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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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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

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  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.

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Tiffany | 2 years ago
I Am Trying To Reach Out To Dr. Magnifico. I Have A 10 Month Old Cat That …

I am trying to reach out to Dr. Magnifico. I have a 10 Month old cat that started to puke and it was unusual for him so I paid closer attention and realized he was going to the litter ofter and straining at first I thought maybe he had a blockage with the puking then after taking him to the vet on 3/31 and after x-rays they determined that he was constipated but at that time didi not have mega colon they had me try Laxatone and probiotics he was still having bowel movements daily so I was was still concerned as he was in the litter often straining though and Then on 4/3 I took him to a different animal hospital because they were walk in and i could be there before i could get ahold of his original vet and I Didn’t think I could afford an ER visit but that appointment cost me over $800 for blood work and X-rays and they gave him Anastasia and manually cleaned him out. at that point I was calling his original vet he he regularly see and originally saw for this problem because the vet that did the procedure just gave me prescription dry food and sent me on my way so I wanted to make sure it was the right action plan to get him back to normal. My original vet never called me back until I called to ask for his records thats when they decided to get him back in. So on 4/8 He started vomiting again and his original vet saw him and said he needed fluids but his stool seemed soft and like it should pass. they gave me pain meds for him fpr 3 days and metocopramide for 4 days. along with a different prescription wet food and Hydracare. Then I noticed on mu bill i was charges for Lactulose which they didn’t tell me wasn’t in stock and i would have to wait to get but it was weekend and they closed so per a megacolon group i am in i gave him 1/8tsp of mirilax a day he still has had at least 1 goof bowel movement a day but the problem I am having is that he is in the litter box straining constantly to the point of falling over and his back side is so swollen and raw! I called the vet numerous times to just ask for guidance and am not getting anywhere I have spent over $1600 which I definitely do not have and I would think by now I would have some answers. All I want is for him to not be in pain. I don’t know if there is anything I can do for his swollen raw bottom. It feels like its never going to end there is constantly poop on his bottom on-top of it I am trying to keep it clean for him but It is so painful for him for me to clean. I guess I just want to know if this will stop or will he be constantly trying to stain and go? They said that his colon can go back down in size since it just happened and he is so you but I just feel so defeated right now!

3 Responses

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  1. Tiffany Post author

    Here are some photos and comparative x rays of how quick it got to Megacolon

  2. Krista Magnifico

    Hello,
    I’m sorry that you are having such a terrible time trying to find help.
    I think that most cats with constipation have it as a result or something else going on. So I am worried that a 10 month old cat would have such an issue. It’s really important to find a vet that you trust. Go on social media and ask everyone you know if they can recommend someone to help.
    Without knowing your cat it is impossible for me to guess about what’s going on. But I am worried that a few things might be contributing to his problems.
    One is he eating a good high quality wet food. I really prefer canned to dry with cats and colon issues. Next is getting enough exercise. The colon is a muscle and under muscled animals have problems. For constipation I do recommend miralax or lactulose. I also like learning how to give sq fluids at home. You also need to learn how to palpate his colon to know when it is getting distended.
    For other things that might be causing the problem look at old pelvic issues. I’ve only seen young cats get this because they had previous pelvic trauma. Also FeLV or fiv positive?
    His rectal area is raw bc of the colon issue. So that has to be fixed to get his butt to heal.

    Good luck. I hope this helps.

    1. Tiffany Post author

      Thank you so much for responding! He defiantly needs more exercise I was giving him Iams dry food as he really doesn’t like wet food and I have a 14 year old cat that has never had an issue. But I have been trying to get him to eat wet food. where I adopted him from tested him for FeLV and Fiv and he was negative and I just got it ran again 2 weeks ago and he was still negative. I am so overwhelmed because the vet I am using comes so highly recommended on all of the social media groups around here. I defiantly want to look into fluids for home I called his vet again today asking if i could bring him in just for fluids and they wanted me to do a whole appointment again and i honestly can not afford much more.

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Emma | 2 years ago
Male Himalayan Cat Eyes Swollen And Red And Ears Itchy

Male Himalayan cat eyes swollen and red and ears itchy
I have A male himilayan who seems to be having an allergic reaction to something but I’m not sure if it’s a reaction or something else. His eye lids are swollen red and puffy and he keeps scratching his ears till they bleed. My vet told me to open the windows and air out the house which I did For 7 hours and it has gone down a bit but he still looks uncomfortable. It has been on and off for the past week of getting puffy and there was a wall diffuser my mother in law kept plugging in and when it was unplugged it got better but then she’d plug it in again. It has now been removed for good and it’s been almost 12 hours and he’s still puffy. Any suggestions or opinions would be greatly appreciated. Nothing else has changed in the house that I can Think of for another cause of allergies or irritation. I am Trying to get him into a vet tomorrow.

1 Response

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  1. Krista Magnifico

    Hello,
    Eyes are one of those things that absolutely have to be seen in person to assess. In some cases I need to stain the eye to look for corneal damage. In others I had to take ocular pressure. And in some we just try an ophthalmology antibiotic and an ecollar. For allergy cases I might send home an eye flush. But they are all based on the in person exam.

    See your vet as soon as you can and do not let your cat run her eyes. That can cause major cornea damage.

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Lorraine | 2 years ago
Live In The Pittsburgh Pa Area. I Have A Cat With The Nasal Polyp Issue. … I …

live in the Pittsburgh pa area. I have a cat with the nasal polyp issue. …

I live in the Pittsburgh pa area. I have a cat with the nasal polyp issue. He’s 5 yr old. I don’t have $2400 for the surgery at the specialist I was referred to. If you could point me in a direction. He keeps getting cold symptoms every few months. Can they suffocate? I know they don’t breathe out of their mouth. I’m so worried.

1 Response

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  1. Krista Magnifico

    Hello,

    Have you tried to find a vet near you who will sedate your cat and look for a polyp in the ears or behind the soft palate? Local rescues and shelters might also be able to help.

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Chaz | 2 years ago
What If The Breathing Issues Is Not A Polyp? And It’s Not Asthma Or A …

What if the breathing issues is not a polyp? And it’s not asthma or a respiratory infection. What else could it be in your experience?

1 Response

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  1. Krista Magnifico

    We do a very poor job in diagnostics to provide a firm diagnosis for pets.
    To help decide what is going on with your pet we should be doing things like X-ray, ct or mri, BAL (bronchiole lavage), culture airways, full blood work and a fecal. Anything within any of those is a possibility.
    I would not rule out asthma or infection without having done all of those. Which no one can ever afford to do.

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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

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  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.

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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

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  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.

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Lorraine | 2 years ago
I Live In The Pittsburgh Pa Area. I Have A Cat With The Nasal Polyp Issue. …

I live in the Pittsburgh pa area. I have a cat with the nasal polyp issue. He’s 5 yr old. I don’t have $2400 for the surgery at the specialist I was referred to. If you could point me in a direction. He keeps getting cold symptoms every few months. Can they suffocate? I know they don’t breathe out of their mouth. I’m so worried.

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Michael | 2 years ago
Writing To Krista Magnifico Again–we Are Trying To Find Vets Who Can Perform The Polyp Removal …

Writing to Krista Magnifico again–we are trying to find vets who can perform the polyp removal on our 7 month-old maine coon, but the clinics either have no availability until the summer or are not responding. At this point we are worrying about our Maine Coon who is making noise when he is breathing. We are trying to find any clinic that can work with us to schedule a surgery soon.

1 Response

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  1. Krista Magnifico

    Hello,

    I’m sorry you are having so much trouble. I will do my best to find some help. I know you called the clinic and I will follow up with you as soon as I can.

    De magnifico.