Wednesday, 28 February 2007
Tuesday, 27 February 2007
Monday, 26 February 2007
- Would long term use of the steroid drug shorten Phoebe's life expectancy?
- Does Phoebe need a gastroprotectant drug?
- Can Phoebe use anti-flea treatment?
The vets answers were:
- Yes, though her quality of life up to that point would almost certainly be good. There is a chance that Phoebe will only need around three months of treatment, however nothing is certain. The fact that she showed 2 of the 4 factor points of IMHA suggests that long term treatment may be needed. If long term treatment is required, the steroid drug would be given on alternate days to allow her liver and kidneys to rest.
- At this stage, it is not of major importance. However it would be required if treatment is long term.
- Not worth thinking about at this point. However treatments from shops will be far too strong for her, but there are prescribed treatments that may be suitable.
I took Phoebe back home. Now usually if I open the front door Phoebe would bolt out the door like a bolt of lighting and run all over the place investigating other peoples gardens and usually taking about 15-20 minutes before I could get her back. However today she did get out the front door and rant to a garden opposite us (only running at c30% her usual speed). It took me just a few seconds to retrieve her as she at worn herself out. I was very worried when she ran out, this would not help her recovery and it could have been terminal for her if she got lost. I decided I should get her condition inscribed on her tag, just in case this does happen again.
I heard from the Vet again during late afternoon. The Vet informed me that Phoebe's PCV count was up to just short of 15%. The vet has hoped her count would have doubled from 9% to around 19-20%. However any improvement is a positive thing. I had hoped for more than 5-6% increase, especially as there was likely to be sum residual effect from her blood transfusion.
Phoebe urinated on the carpet again today, she has not done this since she was really ill last week. She is drinking a huge amount at the moment, but she is usually pretty good at letting me know when she needs to go out. Hopefully this is just a one off. I find myself very paranoid when she does an 'out of character' action, always thinking the worse!
Hopefully there will some more improvement in her health tomorrow, but I know this will be a slow process.
Sunday, 25 February 2007
Phoebe has got her appetite back to some extent, but is drinking c8x her usual fluid intake (this can be a side effect of the drugs she is taking). Phoebe seems very clingy, following me where every I go in the house whe she is awake. She is spending a lot of time sleeping though.
I find myself worrying about her contantly, it would be nice to see some physical progress.
I was approved for member ship of the CIMDAsupport email group and promptly posted to the group. The group has been amazingly helpful and informative, this gives me some hope for Phoebe's future.
We will be back at the vets tomorrow, so hopefully we will get a better idea of Phoebe's progress and prognosis.
The vet gave me enough prednisolone (steroid) to last Phoebe another five days (5mg tablets - 3 to be taken in the morning and 2 in the afternoon). We booked another appointment for the following Monday.
I took Phoebe home and treated her like royalty.
I had to leave her at the vets and thankfully one of the staff had brought her dog into the practice to donate blood. Without this transfusion Phoebe would have died.
It was a long and worrying day, the vet phoned me at lunchtime to let me know that Phoebe seemed to have responded to the treatment and was a bit more lively than she had been. However the blood results were not in yet, so there was still no diagnosis.
At about 1600hrs the vet phoned me to inform me that the blood results were in, so I made my way to the surgery.
On arrival the vet informed me that the blood results indicated that Phoebe had has Immune Mediated Haemolytic Anaemia. The vet gave her a strong injection of steroids and asked me to bring her back the following morning.
As soon as I saw Phoebe, I was amazed how much better she looked. Phoebe was wagging her tail and hand had a spring in her step. I realised this could only be temporary, but even so it was nice to see here with at least some energy again.
The vet gave Phoebe another steroid injection and asked me to bring her back again the following morning.
Once home I was able to search the Internet to find some information on this illness. I found the following links really useful:
I also found this support group:
I applied to join this group, and would later find it invaluable.