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#169433 - 07/23/11 10:30 PM Re: ultrasound for the heart?/adrenals? [Re: MaxaLisa]
Barb E Offline
Pooh-Bah

Registered: 02/11/10
Posts: 2275
Loc: Portland, Oregon
Likes: 152
Originally Posted By: MaxaLisa
I'm getting a 2nd opinion tomorrow at 11am.


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#169479 - 07/24/11 11:08 AM Re: ultrasound for the heart?/adrenals? [Re: Barb E]
Mary Jane Offline
Carpal Tunnel

Registered: 02/16/10
Posts: 2738
Likes: 129
Fresh eyes-wonderful idea. Sometimes even recounting Max's relevant history to an interested, trainer listener will draw something different out.

When I have unpredictable tears, it's both anxiety and exhaustion. Somehow Lisa find a way to relax for an hour.

all best wishes to MaxaLisa,
Mary Jane

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#169481 - 07/24/11 11:47 AM Re: ultrasound for the heart?/adrenals? [Re: Mary Jane]
TMarie Offline
Old Hand

Registered: 01/26/10
Posts: 842
Likes: 17
Just wanted to let you know that I have been following this, just haven't posted. Hoping for the very best for Max and you.

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#169513 - 07/24/11 05:49 PM Re: ultrasound for the heart?/adrenals? [Re: TMarie]
MaxaLisa Offline

Global Moderator

Registered: 01/26/10
Posts: 19487
Loc: Northern CA
Likes: 256
Thank you everyone. I'm so worried about the boy.

I have transferred primary care of the boy to a couple of the other vets at the clinic. Now I have someone there, familiar with his case, every day, including weekends.

I hope this plan of action isn't too late and that we still have time to get him better, but here are the results of the day....


1) Rebalance Max's diet with someone trained to be sure that that isn't contributing to his disease process.

2) While it's not Addison's, there are lots of other hormonal disorders, many that don't have names or tests. There is a lab in Texas that does some hormonal testing that the vet had heard about from a different vet. Coincidentally, it was Max's Derm for his fistula that mentioned this, so I am going to follow this up. This might make the most sense, since there is a protocol by Dr. Plechner, that I think uses this same lab, and I've been staring at Plechner's website for the last week. The universe might be speaking.

3) The vet wants to refer to a smart internist, not just anybody. But she couldn't think of anybody that she knew that she felt we would get the most bang for our buck. We are still working on that. She mentioned finding someone that can test for myasthenia gravis.

I am giving him 5 mg of pred, twice a day (twice what would be his Addison's dose). She filled a script for it, and said that I may have to increase it. His eyes, nose, and coat color are already better from the pred, but I think the lymph nodes worse.

Bloodwork will be in Monday morning. I will be busy Monday it sounds like.

I am happy with the response, and hope it's not too late.
_________________________
MaxaL (aka LisaT)

Jazmine, mini-mix, 10/18/2011
Max-n-Indy
Max, 5/2001-2/2012, RIP my partner, my Regal Boy
Indy, 5/1997-10/2010, RIP my friend, my teacher

Health Index
K9 TBD info and Tick List Links
http://www.rabieschallengefund.org/

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#169525 - 07/24/11 07:13 PM Re: ultrasound for the heart?/adrenals? [Re: MaxaLisa]
LJsMom Offline
Old Hand

Registered: 02/10/10
Posts: 1083
Loc: Rhode Island
Likes: 20
Originally Posted By: MaxaLisa
The universe might be speaking.


Not the universe, just Miss Indy.
_________________________
Joanne

Kryska's Ironwill Steel Train SD (Siberian Husky) 8-6-99
Miss Mila Monster (GSD) 4-14-02

Waiting at the bridge:
Lady Jane Cobb (GSD - age 15)
Sasha (Siberian Husky - age 13)
Niko (Siberian Husky - age 14)
Wooly Bear (Siberian Husky - age 13)

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#169530 - 07/24/11 07:35 PM Re: ultrasound for the heart?/adrenals? [Re: LJsMom]
JeanKBBMMMAAN Offline
Rescues Rule Admin

Registered: 01/18/10
Posts: 4618
Likes: 165
What about seeing a vet endocrinologist - do they know any good ones?

Can you give ABX w/the pred?

"Nowadays, a simple (though not inexpensive) blood test can be done to check for antibodies against Acetylcholine receptors. This blood test is falsely negative in only 2% of cases. These same antibody blood levels can be used to monitor treatment progress. When antibodies drop to less than 0.6 nmol/L clinical signs generally resolve."

http://www.marvistavet.com/html/body_myasthenia_gravis.html
http://www.vetmed.ucdavis.edu/vsr/Neurology/Disorders/Myasthenia%20Gravis.html

Looking forward to good info tomorrow!
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#169540 - 07/24/11 08:31 PM Re: ultrasound for the heart?/adrenals? [Re: LJsMom]
MaxaLisa Offline

Global Moderator

Registered: 01/26/10
Posts: 19487
Loc: Northern CA
Likes: 256
Originally Posted By: LJsMom
Originally Posted By: MaxaLisa
The universe might be speaking.


Not the universe, just Miss Indy.


wub
_________________________
MaxaL (aka LisaT)

Jazmine, mini-mix, 10/18/2011
Max-n-Indy
Max, 5/2001-2/2012, RIP my partner, my Regal Boy
Indy, 5/1997-10/2010, RIP my friend, my teacher

Health Index
K9 TBD info and Tick List Links
http://www.rabieschallengefund.org/

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#169541 - 07/24/11 08:40 PM Re: ultrasound for the heart?/adrenals? [Re: JeanKBBMMMAAN]
MaxaLisa Offline

Global Moderator

Registered: 01/26/10
Posts: 19487
Loc: Northern CA
Likes: 256
Originally Posted By: JeanKBBMMMAAN
What about seeing a vet endocrinologist - do they know any good ones?

Can you give ABX w/the pred?

"Nowadays, a simple (though not inexpensive) blood test can be done to check for antibodies against Acetylcholine receptors. This blood test is falsely negative in only 2% of cases. These same antibody blood levels can be used to monitor treatment progress. When antibodies drop to less than 0.6 nmol/L clinical signs generally resolve."

http://www.marvistavet.com/html/body_myasthenia_gravis.html
http://www.vetmed.ucdavis.edu/vsr/Neurology/Disorders/Myasthenia%20Gravis.html

Looking forward to good info tomorrow!


Do they have vet endocrinologists???? I bet UCD has one, but from what I last heard how they were training their new vets in thyroid testing, no way....

I had no idea that UCD had "meat sales" http://www.examiner.com/nutrition-in-sac...al-science-site

Thanks for those links Jean. I just looked, and all they need is a blood draw to test for MG - looks like Indy had that test when she was young and I was trying to find out what was wrong with her. I think the vet must have been thinking of the injection stuff. I just called here and left a message.

If we find out about this lab in Texas, then we can send the blood there for a hormone panel, and also test for MG, and, with all of that, hopefully find someway to get him better! Hopefully! (We better, I ran out of money awhile ago shocked )
_________________________
MaxaL (aka LisaT)

Jazmine, mini-mix, 10/18/2011
Max-n-Indy
Max, 5/2001-2/2012, RIP my partner, my Regal Boy
Indy, 5/1997-10/2010, RIP my friend, my teacher

Health Index
K9 TBD info and Tick List Links
http://www.rabieschallengefund.org/

Top Likes: 0 
#169543 - 07/24/11 08:41 PM Re: ultrasound for the heart?/adrenals? [Re: JeanKBBMMMAAN]
MaxaLisa Offline

Global Moderator

Registered: 01/26/10
Posts: 19487
Loc: Northern CA
Likes: 256
Originally Posted By: JeanKBBMMMAAN
Can you give ABX w/the pred?


Yes! I don't know if all antibiotics, but the regular abx (doxy and amoxy), yes.

No Metacam I guess, NSAIDs and pred, can't remember why that's bad, but I remember it's not good!
_________________________
MaxaL (aka LisaT)

Jazmine, mini-mix, 10/18/2011
Max-n-Indy
Max, 5/2001-2/2012, RIP my partner, my Regal Boy
Indy, 5/1997-10/2010, RIP my friend, my teacher

Health Index
K9 TBD info and Tick List Links
http://www.rabieschallengefund.org/

Top Likes: 0 
#169545 - 07/24/11 08:45 PM Re: ultrasound for the heart?/adrenals? [Re: MaxaLisa]
JeanKBBMMMAAN Offline
Rescues Rule Admin

Registered: 01/18/10
Posts: 4618
Likes: 165
They do! There is a very nice one at Cornell. Because no normal vet likes endocrinology I think! They could consult with them maybe?

http://www.akitaclub.org/health/health/mgshelton1.html is that the place for the test? Or a place? I mean you know Texas A/M GI stuff, Michigan or Dodds for Thyroid...where for that? I will ask - I swear the rescue tested a dog for it. STOP THE STEROIDS!* I think - right?

Meat sales! MMMmmmm?

I am sure all the tests coming up are free...right...

*and find out the washout time


Edited by JeanKBBMMMAAN (07/24/11 08:46 PM)
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