One sick dog.....Bacca, my boy!

BarbV

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Well, its been a week since I brought Bacca to the specialist....I was so mad, that I could not even post on this forum until I sorted out my thoughts on what occurred.

His hypo is under control, and his counts normal - finally

His skin funk is getting moderately better, but barely. He was on a 3 week stint of antibiotics, and it helped a little, but he's still scaly and oily and losing his undercoat, but less than before.

His liver counts still out of whack per his bloodwork in November. So my vet said, lets do an ultrasound. $700 later I'm told that if there is a liver shunt it is very small, but he could have bladder stones instead. I ask if bladder stones could give a false reading on his other blood work, and I'm told that's possible. But because his liver scores are so out of whack, time for a specialist for a biopsy. That will apparently tell all.

Bring Bacca to the appointment, and find out they didn't do a biopsy, but just another ultrasound and two rounds of blood work. $1200 later, and oh, for sure, he has a liver shunt and bladder stones. No biopsy done. And why pay $400 for bloodwork, if they didn't need it for diagnosis, since they they made the diagnosis the same day! And no, I've not seen the results of the new bloodwork either.

And yes, Madame! The surgery will cost between $4,000 and $5,700 depending on whether or not we do a biopsy first! Uuum! Why do a biopsy just prior to surgery, you might ask? Well, just to be sure.....so why they heck didn't they do the biopsy that I brought him in for in the first place, and use the ultrasound that my vet did as the starting point....they never freakin' saw it. Oh, well, "we don't use ultrasounds done by other firm's"

My vet is starting to back pedal, but now on vacation for two weeks. I'm spitting mad at the vetrinary practice in general. I don't feel I'm any further ahead than I was before. I feel like I'm getting bafflegab, and hosed.

btw....I was so angry at the specialists I threw my credit card at them and walked out....then had to skulk back in to retrieve it :gaah:lol:

I've now decided that I'm going to have to pay again to get another opinion. But insist this time that all the bloodwork and ultrasounds already done are used in the diagnosis.

Beyond that, what can anyone share of their experience with bladder stones, liver shunts or plain liver disease (i've not ruled that out, btw, since I've got one ultrasound that was inconclusive and another - from an aggressive clinic - that says yes) ? Are there non surgical remedies?

I'm so confused, I don't know what to do, frankly!
 
You have my sympathy on that. Trust your instincts & get the best medical advice you can. It's worth whatever it costs if it saves you & Bacca from the wrong thing.

One of my 1st & dearest shelties passed away after having unnecessary surgery all because of incompetent vetwork. My Lassie was not eating as much & started lightly panting (for about 1 week). Otherwise she was fine. Took her to the vet & they did an xray & said they thought she had a diaphragmatic hernia. They thought the internal organs were pushing up from the hernia so she couldn't breath normally.

The xray was a bit blurred but the vet was sure. I even got the vet owner of the clinic to review it to be sure. This was on a Friday & they scheduled surgery for Monday. I asked them if we should do an ultrasound to be sure & I was told the only ultrasound equipment was at the vet school over an hour away & they doubted she'd make the trip. (Later I found out that was untrue- 2 local vets had ultrasound machines & 1 was less than 10 minutes away.)

They did the surgery on Monday & guess what... no hernia! So they closed her up & started saying congestive heart failure. The poor sweet girl was in a kennel on oxygen & barely eating. On Wednesday they let me take her home to recover. It was awful & she was just laying around & couldn't control her peeing but I was still hoping. On Friday I bathed her off to get the pee stuff off & let her rest on the back porch where she loved to be. I then went to bathe my other sheltie & in that short time she passed away. I walked onto the porch & she was gone. My heart was broken & I 100% fault that vet. I had used them for almost 20 years. They lied to me about ultrasound equipment being close by, were wrong on the diagnosis & gave me a $1300 bill.

Since that day I have never gone back & will tell everyone my experience. It is my fault for not getting a 2nd opinion but these were my trusted vets & they also do vet work for our local sheltie rescue. I am sadder but wiser & applaud you for doing everything you can to do the right thing. Keep us posted.
 
Just got this from Bacca's breeder......gives me hope that there might be a non-surgical alternative for him...

http://healthypets.mercola.com/site...1/02/01/liver-shunts-disease-in-pet-dogs.aspx

I'm so sorry to hear about what you're going through, Barb. What a runaround, and poor Bacca. I don't blame you one bit for being angry. I subscribe to Dr. Becker's daily newsletters and I really like her. I wonder if you could try to contact her. I also use some of the Mercola products now, and I like them as well. So perhaps Dr. Becker could give you some guidance. Can't hurt to check after all you've been through. Just a thought.
 
So very sorry to hear about these developments and your dissatisfaction. Yes, liver shunt is a term we do not want to hear.
And, yes, I spend far too much time trying to explain to my clients what the specialist really said and what it really means.

Yes, liver shunts can be associated with bladder stones. As you may know there is a kind of bladder stone, urates, which is the one people get, which only Dalmatians normally get. About the only time a non-Dalmatian can get urate stones is with a shunt.

Of curse, stones are quite common and may have nothing to do with the liver problems, but you might want to look for urate crystals on a urinalysis.
-Dr. Mac
 
So very sorry to hear about these developments and your dissatisfaction. Yes, liver shunt is a term we do not want to hear.
And, yes, I spend far too much time trying to explain to my clients what the specialist really said and what it really means.

Yes, liver shunts can be associated with bladder stones. As you may know there is a kind of bladder stone, urates, which is the one people get, which only Dalmatians normally get. About the only time a non-Dalmatian can get urate stones is with a shunt.

Of curse, stones are quite common and may have nothing to do with the liver problems, but you might want to look for urate crystals on a urinalysis.
-Dr. Mac

Well, I don't think they've ever done a urinalysis yet. Grrr!
 
Sorry that Bacca is still sick and for the run around...but really liver shunt? Sounds like they are just throwing out wild guesses to you. If he did have one it would have affected him from birth. He would be small, trouble growing. his neuter for cryptorchid would have have had severe issues with recovering from the anesthesia..
How frustrating for the vets to just be willy nilly guessing on what it could be maybe this maybe that and have you keep on spending $$$$$ left and right.
 
While most shunts will show up as an unthrifty puppy from the time they are babies, occasionally a dog will have a small shunt and grow to maturity without obvious symptoms. I've seen it in a 5 year old minature schnauzer that was okay all it's life until it wasn't one day. There are no words that I can say to you Barb regarding all of the runaround you are getting that will make you feel better. Wish there was. Is the breeder willing to pay for the surgery if it is needed since this is a congenital condition? Sure hope so. You are in my thoughts.
 
Sorry that Bacca is still sick and for the run around...but really liver shunt? Sounds like they are just throwing out wild guesses to you. If he did have one it would have affected him from birth. He would be small, trouble growing. his neuter for cryptorchid would have have had severe issues with recovering from the anesthesia..
How frustrating for the vets to just be willy nilly guessing on what it could be maybe this maybe that and have you keep on spending $$$$$ left and right.

I just went to a CE course last week at the MVMA on liver shunts. Some shunts can be very difficult to diagnosis and they don't always show up in young animals. The oldest dog the internist had diagnosis was 12 yrs bichon. No signs until the previous 6 months. Yes the dog also had bladder stones. Not all have small livers on xray either which is what we generally believe.

I am sorry you are having such a difficult time. Not sure were the communication broke down when you thought he was getting a biopsy and that didn't happen.
 
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