My 10-year-old standard poodle
is having a complex health emergency. A couple of weeks ago, over about 24 hours, she became quite listless, and had difficulty getting out of bed. We noticed her eyes
were very dry and crusted and she was a little awkward on her feet. When we got her to the vet, they diagnosed facial paralysis
, she had no blink reflex and had difficulty eating and drinking. She also had high liver numbers. She was x-rayed and her heart was given an ultrasound and no abnormalities were found. (No brain
scan.) After a couple of days at the vet, getting IV fluids, we took her home and over the next few days (on two antibiotics, prednisone, and amlodipine (she'd spiked some very high blood pressures while at the vet)) she has learned to eat and drink better, the drooling subsided, but she is still unable to blink her eyes. The drops we give her 3x day help with that. All in all we thought she was on the mend. Then she started getting pitting edema in her hind legs
, first one, and a couple of days later, in the other. Globulin tests showed polyclonal, so it's not likely a hidden cancer. No sign of autoimmune disease. Liver enzymes improving slowly. Nothing on the screen for tick diseases. She's now on Plavix, just in case she has some clotting abnormality somewhere, but it seems odd that there would be high liver enzymes and then bi-lateral edema in just her hind legs if it's a clot problem. (She has had high liver enzymes before, but never this high, and never symptomatic.) We've stopped the antibiotics.
Any thoughts? As may be clear, this has been a very expensive illness for a dog who has never been ill before, and we don't know what's going on. It's difficult to make decisions on such expensive care ($10,000 and climbing) when she's still getting around and wagging, but we don't have a clue about what's happening next.