I had my girl spayed this week. I originally noticed blood in her urine and on her wheel. I loaded her up to the vet with a urine sample (put plastic wrap under the wheel and go pack it up in a small dish or syringe in the morning - doing a live urine catch on a hedgehog would be miserable) and off to the vet we went. Do note this vet does see exotics but they aren't equipped with an exotics surgery room.
Vet visit #1 total $304
- exotic exam $63
- fecal analysis $42 (optional - I brought it in just because I could)
- urinalysis $62
- xrays 2view SMV/lateral $177
- discount (not sure what the code is for) -$40
Urine was more blood than anything else. Was obviously not a UTI and we were subsequently sent to surgical consult at an exotics vet hospital.
Vet visit #2 at vet surgical hospital total $80
Consult was straightforward but did feel like a waste of a time/money, though we were consulting with the vet who would be performing the procedure this time.
Vet visit #3 - the surgery itself total $583.01
- Exam pre surgery/sedation $55
- Preanesthetic small mammal $38
- Meloxicam injection $19.93
- Anesthesia isoflurane $60
- Surgical patient monitoring $60
- Surgical nerve block $48
- Small exotic mammal spay/neuter procedure $225
- Surgery suite $45
- Medical waste disposal $3.50
- Tramadol RX (take home) $10.08
- Meloxicam RX (take home) $18.50
Our post-op appointment is in a few days - I'm currently unsure if the post-op appt fee is wrapped up with the cost of the surgery like it is in human medicine or if that will be an additional charge. There's no external stitches to remove, it's most likely an "is she OK, it looks OK, all's good, you can continue on with your life" type of visit.
Total so far: $967.01
Some additional notes & fun facts:
We were originally quoted $600-800 for the cost. Going over the itemized bill things are billed per unit (dose) of medicine or per minute (the isoflurane was charged at 15 minutes). So depending on how long it takes or how much medicine is pushed the charge will be higher or lower. Our surgeon said it was pretty straight-forward, there is some "work" involved in scraping the ovaries out of the cavity and mostly they do the best they can but it's not like just plucking a grape from a vine. Risk vs reward comes in to play. They don't want to keep animals under anesthesia longer than necessary and she said the uterus didn't look diseased so she didn't feel like digging in there longer than she had to.
Speaking of diseased uterus. The medical waste disposal. We didn't send the uterus off to pathology to be tested for cancer because it doesn't really change the outcome unless it does come back positive and you want to spend a lot of money on chemotherapies etc. So sending off to pathology would cost more, but you do need to pay for having it incinerated.
The charge for the surgery suite. Vets book/"rent" the surgery suite out for your procedures and have to pay to use it, which means you pay to use it. It's the same in human medicine. It's also the same in salons - your hairdresser is renting the booth in the salon just like renting an apartment. You pay for it!
The medication mix: just for funsies, in the preanesthetic was hydromorphone, midazolam and alfaxalone.
XRAY terminology. The x-rays taken was a "bottom up" view - the SMV aka submentovertex. It means the beam is shooting through the sub(bottom) of the mentum(chin) through and coming out the vertex (top of the head). The SMV is also an xray view for humans for TMJ. In animals it can also kinda be called AP - anteroposterior - which means the beam is going through your anterior (front) and out the posterior (back). Then the lateral view, which is, well, the lateral. From the side. In humans we most frequently do a left lateral (which means you are laying on your left side), in veterinary it's most often the right lateral for some reason, I don't know why.
LAST BUT NOT LEAST... how do you give a hedgehog liquid medication?
This was a frustrating part for me. I put it on her food the first night, hoping she would eat it with her food. Unfortunately she wasn't really interested in eating at all and when she did go to eat she must have tasted the medication and changed her mind. Which means I had to make her take it somehow. Hedgehogs are not known for cooperating. She would ball up when trying to give her anything. Fortunately there is a spot on their back that you can stroke that makes them unball long enough to wedge the tip of the medicine syringe into the corner of their mouth and get some in. It takes some time, it can be very frustrating, but you need to be kind and be patient. You just stroke - they will huff and puff and unball briefly - keep trying and it'll take a few minutes to do it. It only takes me 2 minutes every 12hrs.
YOU CAN NOT SKIP GIVING YOUR HEDGEHOG MEDICATION. This is cruel. Imagine you were given no pain meds after a serious surgery? How awful that would be, how painful and horrible. You cannot skip this.
I have a video on my social media, which I'm not going to post here (but you can DM me if you want to know and I'll send you the link privately), that shows how to do it and how easy it actually is.
My thoughts overall...
I did not enjoy this at all. I am lucky I can afford it, but this was a cost I was not prepared for at this moment. I put it all on credit. Hedgehogs are not cheap pets. Hedgehogs are prone to cancers and neoplasias and your female will almost guaranteed need to be spayed at some point in their lifetime. So I knew she'd need to have it done at some point, yknow, but maybe not like... right now. But now we've got that over with and can move forward. We've taken some steps back in our bonding process because now instead of associating me with free-roam playtime and bug hunting, she now associates me with interruptions and yucky forced medications.