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FirstAssist · 07-13-2013, 05:49 AM

I am a Certified Surgical First Assistant for a Urogynecologist. I also assist the other surgeons in the OR when my doctor is not working.
Wilson's symptoms before diagnosis: Looking back now (that I know more about Liver Shunts), he slept a lot. He would get behind the toilet or in small corners and sleep. He never slept for long periods, always moving to a different spot. He never seemed to be able to get comfortable. I also look back and remember that he did not urinate large amounts, mostly dribble. I did not notice any neurological issues. On 6/15/13 he ate well that morning and had 2 bm's, that afternoon he wouldn't eat and I noticed he stopped drinking. Later on he started squatting like he had too urinate with nothing coming out. As the evening passed he got to where he couldn't take a step without doing this. Around 9pm he started whinning when he did it and salivating. At that point I said something is wrong and I took him to the ER. The ER doc did a Xray and ultrasound and thought it was a small bowel obstruction. He looked closer and saw a stone blocking his urethra. They flushed it and gave him IV fluids with pain meds. The ER doc said - he is too young to have bladder stones, I think he could have a LS. They ran all the test and found that he did. The surgeon put him on a ld diet with antibiotics and lactulose. She wanted to have him on this for 2 weeks before surgery, but he obstructed 4 other times within that week. They kept him at the hospital the following weekend and he had the surgery on 6/25/13. He had a extrahepatic shunt repaired with ameroid constrictor, a mass on his small bowel (it was a Meckel's Diverticulum) and had a small bowel reconstruction, she did a Cystotomy (cleaned the stones out of the bladder), and his testicles were undescended so he was neutered. A lot of stuff for a little fellow. He came home a couple of days later and I nursed him. He got his staples out this past Monday, his incision is healing great and he is like a new puppy. He is playful.....all the time. He sleeps in one spot (usually on his back) for longer periods. He is on a schedule with his feedings and meds and sleeps all night in his playpen by my bed. He goes back on 8/12/13 to have his blood work done to check his bile salt acids and see how the liver is functioning. What a blessing he is, and such a blessing to have found this at such an early age. Thank you all so much for you prayers and comments.

07-13-2013, 05:49 AM	#11
FirstAssist YorkieTalk Newbie! Join Date: Jul 2013 Location: Alabama Posts: 3	I am a Certified Surgical First Assistant for a Urogynecologist. I also assist the other surgeons in the OR when my doctor is not working. Wilson's symptoms before diagnosis: Looking back now (that I know more about Liver Shunts), he slept a lot. He would get behind the toilet or in small corners and sleep. He never slept for long periods, always moving to a different spot. He never seemed to be able to get comfortable. I also look back and remember that he did not urinate large amounts, mostly dribble. I did not notice any neurological issues. On 6/15/13 he ate well that morning and had 2 bm's, that afternoon he wouldn't eat and I noticed he stopped drinking. Later on he started squatting like he had too urinate with nothing coming out. As the evening passed he got to where he couldn't take a step without doing this. Around 9pm he started whinning when he did it and salivating. At that point I said something is wrong and I took him to the ER. The ER doc did a Xray and ultrasound and thought it was a small bowel obstruction. He looked closer and saw a stone blocking his urethra. They flushed it and gave him IV fluids with pain meds. The ER doc said - he is too young to have bladder stones, I think he could have a LS. They ran all the test and found that he did. The surgeon put him on a ld diet with antibiotics and lactulose. She wanted to have him on this for 2 weeks before surgery, but he obstructed 4 other times within that week. They kept him at the hospital the following weekend and he had the surgery on 6/25/13. He had a extrahepatic shunt repaired with ameroid constrictor, a mass on his small bowel (it was a Meckel's Diverticulum) and had a small bowel reconstruction, she did a Cystotomy (cleaned the stones out of the bladder), and his testicles were undescended so he was neutered. A lot of stuff for a little fellow. He came home a couple of days later and I nursed him. He got his staples out this past Monday, his incision is healing great and he is like a new puppy. He is playful.....all the time. He sleeps in one spot (usually on his back) for longer periods. He is on a schedule with his feedings and meds and sleeps all night in his playpen by my bed. He goes back on 8/12/13 to have his blood work done to check his bile salt acids and see how the liver is functioning. What a blessing he is, and such a blessing to have found this at such an early age. Thank you all so much for you prayers and comments.