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-   Sick & Injured / Emergencies Talk (https://www.yorkietalk.com/forums/sick-injured-emergencies-talk/)
-   -   Puppy cant balance and is falling over while walking (https://www.yorkietalk.com/forums/sick-injured-emergencies-talk/132524-puppy-cant-balance-falling-over-while-walking.html)

jrsygal37 06-12-2008 11:39 AM
Quote:
Originally Posted by Troy1028 (Post 2045707)
Good morning everyone. We went to the ultrasound yesterday and they found the shunt. He is set up for surgery on Weds and is now on meds til then. Ill keep everyone informed. Thanks
I just want to commend you for giving this baby a chance. Many would have just dumped him. Thank you for being so caring. It takes a special person to go through all of this for a new pup they just got. Sending prayers that everything works out. I would look into the puppy lemon law in your state and at least get your money back and more if possible. You should be entitled to at least the amount of money you paid out for the pup as I'm sure that the vet bills have exceeded this already. I'm also sure that they knew there was something wrong and this is why it wasn't working out with them in their home. People are horrible. Good luck. Elaine

Ladymom 06-12-2008 11:41 AM
Quote:
Originally Posted by belindaY (Post 2046653)
The OP says the ultrasound shows the shunt. How likely is that to be so since I've read so many things about u/s not being a reliable test for finding an actual shunt? I know in this case the BAT is consistent with liver shunt, but I'm interested in how likely it is for the ultrasound to actually see the shunt. In any case, I hope the puppy recovers fully.
If you read my response in post #43, I posted the statistics for ultrasound reliability.

U of T estimates they are 80% reliable, Dr. Center/Cornell as low as 60%.

Hepatic Vascular Disorders - WSAVA 2006 Congress

The University of Tennessee - College of Veterinary Medicine - Portosystemic Shunts

The OP was lucky the technician was able to see the shunt on the ultrasound.

belindaY 06-12-2008 12:02 PM
Quote:
Originally Posted by Ladymom (Post 2046787)
If you read my response in post #43, I posted the statistics for ultrasound reliability.

U of T estimates they are 80% reliable, Dr. Center/Cornell as low as 60%.

Hepatic Vascular Disorders - WSAVA 2006 Congress

The University of Tennessee - College of Veterinary Medicine - Portosystemic Shunts

The OP was lucky the technician was able to see the shunt on the ultrasound.
Thanks, I did read that, and have seen this info elsewhere. It sounds so unreliable as to make one wonder why it is used at all for liver shunt diagnostics. The reason I'm harping on this is that I'm involved in a case where the BAT was fairly low--51 post--but the ultrasound report says "there appears to be a large vein...etc." Based on that they want to do surgery and I'm advising against it because BAT 51 is inconsistent with a "large shunt" diagnosed with ultrasound, a known unreliable test. In the puppy in this thread the BAT of 288 is consistent with L/S, making the ultrasound look more believable. Am I way off track here?

Yorkieluv 06-12-2008 02:32 PM
There have been cases of liver shunts with numbers under 100...In fact, one member from YT has a yorkie whose bile acids were under 100, actually in the 50s or 60s I believe and her yorkie had a shunt. I haven't seen her on here for a long time though...

Yorkieluv 06-12-2008 02:34 PM
Quote:
Originally Posted by belindaY (Post 2046835)
Thanks, I did read that, and have seen this info elsewhere. It sounds so unreliable as to make one wonder why it is used at all for liver shunt diagnostics. The reason I'm harping on this is that I'm involved in a case where the BAT was fairly low--51 post--but the ultrasound report says "there appears to be a large vein...etc." Based on that they want to do surgery and I'm advising against it because BAT 51 is inconsistent with a "large shunt" diagnosed with ultrasound, a known unreliable test. In the puppy in this thread the BAT of 288 is consistent with L/S, making the ultrasound look more believable. Am I way off track here?
Why do they think it is a shunt? Is the pup symptomatic?
I would recommend a protein c test then if necessary a scintigraphy or just straight to the scintigraphy if they have the money and the dog is stable...

Wylie's Mom 06-12-2008 02:41 PM
This is heartbreaking - so sorry your pup is sick - but I am SO proud of you as a human being for not just returning him to this awful breeder. That brings tears to my eyes. He is such a blessed little baby to have you - and I hope you stick around here, because I'm already so impressed by the care you've given this pup. Please update as you can.

THANKS to Yorkieluv, TLC, Ladymom and others too - who are always there for people who go through this confusing and scary diagnosis. I don't know what folks would do without you.

mscat 06-12-2008 08:22 PM
I am so sorry that this has happened to your little pup. :aimeeyork Please keep us posted and updated as to how everything is going. :aimeeyork


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