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- - yorkie with neuro ? (https://www.yorkietalk.com/forums/sick-injured-emergencies-talk/205052-yorkie-neuro.html)

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.

Quote:

Originally Posted by fus40 (Post 3350018)

Please, stop being so rude and arrogant and try to appreciate that others are taking time out of their own busy lives to try to help you. They're just regular people, not miracle workers, and they really are concerned about your yorkie. Since you asked that we not offer our prayers here, I won't. But I do hope you find the help your little one needs soon.

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.

Quote:

Originally Posted by fus40 (Post 3350018)

Everyone on YT is welcome to post on this thread.

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.

Quote:

Originally Posted by fus40 (Post 3349879)

ok so after my last post we went to 2 diffrent vets and were told he had an ear infection. after 1.25 mg of prednisone nd antibiotic he straightend out, then just recently he started walking sideways again the chiro came and put his knees back in and then he did fine for a day, then he got worse couldnt walk without falling over 3 vets later numerous test that were inconclusive they did a bile test, urine, ammonia levels, cbc about 800.00 3 diffrent treatments for liver and nothing. i got on here and remembered prednisone made it stop so i gave him 1.25 mg again and 4 days later he was fine again, then after a week suddenly he was doing head tilt back to the vet changed his liver treatment and more prednisone, walking fine and then still head tilt er vet told me to change his liver treatment which we did and gave him a lactulose enema. tapered off his steriod and bam spinning in circles to the right on the floor,and cant walk cause we tapered off steriod? so started it back and can walk but still head tilt doing liver treatment and steriod neuro after doing an mri dosent know 4 diffrent vets dont know always liver, liver, liver, so any one have an ideas, or maybe had a baby that did thes he is now 16 months old and no one can tell me what it is just the same thing liver,liver,liver. i need answers from someone,or suggestions, i love this dog he has insurance and at this point i work parttime to help pay his bills there are no lengths i wont go to for this baby. i know everyone on here wishes us well and will pray, i dont need to know that, and i dont want to hear about taking him to another vet or another specialists we've been to all of them, and no one knows what it is and if it is the liver at some point all this should have gone away, and we could take him off the steriod, just posts suggestions only, iam not some lame duck that thinks u guys on here are vets, i would just like to know what u think about his symptoms. thank you.:aimeeyork:)

Quote:

Originally Posted by fus40 (Post 3349913)

we've been to several vets and several tests lots of diffrent medicine and after i started him back on prednisone ( i did it after reading here) he starightened up called the vet told him he sent me out some to the pharmacy and then several weeks later bam hes doing the head tilt, noone can tell me why ive spent lots of money 800.00 alone in medicine, and nothing check liver bile, check ammonia level, mri, x rays, u name it weve done it steriod worked for a few weeks, even had him sedated to look in his ears, and nothing. i saw a post on here where they did prilosec thinking of calling dr for it to be sent to compound pharmacy cant hurt right? after my last post he did well for a while, so maybe it masked the symptoms and corrected the problem for the neuro visit? this sucks i love this baby with all my heart and yet i cant find a vet that knows what they r doing! working part time job to pay for all this treatment and will cont to do so until i find out what the hell is wrong with him. every thing is either inconclusive or normal. and all i hear is liver,liver,liver. sick of it after all the treatments weve done for it lactolose,flagyl,neomycein,and three other antibiotics he dosent get better. one vet thought i should taper down the steriod and when i did he walked like he had been drinking beer all day. so against advice he went back on it, i couldnt stand watching him roll in a circle to his right any more and guess what he got better he can walk without falling down, but still head tilts to the right. please any suggestions and yes i will call vet and get the prilosec sent to pharmacy after all they owe me that one. but i digress any advice please post. thanks

Quote:

Originally Posted by fus40 (Post 3349914)

results of what all these tests nothing, nothing,nothing. told it screams liver and yet after all these treatments he cont to walk like he's drunk unless he's on the steriod, then his head just tilts to the side. hate this.

Could be AAI,Chiari, GME, NME... all respond to pred and as dose is tapered symptoms return. Call and ask the neuro if he checked for them... may need to do a Spinal Tap to verify and differential between them.

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.