Transcript: ER Vets - Series 1- Episode 15 | Jan 26, 2021

(music plays)

A Female Narrator says COMING UP ON ER VETS...

Matthew says SHE JUST SUDDENLY COLLAPSED.

Doctor Boyd says AND I CAN'T SAY THAT SHE
COULDN'T COLLAPSE TONIGHT.
I'M VERY CONCERNED.

Hermine says WE'RE HERE
BECAUSE OF OUR PET SIMBA.
HE CAN'T WALK.

Doctor Williams says I DON'T SEE ANY MOVEMENT
IN THE BACK LEGS AT ALL.

Doctor Boyd says WE SUSPECT THAT HE HAS
A KNEECAP THAT POPPED.

In a waiting room, Mark says TO HAVE TO LEAVE HIM TO GET
SURGERY KIND OF UPSETTING.

(theme music plays)

The opening of the show rolls. Words appear on the screen that read "Critical care, oncology surgery, internal medicine, dentistry, ophthalmology, neurology, anesthesia, allergy, dermatology, neurosurgery."

The name of the show reads "ER Vets. 24-7 animal trauma centre."

(music plays)

The narrator says TORONTO, HOME TO THE V.E.C.,
AN EMERGENCY VETERINARY
TRAUMA CENTRE.
THAN 20,000 PATIENTS A YEAR,
VETERINARY FACILITIES
IN THE COUNTRY.
THESE ARE THREE OF ITS CASES.

A caption reads "Case 1: Luke. Knee Problem."

Mark is in his mid-twenties, with a short beard and black hair. He wears a woollen hat, a black jacket and gray trousers.

Mark says I'M MARK,
AND THIS IS MY WIFE, JAMIE,
AND THIS IS OUR PUPPY, LUKE.
HE'S ONE AND THREE MONTHS,
AND HE'S HERE TODAY BECAUSE
HE HAS A LOT OF TROUBLE WALKING.

The caption changes to "Doctor Boyd. Surgeon."

Doctor Boyd is in her thirties, with straight black hair in a bob cut with bangs. She wears blue and black doctor scrubs.

Doctor Boyd says TODAY, I'M GONNA MEET JAMIE
AND MARK AND THEIR DOG, LUKE.
LUKE HAS BEEN LIMPING FOR A
LITTLE WHILE, AND WE SUSPECT
THAT HE HAS A KNEE CAP THAT POPS
TO THE INSIDE OF HIS KNEE.

Jamie is in her twenties, with long straight brown hair. She wears a turquoise sweater.

Jamie says I WAS LOOKING AT FOSTER HOMES
FOR DOGS AND I SAW HIM.
AND WE JUST WENT AND
WE FELL IN LOVE.

Mark says THE FIRST TIME WE MET, HE CAME
RIGHT UP AND SAT ON MY LAP
AND BASICALLY DECLARED US
THE OWNERS.
YOU KNOW HE ADOPTED US
RIGHT AWAY.

Jamie says AND NOW HE'S LIKE OUR CHILD.

Doctor Boyd says SO, LET'S TAKE A FEEL
OF LUKE'S KNEE.
IF YOU COULD JUST HOLD ON
TO HIS HEAD THERE
AND WHISPER SWEET
NOTHINGS IN HIS EAR.
OH, THERE WE GO.
YEAH. SO, WE SEE THAT
POP RIGHT THERE?

Mark says OKAY, YEAH.

Doctor Boyd says THAT'S ACTUALLY THE KNEECAP
POPPING OUT RIGHT THERE.
IT IS AS I SUSPECTED,
HE DOES HAVE THIS CONDITION
WHERE HIS KNEECAP POPS OUT.
FROM WHAT I CAN TELL,
I DON'T THINK HIS OTHER
LIGAMENTS ARE INVOLVED.
SOMETIMES THAT CAN
COMPLICATE THINGS.
AND THE KNEECAP SITS IN
A GROVE IN YOUR THIGH BONE.
WHAT'S HAPPENING IS
WHEN THAT KNEECAP POPS OUT,
IT'S RIDING OVER THE RIDGE
OF THAT GROOVE.
AND THAT CAN BE PAINFUL,
'CAUSE IT'S GRINDING DOWN
THE CARTILAGE.
WE'RE DEFINITELY GONNA RECOMMEND
SURGERY TO STABILISE THIS KNEE.
I THINK WITHOUT IT,
HE'S GOING TO GO TO DEVELOP
DEBILITATING ARTHRITIS.
WE OFTEN SEE THIS CONDITION
IN YOUNG DOGS.
AND IT'S REALLY IMPORTANT FOR ME
BECAUSE I WANNA MAKE SURE
THAT THEY'RE GONNA HAVE
A LONG HAPPY LIFE
FILLED WITH RUNNING AND JUMPING
AND PLAYING AND ALL THAT.
I'LL LET YOU SAY YOUR GOODBYES.
AND I'M GONNA GO GET HIS CHART
AND GET EVERYTHING READY.
DO YOU HAVE ANY MORE QUESTIONS
FOR ME?

Mark says NO. JUST WHILE HE'S IN THERE,
HE LIKES THE STAR WARS TUNE...
BECAUSE I NAMED HIM AFTER
LUKE SKYWALKER.
I'M A BIG STAR WARS FAN.

Doctor Boyd says IS THAT "BEAM ME UP, SCOTTY?"
IS THAT SOMETHING FROM IT?

Mark says NO THAT'S STAR TREK.

Jamie says NO THAT'S STAR TREK.

Doctor Boyd says OH, THAT'S STAR TREK.
PRINCESS LEIA.

Mark says YEAH!

Doctor Boyd says WELL, I'LL TRY AND WRAP MY HAIR
IN BUNS BEFORE...

Mark says OKAY.

Doctor Boyd says INSTEAD OF A PONYTAIL.
SAY GOODBYE, AND WE'LL SEE
YOU IN A MINUTE.

Mark says OH, LUKA, LUKA, LUKA.
THE LONGEST I EVER SPEND
WITHOUT HIM IS IF I GO TO WORK.
WE FEEL BAD JUST LEAVING HIM
AT HOME, YOU KNOW, AT ANY POINT.
SO, YOU KNOW, TO HAVE TO LEAVE
HIM TO GET SURGERY,
IT'S KIND OF UPSETTING.

Jamie says YEAH. AND IT'S JUST TERRIFYING,
'CAUSE WE DON'T KNOW
WHAT'S GONNA HAPPEN,
IF HE'S GONNA BE OKAY.

Mark says LOVE YOU LUKE.
MAY THE FORCE BE WITH YOU!

Jamie says WE LOVE HIM MORE THAN ANYTHING,
AND WE'LL BE MISERABLE
UNTIL HE'S BETTER.

Mark and Jamie hug.

Mark says HE'LL BE JUST FINE.

The Narrator says AS LUKE IS PREPARED
FOR HIS SURGERY,
BACK IN THE LOBBY,
AN OLD BOXER IS FIGHTING
A POTENTIALLY FATAL
CONDITION.

Matthew is in his mid-thirties, clean-shaven with blond hair. He wears a beige zip sweater.

Matthew says MY NAME'S MATTHEW.
I'M HERE TODAY WITH
MY DOG, CHLOE.
I'VE HAD A CONSULT WITH
MY DAY-TO-DAY VETERINARIAN
AND THEY SUGGESTED
THAT I COME HERE.

The caption changes to "Case 2: Chloe. Episodes of collapse."

Doctor Williams is in her early thirties, with long straight brown hair in a low ponytail and wears a white coat.

The caption changes to "Doctor Williams. Cardiologist."

Doctor Williams says TODAY, I HAVE CHLOE COMING IN.
SHE'S COMING IN BECAUSE
SHE'S ACTUALLY HAD
EPISODES OF COLLAPSE.
COULD BE SOMETHING
NOT SUCH A BIG DEAL,
BUT IT COULD ALSO BE SOMETHING
REALLY, REALLY SERIOUS.

A Female Assistant says ALL RIGHT.
SO, WE'RE JUST GONNA GO BACK.

Matthew says OKAY.
WELL, I GOT HER WHEN
SHE WAS 6.5 WEEKS OLD.
SHE'S SEEN ME THROUGH A LOT
OF THINGS OVER THE YEARS.
THROUGH UNDERGRADUATE,
THROUGH LAW SCHOOL,
THROUGH JOBS IN THE STATES,
JOBS UP HERE.
SHE'S TRAVELLED WITH ME.
WE'VE LIVED IN A NUMBER OF
DIFFERENT PLACES.
A LOT OF GOOD TIMES AND
BAD TIMES,
BUT SHE'S CONSISTENTLY BEEN
THERE FOR ME.

A Young Female Technician says HI, CHLOE!
WE'LL JUST GET HER TO SIT
FOR A MINUTE
AND WE'LL GET A HEART RATE
AND BLOOD PRESSURE
AND ALL THAT ON HER BEFORE
DR. WILLIAMS COMES IN.

Matthew says AND LAST YEAR, WE CAME BACK FROM
A TRIP AND SHE GOT SO EXCITED
THAT SHE ENDED UP PASSING OUT
AND COLLAPSING ON THE GROUND.
SO, WE WENT IN AND HAD
HER HEART CHECKED
AND HAD AN E.C.G. DONE AND
EVERYTHING SEEMED NORMAL.
BUT WE CAME BACK FROM
A TRIP RECENTLY,
AND SHE GOT VERY EXCITED,
AND SHE STARTED GOING INTO
THIS VERY SHORT BREATHING
AND SHE JUST SUDDENLY COLLAPSED
HER EYES STAYED OPEN
THE WHOLE TIME.
BUT SHE ACTUALLY
URINATED HERSELF,
WHICH INDICATED TO ME THAT
SHE WAS PERHAPS PASSING AWAY
AT THAT POINT.
COUPLE OF MINUTES LATER,
SHE POPPED UP.

The Techncian says ALL RIGHT SO WE'LL GO AND
UPDATE DR. WILLIAMS
WITH WHAT'S BEEN GOING ON.
AND SHE'LL BE IN SHORTLY
TO SPEAK WITH YOU OKAY?

Matthew says BEEN A VERY DIFFICULT TIME AND
YOU KNOW?
AND I THINK THAT THE REALITY IS
THAT WE'RE PROBABLY DEALING
WITH SOMETHING
THAT'S GOING TO LEAD
TO THE END FOR HER.

The Narrator says WHILE CHLOE'S OWNER WAITS
FOR DR. WILLIAMS TO ARRIVE,
OVER IN X-RAY, DR. BOYD
IS GETTING A CLOSER LOOK
AT LUKE'S TROUBLED KNEE.

Doctor Boyd says RIGHT THERE.
THAT'S HIS WOBBLY KNEECAP.
OUCH.
SO, THIS IS A PRETTY ROUTINE
SURGERY,
SOMETHING THAT I SEE QUITE
OFTEN.
IT'S RELATIVELY STRAIGHT
FORWARD.
EXCEPT, IF I OVER COMPENSATE
AND CORRECT THE KNEE,
THE KNEECAPS GONNA POP OUT
THE OTHER WAY.
IF I UNDER COMPENSATE, IT'S
GONNA POP OUT THE WAY IT WAS.
SO, THERE'S DEFINITELY
A FINE ART TO FINDING OUT
WHAT THE PROBLEM IS
AND WHAT'S CAUSING
THAT MALALIGNMENT.

Pointing at an X ray, she continues SO, WE CAN SEE THAT KNEECAP,
SEE THIS ONE'S IN THE MIDDLE?
AND THEN THIS ONE'S SITTING
ON THE INSIDE.
SO, THAT SHOULD REALLY BE IN THE
MIDDLE OF THAT FEMUR THERE.
THAT LOOKS LIKE WE'VE GOT
SOME TIBIAL ROTATION.
SO, I'M GONNA HAVE TO ROTATE
THAT LITTLE PIECE OF BONE.
SO, IT'S NOT GONNA BE
EASY SURGERY
THERE'S A LOT OF COMPONENTS.
AND IF I DON'T CORRECT FOR ALL
OF THOSE FACTORS,
THEN THIS IS GONNA HAPPEN AGAIN.

Mark says I KNOW THAT SHE'S A PROFESSIONAL
SHE KNOWS WHAT SHE'S DOING.
BUT I MEAN, YOU KNOW,
THERE'S ALWAYS A POSSIBILITY
THAT SOMETHING CAN HAPPEN.
I MEAN, GOD FORBID, BUT STILL,
YOU KNOW.

The Narrator says AS DR. BOYD'S TEAM PREPS LUKE
FOR HIS DELICATE SURGERY,
HER IN ON CHLOE'S CONDITION.

Doctor Williams says SARAH JUST CAME OUT
AND LET ME KNOW THAT
CHLOE HAS HAD
TWO EPISODES OF FAINTING.
AND ALSO SHE HEARS
AN ARRHYTHMIA.
SO THAT'S SOMETHING THAT REALLY
CONCERNS ME.
HI, I'M REGAN WILLIAMS.

Matthew says I'M MATTHEW.
NICE TO MEET YOU.

Doctor Williams says NICE TO MEET YOU.
AND THIS IS CHLOE.

Matthew says YES IT IS.

Doctor Williams says HI, CHLOE.
OH, YOU'RE GONNA GIVE ME PAW?
OH, GOOD SHAKE.
HELLO, NICE TO MEET YOU!
OH, THAT'S VERY NICE.
OKAY.
SO, SARAH WAS TELLING ME
A LITTLE BIT ABOUT...

Matthew says MMM-HMM...

Doctor Williams says WHAT'S HAPPENED?
SO, CHLOE'S ABOUT 11,
IS THAT RIGHT? OR ALMOST 12?

Matthew says SHE'LL BE 12 IN APRIL.

Doctor Williams takes down notes.

Doctor Williams says 12 IN APRIL.
SO, WHAT I'D LIKE TO ACTUALLY
START WITH TODAY IN HER
IS AN E.C.G.
AND THAT'LL GIVE US A GOOD
IDEA OF WHERE TO START,
IF THAT'S OKAY.
DOES THAT SOUND OKAY TO YOU?

Matthew says OKAY.

Doctor Williams says PERFECT.
LET'S GRAB THE E.C.G.
THERE IS SOMETHING CALLED
BOXER CARDIOMYOPATHY
THAT IS A DISEASE
THAT WE KNOW GENETICALLY
THESE GUYS CAN GET.
AND BASICALLY, WHAT HAPPENS IS
PART OF THEIR HEART IS ACTUALLY
THE CELLS DIE OFF AND
IT GETS REPLACED BY FATTY CELLS,
AND THAT SETS OFF THESE
ARRHYTHMIAS.
AND SO WE'RE LOOKING
FOR ANY EVIDENCE
THAT SHE'S HAVING
ANYTHING LIKE THAT.

Doctor Williams's team brings a device.

Doctor Williams says WHAT'S THAT? THAT'S FOR YOU.
I KNOW THAT'S EXCITING.

The Narrator says WHILE DR. WILLIAMS AND
HER TEAM PREPARE CHLOE
FOR THE E.C.G. TEST,
OVER IN O.R. ONE,
STEP IN LUKE'S KNEE REPAIR.

Doctor Boyd says ESSENTIALLY, I HAVE TO
REALIGN THE WHOLE KNEECAP,
QUADRICEPS TENDON MECHANISM.
OFTEN IN THESE DOGS, THEIR
SHINBONE IS ROTATED INWARD
AND THAT PULLS THE WHOLE KNEECAP
INSIDE.
SO, I'M GONNA RELEASE
THAT PIECE OF BONE.
I'M GONNA ACTUALLY CUT IT.
LUKE GETS THE BIG LIGHTSABER.
THIS IS THE FUN PART.

Mark says HE'S IN TRUSTWORTHY HANDS,
IN GOOD HANDS, CARING PEOPLE.
YOU KNOW, THAT'S ALL
WE CAN ASK FOR.
I GUESS NOW IT'S JUST
A MATTER OF GOING HOME
AND WAITING FOR
DR. BOYD TO CALL.
YOU KNOW, WE'LL PROBABLY
JUST CURL UP TOGETHER,
LOOK AT PHOTOS OF LUKE
AND THINK ABOUT HIM.

At the surgery room, Doctor Boyd says WE ARE ALSO CUTTING A LITTLE
PIECE OF BONE OFF A BIG BONE.
AND IF I DON'T CUT IT PROPERLY,
I COULD CRACK THE ENTIRE BONE
AND CREATE A HUGE FRACTURE,
WHICH WOULD NOT BE GOOD AT ALL.

The Narrator says BEFORE THE BREAK ON E.R. VETS.
DR. BOYD DETERMINED
A COURSE OF ACTION
TO DEAL WITH LUKE'S BAD KNEE,
AND DR. WILLIAMS ORDERED
AN E.C.G. FOR CHLOE,
A BOXER WITH A HEART PROBLEM.

In the waiting room, Beth says HI.
RIGHT THIS WAY.

Hermine is in her late forties, with shoulder-length brown hair. She wears a black jacket and boots.

Hermine says MY NAME IS HERMINE AND THIS
IS MY DAUGHTER, LAREINE.
AND TODAY WE'RE HERE BECAUSE
OF OUR PET SIMBA.

Lareine is in her mid-twenties, with long straight brown hair. She wears a black sweater.

Patting a cat, Lareine says HE'S LOST HIS MOBILITY
HE CAN'T WALK.

The caption changes to "Case 3: Simba. Loss of Mobility."

Lareine says HE'S A BENGAL WE GOT HIM
FROM A BREEDER.
HE'S ABOUT SEVEN MONTHS OLD.

Hermine says THEY HAVE A WONDERFUL CHARACTER
THEY'RE PLAYFUL.
YEAH, THEY HAVE A LOUD
PERSONALITY THEY'RE VERY...

They say VOCAL.

The caption changes to "Beth. Intern." Beth is in her early twenties, with shoulder-length black hair. She wears a white doctor apron.

Beth says MY NAME'S BETH, AND
I'M AN INTERN WORKING HERE.
I JUST WANNA MAKE SURE WE GET
ALL THE INFORMATION STRAIGHT,
SO THAT WE HAVE EVERYTHING
BEFORE WE PROCEED.
DR. JAMES WILL GET INVOLVED
A LITTLE BIT LATER.
WAS HE ABLE TO MOVE
HIS LIMBS AT ALL?

Hermine says NO.

Beth says NO.

Hermine says LAST WEEK, HE WAS ABLE TO TAKE A
FEW STEPS, BUT THEN EVERY DAY
HE'S WORSE
THAN THE DAY BEFORE.

Beth says HEY, BUDDY.

The caption changes to "Doctor James. Neurologist." Doctor James is in her late forties, with short blond hair. She wears green scrubs.

Doctor James says I'M FORTUNATE ENOUGH
TO HAVE DR. BETH LAMBORNE
ON MY SERVICE RIGHT NOW
WHO'S GREAT.

Beth says OH, HE'S PRETTY.

Doctor James says BEAUTIFUL.

Beth says I KNOW.

Doctor James says HOW ARE THE OWNERS DOING?

Beth says THEY'RE GOOD.
SHE CRIED IN THE ROOM,
WHICH ALWAYS MAKES ME FEEL
A LITTLE BIT AWKWARD.

Doctor James says YEAH.
WE'RE TAUGHT MANY THINGS
IN VETERINARY SCHOOL.
BUT WE'RE NOT TAUGHT
HOW TO DEAL WITH THOSE EMOTIONAL
SITUATIONS WITH CLIENTS.
AND TO BE HONEST, THAT'S
THE MAJORITY OF WHAT WE DO.
SO, YOU HAVE TO HAVE A
GREAT DEAL OF EMPATHY
AND COMPASSION FOR THE CLIENTS.
AND REALLY LET THEM KNOW THAT
YOU'RE ALONG THE JOURNEY
WITH THEM
IN TRYING TO HELP THEM THROUGH
WHAT THEY'RE GOING THROUGH.
HE IS ADVANCING THE FRONT LEGS
WHICH IS GOOD.
I DON'T SEE ANY MOVEMENT
IN THE BACK LEGS AT ALL.
POOR LITTLE THING CAN'T WALK
AT ALL, CAN'T EVEN STAND UP.
HIS PERIPHERAL NERVES, OR THE
NERVES THAT GO TO HIS MUSCLES,
ARE AFFECTED AND THIS IS
A CONDITION IN BENGAL CATS
THAT RESPONDS TYPICALLY
TO TREATMENT WITH STEROIDS.

The Narrator says WHILE DR. JAMES
PREPARES TO DISCUSS
SIMBA'S PARALYSES
WITH HER OWNERS,
BACK IN O.R. ONE,
DR. BOYD HAS MOVED ON
TO THE SECOND PHASE
OF LUKE'S KNEE REPAIR.

Doctor Boyd says ALL RIGHT. SO, NOW
I LIKE TO MOVE IT
WHERE I THINK IT SHOULD GO.
I TRY AND DO IT WITHOUT ME
TWISTING THIS.
SO, I KIND OF REALLY GIVE IT A
GOOD RELAXED RANGE OF MOTION.
BASICALLY, I REALIGN THE KNEECAP
AND THE SHINBONE,
AND THEN I ROTATE IT
TO STRAIGHTEN IT
TO REALIGN IT WITH HIS ANKLE
AND THE CENTER OF HIS KNEE.
WHAT'S THE RULE?
MEASURE TWICE, AIM AND CUT ONCE.
AND THEN I HAVE TO STABILISE
THAT IN THAT POSITION WITH PINS.
SUCH A SMALL PIECE OF BONE YOU
ONLY WANNA PUT THIS PIN IN ONCE.
'CAUSE YOU START
PUTTING HOLES IN IT,
IT'LL BE LIKE SWISS CHEESE
AND IT'LL FALL APART ON YOU.
SO, YOU WANNA AIM SO YOU'RE NOT
AIMING INTO THE JOINT,
'CAUSE THAT WOULD BE BAD.
LET'S GET THIS.
THE KNEECAP DIDN'T WANNA
GO ANYWHERE.
IT STAYED RIGHT IN ITS GROOVE
WHERE IT SHOULD HAVE.
ALL RIGHT.
AWESOME, I LOVE THAT.
SO, THE SECOND PIN.
SO, NOW I'M GONNA BEND
THESE WIRES,
SO THAT THEY DON'T BOTHER
POOR LUKE HERE
WHEN HE'S RUNNING AROUND.
LET'S SEW UP OUR JOINT, AND THEN
I THINK WE'RE GOOD.

The Narrator says AS DR. BOYD BEGIN TO SEW UP
LUKE'S KNEE,
BACK IN EXAM ROOM FOUR,
SIMBA'S OWNERS HER DIAGNOSIS.

Doctor Williams says HI, I'M DEBBIE JAMES.
NICE TO MEET YOU.
HERMINE.
LAREINE.

They all shake hands.

Doctor Williams says SO, BENGAL CATS CAN GET WHAT
WE CALL A POLYNEUROPATHY.

Making a drawing, she continues SO, THIS WOULD BE BRAIN,
THIS WOULD BE SPINAL CORD,
THIS WOULD BE HIS LEGS.
AND THERE'S NERVES THAT COME OFF
THAT GO TO THE FRONT LEGS
AND THE BACK LEGS.
IT'S A DISEASE THAT AFFECTS
THEIR PERIPHERAL NERVES
AND CAUSES A GENERALISED
WEAKNESS AND LACK OF REFLEXES.
AND THERE IS A REPORTED SYNDROME
IN YOUNG BENGAL CATS OF THIS.
HIS EXAMINATION FITS
THAT DISEASE.
OH IT'S OKAY.

Hermine cries.

Doctor Williams says OKAY, LET ME BACK UP AND SAY
IF THIS IS THIS CONDITION
MOST CATS GET BETTER, OKAY?

Hermine says IT BREAKS MY HEART
TO SEE HIM THIS WAY.

Doctor Williams says YOU'D BE ABNORMAL
IF YOU WEREN'T CRYING.

They laugh.

Doctor Williams says OKAY, WE'RE GONNA
START HIM ON CORTICOSTEROIDS.
AND IN SOME CATS,
I'VE SEEN A PRETTY GOOD RECOVERY
QUITE QUICKLY.
I THINK WE WERE ABLE TO GIVE
THEM SOME HOPE BY TELLING THEM
THAT HE WILL VERY LIKELY RESPOND
TO MEDICATION.
BEFORE DOING THAT, I ABSOLUTELY
NEED TO HAVE BLOOD WORK
TO MAKE SURE IT'S OKAY
TO PUT HIM ON PREDNISONE.
WE'LL HAVE THAT BACK
WITH ABOUT AN HOUR.
SO GO FOR A COFFEE...

Hermine says YES, YES.

Doctor James says AND WE'LL SEE YOU BACK IN
ABOUT AN HOUR.
OKAY THANKS.

Hermine says WE WILL BE BACK IN A BIT TO SEE
HOW HE'S PROGRESSING.
AND WE'RE HOPING THAT IT'S GONNA
WORK OUT.

The Narrator says A BLOOD SAMPLE IS TAKEN FROM
SIMBA IN ORDER TO DETERMINE
IF STEROIDS CAN BE USED
IN HER TREATMENT.
MEANWHILE, BACK IN CARDIOLOGY,
DR. WILLIAMS IS ABOUT TO GET
THE RESULTS FROM CHLOE'S
E.C.G.

Doctor Williams shows the results to Matthew.

Doctor Williams says YOU CAN SEE EVERY ONE
OF THESE SPIKES IS A BEAT, OKAY?
SHE HAS A LITTLE
BIT OF IRREGULARITY
IN THAT THERE ARE SOME
ARE CLOSER TOGETHER
AND SOME THAT ARE FURTHER APART.
THEN WE KIND OF COME OVER HERE
AND YOU CAN SEE HOW THOSE LOOK
QUITE A BIT DIFFERENT, RIGHT?
THEY'RE KIND OF TALLER, WIDER,
BIZARRE-LOOKING.
THAT, PLUS THE COLLAPSE
EPISODES,
I'M VERY CONCERNED
THAT SHE'S AFFECTED
WITH THE BOXER CARDIOMYOPATHY
THAT WE TALKED ABOUT.
OKAY?
WHICH COULD BE FATAL.
AND SO, WHAT I'D LIKE TO DO IS
PUT A HOLTER ON HER.
A HOLTER MONITOR IS ESSENTIALLY
A LITTLE WALKMAN
THAT SHE WEARS HOME.

Matthew looks concerned.

Doctor Williams IT LOOKS AT HER E.C.G.
FOR 24 HOURS,
AND BASICALLY, IS TELLING ME
HOW BAD IS BAD.
BASICALLY, WE'LL LET HER HAVE,
LIKE, ABOUT FOUR OR SIX HOURS
ON THE HOLTER WITHOUT
ANY MEDICATIONS,
AND THEN WE'LL START MEDICATIONS
PROBABLY LATER TONIGHT.
AND THAT WAY, I'LL GET SOME
SENSE OF HOW SHE IS
OFF MEDICATIONS ALL TOGETHER.

Matthew says WELL, WHAT'S YOUR PRELIMINARY
PROGNOSES?
IS THIS PROBABLY SOMETHING
THAT'S GONNA CREEP UP AT
ANY POINT IN TIME AND GET HER?

Doctor Williams SO UNPREDICTABLE,
AND I CAN'T SAY THAT
SHE COULDN'T COLLAPSE TONIGHT.
I CAN'T SAY THAT.
BUT HOPEFULLY, BY PUTTING
HER ON MEDICATIONS,
WE'RE GONNA GIVE HER SOME
GOOD QUALITY TIME LEFT.

Matthew says YEAH, YOU KNOW,
I'VE HAD A FEW MORNINGS
WHERE THERE'S BEEN SOME TEARS
ON THE WAY TO WORK
AND YOU JUST WONDER YOU KNOW
WHETHER SHE'S GONNA
BE THERE WHEN YOU GET BACK.

Doctor Williams says YOU KNOW, BECAUSE WE DON'T KNOW
WHAT'S GONNA HAPPEN,
GIVE HER LOTS OF LOVE.

Matthew says MMM-HMM. NO, I HAVE BEEN.
I'VE BEEN ENJOYING THE TIME
THAT I HAVE WITH HER.

Doctor Williams says YEAH, YEAH.

Matthew says SO.

Doctor Williams says ALL RIGHT.
SO, LET'S GET HER DRESSED.
THIS IS THE HARD PART OF THE JOB
WHEN YOU HAVE TO TELL OWNERS
THAT YOU CAN'T PREDICT THIS.
THAT THIS COULD BE SOMETHING
FATAL AND THAT YOU CAN'T,
AS MUCH AS YOU PUT THEM ON
MEDICATIONS, CONTROL EVERYTHING.

The Narrator says AS CHLOE IS
PREP TO BE FITTED
WITH HER HOLTER MONITOR,
BACK IN O.R. ONE,
DR. BOYD IS PUTTING
THE FINISHING TOUCHES
ON LUKE'S STITCHES.

Doctor Boyd says I USED TO LOVE SEWING AS A KID.
I ALWAYS USED TO PRETEND MAKING
MY OWN FASHIONS.
LOOK AT YOU SEWING YOUR OWN
CLOTHES AT THE AGE OF 12.
I STILL GET TO SEW.

The Technician says AND YOU MAKE THINGS PRETTY TOO.

Doctor Boyd says THAT'S MY GOAL, MY GOAL.
THAT KNEECAP IS NOT GOING
ANYWHERE.
IT IS STUCK WHERE IT SHOULD BE.
IN ANY RANGE OF MOTION, IT'S NOT
WANTING TO POP IN OR OUT.
IT'S BRILLIANT,
IF I DO SAY SO MYSELF.
NO PATS ON THE BACK UNTIL
THE X-RAYS ARE DONE.
WE'LL SEE THE
POST-OPERATIVE X-RAYS.
MAKE SURE THOSE PINS
ARE IN THE RIGHT PLACE.
IT'S ALWAYS A LITTLE
TOUCH AND GO
'CAUSE IF I OVER ROTATE I CAN
CAUSE PROBLEMS FOR LUKE.
AND THAT'S THE LAST THING
I WANT TO DO.

The Narrator says BEFORE THE BREAK
ON E.R. VETS...
DR. JAMES DETERMINED THAT
SIMBA NEEDED MEDICATION
TO DEAL WITH HER PARALYSES.
DR. WILLIAMS DECIDED THAT CHLOE
REQUIRED A HEART MONITOR,
AND DR. BOYD COMPLETED
HER SURGERY ON LUKE.
WITH SIMBA'S BLOOD WORK
COMPLETE,
DR. JAMES CALLS IN HER OWNERS
TO UPDATE THEM.

Doctor James says THE BLOOD WORK'S BACK.
AND THE CHEMISTRY LOOKS FINE.
SO, THERE'S NO INDICATIONS
REALLY NOT
TO START THE CORTICOSTEROIDS.

Hermine says SHE WILL BE PUTTING HIM
ON A STEROID.
AND THEN WE'LL BE BACK
IN A WEEK'S TIME
TO SEE HOW THINGS
ARE PROGRESSING.

Doctor James says SO...

Hermine says THANK YOU SO MUCH.

Doctor James says LET'S CROSS FINGERS THIS
IS GONNA WORK.

Hermine says YES, YES.

Doctor James says OKAY?
AND SO, WE WILL SEE YOU IN ONE
WEEK'S TIME.
AND HOPEFULLY, OVER THE WEEK
WE'RE GONNA SEE...

Hermine says THANK YOU SO MUCH.
Holding Simba, she says I APPRECIATE IT.
SAY BYE.
THANK YOU.

Doctor James says BYE SIMBA.

Beth says BYE SIMBA.

Lareine says WE CAME IN HERE NOT KNOWING
ANYTHING ABOUT HIS CONDITION.
AND NOW WE KNOW WHAT COULD BE
THE PROBLEM AND.

Hermine says WE'RE GONNA STAY OPTIMISTIC AND
HOPE THE MEDICINE WORKS.

The Narrator says AS SIMBA'S OWNERS HEAD HOME,
DR. BOYD TAKES A LOOK
AT LUKE'S X-RAYS
TO CONFIRM THAT THE SURGERY
WAS SUCCESSFUL.

Doctor Boyd says SO, HERE ARE THE POST-OPERATIVE
X-RAYS.
SO, THE MAIN THING WE'RE LOOKING
FOR IS PROPER IMPLANT POSITION
FROM THIS VIEW.
THIS SECOND PIN, I COULDN'T FEEL
THE BACKSIDE OF IT.
SO, YOU ALWAYS WORRY
'CAUSE THERE'S A BIG WAD
OF MUSCLE THERE.
AND IF THE PIN GOES TOO DEEP,
IT'S GONNA IRRITATE THAT MUSCLE,
BUT IT LOOKS BRILLIANT.
AND THEN FROM THIS VIEW,
SUPER HAPPY.
WHERE BEFORE THE KNEECAP
WAS SITTING OVER HERE,
IT'S ACTUALLY NOW IN THE MIDDLE
OF THE BONE.
SO, I COULDN'T BE HAPPIER.

A Female Technician says GOOD WORK.

Doctor Boyd says YES.
NOW, WE CAN PAT OURSELVES
ON THE BACK.
ALL RIGHT, LUKE, THE FORCE WAS
WITH YOU TODAY.
YOU DID A GREAT JOB.
HMM?

Doctor Boyd kisses Luke, who is lying on a stretcher.

Doctor Boyd says SO, I JUST LOOKED AT THE X-RAYS,
LUKE'S KNEE LOOKS FABULOUS.
THE IMPLANTS, I'M HAPPY
WHERE THEY ARE,
THE KNEECAP IS CENTRAL.
EVERYTHING LOOKS GREAT.
SO, I'M GONNA CALL
LUKE'S PARENTS
AND I THINK THEY'LL BE
REALLY HAPPY.
HI, IT'S DR. BOYD CALLING,
HOW ARE YOU?
YEAH, WE'RE FINISHED
WITH LUKE'S SURGERY
AND EVERYTHING WENT REALLY WELL.
WHAT THEY'RE GONNA DO IS
THEY'RE GONNA REST HIM
REALLY STRICTLY
FOR THE FIRST LITTLE BIT.
THEIR JOB IS
WHAT'S IMPORTANT NOW.

The Narrator says WITH LUKE'S PARENTS RECEIVING
THE GOOD NEWS,
OVER IN CARDIOLOGY,
CHLOE HAS BEEN FITTED WITH
HER TAKE-HOME HEART MONITOR.

Matthew says SO, IF I HAD TO GIVE MY WIFE A
30 SECOND SUMMARY
OF WHAT HAPPENED TODAY?
WHAT WOULD IT BE?

Doctor Williams says OH, DEAR.
MOST LIKELY SHE HAS
BOXER CARDIOMYOPATHY.
THAT'S CAUSING THE COLLAPSE
EPISODES BECAUSE OF ARRHYTHMIA.
IT IS DANGEROUS.
WE KNOW THAT THAT CAN CAUSE
SUDDEN DEATH.
BUT BY PUTTING HER
ON MEDICATIONS,
WE'RE HOPING TO REDUCE THE
LIKELIHOOD THAT SOMETHING BAD
IS GONNA TO HAPPEN.
AND SHE PROBABLY WILL
BE ON MEDICATION
FOR THE REST OF HER LIFE.
IT'S A LITTLE BIT
HARD TO PREDICT
ABOUT HOW EXACTLY LONG
THAT'S GONNA BE.

Matthew says THE NEWS WAS BITTER SWEET FOR ME
IN THE SENSE THAT I DO HAVE
A PROGNOSES
AND I DO HAVE SOME
IDEA OF WHAT'S GOING ON.
BUT AT THE SAME TIME,
WE ARE APPROACHING THE END
AND THAT THIS IS SOMETHING
THAT ULTIMATELY
IS GONNA GET THE BETTER
OF CHLOE.
THANK YOU SO MUCH
FOR ALL YOUR HELP.

Doctor Williams says YOU'RE WELCOME.

Matthew says I APPRECIATE ALL THE ADVICE
AND SUPPORT.
YOU KNOW, SO.

Doctor Williams says ALL RIGHT.
WELL, YOU GUYS GO HAVE FUN.
BASICALLY, I HOPE THEY JUST GO
HOME AND SPOIL HER ROTTEN.
GIVE HER LOTS OF KISSES,
MAYBE A STEAK HERE AND THERE
AND REALLY ENJOY HER.

Matthew says NOW, I'M JUST GONNA DO MY BEST
TO ENJOY THE TIME THAT
I HAVE WITH HER.
AND ENJOY EVERY DAY THAT I CAN.

The Narrator says AS CHLOE GOES HOME
TO GET SPOILED,
IN EXAM ROOM SIX,
LUKE IS BEING
REUNITED WITH
HIS LOVING OWNERS.

(piano music plays)

Jamie says DR. BOYD CALLED US
TO COME PICK HIM UP.
WE REALLY DIDN'T KNOW
WHAT TO EXPECT.
WE'VE NEVER HAD A PET
THAT'S HAS SURGERY.

Doctor Boyd says THE KNEECAP IS TRACKING
CENTRALLY.
IT'S BEAUTIFUL,
IT'S NOT EVEN WANTING TO WIGGLE
ONE WAY OR THE OTHER,
WHICH IS EXCELLENT.

Jamie says HOW LONG IS THE RECOVERY TIME?

Doctor Boyd says SO, IT'S ABOUT THREE MONTHS OF
RESTRICTED ACTIVITY.

Jamie says OKAY.

Doctor Boyd says REALLY THE KEY HERE IS IN
POST-OPERATIVE INSTRUCTIONS.
I CAN ONLY DO SO MUCH.
AND MY CONTROL STOPS
WHEN THEY GO HOME.
AND YOU CAN DO
A BRILLIANT REPAIR,
BUT IF THEY JUMP
IN AND OUT OF A TRUCK
RIGHT AFTER SURGERY,
THEY'RE GONNA BLOW APART
THEIR KNEE.
THE FIRST MONTH IS REALLY KINDA
OUT TO KIND OF DO HIS BUSINESS
AND BACK IN.

Jamie says OKAY.

Luke wears a dog cone.

Doctor Boyd says MINIMISE STAIRS, ABSOLUTELY
NO JUMPING.
BUT WE'LL BE ALLOWING HIM TO DO
A LITTLE BIT MORE ALONG THE WAY.
IF IN THAT TIME YOU HAVE ANY
CONCERNS OR QUESTIONS,
GIVE ME A CALL.

Mark says PERFECT.

Doctor Boyd says OKAY?

Mark says THANK YOU SO MUCH.

Doctor Boyd says YOU'RE WELCOME.

Jamie says SO, WE STILL HAVE A LONG ROAD
AHEAD OF US,
BUT DR. BOYD SAID THAT HE LOOKS
LIKE IT'S PROGRESSING WELL.
THANK YOU.

Doctor Boyd says OKAY, YOU'RE WELCOME.

Mark says BYE.

Doctor Boyd says BYE.
I LOVE IT WHEN THERE'S HAPPY
ENDINGS.
WE STILL KEEP
OUR FINGERS CROSSED
UNTIL IT'S COMPLETELY HEALED.
I ALWAYS WORRY A LITTLE BIT
ABOUT THEM.
BUT I THINK HE'S GONNA DO GREAT.
AS LONG AS HE'S OKAY AND HAPPY
THAT'S REALLY ALL THAT MATTERS.

Jamie says COME ON!
COME ON BOY!

The caption changes to "1 week later."

Doctor Williams says HOW'S IT GOING?

Hermine says GREAT.

Doctor Williams says GOOD?
SO, TODAY I'M RECHECKING SIMBA.
WE HAVEN'T SEEN HIM FOR A BIT,
SO HOPEFULLY,
WE'RE GONNA SEE HIM CRUISING
AROUND TODAY AND WALKING WELL.

Doctor Williams puts Simba on the floor.

Beth says HI, SIMBA.

Simba walks up to his kennel.

Doctor Williams says YOU'RE GONNA GO BACK IN?
OH!
NO HE'S LIKE...
OH, LOOK HE CAN JUMP!
HE IS DOING GREAT.
HE'S UP AND WALKING AROUND.
HE'S STILL NOT 100 percent BUT HE'S 95 percent
I WOULD SAY.
A LITTLE BIT OF WEAKNESS
WITH THE BACK LEGS,
WHICH HOPEFULLY WILL CONTINUE TO
IMPROVE.
SO, HE HAD A FANTASTIC RESPONSE
TO STEROIDS.
Talking to Hermine, she continues I DID SOME MORE WALKING WITH HIM
BACK THERE.
HE'S DOING REALLY WELL.
SO, IT IS THE CONDITION THAT
WE SUSPECTED.
THIS CONDITION OF BENGAL CATS.
SO, YAY.

Hermine says SIMBA'S DOING GREAT.
AND WE'RE SO PLEASED WITH THE
IMPROVEMENT.

Lareine says HE'S WALKING NOW.
HE'S HOPING AROUND LIKE A BUNNY.

Doctor Williams says HEY, BUDDY.

Hermine says THANK YOU AGAIN.

Doctor Williams says OKAY. TAKE CARE.

Hermine says THANK YOU WE'LL SEE YOU.

Doctor Williams says ALL RIGHT.

Lareine says OUR EXPERIENCE HERE
AT THE V.E.C.
HAS BEEN AMAZING.
DR. JAMES HAS BEEN SO HELPFUL
AND...

Hermine says WE'RE SO PLEASED AND
THANKFUL FOR HER.

Doctor Williams says THE OWNERS ARE HAPPY,
I'M SUPER HAPPY,
Smiling, she says AND IT'S A GREAT DAY TO BE
A VETERINARY NEUROLOGIST.

A song plays LOVE IS, LOVE IS.
COMING BACK AGAIN.
SHE CIRCLES YOUR LIFE.
LIKE A GOOD OLD FRIEND.
LOVE'S GOT PLACES TO BE.
AND BROKEN HEARTS TO
MEND.
BUT LOVE IS COMING BACK TO
YOU AGAIN.

The end credits roll.

Narrated by Jann Arden.

Executive producers, James Wilkes and Bruce Elis.

Director, James Wilkes.

Logo: CMT, a Corus Entertainment Company.

Watch: ER Vets - Series 1- Episode 15