”Moxie's recovery
was a
Christmas Blessing
to her family
and to all of us.
We wish you
many
Happy Holidays
to come!”

Elizabeth Geurts, DVM
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Moxie

Moxie is a very lucky dog to be with us today!  Moxie is owned by the Nieman family of Randolph. The Niemans adopted her from the Humane Society in November when Moxie was approximately 2 months of age.
Moxie came to see us for an initial health check on November 25, 2008 as a very bouncey healthy puppy. Melinda Nieman, Moxie's Mom, called on the evening of December 10, 2008 indicating that something was desperately wrong with Moxie!  She was in severe pain in her abdomen--and her belly seemed very bloated.

Moxie was critically ill with no real suggestion of what might have gone wrong so suddenly. The Nieman's immediatly brought Moxie in for emergency evaluation. Initial examination revealed that Moxie was in advanced stages of shock--her gums were very pale and dry, her heart rate was rapid and her pulse was thready. Moxie's abdomen was very painful and distended.

X-rays were taken to identify the cause of Moxie's pain. Radiographs showed that there was an abnormal fluid buildup in her intestine which made it very difficult to interpret her films. Clinical findings suggested that something was drastically abnormal in Moxie's abdomen and emergency exploratory surgery was necessary to diagnose and correct her problem before it was too late.

Emergency surgery was performed immediately, and Moxie's problem was quickly identified--she had a twisted loop of intestine that had become wrapped around a strand of scar tissue from a previous spay surgery that was performed prior to adoption. This resulted in a "strangulation" of the section of intestine --essentially cutting off the blood supply to the intestinal segment resulting in death of the tissues. The purpleish-black section of bowel needed to be removed and healthy ends re-connected to save Moxie's life. A total of 12 inches of intestine was removed--a procedure called "intestinal resection and anastomosis" surgery.

Moxie was treated agressively with intra-venous fluids and antibiotics for 24 hours. By 2:30 a.m., Moxie's condition was greatly inproved and symptoms of shock were resolving. Moxie was discharged to go home 24 hours post-surgery and her owners report she is doing wonderfully!
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