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02-15-2011, 08:28 AM | #1 |
Donating YT 500 Club Member Join Date: Dec 2010 Location: At Home
Posts: 8,386
| My Lizzie Update Path Report I talked with Lizzie's Doctor last night and as it stands she has just has the Chronic Rhinitis issues that are proving to be very difficult to deal with. I got a copy of her report this morning and I am posting it here. This is all so frustrating. I just hope she has no headaches with this. Monday, February 14, 2011 Dr. Sherry Woods Tara Animal Hospital Inc. 611 Cheek Sparger Colleyville, TX 76034 Fax: (817)485-7147 Patient Name: "Lizzie" Patient #: 2951 Client Name: Vicki Kxxxxxxxx Laboratory Tests: Histopathology - IDEXX Laboratory Services (2/8/11): PRIORITY BIOPSY W/ MIC (1 SITE) Test SOURCE/HISTORY Patient has displayed eight months of nasal discharge which varies from clear to mucoid with some blood. There has been no response to antibiotic treatment. MICROSCOPIC DESCRIPTION A number of tissue fragments are received. These contain nasal mucosa with scattered areas of clotted blood and mucopurulent exudate. The mucosal elements of cells are fairly normal although there is a mild increase in stromal lymphoid cells and neutrophils. No microorganisms are noted within the exudate. MICROSCOPIC INTERPRETATION Mucopurulent rhinitis COMMENTS Lesions are inflammatory and potentially infectious although no microorganisms were identified. A silver stain has been requested to check for the possible presence of fungi. This should be completed and reported early next week. Special Stain Results Tissue sections stained with a silver procedure to identify fungi showed no organisms within the lesions. 2/14/11 PATHOLOGIST R. GAYMAN HELMAN, DVM, PhD Diplomate, American College of Veterinary Pathologists (1-800-444-4210 x76725) E-mail: gayman-helman@IDEXX.com Diagnosis: chronic rhinitis Recommendations: Lizzie has not shown much improvement with Zyrtec 5 mg daily and prednisone 10 mg daily, and the prednisone side effects seem to bother her. The dose will be decreased to 5 mg daily, Zyrtec 5mg or Claritin 5 mg daily will be given, and owner is going to restart topical tobramycin with dexamethasone into Lizzie's nose. We discussed the positive aspects that she has no evidence of tumor or fungal infection, but this will be a chronic condition that can be frustrating to manage. Owner was asked to keep me updated on Lizzie's condition as we try to find a successful management plan. Please do not hesitate to contact us with any questions or additional information you have regarding this patient. Sincerely, Erika Haschke Pickens, DVM Diplomate, ACVIM (Small Animal Internal Medicine) Veterinary Medicine Specialists of Dallas/Fort Worth 2700 West State Hwy 114 Grapevine, Texas 76051 v 682.223.9770 f 682.223.9771
__________________ [SIZE="3"VICKI & ALLIE[/SIZE] |
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02-15-2011, 08:57 AM | #2 |
YT 3000 Club Member Join Date: Apr 2009 Location: Idaho
Posts: 4,544
| Have you put her on Ester-C ? |
02-15-2011, 09:05 AM | #3 |
Donating YT 500 Club Member Join Date: Dec 2010 Location: At Home
Posts: 8,386
| Yes, I did at your suggestion and so far no improvement at all. I will keep giving it to her. I just feel so bad for her.
__________________ [SIZE="3"VICKI & ALLIE[/SIZE] |
02-15-2011, 09:25 AM | #4 |
YT 3000 Club Member Join Date: Apr 2009 Location: Idaho
Posts: 4,544
| Have you researched the Tobramycin ? It is up to you but I would not be using that on my dog. The Vet put mine on the Clorpheniramine at the end & I added the Ester-C. I used them both for about a month then took him off the antihistamine. I was never able to put any meds in his nose as it was totally blocked with boogs & swelling so everything was by mouth. After the first month or 2 trying diff antibiotic he was put on Batryl after biopsy revealed that the other antibiotics were not rite for the specific bacteria he had developed and that was when he started clearing some of that ugly stuff out, he was also on Mucinex. I found that the antihistamine only made it thicker so it could not come out. When I took him to WSU they told me to not put anything up his nose as the vac caused a reaction & irritation & was trying to heel itself & when you put something in the nose it tries harder to heal itself causing more irritation. I believe they were rite because after the last antibiotic & mucinex cleared out the infection & boogs he took the Clortabs for about a year then I added the Ester-C and that's when he really started to improve. As vit is for immune system & it is an immune response to the vac. Well, my feeling is that the meds in the nose are causing more of a problem but that's just my opinion and every dog is diff. Maybe the labs will shed more light on the problem. |
02-15-2011, 11:27 AM | #5 |
Donating YT 500 Club Member Join Date: Dec 2010 Location: At Home
Posts: 8,386
| Yes, I know what the Tobramycin is. It is eye drops with a steroid in it. It can be given as drops in the nose to help clear up inflammation. I haven't started her back on this as it didn't help the first time. Grasping at straws here. So I guess I'll keep researching.
__________________ [SIZE="3"VICKI & ALLIE[/SIZE] |
02-15-2011, 11:43 AM | #6 |
YT 3000 Club Member Join Date: Apr 2009 Location: Idaho
Posts: 4,544
| I know how you feel as it is awful seeing them go through this. I was told that this intranasal vac is known to have this reaction. My question is , WHY do they still use it then? They now have injectable vac & they developed it for some good reason. If the intranasal is so great then why spend the money to develope the injectable ? I know why , Do you ? I'm thinking your answer is YES. |
02-15-2011, 11:48 AM | #7 |
YT 3000 Club Member Join Date: Apr 2009 Location: Idaho
Posts: 4,544
| Forgot to ask, what dose of Ester-C do you have her on ? You can give 500 mg per 10 lbs of body weight & she should be taking the highest dose rite now. Also you can give that dose 2 to 3 times per day in the beginning. |
02-15-2011, 12:28 PM | #8 |
Furbutts = LOVE Donating Member Moderator | You probably covered this in the past...but have you considered allergies? Even if she would test negative for allergies, sometimes the nose can still drip from being sensitive, but not allergic, to enviro/seasonal stuff. Just thought of this too....my nose was dripping for almost a year, and I tested negative for allergies. They finally wanted an MRI and found a little maxillary cyst. It wasn't worrisome enough for them to remove. I actually think the cyst eventually drained on its own, bc my nasal drip finally just stopped.
__________________ ~ A friend told me I was delusional. I nearly fell off my unicorn. ~ °¨¨¨°ºOº°¨¨¨° Ann | Pfeiffer | Marcel Verdel Purcell | Wylie | Artie °¨¨¨°ºOº°¨¨¨° |
02-15-2011, 02:06 PM | #9 | |
Donating YT 500 Club Member Join Date: Dec 2010 Location: At Home
Posts: 8,386
| Quote:
I guess I can up it to 250 mg 2X a day and see if that helps.
__________________ [SIZE="3"VICKI & ALLIE[/SIZE] | |
02-15-2011, 09:13 PM | #10 | |
YT 3000 Club Member Join Date: Apr 2009 Location: Idaho
Posts: 4,544
| Quote:
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