12:52 AM – Puppy #2 is coming down breech as we see two legs protruding. 
         Sac of water is intact.

1:18AM – Kena’s second puppy is born without difficulty.

            Puppy #2 - Breech Birth –Black and Tan Female – wt. = 8.625 oz.

1:25 AM – Both puppies are nursing.

1:32 AM – Kena’s third puppy is born breech without difficulty.

            Puppy #3 - Breech Birth –Black and Tan Dapple Male – wt. = 7.5 oz.

1:45 – All 3 puppies are nursing well.

4:30 AM – Waiting for the 4^th puppy to be born and watching the time.  Vet recommended not waiting longer than 4 hours between births. (X-Ray performed the week prior confirmed at least 4 puppies.) 

5:30 AM – Called the Sunset Clinic and reported Kena not contracting – they told us to wait another hour and if she still had not had the puppy to bring Kena in to the clinic. 

5:30 AM – Still no puppy – and Kena is still not contracting!

6:30 AM – Started preparing Kena and her 3 puppies for transport to the Sunset Clinic.

7:00 AM – Left with Kena and her litter to go to the Sunset Clinic.

7:28 AM – Arrived at the Sunset Clinic

7:32 AM – Started filling out paperwork for Kena at the clinic

7:40 AM – Tech #1 removed Kena from her puppies in order to get a weight on her. 
        Kena's Mom followed.

8:00 AM – The tech took us back to an examination room and leaves us there.

8:15 AM – Tech #2 came in and told us that the doctor who would be seeing us had just been in a motorcycle accident, so not to be shocked at how he looks. (Tech #2 also had a boot on one leg)

8:20 AM – Dr. Sweeney came in with Tech #2 who had a muzzle to put on Kena – when we asked what the muzzle was for, Dr. Sweeney told us that his tech told him that Kena had bit her when she was trying to get a weight on her.  We knew Kena did not bite the tech because Kena's Mom was there, and we refused to let them put the muzzle on her.

8:22 AM – Dr. Sweeney proceeded to examine Kena (without the muzzle – and he had NO trouble with her!) He started asking us questions about how we knew that she had another puppy still to deliver. We explained that Kena had 2 x-rays at our vets and they showed 4 puppies for sure and possibly more – but at least 4.

8:25 AM – Dr. Sweeney told us that he would have to do x-rays to be sure there was another puppy, since they did not have a record of the previous x-rays and he couldn’t be sure there were any other unborn puppies.  (He didn’t believe us and said he thought there were no more puppies.)

8:30 AM – Kena passed a dark green fluid.  Dr. Sweeney pointed it out to his tech saying that the green fluid is how he can tell that there is a problem and that there really is another puppy. (DUH!  We told you so!)

8:35 AM – Dr. Sweeney instructs tech #2 to give Kena an injection of Oxytocin to
         induce contractions.

8:40 AM – Tech #2 comes back with a print-out that shows how much the injections will cost and has us sign the paperwork to authorize the injections.

8:45 AM – Tech #1 comes in and gives Kena an injection of Calcium.

9:00 AM – Tech #2 gives Kena an injection of Oxytocin.

9:15 AM – Kena starts having heavy contractions.

9:25 AM – Tech #2 gives Kena another injection of Oxytocin

10:00 AM – Kena is having severe contractions, still no puppy.

10:15 AM – Tech #2 came bursting into the room to see the “cute” puppies and picked one up, disturbing and distracting Kena (who, of course, is concerned and being very protective of her puppies).

11:00 AM – Contractions continue.  We are getting worried about Kena and went to find
        a vet or tech.

11:05 AM – Found tech #2 who said they would “come in and check on her in a bit”.

11:30 AM – (25 min. elapsed) Dr. Sweeney comes in and talks with us about the possibility of having to do a C-Section to get the puppy out. He has tech #2 bring in an itemized cost sheet for us to look over that describes what would be involved with a C-Section. After we look it over, he tells us that he could also spay her while he was in doing the C-Section if we wanted him to. We expressed to him that we didn’t think that we wanted her to be spayed. He told us that whatever was causing this puppy to not be born would most likely happen again if she had another litter and told us that he would perform the spay procedure during the c-section and not charge us for the procedure. We told him that we would have to think about it. He left and had tech #2 bring us an itemized cost sheet for us to look over that described the C-section and the spay procedure for us to sign.  (The cost was the same as the cost sheet with just the C-section.) 

12:00 PM – We are starting to see something coming out as Kena is bearing down.

12:30 PM - Tech #2 comes in and gives Kena another injection of Oxytocin.

1:00 PM – Kena is pushing very hard now and seems exhausted. We can still see what looks like a puppy trying to come out and luckily the puppy’s sack is still intact. We are now very worried about Kena because she is having back to back contractions with no rest periods in between.

1:10 PM – We go to find a tech or doctor for help. 

1:30 PM – Tech # 2 and Dr. Sweeney come back in the room. Dr. Sweeney puts Kena up on the exam table to feel the puppy that is trying to come out. Kena is still contracting. Dr. Sweeney intentionally breaks the sack around the puppy, stating that should help the puppy come put and recommends that if the puppy does not come out in 30 minutes that they will need to do a C-section or the puppy won’t survive.

2:00 PM – Still no puppy – Kena is contracting and bearing down hard – Kena's Mom runs out to find Dr. Sweeny and asks him if he does the C-section, how long would it take and how long would the puppies be without their mother. (We know the puppies need to eat AT LEAST every 2 hours.) Dr. Sweeney tells us that once she is under anesthesia that the C-section would only take him 30 minutes and she would be back with her puppies again. We then gave Dr. Sweeney permission to do a C-section.

2:05 PM – They took Kena back to prep her for the C-section. 

2:30 PM – Kena's Mom leaves Kena's Dad with the puppies and goes home and clean up Kena’s whelping box area in preparation for her return home and to also check on the puppies’ father since he had been alone for almost 8 hours now.

2:45 PM – Tech #2 moved Kena's Dad and the 3 puppies into an unfinished part of the building to “free-up the examination room for other clients”. 

2:50 PM – Puppies are crying. Kena's Dad noticed that the room was quite cold and goes to find someone who could get him a heating pad for the puppies to make sure they stayed warm. Also asks if they have any puppy formula in case he needs to feed the puppies. The tech states they don’t have any. (*Unbelievable!)

3:00 PM – Kena's Dad called Kena's Mom and tells her to bring back a heating pad for the puppies since the room seemed cold. He also instructed Kena's Mom to go purchase puppy baby bottles and dry milk mix in case they needed to feed the puppies.

3:30 PM – Tech #1 brought Kena's Dad two hot IV bottles to “use as a heating pad for the puppies”.  (*These are banned in the hospitals because of hot spots and burning problems. Kena's Dad inquires about Kena, but the tech doesn’t know how the surgery is going. (*Took 40 minutes to get supplemental heat for the puppies.)

3:45 PM – Kena's Mom returns with an electric heating pad for the puppies and the dry milk mix and 2 baby bottles. It has now been almost 2 hours and still no signs of Dr. Sweeney or his techs.

4:00 PM – We become quite concerned because it has now been 2 hours since Kena was taken back for surgery and the puppies had been fed. The puppies are all still crying and because Kena wasn’t there to take care of their urine and feces properly so we had to help to stimulate their elimination.

4:05 PM– Kena's Mom goes to find a tech who can tell us what has happened to Kena.

4:10 PM– Kena's Mom runs into a new tech (a male) who had one of Kena’s puppies in his hands (towels) trying to get it warm. He told us that two puppies were extracted and they saved the one but the other didn’t make it. He handed us the puppy and asked if we wanted to see the one that didn’t make it. We told him we did, so he went to go get it.

4:12 PM – The new tech met Kena's Dad in the hallway to see the puppy that didn’t make it. Kena's Mom is trying to get the new puppy and the 3 older puppies warm. After seeing the deceased puppy, Kena's Dad asked the male tech when we could have Kena back with the puppies. He told him that they were just finishing up the procedure and that Kena would be out shortly. (*Note that this is over 2 hours since they took her back for the “30-minute” C-section).

4:25 PM – Tech # 2 brought Kena out to feed the puppies.  Kena was still unconscious and had a tube down her throat (1 inch in diameter) and an IV catheter in her front paw with no fluids going.  Kena’s belly and nipples are covered with Betadine and blood, but the tech puts the puppies there to nurse anyway.  Kena's Mom asked if they shouldn’t clean Kena up first.  The tech said it wouldn’t hurt the puppies.

4:29 PM – Kena stopped breathing! We panicked, ran out into the hall and shouted for help and tech #2 came and took her into the back again.

4:50 PM – They brought Kena back in to us; she still had her IV in and this time there was IV fluid running. We frantically tried to make sure every puppy got something to eat. Kena was still unconscious.

5:00 PM -  Kena was trying to wake up.

5:10 PM – Tech #3 came in and removed Kena’s IV and put a red elastic wrap on her arm.  We asked if this wasn’t too soon in case Kena needed more fluids. Tech #3 said it would be fine.

5:20 PM – Dr. Sweeney came in to check on Kena and the puppies and told us that we were “free to take them all home.”  Then he walked out. (This was the first time we had seen Dr. Sweeney since before the surgery and he didn’t give us any discharge instructions!)  Later we noticed that there was a sheet of paper with limited instructions stapled to the back of our receipt.  No one had even offered to go over it with us!

5:25 PM – Kena's Mom was concerned about it being less than an hour since Kena had stopped breathing and asked tech #3 if Kena and the puppies should be kept overnight for observation.  The tech said that Kena should be fine and that it was alright to leave. 

5:33 PM – Kena's Dad paid the outstanding vet balance, as was required.  Kena's Dad went back to use the restroom. Kena's Mom packed up everything and went out to the car and stayed with Kena and her puppies.

5: 35: Kena's Dad leaves restroom and ran into Dr. Sweeney who said, “Take good care of your Jack Russell”.  Kena's Dad asked, “Do you mean our dachshund?”  Dr. Sweeney replied, “Oh THAT was a dachshund?” All of the techs said, “You didn’t know that was a dachshund?…(laughter)…Oh THAT was the Jack Russell you were talking about!  You kept on telling us to do this and that with the Jack Russell and we kept looking around for the Jack Russell and couldn’t figure out which dog you were talking about!”

5:40 PM – We left for home physically and mentally tired because due to the events of the
        past 10 hours.