Labs can be wrong? Or timing was off? BUT GOOD

    • Gold Top Dog

    Labs can be wrong? Or timing was off? BUT GOOD

    I wasn't sure WHAT to title this.  About Billy and our 4 week search to find out what caused the anemia and my feeling something was "wrong".

    I'm so darned happy I could scream.  Got a late call from Dr. D's office (holistic vet) and her 'hunch' paid off.

    Immune-mediated-hemolytic-anemia just wasn't what ANY of us wanted to hear.  But besides -- he just didn't "fit the profile" but something WAS wrong and Dr. DiNatale kept telling me "her gut said parasite". Well, that's what Dr. Bailey (regular vet) thot too, but dang, we tested for Erlichea first thing and it WAS negative.
     
    Last week she took a large amount of blood.  The hematacrit stayed right where it had been at 27 (low but not dangerously so).  But would I mind if she pulled some other tick tests after talking with the local specialty vet???
     
    DO IT!!!
     
    Not only did she do the other three 'more rare' (not
    common around here - Lyme, Rocky Mt Spotted Fever, and one other) tick-borne disease tests on
    Billy's blood and the Lupus test, BUT since it was no more money with the other tick tests, she had
    them include the Erlichea test *again*.  Erlichea (e-canis tick -- VERY common in the southeast) is transmitted by a tick.  Since it was no more money let's have them check for all?? Great!!

    When we were in there last night (his hematacrit was up to 29 1/2 which was cause for celebration), but she was a bit bummed because the extra tick tests had all come back negative.  Only the Erlichea hadn't come back "but Dr. B already had that done and it was negative, right?"

    Erlichea came back today -- HE IS POSITIVE.  a 1/20 positive (meaning they broke it down twenty times and STILL got a positive result so this is what they call a strong positive match). 
     
    RAH!!! We can treat this!!!!!!!!!!! It's NOT auto-immune (words of terror to me) and it IS what it 'looked' like -- it's just that the readings didn't pan out before.

    For many of you, this doesn't mean a thing to you
    so I'll just say it is a WHOLE LOT BETTER to treat a tick disease than have that horrible auto-immune disease (that would ultimately be fatal) looming over us.
     
    THIS is treatable with plain old antibiotics.  (Doxycycline -- not a pleasant drug but not the worst either)

    This is why this was such a mystery -- and probably we caught it SO quick that it was in a stage where the test was faulty (or could the lab have screwed up???.  (There is apparently a stage where they are
    only minorly symptomatic and it doesn't show then
    apparently.)

    RAH!!!!  This is the best news I've had in three weeks!!!!!!!!

    Now we still have to be careful for a good big week until we KNOW the Doxycycline is gonna work.  The drug we've had him on for the ears has apparently just kept this in check ENOUGH so the parasites didn't have a big heyday.
     
    This is cause for celebration I HOPE.  Whooo HOOOOO Billy -- let's break out the WATERMELON!!! (his absolute all time FAVORITE treat -- yippee - watermelon is even BETTER'n Rockin Raspberry!! LOL)
    • Gold Top Dog
    HOORAY!!!!!!!!!!!
    • Gold Top Dog
    YAY great news!!! Oh, I'm so happy for you all and Billy!!!
    • Gold Top Dog
    HIP HIP HOOOORRRRAAAYYYYY!!!!!!
    Where is the dancing Snoopy icon when you need it?!
    Great news Callie ;)
    • Gold Top Dog
    Hmmmmm, I wonder if all those fervent prayers had anything to do with this?
     
    Wonderful news Callie!
    • Gold Top Dog
    YIPPEEEE! [sm=dance.gif][sm=dance.gif][sm=dance.gif][sm=dance.gif][sm=dance.gif][sm=dance.gif]
    • Gold Top Dog
    Glenda, had I not been so danged sleep-fogged last night that would have been what I SHOULD have said.
     
    You are absolutely right -- the Alpha of all Alphas has been SOOOO listening to everbuddy.  I can almost see him shoving that test back under some tech's arm to look again.  So many small things -- decisions that could have gone one way or another (like even deciding to ask for the erlichea test *again*).
     
    The prayer and mental support given to each other on here is an incredibly powerful force.  It helps, not just in the spiritual realm, but even if that support allows the guardian to make one "better" decision or helps us bear up under the strain so we don't burden the dog with undue worry. 
     
    Those things are SOO critical.  Thank you al SO VERY MUCH!!
    • Gold Top Dog
    For many of you, this doesn't mean a thing to you
    so I'll just say it is a WHOLE LOT BETTER to treat a tick disease than have that horrible auto-immune disease (that would ultimately be fatal) looming over us.

     
    I know exactly how much this means and I'm so thrilled for you!  You were due for some good news - glad you got it [sm=clapping%20hands%20smiley.gif]
    • Gold Top Dog
    YAYAYAYAY WOOHOO Billy!
    Happy Dance, Happy Dance :)
    Glad to read the good news!
    • Gold Top Dog
    FANTASTIC  NEWS!! [sm=dance.gif][sm=dance.gif][sm=dance.gif] So glad to hear Billy is going to be OK!

    Joyce & Max
    • Gold Top Dog
    Callie - excellent news!  Everything paid off - the prayers and vibes here, your initial attention to detail that made you suspect something was going on, the full commitment you and all the vets gave the situation by not giving up, etc.  Billy is so lucky to have so many dedicated humans on his team.  I think that's rare - so often (in human AND animal healthcare), unexplainable blips in lab results or "mild" symptoms are just chalked up to old age when they can't find out the definite problem with the basic tests they throw at us (or at our pets).  Again, I'm amazed at the level of care your vets give and at the level of knowledge you bring to the table so you can help lead them to more clues and possibilities. 
     
    I'm so relieved for you and Billy - yay!!
    • Gold Top Dog
    Tracy -- you bring up the other awesome point -- my vets.  They ARE awesome .. but it hasn't been 'easy'. 
     
    You often hear me say to people "maybe you should seek a second opinion."  That's been my own advice to myself more than once.
     
    It's SO easy to get ticked off and walk away -- but making the huge effort to work WITH a vet pays off.  These vets know we'll spend money on tests ... sometimes finances are tight and thankfully right now it wasn't terribly. 
     
    But sometimes it is admittedly important to CULTIVATE the relationship with your vet.  I never *ever* badmouth one to the other.  I make sure that when Dr D does a test that I remind them kindly to send it to Dr. B.  THEN I CALL -- "Did Dr B get Tuesday's tests??"
     
    In short -- I DO baby them.  and I take care to speak kindly -- if Dr. B says something nice about Dr D **SHE HEARS IT** from me.  If Dr D says something nice about Dr B **HE HEARS IT** from me.
     
    When I'm taking in a newbie, or if I know we're gonna do something *tough* today -- I take treats.  Yeah -- the vet has some there, but I take 3 bags -- some for the reception staff -- some specifically for the techs and one bag solely for the vet.  I toss them on the table before he comes in, or I hand them to a tech and I say "he can have any or ALL of these -- it's part of his food allowance for today".
     
    It lets them be HEROs.  I know that needle hurt buddy but let this soothe the hurt.
     
    It encourages the vet and the staff to spend good quality "friendly" time making nice with MY dogs.  Not only does it ensure that my dogs think the vets is a FUN PLACE to go -- but my vet's staff don't dread seeing them.
     
    But on an entirely different level -- my vets know I care about their relationship with MY dog.  So frankly?  In a case like this it pays off.  Because then it's ok for them TO care.
     
    I've told both vets in the past 3 weeks how much I appreciate them.  I'm not a big present giver -- but when Dr B's wife had a baby you KNOW I brought a present for her. 
     
    Someone told me many years ago "You have to BE a friend to MAKE a friend."  I try to apply that to everything.  If I break down the care of my precious 4 foots to just "this vet provides a service and I PAY for it -- they OWE me that" -- then I may get a good value, but I may not get extra special care when my dogs are REALLY sick.
     
    My point is you don't walk in and make a relationship happen fast -- it takes time. 
     
    But I haven't said much about the fact that I've been to half the vets in the Orlando area.  And I've got a lot NOT GOOD to say about a lot of them.  I talk to tons of people.  I go to every seminar I can find.  I learn.  I educate myself and yeah -- sometimes I super clash in a BIG way with vets who don't want me to have any input into my dog's care. 
     
    Too bad.  So sad. We looked for vets for a long time.  I drive 40-60 minutes to Deland (depending on traffic) from my home to go to Dr. B (that is totally the opposite direction from work!!!!!It's up to 90 minutes or more in traffic to get there from work).  That's darned inconvenient -- that means I leave the house at 6:30 a.m. to have the dog thru traffic TO the vets at 7:15 so I can make it all the way up there and back past my house into Orlando to work by 8:30or 9:00.  That means one of us has to leave work by 3:00 or 3:30 in order to pick UP the dog (who may have been kenneled all day long at the vets just so I didn't have to miss work to TAKE him to the vet because he was too sick to wait) and talk to the vet for a few minutes (and not totally inconvenience his staff). 
     
    We have a standing monthly acupuncture appointment that I zealously guard with the holistic vet.  Not just for when he's sick ... but a monthly chiropractic adjustment and acupuncture treatment for the allergies.  "zealously guard"?? YOU BET cos it's the one evening a week she's open so I don't have to miss work to take him!!!
     
    I've been half over the darned planet looking for GOOD vets, but once I find them I try to treat them with respect and make sure they know I'll sacrifice for me so the dog can have care. 
     
    That pays off in a situation like this. 
     
    But when I suggest to folks you might want to find a different vet and they tell me "but the only other vet is half an hour away!!" and I want to say "SO FREAKIN WHAT??" (not aimed at anyone at all -- I'm astounded I will drive by 50 vets to go to the ONE in the next county I do like!!!)
     
    I've also lost four dogs in the last two years.  Two of those were heart-wrenching.  One an awesome dog who succumbed to side problems from renal failure, an abused pup who never had a chance but who DID know love -- and two old dogs who gave us THEIR BESTEST. 
     
    Sorry -- this is long but like I said, I feel like I've had a huge weight taken off me with this-== and we don't KNOW he's gonna respond to the doxycycline!!  But I'm still prayin about that one.
     
    Thanks you guys.  You are the BEST!!!
    • Gold Top Dog
    WONDERFUL NEWS!
    • Gold Top Dog
    Greta news Callie.  So this was caused by a dog tick?
     
    I drive 1 1/2 hour from Maryland to VA to go back to my old vet.
     
    If my MD vet had treated Holly for Lyme 5 years ago with doxy, she would not be in Stage 3 heart failure.
    • Gold Top Dog
    How's Billy?  I bet all of you are enjoying some much needed rest and peace of mind this weekend!
     
    We saw lots of vets during Tonka's life and attempted to build good relationships, treating the vet and staff with respect and kindness (Tonka was always friendly and cooperative, thankfully).  We tried to be informed, asked questions, raised concerns, made suggestions.  Of the 8-10 vets we saw during Tonka's life (on both coasts), we never found one that fully embraced holistic ideas.  One or two were tolerant of our actions to incorporate holistic care, but the others brushed it off.  We found a great acupuncturist, but she came to your house and was limited in the "regular" care she could provide since she didn't have a clinic.
     
    Our average vet commutes were about 25 minutes.  All the specialists are an hour or more away, but by the time we needed them, Tonka's breathing was so compromised and his decline so rapid, that the stress of a long car ride would've been dangerous (the last couple months of his life he wouldn't even get in the car to go to the ;park).  But even if one did make long drives for regular care, you can still have a dire emergency that requires attention ASAP, and you've got no choice but the vets 5-10 minutes away.  If I ever find awesome vets, I'm going to move in a house across the street from them!!
     
    I still look for vet recommendations, for future reference for myself, or to suggest to friends.  One way I feel we failed Tonka was by not being able to find the best possible care for him early enough in his decline, so I hope to do better if we have another dog or cat join our family.  It's a constant search, just like for our own doctors!  Callie, I think you have a rare and special situation with your awesome vets -- all your work to nurture them has definitely paid off for Billy, and all your other babies, past and present!