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Becca1 · 02-18-2011, 11:08 AM

Went into talk to our vet today - will try and keep this somewhat short - we have 2 vets that I have been dealing with - one older (and not as up to date on liver issues) and one younger. I think some of my problems have existed b/c I have been dealing with both and didn't really realize until reviewing all my records that they weren't exactly in agreement as far as her diagnosis/treatment. W/o going into a lot, I opted to see our younger vet and he and I are in total agreement as to her treatment. I told him our "older" vet had recently placed Lexie on Prednisolone and that he is treating her more like having chronic hepatitis;, but that her biopsy showed the congenital portosystemic shunt. The vet, today said, that if she had chronic hepatitis, the biopsy would have shown that and it did not and that he did not feel she should be on Prednisolone (thankfully after listening to everyone on here) I totally agree. He didn't feel her last liver enzyme numbers were that out of range or enhanced since the last time and said he did not feel like she needed to be on any antibiotic at this time - I agree. We discussed her being on K/D and how well she is doing on that (she has no HE symptoms and only had those symptoms when she was orginally diagnosed, and also when she got a toxisity from the Metro); so we agreed to leave her on the K/D - he said the protein in the K/D is not enough to affect her - this is his feeling and mine, at this time - you do what works.

We discussed her vaccinations and he felt there was no reason to give them this year at all (they do a 3 year Rabies vaccine anyway and it's only been two years since this vaccine) and they do not routinely give a Lepto - he said they now give the Lepto separately, if warranted, so I was glad to hear that. Basicially he will not give her the Lepto portion in a year when he gives the Rabies.

Finally we discussed that she has not had a BAT - he said he did not really think it was warranted in the past, but that if I would like to check those numbers we certainly could and, of course, he knew this is a great indication of the liver function. We set that test for Monday.

Now, I know a lot of you out there wonder why these two vets (being in the same office) were not on the same page - but, that aside and not casting stones, I choose to go forward with my information and continue to use the younger of the two vets.

I will say that this website is so useful with information and that I would not have near as healthy a dog if I had not found this website; and the "links" contained on the Yahoo liver groups contain so much good information to at least give us "lay" people some knowlege as to the right questions to ask.

02-18-2011, 11:08 AM	#66
Becca1 Senior Yorkie Talker Join Date: Oct 2009 Location: Missouri Posts: 152	Update on Lexie Went into talk to our vet today - will try and keep this somewhat short - we have 2 vets that I have been dealing with - one older (and not as up to date on liver issues) and one younger. I think some of my problems have existed b/c I have been dealing with both and didn't really realize until reviewing all my records that they weren't exactly in agreement as far as her diagnosis/treatment. W/o going into a lot, I opted to see our younger vet and he and I are in total agreement as to her treatment. I told him our "older" vet had recently placed Lexie on Prednisolone and that he is treating her more like having chronic hepatitis;, but that her biopsy showed the congenital portosystemic shunt. The vet, today said, that if she had chronic hepatitis, the biopsy would have shown that and it did not and that he did not feel she should be on Prednisolone (thankfully after listening to everyone on here) I totally agree. He didn't feel her last liver enzyme numbers were that out of range or enhanced since the last time and said he did not feel like she needed to be on any antibiotic at this time - I agree. We discussed her being on K/D and how well she is doing on that (she has no HE symptoms and only had those symptoms when she was orginally diagnosed, and also when she got a toxisity from the Metro); so we agreed to leave her on the K/D - he said the protein in the K/D is not enough to affect her - this is his feeling and mine, at this time - you do what works. We discussed her vaccinations and he felt there was no reason to give them this year at all (they do a 3 year Rabies vaccine anyway and it's only been two years since this vaccine) and they do not routinely give a Lepto - he said they now give the Lepto separately, if warranted, so I was glad to hear that. Basicially he will not give her the Lepto portion in a year when he gives the Rabies. Finally we discussed that she has not had a BAT - he said he did not really think it was warranted in the past, but that if I would like to check those numbers we certainly could and, of course, he knew this is a great indication of the liver function. We set that test for Monday. Now, I know a lot of you out there wonder why these two vets (being in the same office) were not on the same page - but, that aside and not casting stones, I choose to go forward with my information and continue to use the younger of the two vets. I will say that this website is so useful with information and that I would not have near as healthy a dog if I had not found this website; and the "links" contained on the Yahoo liver groups contain so much good information to at least give us "lay" people some knowlege as to the right questions to ask.