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06-05-2017, 12:11 AM | #1 |
Yorkie Talker Join Date: Feb 2013 Location: New Orleans, Lousiana
Posts: 17
| MVD/Seizure Help Hello All. My yorkie will be 5 years old next month. He has suspected MVD. We decided not to do the biopsy because he would still have to be on lactulose and hepatic diet as well as denamarin. He has been doing extremely well since he was a puppy, but lately we have noticed he has a seizure about every month or so. I want to prolong the quality of his life and the veterinarian says his numbers and values are actually really good. Is there anything we can do to prevent the seizures? We give him Diazepam (Valium) immediately when the seizures begin to occur (as instructed by the veterinarian) but we want to really get him to the point where he no longer has them. The seizures usually last several minutes and immediately ends after he vomits bile. For those who are really good with understanding these diagnostics figures and can help me better care for him, ill include this info. Many thanks to the experienced Yorkie parents on this forum. Hematology 4/11/17 (Order Received) 4/12/17 8:50 AM (Last Updated) TEST RESULT REFERENCE VALUE RBC 8.12 5.39 - 8.7 M/µL Hematocrit 51.8 38.3 - 56.5 % Hemoglobin 18.4 13.4 - 20.7 g/dL MCV 64 59 - 76 fL MCH 22.7 21.9 - 26.1 pg MCHC 35.5 32.6 - 39.2 g/dL % Reticulocyte 0.4 % Reticulocyte 32 10 - 110 K/µL WBC 11.8 4.9 - 17.6 K/µL % Neutrophil 52.0 % % Lymphocyte 40.0 % % Monocyte 3.0 % % Eosinophil 5.0 % % Basophil 0.0 % Neutrophil 6.136 2.94 - 12.67 K/µL Lymphocyte 4.72 1.06 - 4.95 K/µL Monocyte 0.354 0.13 - 1.15 K/µL Eosinophil 0.59 0.07 - 1.49 K/µL Basophil 0 0 - 0.1 K/µL Platelet 307 143 - 448 K/µ TEST RESULT REFERENCE VALUE Glucose 104 63 - 114 mg/dL IDEXX SDMA a 12 0 - 14 µg/dL Creatinine 0.6 0.5 - 1.5 mg/dL BUN 16 9 - 31 mg/dL BUN:Creatinine Ratio 26.7 Phosphorus 4.2 2.5 - 6.1 mg/dL Calcium 9.9 8.4 - 11.8 mg/dL Sodium 149 142 - 152 mmol/L Potassium 4.5 4.0 - 5.4 mmol/L Na:K Ratio 33 28 - 37 Chloride 115 108 - 119 mmol/L TCO2 (Bicarbonate) 20 13 - 27 mmol/L Anion Gap 19 11 - 26 mmol/L Total Protein 6.5 5.5 - 7.5 g/dL Albumin 3.3 2.7 - 3.9 g/dL Globulin 3.2 2.4 - 4.0 g/dL Alb:Glob Ratio 1.0 0.7 - 1.5 ALT 37 18 - 121 U/L AST 36 16 - 55 U/L ALP 118 5 - 160 U/L GGT 10 0 - 13 U/L Bilirubin - Total <0.1 0.0 - 0.3 mg/dL Bilirubin - Unconjugated 0.0 0.0 - 0.2 mg/dL Bilirubin - <0.1 Conjugated 0.0 - 0.1 mg/dL Cholesterol 214 131 - 345 mg/dL Amylase 641 337 - 1,469 U/L Lipase 373 138 - 755 U/L Creatine Kinase 91 10 - 200 U/L Hemolysis Index 4+ b Lipemia Index N c Bile Acids Preprandial / Random 29.5 0 - 6.9 µmol/L H Bile Acids Postprandial d 56.9 0 - 14.9 µmol/L |
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06-05-2017, 08:43 AM | #2 |
Donating YT 500 Club Member Join Date: Sep 2010 Location: USA
Posts: 4,285
| Well I am not a vet....but around here the liver guru is Dr Karen Tobias at the University of Tennessee. People travel from all over to see her. You might contact her for some further conversation with a specialist. Wishing you all the best!
__________________ . Cali , and Cali's keeper and staff, Jay No, not a "mini" Yorkie - She loves to motor in her Mini Cooper car |
06-05-2017, 12:33 PM | #3 |
Yorkie Talker Join Date: Feb 2013 Location: New Orleans, Lousiana
Posts: 17
| How easily is she accessed? I always thought a veterinarian would have to make a recommendation to see her? I would love to see a specialist like Dr. Tobias. Any information would be greatly appreciated. |
06-05-2017, 01:06 PM | #4 |
Donating YT 500 Club Member Join Date: Sep 2010 Location: USA
Posts: 4,285
| Well you could try to call her at the University of Tennessee, College of Veteranarian Medicine. Knoxville ,TN The only number I saw was for animal emergency 865-974-8387. It they may be able to get you in contact. You could fax her the information you have , but at least talk with her. I know liver shunt is her specialty.
__________________ . Cali , and Cali's keeper and staff, Jay No, not a "mini" Yorkie - She loves to motor in her Mini Cooper car |
06-05-2017, 04:29 PM | #5 |
♥ Love My Tibbe! ♥ Donating Member Join Date: Feb 2011 Location: D/FW, Texas
Posts: 22,140
| Poor sweet baby. My Tibbe was diagnosed 5 years ago with MVD. Hope you can get an appt. with a specialist ASAP. Please keep us updated and I'll add your little one to my prayer list.
__________________ Jeanie and Tibbe One must do the best one can. You may get some marks for a very imperfect answer: you will certainly get none for leaving the question alone. C. S. Lewis |
06-06-2017, 03:36 AM | #6 |
YT 500 Club Member | You can find all information on UT Vet on the site. I have used them for 2 years with another issue. They are the best around. Highly recommend you try and get an appointment soon. Best of luck.
__________________ Yorkies makes us happy |
06-08-2017, 10:08 PM | #7 |
Yorkie Talker Join Date: Feb 2013 Location: New Orleans, Lousiana
Posts: 17
| I'm curious to know if there are other specialist outside of knoxville as it would be a 10hr drive to get there, and also im not sure if my vet would do the recommendation that would be needed to go there. |
06-09-2017, 03:55 PM | #9 |
Donating YT 100K Club Member & Top YorkieTalk Poster! Join Date: Feb 2009 Location: western KY
Posts: 108,935
| U.T.in Knoxville, Tn is a wonderful place, i took Micah there 7or 8 yrs ago, he will be nine in oct this year and is doing great..they were everything that you could ever ask for...I give them a A+++
__________________ Betty & Micah my love + Yogi |
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