family
family
Life
Life
Love
Love
memes
memes
Phone
Phone
Run
Run
Too Much
Too Much
Work
Work
Break
Break
Cool
Cool
Forever
Forever
Good
Good
Heart
Heart
House
House
Patient
Patient
Philadelphia
Philadelphia
Quiet
Quiet
Quite
Quite
Time
Time
Today
Today
Tomorrow
Tomorrow
Tube
Tube
Wired
Wired
Sick
Sick
Pain
Pain
Throw Up
Throw Up
Mom
Mom
All The
All The
🤖
🤖
got
got
mac
mac
mizzou
mizzou
ruby
ruby
her
her
dark
dark
human
human
teeth
teeth
once
once
wire
wire
journal
journal
bone
bone
site
site
big
big
can
can
top
top
one
one
major
major
down
down
skin
skin
the dark
the dark
calcium
calcium
coma
coma
issues
issues
antibiotics
antibiotics
stomach
stomach
will
will
she
she
anesthesia
anesthesia
fair
fair
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pigs
did
did
them
them
all
all
tonsils
tonsils
face
face
make
make
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freaks
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they
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yesterday
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surgery
thing
thing
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you
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stay
stay
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surgeon
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what
times
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shot
use
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messing
quality of life
quality of life
nose
nose
vss
vss
using
using
in-house
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more
more
this
this
get
get
scared
scared
clean
clean
please
please
i know
i know
like
like
feel
feel
this is
this is
problem
problem
nothing
nothing
humans
humans
calm
calm
continue
continue
probably
probably
just
just
thursday
thursday
enough
enough
everything
everything
anything
anything
finally
finally
because
because
ugh
ugh
colleagues
colleagues
currently
currently
gag
gag
everyone
everyone
lick
lick
intestines
intestines
soft
soft
eating
eating
putting
putting
away
away
seen
seen
shut
shut
no way
no way
anyone
anyone
jaw
jaw
rejected
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terribly
terribly
every time
every time
like this
like this
anybody
anybody
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loose
miracle
miracle
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pretty
conducive
conducive
amicable
amicable
particular
particular
same
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maybe
retainer
retainer
specifically
specifically
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usually
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glue
glue
allow
allow
feasible
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the love
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quality
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fact
fact
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through
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 no
something
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send
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see
 see
better
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mouth
 mouth
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 need
know
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 problems
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 much
anymore
 anymore
lip
 lip
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 vet
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meds
 meds
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 healthy
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 there is
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 structure
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 discussion
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 pretty much
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 failed miserably
break your heart
 break your heart
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 shot in the dark
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won
out
out
type
type
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Body
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Body
Other
Other
And
And
Flat
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Movement
Movement
Vomit
Vomit
type
type
out
out
won
won
pretty-much-everyone
pretty-much-everyone
a long time
a long time
shot in the dark
 shot in the dark
break your heart
 break your heart
failed miserably
 failed miserably
getting close
 getting close
too far away
 too far away
suggestions
 suggestions
pretty much
 pretty much
the family
 the family
discussion
 discussion
structure
 structure
there is
 there is
contact
 contact
too far
 too far
feeding
 feeding
no more
 no more
already
 already
healthy
 healthy
panic
 panic
choke
 choke
close
 close
throw
 throw
meds
 meds
flap
 flap
vet
 vet
lip
 lip
anymore
 anymore
much
 much
problems
 problems
place
 place
know
 know
need
 need
way
 way
mouth
 mouth
hard
 hard
better
 better
see
 see
send
 send
something
 something
no
 no
through
through
inability
inability
big shot
big shot
fact
fact
too
too
retainers
retainers
quality
quality
there
there
affix
affix
the love
the love
feasible
feasible
allow
allow
glue
glue
refuse
refuse
viable
viable
usually
usually
specifically
specifically
retainer
retainer
maybe
maybe
same
same
particular
particular
amicable
amicable
conducive
conducive
pretty
pretty
miracle
miracle
loose
loose
anybody
anybody
like this
like this
every time
every time
terribly
terribly
i can
i can
rejected
rejected
jaw
jaw
anyone
anyone
no way
no way
shut
shut
seen
seen
away
away
putting
putting
eating
eating
soft
soft
intestines
intestines
lick
lick
everyone
everyone
gag
gag
currently
currently
colleagues
colleagues
ugh
ugh
because
because
finally
finally
anything
anything
everything
everything
enough
enough
thursday
thursday
just
just
probably
probably
continue
continue
calm
calm
humans
humans
nothing
nothing
problem
problem
this is
this is
feel
feel
like
like
i know
i know
please
please
clean
clean
scared
scared
get
get
this
this
more
more
in-house
in-house
using
using
vss
vss
nose
nose
quality of life
quality of life
messing
messing
used
used
use
use
shot
shot
study
study
for
for
still
still
times
times
what
what
surgeon
surgeon
stay
stay
saved
saved
tongue
tongue
you
you
new
new
thing
thing
surgery
surgery
yesterday
yesterday
they
they
freaks
freaks
make
make
face
face
tonsils
tonsils
all
all
them
them
did
did
pigs
pigs
fair
fair
anesthesia
anesthesia
she
she
will
will
stomach
stomach
antibiotics
antibiotics
issues
issues
coma
coma
calcium
calcium
the dark
the dark
skin
skin
down
down
major
major
one
one
top
top
can
can
big
big
site
site
bone
bone
journal
journal
wire
wire
once
once
teeth
teeth
human
human
dark
dark
her
her
ruby
ruby
mizzou
mizzou
mac
mac
got
got
🤖
🤖
All The
All The
Mom
Mom
Throw Up
Throw Up
Pain
Pain
Sick
Sick
Wired
Wired
Tube
Tube
Tomorrow
Tomorrow
Today
Today
Time
Time
Quite
Quite
Quiet
Quiet
Philadelphia
Philadelphia
Patient
Patient
House
House
Heart
Heart
Good
Good
Forever
Forever
Cool
Cool
Break
Break
Work
Work
Too Much
Too Much
Run
Run
Phone
Phone
memes
memes
Love
Love
Life
Life
family
family

Quigley update Her surgery site failed miserably and is infected Mouth surgeries are hard to keep clean She is staying till Thursday at least She is on IV antibiotics pain meds and sedation meds They are keeping her quiet and calm Her surgeon and I spent forever on the phone today and yesterday I gave her every suggestion you all gave to me and we worked through them and most are not adaptable to her specifically and or just fundamentally won’t work on her Some summaries of suggestions Dr Rausch has consulted with pretty much everyone already I know she’s consulted some other colleagues out at other places but also the 20+ specialists they have at VSS have all consulted with her about Quigley in house a few times For the Love of Ruby’s mom and I talked yesterday Her Philadelphia cleft surgeon that did Ruby’s surgery is using the same technique as Dr Rausch is with the flap and besides Ruby’s healed with no issues and it only took the one surgery Same with mizzou and most other vet schools same flap method Dr R even found this cool thing about retainers in a new studyjournal but Quigley does not have teeth she had to have all the uppers removed because there wasn’t enough skin for a flap to begin with So there’s nothing to affix the retainer too and her bone structure is not conducive for putting in posts of any kind and they are highly prone to get rejected and infected And on top of that we have a major infection going currently And on top of that every time she’s under anesthesia she has major intestinal problems and stomach problems and regurgitates everything for quite a long time after once she finally starts eating And on top of that we have a patient that’s not amicable for anybody messing with her face anymore Probably biggest part of the biggest problem is the fact that the entire front nose portion of her face is not affixed to anything and can’t be They did this specialized 3d imaging and there is no way to “mount” her nose We can’t put her in a sedative coma like they can with humans We can’t wire her jaw shut she keeps using her tongue to lick the roof of her mouth She could still lick even with it wired shut We can’t muzzle her cause that allows way too much movement way more than wiring it shut Ugh We can’t put in a feeding tube because she is sick of being messed with she eats too much for it to be feasible with pushing the liquids she freaks enough to make herself vomit She flat refuses anything and forcing her makes her vomit We can’t use her tonsils or pigs intestines as a donor skin graft because the site needing repair is too far away for the donor skin to stay healthy and it usually breaks down because the body rejects it as a foreign body Her soft palate healed nicely the problem is the hard palate We can’t use cadaver skin of any type because this particular area is hard to keep oxygenated We can’t use glue or mesh cause the body won’t allow the “bandaid” to stay in place long enough to heal She has no more available viable skin to use unless her lip is used which is terribly iffy and painful If anyone has a HUMAN cleft surgeon in the family please have them contact us and maybe there is something they are doing with humans that could work here? We feel this is an extremely big shot in the dark because most human cleft surgeries are actually more so cosmetic We had a hard discussion about what we do if we can’t fix the cleft Quigs can not continue like this If you have seen her gag choke throw up panic and run to you because she can’t breathe it will break your heart I refuse to process this fully I am already getting close to Zayda’s quality of life recheck with her calcium buildup degenerative issues and inability for mobility I can not loose both We just can’t It isn’t FAIR We need a miracle Tomorrow is Quigley’s recheck to see if any of the newly failed flap is salvageable or if it is too infected Paws crossed it is better and some of it can be saved and repaired tomorrow Please send her some good if you got some to spare Just scared Mac Meme

found @ 74 likes ON 2019-02-14 07:45:20 BY ME.ME

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