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Karen I am sorry you are having problems with this breeder. I am continuing to pray and have positive thoughts |
Karen, I haven't commented in this thread yet, but HAVE been following it and I want to say that you have certainly impressed me as a STAND UP person for the way you have been handling this with the breeder.How refreshing! I am so sorry that you are having to go thru this. You do not deserve it and neither does Max. I will be praying that this is a temporary condition and a reaction to something.. and that Max will have a full recovery and a happy life with you. HUGS! Sonya |
My vet just called from her cell phone. We were both on cell phones so it was very unclear. BAT results came in and all I could hear was that the Post Neo Bile Acid is at 19.4 and should be under 20. She says it's normal but the highest range of normal. She needs to call the lab tomorrow to see if it is possibly affected either higher or lower due to hemolysis. ??? No clue what any of this means. Next step is an ultrasound I think. She is going to research Sentinel on her own this evening. I'm really scared because I'm banking on the Sentinel and I don't think these results are looking good. I don't know. |
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This whole situation is a nightmare. I do commend my vet for calling me from her cell phone on a Sunday. I trust that they will lead us in the right direction. LS is not yet ruled out. |
Not sure what lab your vet used since the reference ranges are different for Antech (a lab used by many for BATs). Here is what Antech has to say about the reading of these #s (this is taken from my own dog's recent BATs lab sheet) Again, these #s are questionable in a pup this young. By way of comparison, my MVD dog (without a single PSS) had BATs of 107. I doubt your dog has a shunt with a number that low - usually it is over 100 and even then it can be an MVD situation (as with my dog). The ultrasound only can detect a single PSS in approx less than half of cases and depends highly on the skill of the reader (imaging specialist, board certified, e.g.). "FASTING BILE ACID CONCENTRATIONS Elevated fasting bile acid concentrations can occur with inadequate fasting, spontaneous gall bladder contraction and with hepatobiliary disease. The probability of hepatobiliary disease increases when fasting bile acids exceed 25 umol/ L. Fasting bile acids may be higher than those of postprandial samples. Potential causes include gall bladder contraction and delayed gastric emptying. If either result exceeds 25 umol/L, abnormal liver function should be considered. POSTPRANDIAL BILE ACID CONCENTRATIONS Elevated postprandial bile acids are supportive of hepatobiliary disease. The majority of animals with congenital or acquired portosystemic shunting have markedly increased postprandial values (>100 umol/L)." |
Praying for you and Max. I pray Max will make a full recovery. I can't imagine what you must be going thru. |
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PSVA and MVD Research Summary Hemolysis is burst red blood cells. Can you take Max to LSU at this point? You can waste a lot of time and money going off in the wrong direction. LSU or a specialist is going to repeat all the tests anyway. |
Just wanted to stop by and let you know I'm thinking positive thoughts for you and Max. |
I am praying that this is a good sign for Max. |
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