Al's Mom
Posted : 10/2/2009 1:35:03 PM
Thanks everyone for your well wishes. Yes - I am devastated. I miss him so much that I don't know what to do with myself, particularly since the last 6 weeks has largely been about fighting this disease.
Al had a blood panel done on Saturday. Although his PCV levels had been stable for almost three weeks, the test results we got back on Monday were unsettling. His liver, kidney and gall bladder values all indicated infection. I had a plan to take him to an internist the following morning but we ended up going in the middle of the night. His PCV levels had dropped and he needed a transfusion. A few hours later, I received a call that there was fluid around his heart, which could have indicated cancer or an infection. The fluid was removed. He was stable at this point but I received another call about 5 hours later that he was having difficulty breathing and I should come to the hospital right away. When I got there, it was clear to me that he was soooo uncomfortable and we couldn't go on any more. Most likely, there was clotting in his lungs and his whole body was struggling to breathe even though he was on oxygen. The only option was poor - to have him placed on a respirator but the likelihood of him ever coming off of it due to infection and airborne disease was extremely low. So, he finally met with peace. Our Doctor told me afterwards that there were only three other cases of this kind of infection around the heart reported and that none of them met a positive end. Sadly, his reticulocyte count was 1697. The steroids were working against the IMHA but also destroyed his body in the end.
I can't help but say "what if?" about many things. I will eventually let it go and find peace in my love for him but if anyone can benefit from lessons learned, then it's worth discussing. I wish that I had consulted with a vet that knew more about IMHA dogs. As we all know, this is a day to day and hour to hour disease and I never felt like my vet was very proactive. I am actually the one who said that he should have another blood panel done on Saturday. As Callie always says, this disease is about so much more than the PCV. And vets do feel like they're doing you a favor to not do a full blood panel or examination because you've spent so much money already. But guess what, you've spent so much money already and after a hospital stay, drugs and transfusions, this is a drop in the bucket. Also, I never knew how sick Al was because he was already so beat up - was having a hard time walking and was so tired. It wasn't just about being anemic anymore. His body was put through the ringer. And this was all the more reason for him to have solid tests so we knew exactly where he was.
I will miss him so much. He was the love of my life and I cherished him. I wish you all the very best in fighting this disease and I will still come visit and support you in your battles.
xoxo
Al's Mom - Meredith