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There are 2 main problems with treatment.
Firstly, the "cure" drugs are also particularly
toxic and just as good at killing the patient as well as
the fungus if taken systemically by injection or tablet.
To avoid this problem the medication is given topically
to kill the fungus directly on contact rather than being
absorbed into the patient's bloodstream.
This brings us to the second problem which is gaining access
to the site of infection. Holes had to be drilled into Sam's
skull to allow me to remove as much of the infected material
as possible. Then 2 tubes are inserted into the sinuses
to facilitate the application of the medicine to the areas
where it is required.
The medication is then administered daily until the infection
is under control. The drains are then removed. As you might
imagine this procedure is not without a degree of difficulty
and was made all the more easy by the excellent co-operation
of "Sam" who I am very pleased to say is making
an excellent recovery.
Hospitalised for over a week he quickly became a firm favourite
with the nursing staff who feel a great sense of satisfaction
in suporting "Sam" through his treatment regime.
His owners also feel a great deal of satisfaction in knowing
that the insurance company are also providing a different
but vital form of support through Sam's illness!!!
Terry
Dunne BVMS, Cert SAO, MRCVS
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