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: xxx
Subject: RE: REQUEST FOR - results of the "CITOLOGIA" and diagnosis EMAIL 4 - RV: bombe
Sent: Friday, December 20, 2013 9:05 PM
To: xxx
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
WE looked this person up today December 30, 2013.
WE looked this person up today December 30, 2013.
Hospital Veterinario 24H
Avda Alberto Alcocer 45
Tf: 913452515
Sent: Monday, December 23, 2013 9:49 AM
To: secretaria@cvalbertoalcocer.com
Subject: COMPLETE DIAGNOSIS RV: CLARIFICATION - results of the "CITOLOGIA" and diagnosis : bombe
To: secretaria@cvalbertoalcocer.com
Subject: COMPLETE DIAGNOSIS RV: CLARIFICATION - results of the "CITOLOGIA" and diagnosis : bombe
COMPLETE
DIAGNOSIS
At this time – we await 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.
xxx
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,
Sent: Saturday, December 28, 2013 7:09 PM
To: secretaria@cvalbertoalcocer.com
Subject: RADIOGRAFIAS - MARCAR Y UN INFORME DE RESULTADOS / OBSERVACIONES
RADIOGRAFIAS - MARCAR Y UN INFORME DE RESULTADOS /
OBSERVACIONES
Como parece que no entienden que queremos – lo pueden
leer en internet – donde intentamos reducir las distintas pruebas realizadas
por Uds. - por separadas
RADIOGRAFIAS >>
Si tiene más dudas – por
favor:
- 1. Marcar las radiografías – lado derecha / lado izquierda,
- 2. Marcar radiografías acorde con el diagnostico / informe de la interpretación de las imágenes.
- 3. Un informe solo de las dos radiografías tomadas el día 16 de diciembre de 2013.
Después
– y si tienen mas dudas – escribenos.
No
podemos utilizar las radiografias para buscar unas segundas ++ opiniones – por
la falta de la lista arriba 1. – 3. que nos piden otros especialistas.
Como
las otras opiniones dependen de las pruebas tomadas por vds. y abonadas el día
16 de diciembre, creemos importante tener esta información con la maxima
rapidez – debido al informe de Uds. -- y porque - la gata sufrio una diarea
aguda el dia 17 de diciembre – y se esta recuperando poco a poco – pero es
mejor no repetir las mismas radiografías ya pagadas – para evitar tener que
mover la gata.
Si
prefieran no cumplir con los servicis contratados – pensamos que sería correcto
la devolución del dinero que hemos pagado por adelantado.
---------------------------------------------------
CONCLUSION - DIAGNOSIS
CONCLUSION - DIAGNOSIS
So after two weeks - we have this strange one line "COMPLETE" diagnosis - (no answers to the multiple requests about the x-rays).
"We have determined that Bombe’s lump on her neck at the level of the thyroid, is a malignant lymphoma."
EL diagnóstico al que hemos llegado respecto a la masa en el cuello en la región tiroidea de Bombe es un linfoma maligno.
From: Veterinario Alberto Alcocer
[mailto:secretaria@cvalbertoalcocer.com]
Sent: Monday, December 30, 2013 5:09 PM
To: 'xxx
Subject: RE: RADIOGRAFIAS - MARCAR Y UN INFORME DE RESULTADOS / OBSERVACIONES
Sent: Monday, December 30, 2013 5:09 PM
To: 'xxx
Subject: RE: RADIOGRAFIAS - MARCAR Y UN INFORME DE RESULTADOS / OBSERVACIONES
Dear
xxx,
This
is Vanessa. I am sending you again our
interpretation/diagnosis based on our findings in Bombe’s x-rays.
X-rays proyections:
Laterolateral (upper image)
Ventrodorsal (lower image):
right side is the one closest to the bottom of the image (marked as R)
Findings: there is no bone
involvement. The trachea is displaced ventrally due to the presence of the
mass. No other disorder is observed in the images.
If you need anything else please
don’t hesitate to contact us.
Regards,
Vanessa Serrano
http://www.medicalnewstoday.com/articles/146136.php
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