Why I Have Never Lost a Patient Under Anesthesia

There are only two reasons why I have never lost a patient under anesthetia, and neither of those reasons has anything to do with me being amazing. Anybody could do it.

Why I have never lost a patient under anesthesia.

First, I’m smart enough to know which patients are actually likely to have a problem with anesthesia. Sometimes it’s a gut feeling, but more often it is some obvious medical impact on cardio pulmonary performance, and evident frailty that are instrumental in deciding whether or not I would risk anesthetic or not. So far I have not been wrong*.

The second reason I have never lost a patient under anesthetic is because the anesthetic protocol I use costs 41 times more than the current model of anesthetic in prevalent use in most practices today. 41 times more expensive than what the next veterinarian does. Not twice as expensive. Forty times more expensive. But, I believe that never having to call someone and tell them that their pet had an “anesthetic reaction“ is priceless.

The anesthesia that I use was developed by Dr. David Reeves at the University of Georgia more than 20 years ago, and it is the same today as it was then.

It’s a technology called “balanced neuroleptanalgesia”. It puts together four different injectable anesthetics. The dose is defined by the animals weight, and not the depth of the anesthetic at an any given moment. In other words, adjustments are not made on the fly.

So besides getting an accurate weight on the animal, there is no minute-to-minute judgment call as to whether or not it is going too deep.

But like I said, I am no genius. Perhaps Dr. Reeves is. I’m just smart enough to know when having a specific overhead cost that is 41 times higher than my competition is fiscally “worth it“.

Nothing about the “bottom line“ down at the bank is worth having to call someone and tell them that their pet is not coming home.

I’m not saying cheaper anesthesia is unsafe. I have no basis to say that. I just know that I’ve never lost a patient under anesthesia using Dr Reeve’s protocol and that’s not the statistic on gas anesthesia.

Why I Have Never Lost a Patient Under Anesthesia

Doc Johnson

 

* Sometimes you don’t get to choose your anesthetic candidates. I have had one patient die on the operating table. But not from anesthesia. It was a dog I will never forget. His name was Fatty. Not kidding. He had been hit by a car in the rain. By the time he was brought to me he had pretty much finished up bleeding out his badly shattered spleen and in the process of opening him up and assessing his injuries, he stopped breathing and that was that.

Enter your email address for a free PDF of this article including its images.

Enter your Email Address

My Favorite Amazon Recommendations

Items and content will not show in "Reader View" check your browser.

This is The LCD Screen Scope
We Did The Tutorial With. I did a twenty page tutorial (Here's the tutorial) with video, audio, images and even little parasite movies to show you how to use a microscope. 

This Filter is Good For BIG Dirty Tanks
I've been wrestling with water quality with the turtles. The sponges work GREAT, but in THOSE turtle systems where they eat MICE the poops are bulky. This filter can handle it. In "Tortu's" tank, it's got an 800 gph pump and it rocks. 

PraziPro for Flukes
They nailed it. Figured out the solubility and worked out the dosing. It works. 

Buy Some Good Koi?
No, this isn't really for the 'high end' collector y'all. But for someone who isn't near a decent garden center, here are "good-to-quite-good" Koi you will like at a very good price. I know these guys personally.

Best Food, Ever
It's made for (and I discovered it for) my Blood Parrots but the small size, intense color enhancers and excellent formulation make it superb young-Koi food. Oh, and it's AMAZING on color-cichlids like Flowerhorn and Blood Parrots. 

Pro Air 60 Aerator is a VERY high output air pump pushing my whole fish room (17+ drops), and I have one at home driving everything there, and I have one as a back up. 

Formalin Malachite (Not dilute)
There are formalin malachite preparations at 10%, 22% and 37%. There's economy in the concentrates. Hard to get Prime shipping because air transport is curtailed. This is a good value on 32 ounces. 

Topical For Koi and Pond Fish Ulcers
I like 7% tincture of iodine because it stains but it's hard to hurt anything with it. Used with a WOVEN gauze, this works well to clean and disinfect a wound. Only use ONCE. Do not 'repeatedly' scrub wounds. 

Confectioner's Glaze 
Is the way to bind a medication to fish food. Gone are the days of paste food and oil. The write up is done, it's RIGHT HERE.

Koi Health & Disease
Hopefully this link takes you to the newest edition by PRIME to get it to your house the fastest. 

I have over ten of these Titanium Heaters in my fish room and at home. They're a paradigm shift in aquarium heating. They're titanium and 400W for under $30! Whaaaaaaaaat?

CyroPro by Hikari is safe and easy for Anchor Worms and Fish Lice.

Whatever heaters you use, back yourself up with a temperature controller, it'll turn on, and off your heaters. If your heater seizes "on" at least the thermostat will stop a tragedy. 

LifeGuard by Tetra is a tablet version of a tame 'chloramine-t' or 'halamid' compound that's easy to get and good on bacterial infections, in baths. 

Antimicrobial
If you're making medicated feed for a larger group of fish, this will come in handy. Dosing is available in the site. 

For me, filtration-of-choice
For aquariums, even small Koi holding facilities or small ponds. These sponge filters are cheap, easy to clean, and they clear hazes very well when used with some Accuclear or similar.

Rubber sided, round, nettable tanks
Make great hospital or quarantine facilities. They SHOULD cost about $200-300 depending on size, but this, lower quality unit (while panned in some reviews) may be good. Don't overfill and make sure it's propped up.

1200 Watt heater, on a thermostat held securely above the waterline, works GREAT as a large tank heater. That's all I'll say because there's risk of electrocution and all that. But then, even in a bucket you could get killed. Sound like fun?
I have several of these ALLIED PRECISION stainless ones that are a couple years old. Working still. 

Potassium Permanganate 
500 grams could be a lifetime supply but it's 50% more than the 100g cost wise, for 500% more amount. Dosing is in the site and the book.

What Does Ajax Eat?
I looked for something well formulated, with meat as the first ingredient. Something UNDER $2/lb and something they could deliver for free. And this was it. He looks and feels great on it.