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sbshoegrl 11-18-2009 07:56 AM
Shunt
 
:confused:My puppy needs shunt surgery, shes only 6 months and i cant afford it. What do i do? Please help :(

WV~Yorkies 11-18-2009 07:57 AM
Have you contacted the breeder?

Ellie May 11-18-2009 07:57 AM
Didn't she just have her bile acids tested?
Did they find one on an ultrasound or scintography already?
Has a Protein C test been done?

TLC 11-18-2009 01:48 PM
Please give us a little more info, like what Ellie May is asking.

If she indeed has a shunt and she is that young, do you have any contract with the breeder? "Most" breeders will refund the cost of the pup to go towards the LS surgery.

Also, U of Tenn and Cornell University are the BEST places for LS treatment and surgery, and they are more cost effective than the Specialty Hospitals here in NYC. You should check them out.

And there is also the Care Credit. Have you applied yet?

sbshoegrl 11-19-2009 07:27 AM
Shes going to see the specialist at Garden state veternary hospital in Tinton Falls NJ on sat for the ultra sound. My Vet said her bile acids are 104...which is high, so yes she did have the bile acids test.

tegamom1 11-19-2009 11:19 AM
Quote:
Originally Posted by sbshoegrl (Post 2886511)
Shes going to see the specialist at Garden state veternary hospital in Tinton Falls NJ on sat for the ultra sound. My Vet said her bile acids are 104...which is high, so yes she did have the bile acids test.
Have you contacted your breeder?

TLC 11-19-2009 11:43 AM
Quote:
Originally Posted by sbshoegrl (Post 2886511)
Shes going to see the specialist at Garden state veternary hospital in Tinton Falls NJ on sat for the ultra sound. My Vet said her bile acids are 104...which is high, so yes she did have the bile acids test.
Yes 104 is high and it could be a shunt, but it could also be MVD.

Roxy's first BAT was Pre: 43 and Post: 100.9

We had a U/S done too. It showed a normal shape and normal size liver. Unfortunately, U/S are only about 60% accurate in determining a shunt. So what will happen is they *may* see a large shunt and direct you for surgery, or they *may* see nothing at all, BUT, they will say that doesn't mean she doesn't have a shunt, we just didn't see it, then they will direct you to do a liver biopsy.

AmyChristine 11-19-2009 11:49 AM
Quote:
Originally Posted by sbshoegrl (Post 2886511)
Shes going to see the specialist at Garden state veternary hospital in Tinton Falls NJ on sat for the ultra sound. My Vet said her bile acids are 104...which is high, so yes she did have the bile acids test.
I am so sorry that your baby is sick, I know that the whole process is scary and exhausting.

Copper's post numbers have all been between 100-120, the next test you should do is a protien C test, which needs to be sent off to Cornell. And then if they think that it is still a shunt then you should have a scintigraphy done. The only issue with an ultrasound is that they can sometimes miss the shunt.

Copper has MVD and responds very well to diet and supplements, the first vet that I saw automatically assumed that higher BA= shunt, which isn't always the case. If we were able to do surgery I would definately make the trip to UT they are really the best, and more affordable than most other places. The care credit that has been mentioned above is really easy to apply for. CareCredit Veterinary Financing for Pet Care, Pet Surgery, Vaccinations & Other Veterinary Medicine Procedures

Robin Lodal 11-19-2009 01:16 PM
Quote:
Originally Posted by AmyChristine (Post 2886854)
I am so sorry that your baby is sick, I know that the whole process is scary and exhausting.

Copper's post numbers have all been between 100-120, the next test you should do is a protien C test, which needs to be sent off to Cornell. And then if they think that it is still a shunt then you should have a scintigraphy done. The only issue with an ultrasound is that they can sometimes miss the shunt.

Copper has MVD and responds very well to diet and supplements, the first vet that I saw automatically assumed that higher BA= shunt, which isn't always the case. If we were able to do surgery I would definately make the trip to UT they are really the best, and more affordable than most other places. The care credit that has been mentioned above is really easy to apply for. CareCredit Veterinary Financing for Pet Care, Pet Surgery, Vaccinations & Other Veterinary Medicine Procedures
My Ginger's BA was 69 pre and 129 post and she went in for surgery and everything at UT and they found no shunt (when they were pretty positive she had one)... so she has MVD. They had done an scintigraphy and everything... so SOMETIMES no matter how many tests you run, the only 100% way to find out is to have surgery unfortunately.

I have heard that Protein C tests are not as accurate as we'd like them to be. I would recommend an ultrasound (its must be doppler) and then a scintigraphy. Go ahead and change her to a low protein diet (Royal Canin Hepatic LS 14 (dry kibble) and/or Hill's LD (canned) and get her on some Lactulose. Good luck...


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