This is going to be a bit of a long post, as there are several points that I need to address.
First, my HUGE condolences to Jason for your loss. It is very obvious to anyone who has either followed your thread from the beginning (or is just catching up) what this shipment has meant to you for a very long time. They are (were) both gorgeous examples of their species. Nothing else that I may write lessens my sadness for his death and your loss.
However, I need to add some relevant information to this thread. I am acting somewhat as an intermediary in this situation; please understand that. I cannot answer all questions that may be asked, but I can include some relevant information and historical facts that are indisputable.
This past Thursday, I was a bit stunned to check a message on my cell phone and discover that a veterinarian who is in the absolute crème de la crème of the exotics world (particularly avian and herps) had phoned me for a consult on a sick Johnston’s. Frankly, I have read so many of her articles in the past and seen her name written so often as a featured guest lecturer at conferences….I thought someone was pulling my leg at first. But I returned the call, and lo and behold it was really her! She asked if I was familiar with a thread on the CF re: a new Johnston’s cham that had recently been imported and was going downhill, which I was not. But I immediately exclaimed something to the effect of. “A Johnstoni? Who was lucky enough to get their hands on some?” as they are one of my favorite species in the cham world. The vet gave me the history and her findings along with her treatment plan. At that point Jason had recently left the appointment. However, she and I continued to stay in touch through the rest of the day as Bwindi began developing rear limb paresis and discoloration, and the rest of the thread gives the unfortunate outcome.
The “he said/she said” in this case comes down to the blood draw. As it became apparent that the owner was tying an incorrectly performed procedure with his chameleon’s demise, she was somewhat taken aback. According to her, she performed a midline approach to the ventral tail vein distal to the hemipenes, and tried again in the same location with a lateral approach. Not only does she say she was no where near the “suspected dark area”, she has photos of him before the blood draw was attempted and that area is evidently already darkening. Additionally, there are no vessels anywhere in that darkened area to draw from, so I don’t believe that even a semi-competent vet would stick a needle there; it would be like trying the dorsal spines to see if a new vessel somehow grew there. It was explained to me that for the actual draw he was restrained gently in a towel with a technician's assistance (see OP photo), and she believes it was impossible for the owner to see the actual moment of the attempt. Additionally, Motherlode ironically mentioned how her UC-Davis vets correctly draw their blood from chams; this vet in question did her 3 year residency at UC-Davis! And her other positions have been at some of the very best this nation has to offer for exotic medicine.
Let’s move on before I try to conclude this. What we all know as facts play an enormous role here. Johnstoni are one of the more particularly stress-prone species. We know the generally abominable conditions in which most chams are exported. We know that he took quite a ride around the world prior to arriving at the OP’s home (some questions re: his actual beginnings, shipped to Holland for several months, then Los Angeles, and finally Austin). We also see in this thread a general decline in his health through most of the time that he was living in Austin; it was stated that he wasn’t eating well, his weight was commented on, possible respiratory issues already noted, and the photos certainly show a very rapid decline in his appearance, dark marks already beginning to be visible around his body.
To tie this together; there was an exceedingly stressful situation happening for a cham that doesn’t handle stress well, several ports of call, and who knows how many opportunities to be exposed to a new disease or easily have an existing low-grade issue recrudesce. At this point of failing health he was taken to the vet; likely necessary but still another huge stress on him (even if he never left his cage, never mind being handled). At this point opinions diverge on what happened next. I don’t know what Jason did see and/or interpret correctly, nor do I know where needles were stuck. However, I do know that the likelihood of one of the country’s leading experts on reptilian medicine and surgery to decide to stick needles where no blood supply exists is truly minuscule; she has performed thousands upon thousands of blood draws before. Additionally, there isn’t a way to cause rear limb paralysis when drawing distal to the hemipenes; the central nervous system just doesn’t work that way.
The necropsy (and I commend you for doing one!! Huge props!!) will likely give most of the causes of collapse and death. IMO you will get a report that sees significant lung damage from a RI, potential renal failure/other major renal issues, and likely already septic with the dark markings coalescing over the body in the photos. When we had spoken later that night and she told me about the development of the caudal issues after the appointment, my response at that time (playing the medical odds) was that he may have already had a weakness/infection/”greenstick fracture” in his vertebra which decompensated, or that he was already septic and beginning to throw blood clots around his body which, just like any stroke, can cause a normal animal to be on death’s door within seconds, nevermind an animal that is already decompensated in many ways.
To summarize: any long-term cham owner or member of the CF knows how difficult importation of certain species can be, and more often than not it goes poorly for those animals being shipped. Most do not survive the trip, and many that do will still die from related issues. The vet that Jason went to would be welcome at a roundtable with Mader, Klingenberg, Jacobson, Mitchell and several others that are the best vets out there for herps. If he had never made it to the vet he would have still likely passed away; again most of us realize that. The pitchfork-waving has gotten a bit out of control here; and I personally think she has been unfairly defamed. In fact, I’m surprised the mods are allowing the name of the hospital in the thread; I thought that was reserved for the BOI? I can tell you that she’s upset and saddened about the direction that the thread went and comments that were made, nevermind the loss of a beautiful, prized animal.
It’s unlikely that I can add any more info that what I have written here. I was asked to write this to have everyone remember that the entire importation process is the most likely cause of his demise, not an improper blood draw. And I agree; if that was left as the “learning point” from this case, I think many readers of the thread would come away with incorrect assumptions, an excellent vet could lose some credibility, and future animals could be harmed from a misplaced fear of not seeing this or another vet.
Jason, I’m looking forward to seeing the necropsy report if you are going to post it. You and I don’t know each other and please understand that I admittedly was not there; however there were some very large red flags popping up in those last days that he was in rough shape. In many surveys, the most “trusted professions” often have veterinarians, pharmacists, and religious leaders vying for the top slots. I personally believe her when she describes the venipuncture attempt, and everything else makes sense around that as well. What would make no sense is an expert (and she truly is) attempting something completely bogus, and that becoming the cause of death. I hope everyone can step back for a minute and re-evaluate the situation with the pertinent history, and what we already know about importing certain species. This situation then becomes unfortunately all-too-common, and we have seen it many, many times before in this forum.
Sincerely,
O-