Update on Appointment with Internal Medicine Took Sophie to get an ultrasound but after talking with Dr. they recommended not to do one and do surgery instead for a couple of reasons. 1) ultrasound may or may not show a shunt -- only 75% of time and 2) they would need a liver biopsy anyway. So, I saved some money there that I can apply toward the surgery.
Dr. said pretty sure it is a shunt or multiple shunts or of course liver disease. But I felt that she was betting on a shunt.
Put her on lactulose, Hills low protein Rx food and an anti-seizure medicine. She has not had seizures but she said dogs who have surgery, sometimes have seizures post-op and want to prevent that so Sophie will take that medicine for one week prior to surgery.
I asked about Sophie's very high BAT results 300 + and she said that is not indicative of the severity of her disease which made me feel good.
Getting Rx filled tonight but immediately purchased the low protein food and gave her (just hoping she does not react to it). Originally Dr. was not going to change her diet right before surgery but later changed her mind -- perhaps because surgery would not be for 2 weeks or so. I have a surgery consult next Tuesday and we go from there. |