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Old 10-20-2015, 02:24 PM   #16
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Default Free test!

Thank you, I know mine was included with the regular tests but did not know it was a freebie. As it is so new perhaps they are collecting data from vets so the tests can be more specific.
Hope results at your clinic are helpful.
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Old 10-20-2015, 02:33 PM   #17
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Originally Posted by yorkiemom76 View Post
Idexx is running the test for free whenever the vet clinic sends other blood work to them on the pet. I believe it's only free for a limited time though. I think there will eventually be a charge but I'm not sure when that's going to happen or how much it will cost. I work in a vet clinic and we've been requesting them the last few weeks.
I had posted that above with a link. My impression was that it was going to stay there. But...you never know...where there is money to be made......
hmmm
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Old 10-20-2015, 02:36 PM   #18
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Originally Posted by dottiesyrky View Post
I agree Lady Jane, regular tests are essential for early detection of issues. I hope most vets remind the pet owner about them and see to it that they are done.
Sadly some here do not seem to have the funds for these tests and checkups and it leads to more trouble and pain for the owners and pets down the road when a treatable disease becomes really serious. If that is the case I thoroughly recommend insurance, the relatively small monthly premiums are well worth it and owners are more likely to do the tests if they are covered. (Rant over, )
I wish people would think before getting a dog. I see that all the time...they get the dog and cannot afford medical care. It is indeed frustrating.

As for vets suggesting blood work, I am quite sure most good ones do but they are hampered often by people who want to cut corners. If only they would understand that often you save a lot of money in the long run if you can catch something early.

Asking a vet to diagnose a pup without proper diagnostics is like asking a baseball coach to coach a team with a blindfold on.

Yes, insurance is a great option for people who cannot handle large vet bills; BUT they still have to pay up front.
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Old 10-20-2015, 02:59 PM   #19
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Yes I am sure you and other rescues get the fallout from pet owners who cannot or will not pay for medical issues.
It is true one has to pay up front for the vet services , but I put the costs on my credit card and am usually paid by the insurance company before I get the CC bill. I don't know if all insurers pay up so fast though?
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Old 10-20-2015, 05:53 PM   #20
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Originally Posted by dottiesyrky View Post
Yes I am sure you and other rescues get the fallout from pet owners who cannot or will not pay for medical issues.
It is true one has to pay up front for the vet services , but I put the costs on my credit card and am usually paid by the insurance company before I get the CC bill. I don't know if all insurers pay up so fast though?
I think most do.
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Old 11-30-2015, 10:31 AM   #21
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Default SDMA test and my Yorkie's experience

Hello! I am new to YorkieTalk and came upon this thread while doing research on the SDMA test. I just adopted two adorable 10.5 month old litter mates and one of the first things that the vet and I agreed needed to be done was to get them fixed, given that my little boy is "making the moves" on his sister.

Normally the vet suggests a "modified" blood panel pre-surgery, but given that these pups are new in my life, I wanted to get a full blood work panel so that we would have a solid baseline.

My heart stopped for a second on Friday when I get the call from the vet saying that Sebastian's SDMA test indicated kidney issues. Like many yorkie parents here, I lost a beloved baby to kidney disease and it was devastating, swift, and cruel.

So of course, this is what I thought would be in Sebastian's near future. The vet then explained that his other kidney markers all showed normal (which is good, as we know when those show it means the loss of at least 75% of kidney function) and that the next step would be a urinalysis to provide further detail. She reassured me that at this time, we were not looking at kidney failure.

I found out this morning that his urinalysis was normal, which indicates that the kidneys are still functioning well. When urine is dilute, it means that they are struggling. There were some red blood cells in the urine, but apparently this is normal based on how they take the sample.

The vet gave me the option of getting an ultrasound, which I am going to do. It will provide further information on how best to move forward. She did say that the overall prognosis was good and that I should continue with the home cooked diet I had started both pups on.

Apparently the best thing that can be done for this early-stage disease is to feed high quality protein, so either a home cooked diet (good) or a raw diet (as per the vet, better, but I am not ready to feed my 4.3 and 5 pound dogs raw food quite yet!).

Sebastian is cleared for his neuter in two days and they will perform the ultrasound whilst he is at the hospital. His sister is having her spay that same day, and thus far she shows no sings of kidney disease. Sebastian is totally without symptoms and has tons of energy, eats well, and plays mightily with his sister.

Based on what the vet told me, and what I read, this test was available on a widespread basis in the USA around June/July of this year.

That's all I can share for now. I will update everyone once I get the ultrasound on Wednesday and provide whatever information I can on my "SDMA Yorkie Journey".

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Old 11-30-2015, 04:57 PM   #22
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Originally Posted by Mer4ever View Post
Hello! I am new to YorkieTalk and came upon this thread while doing research on the SDMA test. I just adopted two adorable 10.5 month old litter mates and one of the first things that the vet and I agreed needed to be done was to get them fixed, given that my little boy is "making the moves" on his sister.

Normally the vet suggests a "modified" blood panel pre-surgery, but given that these pups are new in my life, I wanted to get a full blood work panel so that we would have a solid baseline.

My heart stopped for a second on Friday when I get the call from the vet saying that Sebastian's SDMA test indicated kidney issues. Like many yorkie parents here, I lost a beloved baby to kidney disease and it was devastating, swift, and cruel.

So of course, this is what I thought would be in Sebastian's near future. The vet then explained that his other kidney markers all showed normal (which is good, as we know when those show it means the loss of at least 75% of kidney function) and that the next step would be a urinalysis to provide further detail. She reassured me that at this time, we were not looking at kidney failure.

I found out this morning that his urinalysis was normal, which indicates that the kidneys are still functioning well. When urine is dilute, it means that they are struggling. There were some red blood cells in the urine, but apparently this is normal based on how they take the sample.

The vet gave me the option of getting an ultrasound, which I am going to do. It will provide further information on how best to move forward. She did say that the overall prognosis was good and that I should continue with the home cooked diet I had started both pups on.

Apparently the best thing that can be done for this early-stage disease is to feed high quality protein, so either a home cooked diet (good) or a raw diet (as per the vet, better, but I am not ready to feed my 4.3 and 5 pound dogs raw food quite yet!).

Sebastian is cleared for his neuter in two days and they will perform the ultrasound whilst he is at the hospital. His sister is having her spay that same day, and thus far she shows no sings of kidney disease. Sebastian is totally without symptoms and has tons of energy, eats well, and plays mightily with his sister.

Based on what the vet told me, and what I read, this test was available on a widespread basis in the USA around June/July of this year.

That's all I can share for now. I will update everyone once I get the ultrasound on Wednesday and provide whatever information I can on my "SDMA Yorkie Journey".

I have no idea who your vet is, but I have to say that most will never suggest a raw diet.

For early stage disease, they usually recommend RX foods ... that being either Hill's or Purina RX foods. I have successfully maintained two pups on those foods for extended periods after a diagnosis of renal failure. One came to me when he was 8 and he lived just short of 13 .. he was diagnosed with renal failure at 8 when I adopted him.

Here is a link I read just recently about raw feeding. There are people on this forum who feed raw....and swear by it. I simply would never do it and especially not with an ill dog. To each his own. There simply are some valid concerns not to feed raw and I am not willing to risk it...

Evidence-based nutrition: raw diets | Vet Times

I hope your pup lives a long life with you. So sorry about the one you lost...renal failure can indeed be swift and cruel. I went through that once and hope to never see it again. It was horrible and I felt so helpless.

Oh...I also do home cook for one of my pups currently and have others in the past depending on their needs. This website has a wealth of information about home cooking:

www.petdiets.com

Last edited by ladyjane; 11-30-2015 at 04:59 PM.
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Old 11-30-2015, 05:46 PM   #23
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This is why I do minimum once/year blood work. The blood work is usually the first clue you have that something is going on. And, if treated early, many illnesses and conditions respond better to treatment.
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Old 11-30-2015, 06:59 PM   #24
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Default SDMA test

Welcome to you and your two new babies
I know how you feel about kidney function tests , having also lost my previous dog to the horrible disease. I never want to see a pet so very sick, and die so suddenly after diagnosis. I had no idea my baby was sick and a minor tummy upset revealed the horrible truth! So this SDMA test seemed very important to me if it would allow a diagnosis long before the 75% function loss was apparent.
I am so sorry that the test did show the possibility of early kidney disease in your boy, so young! It is great that all the other tests were normal.
I wonder if this Test has been in the field for such a short time that it may need more statistics on the numbers? I would like to know how the numbers change with age for instance? I am sure the research is ongoing and hopefully we will learn more about the limits of the test ranges and their reliability and accuracy.
Praying your boy responds well to the care regimen and that the kidney function remains good. Looking forward to your updates.

Last edited by dottiesyrky; 11-30-2015 at 07:02 PM.
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Old 11-30-2015, 07:20 PM   #25
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Having lost a much loved yorkie to kidney disease last year (we were lucky to have him for 3+ years after diagnosis and he was 16 when we lost him), I have been very interested in this new SDMA test, too. When my three went in for annual checkups in October, this test was included at no additional charge. All three had great results, and age/breed didn't seem to affect the numbers.

3 year old toy poodle - SDMA 5
3 year old yorkie - SMDA 6
13 year old toy poodle - SDMA 5

I felt nothing but relief at the numbers. I suppose there are worse things that can happen to a beloved pet, but chronic renal failure is at the top of the list.

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Old 11-30-2015, 07:28 PM   #26
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Thank you for your post. The age data are very interesting, and so happy that the numbers are so good in all your dogs.
Sorry you lost a baby to this disease, and it sure is at or near the top of the list of nasty diseases.
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Old 11-30-2015, 09:21 PM   #27
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Originally Posted by Mer4ever View Post
Hello! I am new to YorkieTalk and came upon this thread while doing research on the SDMA test. I just adopted two adorable 10.5 month old litter mates and one of the first things that the vet and I agreed needed to be done was to get them fixed, given that my little boy is "making the moves" on his sister.

Normally the vet suggests a "modified" blood panel pre-surgery, but given that these pups are new in my life, I wanted to get a full blood work panel so that we would have a solid baseline.

My heart stopped for a second on Friday when I get the call from the vet saying that Sebastian's SDMA test indicated kidney issues. Like many yorkie parents here, I lost a beloved baby to kidney disease and it was devastating, swift, and cruel.

So of course, this is what I thought would be in Sebastian's near future. The vet then explained that his other kidney markers all showed normal (which is good, as we know when those show it means the loss of at least 75% of kidney function) and that the next step would be a urinalysis to provide further detail. She reassured me that at this time, we were not looking at kidney failure.

I found out this morning that his urinalysis was normal, which indicates that the kidneys are still functioning well. When urine is dilute, it means that they are struggling. There were some red blood cells in the urine, but apparently this is normal based on how they take the sample.

The vet gave me the option of getting an ultrasound, which I am going to do. It will provide further information on how best to move forward. She did say that the overall prognosis was good and that I should continue with the home cooked diet I had started both pups on.

Apparently the best thing that can be done for this early-stage disease is to feed high quality protein, so either a home cooked diet (good) or a raw diet (as per the vet, better, but I am not ready to feed my 4.3 and 5 pound dogs raw food quite yet!).

Sebastian is cleared for his neuter in two days and they will perform the ultrasound whilst he is at the hospital. His sister is having her spay that same day, and thus far she shows no sings of kidney disease. Sebastian is totally without symptoms and has tons of energy, eats well, and plays mightily with his sister.

Based on what the vet told me, and what I read, this test was available on a widespread basis in the USA around June/July of this year.

That's all I can share for now. I will update everyone once I get the ultrasound on Wednesday and provide whatever information I can on my "SDMA Yorkie Journey".


If I had a 10.5 month old puppy that came up with a kidney issue, the first thing I would do is take the care out of the hands of the general vet and see a board certified internist veterinarian. Personally, I would not have the ultrasound done by the general vet either.

I'm not sure what home cooked diet you've started these pups on but I've been home cooking for mine for 15 years. During those years, I've seen different foods run certain values up. For example, both of my boys threw funky kidney values when they happened to be eating a lot of spinach. It sent my vet into a tail spin, but I knew it was probably dietary, changed ingredients and re-ran the labs and I was right and the vet was wrong (but relieved!). So diet can and does influence blood values....both for the better and for the worst if the diet is not complete.

I personally would not feed a raw diet to dogs with any kidney issue. Raw diets are often higher in protein and therefore in phosphorous and it is a known problem to feed high phosphorous to dogs w/ impaired kidneys. A home cooked diet can be done, but should only be done under the guidance and specificity of a board certified veterinary nutritionist.
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Old 12-01-2015, 04:34 PM   #28
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Please excuse my ignorance, but does anyone have any feel for how rare ( or common) is kidney disease in such a young pup? It seems very young to me and with such a new test, is it possible that it was a false positive? Grasping at straws but it is hard for me to deal with kidney disease in such a baby.
Again please accept this as a genuine question that I would like answered, if any one has the info to do so.
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Old 12-02-2015, 04:40 AM   #29
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Dottiesyrky, my dog lived with CRF for over three years, so I did a lot of research and reading and belonged to several groups. I don't have any stats, but I can tell you that, while it's not common, we saw lots of members come through the groups with very young pups with kidney disease. There were a few pups that had kidney failure due to ingesting a toxin, a few that developed kidney disease secondary to another illness such as lepto or tick born diseases, but the majority (which was still a small number of dogs) were born with congenital issues that affected their kidneys, such as juvenile renal dysplasia or polycystic kidney disease. Generally, most of the pups under one year were diagnosed with juvenile renal dysplasia which was eventually diagnosed with ultrasound. Polycystic kidney disease can also be diagnosed with an ultrasound. We also saw a lot of fairly young dogs aged 4-5-6 come through with chronic renal failure, so it's likely those dogs also had some congenital condition that caused the kidney disease. It seemed to be a crapshoot as to how well the very young dogs fared with the disease, but it seemed that most lived to age 2 to 4 with treatment. I can't even imagine how heartbreaking it would be to fall in love with a puppy and find out at six months old that it was in renal failure.

My Scooby was diagnosed with Polycystic Kidney Disease at age 8, but he was probably born with it. PKD eventually progresses to chronic kidney failure, but his progressed very slowly and he did not develop CRF until he was about 13. We were lucky that his CRF also progressed very slowly, and we had him for another three + years after he was diagnosed.

Hope this helps a bit.

Diana
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Old 12-02-2015, 05:28 AM   #30
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The question about false positives is here along with a lot of other information about this test. Vets don't, or should not, make all of their calls based on test numbers alone.

I had replied to the OP previously but missed that this was a puppy. In rereading it, I thought the vet said at this point it is not diagnosed as renal failure.

https://www.idexx.com/files/small-an.../sdma-faqs.pdf


A quote from the above:

• Microalbuminuria—Microalbuminuria is a urine test. It is
an early marker only in some cases of CKD. Physiologic
transient increases are common. It will also be positive with
urinary tract inflammation, so additional testing is needed
to rule out urinary tract infection, inflammation, or significant
hematuria. Once persistence has been established and
false positives eliminated, microalbuminuria will be the
earliest indicator of glomerular disease. In early glomerular
disease when GFR may still be normal, SDMA may also
remain normal. Similarly, microalbuminuria may be an early
indicator of some but not all tubulointerstitial CKD, and as
GFR decreases, SDMA will increase. A positive result should
always be followed by a UPC ratio testing to determine
quantitative value. It is common for the microalbuminuria test
and the UPC ratio to be normal, especially in early CKD.
9. Will SDMA replace creatinine in diagnosing CKD? Do I still
need to use creatinine if I have SDMA?
SDMA and creatinine are complementary. SDMA will not
replace creatinine; it is another more sensitive tool to evaluate
kidney function. A complete kidney evaluation should consist
of a thorough history, physical examination, and evaluation
of minimum database, including CBC, chemistry panel
with SDMA, and complete urinalysis. IDEXX will include the
SDMA kidney test in all routine reference laboratory chemistry
profiles this summer at no additional cost and with the same
turnaround time, so creatinine will be readily available for
comparison. Creatinine is needed for International Renal
Interest Society (IRIS) staging of CKD, so it will continue to be
important for clinical characterization of CKD patients

Last edited by ladyjane; 12-02-2015 at 05:30 AM.
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