Thanks ladies!
So the folks at NCSU Vet School have determined that Toki does not have a liver shunt (yay!) and that she possibly has a mild case of MVD. They said that since she doesn't have any symptoms and doesn't displays signs of encephalopathy that it's not necessary to have her on a prescription diet or even a protein-restricted diet.
They recommended that she just eat a regular dog food and that we can give her the liver support/protectant supplement. We are supposed to recheck the bloodwork every few months or so and keep an eye out for anything unusual.
And the bladder stones...oh man! They found 2 stones (through ultrasound so there could potentially be more, of course) small enough for Toki to pass through urinating. My general vet and the internist both did not seem concerned with dealing with the stones immediately. I did press the issue and the folks I spoke with at the internal medicine department did suggest urohydropropulsion as an appropriate method to remove these stones (since they are so small) but I would like to discuss it with my general vet to see if she could do the removal in the same manner (it seems less invasive than surgically removing them). I'd appreciate any thoughts or suggestions in terms of the bladder stones. I don't want them to develop into a bigger problem and it'd be nice to know what type they are so that I can potentially prevent them in the future.
Goodness! We've been so busy running back and forth to different vets on top of packing so that we can move this weekend. This in addition to work and life! I just want everyone happy and healthy (and a quiet, napping day at some point would be nice too!). |