m&j, what timing! I was just thinking of posting an update.
We just had a checkup with the IMS (internal medicine specialist) on Thursday. I don't know how I end up with these dogs, but we are essentially in a "trial and error" stage of treatment, and thankfully I have a vet that has pretty good intuition and lots of experience, and handles me well. I am so impressed with this guy.....
I had put her on amoxicillin and flagyl (twice a day for 3 days, once a day for 3 days, now once every other day), and later added some st. john's wort to help with the tremors that have remained. He wants to stick with the amoxi, and get her tapered off the flagyl because he will not use that drug long term because of its neuro risk. He even gave me a script for the amoxi without even trying to get me to buy there (I was breaking up 250mg capsules and dividing them into two separate capsules for her - very time consuming!). He says that she may be on amoxi 2-6 months, and we have to accept that if she gets a different infection, we will not be able to use this drug because of resistance.
I mentioned that it was time to run her annual tick titers, and you can imagine my surprise when he knew about protatek labs. The vet clinic is one of the leading referral centers in the area, associated with antech labs, and they use protatek for all their tick titers. How impressive is that? Anyway, he helped me pick out what to test for in this area, and we are going to add toxoplasma and neospora to the panel, since they affect the nervous system. (I am getting blood drawn for that next week and will send out the blood myself to save costs - I use my old vet for that, just more of a social visit to say hi, since she's only there twice a month now.)
I have an appt with the homeopathic vet on the 28th of this month. It's about a 2 hour drive, and then we'll consult by phone. She will help me change Jazz constitutionally so that Jazz can better fight some of this on her own. This vet worked wonders with Indy, so I'm hoping to repeat this for Jazz.
I did ask him about the protein in the urine. He's thinking that this is a product of inflammation, from whatever
her issue is (issues?). He is most worried about the impact of continued inflammation on the kidneys, since the kidneys have to filter the by-products of this inflammation (immune complexes - Indy had this with her lyme vaccine disease). I forgot to ask about when he wants a follow up u/a, but I will be in contact with him.
I talked with the IMS for a long time, and we talked about a lot of stuff. He hasn't ruled out a muscle or nerve condition, or even an endocrine condition, like a pre-addison's issue of some sort. There may also be more things in her that are anatomically incorrect, similar to those inguinal hernias and the remnant tissue in the vagina. I sure would like to know more about her parents, how she became such a mess.....you'd think she was a puppy mill dog, or at the very least from a BYB. She is such a great dog, I hate to see her go through all of this.
While she's on an abx that she responds well to, she does pretty okay. She's happy, though I'm sure often has a tummy ache, and is frequently very fatigued. I had taken a bunch of things out of her diet, but I am adding them back slowly, since taking them out really didn't help. What helps is the abx.
Sorry so many words!! Thank you for checking up on her, she is such a little stinker when she's feeling good