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01-16-2011, 05:45 PM | #31 | |
Resident Yorkie Nut Donating YT 20K Club Member Join Date: Sep 2006 Location: Texas
Posts: 27,451
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Welcome Guest! | |
01-16-2011, 06:15 PM | #32 |
Donating YT 1000 Club Member Join Date: Jan 2006 Location: Abbotsford, BC
Posts: 2,060
| Tobias, I think is no longer working in LS research. I am not sure what she is doing now. Dr. Center has picked up that research. |
01-16-2011, 06:22 PM | #33 |
I♥PeekTinkySaph&Finny Donating Member Join Date: May 2009 Location: Baltimore, Maryland
Posts: 18,866
| Here's another link with other links on it for more info: The University of Tennessee College of Veterinary Medicine - Liver Shunt Research
__________________ Kat Chloe Lizzy PeekABooTinkerbell SapphireInfinity |
01-16-2011, 06:23 PM | #34 |
Yorkie Talker Join Date: Jan 2009 Location: Kingston, Tennessee, United States of America
Posts: 22
| I do not have any experience with liver shunt but I have had two yorkies treated at the University of Tennessee. One of my yorkies had a collapsing trachea and unfortunately surgery was not an option due to the location of the collapse. He passed away at the age of 4 due to this issue. I currently have a little girl with GI issues and we also went to UT to rule out any serious health issues. I highly recommend UT and I have heard wonderful things about Dr. Tobias. UT doctors have always treated us very well and truly cared for our pets. We have always had our vet refer us to UT and my understanding is that a referral is required.
__________________ Christine & Molly and Heidi |
01-16-2011, 06:47 PM | #35 |
I♥PeekTinkySaph&Finny Donating Member Join Date: May 2009 Location: Baltimore, Maryland
Posts: 18,866
| Here is a link to the YaHoo Livershunt and MVD Support Group: Liver_Shunt_And_MVD_Support : Liver Shunt & MVD/HMD Support The format is a little hard to follow till you get used to it. Lots of good people there willing to help with anything...
__________________ Kat Chloe Lizzy PeekABooTinkerbell SapphireInfinity |
01-16-2011, 08:15 PM | #36 | ||
Donating YT 100K Club Member & Top YorkieTalk Poster! Join Date: Feb 2009 Location: western KY
Posts: 108,935
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Quote:
jmo
__________________ Betty & Micah my love + Yogi | ||
01-17-2011, 07:09 AM | #37 |
Yorkie Yakker Join Date: Mar 2007 Location: maine
Posts: 45
| Thank you all for so much info. I am hoping that someone up above guides me in the right direction today. I don't know where to start. I feel like my vet just kind of left me on my own with this and the information is overwhelming. I want the best for her and dont' know what is the best at the point. I live in Maine, making it difficult to get to Tn. I have sent Dr. Tobias an email, but not sure she will answer this directly from me. I am thinking that another ultrasound is where I need to start somewhere around here to see if they can pick up the shunt, but is this throwing money away and should a stintograph be the route, but in that case, who around here does it, so I guess many phone calls will be made today. If UT is the best option, we will find a way. Cornell is much closer but from what I read if it is a shunt the ameroid constrictor is the way to go. Perhaps Cornell could at least give me the best diagnosis so I need at least what we are dealing with, LS, MVD, ??? My head is spinning. |
01-17-2011, 07:31 AM | #38 |
Resident Yorkie Nut Donating YT 20K Club Member Join Date: Sep 2006 Location: Texas
Posts: 27,451
| My heart goes out to you. I would be the same as you, worrying about the choice I was making. The only thing I can say is that if you go to UT, Dr. Tobias would most likely not be doing the surgery. It will be people trained by her or by her methods, I believe. You might want to look into that. There are surgeons all over the country who were trained at UT and/or by her. Perhaps she was the leader in LS and might have been the best option at some point, I am quite sure others are quite competent with this surgery. One very important thing is to make sure you only go to a board certified surgeon. They are listed at: www.acvs.org Going to UT would be an inconvenience for me, and while I would do that for any of my pups if it were the only option, I would definitely consider closer places. Feedback from others is important....have they used the places closer to you? I would want to talk to others who have taken their pups for surgery...not people like me who have no experience with surgery for LS. I have been fortunate in not having an LS pup in all of the years, so I am not a resource for you. I can only say what I might be looking at. As I just read the above, it occurred to me that you don't have a defnitive diagnosis. What I said above applies to that as well. You want someone who is skilled to evaluate for LS vs MVD. You will be in my thoughts. I wish you well. I know how it is to have sick pups and have to make decisions about surgery. While I have not had a pup with LS, I have had many with other conditions.
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01-17-2011, 07:38 AM | #39 |
I♥PeekTinkySaph&Finny Donating Member Join Date: May 2009 Location: Baltimore, Maryland
Posts: 18,866
| Aw! I know this is hard... there is so much to learn... I've been researching for over a year now... The thing is, any further testing you get done will more than likely be repeated by the vet where you choose to go should she be a good surgical candidate. You should probably compare prices on shunt/kidney stone surgery... the differences could be in the thousands... Did you ask your vet if he would give you a referral? You'll need copies of her records and all test results... you could ask for that now... If he won't refer you, you will need to see another vet with your records.... Maybe go to the place Kerrie recommended for an ultrasound as they are experienced with LS (from your other thread), then make a decision, the US is the least expensive test to have repeated You can call UT and talk to the operator or someone in the Small Animal dept... explain your situation... they will be able to help decide.... But, because of her kidney stones, you will need to get a move on, the healthier she is the better surgery will go...
__________________ Kat Chloe Lizzy PeekABooTinkerbell SapphireInfinity Last edited by kjc; 01-17-2011 at 07:41 AM. |
01-17-2011, 08:39 AM | #40 |
T. Bumpkins & Co. Donating YT Member Join Date: Dec 2008 Location: New England
Posts: 9,816
| Lily's situation needs attention and if that means going closer to home that's what I'd be doing if it were my dog. I PM'd you with the info I found out today. I wish the best for you and Lily.
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01-17-2011, 09:29 AM | #41 | |
And Rylee Finnegan Donating Member Join Date: Apr 2007 Location: Metro Detroit, MI
Posts: 17,928
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Whatever you decide, it needs to be...today I would think. It sounds like your pup is not even stable. A specialist is needed immediately. If you can't get to UT or Cornell immediately, then you'll need to go somewhere else.
__________________ Crystal, Ellie May (RIP), Rylee Finnegan, and Gracie Boo🐶 | |
01-17-2011, 10:10 AM | #42 |
T. Bumpkins & Co. Donating YT Member Join Date: Dec 2008 Location: New England
Posts: 9,816
| I also wanted to add that you DO NOT need your vet to refer you to a specialist. I have been self referring for years!! You call and make an appointment and then you call your vet and tell them to fax over the entire record that you are doing for a specialist visit.
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01-17-2011, 10:19 AM | #43 |
Donating YT 500 Club Member Join Date: Apr 2007 Location: Manhattan Beach, CA
Posts: 1,635
| I just want to say that my Teddi had LS surgery at UT when she was 1 year old. She is a perfectly happy 4 year old now. It is a WONDERFUL place to have surgery. If you have any questions I would suggest you contact Sue (she is the person who schedules all the surgery and she is able to ask Dr. Tobias any questions you want answered). Teddi had her surgery done by Dr. D. J. Krahwinkel. I think that any of the doctors there are good since they have all been trained to specialize in this. Here is Sue's info: Susan M. Schwarten, CPS Administrative Specialist I Small Animal Clinical Sciences College of Veterinary Medicine University of Tennessee Phone - 865-974-5505 FAX - 865-974-5554 schwart@utk.edu
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01-17-2011, 10:20 AM | #44 |
Slave to My Rug-Rats Donating Member Join Date: Jun 2005 Location: Long Island
Posts: 7,247
| Hi... Just seeing this now. Also, keep in mind that your baby could have a Liver Shunt AND also MVD. Here is some reading about Brodie, he was producing a crazy amount of Urate Stones, he has a LS - and he went to Cornell. http://www.yorkietalk.com/forums/sic...ease-help.html http://www.yorkietalk.com/forums/sic...omach-bug.html P.S. I see you are in Maine. Can I ask where she came from? My Roxy and TJ have the same father, and they came from Brylaur Kennels in Maine. Roxy has MVD (she is 6 now). She just started to produce crystals. Last month it was both Oxalate and Struvite. Next text only shows Struvite, but she has bladder imflammation as well. TJ (6 as well), only had his first BAT elevated, the rest were way below normal. However, he too is producing crystals. First test showed only Struvite. Next test shows only Urate |
01-17-2011, 11:08 AM | #45 |
Senior Yorkie Talker Join Date: Aug 2009 Location: Westbury, NY, USA
Posts: 79
| Funny I was just going to post on here TLC! As was stated my little Brodie has a liver shunt and we went to Cornell Animal Hospital. I couldn't have asked for better treatment for my baby!!!! Everyone there was extremely nice and accommodating. I was able to stay at the Ramada in close by (it is pet friendly and they give you a discount if you have a pup at the vet). They test to see if your dog is able to handle a shunt ligation before they even begin. You have to bring your dog in for them to officially declare him/her a shunt dog with the Internal Medicine department before they will begin. Dr Center's accepts emails from regular people (like you and me!) and will get you an appointment ASAP if she feels as though your dog has a shunt. If you have any questions about the process or cost feel free to message me!!! Hang in there! It's a long road, but it doesn't have to turn out bad! I know I spent many, many days crying but my baby is still here with me today! |
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dr. tobias, kidney stones, liver disease, liver shunt |
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