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Suggestions: 1) No more chiro without a diagnosis 2) Liver friendly diet and supplements because they cannot hurt 3) Neurology consult immediately If your vet really does think it's a liver shunt, then a scintigraphy should have been done a long time ago. Just supplementing doesn't always work. But I wouldn't be surprised if it wasn't the liver. |
ok did anyone see where i said mri do u think it was done by someone other than a neuro vet? if u are on here to post about my grammer, dont post, if you want to post about ur sad yorkie that does not pertain to mine then , dont post. however if u have read my post and understand that we have been to numerous vets, and if u or someone u know has had a similiar dog with something like this then please post. |
I think if you keep coming across the way you have been, nobody is going to post. We aren't getting paid to sit here and answer questions nor do we have the full story. And even if we did, there aren't many more suggestions that can be made over the internet. If you have seen a neurologist, I suggest you see another one. You may also want to try an IMS. I'm sorry your Yorkie is sick, but the fact is they cost a lot of money. If you haven't gotten your answer from the vets that you have been to, then you'll have to go somewhere else. |
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I also agree with Ladyjane. If you would write in actual sentences, people could better understand what you're saying. As it is, your posts are so confusing that a lot of members are probably hesititant to try to interpret them in order to guess what your questions are. |
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You asked for opinions in this thread and, therefore, you will receive them. If you didn't want people to post on your thread, then in the future my suggestion would be not to start a thread. Members may not tell other members where and when they can or cannot post - so, future posts like the one above will be deleted. Thanks, and best of luck! |
I understand your frustration... this vet does phone consults and may help you find some answers... he also works with any vet willing to work with him: Copied from another thread: This is the neurologist that specializes in the treatment of GME. If you can't go there, I would recommend emailing him, or calling him. He, or his assistants, will be able to tell you more about the testing that needs to be done, and may be able to recommend a Neuro Vet in your area that can work with him in evaluating your pup and getting him on the appropriate path to healing. Allen Sisson, D.V.M., M.S., Diplomate ACVIM Neurology/Neurosurgery Angell Animal Medical Center 350 South Huntington Avenue Jamaica Plain, MA 02130 Tel: (617) 522-7282 (press 4, then 2 when the automated operator message begins or 6 to speak to someone) Fax: (617) 989-1648 asisson@mspca.org __________________ |
I was simply trying to explain to you that it is hard to understand exactly what has been done and not done. It was not meant to be insulting in any way. |
From another post you made, I see that the vet does think this is his liver: http://www.yorkietalk.com/forums/3349888-post36.html Was this diagnosis made by your regular vet or a specialist? What tests were done? |
Do you have a vet school close by. Sometimes it takes a new vet to find the answer because they read a lot. They also have a lot of specialist at these schools and they all work together to find the answer. The have better equipment also. I would suggest taking the baby there and cut out going to all these different vets all it is going to do is make you more frustrated. Been there and know how it feels. If I can help please let me know. Betty |
After re-reading from the beginning... no, it does not look like Liver Shunt... also his response to the steroids indicates more that it could be GME.... when was this pup last vaccinated (any vaccine)? If it was LS you would have seen a response from the Lactulose, esp Lactulose enema, and you stated his BAT was normal. Also when you taper off the pred and the symptoms return ... this happens with GME/NME. |
Hi.... When I read that he was responding to the steriods....I immediatley thought of GME..as that is the treatment for GME....and often have similliar symptoms of liver shunt.... I read someone else has suggested GME also.... please look into that. |
The entire thing is a mess. The way the op is posting, how could anyone assume anything? She says it is liver yet posts about neuro. Again, she needs to clarify things here. |
An MRI and a neurologist would have diagnosed a neurological problem including AAI, CM, GME or various other brain issues. Seems to be that you keep getting an answer and the answer is the Liver. So if this were my dog I'd be at an internist and asking what the treatment is for the liver problem and I'd ask them to tell me what liver issue they think it is and why they reached that conclusion. I also would have known why the prednisone was prescribed and if I didn't, I'd be writing or calling until I got my answer. I think you need someone to spell out what each thing meant and why they are leaning toward a liver problem. Only then can you move forward. Good luck. |
I am having trouble making sense of what all has "actually" been done by a vet and what diagnoses were made. I read somewhere about an ear infection in OP's posts. I know an inner ear infection will cause strange behavior like head tilting, walking funny, or it did in my yorkie. She even acted like she had trouble with her depth perception. Again, I know OP mentioned this and did get treatment, I think.?.? You also mentioned it returned, was the source of the infection ever discovered? ETA: The above post may be totally useless, I went and re-read some posts and see liver is being looked at as cause, I think. |
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If you join the YaHoo Group NewGMEDogs they will sent you instuctions of what you will need to do before you contact Dr Sisson, as there are a number of things that need to be ruled out first. Neurologists are human and can make mistakes, as we all can. |
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Prednisone is widely used in dogs and cats for many things. In dogs, it is used for many issues OTHER than brain abnormalities. Certain types of inflammtory liver abnormalities also can be treated with prednisone and again the OP's vet mentioned the liver so this could have been the reason it was used and the reason why symptoms may have returned upon a taper if a therapeutic dosage had not been found. The chance of misdiagnosis, mistake, incompetence and the like all greatly diminish at a specialty hospital with board certified veterinarians. I therefore highly doubt the neurologist was wrong and it is more productive for the OP to get the liver issue straightened out as that has been the organ that the vets keep saying is at issue. Why some people on this board want to play veterinarian and diagnose every dog with horrible PSS or GME or AAI or CM is beyond the pale of my comprehension. NOT EVERY YORKIE HAS THESE PROBLEMS. |
I do believe that Liver shunt testing Needs to be completed. I would deff have another Neuro look at the MRI though. Normally when an MRI is done they also do a spinal tap. I do not see where that was said to be done so I can only assume it was and would rule out allot. However Chiari can and is often missed upon reviewing an MRI and for this reason I would have a diff person look at the MRI. This can be done without waisting time and still continue to do what needs to be done for diagnosing/ruling out LS. Praying they find an answer soon. |
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The OP stated that the Bile Acids and amonia levels were tested and came back normal or non conclusive. The pup is taking Lactulose, orally and was given an enema with it and is/was on antibiotics, and there was no change in the pup's symptoms. This tells me it is not Liver Shunt, as these meds would have helped if it were LS. The pup was started on Prednisone when he was diagnosed with an ear infection. I do not diagnose, but there are situations where specific symptoms and diseases need to be looked at because they are deadly if they are not diagnosed and treated in a timely fashion, and with the appropriate medications. The neuro symptoms described here need to be evaluated quickly, because if this is any one of these diseases: AAI, Chiari, Syringomyelia, GME, or NME, this pup is in critical condition and treatment needs to happen soon. See this thread: http://www.yorkietalk.com/forums/sic...-symptons.html I am not trying to play vet here, but these symptoms are red flags for these diseases, and as they are relatively difficult to diagnose, and not common nor associated with this specific breed, many times an owner will have to mention them to their vet. My vet even said when they see Yorkies, they see ' Yorkies=Liver Shunt'. This is because Yorkies are genetically predisposed to developing Liver Shunt, and when nothing else is evident, they will look at the liver. I am not saying vets are bad or incompetent. Occassionally, vets miss things, it happens. It doesn't mean that they are not still good vets, as good vets learn from their mistakes. See this thread: http://www.yorkietalk.com/forums/sic...ease-help.html |
Post #26 indicates to me that perhaps the op is looking for treatment online without doing tests. I know it was said offhandedly that an MRI was done, but I am not so sure. We are supposed to give an opinion...but not supposed to recommend a vet. I am not going to "guess" what this is...I do not ever do that as I am not into diagnosing as many are in spite of the fact they deny it. Seems that GME has become the soup du jour so to speak and I'm sorry but it is not THAT common. Yes, this dog could have it..along with MANY other things. I am not about to guess....the dog needs good vetting .. period. On that we can all agree. The op has suggested in this thread and in others that she was told it was the liver...says tests were normal, but who knows. She reads things on here and then tries them?!?!?! Seriously. This to me is just so unfair to this poor dog. Bottom line: This dog needs to be seen by a specialist. My guess is this has not been done...why else would she be on here looking for HOW to treat. She freely admits to self treating with prednisone which is dangerous imho. Not a drug you play with or give without good reason. Also...read about Prilosec and wants to try that?!?!?!? OP: You don't want to hear it...but again I am going to tell you that your poor dog needs to be seen by a specialist. No one here needs to comment any more about the symptoms. Everyone agrees that something is wrong and your dog needs GOOD veterinary care. |
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I also question whether an MRI was done. Lastly I could not agree more that this dog needs GOOD veterinary care, and in my mind that would not include a chiro-quacker but hey that's me. |
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mickey's symptoms returned even though he is on prednisone. he is also getting ear drops, neomycin 75 mg daily, flagyl 0.08 mg daily, lactulose 6 ml daily, and all his problems cont. going to see another neurologist in another town because we only have one here, and he has seen him. lots of medication and he continous to display symptoms. now i wonder how much he can see. he still eats with help and the head tilt is so much worse than it ever was, when he drinks the right side of his face is wet. he was walking straight before with the prednisone and now he just stumbles thats what i mean by his symptoms are back. i had thought we had solved that problem. |
after reading that last post i will no longer be posting any up dates on here. |
My thoughts and prayers will be with your pup. I do hope you find out what is wrong and he can be helped. |
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NO she is right. I don't blame her for not wanting to post anymore. Everyone is just being mean and judgemental.You're not there with her. She's worried and it's hard to know exactly how to explain anything to anyone at times like this. Easy for you to say what she "should" do.....you're not experts. She's just asking for advice and she's getting slammed. This is what I don't like about YT. I stayed away for a while because of this reason...I hoped it had changed here. |
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