[9.52 pm, 12/01/2026] PPM 1: The history begins one day back on a Sunday morning where this patient was playing on the road along with his seven brothers, one of which is also a PaJR patient particularly being followed up for his scrotal hematoma and right femur fracture because of another unwitnessed but assumed road accident
[9.57 pm, 12/01/2026] PPM 1: The surviving but lacerated child was removed from the road and placed inside a home where dressing was done
[10.00 pm, 12/01/2026] PPM 1: One of the worrisome signs of sepsis that is currently being tracked in this child is that of loss of appetite and apathy and today's update is that it's been quite variable with some acceptance of water and milk through a syringe
It largely remains immobile as any movement provokes severe pain
[10:10 pm, 12/01/2026] PPM 3: Any painkillers exist?
[11:21 pm, 12/01/2026] PPM 4: Some antibiotics can be given through syringe?
[11:21 pm, 12/01/2026] PPM 4: Is there any hospital nearby?
[8:46 am, 13/01/2026] PPM 1: She's eating chicken pieces well. Looks like that is her pain killer for now.
Perhaps she is not in sepsis. Not sure of the role of antibiotic prophylaxis as overdone in urban ICUs.
There is a lot of stench from the serum that keeps exuding from the wound. That is something we hope will disappear soon
[9:05 am, 13/01/2026] PPM 5: I believe an anti-tetanus shot would have been administered? Its not generally practiced in Indian vet circles.
[9:26 am, 13/01/2026] PPM 1: Thanks for that input. I found an interesting case report here: https://pmc.ncbi.nlm.nih.gov/articles/PMC3113811/
I wonder if this one month old pup is still protected through her maternal antibodies?
We remember her mother too had become ill when she was a pup with jaundice and took a while to get back on her feet perhaps a few years back.
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