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
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
Emma | 2 years ago
I Have A 1.5 Year Old Male Himalayan Who Has Been Having Issues With His Chin …

I have a 1.5 year old male Himalayan who has been having issues with his chin for about 7 months now. It started off with a little black build up on his chin that looked like acne so I didnt Pay much attention to it. It then started to get a lot worse to the point it looked like he had wet food cemented onto his chin. I took Him to the vet and they told me to change his bowls from stainless steal so I did And I’ve tried plastic, ceramic, glass, any kind of bowl you can get and that has not changed anything.
We went back to the vet and they were stumped on what it could be so he went on steroids to see if that would help and it did for a couple days and it came back worse. We then tried an antibacterial shot and that slightly helped but then came back worse again. Tried steroids once again and made no difference this time. We ran some tests and swabbed the chin and they concluded it was staff infection. So he was treated for that and it didn’t help at all. We then tried another antibacterial shot I believe It was and it cleared up completely. But it is now back again and just keeps getting worse. The chin is raw, red, bloody, black scabby looking things, and so so itchy for him. They have now said I should Try a different food but he is on the urinary s/o Royal canin because my other cat recently had a urinary blockage and I cannot afford to put them both of different vet foods. I do Not think it is a food allergy because I have Tried numerous different foods with him but I could Be wrong. I clean it daily with a medicated soap they gave me and it doesn’t do much except keep it clean obviously, it hasn’t helped it improve. Has anybody dealt with something similar or have any possibly ideas of what this could be?
I will try to Add images to the comments , it won’t let me add them to the post

3 Responses

Comments

  1. Krista Magnifico

    Hello,
    There is no way for me to help without a diagnosis. To get this you may need more diagnostics. Which I know is going to cost you more money. But if it gets you the answer to the cause you can direct the treatment plan. You are at a place where you either need a dermatologist or a biopsy.
    I wish I could offer more help. It sounds like you have done quite a lot already.
    Best of luck.

    1. Emma Post author

      Hello,
      I will contact my vet and see if I can get either of those options done. It is very confusing not having an answer for him and seeing him in pain. If I end up getting an answer I will update my post for others who may be facing similar issues.
      Thank you for your advice.

Question
Profile Image
Jana | 2 years ago
Rottweiler, Female, Spayed, 11 Years Old Just Recently Lost A Toe To Nailbed Squamous Cell Carcinoma (hind …

Rottweiler, female, spayed, 11 years old
Just recently lost a toe to nailbed squamous cell carcinoma (hind foot). And now this has cropped up on her front foot. Not limping yet, but some weight-shifting away from it and licking at it. What are the odds that it’s the same thing again? 🙁

4 Responses

Comments

  1. Krista Magnifico

    Hello!
    So nice to hear from you.
    This is tough for me to answer because I don’t know enough about the way the scc was diagnosed nor how it presented. I also don’t know if there were surgical margins or amputation of the digit? Was an oncologist seen?
    I have not had any patients with scc of the toe. But I have had scc patients have multiple areas affected. This is really best answered by your vet and an oncologist. I hope this helps. And very best of luck
    Krista .

    1. Jana Post author

      It kind of started the same.

      – her licking at her foot for a couple of days and were unable to figure out why
      – then she misstepped and became lame and there was bleeding
      – vet determined it was likely a nailbed infection at the first visit
      – wasn’t healing with topical treatments
      – in the meantime, the toe came off completely
      – the next visit, a different vet, figured it was potential cancer
      – while we were organizing a biopsy, there were many cock-ups so we decided to take a step back and revisit with another vet
      – that one convinced it was infection–long-term antibiotics (that trashed her digestive system)
      – continued for weeks and weeks
      – then, when I no longer believed dysbiosis was all there was to the diarrhea and insisted on imaging, they found a splenic mass
      – I insisted I wanted the spleen out asap and agreed to biopsy at time of surgery
      – surgeon looked at it and convinced it is cancer so I agreed to toe amputation at the time of the splenic surgery–it was confirmed to be SCC. Bone margin was clean, not enough soft tissue to judge.
      – x-rays and all clean–no metastasis
      – that toes is no perfectly healed

      But this is starting the same way. Last time she lost weeks of life and in pain. This time, I definitely don’t want to loose all that time again. Don’t want to put her through surgery for nothing either, or have another pop up in a couple of months again 🙁

    2. Jana Post author

      Seemed to look better this morning; been doing Epsom salt soaks; vet appt tomorrow

    3. Jana Post author

      Just saw a vet, and she says it is a nail injury, and everything looks good to her/that’s the one to be the first to suspect cancer the first time around. So HOPEFULLY, that’s correct, and it will resolve speedily. *sigh of relief.

      Also did a wellness check, and everything else looks good too. My little girly looks like she’ll be well and able to finally have the fun she deserves once this thing heals.

Question
Profile Image
Kimberly | 2 years ago
I Have A 6 Year Old German Shepherd Who Has Raised Pink Lump On Her Snout. …

I have a 6 year old German shepherd who has his raised pink lump on her snout. I noticed it 2 weeks ago. I asked to a previous vet I used to work for years ago and he said apply animax ointment for a week and see if it goes down. If it goes down then okay cool , if not we need to sedate and remove it fast. I did not really want to have her sedated but I mean… I’m more curious about what it looks like and how fast it grew. It’s never happened before and it’s solid. No bleeding yet. I did forget to mention she has two. The one in her nose is different than the white one I found in her left shoulder. Is it just age ? Also , it bothered her when I touched her nose

1 Response

Comments

  1. Krista Magnifico

    Hello,
    It is not possible to diagnose a lump or bump by a picture. This should be done with a veterinarian at an in person exam. After the exam a list of possibilities. But to truly know what it is you need cells or tissue from the mass. Like a biopsy.
    Of all the possible things it could be a histocytoma is on the list. Ask them about this.
    I hope this helps.

    Krista.

Question
Profile Image
Laurie | 2 years ago
I Am Agonizing Over The Hardest Decision We Have As Pet Parents…euthanasia. Our 12 1/2 Year Standard …

I am agonizing over the hardest decision we have as pet parents…euthanasia. Our 12 1/2 year standard schnauzer has been having various behaviors and symptoms the past 6 -8 weeks. Excessive panting, fatigue, decreased appetite. We brought him in and he was diagnosed with pneumonia. He finished all his meds and we brought him back in for follow up X-ray and labs. He really wasn’t much better. X-ray confirmed pneumonia had cleared but lab work, which had been normal 2 weeks prior, now showed probable pancreatitis. He has declined rapidly the past 3 days. We are trying to get him to take meds, Pepcid, Cerenia, Carafate but we literally have to force them down his throat. He will not eat and I have tried everything , rice, scrambled eggs, bread, even doughnuts He is isolating, going upstairs instead of being with us. He still has labored breathing, his legs give out, he is restless. He has a strange odor. I have had dogs my whole life and all this points to end of life. I know this in my heart. When do you know when is the right time? I really was hoping he would pass naturally. Thank you for listening

2 Responses

Comments

  1. Laura

    First off: I’m so very sorry. I know how much this hurts. I know how much it sucks. My biggest regret was not letting my cat go earlier. I couldn’t be with him when he crashed, and it absolutely destroyed me.

    It’s always, ALWAYS better to let them go too early than to make them suffer for our need to keep them with us. We owe them that for all the love they’ve given us.

    Self isolation is a big sign. So is the refusal to eat, the general restlessness. It sounds like he’s miserable. I would give him the best day you can, and let him go gently.

  2. Kaya

    I’m so sorry to hear this , I myself was and still am angry about putting down my kitty who was very young due to a UTI going south and after much attempts to solve the issue , I am angry for this being the 2nd time , and I’m angry that no one seems to prevent this food from being sold that slowly kills male cats and that no matter what efforts I took to upgrade the food, give him supplements, take him to the vet or whatever , nothing helped ! It only managed to give him another 8-9 months to live .::: but … for me that’s not good enough…. Why can’t we stop this from happening before it happens to male cats !? I don’t get this fail system government and greedy people that only look to get paid rather then save a life. So, with that being said, I am so sorry you lost your pal woof woof ???? I know how u feel , and that it’s better to let them go in peace then suffer this dreadful painful bs life .

Question
Profile Image
Kayla Jo | 2 years ago
Hey Everyone. My Sweet Baby Girl Ellie May Is 11 Going On 12 And Has IVDD With Back …

Hey everyone. My sweet baby girl Ellie May is 11 going on 12 and has IVDD with back leg paralysis. The funny thing is that overtime she has been able to sometimes memory walk which resembles a raccoon on our carpet and can even kick her back feet when you carry her. She’s unable to urinate on her own so I do that for her and have for years. She has a wheelchair, her own playpen and even her own stroller because she is my diva child.

Last weekend little miss decided to jump from her stroller because she was too impatient to see what I was cooking in the kitchen. She didn’t help or anything and has even done this before and it doesn’t phase her but about gives me a stroke. Last Sunday morning I was getting her out of bed and she yelped and when I gently sat her on the floor to get her morning drink before tinkle time she flopped out on her left side. Since then she has weakness In the front and she knuckles the foot but can still put pressure but is hard to get around and will cry in pain and breathes heavier. She’s a dachshund so we all know their attitude and behaviors.

I called my veterinarian and it has been a back and forth battle the ENTIRE week and I haven’t actually spoken to the vet just desk people who apparently don’t like to pass messages or do anything really. I totally understand how busy a farm vet practice is but some communication would be nice. Thankfully I had some gabapentin left from her sister Miley’s dental and have been doing that twice a day but the dose is in half as she weighs less than Miley. When they did call me back they said yes what I was doing was fine as I’m also doing crate rest. I’ve done this dance before with my girl so we know what to do. From the start she wasn’t a candidate for surgery they said since she had already lost function In her legs. But with my love and care she bounced back within 2 weeks and then slipped again a few weeks later and has been without full use since.

I expressed my concern she could have slipped a front, they don’t seem all too worried,really????? Now my hubby and I have a game plan that as long as Ellie has the will to fight and live then so do we but the second she is truly suffering we will not allow her to deal with that. I’ve had so many folks wonder why we have a special girl and didn’t just put her down, I respond with would you shoot your own child if he broke his leg and couldn’t play sports again? You don’t give up on your dogs. If anything she has more attitude being my handy girl. We call her the sheriff of tiny town. I called my vet yet again yesterday to try and get in for a steroid injection and some nsaids and they just don’t seem to pass the message. So tomorrow I’m calling as their hours are 8a-12pm and if they can’t get me in then praying that at least doc can call the meds in for her. As a mama of an IVDD baby I’m familiar with the drill. Thank you for letting me vent.

We are ordering a secondary pop up playpen for her for when we are upstairs and when we are downstairs . Also ordering a raised bowl set so she isn’t angling her head down, I’ve rolled up blankets into the open areas in her playhouse so she is more secure and comfortable. Are there any other IVDD parents out there? Any and all tips would be greatly appreciated

1 Response

Comments

  1. Krista Magnifico

    Hello,

    Congratulations on doing so well with managing your pups disease. It really is a total investment in love.
    I know a lot of people like Dodgers list Facebook page. If you aren’t a part of that community go there.
    If you have specific questions I will do my best to help. I have a really exhaustive library of information on my YouTube channel and blog. Maybe they can help? Search Ivdd on the YouTube channel or blog at kmdvm.blogspot.Com.

    Good luck.

Question
Profile Image
Chris | 2 years ago
My 10 Year Old Cat Has A Giant Nasal Polyp. I Took Him To A Specialist And …

My 10 year old cat has a giant nasal polyp. I took him to a specialist and they said he needs a bulla osteotomy, and possibly a double as he may have it growing on both sides. My question is if you are able to do that surgery, along with a CT scan, and if so what is the earliest appointment I can get in. (“You” meaning Dr. Magnifico at the Jarretsville Vet Center). Bc he now can not eat due to the obstruction of everything, he still wants to eat and tries to everyday but it is too difficult to swallow and it kills me that this superficial thing may actually kill my otherwise healthy cat. My other option is to get the CT scan here, along with a feeding tube, to help bridge the gap for me to get an appointment with you. Any help or suggestions I would appreciate. If you need any other info just ask. I could ramble endlessly telling you everything but I’m trying to be as concise as possible. Thank you for your help.

1 Response

Comments

  1. Krista Magnifico

    Hello.

    I’m sorry to hear about your cat.
    I’m also sorry to say that I don’t have a ct scan. Further I feel it is very unlikely that older cats get polyps. In my experience the older cats get tumors. The you see ones get polyps.

    I hope you find help.

    Best of luck

    Krista.

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.