Another little Billy update (IMHA)

    • Gold Top Dog

    Another little Billy update (IMHA)

    Billy continues to do pretty well.  The long term pred/steroid use are beginning to be a problem in the cartilage/joints.  But, of course, we can't do much for 'pain' because all those meds are way too hard on the liver/kidneys (even the 'regular' vets say that!).  So he's getting White Flower Oil massaged into his back and neck twice a day. 
     
    True to Billy form, he will come up to me and sit by me at my desk and LOOK at the White Flower to 'ask' for it if I forget!!  And ... just like me ... it often sends him into dreamland after he gets it!!!  Relaxing stuff!
     
    We had a vet appt. with our 'regular' vet this morning.  His PCV (pack cell volume) was only at about 37 this morning -- which is lower than it's been, but we're going to keep a close eye on it.  That naturally does go up and down, but I don't like it that 'low' at this point. 
     
    But Dr. B drew enough blood for a whole complete blood panel so we can check the liver/kidneys, and get the iron/calcium values.  But also I had him get enough to send for a check on the cyclosporin.  I got the smaller amount pills so I can take him down to 75 like Dr. G. wants.  But given that it's been 2 weeks since we had him seen at Gainesville, I thot we'd better check it to know what it was when we brought the level down again.  (me being over-cautious again). 
     
    Then this papulloma he's had on his mouth had gotten HUGE.  And it's starting to drain and have a discharge.  At this point Dr. B really felt it needed to COME OFF.  He was concerned that this would become a serious infection risk, so he just burned it off.  But it did have one significant blood vessel going to it so it was 'feeding' and that's why it was getting so big.  I knew it was bothering Billy and he did NOT want it touched so I wasn't able to keep it clean despite the draining. 
     
    I hope this doesn't trigger the IMHA again, but we all felt it needed to come off after weighing all the risks. 
     
    Dr. B was generally really pleased with how Billy's doing. He looks really good (new pic I took this morning that I'm gonna attach), and he's bright and the tail vibrates at about a zillion miles an hour.  Generally he's doing incredibly well -- but the IMHA spectre just doesn't go away, and the high risk doesn't diminish much. 
     
    But hallelujah - he's doing well so far.  He's happy, and we're trying to keep a serious eye on the side effects of all the meds and mitigate (limit) the damage as much as possible from the steroids.  But I thot I'd let everyone who cares to read know -- Billy thinks you guys are all SUPER BUDS!!! 
     

    • Gold Top Dog
    Oh Baby Billy, you are so beautiful.
    I know you aren't out of the woods yet and we will keep praying that you gets stronger and all of this will pass.
    Belly skritches to you little guy, I would ask mommy to give you kisses from me but I don't want the boo-boo on you mouth to hurt.
    (((hugs)))
    • Gold Top Dog
    Glad Billy is doing as well as he is.  He is going one day at a time and that is all that can be expected--or even hoped for. Keep it up Billy Boy.
    • Gold Top Dog
    Good boy Billy!  Don't let mom forget your massages and keep staying strong!
    • Gold Top Dog
    Well HELLO there pretty boy!  Glad to hear that the news is MOSTLY good!
    • Silver
    I have been out of the country and I just came back and logged onto the forum just to get a Billy update.  Glad he's doing well.
    • Gold Top Dog
    Yahoo Billy!! You keep getting better now, ya hear? Stay healthy and pretty for your loving mamma[:)].
    p.s.--Jetta thinks you're cute[:D] she told me so.
    • Gold Top Dog
    Way to go Billy! 
    You guys sound like your all hanging in there just fine!  Keep it up!
    • Gold Top Dog
    Im glad to hear hes still going strong.  And good boy Billy for helping your momma remember things!
    • Gold Top Dog
    I've been checking for updates lately; glad to hear he's doing well; hope the PCV count goes up soon.
     
     
    • Gold Top Dog
    I'd been checking for updates and thought (hoped) that no news meant things were at least stable and it sounds like they are.  The picture of Billie is precious and he looks bright eyed and bushy tailed.  I hope the test results come back with positive news.
    • Gold Top Dog
    I didn't actually tell what is to ME the 'best' news.  We're supposed to go up to NY state to see my folks in September.  I haven't been home (for a LOT of reasons) in 10 years -- but I have just not been able to make ANY travel plans because I knew I absolutely could *not* just kennel Billy. 
     
    Just going on the trip and having him get emotionally frazzled COULD easily trigger the IMHA again -- and he could crash and die before I could get home.  I have a good kennel that I like and they're great about giving meds, but trust me -- Billy's meds are on a whole different level (he literally takes like 17 ;pills twice a day) and the cyclosporin actually is toxic to 'touch' (all sorts of warnings about washing your hands after contact) and I'm just NOT comfortable leaving this sort of medication in the hands of anyone not a professional.  Now two of those medications include 4 caps or pills each -- but 17 pills is 17 things to figure out how to stick in several wads of braunschweiger or balls of ricotta cheese and get IN the dog.  A lot of people faint thinking about giving ONE pill to a dog much less this many twice a day LOL.
     
    But my Dad (nor Mom) isn't doing really well -- he's like 85 and I don't want to risk never being able to see him again.  My relationship with my Mother is quite strained -- we get along FINE far apart (like her in NY and me in FL) but this is a big huge deal to plan and try to deal with.  So of course the family has been annoyed that I was "putting the DOG first!!" and yet after the thousands of dollars and HOURS and HOURS and WEEKS of care we've put into this, I"m not going to just willy nilly put him into a can't win situation either!!
     
    Ok -- enough emotional baggage background -- my vet told me this morning (my wonderful 'regular' vet, Dr. B) that HE will take care of Billy while we're gone.  I'll still kennel Kee and Luna, but if Dr. B takes Billy I know he'll get his meds as he should, he'll get them on time and he'll make SURE he watches his blood/color and general health.  WE won't have an infection sneak up and hit him without care -- so at this point this becomes do-able.  Rah!
     
    We've also decided that altho we must fly, we'll rent a car when we get there (so we aren't just 'stuck' there without any way of doing what we need to do). 
     
    Phew.  Being able to leave him with Dr. B has taken a million pounds off my shoulders. 
     
    Thanks folks for all caring.    Now I gotta read all these to him!
    • Gold Top Dog
    Callie, I'm so happy to read your latest posts.  Like Cathy, I was hoping that things were fairly stable with Billy and that "no news was good news."  Once again, you describe something about one of your vets that shows what amazing people they are!  How wonderful that you can go out of town without severe anxiety at leaving Billy when he's still in a relatively fragile situation.  I hope your trip to NY is as pleasant as possible.  I know all about those family relationships that seem to be better with a few miles in between them! [;)]  Having your own car is a great plus!
     
    Billy---you look so darling in your latest photo!  I'm sorry you had to have an uncomfortable procedure on your mouth - but now you won't have that darn thing bothering you!  You are such a special boy - and I think of you so very often.  I wish I could give you a gentle hug and rub your curly ears!
    • Gold Top Dog
    Glad to here Billy is pretty stable and hope you have a great trip. 
    • Gold Top Dog
    Was glad to read the update.  Try to enjoy your trip Callie.  Give Billy some scritches from me.