Why Did My Dog Die In I.C.U. After Cataract Surgery

[mikeinthailand]

My dog Jeffie died March 30th 2009. I am going through a very big battle here in Thailand (The Land Of Smiles).
I had two dogs 1 was a male half shiutzu half poodle he was around 7 years old. My other a female Miniature Shnouzer 9 years old. I brought both of my dogs for their yearly vaccination shots on the 27th of march. I left the dogs at the vet to have their shots and a check up. I had a call from the doctor and asked me to come back that she wanted to talk to me about my male dog Jeffie. So I went back to the vet with my wife and as I expected the doctor wanted to talk to us about Jeffie's eye as he has had cataract in only one eye and I was told for the past few years that it was not time to do the surgery yet as they wanted to wait for Jeffie's eye to get to a certain point before doing the cataract procedure.
So as I go on here we are at this point the doctor saying that it is time for them to do the procedure and I agreed as the doctor had said she had performed over 30 cataract operations and has a 100% success ratio so I permitted on the grounds that the surgery would in now way cause death to the dog and the doctor said no problem they did warn me about possible infection in the eye after surgery. So as my male dog Jeffie stayed in the hospital on that Friday I went home with my female dog And I was told that I would receive the results from Jeffie's blood work over the weekend. So on Saturday I received a call from the animal hospital telling me that the results came back from the blood tests and that everything was normal and can proceed with surgery for Monday afternoon I said okay and thank you. The following day I received another phone call from the animal hospital a different doctor telling me that they got the blood results back from the lab and everything is normal and can proceed with surgery on Monday afternoon. I said okay once again and thank you and hung up. The following day I received a phone call from the hospital that the surgery was going to be in the afternoon and that the doctor will call me after surgery. I received a call after the surgery to tell me that the surgery went well and that my dog Jeffie was in I.C.U. Recovering an hour later I receive a call that Jeffie had stopped breathing and that I told them to do whatever it takes to revive him I received another call that my Jeffie was dead.
The following day I went down to the hospital to pick up the remains of my dog and the hospital was stunned they had no reason or excuse as to why Jeffie had died. Although they did find it unusual as when Jeffie had stopped breathing that he was excreting blood from the anal tract. I was very angry and hurt and devastated. I then proceeded to take my dog to have an autopsy performed by the University coronor office. The autopsy showed that there was blood all over the body. After waiting a few weeks for the toxicology report showed that my Jeffie died from Coumarin Intoxication. Rat Poison. I was so furious as to people playing me for an idiot. As I do not have any form of this rodenticide in or around my house on the interior or exterior of my house or in any products that I use and there is no medications around my house that would have as an anticoagulant such as blood pressure medicine or heart medicine as well all my medications and household products are kept safetly away from my animals and children. We must remember something here I have had two dogs that lived together ate together slept together. And my dogs are house dogs so they dont go out too much they stay in my lawn and I dont have any rodenticide. These dogs went into the hospital for yearly vaccination shots both dogs entered into the hospital together they were both happy and healthy and playful when in the hospital. I took one dog home the other stayed the one that stayed in the hospital was in there from the Friday morning till after surgery on the Monday afternoon so lets see the hospital who says my dog was happy and healthy and fine when coming in to the hospital was happy and playful each day leading up to surgery and the blood tests were fine and he died in I.C.U. and cause of death from hospital unknown and cause of death from individual autopsy proves to be death by intoxication of coumarin. Dont you find this strange 4 days of the dog being in the hospital all fine and healthy and happy all of a sudden he dies of rat poison? I had a dog in Canada that ate some rat poison in an office and within minutes was convallsing and shaking and throwing up. If it was not for my mothers fast thinking to take my dog to the vet and get some vitamin K into her she would have been dead. So where did this Coumarin come from can all of a sudden my dog been walking around for months with this in him. The answer is NO! Maybe it was the anesthesia? Yes they showed me a cctv camera of my dogs head getting up after surgery to show me that he woke up from the anesthesia but that does not mean he did not die from the anesthesia. Or maybe they did not know that the dogs blood was clotting? Or maybe they did know that the dogs bood was coagulating and maybe they gave my dog some form or derrivitive of coumarin?  Please show me some light on the situation because right now I have already complaints in with the Vet Council of Thailand to the discplinary commision as well I am filling a suit on Monday for Malpractice and Gross Negligence Causing Death. I will play this out to see how it all unfolds.

[91becca]

Just because you didn't have any rat poison didn't mean that your dog didn't eat a rat/mouse that had ingested it. We all know how easily they get inside.

Or you could have been completely screwed over and they used that as an excuse for their surgical mistake?

[chasha33]

I just want to say how sorry i am.It is something though that i would want answers for.What did your vet say about the results that you got?Is there anyway that you could get a copy of your vets log book on the meds they give and see if he was given any of those meds.They are supppose to keep track of all of that in a log book.If you need to talk i am here.May God Bless You.You will be in my prayers

[ginger899]

I'm not a vet, so cannot give you a really professional answer. All I can say is firstly...I am so sorry about your dog. What happened was horrible, shocking (considering he was only having cataract surgery) and confusing, as you cannot find a proper answer.

Warfarin (or Coumarin) is used as a medicine, but also as a rat poison.
So there are 2 options it seems: One, that he was accidentally administered Warfarin while in the hospital? In which case, that would be malpractice and/or negligence.

Two: is that he got access to rat poison or to a rat or mouse, or other rodent, which had been poisoned. As far as I know (and I do not know a lot about this) -but if a dog ingests rat poison, or eats a poisoned rat or mouse, the symptoms CAN take some days, even a week or more, to come on.

Please help, anyone who knows more about this...

[mikeinthailand]

I wrote about my dog dying in the care of a prestigious upscale Pet Hospital in Thailand. I want some feedback on my post:  Why Did My Dog Die In I.C.U. After Cataract Surgery
by mikeinthailand, Feb 12, 2010 07:26AM.

Please I am very interested in hearing opinions in this matter.

This is what the Autopsy report found: Pathology Division, Faculty of Veterinary Science, Chulalongkorn University. Final diagnosis: coumarin intoxication is suggested based on

- Diffuse subcutaneous patchy haemorrhage.
- Submucosal edema and haemorrhage of gall bladder.
- Severe splenic haemorrhage.
- Severe mucosal haemorrhage of colon.
- Severe lung congestion

Pathologist final comments: Intoxication of Warfarin/Coumarin and Derivatives.

Please comment from my first post as well as having this information you should be able to come up with a conclusion based on my story as well as autopsy report. Remember that my dog was in the pet hospitals care for 4 days happy healthy playful eating and apparantly in good spirits so what went wrong I just want the truth to come out at the end of the day.