most of emergency medicine is just buying time. Do one thing to buy a few minutes here, then you’ve got another ten minutes to spend buying another hour, which might let you do a procedure to buy a few more days which might be enough to buy the animal enough time to live the rest of its life. You can certainly do something in the first few minutes to buy yourself a few more minutes with a textbook or calling for help.
  • FLUIDS. OXYGEN. PAIN RELIEF. Not necessarily in that order, but for basically all emergencies until established otherwise. Say it with me now, FLUIDS, OXYGEN, PAIN RELIEF. Say it again. FLUIDS, OXYGEN, PAIN RELIEF. When you are in a panic because this dieing creature is placed in front of you and everyone expects you to save it, remember: FLUIDS. OXYGEN. PAIN RELIEF.
  • Every species except the snake has a cephalic vein. If you can’t remember where you’re supposed to perform venepuncture or place a catheter, there is always a cephalic. I have personally used cephalic veins in dogs, cats, rabbits, goats, sheep, a guinea pig, a ferret (anaesthetised) and a meerkat.
  • That said, it is worth knowing where alternative veins are if you blow them. If you have to clip half the patient bald to save its life, do so. If the owner complains that their pet is ugly after its near death experience, then their priorities are wrong.
  • On your first day at work as a veterinarian, spend a few minutes to find out where to find the following equipment in a hurry: endotracheal tubes, adrenaline, atropine, iv catheters, diazepam, euthanasia solution, opiod pain relief, calcium gluconate, hypertonic saline, iv glucose, apomorphine, tissue glue and the oxygen cage/box. The nurses should know where the blood pressure monitors are and the anesthetic machines should be unmissable. Most places will have a chart with emergency drug doses for different body weights on a wall. If there isn’t one there, make one.
  • If you do not have an oxygen cage or oxygen pox, but the patient will fit into a carrier, place the patient in a carrier and then put the carrier into a body bag. Close the bag and pump oxygen into one end, and make a hole at the other end for air to come out. It is difficult to monitor your patient this way, but when you really need oxygen, you really need oxygen.
  • Most creatures that need CPR will not come back. Of those that do, many will need CPR again shortly afterwards. Don’t be disheartened if you have a low success rate. Take every step you can to prevent the need for CPR in the first place.
  • Know when to be a team leader. In CPR somebody needs to take control and tell everyone else what to do. Communicate. If someone else has already taken charge, let them. If nobody has, step up.
  • If you’re doing cardiac compressions and getting tired, say so. Someone can swap with you.
  • Establish from day 1, or even at the job interview, who you can call for support if you can’t handle something on your own. It’s fine to not be up to doing a GDV or caesarian surgery on your own when you’re green, but you need to know what you’re doing until support shows up.
  • If you are doing CPR and getting nowhere, you probably can’t make it worse by giving more adrenaline. After all, technically the patient is already dead.
  • Humane euthanasia is sometimes your only valid choice.
  • Learn to recognize what owners see in an emergency over the phone. Sometimes the 'constipated cat’ is actually a blocked tom desperately trying and failing to urinate.
  • Above all, do not panic. You can, in fact, do this.

Traps for new Vets, part 1

Traps for new Vets, part 2, Euthanasia edition

ramtiger  asked:

You mentioned Nyx/Ravus and that is a ship I also have a soft spot for! But, uh, the process of getting them to meet in my and my friend's alternate canon is... complex to say the very least. Got a better meetup strategy?

Okay I won’t lie, I’ve been thinking about this ask since I got it, just on the back burner. Because LIKE YOU I really like this pairing, they’re people who have a lot in common but have very different personalities so they’d be fun together? And yet they emphatically never meet. Nyx even ruins any chance that they might have met previously with his whole “WHOOPS WHO’S THAT DUMBASS oh it’s your brother sorry” moment. And afterwards, well. That’s not going to work. (My solution to this and many other issues was to basically take everybody who laid down their life for the Astrals and plunk them in a classic FF reboot! But that’s not going to be everyone’s cup of moogles.) So I tried to think of the usual meetup things, you know–reaching for the last cheese danish in the deli case at the same time, being forced to share a cab in the rain, stuck in the same tent on some kind of naked camping back to nature retreat, etc. And nothing seemed to work. But then I was packing my lunch this morning and I thought–How did Ravus get evacuated from Insomnia? When did that happen? And what if–


Imperial MTs were everything that could be wanted in an army. Tireless, relentless, (seemingly) obedient. They were easy to produce, and Versatel assured the Emperor that they would be useful in peacetime, as well! Why, they could do all kinds of things. Basic security. Domestic tasks. Search and rescue. The fact that they’d be terrible at all those things–terrible at anything other than emotionless wholesale slaughter–never troubled the Imperial Scientist. Versatel had no intentions of there even being a peacetime. Peacetime put men like him out of work. And Versatel Besithia planned to work for a long, long time.

Nevertheless, flesh-and-bone recruits were few enough that the Empire was called upon to use mercenaries for anything too complicated, and mercenaries, on the whole, are as ill-suited to some tasks as MTs, only more clever about finding ways to get out of it. So when Aranea Highwind was commanded to comb the rubble of Insomnia and retrieve Lord Ravus Not Fleuret, as well as any other useful tidbits that might be found in the smoldering wreckage, she did what any good mercenary would do. She sent the grunts.

The magitek troopers were told to identify any Imperial officers or spies, and if alive, to bring them back to the dropship. Ravus was the most high-ranking, and the first order of retrieval. He was easily found, unconscious in the mostly-whole citadel, half of one arm blackened and charred. In the city center, however, the MTs found General Glauca.

Who they thought was General Glauca, anyway. They were not very good with specifics. He fit the basic description in height, in weight, in coloring, and ethnicity. His armor was nearby, in pieces. He’d been badly burned, as Ravus had, though he seemed to have kept all his extremities. The fact that the man wasn’t General Glauca–or even the man who had assumed that name–meant nothing to the MTs. Nor did the fact that he had made a bargain with an ancient magical force that required his life in exchange, and he was on the verge of paying that price in full. Such things did not occur to the troopers, and they didn’t seek out the Kings of the Wall to see how they felt about it.

Instead they slapped Nyx Ulric in a medical-pod, a rare invention of Versatel’s that actually served to save people instead of murdering them, and it hummed and whirred as it set about stabilizing things, pumping in fluids and oxygen and coating wounds in viscous healing solutions whose origins were better left unexamined. By the time the MTs got back to the dropship, Aranea was sick of the ruin and ready to go. She didn’t double-check to see if it was Glauca in the pod. Nobody did. Not in the ship, not at the capital, and not at the Imperial Hospital in Gralea, where Ravus was sent to recover from his wounds, and the man who was not General Glauca was sent to do the same.

When he came to, Nyx Ulric was not long in figuring out what had happened, and he breathed a sigh of relief that though empires might rise and fall, there was always a certain constant: some idiot that everyone trusted in spite of the fact that he never took off his helmet. The nurses, the doctors, and most importantly, the clipboard hanging off the end of his bed all said he was Drautos–General Glauca. They’d never seen the man’s face, but that didn’t trouble them. It was accepted by everyone.

Everyone, that is, save for the one-armed man eyeing Nyx narrowly from the adjacent bed.

(….tbc?)

rayketh  asked:

You've mentioned "first principles" in a few of your "Traps for New Grads" posts. I'm wondering what that refers to. Is it a specific set of things or do you just mean basics like ABC (airway, breathing, circulation) type things? I haven't heard the term in American vet school so it might be regional?

First Principles are a set of mental tools that veterinarians acquire to allow us to treat every animal on the planet, including humans in an emergency.We study lots of different creatures in depth, but obviously we can’t study every single species and subspecies to the same level of detail, yet we are qualified to treat them medically. 

The best way to explain them is this: When you are presented with your first Bunyip patient, you use your first principles. 

For those non-Australians who may not be aware, a bunyip is a legendary monster of Australia reported to live around waterways. It has many descriptions that vary from one aboriginal peoples’ stories to the next, but this picture might be one fairly typical example:

You might be tempted to think ‘OMG I have no idea what to do!’ but you are in fact WRONG. You have lots of ideas about what to do, and how to figure out what’s required. 

1. Is the species bilaterally symmetrical? If yes, then EXCELLENT, you now have a rough template for what it’s supposed to look like, so you can figure out what’s damaged or missing. A left front leg basically always looks like a right front leg so if you suspect trauma you have the other side to look at for a guide. 

2. Speaking of trauma, it’s fairly distinctive. Disrupted tissues tend not to occur naturally, joint surfaces look different to fractured bone surfaces, cuts in skin look different to natural openings, regardless of the species. 

3. Exoskeleton or endoskeleton? Is it ambulatory?

4. Where is it’s respiratory tract and is it functioning?

5. What sort of cardiovascular system does it have? Is it’s oxygen delivery system contained within vessels and is this disrupted?

6. Where are the digestive system openings, which one is which and are any not working?

7. Eyes: how many and are they responsive?

8. What external covering does this creature have, is it intact and does it identify it as mammal, reptile, bird, fish etc. 

And that’s just from looking at the thing with the naked eye, before you get into any imaging of oxygen delivery fluid system analysis. These are basic ways of thinking that you can always revert to when confronted with a species that you don’t know much about, before you go diving into text books or veterinary forums. 

Of course, this gets harder to apply to alien species, but your First Principles are still the best tools to get started. 

Squeaky Clean

A fluffy cophine oneshot. Canon-ish.

Rating: T. (Yeah it is squeaky clean…bwahahah)

Delphine rushed back inside of the yurt as quickly as she could manage with the large bucket of water. Sure, people stared, they knew she had one of the clones in her yurt. They knew that he was not happy about it. But three days had passed, Cosima had largely slept, hooked up to warmed oxygen and intravenous fluids. As comfortable and warm as she could make her.

Keep reading

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A few weeks ago, resident butthead of the Late Bloomer Club (as he’s affectionately known) Oliver underwent surgery for his overgrown teeth.  This surgery is one that Oliver often needs to curb his dental issues, but it’s complicated by a longstanding, incurable infection near his brain.

In the middle of surgery, Oliver died.  However, thanks to the amazing, brave efforts of Dr. Debra Scheenstra, DVM and her team, Oliver’s heart started up again and he returned to life.  He is now, weeks later, at home at SaveABunny with his LBC friends.

Click photos for more information.

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GASTRIC DILATATION-VOLVULUS (GDV) or “BLOAT”

This condition can be broken into two separate incidences. The GASTRIC DILATATION occurs when the stomach swells due to a large meal or the presence of large amounts of gas. When the stomach is filled to capacity, rotation of the stomach can occur; called VOLVULUS. Thus to be a true case of GDV the patents stomach must be dilated and rotated into a abnormal position with the abdomen.

THE PATIENT…

There are hundred of studies completed on GDV which have highlighted the factors which increase the risk of suffering from the condition. Dogs most at risk are:

  • Older Patients - Usually over the age of 8 
  • Monofeed Patients - Patients that receive a large meal once a day
  • Deep Chested Breeds - Weinmeraners, Great Danes, Irish Setters etc.
  • Working Dogs - This is mainly due to a clients lack of knowledge on the subject and that feed their pets after high levels exercise

CLINICAL SIGNS

  • Unproductive Retching
  • Drum Beat When Stomach is Tapped
  • Distended Abdomen 
  • General Restlessness
  • Anxiousness
  • Abdominal Pain
  • Stretching
  • Pacing
  • Prolonged CRT
  • Tachycardia
  • Tachypnoea
  • Poor Peripheral Pulse Quality

DIAGNOSIS…

  1. Clinical Signs - The clinical signs seen are usually quite telling and as emergency procedure they are often used to confirm suspicion however if time is available other diagnostic processes should be used.
  2. Abdominal Radiographs - This will show the extent of dilation and gas build up as well as if Volvulus is present

SURGERY…

  1. Stabilisation - Of upmost importance as un-stabilised patients are unlike to survive any type of surgery let alone a long and complex operation. This involves starting IV Fluids and Oxygen Therapy is shock is imminent.
  2. Gastric Decompression - This can be done by a needle and catheter into the stomach from the outside to quickly release gas build or by passing a gastric tube followed by gastric lavage.
  3. Gastric Exploration and Gastroplexy - This provides time to examine the state of vital organs, followed by the correction of the stomachs position. The stomach is then permanently sutured to the abdominal wall to prevent re-rotation.

PROGNOSIS…

Prognosis is guarded even after successful surgery and if a gastroplexy is not carried out, re-rotation of the stomach frequently occurs. Prognosis improves with how quick diagnosis and treatment is undertaken, therefore client education is important.

This photograph was not taken on assignment. This is my father, Jack, and at the moment I took this photo I thought he was dying. On one side is my mother, Jane. She and my father, wed for 67 years, have been together since the instant she saw him at the top of a junior high school stairway wearing a white shirt with the sleeves rolled up. On the other side is Charles, a new and stalwart friend. Jane and Charles are working to keep Jack alive; one by calling his name, the other by reporting the latest football scores. Just months before, I had documented the death of Phyllis, a friend’s mother, for a National Geographic assignment about the end of life. From hearing Phyllis’s last breaths—a fragment of audio seared into memory—I realized that my father was slipping away. I ran for help. As we waited for the paramedics, I took this picture with my phone. They arrived, attaching tubes and wires. Then the ER, oxygen, fluid. Life. Later I called my friend, Phyllis’s daughter. “Your mom just saved my dad.” Silence, as we considered that, even though Phyllis was physically gone, her spirit still had life giving power. Jack, Jane, Charles, Phyllis. Thanksgiving .”— Lynn Johnson

Bone Weary

Report was dragging and as I listened my pen jotted an ever growing list of items “to do” on my paper.
I entered my patient’s room moments after the new nurse finished report.  He was asleep in the bed, his girlfriend curled in the chair beside him. Even in sleep, his breathing was labored. 
He was not on any drips but on high flow nasal cannula with 70% oxygen pumping through it.

He didn’t open his eyes when I introduced myself, he just nodded.  I slipped out of the room and glanced at my to-do list.

Hours later, I caught the eye of the cardiologist rounding on him and he stutter stepped as I cornered him.  He wasn’t a doctor I work with regularly and he  looked shocked at my audacity as I asked him question after question.

I had a doctor tell me once when I was a new nurse,

“Take ownership.  You know what is wrong and what is right and if the doctors are being idiots…take ownership of that patient and batter them until they do what they need to do for the patient.”  It was the best advice I ever received. 

Two days passed and by 4 pm of my second shift I was exhausted. Every procedure, test, lab and suggestion was an argument with a doctor.  It was the holidays and the doctors on call didn’t want to be proactive.  They wanted Christmas cookies and warm wishes.  They wanted cocoa and candy canes.  They did not want my to-do list and angry eyebrows.  

My frustration was growing and I finally slumped next to a co-worker.  

I started spilling out my concerns and her eyes soon became as dark and as frustrated as mine.

Here was a 42 year old man with severe cardiac disease.  He had suffered a heart attack that significantly dropped his heart function from 50 to 20%.  Because of that, and the lack of energy from the cardiologists, he was mismanaged and his kidneys started shutting down.  The fluid started backing into his lungs and he was in full blown heart failure, kidney failure and had massive pleural effusions.  For a week he sat seemingly unseen on our unit.  He was simply maintaining but not improving. He needed a new heart and probably a kidney- but no one would start the process. Everyone was simply just writing notes and charting- no one was actually doing anything.

I am not a great nurse.  I am not one of the nurses that people remember when they come back and visit.  But, ever since that doctor challenged me, something inside me has become fiercely protective and bold.  I care about my patients.  I care about their care and treatment.  I know them inside and out- labs, tests, plans. For the two days I had this patient, the family thought he was the sickest he has ever been.  They thought that because the tests, the treatments and the procedures we did in those two days were what should have been done all along.  He was put on CRRT for his kidneys, an inotrope for his heart and we pulled 1.3L of fluid off his lung. I think the family was actually upset with me.  Like I had somehow done this and caused all of this “sudden” illness.

A new nurse took him on my third day at work since I was in charge and the MRT(medical response team) nurse.  She expressed concerns to me about him so I went in to see him.  He looked terrible.  His breathing, that was so much better after the thorocentesis the first day I had him, was now much worse. He struggled for air as he made eye contact with me.

“I feel… Like… I am drowning.” He said as he gasped.  He went from 6 L to 100% Hi-flow to 100% bipap and barely maintained sats. We called the icu team and as they wandered through later that day they discussed options nonchalantly. 

“His lungs are just filling back up to fast.  Tapping his right lung again will do nothing today- he needs a permanent drain until the heart failure team can figure out what to do. We can do that in the morning” The attending said and looked at me.

The new nurse nodded and smiled.  I shook my head as they started out of the unit again.

“So, the plan?  The plan is to leave him on 100% bipap, teetering on intubation? No intervention?” I said as I crossed my arms and stared at the attending. 

“Well… I suppose… We could look at the left lung…” He said and shrugged in semi-annoyance at my continued nagging.

“Yes. The left.  Anything.  Something- He will be tubed before night if you don’t” I said and jogged to get the ultrasound.

3 hours later he was back on hi-flow.  His oxygen improved after the fluid was removed and he was breathing easier.

I left that night and felt bone-weary from three days of battle. 

Not always but sometimes I get a burden for a patient.  A feeling in my soul that if I don’t fight like hell for them- no one will.  I didn’t bond with him. We barely spoke in the three days I had him. I would bet he doesn’t even know my name. He doesn’t even know how hard I fought to get him what he needed.

And…I don’t care.  I hope he never knows.  

My hope is that he lives

anonymous asked:

Hi Wayfaring! I work for an answering service and we answer for a lot of doctors. Sometimes we get calls for doctors who have pregnant patients where the message to pass on is "APGARS 8 & 9" or some other two numbers, after a baby is born. Do you know what this means?

I assume these docs are passing the message on so they can include the info in their dictations and delivery documentation. 

So the APGAR score is both an acronym and the name of the person who invented it. It’s a quick test used to assess an infant at 1 and 5 minutes after birth. The maximum score is 10. If the score is low at 5 minutes, it is usually repeated every 5 minutes until >7. 

It stands for:

  • Appearance: 0 points for blue or dusky color, 1 point for blue only on hands and feet (called acrocyanosis), and 2 points for pink all over.
  • Pulse: 0 points for absent, 1 point for <100, 2 points for >100.
  • Grimace: assess primitive reflexes. 0 points for no response to stimulation, 1 point for a grimace or feeble cry, 2 points for lusty crying or pulling away with stimulation
  • Activity: 0 points for none, 1 for flexed arms or legs, 2 points for flexed arms and legs that resist extension
  • Respiration: 0 points for not breathing, 1 for weak or irregular breaths, 2 points for lusty cry.

Of note, APGAR scores haven’t been shown to have any correlation with longer-term health outcomes in babies. It’s mainly used as an assessment a birth to direct initial resuscitation efforts (including giving oxygen, suctioning fluids from the mouth/nose, physical stimulation to raise the heart rate). A score of 10 is not common (and pretty unheard of in my hospital. I think the nurses are superstitious against giving 10s. Basically all babies that come out crying get an 8&9.) because most babies have some acrocyanosis that persists for hours after birth. 

It got bad really fast, it looked like really out of control lymphoma. She did not show any symptoms until about Monday, but once that happens the decline is so fast in cats. Her pee was normal, she always made it to the litter, she was playing on Monday. She ate her hairball treats. Two days ago she was disinterested without a lot of appetite. By this afternoon her organs were failing. We were still waiting on her biopsy (a non-serious-feeling hardness on the stomach) and blood results when we took her to the ER. They tried to stabilize her in the ICU–fluids, heat, oxygen–but imaging showed a bunch of masses and fluid around the kidneys, lungs, and belly. There is not really anything that can be done for it, or to avoid it. This happens to soo many cats and I want you to know that: be proactive with vet care all the time, but this happens to cats. It isn’t your fault if this happens to you. We were the 1% of pet parents and it happened to us. Cats aren’t put on earth to keep us company for as long as it makes us happy. That’s the horrible truth. Cats are integral parts of human-nonhuman animal society–ecosystem–and the best we can do for them as human partners is keep them from suffering. Validate their agency and inner lives as complex and crucial beings without making them carry our baggage. Cats do not consider death as humans do. A drawn-out, invasive medical intervention with almost no expectation of long-term recovery of quality or duration of life is human projection, and subjection.

If we had not taken Squid into the ER she would undoubtedly have died alone at home tonight, struggling and miserable. The ER gave us what we needed in order to make a decision that wasn’t… you know. The doctor said cats rarely recover from this, survive the surgery and live much more than weeks from there. All I wanted was to hold her and make sure she felt nothing except warmth, fuzz, sleep, and us. I was so afraid she would be alone and scared–a scaredy cat like her mom. The truth is, she wasn’t even in any pain to speak of–which is why this disease is such a son of a bitch–but she was barely with us at all anymore. I called Carly to ask her if this was right. The doctors were sure, if we even took her off “life support” in that kitty ICU she would have died and suffered. Instead she got the best kitty sedatives on the market, bundled up in warm towels, holding paws. She just went to sleep and it really was, honest to god, peaceful. She was only 13. And I am without my best friend, my only friend, my last family member, oldest friend, my whole world. But she should not have had to suffer to be those things for me, and I am glad she didn’t. And I can say almost with certainty that these last two years were the best of her life. She had a perfect cat life and an early, imperfect cat death.

Mostly I just want “space,” to be alone, to be sedated for a few days. I don’t know how I am going to live–I can’t understate that. But unlike cats, humans gotta suffer. It’s our ecological duty.

I also don’t want any kind of talk or thinking or suggestions about could-have-beens, if you don’t mind. Everybody dies and there was no last-minute intervention. This is how a lot of cats’ lives end. I will be here to help and talk if yours comes to this point.

“love is just a chemical reaction”.

Yes, and the heart is a lump of muscle that pumps oxygenated fluid. Smell is particulate matter hitting hairs in your nose. Talking is the muscles of the throat expanding and contracting. Every thought you’ll ever have is a series of electrical impulses in an organic computer that lies in the center of an oblong sphere of calcium. Is there anything else FUCKING OBVIOUS you would like to state in a feeble attempt to seem superior to other people?

Prayer Request

My cousin gave birth to a beautiful baby girl yesterday. Unfortunately she had a tough labor, the cord was wrapped around the baby’s neck and her shoulders became lodged during birth. She was placed in the NICU on oxygen because of fluid in her lungs. She has taken a turn for the worst today and is really struggling. I don’t have a lot of information but all of your prayers would be appreciated. 

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okay so it’s been hours since my last pavarotti update so
ine of the privileges of being from an animal shelter is that you don’t have to wait much. within a few minutes of arriving at the hospital reception pavarotti was already taken from us for pre-surgery treatment. when we were allowed into the emergency care room he was already all wrapped up in warm blankies, all hooked up to oxygen and fluids. he was still very weak, but even like that he suddenly felt like just getting up and walking away when an assistant came over to adjust his towels (he needed to lay diagonally in order to let gravity do its magic and have his intestines slide down and give more space to his single operational lung to do its work). you can see how he were in the top photo.
then he went into surgery and we couldn’t stay with him anymore.
we knew his chances are slim.
a long time’s passed.
then we got the call that he was out. and he was alive.
that tiny bean made it.
we didn’t arrive back there in time to talk with the actual surgeon (we waited outside for a long time but eventually went away. hospitals are stressful.), so the second hand accounts we heard were divided as to whether pavarotti’s hernia was something he was born with or trauma-induced. facts were, though, that his right lung had indeed collapsed, and his intestines and liver were pressuring on his other barely-functioning lung. so it got fixed. again, don’t know the specifics, but it it was done and he made it out.
when we were allowed back in, there he was, as you see him in the bottom photo - all wrapped up in blankies again, with oxygen and fluids, and even a machine that blew hot air to warm him up. he was kinda out of it at the beginning, but once he realized we were there - boy, did he talk! he could barely even lift his head but he just HAD to tell us all about everything. tgat ridiculous tiny bean who just had his chest cut open. unbelievable.

important thing is - he’s not out of danger yet. he just went through an extremely invasive surgery, he was weak before and he’s still weak now. we might very well still lose him. he still requires a LOT of medical attention.
so we still need help with that fundraiser. that ain’t over yet.
still - the amount of support you guys have been sending alםמע the way is just incredible. again - thank you, thank you, thank you. you lot are just amazing.

click here for a video featuring pavarotti i filmed earlier today
click here for the original fundraiser post featuring pavarotti’s background story