I live in Boise, Idaho. Jake has never had a bile acid test or a liver biopsy. He is breathing somewhat better since the antibiotic 2 wks. ago, but still not completely normal. The liver biopsy was discussed in the beginning. Besides being so expensive, I didn't want to knock him out again and cause more trauma to his system. I asked what we do either way and the vet said Denosyl, so just began to treat his liver. My main concern is how hard on his liver the Ketoconazole will be. His bloodshot eyes are a concern and I feel a sign of "something". He's never had this happen before in 13 yrs. When I see the vet it seems we are coming up with zero answers and he just keeps acting like it's probably just some allergic bronchitis and that he is fine. And although I would love to believe that myself, the continued coughing after 2 wks. and still bloodshot eyes are a concern to me. The vet said that his heart looked fine, he has an enlarged liver, but no pneumonia was present with the x-ray. He's always had anal gland issues and has them expressed every 2 months or so. He just had this done 3 wks. ago., yet is still licking his bottom. He chews all his feet, licks his arms and but and rubs his face and chin all over everything. It's like he is itchy all over. He's always had a little of this, but now it's extreme. Last Sept. he had itchy skin and when they tested it, it was yeast. He got Ketoconazole back then for 2 wks. to clear that up. His bloodwork actually looked great before the teeth cleaning. It seems that ever since that happened he has been just struggling along now. I wish I had never got this done.
My thought is that the vet could have at least ruled out other things by doing a fecal test, urinalysis, cytology, etc. I don't want to tell him (or suggest) how he should do his job, but for the prices, seems he should be reaching a bit further. All the hours of reading I've done have educated me, but also have made me worry more. From what I read, Ketoconazole is not only hard on the liver of pets, but it also stops the adrenal glands from over producing steroid (cushings dogs). My vet didn't even know this. Strange? Maybe I should just look for a new vet.
Thanks for you help,
Trish Maxwell, Realtor
Keller Williams Realty Boise
1065 S. Allante Place
Boise, Idaho 83709
(XXX) XXX-XXXX - cell
(XXX) XXX-XXXX - fax
Wow! That's the most extensive and best info. I've gotten so far. Thank you!! Last question:
How do I find a vet that specializes in Internal Medicine? Should I maybe seek a professional in an Emergency / Specialty center? We have one here called WestVet. I would like to bring all my current paper results and your email.
Thank you for all your help. Now I will be able to get to the bottom of it.
How do I get a referral from you for Dr. Ochoa at WestVet in Boise, Idaho? She is the only internal medicine specialist in Boise, and works by referral only. I don't want to have to go to Jake's original vet again for this. Can you help out so that I don't have to do that?