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YorkieTalk.com Forums - Yorkshire Terrier Community (https://www.yorkietalk.com/forums/index.php)

- Sick & Injured / Emergencies Talk (https://www.yorkietalk.com/forums/sick-injured-emergencies-talk/)

- - My poor Melody (https://www.yorkietalk.com/forums/sick-injured-emergencies-talk/193826-my-poor-melody.html)

Ichabob

01-10-2010 10:45 AM

Quote:

Originally Posted by tegamom1 (Post 2949330)

Count me in!

me too.

jeanm1963

01-10-2010 10:46 AM

me three;)

mylittlegirls

01-10-2010 10:48 AM

Thanks Mary for the information. I'm waiting to call Tom and see who he knows at Davis. I'm trying to make some contact this morning and see the best way to handle in case she requires surgery.

If I were in this situation and helpless, I sure hope someone would be their to give a helping hand. Their are so many good people in this world. For some reason, people that have pets are generally the one's with the biggest hearts.

Thanks again,
God Bless
Kathleen

Mardelin

01-10-2010 10:51 AM

Quote:

Originally Posted by mylittlegirls (Post 2949355)

There is someone else on this list that contacted Dr. Centers (she will be taking her wee one to her) and she responded within a matter of minutes......

I can talk to my vet Dr Hawthorne in Texas since he's on the Veterinary Board with Dr Centers.......

Whatever we can do to help.

mylittlegirls

01-10-2010 10:53 AM

Thanks Mary...

Patti

01-10-2010 11:03 AM

I would be happy to help get this little baby some help. I will keep checking the thread to see what is decided.

Mardelin

01-10-2010 11:05 AM

Quote:

Originally Posted by Patti (Post 2949374)

I would be happy to help get this little baby some help. I will keep checking the thread to see what is decided.

At this point we're Kathleen is taking the lead....to many bodies in the kitchen can get a bit croweded........I'm sure she'll ask for assistance from us when she gets everything straight.

kjc	01-10-2010 11:09 AM

Quote:

Originally Posted by kjc (Post 2948306)

after skimming through some of the posts here I need to give some more info: Liver damage can be reversed to some extent with proper medication and feeding. The liver can regenerate and the medications support this regeneration. After you give her the Lactulose, you may see marked improvement within 24-48 hours if not some immediate improvement.

This is what happens: All puppies have a liver shunt. The shunt carries dirty blood past the pups liver to the mom before they are born and the mom's liver does the job of cleaning it. Normally this shunt will close up after birth and the pup will maintain normal liver function. In a Liver shunt pup, it does not close and the some of the dirty blood is taken to the heart or the brain and released back into the circulatory system. The pup becomes toxic after a while depending on the severity of the shunting.

When you feed the pup, bacteria in the gut break down the food and ammonia is released. Normally the liver removes this. In an LS pup the ammonia circulates in the blood stream and can cause symptoms like shaking, incoordination, seizures, head-pressing, etc. To help the pup, antibiotics are given to kill the bacteria and stop the ammonia production. Lactulose is given to absorb/bind the remaining ammonia, so the liver has less work to do remove it. It also hurries the food from the gut so it spends less time in the pup and he poops it out. Then Denemarin (or similar product) is given to support the liver by helping to remove toxins, preventing liver cell death, and promoting liver cell regeneration.

Feeding low protein, vegetable protein foods help by not overworking the liver. It is recommended to feed nothing over 18-19% protein. Hard boiled egg and cottage cheese contain good, easily digested forms of protein and can be added to her food.

So even though she's very sick now, on these medications her health can improve greatly. Some pups with LS are managed solely with proper food and medications, and can live a relatively normal life.

To clarify: Melody needs to be on Amoxicillin, Lactulose, and Denamarin

I wanted to post this info again...
Medications will help, probably more than surgery right now. Melody screams because the ammonia levels in her blood have gone to her brain. This is what causes all the neurological problems Krystal is seeing. This means this pup is very toxic. The AB's and Lactulose will immediately begin to remove and limit the amount of ammonia getting into her circulatory system, and will make surgery safer as she will have cleaner blood when she does have the sx.
Lactulose can also be given as an enema during a seizure to immediately decrease ammonia levels in the bowel.
That Melody have survived this long tells me that she has some part of a functioning liver. The Denamarin helps to protect and regenerate the working parts, while the AB's and Lactulose stop toxins from reaching the liver from the intestines (digesting the food she eats).

And about the surgery: Not all pups are good candidates for surgery. The ones that are are young, and have one shunt located outside of the liver.
A band (made with milk proteins) is placed around the shunt and closes it off as it absorbs fluid. This takes about 3 weeks to happen. Then, if the liver doesn't throw another shunt, all should be good. If the liver produces another shunt, surgery will need to be performed again.
The pups with multiple shunts, and/or internal shunts (inside the liver itself) or MVD (Hepatic Microvascular Dysplasia) are not candidates for surgery. Tests to determine the type of shunting in a pup runs between $500-$1000, and surgery runs between $1400-$4000. The U of T tries to keep the price down as this is such a common problem, and it adds to their research.

Hope this helps...

Also link to breeding info that has been discovered so far through this research: The University of Tennessee College of Veterinary Medicine - Liver Shunt Research

YorkieMom6

01-10-2010 11:50 AM

I continue to hold Melody and her Mom in my thoughts and prayers, as well as all of those trying so hard to help her.

Huggs

ladyjane

01-10-2010 11:58 AM

Quote:

Originally Posted by ladyjane (Post 2949090)

I just got off of the telephone with one rescue and they DO ask people to ship to TN since they don't have anyone to do the surgery in California.

NOW...here is my thinking. If a group has agreed to take Melody, then perhaps someone on YT can fly WITH her in a cabin!

The group I spoke with does not work with anyone in CA.....just a clarification!

I did not say no one does them in CA...sorry that was not worded better. Liver shunts are done all over the US.

I am happy someone is helping her. It would be nice if, in the future, people communicate that so people know.

Thank you for now letting people know. Glad the puppy is going to be cared for..that is all anyone wanted.

By the way, there is another liver shunt puppy that needs help. Her owner has been on YT begging for help for some time. A young girl...I forget her info, but maybe someone else knows and can post it so people can help her as well.

ladyjane

01-10-2010 11:59 AM

Quote:

Originally Posted by Mardelin (Post 2949379)

At this point we're Kathleen is taking the lead....to many bodies in the kitchen can get a bit croweded........I'm sure she'll ask for assistance from us when she gets everything straight.

Agreed.

Jinxiee

01-10-2010 12:07 PM

I am so sorry for not responding I just been spending a lot of time with Melody and making sure she is doing okay.

I am in serious awe over all of you with the advice and all the kindness on these forums.

Kathleen has been so understanding and wonderful. She has helped so much already. She is so amazing and just talking to her over the phone has lifted my spirits. I seriously can not thank her enough.

Melody is sleeping all cuddled up on my bed with Lilly. They love each other so much and play when Melody is able to. I am so blessed to have these two girls and I want Melody to be healthy so she can live a long life with Lilly. Melody is tired from all the playing she did with Lilly this morning.

I just can not thank you all for your concerns for my tiny Melody. I will call her vet in the morning and get those medications asap.

I will try my best to keep you all updated.

ladyjane

01-10-2010 12:15 PM

I will keep you and Melody in my thoughts and prayers.

YorkieShadow

01-10-2010 12:34 PM

Quote:

Originally Posted by mylittlegirls (Post 2949307)

Update for Melody:

I was able to speak with Melody's vet this morning and Krystal will be calling first thing in the morning for the necessary medications.
While talking with her vet, we both agreed that removing Melody from her current environment would be more stressful on Melody. She has bonded with the other puppy and the owner and being taken from them at this time would probably do more harm then good.

We are just going to get her stable for now and then think about the next step. I read from one of the posts above that they don't do liver stunts in California? They do in fact do them. You just need to know who to contact. Someone posted UC Davis,this might be a good possibility. My cousin was a teaching oncologist and I'm sure he knows someone that could help.

I'm going to call the specialist in Arcadia in the morning and see what he feels about treatment. This doctor does it all. If anyone can work on LS, he's the one to see. This guy is so good, he works on every type of animal. It doesn't matter if it's Tigers or the small of animals. He is known across this country because of his reputation.

I'll keep you posted on all updates but please keep in mind, Krystal is very upset and needs our support for now. Think how you would feel if you were facing this situation. It's sad but right now it's in God's hands and he work out the way it's suppose too.

Let's all just say some prayers that Melody condition will improve with the medication for now.

Kathleen

I am so happy to see this update. I was able to sleep a little better last night after reading your post to help, just know this girl now has a chance. thank you very very much for stepping up.

I do agree that the pup is better off with the owner, taking her from the home she knows would of been so much more stress on her.
I know a rescue would of helped her, but this is so much better on the pup. again thank you.

wemple2

01-10-2010 01:29 PM

I am here and willing to help in anyway I can...my prayers are with Melody, that she will be able to live a long and happy life, and with Krystal, that she has the strength and courage to get Melody the medical help she so desperately needs. I pray for a happy ending to this sad story...a miracle.

ReesiesDad

01-10-2010 01:38 PM

Wow, I too am in awe of the generosity and support shown here.:)

red98vett

01-10-2010 01:43 PM

You guys are the best ! Knowing this puppy is finally getting help thanks to people here is really touching.

ladyjane - that's good of you to mention someone else needing advise/help - maybe someone knows who it is can direct them to this thread ? It has a ton of good LS information on it.

Darlene68

01-10-2010 01:45 PM

People on this forum are amazing, it is truly heartwarming!

ladyjane

01-10-2010 01:45 PM

Quote:

Originally Posted by red98vett (Post 2949652)

I just cannot remember her name. I am fairly certain she lives in CA also and is young and trying very hard to help her pup.

SassyAnn101

01-10-2010 01:52 PM

I am glad that she is getting help. I just hope that the OP understands that although many vets are experienced with preforming surgery, but this baby needs a vet who specializes in Liver Shunts. UT is one of the best. Dr. Tobias is the best in my opinion, but she is dealing with her husbands illness right now and is not in town often, but there are others who have learned from her who are also great at UT. I know Dr. Center is great also. I am willing to help out in any way I can. My e-mail address is: sallyannfrazier@msn.com if someone needs me. Does anyone know what she is being fed? She needs to be on a special food along with all the medications. This may have already been posted, if it has I am sorry, I am just worried for this tiny baby.

YorkieShadow

01-10-2010 02:02 PM

Quote:

Originally Posted by ladyjane (Post 2949658)

I just cannot remember her name. I am fairly certain she lives in CA also and is young and trying very hard to help her pup.

Not sure but is this the thread you are talking about?

Monica She is 16 from Cal, and her baby Sasha has LS.

HELP!! IN NEED OF ADVICE/PRAYERS. Baby w/ liver shunt
http://www.yorkietalk.com/forums/sic...ver-shunt.html

Micah my love

01-10-2010 02:03 PM

I will gladly help this baby will be watching to see what i need to do

kjc	01-10-2010 02:14 PM

Quote:

Originally Posted by SassyAnn101 (Post 2949671)

In the original post the OP states that she is feeding a low protein diet...

WalnutHill

01-10-2010 04:25 PM

So sad. Melody is in my prayers.

I will be watching for updates.

joesmom

01-10-2010 06:00 PM

Keeping Melody in my prayers.

Kathleen Thank You

mylittlegirls

01-10-2010 08:14 PM

Little Melody's Update for the Family

To all the wonderful family of YT:
I know why I stayed on the forum for so long, it's because of all the wonderful people. Sometimes we don't always agree and that's fine because in the long run we all learn from each other.
I've received some PM from members and their generosity is just amazing to say the least. I'm so proud to be a member of such a wonder Family because that's what we are in the long run.

Krystal will be calling the vet first thing in the morning. I have a call into Tom but probably won't be in touch until tomorrow when he's at his office.
He'll know the answers about the vet care available at Davis.

My daughter was relived to hear I didn't make the drive to Mammoth Lakes. It wasn't 3 1/2 hours but 5 1/2 hours and with the ice, snow and fog, I'd probably be stuck somewhere in between. I have a dear friend that I was going to pull out of bed this morning to drive with me but she didn't think my idea was that great. They have a cabin in Mammoth and said, their's snow... Kathleen... I know you have a big heart and will do just about anything to save this baby but your sick... and your going into the hospital for surgery. Are you out of your mind... lol maybe but in my heart this was the right decision. Too bad the snow held me up or I would have been there.

I know the best decision was to leave Melody with Krystal and her family. With the proper medical care, she should improve. Let's just keep those prayers coming for her recovery.

I'll send an update in the morning after Krystal talks to the vet.
Thanks again to all the YT family and the concern you all show.

God Bless All of You,
Kathleen

YorkieShadow

01-10-2010 08:23 PM

Quote:

Originally Posted by mylittlegirls (Post 2950369)

Thanks so much for the update, Ill be keeping my eye on this thread.
so happy so many has come together to help this baby.

dwerten

01-10-2010 09:33 PM

Quote:

Originally Posted by mylittlegirls (Post 2949307)

who is this vet as i live in southern california as well? I am familiar with Dr Broome who does the scintigraphies here as i was referred to him for dee dee. UCDAVIS is in northern california i believe too far away. My friend from here flew to university of tennessee to dr tobias as she could not find someone she was comfortable with here and it was extremely expensive here as well. Also a lady from washington on liver shunt group drove down here with her maltese to have scintigraphy done by dr broome and had the surgery here in orange county by a man and the pup died right after - sorry to be bad news but wondering if it is the same guy - do not mean to be a downer but i would get this pup to ut as it will be cheaper with travel arrangements as it was for my friend and have not heard of a successful shunt repair in southern california.

Also my vet's best friends dog had an internal shunt done at ucdavis she told me and the dog died and her friend was sorry she had the surgery done. It was a large dog a boxer - UCDAVIS is known for nutrition schooling not shunt surgery - our vet is from there and has phd along with our dentist ran the small animal facility - I can ask them about it if you want and our vet also is friends with dr broome who does the scintigraphies out of tustin and los angeles.

If there have been some successful shunt surgeries here then that is great but i have not heard of one yet :(

I think my friend in los angeles was quoted $4000 for the surgery here in so cal

Also the other person is sasha on here and i have been trying to help her as jean dodds does the bile acid tests in Garden grove she is non profit and it is very cheap and also dr broome is in tustin right by her as well and the scintigraphy is $390 I believe at least it was when they wanted dd to have it and i called a couple years ago. He is the only one to do the scintigraphy in so cal and he operates out of tustin and a few days a week out of Los angeles.

dwerten

01-10-2010 09:38 PM

Quote:

Originally Posted by Mardelin (Post 2949100)

Good thing. I know that Terri Schumsky's Fanny Mae Liver Shunt Fund, use to have board members fly to pick up pups and deliver them to Dr Tobias......

Question, Melody's owner is not responding publically, is she responding to someone privately?

I thought UC Davis performed the surgery and/or UCLA

did not know ucla did any of these surgeries - is ucla a teaching veterinary hospital? Did not know we had any here in so cal thought the only one was ucdavis?

JasmineNoelle

01-10-2010 11:27 PM

I am praying for Melody.

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