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Originally Posted by TLC  Yeah that's what the antib is for and then the lactulose binds to those toxins and expels them thru waste. Just never heard of the antib being Calvamox, usually it is Metro (can't spell the entire name  ).
An ultrasound is only about 60% accurate and the person reading the u/s has to be really skilled. Roxy's u/s cost $400. She had a normal shaped liver, and normal size, no shunt was seen. However, they told me, that doesn't mean there isn't one, they just didn't see it. So to me, it was a waste of $400. Also, you can't see multiple little blood vessel (MVD) on a U/S - they can only really determine MVD with a complete liver biopsy.
The BATs result will tell us more. If they are really, really high (like wayyyyyyyyyy above 100), then I would probably skip the U/S and go right to Scintigraphy (again, spelling is not my best subject), as that is radio active dye put thru her system and that will show a shunt wayyyyyyyyyyy better than a U/S. |
I agree those bats will tell us what is going on - neurologist will not do ultrasound for LS it will be an internal medicine specialist as LS is more internal medicine but neurologists are familiar I am sure as there is encephalitis involved
here is some info on scintigraphy and I agree ultrasounds are not real accurate - The thing is it could be one shunt and it can ber repaired, mvd no repair just diet and if symptoms supplements and then acquired multiple shunts but those cannot be repaired either.
Portal Scintigraphy in Veterinary Medicine
If it is a shunt and needs to be repaired Dr Tobias is the Best at this and much cheaper than california
I agree meds can be more expensive depending on vet and their over head sadly
My girl is on temarilp and a vet charged me $22 for 6 pills and another vet ordered me a bottle of 100 for $53 so there can be a huge difference from one vet to another