LA FAMOSA RADIOGRAFIA DE LA CLINICA ALBERTO ALCOCER
16 DICIEMBRE DE 2013 - EMAIL 1
Enviado el: Monday, December 16, 2013 9:22 PM
Para: 'Veterinario Alberto Alcocer'
Asunto: RADIOGRAFIA BOMBE
Para: 'Veterinario Alberto Alcocer'
Asunto: RADIOGRAFIA BOMBE
Necesito saber porque han hecho una radiografía – del lado
izquierda del cuello (cabeza) de Bombe – cuando el bulto está a la derecha de
la garganta.
Hemos tomado fotos / videos – por si es necesario.
Best Regards,
From: Veterinario Alberto Alcocer
[mailto:secretaria@cvalbertoalcocer.com]
Sent: Tuesday, December 17, 2013 11:24 AM
To: xxx
Subject: RE: RADIOGRAFIA BOMBE
Sent: Tuesday, December 17, 2013 11:24 AM
To: xxx
Subject: RE: RADIOGRAFIA BOMBE
Buenos días xxx,
Las
proyecciones radiológicas necesarias para valorar el cuello de un animal son:
la ventrodorsal y latero-lateral , que son las que hemos realizado a Bombe.
Tu
confusión viene porque es una imagen de espejo, como si tu miras una fotografía
de un retrato de frente, su lado izquierdo es tu lado derecho. Igual pasa en la
radiografía de Bombe. Es fácil cuando estas habituado a interpretarlas, como
los médicos y veterinarios.
Estate
tranquila que en cuanto tengamos el resultado de la citología podremos contarte
algo más. De verdad que haremos todo lo posible por diagnosticar y curar a
Bombe, no te preocupes.
Un
Saludo.
19 - 20 DICIEMBRE DE 2013 - EMAIL 2
Enviado el: Thursday, December 19, 2013 3:09 PM
Para: 'Veterinario Alberto Alcocer'
Asunto: CLARIFICATION - results of the "CITOLOGIA" and diagnosis EMAIL 3 -RV: bombe
Dear Mabel,
At this time – we await the
results of the cytology test and a complete diagnosis of the test results.
Thank you.
xxx
De: Veterinario Alberto Alcocer [mailto:secretaria@cvalbertoalcocer.com]
Enviado el: Thursday, December 19, 2013 1:59 PM
Para:xxxx
Asunto: RE: results of the "CITOLOGIA" and diagnosis 2 -RV: bombe
Enviado el: Thursday, December 19, 2013 1:59 PM
Para:xxxx
Asunto: RE: results of the "CITOLOGIA" and diagnosis 2 -RV: bombe
Dear xxx,
The lab didn’t send us the
cytology results yet. In the moment that we have it we will send it to you for
sure. But the lab result is about the mass, not the kidney. The kidney problem
you should start treating immediately for the good health of Bombe, the longer
we wait the worse the kidney will be.
Kind regards
Mabel Conde
Sent: Thursday, December 19, 2013 4:33 PM
To: 'Veterinario Alberto Alcocer'
Subject: CLARIFICATION - results of the "CITOLOGIA" and diagnosis EMAIL 4 - RV: bombe
Subject: CLARIFICATION - results of the "CITOLOGIA" and diagnosis EMAIL 4 - RV: bombe
Dear Mabel,
I am surprised that you have not
received the lab report – since you told me yesterday morning at 12 noon – that
it would be there yesterday.
Again, at this time – we await
the results of the cytology test and a complete diagnosis based on all the
test results taken to date about the “mass” – which Vanessa deemed
necessary to properly diagnose the bump on Bombe´s throat to her right side.
We are aware of the kidney
problem - it is not necessary to remind us.
Thank you.
24 DICIEMBRE - EMAIL 2
Sent: Friday, December 20, 2013 8:57 PM
To: secretaria@cvalbertoalcocer.com
Subject: email 2 - RV: EMMERGENCY REQUEST FOR - results of the "CITOLOGIA" and diagnosis EMAIL 4 - RV: bombe
To: secretaria@cvalbertoalcocer.com
Subject: email 2 - RV: EMMERGENCY REQUEST FOR - results of the "CITOLOGIA" and diagnosis EMAIL 4 - RV: bombe
Since
your clinic just confirmed during my phone call - that the report arrived
mid-day – PLEASE EMAIL IT TO US NOW.
Thank
you – a Veterinary Doctor is about to arrive and she will need this and all
information about the cat “BOMBE” – please send her complete file.
From: Veterinario Alberto Alcocer
[mailto:secretaria@cvalbertoalcocer.com]
Sent: Friday, December 20, 2013 9:05 PM
To: 'xxxx
Subject: RE: REQUEST FOR - results of the "CITOLOGIA" and diagnosis EMAIL 4 - RV: bombe
Sent: Friday, December 20, 2013 9:05 PM
To: 'xxxx
Subject: RE: REQUEST FOR - results of the "CITOLOGIA" and diagnosis EMAIL 4 - RV: bombe
Dear xxx:
We send the cytology results. We have not yet interpreted
them. If you want/need more information, please contact us. Sorry for the
inconvenience.
Regards.
Adelaida Carballo.
Hospital Veterinario 24H
Avda Alberto Alcocer 45
Tf: 913452515
From: Veterinario Alberto Alcocer
[mailto:secretaria@cvalbertoalcocer.com]
Sent: Tuesday, December 24, 2013 12:24 AM
To: 'xxx
Subject: RE: COMPLETE DIAGNOSIS RV: CLARIFICATION - results of the "CITOLOGIA" and diagnosis : bombe
Sent: Tuesday, December 24, 2013 12:24 AM
To: 'xxx
Subject: RE: COMPLETE DIAGNOSIS RV: CLARIFICATION - results of the "CITOLOGIA" and diagnosis : bombe
Le enviamos la traducción del texto anterior. Las
radiografías y el informe se lo enviaremos mañana.
Un saludo
Dear xxx,
We have
determined that Bombe’s lump on her neck at the level of the thyroid, is a
malignant lymphoma. Surgery is not recommended because it is very possible that there is systemic dissemination,
being in the lymphatic system. It would be helpful to perform a CT
(computerized tomography) type test, to determine the size and location of the
tumor as well as the structures that are involved. It would cost about 360 €
for this test and we refer our clients to the Sierra de Madrid hospital,
located in San Agustin de Guadalix.
The best option
is a chemotherapy treatment. There are different medications on the market for
these cases, As Genoxal, which is treatment pills that can administered at
home, and vincristine, which is an intravenous treatment, and should be
administered by a veterinarian. Side effects of these treatments are many, as
in humans, possible anorexia, vomiting, kidney and liver failure, neurological
symptoms, leukopenia, ...
There are other
drugs with fewer side effects like Palladia, but has not been tested in cats,
and in this type of tumor.
Sorry for the
delay, at this time we have a lot of work.
Regards
Mabel Conde
Estimada
Jan,
EL
diagnóstico al que hemos llegado respecto a la masa en el cuello en la región
tiroidea de Bombe es un linfoma maligno. No está indicada la extirpación
quirúrgica de este tipo de tumores porque es muy posible que exista una
diseminación sistémica del mismo a nivel del sistema linfático. Convendría
realizar un TAC (Tomografía Axia Computerizada l) para determinar el tamaño y
la localización exacta del tumor así como de las estructuras que puedan estar
involucradas en el mismo. Su coste sería de aproximadamente 360€ y nosotros
derivamos a nuestros pacientes al Hospital Sierra de Madrid, localizado
en Guadalix de la Sierra.
En
nuestra opinión la mejor opción en el caso de Bombe sería un tratamiento de
quimioterapia. Existen distintos protocolos para estos casos como por ejemplo
Genoxal, se trata de un tratamiento en comprimidos que se puede administrar el
casa, y Vincristina, en este caso el tratamiento es intravenoso y debe ser
administrado por un veterinario. Este tipo de tratamiento tiene muchos efectos
secundarios, como en humanos, posible anorexia, vómitos, fallo renal y
hepático, síntomas neurológicos, leucopenia…
Existen
otros fármacos con menos efectos secundarios como Palladia, pero no se ha
probado en gatos ni con este tipo de tumor.
Sentimos
el retraso, ahora mismo tenemos mucho trabajo.
Un
saludo
Mabel
Conde
28 DICIEMBRE 2013
From: xxx
Sent: Saturday, December 28, 2013 12:20 PM
To: secretaria@cvalbertoalcocer.com
Subject: URGENTE - FW: X-RAYS - DEC 16 2013 RV: COMPLETE DIAGNOSIS : bombe
Sent: Saturday, December 28, 2013 12:20 PM
To: secretaria@cvalbertoalcocer.com
Subject: URGENTE - FW: X-RAYS - DEC 16 2013 RV: COMPLETE DIAGNOSIS : bombe
We will need the x-rays (two images) taken TWELVE days ago
– WHICH YOUR CLINIC PROMISED TO SEND (SEE ATTACHED) FOUR DAYS AGO - - properly
labeled and with the report - “informe” about your findings on the x-rays. As
you know the x-rays contain no markings - identification or “informes”.
Please understand that it is urgent to receive all information
which we paid for in advance on December 16, 2013 – as time is of the essence –
ACCORDING TO YOUR DIAGNOSIS OF a malignant lymphoma.
Best
Regards,
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