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Re: Aodhán's Vet Visit Today [Re: MaxaLisa] #56558
06/23/10 01:51 AM
06/23/10 01:51 AM
Joined: Feb 2010
Posts: 5,453
New Milford, CT
Woodreb Offline OP
Carpal Tunnel
Woodreb  Offline OP
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New Milford, CT
I checked the dose she's on of the doxy and she's slightly over the 5 mg/lb (~5.3 mg/lb) per day and we've got a 21 day supply.

Thanks for the liver support suggestion. Looks like I may be able to get that at the Vitamin Shoppe, which I go by on my way home from work.

Since I had talked about the chiro and acupuncture with my vet on Monday and he said he would do a little checking for me, I want to give him the courtsey of waiting to talk to him again before I go to someone. We've got a good relationship and I want to keep it that way.


Johanna

Caleb (aka Caleb-Moose)
Ciara(aka Ciara Belle, Black Devil)

RIP Aodhán, Rica, Max, Kelly - gone but never forgotten - forever in my heart
Re: Aodhán's Vet Visit Today [Re: Woodreb] #56567
06/23/10 02:43 AM
06/23/10 02:43 AM
Joined: Jan 2010
Posts: 19,487
Northern CA
MaxaLisa Offline

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MaxaLisa  Offline

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Originally Posted By: Woodreb
I checked the dose she's on of the doxy and she's slightly over the 5 mg/lb (~5.3 mg/lb) per day and we've got a 21 day supply.


Oops, the aggressive dosage I meant to quote was 5 mg/lb *twice* a day. I'm not sure if that would change your answer. For some dogs, 21 days isn't enough, which is where the C6 test helps come into play. I would treat for 6 weeks, only because I've seen the more chronic cases on the tick list.

I hear ya on waiting on the vet to check, cool that the vet is looking into it for you!


MaxaL (aka LisaT)

Jazmine, mini-mix, 10/18/2011
Max-n-Indy
Max, 5/2001-2/2012, RIP my partner, my Regal Boy
Indy, 5/1997-10/2010, RIP my friend, my teacher

Health Index
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Re: Aodhán's Vet Visit Today [Re: MaxaLisa] #56573
06/23/10 02:56 AM
06/23/10 02:56 AM
Joined: Feb 2010
Posts: 5,453
New Milford, CT
Woodreb Offline OP
Carpal Tunnel
Woodreb  Offline OP
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I wondered about that when I was checking the bottle. What I quoted was her total dose for the day which would put her at about 2.6 - 2.7 mg/lb twice a day.


Johanna

Caleb (aka Caleb-Moose)
Ciara(aka Ciara Belle, Black Devil)

RIP Aodhán, Rica, Max, Kelly - gone but never forgotten - forever in my heart
Re: Aodhán's Vet Visit Today [Re: Woodreb] #56648
06/23/10 05:35 AM
06/23/10 05:35 AM
Joined: Jan 2010
Posts: 19,487
Northern CA
MaxaLisa Offline

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MaxaLisa  Offline

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Northern CA
That's the low dose of doxy. Some vets don't even dose at that level, so it's always important to check!

It's a bit difficult to say too much without a C6 value, though, if it were my dog, I would treat for 4-6 weeks, and that might get modified depending on response to treatment.

She didn't have a blood count run, right?


MaxaL (aka LisaT)

Jazmine, mini-mix, 10/18/2011
Max-n-Indy
Max, 5/2001-2/2012, RIP my partner, my Regal Boy
Indy, 5/1997-10/2010, RIP my friend, my teacher

Health Index
K9 TBD info and Tick List Links
http://www.rabieschallengefund.org/
Re: Aodhán's Vet Visit Today [Re: MaxaLisa] #56666
06/23/10 01:38 PM
06/23/10 01:38 PM
Joined: Feb 2010
Posts: 5,453
New Milford, CT
Woodreb Offline OP
Carpal Tunnel
Woodreb  Offline OP
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Posts: 5,453
New Milford, CT
No blood count this time. It was her annual physical and we had just done a full senior panel in March. She did have a draw to check her thyroid levels because the results were low in March and we were doing this as a followup. They weren't low enough for him to want to start treatment, so we decided to do a follow up in 3-6 months and see where she was. And it's not the full thyroid panel that he was doing. We did not discuss that.

I'm going to talk to him about the C6.

My DH, who is home with them all day, thinks that she's showing a bit more energy and alertness since Monday, when we started the doxy. But I think it's too early to tell for sure.
And I don't have the thyroid results yet. Should be getting that today or tomorrow.
With what could be 3 different things going one with her - possible pinched nerve, Lyme, and low thyroid it's going to be a little difficult to evaluate how she's doing just by observation.

ETA: And it's hot here, so she's a bit less active from the heat, too. Both dogs are content right now to hide out in the basement and rest.

Last edited by Woodreb; 06/23/10 01:43 PM. Reason: Added a comment

Johanna

Caleb (aka Caleb-Moose)
Ciara(aka Ciara Belle, Black Devil)

RIP Aodhán, Rica, Max, Kelly - gone but never forgotten - forever in my heart
Re: Aodhán's Vet Visit Today [Re: Woodreb] #56760
06/23/10 06:39 PM
06/23/10 06:39 PM
Joined: Jan 2010
Posts: 19,487
Northern CA
MaxaLisa Offline

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MaxaLisa  Offline

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Northern CA
Response to doxy can be fairly fast, or more gradual. If you see any kind of response, I would encourage 4-6 weeks of treatment.

That blood test is fairly recent, wondering if you have a copy there. I would want to double check the RBC and platelets to see if they are at the lower end of the normal range (just checking for coinfections). Sometimes some of the absolute counts on the white blood cells (often monocytes) can be a bit skewed on the blood too.

In an older dog, I bet the T4 is fairly accurate.

The doxy can also act as an anti-inflammatory, possible helping that pinched nerve. Maybe that pinched nerve is compromised from the lyme too. All sorts of things that we will probably have no real ansers to!


MaxaL (aka LisaT)

Jazmine, mini-mix, 10/18/2011
Max-n-Indy
Max, 5/2001-2/2012, RIP my partner, my Regal Boy
Indy, 5/1997-10/2010, RIP my friend, my teacher

Health Index
K9 TBD info and Tick List Links
http://www.rabieschallengefund.org/
Re: Aodhán's Vet Visit Today [Re: MaxaLisa] #56827
06/23/10 09:13 PM
06/23/10 09:13 PM
Joined: Feb 2010
Posts: 5,453
New Milford, CT
Woodreb Offline OP
Carpal Tunnel
Woodreb  Offline OP
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New Milford, CT
I know what you mean about never knowing for sure about everything. I've been wondering if the reaction I saw on Saturday afternoon with the knuckling may have been a combination of a pinched nerve and the Lyme. I haven't seen her knuckling since Saturday and she hasn't been doing a lot of running like she was Saturday morning.

I don't have a copy of her blood work from March. I don't usually ask for a copy since I have enough trouble keeping track of paperwork blush. But the vet and I went over the whole report one day when I had Caleb in for a quick check up. I really don't recall him pointing out anything as being at a high or low end except for the T4 on the thyroid. But, again, that was a couple of months ago and I may not be remembering correctly. My vet is pretty good at pointing out everything he thinks we should keep an eye on.

I have to admit - both my DH and I have been commenting on the fact that she has been somewhat lethargic for a month or so. And someitmes you just can't be sure it's because they're getting older and slowing down or if something is wrong. I try to do the best I can to be observant and get her checked if anything is out of the ordinary. But when it kind of sneaks up slowly, it can be missed.


Johanna

Caleb (aka Caleb-Moose)
Ciara(aka Ciara Belle, Black Devil)

RIP Aodhán, Rica, Max, Kelly - gone but never forgotten - forever in my heart
Re: Aodhán's Vet Visit Today [Re: Woodreb] #56845
06/23/10 09:49 PM
06/23/10 09:49 PM
Joined: Feb 2010
Posts: 5,436
Massachusetts
Braverhund Offline
Carpal Tunnel
Braverhund  Offline
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Massachusetts
Johanna, so glad that you are keeping such a close eye on Aodhan. It seems a good sign that she really hasn't knuckled over since Saturday. Will you re-do the thyroid panel, perhaps? It isn't easy to know if things are just a dog gently aging or the slow onset of something new. Aodhan and Caleb have the best love and care with you and your DH. Grimmi and I are sending you all positive, healing vibes! Especially to dear Aodhan!


Patti
Frauchen von:

Grimm van den Heuvel, "Donnerpratzen"
Smokey The TeddyLion, DLH purrbuddy

Dir gehört mein Herz
Re: Aodhán's Vet Visit Today [Re: Woodreb] #56865
06/23/10 10:16 PM
06/23/10 10:16 PM
Joined: Jan 2010
Posts: 19,487
Northern CA
MaxaLisa Offline

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MaxaLisa  Offline

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Northern CA
It sounds though like you're on your way to figuring *something* out though! I hate the "being patient" part smile


MaxaL (aka LisaT)

Jazmine, mini-mix, 10/18/2011
Max-n-Indy
Max, 5/2001-2/2012, RIP my partner, my Regal Boy
Indy, 5/1997-10/2010, RIP my friend, my teacher

Health Index
K9 TBD info and Tick List Links
http://www.rabieschallengefund.org/
Re: Aodhán's Vet Visit Today [Re: Braverhund] #56964
06/24/10 02:47 AM
06/24/10 02:47 AM
Joined: Feb 2010
Posts: 5,453
New Milford, CT
Woodreb Offline OP
Carpal Tunnel
Woodreb  Offline OP
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New Milford, CT
Yes, one of the things when she was in Monday was to re-check thyroid.
In fact, I talked to her vet this afternoon and he had results, but apparently when they sent the request in they sent it for a "post pill thyroid". Someone in the office got confused and thought she was on medication for it. He's going to check and see if they sent it in with the right request but it showed up on my bill wrong.
Don't know if it's going to make a difference in the results. The T4 was 1.1 back in March and the result they got from Monday was 1.4. If this result is correct, it seems that thyroid is OK and maybe she's been feeling lousy because of the Lyme.

Last edited by Woodreb; 06/24/10 02:48 AM. Reason: I can't type

Johanna

Caleb (aka Caleb-Moose)
Ciara(aka Ciara Belle, Black Devil)

RIP Aodhán, Rica, Max, Kelly - gone but never forgotten - forever in my heart
Re: Aodhán's Vet Visit Today [Re: Woodreb] #56972
06/24/10 03:05 AM
06/24/10 03:05 AM
Joined: Jan 2010
Posts: 19,487
Northern CA
MaxaLisa Offline

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MaxaLisa  Offline

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The post-pill thyroid will only affect what they charge you, it's the same test with the same reading.

Certainly is moving in the wrong direction if it's low thyroid! If you added any supplements with Kelp in it, that can also mask a thyroid problem. BUT, if it's not the thyroid, good to eliminate one thing!

I'm really glad that the test caught the lyme. Now the tricky part is determining adequate treatment!


MaxaL (aka LisaT)

Jazmine, mini-mix, 10/18/2011
Max-n-Indy
Max, 5/2001-2/2012, RIP my partner, my Regal Boy
Indy, 5/1997-10/2010, RIP my friend, my teacher

Health Index
K9 TBD info and Tick List Links
http://www.rabieschallengefund.org/
Re: Aodhán's Vet Visit Today [Re: MaxaLisa] #57029
06/24/10 04:37 AM
06/24/10 04:37 AM
Joined: Feb 2010
Posts: 5,453
New Milford, CT
Woodreb Offline OP
Carpal Tunnel
Woodreb  Offline OP
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New Milford, CT
She gets a maintenance dose of Springtime Longevity, which does have kelp in it. But she's been on that for well over a year now and we haven't changed the dose. Given the time she's been on it, would that be a concern?

If it really is a correct value, I glad we've eliminated one thing and can really focus on the other things.


Johanna

Caleb (aka Caleb-Moose)
Ciara(aka Ciara Belle, Black Devil)

RIP Aodhán, Rica, Max, Kelly - gone but never forgotten - forever in my heart
Re: Aodhán's Vet Visit Today [Re: Woodreb] #57045
06/24/10 05:16 AM
06/24/10 05:16 AM
Joined: Jan 2010
Posts: 19,487
Northern CA
MaxaLisa Offline

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MaxaLisa  Offline

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Northern CA
I don't worry about the kelp if it's low in the ingredient list. Some of these supplements have kelp in the first couple of spots on the list, and that always concerns me a bit. I think the Longevity has it in the middle of the list?

There are lots of anecdotal reports on the tick list of thyroid problems along with the tick disease. Sometimes the thyroid resolves with tick treatment, sometimes it doesn't. I think I would just plan on keeping an eye on the thyroid for awhile. It's very likely it's winding down, but just not there yet. I had to wait and watch with Indy's thyroid - it took a couple years (I knew it was dying!) and I think I tested every 6 months. But I have had to run regular blood tests on her all her life.

If you can swing the cost, I would pursue the C6. With lyme, we are fortunate to have that measure of treatment. I think LJsMom would probably agree that it's been beneficial?


MaxaL (aka LisaT)

Jazmine, mini-mix, 10/18/2011
Max-n-Indy
Max, 5/2001-2/2012, RIP my partner, my Regal Boy
Indy, 5/1997-10/2010, RIP my friend, my teacher

Health Index
K9 TBD info and Tick List Links
http://www.rabieschallengefund.org/
Re: Aodhán's Vet Visit Today [Re: MaxaLisa] #57074
06/24/10 01:00 PM
06/24/10 01:00 PM
Joined: Feb 2010
Posts: 5,453
New Milford, CT
Woodreb Offline OP
Carpal Tunnel
Woodreb  Offline OP
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New Milford, CT
We probably will pursue the C6. Being an chemist, I like the fact that there's something that actually can be monitored instead od treating and then just guessing as to whether it was an effective treatment. The cost can't be worse than her x-rays and Caleb's tooth extraction.

ETA: If my math is right, I think she gets roughly 32 mg of kelp in the maintenance dose of Longevity. It's actually almost at the bottom of the list.

Last edited by Woodreb; 06/24/10 01:07 PM. Reason: Added comment

Johanna

Caleb (aka Caleb-Moose)
Ciara(aka Ciara Belle, Black Devil)

RIP Aodhán, Rica, Max, Kelly - gone but never forgotten - forever in my heart
Re: Aodhán's Vet Visit Today [Re: Woodreb] #57173
06/24/10 06:42 PM
06/24/10 06:42 PM
Joined: Jan 2010
Posts: 19,487
Northern CA
MaxaLisa Offline

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MaxaLisa  Offline

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I don't know about the dosage of kelp, of course some of that would depend on how much is in her food. It doesn't sound like a whole lot for a big dog though. In a younger dog I would be more concerned about autoimmune stuff and kelp masking, etc. In a senior, the kelp would be more supportive of a thyroid that is just getting old.

When indy was going hypo, I added kelp and it did keep her levels up higher, and they dropped when I stopped the supplement. But she is a smaller dog (35 lbs) and was getting a capsule a day, whatever that amounted to.


MaxaL (aka LisaT)

Jazmine, mini-mix, 10/18/2011
Max-n-Indy
Max, 5/2001-2/2012, RIP my partner, my Regal Boy
Indy, 5/1997-10/2010, RIP my friend, my teacher

Health Index
K9 TBD info and Tick List Links
http://www.rabieschallengefund.org/
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