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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

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  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?

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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

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  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 .

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Pam | 2 years ago
My 9 Year Old Potcake (probably Shepherd/lab/etc Mix) Has A Long History Of Lipomas, Which …

My 9 year old Potcake (probably shepherd/lab/etc mix) has a long history of lipomas, which grow fairly large. In late October of 2022 I found a lemon sized mass on the back of his right hind leg, which was not bothering him but was firm. Our vet in Ottawa ON is a VCA practice nearby; I was able to get an appointment the next day. The vet and I were both concerned at the location, size and consistency of the mass.

She recommended an xray of the limb and a chest xray to rule out cancer and metastasis as well as blood work. (all normal) She sedated him for the radiorgraphs and aspirated the mass multiple times with a presumptive diagnosis of lipoma. We discussed the fact that it was probably and inter-muscular lipoma, between the two muscles of the hind leg at the back . To remove it she advised a board certified surgeon elsewhere, who she said would want to do an MRI of the limb first to evaluate the extent of the mass in preparation for surgery. When I expressed concern about the cost she offered a surgeon at the VCA who is not board certified but who may be able to attempt a surgery without the MRI.

Since October the mass has grown, especially medially, and is now the size of a grapefruit. He is still not lame or uncomfortable when I feel the mass. I want to prevent problems for him with this leg but I also worry about the invasiveness of the surgery – and the cost, which I can’t afford right now. I am waiting and watching at this time. I worry about having the mass return even after surgery and wonder about removing the majority of it just to give him more comfort when moving – is it ok to wait until it gets bigger? I know that lipomas don’t tend to spread to other parts of the body like malignant cancer – this is why we took the xrays, to look for other signs of cancer in his body. Now i wonder if this was too soon, and should have waited on those tests.

2 Responses

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  1. Krista Magnifico

    Hello,
    Almost all of the lipomas hat I see are easily removed as they tend to form in a capsule that makes it easy to remove. Usually they can be shelled out without much if any bleeding and other than resolving the issue of left over dead space ( a drain might be needed) they heal quickly and easily. I have seen a few invasive lipomas that seem to form from within the muscle and are embedded within in the adjacent muscle. They do not shell out but often can be “debulked”.
    If cost is an issue see if you can find an independent veterinarian who is comfortable and proficient in surgery. I don’t think that many of these cases need or can afford an mri or boarded surgeon. At least in my cases I offer to try to remove and I usually know within a few minutes of surgery if this is going to be a routine lipoma surgery or something else. Talk about options cost and scenarios. Be available by phone while the surgery is taking place and know that it’s ok to both wait and monitor and look for affordable options. Lastly I would recommend you find an independent vet practice and avoid corporate practices as they tend to be more expensive and refer cases to specialists most people struggle to afford.

    I hope this helps.

    Good luck

  2. Pam Post author

    thank you for all of the advice, it helps a lot in decision making

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Mahesh | 2 years ago
Hi, My 1 Year Old Lab Was Taken For Neutering. We Were Aware That He Would Be …

Hi,

My 1 year old lab was taken for neutering. We were aware that he would be a crytorchild situation as his 1 testicle was not descended. VET did check for 2nd testicle by his abdomen incision but couldn’t find the other testis for a long time. N now recommending to go for a higher level ultrasound with a surgeon..to confirm if there is another testicle or not in the body. N then do the next procedure accordingly.

1. Is that possible to have just one testicle in Labrador dog?

2. If its hard to find the undecended testicle via ultra sound, can we take plan B – the visible n descended testicle is removed n then blood test is done in 4 -5 months for testosterone hormones in blood if anything changes to be sure if there is another testicle in body?

Youemf valuable inputs are much appreciated

Thanks mahesh

1 Response

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  1. Krista Magnifico

    Hello?

    I am not a reproductive specialist. But I think your vet can ask their lab services rep about progesterone checks or go get an ultrasound or refer to a surgeon for help. These cases can be frustrating but it is really important to make sure a testicle was not left behind in the abdomen.

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Eli | 2 years ago
Hi Krysta, Just Recently Saw One Of Your Videos Regarding IVDD Our Soon To Be 6 Yr …

Hi Krysta,

Just recently saw one of your videos regarding IVDD our soon to be 6 yr old Chocolate Lab Bruschi was recently diagnosed with this condition. We don’t know what to do surgery seems out of the question financially. What are some physical therapy practices we can do to help him? Please advice

1 Response

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  1. Krista Magnifico

    Hello,

    I did a very thorough write up on almost every part of this between my YouTube channel and rhe blog kmdvm.blogspot.Com. Search Ivdd. It is important to keep trying to help your pup maintain muscle mass and start re learning how to stand and walk. The first steps of this are managing pain and helping to maintain normal urine and defecation and avoid getting any infection (bladder included). Then as the pain starts to dissipate work on regaining strength and ambulating.

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Mario | 2 years ago
My 14 Year Old Lab Mix Has Been Diagnosed With Laryngeal Paralysis Around 6 Months Ago. She Is …

My 14 year old Lab mix has been diagnosed with Laryngeal Paralysis around 6 months ago. She is doing okay except at night sometimes coughing for 15-20 seconds and then going back to sleep. Please let me know what experiences there are from the surgery. I want to see if this is something that she can survive. Thanks for your help…

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Jessica | 2 years ago
Saturday I Was Working In The Yard And Later Came Across Poison Ivy. My 6 Year Old …

Saturday I was working in the yard and later came across poison ivy. My 6 year old lab was out with me and I’m worried I touched his toy with poison ivy hands or his toy touched poison ivy. Should I be concerned that he will get poison rash in his mouth?

1 Response

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  1. Krista Magnifico

    Hello

    I wouldn’t worry. I’ve never seen a problem with this and I am surrounded by it and my dogs are too.

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Amy | 3 years ago
My 8 Year Old Chow/lab Mix Got Diagnosed With IVDD 7 Days Ago. She Was Chasing A …

My 8 year old chow/lab mix got diagnosed with IVDD 7 days ago. She was chasing a rabbit when her back gave out. She stayed in the vet hospital over the weekend where they monitored those first few days. We are not able to afford the surgery, but we have been working with her since she has been home. I noticed over the last couple days that she is able to twitch her legs in her sleep, which she didn’t do the first 3 days of being home. Is this a good sign or is that just a subconscious reflex?

1 Response

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  1. Krista Magnifico

    Hello,
    I’m sorry to hear about your dog. This is a complicated and difficult disease to manage. Please try to find a vet you trust who will help you manage this. Involuntary movement may or may not be indicative of improvement. So I don’t want to provide a false sense of hope. Be diligent with follow ups and know it is a process that takes time and patience. There is a lot of information at my blog and YouTube channel on this.

    I wish you the best of luck.

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Eva | 4 years ago
I Have An 8 Year Old Lab Who’s Had An Ear Infection For 6 Months. I’ve …

I have an 8 year old lab who’s had an ear infection for 6 months. I’ve taken him to my vet probably 15 times and she’s tried a variety of remedies, including steroids (which he’s allergic to) ear flushes, and antibiotics. He’s now on Apoquel, and an ear flush that I use twice a day, which has really helped with the itching but there is still pus inside the ear. He doesn’t seem to be suffereing much from it at this point, but I need to get it resolved. I have an appointment with a dermatolgist that she consults with but the earliest appointment I could get was at the end of Sept.

Just wondering if you have any suggestions. I can give you all of the medications he’s been on if you need them.

1 Response

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  1. Krista Magnifico

    Hello,
    I would also inquire about adding cytopoint, frequent cleanings with a medicated optic, a hypoallergenic diet and a culture of the ear. In many cases I also talk about oral medications like a steroid and an antibiotic for the really difficult cases. If the ear continues to be so diseased and problematic you can also inquire about a TECA.

    I hope this helps. Good luck.

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Tiffaney | 4 years ago
Possible Anal Sac Issue? I Am Currently Unable To Drive Due To A Tbi So I’…

Possible anal sac issue? I am currently unable to drive due to a tbi so I’m trying to figure out if this can wait until Monday or not. She is a 4 year old lab mixing started licking the area last night. Other than that, she’s going to the bathroom fine and she has a little area of concern which I’m attaching the picture for. She’s acting normal, eating, drinking, playing.

1 Response

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  1. Krista Magnifico

    Hello,
    It’s in the right spot to be an anal sac problem. The only way to tell for sure is with an exam at your vets office. I treat an abscess with topical and oral antibiotics and a recheck in a few days. I also place an ecollar to stop licking.