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Ed | 3 weeks ago
This Is A Lot To Digest. We Have A 15-year-old Dog That Has Been On Meds …

This is a lot to digest. We have a 15-year-old dog that has been on meds for congestive heart failure. He was doing fine until…the other day he apparently got into the trash and ingested a paper towel with meat gravy. For the past 24 hours he has been vomiting up food he ate after the ingestion so we obviously have not fed him further. He has been drinking water regularly throughout the day and night but vomiting it up at times as well. I have discontinued giving him water so the vomiting doesn’t dehydrate him. He did vomit up part of the paper towel but now we believe there may be a piece in his digestive tract too. He is resting now but has been very lethargic as one might expect. Not interested in eating, vomit is a combination of yellow and clear. One earlier vomit was very brown and “pudding” consistency. Since then mostly watery. Our vet is in surgery and is unavailable for the entire day, The main question is how dangerous is the paper towel if in fact it is lodged in the digestive tract? Will it degrade fast enough to allow water first and then food to pass. Our vet said the dog’s age and heart condition preclude any surgery. We are at a loss as to what, if any steps are available to us. He is not in immediate distress but is clearly in need of something.

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  1. Krista Magnifico

    Hello,
    I think that you need to get in contact with your vet asap. Otherwise the ER is your next best option.

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Susan | 4 weeks ago
Good Morning, I’m Looking To Get A 2nd Opinion As To Which Flea And Tick …

Good morning, I’m looking to get a 2nd opinion as to which flea and tick preventative is safest for a dog with history of seizures (5 year old golden doodle with 3 random seizures in the past year and a half.) My current Vet said NexGard is safe although, the online information states it is an “isoxazoline class drug “and caution should be used in dogs with a history of seizures or neurological disorders Anv guidance would be greatly appreciated.

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  1. Krista Magnifico

    Hello,
    I do not use, or advise the use of these products if the patient has a history of seizures. Try something else. There are lots of good products on the market.

    Ask your vet for another option if you are also worried about the black box warning.

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Elaine | 4 weeks ago
Good Morning, I Have An 8wk Old Presumed Female Kitten With A Rare Congenital Defect Causing …

Good morning, I have an 8wk old presumed female kitten with a rare congenital defect causing a cloaca instead of normal anus and vagina. She went to another vet for what was thought to be constipation and a partial vaginal prolapse and we were given the diagnosis and told of an expensive surgery that could correct the issue but were advised that euthanasia might be the best course as we’re a rescue and the surgery is not only expensive but has a high complication rate. I’m trying to find anyone with experience with this or surgeons that have done this surgery. We’re trying to decide if the surgery will prolong a happy, comfortable life or only cause issues down the road. She is currently being maintained with laxatives, abdominal massages, antibiotics both oral and topical, prednisone, and bathing. She is a normal, happy kitten except for her bathroom needs and being very undersized(1.4lbs and half the size of her littermates).
Her diagnosis:
Type II Atresia Ani
Rectourethral Fistula

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BRET | 1 month ago
Just Seeing If You Know Anybody In Chicagoland That Is Able To Do Somewhat Affordable Surgery. …

Just seeing if you know anybody in Chicagoland that is able to do somewhat affordable surgery. My cat had unblocking last Monday, model patient & fine til Sat when not flowing as freely, he is trying so hard, I’m trying to gently help him while going. I’m 1400.00 in & don’t want to lose my Lil guy cz of money. He’s trying so hard & I’m losing my mind going thru it all. We have most of the antibiotics & pain meds, just need to get past this, did the overnight at home and stayed up, all went well. 5 days 2 soon…..if could direct us somewhere near Ill go. He deserves to live, not die cz his dad can’t afford this unblocking.

Thanks

Bretster7@gmail.com

If email can give u more contact info

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  1. Krista Magnifico

    Hello,
    I’m sorry to hear about your kitty and this situation.
    I would post on social media looking for advice and affordable options. Call all of the shelters and rescues and ask your vet for help.
    Next ask to be unblocked via the most affordable option they will give you. Ask to decline all diagnostics and ask to be allowed to go home with the urinary catheter in place. Or ask if your vet will permit your cat to be hospitalized at their facility for a few days. I have written a lot about trying to afford this. Please go to my blog at kmdvm.blogspot.com and search for UO or blocked cat.
    There are also Facebook groups on this. See if anyone there can offer help.
    Please let me know if you find someone to help.

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suerena schaefer | 1 month ago
My Daughter Adopted A Dog From Tru Rescue She Was Just Spayed With One Of Their …

My daughter Adopted a dog from Tru Rescue she was just spayed with one of their vets. She’s one two years old. My daughter noticed that one of her back teeth has a huge cavity in it at the root. She took her in to the same vet in Baltimore and he said it needs to be removed. She is not really thrilled with that Vet or the office staff. I told her about Dr Mag and all the wonderful people and Jarrettsville Vet. She plans on switching over to Jarrettsville Vet because that’s where I take all of mine and I love them. Just curious how much it would be to have that tooth extracted and a dental cleaning I suppose since she’s already under. Thanks.

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  1. Krista Magnifico

    Hello,
    Dental costs are a combination of a few things. The degree of difficulty, the tooth (different teeth have different numbers of roots), patient status and anesthesia time. In general patients like this need the following; examination ($50), pre op blood work (lowest cost option is $50) and dental cost (usually $800 and up). Then post op medications like pain meds and antibiotics ($50-150).

    During the exam we can give you a better estimate. Thank you for rescuing this dog.

    PS you can also call the shelter/rescue and ask if they can provide this service.

    Krista.

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Jack | 1 month ago
What Is The Cost To Remove Polyps In A Cats Nose ?

What is the cost to remove polyps in a cats nose ?

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Parham | 1 month ago
Hello All, I Wanted To Follow Up On My Question About Mercury From Two Months Ago. …

Hello all,

I wanted to follow up on my question about Mercury from two months ago. He had been suffering from recurring urinary blockages, and after several ER visits, I scheduled him for a PU surgery at The Bridge Clinic, a non-profit vet hospital in Bensalem and Philadelphia. The surgery was done on Aug 14th, and the surgeon recommended doing the PU first to see if the stones would pass naturally, which they did. The surgery cost me $1,181.

Unfortunately, the issues didn’t end there. Mercury seemed to recover for about three weeks, but then he started frequenting the litter box and peeing only small amounts, sometimes not at all. He also began peeing outside the litter box and seemed very uncomfortable, especially at night, so I took him for a follow-up on Sep 12th. An X-ray and urinalysis were negative for stones or infections, but crystals were found, leading to a diagnosis of FIC/FLUTD. They suggested Gabapentin for pain and more water fountains and litter boxes (this visit cost $191).

Despite following their advice, Mercury’s issues persisted, so I scheduled another appointment on Sep 19th. The vet confirmed FLUTD and suspected a possible infection at the surgical site, so he received a Convenia and Buprenorphine injection (visit cost: $134). Still, no improvement.

I then took him to his primary vet at Telford on Oct 3rd, where they suspected a different bacterial infection and prescribed Clavamoxin, though I declined a urine culture due to cost (this vist was $170). I also put him on a strict urinary diet (he was on dryMetabolic Urinary food and regular wet food which I diluted with water). He showed some improvement, but then, last Monday, he seemed blocked again. After giving him Amitriptyline, he was able to urinate, and Telford said their only recomendation is a urine culture, and they don’t have any time to see him that week, so I reluctantly agreed to. (Urine culture + 7 Amitriptyline + 14 Clavamoxine was $323), today the results from the culture came back clean, meaning I spent $273 for nothing.

What’s frustrating is that I haven’t spoken to the vet directly since the first visit, only through techs and nurses, and I’m running out of time and money. Mercury is still in pain and struggling to urinate, and I don’t know what else to do.

So if you have any insight or recommendations to what I should do next please let me know because I am at my wits end and have no idea what to do. (I’ve attached the visit’s summaries and the receipt from my last time at Telford to this post)

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  1. Krista Magnifico

    Hello,

    I applaud your dedication and devotion and on your cat. I’m sorry it has been such a long and arduous road.

    I’m sorry but I also think these cases need lots of time to resolve. They are usually complicated and multifactorial. So expecting or hoping for a quick resolution is often not feasible.

    I do think that it is hard to manage a budget and a complicated case. I don’t know if anyone has done xrays or an ultrasound but these are also still on the list of possible places to look for your answer. If you are running right on funds than lean harder on pain medication and anxiety medication.

    I like long term gabapentin and fluoxetine. I also offer lots of options in the litter and litter box department. I like a big, shallow uncovered box with potting soil, or play sand. Don’t remove what you have just add something like this and see which box they choose to use. Also add anything that you can to help keep him relaxed and calm.

    I also like feliway and lots and lots of toys.

    I hope this helps. Please let us know how things are going.

    Good luck
    Krista.

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Maryam | 1 month ago
Hello All, I Posted On Here Earlier This Year Asking For Some Advice About My Cat …

Hello all,

I posted on here earlier this year asking for some advice about my cat who had a very advanced cryptococcosis infection.
Her right lymph node (submandibular) was swollen the entire time, and the left one but to a lesser degree.

She developed anisocoria and horners syndrome, droopy right eye, and she had a mass that felt like bone on top of her eye.
The anisocoria disappeared after 3 days and her pupils were entirely normal again.

Things escalated last week. Her nose has always been blocked, to various degrees, since she developed the symptoms, 1.5 years ago, but it seemed like she was able to get enough air in with some gasping and mouth breathing. I didn’t know how comfortable she was, but I had to try the last recommendation the vet suggested: 150mg of fluconazole a day. She was on this massive dose for 3 months. (4 kg cat)
Previously, she was on 37.5mg for 6 months, her nose and lesions cleared up and she was able to breathe again (most importantly!)
But, in March, a big lump (cryptococcosis mass) exploded into an abscess. It wouldn’t heal. The vet performed surgery to remove it and other lesions nearby. It was an eyesore, I felt so bad for her. She had a cone on for nearly 3 weeks because the suture area got a bit infected. Raised her fluconazole dose to 75mg a day.

Last week, her nose got much more inflamed and distorted very rapidly. It began bleeding and ulcerating, drying up and then bleeding repeatedly.
She looked so uncomfortable and basically slept all day in various positions to keep her head elevated. When near me or when sleeping with me at night, she’d clamp onto my arm or neck with her teeth to keep her mouth open so she could breathe and fall asleep. I can’t fathom how difficult it was to sleep having to make a conscious effort to get air in through her mouth. I understand cats are not “mouth breathers” and can’t fully relax that way.

I took her in to see her vet, 11 days ago, after noticing blood on her paw, and no wound. The vet looked inside her mouth and looked said the fungus was pushing through her soft palate (roof of mouth) into her front teeth. She recommended euthanasia and said she was not going to “get better” in her professional opinion. And that my cat was suffering and it wasn’t ok, I asked outright if her quality of life was ok. She said no. My cat had lost 1 kg since her last visit. This also factored into the vet’s recommendation.

The vet was ready to put my cat to sleep at the time of our consult, but I requested some time to digest and take her home to say goodbye.
Then, 4 days later, I took her in for euthanasia. I wish I had canceled. Am I wrong to feel that she should have died on her own terms?
What she had was like a breathing disability, in other ways she was a strong and vital cat. She was still eating, though appetite decrease by 30 or 40%.
Why did her nose not clear up (while the cutaneous lesions cleared) and in fact get worse after 3 months on a higher dose?
I’m so devastated and confused and wish I could have done more to save her life.
I felt selfish for letting her live this way, knowing there was no hope and I’d just be prolonging the inevitable (probably suffocation).
I am in so much pain recollecting what’s happened.

I wish I had kept her at home and only taken for euthanasia if she had collapsed and refused to eat. Taking her in to have her put down when she still asked to be fed, showed playfulness in some moments, trotting around when it was food time, it felt hasty but also inevitable. I felt I was saving her from experiencing more suffering as the fungus grew.
But, I will never know how it would have gone if I left her. Maybe nature would have performed a miracle, and she would heal, or she would die without my intervention and without pain (like a quick heart attack). I feel so terrible for having made the choice to snuff out her little life when she was still very strong.
She fought the sedative the vet gave, they took her back to insert a catheter and didn’t bring her to me until 40 mins later, saying she was fighting the sedative.
It pains my heart thinking she was in terror during her last hour on earth. When they carried her in, sedated, she looked absolutely petrified and braced. I could see her spirit fighting with all its might.

The vet told me that she had a more thorough examination of her nose and that the masses had hardened/were like concrete all through her nasal airway and that she was breathing through a “pin prick” hole. She said she was never more certain that euthanasia was the right choice.

I am so heartbroken. I still feel like I took her life away too early. Why should it be up to me? I can barely trust myself now.

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  1. Krista Magnifico

    Hello,
    Based on your description and the photos I feel about as confident as I could that this was a cancer in the nose/face/brain and that you did the right thing.

    No matter how much money you would have had, or how many specialists you could have brought her to she was not able to survive or get better with this.

    I am so sorry. I do believe you did everything you could have and that your cat was so lucky to have had someone who loved her as much as you did.

    Sending love and condolences.
    Krista.

    1. Maryam Post author

      Thank you for your input, Dr Krista!

      It never occurred to me that it might be cancer. She had a biopsy done last year (for the cutaneous lesions) and it came back positive for cryptococcosis. They didn’t want to touch her nose or interfere with it, since it was so sensitive. Once she was on fluconazole, her nose response (clearing up) was so rapid, within 3 weeks all the crust, nasal bridge disfigurement and inflammation had virtually disappeared. She was breathing well. That was on 37.5 mg a day.
      When she developed a big ulcer on her side, and then later her nose starting to inflame and ulcerate again, I felt so solemn about it all. Previously she was in what appeared to be a “stall” state with her nose. Upping the dose did not do a thing, imo. It continued to worsen.

      Could it have been fungal AND cancerous? My theory was the fungus developed resistance to the meds, and also was far too embedded to loosen its grip. In months past, I looked up nasal cancer to get an idea what that looks like but it didn’t seem to fit her. Also looking it up because I was so worried about her not being able to get air in, and whether this was humane, while we searched for a cure. Cryptococcosis cases in cats are not well documented online. I have not yet found one where the cat’s nose was so blocked up, from nostrils all the way up, like hers was.

      She was very loved, I am amazed at her resilience and that is what also hurts. She was so intense and sensitive, with immense all-round hardiness. It really felt that whatever was afflicting her was not going away.

      Thank you for your reassurance. I felt I took her life too soon, and also concerned she was not comfortable. It’s challenging to separate what I want and see her /the situation objectively and compassionately.

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Jean | 2 months ago
Almost 2-yr-old Pomeranian. Broke Her Leg 9 Days Ago. Has Been Splinted Twice (she Got The 1st …

Almost 2-yr-old pomeranian. Broke her leg 9 days ago. Has been splinted twice (she got the 1st one off).

Vets are pushing surgery. We’ve already put almost $3k into her treatment. Surgery estimate is up to $10k which is way above doable, even with CareCredit.

We want to do what is best for her. My question is – what is the chance she can heal properly without surgery. When do we decide if she is definitely not healing properly ?

Current xrays are uploaded.

Thank you for any advice !

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Summer | 2 months ago
My Border Collie 2 Years Old Recently Started Staring At Shadows. She Will Just Sit And Stare …

My border collie 2 years old recently started staring at shadows. She will just sit and stare for hours. When the light moves and the shadow is in a different spot she will move with it. What could be going on? I can’t get her to play or cuddle or anything once she starts staring.
I took her to the vet for bloodwork and everything came back normal.

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  1. Laura

    This sounds like an obsessive behavior. I would be working on training and mental work daily in the hopes this can be curbed.

  2. Krista Magnifico

    Hello,
    I would also ask your vet about the possibility of focal seizures and whether a referral to a neurologist might be helpful.