Penn Vet/Ryan Hospital LITERALLY saved Jalen's life, and I could not be more grateful. Jalen…read moredeveloped severe pneumonia as a complication from kennel cough that progressed into multiple organ system failure. His case was so complex that no one could give me a real estimate of his chance of survival, only that it was slim. Research after the fact, on my own showed that everything he went through put him at a 12% chance of survival. It was a very bleak outlook, and we were literally taking everything one hour at a time. When I continued to research, what happened with Jalen was extraordinarily rare, occurring in less than 0.01% of dogs, and is something that few vets see in their entire career, let alone a case with a positive outcome.
Jalen was transported from MVA to Penn after developing a pneumomediastinum due to his severe pneumonia. Upon arrival, he was rushed into emergency surgery and that was when I first met with Dr Tarbutton. She explained to me the severity of the situation and was very transparent, yet empathetic the entire time. She did not make any promises but explained that despite their best doctors ready to work on him, it was an "all hands-on deck" situation. He made it through the surgery, but I was called to "say goodbye" since he required mechanical ventilation after the fact, and only 30% of dogs who go on a ventilator ever come off. I was only able to visit for a few minutes; it was the hardest almost goodbye of my life.
Jalen was on the ventilator for 36 hours. I was able to visit him daily, and Dr. Tarbutton and the Critical Care staff were so patient, understanding, and caring. They updated me by phone twice per day and were sure to explain exactly what was being done and why. They answered all my questions and never rushed or dismissed me. After 36 hours, he was able to come off the vent, defying his first set of odds!
After he was off the vent, his status was guarded, he was critically ill, and the staff was careful to keep me aware that the situation was touch and go at best. I appreciated their candor, as sometimes it is easy to lose sight of how severe the situation really is. During this time, he was treated with several antibiotics, as the pneumonia he had appeared to be antibiotic resistant, was on high flow oxygen, and several other medications to keep him comfortable. He remained in the critical care unit for a total of 7 days.
Each day, it felt like we took 2 steps forward and 1 step back. He survived emergency surgery, ventilation, and the pneumonia began to improve, however each day he developed something new, as is often the case with multiple system failure. He developed a blood clot in his back leg, pressure sores from being sedentary for so long, and a heart arrythmia. But every step of the way, the critical care team had a plan and kept me informed.
After 7 days, it was decided that he was going to be sent home. He was breathing normally, and his secondary issues were not enough to keep him in the hospital. And, as you can imagine, a 7 day stay in the critical care unit with emergency surgery and mechanical ventilation was not cheap, and he was stressed from being out of his environment, so it was thought best by everyone that he be treated at home and as an outpatient. The staff kept me informed of the updated total cost of care each day, so there were no surprises at discharge.
I was terrified when he came home and probably called and emailed more times than necessary over the next few days, but the staff was always helpful and patient, never making me feel like I was being too much. Over the next few weeks, he was seen as an outpatient by the critical care team, internal medicine, surgery, and cardiology teams. He was put on anticoagulants, underwent debridement surgery for his wounds, ultrasounds for the clot in his leg, and overall checkups. Each time he visited, he looked better and better. And now, after 7 weeks, all that remains of his ordeal is a scar on his chest where his pressure wounds used to be. Truly miraculous.
Jalen fought for his life with the help of the extremely skilled doctors at Penn Vet. I truly believe that he would not have survived had gone anywhere else. He is known by most everyone at the hospital; case is truly rare and miraculous. I cannot thank and praise everyone involved in his care enough, you all helped save my best friend!