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Old 11-17-2008, 11:08 AM   #7
Ellie May
And Rylee Finnegan
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Join Date: Apr 2007
Location: Metro Detroit, MI
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Originally Posted by bellasmomok View Post
She did get spayed.....I wasn't told about the sky hight ALT until I went to pick her up and the vet gave me a copy of her labs as I had requested. I saw the value and had to ask about it, since when he called me BEFORE HER SURGERY, he ONLY mentioned that she was slightly dehydrated, probably because she had been NPO for 14 or so hours, and that her BUN was slightly high, probably from the dehydration!! He did NOT say anything about her ALT at all, and when I asked him about it, he said that it wasn't anything to worry about since the other liver enzymes were normal. I couldn't believe he didn't tell me before her surgery or that he didn't suggest any further testing, especially since she is a Yorkie! (Remember, this is the vet that messed up removing her dewclaws....one partially grew back and had to be re-done. He isn't her regular vet.)

So, if her BAT comes back normal, would you go ahead with the Protein C?? Or would you want to consult with a specialist anyway to figure out why it is sooooo high?

Oh, and thanks for sharing about Ellie's amylase levels being low too, and then going back up to normal. That's very reassuring!
I thought that was the case...just so many cases of liver issues on here that they get mixed up sometimes. I would be very with the vet because with an ALT that high, he should have waited in case she needs LS surgery. The spay could've been done at the same time. A liver biopsy would be optional with high bile acids...not really necessary though...and that could've been done also.

If the BAT is normal, there is really no reason to do a Protein C test but she does need further testing. If your vet is not comfortable trying to figure this out, I would go to a specialist.
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