HOTLINE (833) 667-6626 – WHAT DO I DO UNTIL HELP ARRIVES?
Did you know that the Marine Mammal Alliance Nantucket Stranding Team helps more than just marine mammals? Our Hot Line number is commonly called to report injured wildlife, including sea turtles, Mola molas, and frequently injured birds. Many of these injured animals are severely debilitated and close to death when they are picked up, but occasionally there are those cases where they are rescued early enough to avoid a difficult treatment and convalescence. The following case is one such example that I treated prior to retirement and I present it to you as if you were the doctor making the diagnosis. Play along and see how good your skills are in making the diagnosis to help this bird.
This spectacular male Common Eider was brought in to the Offshore Animal Hospital after being found at Low Beach in Sconset during a snowstorm. The good Samaritan who rescued the bird said that the bird could run, but not fly. A physical exam revealed a bright and alert patient in good physical condition with no broken bones. Commonly birds are radiographed to aid in the diagnosis, so that is what was done. I present you with front to back and side view radiographs of the affected bird. These radiographs indicate two life threatening episodes that this bird has experienced. One is an older incident that could have acutely ended his life and the second one is todays concern, that if not diagnosed and treated, would cause a slow and agonizing death. Take some time to see if you can pick out these two life threatening conditions.
If you are not quite sure about the immediate problem, compare the radiographs here with the radiograph below and see if you can identify any difference? What is missing in the post treatment radiograph below? Is the missing object something you recognize? If you identified a mussel lodged in the lower esophagus of the radiographs above, then you are well on your way to saving this bird.
The mussel shell was our bird’s immediate life threatening problem because it was obstructing the esophagus so that he could not swallow. How about the previous life threatening problem that could have acutely ended his life? This is a little more challenging since it isn’t as large as the mussel shell. (Hint: It is somewhere in the bird’s abdomen and is very white). If you still are unsure, look in the area of the gizzard. What is the gizzard you might ask? Think about your Thanksgiving Day turkey with it’s little bag of giblets (heart, liver, neck and gizzard). The gizzard is that thick muscular structure that most of you have seen in the bag that is part of the bird’s digestive tract. The gizzard contains little pebbles that the bird has swallowed that aid in grinding up its food. In eiders, a bird that eats the whole mollusk, the gizzard is necessary to pulverize the shell so the contents can be digested. The gizzard is the large, somewhat rounded structure in the lower section of the birds belly. You have located the gizzard when you see the multiple varying sized pebbles within it.
Now, I assume you have found our little white object. What do you think it is? If you consider the spherical shape, its size and density (dense objects like bone or metal show up easily on radiographs) you have probably determined correctly that it is bird shot from a previous encounter with a hunter. Fortunately for our eider, it did not fatally injure the bird and is in a location that is not interfering with function. If you look at the side view radiograph, you will see that it is not inside the gizzard, which if it was and the metal was lead, then the bird would have probably died of lead poisoning months ago. Since it is not in the gastrointestinal tract or a joint, the lead does not get absorbed and we call it an incidental finding.
Now that we have a diagnosis, we can go ahead with our treatment plan to remove the esophageal obstruction. We first induced anesthesia with a mask and a gas anesthetic called isoflurane. Once he was sleepy enough, we placed an endotracheal tube into his airway to maintain the anesthesia while we worked around his bill to remove the mussel. This was done by milking the mussel up the esophagus until we could reach it with a long pair of forceps. In the last photo, you can see the mussel right before it came out.
But that is not the end of the story. Postoperative care is a large part of the treatment so we had to make sure he was going to eat and be strong enough for release. After several days of eating raw clams and becoming quite aggressive we were convinced that he was ready to be returned to Low Beach. So off he went to join his buddies with some unbelievable stories to tell I’m sure.
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Nantucket, MA 02584
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