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#26747 - 04/01/10 06:43 AM Re: perianal fistulas - scared for skye [Re: MaxaLisa]
MaxaLisa Offline

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The more I think about it, the more concerned I am about the protocol your vet wants to use.

With PF, you ramp up the meds, you don't take away and leave with nothing.

Yahoo groups will by down most/all of 4/1, but if you haven't already, you probably should read Cecelia's primer that is listed in the Files section of the PF list.

They also have a pred protocol, it lasts for about a week, starting at 20mg and then tapers down, that is for a flair up. For initial treatment it would be different - one successful one I read started with 20 mg for the first week, I didn't pay attention after that.

I'm not a fan of pred, I'm not a fan of cyclo, but it really sounds like your vet is under-treating this. She might be in over her head??? Heck, Max shows no signs of infection, but he blows up off of abx and is healing with the current protocol. She sounds conservative and unsure, and under-estimates the nastiness of this disease perhaps?

Max's Derm had us try to taper of meds when he was in the middle of improving, and it was bad news each time. Treat until healed, and then one month longer. Taper either during that month, or the next.

What are your instincts here Bonnie?


Edited by MaxaLisa (04/01/10 06:46 AM)
_________________________
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

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#27438 - 04/02/10 06:55 PM Re: perianal fistulas - scared for skye [Re: MaxaLisa]
PositiveDog Offline
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Ok - I have been trying to keep an open mind, but I am concerned that as you said we are too conservative with Skye.

Her 3 days on prednisone (no typo) are 2X a day and only 5 mg. Her last pill will be tonight, although I got extra in case she needs them. Is that even enough to do anything for a 67 pound dog?

Is there a good natural anti-inflammatory?

That and the trac 2X a day. I am also continuing the HA for her - 50mg morning and night.

No antibiotic - she has amazing energy so the cypro must have been hard on her. But - does she still need it? Who knows?

I have to say she does look like she is continuing to heal, but I wonder what is perculating under the surface? I will be watching carefully and go back with her immediately if I see any negative change. (We are scheduled for back in 2 weeks.)

On a good note, her shedding is almost done and her coat has come back to it's old softness after a few weeks on the Orijen 6 fish, so I think the food agrees with her. She eats eagerly.

Some of you have dealt with this for months - Skye and I for just over a month. Do you get discouraged? Tired? This was becoming the house of stress, so I am back to massages for the dogs which also relaxes me.

That's where we are now.
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#27573 - 04/03/10 05:41 AM Re: perianal fistulas - scared for skye [Re: PositiveDog]
MaxaLisa Offline

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Bonnie,

It is stressful, discouraging, and tiring. And every day it wears you down a bit more. On the PF list, they say that you adjust, learn to think of it as a chronic disease, a marathon and not a race. That being said, I haven't completely made that adjustment yet.

Even though we've been dealing with this here since August, I am still trying to figure it out, and I'm still pushing for remission, and not just steady state.

I'm glad that she is feeling much better after the Cipro, that's good news!

I'm glad that she is still getting better. It could be leftover from the antibiotics, could be from the pred. I can say that whenever I have backed off on the meds, on day 4 it was clear that bad things were happening. But that's Max, he marches to his own drummer wink

For Indy, as an anti-inflammatory, I use that cetyl myristoleate product that I link somewhere above. For Max, I am using a different CM product, but it's not as effective as Indy's, but it's a compromise because of his food sensitivities. I am also using a chinese herb mixture for max. Doxycycline is an anti-inflammatory, so I am killing two birds with one stone with that one. I would love to use that CM product above on Max, too bad I can't.

I guess we see what happens with Skye.

I keep forgetting to mention, you should take some pictures, so you have some comparisons now, and down the road.

I sure hope that she continues to improve crossedfingers
_________________________
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

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#27649 - 04/03/10 01:03 PM Re: perianal fistulas - scared for skye [Re: MaxaLisa]
SeanRescueMom Offline
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Registered: 02/14/10
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Originally Posted By: MaxaLisa
I sure hope that she continues to improve crossedfingers


Same here, fingers, toes and even paws crossed for Skye. paw Just out of curiosity, have you considered taking her to another vet or specialist?
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#27700 - 04/03/10 03:49 PM Re: perianal fistulas - scared for skye [Re: SeanRescueMom]
PositiveDog Offline
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This vet is actually not her regular vet and is a little more knowledgeable and open to new things.

However, if I continue to be shaky on this treatment or if Skye backtracks, I will probably take her to MedVet in Columbus - they have all kinds of specialists.

Ia am not sure what this would fall under as a specialty(?)

Thanks again for all the support. thanks
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Bonnie

www.dogtors.com

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SamCat, 03/2011

Seiko, Solo, Sophie, Skye and Buddy - bridge dogs who taught me so much

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#27714 - 04/03/10 04:44 PM Re: perianal fistulas - scared for skye [Re: PositiveDog]
MaxaLisa Offline

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Dermatology? Just don't go to a surgeon!
_________________________
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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#29375 - 04/07/10 08:08 PM Re: perianal fistulas - scared for skye [Re: MaxaLisa]
PositiveDog Offline
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A quick update after a week - Skye seems to be doing OK. She is initiating play with Buddy and Kodi (vacationing here for a week.)

Her bum seems to be slowly looking better, but she is still flinching when I apply the tacrolimus with the q-tip - which I am only doing 1X a day even tho the vet said two.

I am concerned about what may be going on inside, since she flinches, but the swelling almost gone, so.....

I am continuing the HA and her regular joint compound.

I dreamed the other night that I drove through a red light. I am taking that as 'slow down and be watchful - don't miss anything.'

Just wanted to let you know how she is today. paw
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Bonnie

www.dogtors.com

With approval of my friends:

SamCat, 03/2011

Seiko, Solo, Sophie, Skye and Buddy - bridge dogs who taught me so much

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#29381 - 04/07/10 08:23 PM Re: perianal fistulas - scared for skye [Re: PositiveDog]
MaxaLisa Offline

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The insides take a lot longer to heal....I'm glad that she is continuing to improve, that's a huge relief.

LOL, just make sure you don't run any red lights in real life, particularly at those intersections that have cameras wink

Good to hear that the news is pawsitive laugh
_________________________
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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#31781 - 04/13/10 09:07 PM Re: perianal fistulas - scared for skye [Re: MaxaLisa]
PositiveDog Offline
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OK - another two weeks into this (about 6 weeks total) and Skye had another follow up visit today.

Skye has continued to heal and act like she feels better. For about 1 1/2 weeks she has just been on the tacrolimus. I was told 2X a day, but I have only been using it 1 time a day.

Most of her skin has healed over, she has one spot still sore and tender.

For now we are to do 1X a day on the ointment (as I have been, but did not tell the vet) and after 2 weeks if there is no flare up go to every other day for 2 weeks. If she is still OK by then, it will be watch her for flare ups.

I am to put her back on the pred and call if she shows any relapse at all.

Skye has been energetic and very active this past week. I am hoping we caught this quickly and she will be free of the fistulas for some time. If not, I will just go from there.

Meantime I will continue to follow up on this disease and try to keep her on good food and supplements.

Thanks all who have been following Skye's journey into PF (and pannus.) I hope my girl will have some good times for awhile.
_________________________
Bonnie

www.dogtors.com

With approval of my friends:

SamCat, 03/2011

Seiko, Solo, Sophie, Skye and Buddy - bridge dogs who taught me so much

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#31787 - 04/13/10 09:16 PM Re: perianal fistulas - scared for skye [Re: PositiveDog]
LJsMom Offline
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crossedfingers
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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)
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