How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 29706
Experience:  University of California at Davis graduate veterinarian with 45 years of experience
Type Your Dog Veterinary Question Here...
Dr. Michael Salkin is online now
A new question is answered every 9 seconds

My name is ***** *****. My dog Andie, who I think is a

Customer Question

Customer: My name is ***** *****. My dog Andie, who I think is a Carolina mix, we got her as a rescue at 1.5 years, is now about 13.5. She was fine until the middle of November, and then started having her front legs give way as she walked. She now has trouble getting up on the couch, walking up a hill. She had a liver tumor last year, which we had removed, and we've had x-rays, MRI, urine tests, blood tests, but they can't find anything except possibly a few blood clots in the brain. She keeps getting worse.
JA: Thanks. Can you give me any more details about your issue?
Customer: What specifically do you want to know?
JA: OK got it. Last thing — Dog Veterinarians generally expect a deposit of about $19 to help with your type of question (you only pay if satisfied). Now I'm going to take you to a page to place a secure deposit with JustAnswer. Don't worry, this chat is saved. After that, we will finish helping you.
Submitted: 1 year ago.
Category: Dog Veterinary
Expert:  Dr. Michael Salkin replied 1 year ago.

I'm sorry that your question wasn't answered in a timely manner. I'm not sure that I can add anything more than a specialist veterinary neurologist has already told you. Strokes caused by blood clots in her brain are enough reason for her symptoms. I can't rule out metastases from her liver tumor to her brain which would be another important differential diagnosis. Pragmatically speaking, because we know that her pathology must exist cranial (toward her head) to her front legs - in her cervical (neck) spine or brain - we're limited to addressing inflammation in those areas with either a nonsteroidal antiinflammatory drug (NSAID) such as carprofen or meloxicam or a glucocorticoid such as prednisone. We don't have specific therapy for strokes nor is chemotherapy or radiotherapy appropriate for metastases to her brain which can't be confirmed by MRI at this time.

I regret that if she has progressively worsened since November, she's likely to continue to do so and you're going to have a difficult decision to make. Please respond with further questions or concerns if you wish.

Expert:  Dr. Michael Salkin replied 1 year ago.
I'm just following up on our conversation about your pet. How is everything going?
Dr. Michael Salkin