Tina, no one will flame you -- what happened with Bear was sad -- but it does happen.
The deal about **starting** with TCVM is simply that it makes the runway longer. It gives you time -- hopefully when the seizures are new -- to begin to get them under control *without* the meds so you then have a place TO GO TO if you need to.
In other words -- You simply use the easy stuff first because then you still have options. Sometimes the TCVM vets can help you identify seizures, or sometimes they can help you identify other areas that are a problem (like Pirate's liver stuff) that a regular vet may not find.
Not to pick on Pirate but he's the flip side of what happened to Bear. Megan was a newbie dog owner, young and in college with NO experience at all -- and the seizures wigged her out completely. So she simply asked the vet to make them stop. Logical, right?? Sure it is.
But the thing that kicked back was that in Pi, the phenobarbitol actually caused ANOTHER problem (pancytopenia -- an auto-immune disease where the body kills its own platelets) so that axed THAT drug completely and left her with pretty much only KBr (Potatssium Bromide) which also has some mega side effects.
It was MANY TIMES HARDER to enter TCVM after he was already on the drugs and sick with Pancytopenia -- and I'm not sure if Pi is completely off the drugs yet. But he's on a whole lot less of them than he was. AND HE IS HEALTHY.
But it's taken a lot of work and a lot of detective work -- I was VERY privileged to go with her last year when she took Pirate to see Dr. Xie up at the Chi Institute -- and man, he helped unravel a whole lot of things -- even the specific times of the day that Pi seized (because it was tied to the liver stuff).
ROSEMARY -- Megan yo rock for mentioning that --
"Pine" -- any type, all types, all kinds, all varieties, all forms. They ALL contribute to seizures in humans and dogs.
Rosemary is a type of balsam that is edible (you know those cute little "christmas trees" they sell at Target -- those are rosemary usually). But essentially it's a pine needle that is edible.
Rosemary is being used in a lot of high end dog foods **as a preservative**. But they aren't even always reliably putting it on the label (as Megan has found out) and most manufacturers have not even one clue that it may be dangerous. It sounds so .... NATURAL!! *sigh*
But ... add to rosemary things like ....
cleaning with Pine Sol (or any cheapie derivative), Most Christmas stuff, anyone got pine in their back yard? pine cones, pine droppings, etc.
Pine tar shampoo!!
The list is endless but Lisa you are getting a good clue. It could be the metal the clip is made from (cheap zinc type metals -- which would then call vitamins into question) -- OR IT COULD BE --
who handled it before it was dropped? their perfume or handcream?
One of the BIGGIE things -- and again is sounds so innocuous -- dog shampoo!! The Hartz OTC shampoo that is sold in grocery stores? The plain old generic no frills stuff? BIG TIME TRIGGER OF SEIZURES and well known for it. They've tried again and again to make Hartz take it off the market to no avail.
Lisa -- email me with your phone number and I'll call you. I can walk you thru helping you find a vet and answer questions.
What Spiritdogs said about thyroid panel is GOLDEN -- but I would go for a breed specific panel and either send it to Michigan State or directly to Dr. Dodds at Hemopet. You don't have to know exact -- but give them/her your best guess on Misty's heritage. Again I can help you figure that out -- my vets have gotten really good at it (and he's a 'regular' vet and has started suggesting this type of thyroid profiling for all his clients).
I'm glad to help you -- I know how scarey this is.