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01-16-2011, 11:31 AM | #1 |
Yorkie Yakker Join Date: Mar 2007 Location: maine
Posts: 45
| Dr. Karen Tobias And Liver Shunt Repair Hi Again, This is my second post since yesterday, but now seeking a bit more information from anyone that can help. As stated yesterday, Lily who is 4 had very high BAT findings: 166 and 209. Her kidneys are filled with stones and we need to take the next step. Our Vet can no longer handle this. After doing alot of research on specialists, I see there are only a handful that specialize in this, one being Dr. Karen Tobias in Tenn. At this point we are willing to do just about anything. She seems to be the best in this field. Does anyone know if I can directly contact her or does our vet have to contact her. I want to move on this pretty quickly. Thanks for any input. |
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01-16-2011, 11:35 AM | #2 |
I ♥ Joey & Ralphie! Donating Member | I've heard that you can contact her directly and she works out of the University of Tennessee. Her high BATs could be due to the kidney stones. Best of luck, I hope you find some answers soon. http://www.vet.utk.edu/faculty/tobias.php It sounds like she will only reply to emails from vets, but you can call.
__________________ NancyJoey Proud members of the CrAzYcLuB and YAP! ** Just Say No to Puppymills – Join YAP! Yorkshire Terrier Club of America – Breeder Referrals Last edited by Nancy1999; 01-16-2011 at 11:38 AM. |
01-16-2011, 11:38 AM | #3 |
Yorkie Yakker Join Date: Mar 2007 Location: maine
Posts: 45
| Problem is when she is given any protein at all, she starts bleeding in her urine which lead the Vet to do the BAT as well. She says that the kidney issues are the result of the liver, but until I see a specialist, have no idea what is what. |
01-16-2011, 11:39 AM | #4 | |
I♥PeekTinkySaph&Finny Donating Member Join Date: May 2009 Location: Baltimore, Maryland
Posts: 18,866
| Quote:
__________________ Kat Chloe Lizzy PeekABooTinkerbell SapphireInfinity | |
01-16-2011, 11:43 AM | #5 |
I ♥ Joey & Ralphie! Donating Member | I've heard that Dr. Susan Center at Cornell, works with Dr. Tobias, that's also another possibility. CUVS
__________________ NancyJoey Proud members of the CrAzYcLuB and YAP! ** Just Say No to Puppymills – Join YAP! Yorkshire Terrier Club of America – Breeder Referrals |
01-16-2011, 11:44 AM | #6 |
I♥PeekTinkySaph&Finny Donating Member Join Date: May 2009 Location: Baltimore, Maryland
Posts: 18,866
| Did the vet do a urinalysis to determine the type of stones she's forming?
__________________ Kat Chloe Lizzy PeekABooTinkerbell SapphireInfinity |
01-16-2011, 11:44 AM | #7 | |
Donating YT 10K Club Member | Quote:
__________________ Deb, Reese, Reggie, Frazier, Libby, Sidney, & Bodie Trace & Ramsey who watch over us www.biewersbythebay.com | |
01-16-2011, 11:48 AM | #8 |
I ♥ Joey & Ralphie! Donating Member | I thought that's what I said? Is it because I used the word vet instead of veterinarian? I didn't know how to spell it.
__________________ NancyJoey Proud members of the CrAzYcLuB and YAP! ** Just Say No to Puppymills – Join YAP! Yorkshire Terrier Club of America – Breeder Referrals |
01-16-2011, 11:48 AM | #9 |
Donating YT 10K Club Member | You're much closer to Cornell than University of Tennessee. Dr Sharon Center was the developer of the bile acid test. Faculty of the College of Veterinary Medicine - Sharon A. Center
__________________ Deb, Reese, Reggie, Frazier, Libby, Sidney, & Bodie Trace & Ramsey who watch over us www.biewersbythebay.com |
01-16-2011, 11:48 AM | #10 |
I♥PeekTinkySaph&Finny Donating Member Join Date: May 2009 Location: Baltimore, Maryland
Posts: 18,866
| There are all kinds of links on the University of Tenn. website, from directions, to hotels, to referral forms, and a vet will discuss your dog's case with your vet to make recommendations.
__________________ Kat Chloe Lizzy PeekABooTinkerbell SapphireInfinity |
01-16-2011, 11:49 AM | #11 |
Donating YT 10K Club Member | I missed your last sentence. My apologies.
__________________ Deb, Reese, Reggie, Frazier, Libby, Sidney, & Bodie Trace & Ramsey who watch over us www.biewersbythebay.com |
01-16-2011, 11:52 AM | #12 |
I♥PeekTinkySaph&Finny Donating Member Join Date: May 2009 Location: Baltimore, Maryland
Posts: 18,866
| Both places are good, as are the vets, but they use two different methods. Dr Centers uses a ligation technique to do the repair, Dr Tobias uses ameroid constrictors (sp), to slowly close off the shunt.
__________________ Kat Chloe Lizzy PeekABooTinkerbell SapphireInfinity |
01-16-2011, 11:54 AM | #13 | |
I ♥ Joey & Ralphie! Donating Member | Quote:
Ah, we're even!
__________________ NancyJoey Proud members of the CrAzYcLuB and YAP! ** Just Say No to Puppymills – Join YAP! Yorkshire Terrier Club of America – Breeder Referrals Last edited by Nancy1999; 01-16-2011 at 11:57 AM. | |
01-16-2011, 12:12 PM | #14 |
Yorkie Yakker Join Date: Mar 2007 Location: maine
Posts: 45
| A urine test was just done last week prior at the same time of the ultrasound to see what type of crystals this are. The urine did not show any crystals in the urine. They are also not showing up on x-rays, just the ultrasound. So we don't know which type they are. She then decided to do the BAT trying to find out what was causing the kidney issues and we were given these BAT results yesterday. She was not looking at the liver during this ultrasound, just the kidneys. So she is saying now we need another ultrasound to look at the liver, but says a specialist has to do this. Problem is what I read about determining a liver shunt by ultrasound is not always effective. From what I gather these ameroid constrictor seems to be the most successful, I have not read much about the other at this point. Thank you for the info on Susan Center. The only indication we have a possible liver shunt right now is these very high BAT's. She does currently have her on Hills U/D to see if she can dissolve these stones, however, if they are calcium oxalate, it won't work, so appears we are dealing with two issues, stones and liver. |
01-16-2011, 12:22 PM | #15 |
Donating YT 100K Club Member & Top YorkieTalk Poster! Join Date: Feb 2009 Location: western KY
Posts: 108,935
| My boy recieved the best of care at UT his bat were way lower than yours are he was diagnosed with MVD good luck to you where ever you decide to go
__________________ Betty & Micah my love + Yogi |
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dr. tobias, kidney stones, liver disease, liver shunt |
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