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Let's see what the bats are on monday unless vet is open today and go from there as she really does not seem to be throwing up, etc and she is eating fine all that stuff so seems to be more neurological as food plays a big role in ls dogs |
I'm planning on calling the vet Monday morning for the BAT numbers and perhaps a prescription for her meds. I can't believe kjc can get her meds for 473 mL = $30.00. I was def ripped off since 1 oz=$22 (enough for 4 days). So if I was to get a prescription for Costco or something and I'm giving Bella 3cc, would I be giving her the same amount as that? Less or more? Bella def doesn't do the head pressing or the twitching of the eyes. It's just the head tilt and the walking "sideways" but straight (if you know what I mean). I'm planning on taking her to a specialist as soon as I call out on Monday and get a referral...probably not til the end of the this coming week since I have a OBGYN appt on the 4th. |
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The referral for the neurologist is to get an ultrasound and maybe xrays to see if it was because of a single blood vessel (which Bella can have surgery to tie it off) or if it was multiple little blood vessels (which we can't do anything about). |
Just stopping by to see how Bella is doing. It looks like you are getting a lot of good advice. We will continue to think of you both and will check back for updates. Huggs |
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An ultrasound is only about 60% accurate and the person reading the u/s has to be really skilled. Roxy's u/s cost $400. She had a normal shaped liver, and normal size, no shunt was seen. However, they told me, that doesn't mean there isn't one, they just didn't see it. So to me, it was a waste of $400. Also, you can't see multiple little blood vessel (MVD) on a U/S - they can only really determine MVD with a complete liver biopsy. The BATs result will tell us more. If they are really, really high (like wayyyyyyyyyy above 100), then I would probably skip the U/S and go right to Scintigraphy (again, spelling is not my best subject), as that is radio active dye put thru her system and that will show a shunt wayyyyyyyyyyy better than a U/S. |
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here is some info on scintigraphy and I agree ultrasounds are not real accurate - The thing is it could be one shunt and it can ber repaired, mvd no repair just diet and if symptoms supplements and then acquired multiple shunts but those cannot be repaired either. Portal Scintigraphy in Veterinary Medicine If it is a shunt and needs to be repaired Dr Tobias is the Best at this and much cheaper than california I agree meds can be more expensive depending on vet and their over head sadly :( My girl is on temarilp and a vet charged me $22 for 6 pills and another vet ordered me a bottle of 100 for $53 so there can be a huge difference from one vet to another :( |
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and yes clavamox is used in dentistry and staph it is more of a mild antibiotic baytril being the big daddy |
I posted Bella's story on the yahoo groups and two people responded: "It's neurological. Please get her on a low protein diet immediately and seriously consider getting her evaluated by a specialist asap. Listen to the wise ladies here and prepare yourself for a whole new experience with your dog. It may even include surgery to save a life." and... "Hi if ur puppy has a shunt or mvd she does not have to display all of the symptoms. What you described her bumping into corners and the look of being clumsy is one of the major symptoms of H E. She may very well have a neurological dis. However with the symptoms she is displaying and her elevated BAT are very good indications of a shunt. Of course I am not a vet I am providing u with info that I have learned from this forum and from my vet. Hope this helps" |
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awww ...what a little dollbaby - I could see what you mean about her tilting her head :( and hope you get some answers very soon - you must be so anxious - good luck with the specialist.... It was good to see her play and I loved the little circle dance she did...and am so glad she didn't fall over - I'd be crying if I saw that you guys who are helping - that's so outstanding of you... |
Quick question...is hepatic encephalopathy the same thing as a liver shunt? or mvd? They all sound so similar and I wasn't sure. |
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Hepatic Encephalopathy in Dogs |
I also wanted to post these pictures I just took. Its been hard for me to hold Bella because she's off to one side and most of the time she'll be looking up like in the pictures. Is this another symptom of L.S? http://img.photobucket.com/albums/v7...s/IMG_0442.jpg http://img.photobucket.com/albums/v7...s/IMG_0443.jpg http://img.photobucket.com/albums/v7...s/IMG_0444.jpg |
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