Poor Patient Compliance (PPC)
26 March 2015
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Previously, I had posted about Bezukhov’s second x-ray. At the time, a blood sample was also provided. We had the results of these a few days after.
Ms Exotic Hospital Vet (EHV) said that Bezukhov’s blood results were “largely promising“. However, she noticed one of the parameters that tells us about the gall bladder and liver function has “steadily increased over the last few blood tests“. With this in mind, she prescribed two types of medication: one to support the gall bladder & the other to support the liver.
The medicine to support the gall bladder is Destolit. Worryingly, it is untested in birds; the tablets are made for dogs & cats. The tablets need to be cut very small (1/8ths), mixed in 0.5ml of water/juice, of which 0.02ml is to be administered. (It was originally 0.01ml of ¼ tablet, but that is basically half a drop & I found that impossible to control).
Bezukhov still has Aloe Vera & Milk Thistle in the water & that is to continue indefinitely. The additional medication for the liver is Lactulose. He had this previously. It is a sticky, syrupy medicine which is difficult to remove once it gets onto the feathers. (Cagney did attempt to clean him up but with little success – it took Ms EHV to use the opportunity when Bezukhov was still groggy from anaesthetic to properly clean his cheek & chin feathers).
As for frequency of administering the medication, Ms EHV described Bezukhov as having “Poor Patient Compliance”, (i.e. he refuses to take his medications). With that in mind, she was not going to prescribe Clavaseptin (antibiotic to support the liver to be taken twice a day). This leaves us with the Lactulose & Destolit.
Ideally, they are to be taken once a day. However, as this may potentially be a long-term solution, we agreed that a more manageable once every other day should still be effective.
After much discussion of the above, the new medication regime for Bezukhov began on the 22nd February.