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-   -   Idiopathic Eosinophilic Meningitis and probable Vaccinosis (http://www.pets.ca/forum/showthread.php?t=73462)

Rgeurts November 12th, 2010 05:12 PM

[QUOTE=chico2;965985]I am not surprised you feel you are paranoid,I would be too..
Especially with little Nanook,it seems to be one thing after the other,he is so sweet and I can only :pray:he'll be alright in the end[/QUOTE]

Thank you chico! I think he will be alright, I really do! He's been doing so much better this last week. He's still had a couple days where his tummy was upset and he didn't feel like doing anything, but overall he's been so happy, playful and actually energetic on and off :cloud9:

Hubby and I are both very hopeful :)

mastifflover November 12th, 2010 08:45 PM

[QUOTE=chico2;965985]I am not surprised you feel you are paranoid,I would be too..
Especially with little Nanook,it seems to be one thing after the other,he is so sweet and I can only :pray:he'll be alright in the end[/QUOTE]

Really you all have been through so much who could blame you for being paranoid. Thank goodness Nanook was lucky enough to end up in a home that loves him and cares for him the way you do. He may not have been so lucky with someone else. You are an :angel: good luck on Monday

Rgeurts November 12th, 2010 09:52 PM

Thank you guys for all the kind words :)
I think we're actually the lucky ones though. DH and I have both learned SO much through this ordeal. And to be honest, it has helped us to remember what's important, which I think we both needed. He came to us for a reason :cloud9::lovestruck:

mastifflover November 13th, 2010 07:43 AM

Okay lets just call it a match made in heaven, anyhow you all benefited from this cosmic match:thumbs up.

Rgeurts November 13th, 2010 10:02 AM

[QUOTE=mastifflover;966063]Okay lets just call it a match made in heaven, anyhow you all benefited from this cosmic match:thumbs up.[/QUOTE]

:D:D:D

Deal!! :grouphug:

Rgeurts November 18th, 2010 05:55 PM

Update
 
Nookie monster has been in very good spirits. He's been a lot more alert and bright eyed! He's still having some tummy issues, but we're hoping that will lessen as the pred dose lessens.

We saw Dr. Marsden a couple of days ago. He doesn't know if monster has Chondrodysplasia or not. There are tests that would need to be done. He did say he thinks it's may be more that the pred is starting to really damage his body. He thinks the pred has not only degraded the muscles in his head and face, but also in his front legs. He thinks Nookie is "hyper-extended" and that's what is causing the clumsiness and weakness when he plays (or even walks). He has a pretty severe limp in his left front now for about the last week. Dr. Marsden did acupuncture and adjusted his neck, but it hasn't seemed to help the limp. As far as the things in his mouth, it is Pappillomavirus. Dr. Marsden said as long as Nookie is on the pred and azathioprine, it's not going to go away because he's much too immo-suppressed, so we have dropped the pred down to 15mg daily for a week then down to 10mg daily and hopefully we won't see any seizures :pray::fingerscr

But everything considered, we're still very happy with his alertness and willingness to play with us and Thorin :cloud9:

Chris21711 November 18th, 2010 06:00 PM

Thanks for the update Rguerts, I've been wondering how the little guy was doing....keeping my fingers tightly crossed for Nookie.

hazelrunpack November 18th, 2010 09:28 PM

I'm glad he's in good spirits despite his troubles, Rgeurts! He's such a cutie! :lovestruck:

:fingerscr he's able to get off the pred entirely soon with no seizures!

luckypenny November 18th, 2010 10:18 PM

All my best wishes and prayers that Nanook continues to get better :grouphug:.

chico2 November 19th, 2010 09:32 AM

Aww Nookie-Monster,it seems like a lot to handle for a young dog,but it's also probably a plus that he's young,just like with people.
It's good to hear he's still in good spirit:grouphug:

Rgeurts November 19th, 2010 02:05 PM

Well, monster is headed back to the vet today. His stools have been black since night before last. We knew his tummy was bothering him, but didn't realize anything was really wrong (we thought it was just upset from the pred). I called and spoke with our usual clinic yesterday evening and the vet said not to worry about it unless he starts vomitting black or his stools turn to diarrhea, or if he becomes very lethargic and not wanting to eat/drink. This morning I got a call from daycare saying he had vomited, but just food, no blood.

The vet telling me not to worry about it (the same one who said we were feeding him enough when we were actually starving him :mad:) did not make me comfortable, so I called the holistic clinic this morning, who called Dr. Marsden and he said to bring him in asap. I know black, tarry stools means ingested blood. That's never something to "not worry about". So, wish us luck with our lil guy today. Hopefully it's nothing too serious :fingerscr :pray:

Robyn

chico2 November 19th, 2010 04:46 PM

oh no,Robyn:(
What else is going to happen,I would kip that first vet,if he does not know black feces usually means something is wrong then he's not much of a vet.
:pray:the visit with your other vet went well:pray:

Rgeurts November 19th, 2010 05:42 PM

Todays visit
 
Nookie had the visit with Dr. Marsden today. After 2 series of blood tests and an exam, he said Nookie is close to critical. He has severe anemia, only about 1/3 the red blood cells that he should have. He isn't quite to the point of needing a transfusion, but close. His thyroid has shut down as well. He thinks that weaning him off the Azathioprine is no longer an option, we need to stop immediately. He still wants to wean the Pred down. He *hopes* that the herbs he has him on will control the inflammation enough to keep the seizures at bay. We *hope* he is right. He has Giardia again as well and the stool sample has been sent off to the lab to check for blood, though I don't think we need a test to determine that. His stools are almost a charcoal black now :(

He put him on another herb that will help stop any internal bleeding that may be happening. But he seems to think the anemia is caused soley by the medications and that by removing them, he will be able to heal. He said if we leave him on the drugs, he will be surprised if he lasts more than 6 months. One good thing is that his liver function is almost back to the normal range, so the herbs have to be helping somewhat (his liver enzymes were VERY high 3 weeks ago).

I have to say that I'm not really that confident in removing the drugs. I just worry that maybe he's wrong and Nookie has some sort of internal injury that's causing the anemia. After all, Shaun and I both know that he eats just about anything he can get his little mouth on. If he does have an internal injury and we just go with the holistic treatment and end up causing more damage to him, or he doesn't make it because we made a bad decision, I don't think I would be able to forgive myself :cry::cry:

I just don't really know what to do for our baby :(

luckypenny November 19th, 2010 06:10 PM

Rgeurts, did you share your suspicions that Nanook may have an internal injury? Perhaps an ultrasound may ease your mind before making any changes to his meds?

I'm so friggen sorry this is happening to you and Nanook :grouphug:.

Chris21711 November 19th, 2010 06:44 PM

Ratz Rguerts I'm so sorry to hear this news....you have such a hard decision on your hands. I wish I could be of some help to you...all I can do is pray :pray:

Rgeurts November 19th, 2010 07:23 PM

:([QUOTE=luckypenny;967027]Rgeurts, did you share your suspicions that Nanook may have an internal injury? Perhaps an ultrasound may ease your mind before making any changes to his meds?

I'm so friggen sorry this is happening to you and Nanook :grouphug:.[/QUOTE]

Thank you lp :grouphug:
We did express the concern that he may have ingested something that may have hurt him. Dr. Marsden said the herb that he gave us today is one they would use in the case of internal bleeding, so should help if that's what's going on. We did consider an ultra-sound, but the last time he had bad tummy troubles we left him with the clinic for the day. They took like 15 x-rays, a barrium swallow and an ultrasound (he still has a bare tummy from it) and said they couldn't see anything they would "hang their hats on" and were confident there was no blockage and gave a motility drug. That same night he pooped a sock covered in barrium. Then within 5 days he had pooped 2 more socks and a whole rope chew toy. If they didn't see any of that with all those tests, it's hard to think they would see a tear or some other damage :shrug:

I guess for us, it's more the fact that our savings are pretty much depleted. I haven't sold my car yet, so that doesn't help. We could afford the ultrasound and x-rays, but if something else happens and he has to go to emergency, we wouldn't have the money to cover it (if we spent the $1,000 it would cost for an ultrasound and x-rays) and they make you put down a deposit for the low side of the estimate then make you sign a waiver giving them permission to euthanize if you don't pay the balance (which for us has always been the high side of the estimate) at the time of pick-up. We would be able to get a loan, but that takes a few days, so the emergency hospital wouldn't treat him. I'd hate to waste what we do have left on any tests that may not show anything. I know whatever is meant to be will be. And I'm sure I'll sell my car soon, so it will be fine. It just gets so frustrating to think we've come this far, and he's been doing so well, and now we may lose him because we've already wasted so much on tests that haven't shown anything at all and possibly greedy people who took advantage of the fact that we love him.
I'm sorry, I'm just ranting. I know everything will be ok, we just have to get over this hurdle. I may just go ahead and call our regular vet tomorrow and get him in for an ultrasound anyway.

luckypenny November 19th, 2010 07:28 PM

Do you think there's any chance he's swallowed some other treasures? Are the symptoms the same as the last time?

Mirela November 19th, 2010 08:34 PM

Would he be strong enough to have exploratory surgery instead of the ultrasound and more possible inconclusive tests?

Rgeurts November 19th, 2010 10:05 PM

[QUOTE=luckypenny;967049]Do you think there's any chance he's swallowed some other treasures? Are the symptoms the same as the last time?[/QUOTE]

[B][I]Yes, they are. He started with being gassy, having small bowel movements and burping over the last few days. I told Shaun I thought he was going to pass something any day now. So I'm still thinking there may be something in there :shrug:[/I][/B]

[QUOTE=Mirela;967057]Would he be strong enough to have exploratory surgery instead of the ultrasound and more possible inconclusive tests?[/QUOTE]

[B][I]I don't think so. He's been on Azathioprine for almost 6 weeks now, and high doses of Prednisone for almost 4 months. His immune system is non-existent which is why he has Pappillomavirus and Giardia. I think his blood count is also much too low to withstand it. Hubby and I were discussing that today. But I will be talking to our regular vet tomorrow and plan to ask.[/I][/B]

14+kitties November 19th, 2010 10:15 PM

I don't have anything to say but hang in there. Know that we are praying for all of you. :grouphug::fingerscr:goodvibes::pray:

Rgeurts November 20th, 2010 03:14 AM

[QUOTE=14+kitties;967066]I don't have anything to say but hang in there. Know that we are praying for all of you. :grouphug::fingerscr:goodvibes::pray:[/QUOTE]

[B][I]Thank you 14+, that's most appreciated. We need all we can get :grouphug:[/I][/B]

chico2 November 20th, 2010 09:45 AM

Robyn,same as 14+:pray:for Nanook,you and DH:pray:
There is nothing I can do or say to help,this morning tears were falling for the little guy:(
All your efforts and your love for Nanook,just has to be rewarded..
I can understand the incredibly difficult decision you have to make,who do you trust with Nanooks life:(

Rgeurts November 20th, 2010 10:19 PM

[QUOTE=Chris21711;967034]Ratz Rguerts I'm so sorry to hear this news....you have such a hard decision on your hands. I wish I could be of some help to you...all I can do is pray :pray:[/QUOTE]

[B][I]Thank you so much Chris :grouphug:
We will take all the prayers we can get. We need them now more than ever.
[/I][/B]

[QUOTE=chico2;967112]Robyn,same as 14+:pray:for Nanook,you and DH:pray:
There is nothing I can do or say to help,this morning tears were falling for the little guy:(
All your efforts and your love for Nanook,just has to be rewarded..
I can understand the incredibly difficult decision you have to make,who do you trust with Nanooks life:([/QUOTE]

[B][I]Thank you chico, and I hope and :pray: that it is rewarded. At this point, we're going on pure faith.[/I][/B]

Nookie had a bad night. He was pacing, restless and even a little whiny at times. He didn't want to eat this morning, which is a really bad sign considering he will eat anything that he can get in his little mouth. He was so weak that Shaun had to carry him to the car.

We spent about 7.5 hours at the vet today. Our regular vet was so upset when she saw how bad he was. She had to repeat all the tests that were done at the holistic clinic yesterday because they didn't fax them to her. Her first thought was that he did ingest something he shouldn't have, until she got the results of his blood count. He is critical at this point. She said if he had an injury that caused him to bleed internally, he would have been gone once his blood count hit about 13%. Nookies red cell count was at 8.8%. She said with a blood count that low he would have been bleeding internally at a slow pace for a few weeks. Slow enough that his body adjusted to the lower cell count and allowed him to live longer. But at where he is now, with the symptoms he has, she said had we not brought him in, he would have been gone by morning. So I'm SO thankful we took him to see her and not just waited it out like we were told yesterday. She thinks now that he probably has ulcers in his stomach and intestines, caused by the prednisone and azathioprine. She agreed that we have to take him off both of them.
She did several blood and fecal tests along with x-rays.

Nookie had a blood transfusion this evening. Our vet said we will most likely be back in for another by Monday because they don't know where the bleeding is coming from and that the medication may not stop it. We won't be giving him any more pred or azathioprine, so he will most likely start seizuring again and the meningitis will relapse unless the herbal powder can keep the inflammation under control. That's what she is hoping for (and us).

I'll keep you all updated. And thank you for all the good thoughts, vibes and prayers. Our little monster needs them :cry: :(

TeriM November 20th, 2010 11:53 PM

I'm so sorry Rgeurts. You and Nanook will be in my thoughts and prayers :goodvibes: :pray: :goodvibes:.

growler~GateKeeper November 21st, 2010 02:47 AM

:2huggers: :goodvibes: :goodvibes:

chico2 November 21st, 2010 09:41 AM

I am at loss for words,I can only hope little Nanook will hang in there and get better,it's just not fair:grouphug:

14+kitties November 21st, 2010 09:50 AM

:fingerscr:goodvibes::pray: and more! Thinking of you, your hubby and your boys. :grouphug::grouphug:

free November 21st, 2010 12:14 PM

prays going out to you guys

hazelrunpack November 21st, 2010 02:26 PM

Just wanted to send some :goodvibes: and good wishes and let you know we're thinking of you all! :grouphug:

Rgeurts November 21st, 2010 03:00 PM

I spoke with our vet this morning to give her an update. She said after a lot of thought overnight she has decided to leave him on the pred and azathioprine for now and just wean him off both slowly, as originally planned. She's pretty positive that if we just stop them both, he will definitely seizure again. She said with his blood count so critical, a seizure would probably kill him. She said after going over all the tests again, she has determined that he is losing blood, as she thought, but also that his body is having a very hard time generating new blood cells because of the immuno-suppression. She feels that if we can stop the bleeding and continue the transfusions while weaning him down, his cell count should be high enough to withstand a seizure, should he have one. It makes sense to us. She still wants us to continue the herbal treatment that Dr. Marsden has Nookie on in hopes that it will stop the bleeding and reuce the inflammation enough to get him stable and hold him there for awhile.

On the upside, Nookie gave us some good smiles this morning. Hubby took him out for a poo, and it wasn't black! When he came back in, he was bright eyed (the first time in days) and hungry!! I fed him some hamburger and rice and he wanted to keep eating. The vet said to load him up on some freeze dried liver if he will eat... and boy did he! He actually got excited and starting giving me high fives for more :cloud9::lovestruck:

It's amazing what we take for granted... the last few days I would have given anything for a high five from him, and now he's giving em like mad for his treats. We still need to keep him quiet for a few days, but just the fact that he's looking perkier and has his appetite again is wonderful :)

Robyn


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