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Originally Posted by chachi But how do they know shes not a good canidate for surgery when she hasnt seen a specialist |
Yes she needs to see a specialist, however, from what I have seen, a small pup (2lbs.) and as week as she is, because she hasn't been on the proper medicine, the Dr. I am sure, would want her to gain a little weight and strength.
Her liver can not process toxins, the toxins come from food, they don't just appear, so until she starts on the proper food, the proper amount and the proper spaced out meal times, is when those now small amounts of toxins can be properly handled. The Metro (antib's) helps with the bad bacteria and the Lactulose binds those smaller amounts of toxins in her body and rids them thru waste. The Demarian, is a liver aide. This is the proper protocol to Medically Manage a Liver Shunt, whether is be forever, or just until a successful surgery can happen.
Here is another thing, do we have solid test results that Melody does in fact a 1 Liver Shunt. She could very well have MVD, and that mean ONLY medical management, NO surgery.
Also, Dr. Center prefers Medical Management rather than jumping into Shunt Surgery...
But YES - if she hasn't seen a specialist, this is really where she has to start