Friday evening update
Thanks to everyone for your thoughts.
We're home.
The main highway we would use for the return trip was closed midway home, so the 2 hour drive extended to a little more than 3 hours.
The GPS diverted us over uneven roads and I was acutely aware of every bump felt in my impractical stiffly-sprung car until we returned to steady flow.
I have a blister on my right heel from stop and go traffic, but somehow that feels right and sympathetic to Marvin's ordeal.
Marvin is in her hospital cage to my right and I can hear her beak grinding, so that's making me happy.
View attachment 430525
(some low-rim bowls to make things more accessible...
... smaller versions of her favourite pellets because she can't hold-and-chew the larger version...
... crushed walnuts and some blueberries, which were the first things she went for)
The hospital cage is Jericho's carrier, with a folded towel for padding, and a paper layer above for cleaning and to avoid snagging claws.
Medications
- Baytril banana 12/5 MG/ML (antibiotic) -- 0.05 mls every 12 hours for 21 days.
- Metacam 1.5 MG/ML (anti-inflammatory and pain) -- 0.02 mls every 12 hours for 14 days.
Followup is scheduled for Tuesday afternoon. I am a bit concerned after viewing the x-rays of the bone after the splint was applied. To my
untrained eye, the alignment is much better than the original break, however the surface area contact between the two pieces looks like it could be improved.
I know nothing about broken bones and don't know how much contact is necessary (I've read, "the gap must be less than 800 μm to 1 mm", so perhaps my concern is unfounded), so I'll have this question on Tuesday for the head avian vet who hasn't yet been involved in Marvin's case
I will trust the experts during Marvin's treatment, but share those thoughts here for transparency.
Fractures heal in three overlapping stages:
- Inflammation
- Repair
- Remodeling
In the inflammatory stage, healing begins immediately after the fracture. Cells of the immune system move to the injured area to remove damaged tissue, bone fragments, and blood that leaked from broken blood vessels.
The immune cells release substances that attract more immune cells, increase blood flow to the area, and cause more fluids to enter the damaged area. As a result, the area around the fracture becomes inflamed—red, swollen, and tender.
The inflammatory process peaks in a couple of days, but it takes weeks to subside. This process causes most of the pain people feel soon after a fracture.
During this stage and the repair stage, the fractured body part often needs to be kept from moving (immobilized)—for example, with a cast or splint.
The repair stage begins within days after the injury and lasts for weeks to months. New bone (called callus) is made to repair the fracture. At first, this new bone, called the external callus, does not contain any calcium (a mineral that gives bone its strength and density). This new bone is soft and rubbery. Thus, it can be damaged easily and may allow the healing bone to slip out of place (be displaced). Also, it cannot be seen on x-rays.
In the remodeling stage, bone is broken down, rebuilt, and restored to its former state. Remodeling takes many months. Calcium is deposited in the callus, which then becomes much stiffer and stronger and easier to see on x-rays, and the normal shape and structure of the bone are restored.
That's for humans, so I'll be seeking better understanding on Tuesday.
Here are the splinted images.
In the meantime, I need to watch her skin tone above and below the bandage for changes in colour (pink is good, while swelling or purple and black are bad).
Cage rest is ordered until advised otherwise by vet.
Costs
I received a refund on my 2nd invoice, so the total vet bill so far is $1447.65 to get us to this point, but further consultations will be needed before we're done.
That's as much as I want to type with one hand, so now I'll wake this girl for her evening doses.