Hi Dr. Magnifico. We took Boogie to VRA in Gaithersburg, MD, a couple weeks ago, hoping to have the Radioactive Iodine Therapy done for his hyperthyroidism, but Dr. Conway said she did not think he was a good candidate for it and was very concerned with his constipation.

She did bloodwork, an ultrasound, chest x-rays and more. We took him there on 4/16 and again on 4/27. I asked her to send all results to you and I hope you have received them by now.
Dr. Conway said he has a tumor or mass on his kidney but no abnormalities found from the chest x-ray.
She quoted me $5,000-$6,000 (gulp) to do the surgery, but I can not remember if she said that was to remove the tumor from the kidney, or remove the entire kidney.
She also mentioned something about his blood being thicker? I really can not remember exactly what she said about that, but it didn’t sound good. It may have something to do with his red blood cell level being high due to the tumor on his kidney.

She said to cut back his methimazole to 1/2 pill every 12 hours. *Dr. Conway told me that his hyperthyroidism is very mild.
She also said raise his dose of cisapride 5 mg/ml from 1 ml every 12 hours to 1 ml every 8 hours (three times a day), and she said to raise his dose of lactulose to 3 ml every 8 hours.
I started all of the above on 4/17.

He has since sprained his leg and is limping. He’s been hiding under the bed more, but not completely. He will still come up on the bed to visit me once or twice a day, but just not as often as he used to, and is still coming up on the bed to sleep with me. I’m not sure if he’s not feeling well because of Dr. Conways findings, because of his sprained leg, or both, the reason he is under the bed more.

Here is the last email I received from Dr. Conways office on 4/29, after his ultrasound on 4/27:

1) His calcium results was fine and within normal limits. Dr. Conway suspects the prior calcium elevated was due to lab error.
2) His thyroid level is good on the lower dose of Methimazole – please continue as directed with this medication.
3) His blood cell count shows his red blood cell level is HIGHER – this is due to the tumor of his kidney. If you are not interested in pursuing surgery for Boogie, Dr. Conway’s recommendation would be an oncology consult to discuss any palliative care options.

Please let me know if you have any questions.
​
Julia Conny, RVT
Internal Medicine Lead Technician
Veterinary Referral Associates
301-926-3300

Dr. Mag, We have been clients of yours for several years, as four of our cats are all seen by you and your wonderful staff. We are begging you on hands and knees to please help our Boogie boy. He is only 12 years old and we are not ready for him to go. Can you please do the removal of the tumor or kidney? We realize it is a very risky surgery, but we would feel better knowing we did something, than not. We know you are a big advocate of doing everything you can to help bring pets back to health, instead of just giving up.
I’m in tears as I write this. Can you please look at all his records you have at your office asap, and also what Dr. Conways office sent you. Please, can you help our baby?

Terri and Steve

My vet thinks my cat has a nasopharyngeal polyp but he needs to go under anesthesia so he they can know for sure and get it out, but he was also listening to my cats heart and said he has a grade one mitral heart murmur and that he needs to have xrays and ultrasounds and such done to make sure his heart is ok before going into surgery because they said his heart could fail while under anesthesia and he could die. My dad said they we should just go ahead with the surgery without spending $550 extra dollars because he doesn’t think he has anything serious wrong his heart considering it was only a grade one heart murmur and my cat was already very nervous about the car ride and being at the vet and that could have caused his heart rate to be off a little. Would it be necessary to look into his heart further or just go ahead with the surgery considering it would only be a 20-60 minute surgery? Would a cat with any type of heart conditions die during surgery? What should I do next?

I have a 10-1/2 black lab that you (Dr. Morgan) has seen over the years. Lilly started sneezing yesterday and last nite and today she has had a nose bleed. What could be causing this? Thank you!

9 year old female healthy and happy lab seen for a full physical and check up a week ago. Hip/knee mild pain not really improved on Dasuquin. Also new onset of itchy feet (pet is chewing and this happens yearly) from season allergies.
Recommended and started on Gallaprant for a week trial in conjunction with Fish oil 2000mgs daily. Started on gabapentin 3 days ago 300mg bid……Haven’t see any improvement yet.
For the feet, Benadryl 75mg po bid for the past 5 days, which is somewhat effective but wears off quickly. Neo predef foot powder, which helped in the past, unavailable, therefore started on prescription foot bath solution bid. Unfortunately, Foot bath is clearly not decreasing the chewing.
My main concern is that as of this morning, she is now in discomfort with what appears to be an upset stomach. Refused to eat breakfast which has NEVER happened before (even with previous GI illnesses). Not sure which medication might be causing this?

Hi Dr. magnifico! Curious on your thoughts on gabapentin for pain? I’ve read mixed reviews. My pup has a painful back leg. Originally she saw a vet at our practice who thought is was due to Lyme because she had tested strong positive and did not feel a drawer sign when checked. We did antibiotic treatment and the lameness got better for the most part. She would have some days where you could see it was bothering her. Then a few months later she was back to not bearing weight on it. Saw a different vet this time at our practice and this vet said he felt the drawer sign and said he felt it was injured CCL and reccomened a surgeon. Surgeon said would need to have x-rays to confirm which I haven’t had the money for. So we did pain meds (gabapentin and tramodyl) and rest for about a month and lameness went away again. She’s been good for about a year up until the past month or two and the vet gave gaba again. When she’s on it, she looks sleepy and scared. I’ve never had an issue giving pills with her in cheese on lunch meat or something but now she tries to spit it out. It’s like she knows what it’s going to do to her. I’ve read mixed reviews. I’ve also read it’s more for nerve pain? So I’m not sure if it’s actually relieving her pain or not. I’ve also read the reciptors that tramodyl targets, dogs don’t have? Curious on your opinion on all of this. I would like to see if she’s still a candidate for surgery even though it’s been some time but I need to come up with the funds for that so I’m trying to help her in the mean time. I give her vitamin supplements for her joints. I don’t want her on pain meds all the time but want something that gives her some relief on those bad days without making her feel drugged up.

My male cat is 2 yrs old and he has a small history of urinary issues. He went in for not being able to pass urine in May 2019. Vet #1 suggested prescription wet food(hills c/d multicare) and perineal urethrostomy. While he was hospitalized with a catheter and IV fluid therapy I did my research and the surgery seemed risky and I wanted a second opinion. After my boy was discharged I went to vet #2. Vet #2 reviewed urinalysis and bloodwork and didn’t see reason for surgery at the moment as cat was passing urine okay. Vet #2 said to continue with the food and gave dasuquin supplements.
Fast forward to present day April 2020 almost 1 year later he’s still on the c/d wet food, hasn’t had any blockages since. I want to change his diet to Open Farm which is a higher quality food and I am a bit nervous. Should I get another urinalysis or bloodwork done before making the transition? Is it necessary to make an appointment and ask my vet? The c/d is ranked below average for nutrition and ingredients from what I have read and I don’t want to be paying for food that’s not the best but it has a high price tag! I currently feed him 1 can/day and add salmon oil.

Our 4 month male lab/husky (a patient at JVV)
He has episodes of “attacking/biting”. Today he went after my 5 year old grandson. Bit him in the leg. Not provoked. He also has biting episodes at night. My daughter, his mom, puts him in a hold and he calms down. CN u offer advice how to train him to stop. This is scary. Thank you

I have a chocolate lab chewing her fur raw all over her body

Hi Dr. Mag, Gatsby and I need your help.
I came across some of your videos on YouTube and that brought me to your blogs and finally here to Pawbly.com I feel so fortunate to have found your videos you seem so knowledgeable and more importantly empathetic. The care you have for animals truly shines through. I feel so helpless When it comes to my little guy Gatsby. He is 8 years old and has been very healthy all his life, But within the last six weeks we have been experiencing some urinary issues. I did think he had a blockage because he was unable to urinate for close to 24 hours, he seemed lethargic and did not want to eat. I took him to the vet first thing in the morning and he was given an x-ray which did not show any signs of kidney stones. He was given fluids under the skin, an antibiotic shot and sent home with 5 days dosage of Prozasin. The vet diagnosed him with feline lower urinary tract disease, yet he did not take any urine samples because he said that Gatsby’s bladder was very small and he was unable to collect a sample. He did not take any blood either. Within a couple days Gatsby was again exhibiting the same symptoms so I asked around for personal referrals and took him to a different vet. This vet said the same thing, Gatsby’s bladder was very small, but he kept him for a few hours to collect urine and did perform blood analysis and lab work. This was a Saturday and the vet suggested I switched him to a prescription urinary diet and informed me I would receive lab results that Monday. When the vet called all of his lab work came back clear, no infection, no signs of crystals, no signs of cystitis, kidneys functioning properly and he does not have diabetes. The vet suggested I keep him on a prescription diet and suggested that he lose weight because he is a big boy at 15 pounds. This was about a month ago and Gatsby has had two more episodes since. He is licking himself a lot. He travels to his box many times and is only producing small dots of urine, he has on a handful of occasions exhibited inappropriate urination, but only during these flareups which tend to last 2 to 3 days. I’ve called the vet to discuss Gatsby’s condition and his solution is to have the surgery performed. I have read a lot of literature, watched a lot of videos and have taken him to two different vets to try and find answers and help for him. It hurts me to see him struggling. He is on a wet food only diet, I do not feed him any dry food or dry treats. I have tried a urinary health chew which he receives once a day. I have noticed that he has not been drinking water as he used to prior to these episodes. I have a water fountain for him I’ve tried fresh water in different types of bowls, I’ve tried water with ice, he’s just very resistant to drinking water now. Any advice or guidance you can provide would be greatly appreciated.

I have a 13 year old (best estimate because he was a rescue) Chi that needs a dental. He has CHF and takes 2.5mg of Enalapril daily, as well as 12.5mg of Lasix daily. Is it safe for him to have a dental?