Get Your Dog Care Questions Answered by Experts
Hello I am Dr RB and I am small animal veterinarian. First, I am so sorry that your dog Moose has went through all of this. It seems like all of the diagnostics that can be performed at a general veterinary office have been completed. At this point, I would request that your current DVM call you in a referral to a specialty practice (e.g. a veterinary teaching hospital or private specialty facility) and referring you to the internal medicine service.
What was the method for testing of the fluid last time? Only fluid obtained from a broncho-alveolar lavage (BAL) or a trans-tracheal wash (TTW) can be considered definitely diagnostic of disease? These methods of obtaining fluid for testing will yield the only definite diagnosis of bacteria or fungal disease (especially cryptomyces, blastomyces). Was the fluid cultured to ensure sensitivity to the oral antibiotic has was being treated with? This is also important. While x-rays of neck and throat are okay, you probably need better imaging.. this would include bronchoscopy (where Moose would be placed under anesthesia and a camera is inserted down his airway) to determine if a mass is present which may be "seeping" and serve as a source of infection. They can also take biopsy results when doing this to evaluate any abnormalities. Because these are speciality diagnostics prices will be high but maybe can yield you a better result in the end. I hope this is of help to you.
Hello again, I hope Moose is feeling better and my advice helped you? If so, it would be greatly appreciated if you could take the time to give my response a positive rating? This would allow me to receive compensation for my expertise and time assisting you and your pet.. Much thanks
Yes, that does sound very frustrating. It is true that he will have increased susceptibility for infection due to his compromised membranes. Therefore, their may be more an one stain of bacteria that he is affected by at any point in time and this is the reason why each hospital is requesting a repeat of diagnostics no doubt. If the two hospitals you have been to are general veterinary hospital and there is not a board certified internal medicine specialist present, I recommend that you request a refer to such a facility.
However, if you have been the speciality route already and you have exhausted all conventional medical diagnostics, I would recommend that you find a holistic veterinarian in your area (especially one that is educated in traditional chinese veterinary herbal medicine) to help you treat him by strengthening his immune system and making him less prone to infection as well as to help ameliorate his clinical signs.
I understand;) I am actually a bit of intergrative doctor myself (conventional medicine as well as chinese herbs/acupuncture) so I know that great benefits can come from holistic care.. Good luck to you and little Moose:)
Please take the time to rate my response to your question about Moose? Thank you:)