I took him to the emergency vet at 5:00 am. By the time I got there his respirations had improved some and his HR was down a little. They felt like I could wait until the next day but he did say Toby had a large mass in his abdomen.
After the funeral on Monday I took him back to the same vet hospital (different vet) because I had already spent so much money on labs/x-rays. She said she did not feel a mass and I agreed to another x-ray to be sure. The x-ray came back normal except he had a slightly enlarged liver and spleen. She determined he had a "twisted spleen" which "fixed itself" and would have caused all of the symptoms. She said this could have felt like a mass.
They are trying to get me to agree to a cardiac ultrasound, which I think is silly. He is an older dog, we know he has a murmur that is progressing, so I asked if they could start him on heart meds when it is time without an ultrasound. She started him on enalapril and lasix. I have had him on the new meds for a few days and he does not do well during the day after he has had the meds (faster HR and lethargic) but by the next morning when it is time for his next dose he is active and happy. I held the lasix today to see how he did, and when I picked him up he was very active, alert, and exited to see me, basically back to his normal self. I am not sure if it was because I held the lasix or because he is just getting better.
I do not agree with the vet clinic I have taken him to so I am taking Toby to a new clinic next Tuesday. If our vet was still alive we would have answers by now, even if it was not what I wanted to hear, but I feel like we do not have any answers, and they only want me to spend endless amounts of money.
To answer your question directly, Toby is much better but something was wrong and he still has a cough at times. I want to make sure the meds he has been placed on are appropriate for his condition and necessary at this time. I also would like another vet to review his records and symptoms. I would like to have Toby a few more years, but if that is not possible, I want to make sure I am not adding to the problem.
Hope this answer is not too long, I am frustrated. We lost a good friend and a Veterinarian who loved animals and someone we trusted care for our 4 legged family members. It seems like the people we have to go to now only care about money and not the animals they are treating.