Opération délicate pour enlever les nodules d'un serpent

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00:00 There he goes.

00:01 There he is.

00:06 - Good, it's done. - Well done, Jim.

00:08 Now that the head of Puppy is in the tube,

00:11 we've got his tail under control,

00:13 even if he keeps twirling around.

00:15 So we have to hold him until he falls asleep.

00:18 We're inducing him to breathe in an anesthetic gas

00:23 until he relaxes.

00:25 And then we'll put a tube in his trachea, or the windpipe.

00:29 Oh, no.

00:30 I'm a bit of a poop.

00:32 - You're holding the cloaca? - She asked me to.

00:35 - Yeah, it's a good place. - It's a good idea.

00:37 We need to be several to hold the body, so...

00:40 - They're very powerful animals. - Yeah.

00:43 Puppy can grab a glass tube

00:45 and break it just by squeezing it.

00:47 - It's one of the nodules? - Yeah.

00:50 I see two more here.

00:51 - You feel them? - There's one there.

00:53 - They look like fat. - Yeah.

00:55 Because snakes have very particular types of lesions

00:58 compared to other species,

01:00 it's good to have a different opinion,

01:02 especially from a dermatologist

01:04 who has more knowledge and experience

01:06 to be able to make the right decisions.

01:08 It looks like there's only soft tissue.

01:12 It doesn't look like it's spread all the way to the muscle layer,

01:14 - which is a good thing. - Yeah.

01:16 So we will prepare for the surgery.

01:18 Dr. Griffin will take care of it,

01:21 and we'll take care of the anesthesia.

01:23 - I can't wait. Let's do it. - Okay. Let's do it.

01:27 It's rare for snakes to develop tumors,

01:29 so I'm going to incise it to know more.

01:32 Come on, Puppy.

01:35 It has a cute name. I love it.

01:38 Let's see.

01:39 I'm going to try to go around the scales.

01:44 Which way am I going to go?

01:46 So there's the tumor.

01:50 It's kind of starting to come out.

01:52 - Do you see these little bumps? - Yeah, I see them.

01:54 There they are.

01:56 The mass looks like a little grape.

01:58 I've seen cancers that looked like this.

02:01 Puppy is old, and he has several,

02:03 so I am afraid it's a cancer.

02:06 This one really looks like a grape.

02:08 One of them is removed.

02:10 We'll get two more to go.

02:13 This one is a little more deep.

02:15 Do you think it's growing out from the top,

02:17 or is it just spreading in?

02:19 It's probably invasive, yes.

02:21 Well, I'm just relieved we're doing it now.

02:23 All of Puppy's masses have the same look.

02:26 So I think that they're all due to the same disease.

02:29 I'm going to close the wound.

02:32 Snake skin is like mammal skin,

02:35 but a little slower,

02:36 because snakes have a slower metabolism,

02:38 and that's actually dependent on their temperature.

02:41 So if it were to heal, it might take a little longer.

02:44 - It's done. - Super.

02:46 It's going to take a few weeks for the biopsy,

02:50 and then we'll be able to develop a treatment.

02:54 Such a good dog.

02:56 - Ready? - Would you like to go?

02:58 It's great to be able to work with Dr. Kiss

03:00 and to be able to use my expertise

03:03 to treat this amazing creature.

03:05 He's going to wonder what happened to me.

03:08 This was an amazing experience.

03:11 I'm anxious to get back to treating animals that I can cuddle.

03:14 - Great job. - Woo-hoo!

03:16 - I'll be calling you as soon as I have the results. - Okay.

03:19 - Next snake, I just saw. - That was awesome.

03:25 I'm calling Kristen, Puppy's nurse.

03:27 - Hi, Kristen. - Hi. How are you?

03:31 How's Puppy doing?

03:33 He's doing well. He was mute two days ago,

03:36 and he's doing a lot better now.

03:38 But I keep an eye on him, and I clean him often.

03:41 Yeah, that's perfect. You do a good job.

03:43 Puppy is a four-meter royal cobra.

03:46 Oh my God, he's huge!

03:48 I had these big, suspicious skin on him.

03:50 It really looks like a grape vine.

03:53 I'm checking it out with the lady who's taking care of it.

03:55 Kristen is taking care of it, and I'm waiting for the results.

03:57 I was calling you to get the results, and I have good news.

04:00 There's no cancer.

04:02 I discovered that these lesions were actually granulomas.

04:05 A granuloma is the result of an isolation of a foreign body,

04:09 like a bacterial or fungal infection.

04:11 And in Puppy's case, he had a bacteria under his skin

04:13 that the body tried to isolate.

04:15 Definitely something that has to be removed.

04:17 It shouldn't be an issue, and I think we've removed them well.

04:21 And having not found cancer in a 25-year-old snake,

04:24 it's a good thing.

04:26 Yeah, that's good news.

04:28 Yeah.

04:30 As long as we've removed them and they haven't caused any issues,

04:33 I would really keep a close eye on them.

04:35 And I don't think there's anything to really worry about.

04:37 Definitely good news.

04:39 Yeah.

04:41 Well, thank you so much for your help.

04:44 Yeah, thank you very much.

04:46 We'll talk soon.

04:48 Bye.

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