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
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.

0 Responses
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
Jesse | 2 years ago
7y/0 M Golden Retriever Had Mass Removed Near Spine. Incision Site Was Relatively Large And Is …

7y/0 M golden retriever had mass removed near spine. Incision site was relatively large and is healing quite nicely . Since about day 5 post op he has had a sac of fluid underneath the skin (diagnosed by vet as seroma). After 2 fine needle aspirations, 2 rounds of anti-inflammatory and an antibiotic, the seroma has not gone down in size. He has been very minimally active (just goes out to use potty). Seroma has not reduced size and vet said it is ok to ease back into routine.

Any advice on how long this will last and if playing with buddies at park (he wrestles his one best friend) will delay healing? It seems no activity is not helping the swelling anyway.

Just want my pup to have a bit more fun during the day he’s been isolated for over one month!

1 Response

Comments

  1. Krista Magnifico

    Hello

    Seromas can take quite a long time to resolve. I have seen it take weeks. Or even 2-3 months. The key is that it is never bothering your dog and never shows any signs of being n infection.
    In my experience it just has to reabsorb on its own and on its own time.

Question
Profile Image
Alexis | 2 years ago
My DSH Cat Ollie, 6 Years Old Started Vomiting And Having Trouble Eating On Wed 3/1/23, Same Thing …

My DSH cat Ollie, 6 years old started vomiting and having trouble eating on Wed 3/1/23, same thing Thurs. threw up everything he ate. I gave him watered down fancy feast broth via syringe that evening. I took him to the ER vet Thurs night. The ER vet did body XRays and found nothing abnormal. Gave him fluids. She thought it might be related to his teeth removal in Aug 2022. She gave him pain meds and nausea medicine. There’s been no more vomiting.

Followed up with his veterinarian practice Friday morning 3/3/2023. She did a very thorough mouth exam. Did not believe related to dental work. His blood work came back normal. Was not reactive to firm pressure anywhere near mouth. She agreed to continue pain and nausea meds but no other info. Given antibiotic shot. He was fed watered down meat baby food on Friday and more water via syringe.

Saturday 3/4/2023 went back to his vet practice to see another vet. She did additional bloodwork and ruled out pancreatic issues. She did same exam and noted his was not reactive to pressure/touch anywhere except back of mouth/throat area. Told to stop pain meds. Given steroid shot to see if his throat/back of mouth is inflamed. Said should notice a difference Monday if this is effective. Has follow up with this vet on Tuesday morning. He started hills science prescription a/d food today via syringe and continuing water mixed with a little baby food for extra hydration/nourishment. She said if this doesn’t help he will need to seek an internal specialist.
Please help. Thoughts ?

2 Responses

Comments

  1. Krista Magnifico

    Hello,
    This is a tough one because we don’t have a direction to go in

    Here’s my advice. First weigh him everyday. We need to be sure he is not losing weight. Next try a canned only food. I like science diet I/d. (As in intestinal diet). Available at your vets office. Ideally feed small meals every 3-4 hours as long as he is not vomiting. Next make sure a full cbc chemistry fecal (very important to do a fecal) and urine is done. Then full X-rays. If I am still worried I send the X-rays to a radiologist for review and then do an ultrasound. If possible find a feline only veterinarian to get a second opinion. Then I call for an internal medicine consult via my lab services company. All of these are things you should (hopefully) have access to before you go to an internal medicine specialist.

    The issue with your cat seems to be the hat you do not have a diagnosis for the cause of the vomiting. All of the above should help you get to one.
    I hope this helps. Please keep me posted.

    Krista.

  2. Alexis Post author

    Thank you Krista! The vomiting has stopped but he won’t eat on his own. I truly appreciate your help. I’m really trying while we work toward answers.

Question
Profile Image
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

Comments

  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

Question
Profile Image
David | 2 years ago
I Feel Every Time I Need To See A Veterinary, No Matter How Small A Problem, …

I feel every time I need to see a veterinary, no matter how small a problem, I end up spending over $500. How do others afford to take care of their pets? I feel these costs have greatly gone up over the last many years. I understand this is a service that is hard for people to turn down, since our pets are our family. Just like healthcare, food and education. Necessary things in life seem to have the largest markup. Where is the rip off coming from? I read veterinarians are not rich. I understand. So what is the problem? Is it the ownership of the company by someone that is only in it for money and makes all the calls? Opaque costs? Lack of transparency? Why does a checkup to see if there is an ear infection cost $500 even if there is no issue and is just over concern from the parent? Why am I charged $80 for an “exam” that literally has nothing to do with the actual exam for the specific problem that brought me in the first place. Why isn’t it just called a visit fee which is exactly what it is. Is it the business owner? Is it the practice? Is it a field that is able to be exploited due to our love for our family pets? Constantly pissed the F*ck off that veterinaries that I used to frequent for years suddenly change and now cost a car payment or mortgage for every non emergency simple visit.

2 Responses

Comments

  1. Krista Magnifico

    Hello,

    I understand completely. Are you upset enough to want to try to both understand and do something about it? I am. If you are then please share your stories on the storylines section above. I’m hoping to start to build a network of transparent vets with both credibility and integrity who are affordable

    Kriata@pawbly.con

Question
Profile Image
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

Comments

  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.