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Originally Posted by Bonbons Jean  Your little darling sounds pretty complex. Did you ask the vet why the different interpretation? It might be because she did more research and found the latest and most up to date information on diagnosing what the problem actually is. All medical professionals know that they must constantly take classes, read scientific journals, and keep learning to stay up to date with the research that is going on. I would trust a vet who changed her diagnosis and treatment based on recent research. |
The vet gave the different interpretation after I asked her. She didn’t willingly and openly offer it to me. After Maezie died I read tons of research articles about dogs experiencing anaphylaxis and anaphylactic shock. The research suggests that organs can be affected - typically with dogs the liver and intestines I believe. But I figured maybe it would be possible that her pancreas to be affected and have the hemorrhages because of the anaphylactic reaction. Maezie’s liver and intestines didn’t show anything out of the norm. So it was just an idea I had since I knew anaphylaxis was such a bizarre thing to happen and can kinda be a little bit tricky in some circumstances about how it affects the internal organs of the body, plus I knew she did not show any symptoms related to pancreatic problems or anything at all. So I just simply asked her if the hemorrhages to her pancreas could have been caused by the anaphylaxis. Even in the necropsy report it mentioned shock as a possible causative factor that could affect blood flow to the pancreas. It didn’t specify anaphylactic shock, but I thought maybe. And she quickly said that yes she believes it’s very likely the case because she went over Maezie’s bloodwork and reviewed the literature and now believes that hemorrhages to the pancreas were due to the anaphylaxis.
The whole idea of diagnosis and treatment is beyond the fact because Maezie has died. She died within just a number of seconds after being given propofol when going under anesthesia for her dental. The vet told me that propofol is believed to be the drug that caused the anaphylactic reaction because Maezie was completely fine before with the other drugs (they give multiple drugs when inducing anesthesia), but very soon after being given propofol is when Maezie got into trouble.
I’m going to attach Maezie’s necropsy report to this post because maybe somebody here might be able to have some good insight into it. There’s 2 pages to it. It does need interpretation to make sense of it. To me, especially when you consider the circumstances of how Maezie died, it does point towards anaphylaxis. And like I mentioned I believe a necropsy shouldn’t have been needed to know it was anaphylaxis that caused her death. That’s my big problem with my vet. She didn’t recognize anaphylaxis and I believe she should have. Just seeing her looking kinda poofy in the face and smelling the diarrhea plus how quickly it happened and when it happened right after being given propofol, I’ll never forgive my vet for not recognizing anaphylaxis. I even asked my vet about a differential diagnosis and the probability of something else, and the response was basically very very unlikely anything else other than anaphylaxis.
Everything about the circumstances point towards anaphylaxis. As a so-called scientist and veterinarian, it’s her job to recognize that. A lay person like myself reading research articles, and easily understanding how it all points to anaphylactic shock as what caused her death, to me that’s unacceptable that my vet didn’t recognize it and pushed me towards having a necropsy done as though it was some sort of medical mystery. And of course I want answers so I agreed.
If the circumstances were maybe a little bit different I’d probably take legal action against her. I would. I believe she’s incompetent as a veterinarian. That’s the bottom line. She’s proven to me that she can’t recognize anaphylaxis when it happens right in front of her, and for me to find out how clear cut it was, it’s completely unacceptable. I believe anyone with just a little bit of training in veterinary medicine, and who also has the ability to think critically and has a sense of problem solving, would easily have figured out anaphylaxis as what caused Maezie’s death without acting dumbfounded and acting like it’s a mystery where a necropsy should be done so we can solve the mystery. That’s what I believe.