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-   Sick & Injured / Emergencies Talk (https://www.yorkietalk.com/forums/sick-injured-emergencies-talk/)
-   -   sasha issue w/ scintigraphy (https://www.yorkietalk.com/forums/sick-injured-emergencies-talk/192415-sasha-issue-w-scintigraphy.html)

Sashabear0430 03-20-2010 09:05 PM
Quote:
Originally Posted by SassyAnn101 (Post 3047897)
UT is wonderful to our babies and to us. You will not be sorry for bringing her to Tennessee. When you get the dates confirmed, I can try to get you reduced motel room rates if you would like. I may could get you a room for free, but cannot promise until I know the dates, but I know I can get employee rates at any Holiday Inn Express (if they are not sold out). You can pm me or send me any email at:sallyannfrazier@msn.com
and let me know if this would be something that you would be interested in.
My goodness this would help out tremendously! Thank you so much for your offer! I am interested and sent you an email at sallyannfrazier@msn.com. thanks again!

SassyAnn101 03-22-2010 12:28 PM
Quote:
Originally Posted by Sashabear0430 (Post 3048362)
My goodness this would help out tremendously! Thank you so much for your offer! I am interested and sent you an email at sallyannfrazier@msn.com. thanks again!
Thank you for allowing me to help. Keep me posted about the dates.

terrymccown 04-07-2010 07:51 PM
Liver Shunt ?
 
I have a new yorkie puppy that I love with all my heart. Yesterday she got sick..wabbly, lethargic...thought it was hypoglycemia...gave karo syrup, nothing changed, went to vet. Liver enzymes high, BAT post 68. My vet thinks she has liver shunt. I am devasted. All the research I have done looks so expensive. I live in South Carolina. Does anyone have any help?? My vet has placed her on Hills LD canned food, Bactrim and Denamarin. Thanks and and advice will be greatly appreciated. Before yesterday no problems. She has a great appetite, energy, no head rubbing, no diarrhea, normal bowel movements, she has gained 5 ounces in 2 weeks. Yesterday her weight was 1.9 pounds. She did receive her second round of shots 2 weeks ago.:(

terrymccown 04-07-2010 07:57 PM
Liver SHunt
 
Does anyone know the cost at the University of Tenn? I know that is quite a drive for me, but just wondering?? Called them today and left message...They are suppose to call me back

Ladymom 04-07-2010 08:04 PM
Terry, the next step would be a Protein C test.

Comparative Coagulation -- NYS Animal Health Diagnostic Center

I'd suggest you start your own thread. You'll get more replies.

Sashabear0430 04-08-2010 12:07 AM
Quote:
Originally Posted by terrymccown (Post 3074936)
Does anyone know the cost at the University of Tenn? I know that is quite a drive for me, but just wondering?? Called them today and left message...They are suppose to call me back
The surgery at UT is $1800-$2200. I would recommend a scintigraphy but they're pretty pricey. In CA they cost $495. A lot of people tell me that protein C tests aren't very reliable.

Sashabear0430 04-08-2010 12:09 AM
Quote:
Originally Posted by terrymccown (Post 3074926)
I have a new yorkie puppy that I love with all my heart. Yesterday she got sick..wabbly, lethargic...thought it was hypoglycemia...gave karo syrup, nothing changed, went to vet. Liver enzymes high, BAT post 68. My vet thinks she has liver shunt. I am devasted. All the research I have done looks so expensive. I live in South Carolina. Does anyone have any help?? My vet has placed her on Hills LD canned food, Bactrim and Denamarin. Thanks and and advice will be greatly appreciated. Before yesterday no problems. She has a great appetite, energy, no head rubbing, no diarrhea, normal bowel movements, she has gained 5 ounces in 2 weeks. Yesterday her weight was 1.9 pounds. She did receive her second round of shots 2 weeks ago.:(
Usually anything under post 100 is MVD which can be treated with the right diet and medications. My Sasha had pre 78 and post 268 so her chances of having a LS were pretty high and she does have one. Im going to UT next month for surgery.

Ladymom 04-08-2010 06:57 AM
Quote:
Originally Posted by Sashabear0430 (Post 3075091)
A lot of people tell me that protein C tests aren't very reliable.
Who besides one YT member with no medical background told you that? It is part of the current protocol recommended by Dr. Center, one of the leading experts on liver disease in the country.

dwerten 04-08-2010 09:24 AM
Quote:
Originally Posted by Ladymom (Post 3075362)
Who besides one YT member with no medical background told you that? It is part of the current protocol recommended by Dr. Center, one of the leading experts on liver disease in the country.
i have to say i do not think they are accurate and i would not spend money on it myself as i helped a dog on here who had a protein c test done and it came up negative for shunt and the dog had 4 shunts when tobias opened him up after i referred him to tobias and she could not repair him - the protein c test was sent by a well respected ims (who dr dodds has a lot of respect for as i asked if she knew this person)to texas a & m so not sure if that was the problem as it was not sent to cornell like the dog owner requested :( I would save my money and go straight to scintigraphy if it were my dog after that as scintigraphy is much more indicative of the shunt and if protein c test comes up positive anyway they will send the dog for scintigraphy anyway and after seeing this happen with this dog i strongly question the protein c test now :(

dwerten 04-08-2010 09:29 AM
Quote:
Originally Posted by terrymccown (Post 3074926)
I have a new yorkie puppy that I love with all my heart. Yesterday she got sick..wabbly, lethargic...thought it was hypoglycemia...gave karo syrup, nothing changed, went to vet. Liver enzymes high, BAT post 68. My vet thinks she has liver shunt. I am devasted. All the research I have done looks so expensive. I live in South Carolina. Does anyone have any help?? My vet has placed her on Hills LD canned food, Bactrim and Denamarin. Thanks and and advice will be greatly appreciated. Before yesterday no problems. She has a great appetite, energy, no head rubbing, no diarrhea, normal bowel movements, she has gained 5 ounces in 2 weeks. Yesterday her weight was 1.9 pounds. She did receive her second round of shots 2 weeks ago.:(
bats are below 100 most likely mvd so low protein of 18% diet and denamarin should help and i would have retested after on diet for 30 days as my girls went from 73 down to 26 post on just low protein diet but she was not having any symptoms

dwerten 04-08-2010 09:33 AM
Quote:
Originally Posted by dwerten (Post 3075602)
i have to say i do not think they are accurate and i would not spend money on it myself as i helped a dog on here who had a protein c test done and it came up negative for shunt and the dog had 4 shunts when tobias opened him up after i referred him to tobias and she could not repair him - the protein c test was sent by a well respected ims (who dr dodds has a lot of respect for as i asked if she knew this person)to texas a & m so not sure if that was the problem as it was not sent to cornell like the dog owner requested :( I would save my money and go straight to scintigraphy if it were my dog after that as scintigraphy is much more indicative of the shunt and if protein c test comes up positive anyway they will send the dog for scintigraphy anyway and after seeing this happen with this dog i strongly question the protein c test now :(
oh and he sent me all the tests so i personally saw them :( as i forwarded them on to dr dodds for her to review them as well prior to him going to dr tobias and i was shocked too as i always thought protein c test was a good measurement. Since he fathered puppies i told him you need to do scintigaphy and go to tobias so he did and scintigraphy showed a shunt and when tobias opened him up to neuter and fix the shunt there were 4 so she had to close him up and could not do shunt repair. This was a healthy dog too and only signs of liver disease were stones and he was 4 years old

I think there is controversy as well as i think and correct me if i am wrong centers is not too quick on doing shunt repair in all dogs and in some feels they can be treated without the repair is this the case as I believe a vet tech told me this but want to be sure as i personally if my dog had a shunt would get it repaired so they can have a normal life -- I am just curious if anyone else has heard this as well?

ladyjane 04-08-2010 10:56 AM
Are you saying that one test that possibly was inaccurate is a reason to suggest the test is never accurate and should not be done??

I don't think there is a laboratory test that has not come back inaccurate at some point; but people still need to have them done.

A diagnosis is made based on many diagnostic tests along with a physical exam.

dwerten 04-08-2010 11:27 AM
Quote:
Originally Posted by ladyjane (Post 3075769)
Are you saying that one test that possibly was inaccurate is a reason to suggest the test is never accurate and should not be done??

I don't think there is a laboratory test that has not come back inaccurate at some point; but people still need to have them done.

A diagnosis is made based on many diagnostic tests along with a physical exam.
just saying a waste of money personally as a dog is going to ultimately have to have scintigraphy anyway so why waste the money as i prefer to spend my money on tests that are going to have the best outcome. I guess if someone wants to spend the extra money when doing the bats to get this test then they are welcome to but i would still have scintigraphy done if numbers are well over 100 - if below 100 i would treat as mvd dog as i have done with mine.

ladyjane 04-08-2010 11:31 AM
Just curious since you stated the test is inaccurate.

dwerten 04-08-2010 11:40 AM
Quote:
Originally Posted by ladyjane (Post 3075819)
Just curious since you stated the test is inaccurate.
yeah i just do not trust that test as much as the scintigraphy now and it has not been around that long that i am aware of and if a dog is going to go to surgery i would want the most accurate test for that and scintigraphy is the best for determine shunts even over ultrasound as well. I have seen also a dog on here that scintigraphy was positive for shunt and the dog did not have a shunt and tobias did the surgery and spay and i believe she did the scintigraphy but i do think that test is more accurate as they send a dye capsule through to see if it bypasses the liver so you are correct not all tests are 100% accurate as there are so many variables :( all we can do is try to invest our money in the ones we feel are going to give us the most answers.


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