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Hello this is Dr. Aaron
Please let me know when you're available and we can discuss your questions.
I'm so sorry to hear about your dog.
I can only imagine how difficult this is for you.
Please, please, please know that there is absolutely nothing that you could have done to prevent this / know that this was to happen.
Malignant hyperthermia is definitely real, but is VERY infrequently seen in the veterinary world.
As you can imagine, because of the extremely limited numbers, there is limited research in this area.
What appears to be the case is that malignant hyperthermia is secondary to genetics.
Because of this, there is no way to pick-up on the possibility/ presence of the gene change with blood work / physical exam.
Most often the temperature spike is very sudden and unfortunately once it occurs often times there is little that can be done.
Often times the cause of death is a secondary severe spike in the patient's potassium levels that result in a fatal heart arrythmia.
I can definitely understand that it is easy to blame yourself, but definitely do not do so.
You had the surgery performed with his best interest / quality of life in mind.
So it's basically a roll of the dice and there's absolutely no way to know if they're at risk? Anything that would increase the risk?
No one could have predicted this outcome.
Thank you... I know that but at the same time it's hard to not feel responsible.
I haven't been able to find any increasing factors.
roll of the dice..yes...but not even 1 : 100,000 chance.
Just came as such a shock with him being in good health, young and such a simple surgery.
I would have recommended/performed the surgery without a second thought.
That's depressing that of such a low chance... it was my boy who is that 1:100, 000
(obviously that is a general estimate, but I have never seen a case and none of the doctors I work with have had a patient with this)
So the chances of it being vet error is pretty unlikey?
I assume the dosage is pretty cut and dry? "X" amount per 10 lbs or whatever?
for morphine and other pain meds there tends to be a general dosage / body weight
That's what I assumed... just with there not being much information online I just needed some validation... guilt is weighing heavy on me.
I'm so sorry :(
Thanks for your time...
you're welcome. Is there anything else I can help you with this afternoon?
That's it... thank you.
Take care ! I would greatly appreciate a positive rating.