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Hannah was working at Ryedale Vets in North Yorkshire when she got a call to tell her that Betty had been hit by a car after running off.
Hannah said: “My mother-in-law said she was dead, but she suddenly sat up when she arrived here at the practice in the back of a pick-up.
"I couldn’t believe she was alive, but her jugular was severed and there was blood everywhere as our team carried her in.
“The injuries were so horrendous you couldn’t even tell it was a dog’s face.
"I’ve never seen anything like it, and I hope I never will again.”
Betty had sustained multiple injuries, including severe facial trauma and fractured toes.
Luckily, Betty was swiftly transferred to the appropriately named Swift Referrals in Leeds, where she was stabilised and treated for the first 48 hours by the medicine team.
Apparently, the medical team had to deal with shock, low blood pressure, high heart rate, high respiratory rate, pain, anaemia, high Glasgow coma scale, high lactate, metabolic acidosis and prolonged clotting times before the surgical team could even get involved.
Jonathan Bell, an RCVS Specialist in Small Animal Surgery at the IVC-owned referral centre said: “A CT scan revealed she had fractured the wing of the atlas.
“There were also fractures to the zygomatic arch and the zygomatic process of the temporomandibular joint, significant haemorrhage and a large open facial wound with extensive soft tissue damage.
“She had a mediastinal bleed and two fractured toes, which healed with a splint.
“Intensive open wound management was required to reach a point where the wound could be safely closed.
"This entailed repeated flushing, cleaning and dressing of the wound.
"Several surgeries were required to achieve wound closure.”
Despite the reconstructive procedures, there was a small area on her cheek that wouldn’t heal fully.
She had a discharging sinus and had developed an ear infection which was not settling with antibiotics.
Jonathan added: “We did a repeat CT scan which showed that there had been a penetrating injury to the cartilage of the ear canal and a fistula had formed.
“I performed a total ear canal ablation, and we then continued to monitor her condition carefully.
“Following the TECA, the discharging sinus persisted, necessitating further surgery.
"The sinus tract was dissected down to its origin at the temporomandibular joint, where several pieces of necrotic bone were retrieved.
"Following this final surgery, the sinus resolved.
“It was a major trauma. We are just delighted we were able to help, and she has come through it all so well.”
Following the surgeries at the end of last year, Betty has continued to make good progress.
Hannah said: “I was sure she wasn’t going to live and had made my plans about what I was going to do.
“Everyone is amazed she fought her way through, and we all think she’s a little miracle.
"She has such an appetite for life.
“Looking at her now, you’d never know anything had happened to her and I can’t thank my team and everyone at Swift Referrals for saving her.”
The clinic will offer referrals in orthopaedics, internal medicine, soft tissue surgery, neurology and advanced imaging from a team which includes Rory Bell, an RCVS and European Recognised Specialist in Internal Medicine, and Jonathan Bell, an EBVS and RCVS Specialist in Small Animal Surgery.
The practice says it has some of the most advanced equipment in Europe, including a Siemens 128 slice CT scanner and a Siemens 1.5T Aera MRI scanner. The clinic also has three environmentally-controlled theatres, with CT and MRI scanning capabilities.
Dr Stuart Cooke BVetMed CertSAS MRCVS, one of Swift Referrals founders said: “We’re delighted to launch Swift Referrals, and would like to thank everyone who helped us get here. We are proud to be able to say that we house some of the most advanced equipment in the continent, from the very best advanced imaging machines, to specialist treatment and aftercare rooms. We also have some of the most skilled veterinary experts operating in them, day in and day out. Our clinicians are leaders in their field of expertise, with years of experience and very advanced training."
For more information: www.swiftreferrals.co.uk/.