Question
Profile Image
Rexie | 2 years ago
Was Wondering If I Could Ask A Question. About My Shih Tzu MeiLing: MeiLing Is Not …

was wondering if I could ask a question.
About my Shih tzu MeiLing:
MeiLing is not having symptoms. My question is related to lab values. She is 14 years old and just acts tired at times.

1. The paperwork shows that she is positive for Anaplasma phagocytophilum. Her vet did not offer any treatment advise on this or even mention this to me during the visit. I happened to find it later when reviewing her lab work. I have never found a tick on her since I rescued her 9 years ago.

2. Other lab work:
BUN 41, had been 33 year prior, one month after that was 29;
ALT 227 was 134 year prior, one month later 117;
ALP 673 was 668 one year prior and 1040 one month after that;
MCV 59.3 was 61.1 year prior and one month after that was 59.8;
Platelets 504 was 542 year prior and 561 one month afterwards;
Plateletcrit 0.62 was 0.66 and 0.68 one month later.

Based on some of the labs in point 2 the vet started MeiLing on Hepato Tru Benefits which supports healthy liver function and is telling me that we should do an MRI.

I love my dog and would like very much to do whatever is necessary for her health. However, I am retired, living on social security and am not able to afford a monthly payment for health insurance for her much less $1000 or more for an MRI. So my question is, with these labs, considering she is having no symptoms, granted she is not as lively as she once was but she is 14 years old, in your opinion how necessary is it that she have an MRI? Also why would he have not even mentioned the Anaplasma phagocytophilum? Should I seek another opinion?

I don’t expect that I will be able to afford other treatments revealed by an MRI.

I know I am asking a lot here but if you could just help me with a little guidance I would deeply appreciate it.

Thanks for any info you can give me.

1 Response

Comments

  1. Krista Magnifico

    Hello,
    I think that I would ask for a second opinion from a different vet at another practice. I say this because I cannot interpret lab values without an examination. These go hand in hand to make an accurate assessment of a patient. Ask your friends and family who they use and trust and go there.

    I also think you should bring all of the things that you mention above to your old vet.
    Also I think it is important to talk to your vet about your financial abilities and ask for diagnostics you can afford. This is your right and the vet’s responsibility in my opinion. If they cannot help you find answers that are meaningful to your pet and their care go elsewhere.

    Lastly I have been a vet for almost 20 years. I have not had many patients able to do an mri. And although I may offer we always (always!!!) tell about more affordable and readily accessible diagnostics like an ultrasound. I also ALWAYS talk about why I am asking questions them to do this. I fear very few vets do this. There is almost no point in asking you to do (and pay for) a diagnostic if we cannot do anything about the disease or problem from there. So what is an mri going to get you that is treatable? And Would you be able to afford that? If the answer is no why are we worried about the mri?

Question
Profile Image
Jana | 2 years ago
Rottweiler, Female, 11 Years Old. Vertically Split Nail; Under Vet Care But I Think We Need To …

Rottweiler, female, 11 years old.

Vertically split nail; under vet care but I think we need to get more decisive.

The vet trimmed the nail half way with local (dog has bad reaction to sedation protocol, narcotics, etc). Still hurt and vet said it would cause undue pain. However, the nail continues on splitting.

How common of a procedure is cutting the nail off all the way to nail bed? How does that improve outcome? How much faster is the recovery?

By what percentage is anesthesia risk lower with such a short procedure? (Has to be anesthesia as explained above). Last time, after anesthetic procedure, she had heart rhythm problems and other problems; became critical and almost died. But was also full of drugs and had pancreatitis as complication of splenectomy. I’d assume the shorter the time under, the lower risk of complications?

I’m concerned about putting her under but I’m also concerned about dragging this out for weeks, taking valuable time from her, and having to do it that way anyway eventually.

I really don’t know what is the best thing to do for her. Hubby leaning toward waiting if it heals but I’m not seeing it healing any time soon if at all. (Photo of the present state of the nail attached.

I’m sad, depressed, concerned, and don’t know what I should decide for her.

4 Responses

Comments

  1. Krista Magnifico

    Hello,

    First I will admit that I have had cases like this and they are frustrating. So I remind my clients this.
    Next we take it in small steps. I do start with trimming the nail as much as able and start toe/foot soaks to keep the area clean and place an ecollar to stop the patient from licking and further traumatizing the nail and seeding infection from the mouth . I ask them to give it a week or two to heal.

    If it doesn’t or other nails start cracking we talk about oncodystrophy. And start talking about what to do if that is the case. The treatment options are not great so the decision to treat needs to be made with a great deal of thought or referral to dermatologist is recommended.

    In one case I had a dog who was placed under general anesthesia and the nail was ground to the base to allow a new nail to grow back.

    Risk of anesthesia is something discussed on a case by case basis and usually has little definitive concrete information to allow predictive measures or reasoning. That would be a conversation for an anesthesiologist.

    Also I have had some cases with underlying nail bed infections so antibiotic’s, foot wrap and medication or culture and sensitivity testing might be helpful.

    1. Jana Post author

      It’s already been three weeks now. It appears the nail was vertically cracked from the beginning with the first part in the middle (which is now the end)

      How well did the grinding to the nail bed work and what was the recovery?

      The other nails appear to be fine.

  2. Krista Magnifico

    Grinding the nail was a last resort for a difficult chronic case. It worked but it was a last resort treatment.

    1. Jana Post author

      Actually, it looked quite bad and hurt every time she brushed it on something. We had the nail entirely removed last Friday. Anesthesia was a risk, but I didn’t want her to spend whatever time she has left trying to get that damn nail healed–she already lost months with the first one.

      The upside–48 hours of bandage, some pain meds, and all done. It looks good now and doesn’t bother her at all. She can now get on with her life and have fun.

      I hated taking the risk but I”m glad I did.

Question
Profile Image
Anna | 2 years ago
This Isn’t Anything Urgent But It’s Been Happening Over Time.. My Dog Frequently Secretes …

This isn’t anything urgent but it’s been happening over time.. my dog frequently secretes fluid from her anus; she has had her anal glands expressed multiple times and uses the bathroom normally. She licks her anus afterwards and when I try to get close and/or disinfect the area she gets aggressive. So I just want to know the reasoning as to why she secretes fluid frequently if nothing is wrong with her?

1 Response

Comments

  1. Autumn

    Good morning.
    Sometimes dogs may need their anal lands expressed on a normal basis. Some come in every 2 weeks, others 4-6 weeks. There may not necessarily be an “issue” per se, but some may need this as a routine for them.
    If it becomes a concern, you may want to talk to your vet about removal if they start to become impacted/infected…

Question
Profile Image
Shannon | 2 years ago
Last Night About 8pm My Dog Had Lump Around Her Eyes And Her Mouth Was Swollen, …

Last night about 8pm my dog had lump around her eyes and her mouth was swollen, this morning they have gone down but now she has got some more on her head, they seem to not hurt her but they are very itchy for her.

1 Response

Comments

  1. Autumn

    Hello!
    Could she have possibly been stung by a bee? allergic reaction?
    You can give benadryl 25mg, it is 1mg per pound… for instance if she is 50pounds, she would receive 2- 25mg tablets. This can be given every 8-12 hours. If she does not improve, I would reach out to your local vet for a check up.
    Hope this helps
    – Autumn

Question
Profile Image
Cristina | 2 years ago
My 2 Year Old Female Dog Was Neutered Last Week And The Incision Site Is Looking Concerning. …

My 2 year old female dog was neutered last week and the incision site is looking concerning. The only veterinary clinic close to us is closed today and I am worried about infection or other issues. The dog is an obssesive licker and I don’t know if the wound is healing ok.

1 Response

Comments

Question
Profile Image
Marie | 2 years ago
My Dog (beagle, 4yr) Has Been Diagnosed With Potential IVDD. Vet Provided Meds For 2 Weeks To See …

My dog (beagle, 4yr) has been diagnosed with potential IVDD. Vet provided meds for 2 weeks to see if there is improvement.

She is still able to walk, eat and urinate/poop normally. However, when she gets spasms in her neck, you can see she is in pain and she cries.

Is there anything else I can do to release her pain? Massage? Ice pack? Heat pack?

Also, the Vet did not say that I needed to crate her. She is pretty much always laying down, getting up when she wants to go out to pee or to eat. Should I still crate her? She is not used to it so I’m afraid she will try to fight out.

1 Response

Comments

  1. Krista Magnifico

    Hello,

    I’m Sorry for the delay. I have a huge amount of information including the medications I use in these cases at my blog kmdvm.blogspot.Com and my YouTube chane. Go to each and search Ivdd.

    Your pet should be crate rested at all times and there are medications to help pain.

    Best of luck.

Question
Profile Image
Jesse | 2 years ago
7y/0 M Golden Retriever Had Mass Removed Near Spine. Incision Site Was Relatively Large And Is …

7y/0 M golden retriever had mass removed near spine. Incision site was relatively large and is healing quite nicely . Since about day 5 post op he has had a sac of fluid underneath the skin (diagnosed by vet as seroma). After 2 fine needle aspirations, 2 rounds of anti-inflammatory and an antibiotic, the seroma has not gone down in size. He has been very minimally active (just goes out to use potty). Seroma has not reduced size and vet said it is ok to ease back into routine.

Any advice on how long this will last and if playing with buddies at park (he wrestles his one best friend) will delay healing? It seems no activity is not helping the swelling anyway.

Just want my pup to have a bit more fun during the day he’s been isolated for over one month!

1 Response

Comments

  1. Krista Magnifico

    Hello

    Seromas can take quite a long time to resolve. I have seen it take weeks. Or even 2-3 months. The key is that it is never bothering your dog and never shows any signs of being n infection.
    In my experience it just has to reabsorb on its own and on its own time.

Question
Profile Image
Ciprian | 2 years ago
My Dog Can’t Walk I Jut Want You Can Say A Second Opinion My Vet …

My dog can’t walk I jut want you can say a second opinion my vet said he has Spine Osteochondromalacia and I can’t find on giogle something like that I’m afraid he was wrong diagnosed

1 Response

Comments

Emergency Visit
Profile Image
Marco | 2 years ago
Hemoabdomen Emergency
0 Responses
Question
Profile Image
David | 2 years ago
I Feel Every Time I Need To See A Veterinary, No Matter How Small A Problem, …

I feel every time I need to see a veterinary, no matter how small a problem, I end up spending over $500. How do others afford to take care of their pets? I feel these costs have greatly gone up over the last many years. I understand this is a service that is hard for people to turn down, since our pets are our family. Just like healthcare, food and education. Necessary things in life seem to have the largest markup. Where is the rip off coming from? I read veterinarians are not rich. I understand. So what is the problem? Is it the ownership of the company by someone that is only in it for money and makes all the calls? Opaque costs? Lack of transparency? Why does a checkup to see if there is an ear infection cost $500 even if there is no issue and is just over concern from the parent? Why am I charged $80 for an “exam” that literally has nothing to do with the actual exam for the specific problem that brought me in the first place. Why isn’t it just called a visit fee which is exactly what it is. Is it the business owner? Is it the practice? Is it a field that is able to be exploited due to our love for our family pets? Constantly pissed the F*ck off that veterinaries that I used to frequent for years suddenly change and now cost a car payment or mortgage for every non emergency simple visit.

2 Responses

Comments

  1. Krista Magnifico

    Hello,

    I understand completely. Are you upset enough to want to try to both understand and do something about it? I am. If you are then please share your stories on the storylines section above. I’m hoping to start to build a network of transparent vets with both credibility and integrity who are affordable

    Kriata@pawbly.con