Vestibular Disease - pics

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Cleo
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Re: Vestibular Disease - pics

Post by Cleo »

JB had another bout with this at 1AM 2 weeks ago. I recognized it as a vestibular attack because of the nystagmus present with her eyes but we rushed her to the ER anyway as we were once told that it was important to get her medicated ASAP to help avoid neurological damage.

She had no vomiting this time around but is having a hard time walking. For a few days her back legs were useless and carrying her 60 pound body outside for potty was a back breaker. Trying to fashion blankets as a full body sling didn't work either as she bit me trying. We do have a belly sling from the last episode but it slides if you're not quick with it's purpose.

She's soiled three times in the house (#1) which in her 12 years is a first. We switched vets and followed up with a new one this week who explained that while it's not unheard of for a older dog to get a second attack within a year, it's very uncommon. He said the only way to know for sure exactly what is going on is with an MRI. She had no nystagmus present at the visit and said that was a positive thing. She's walking on her own now but only with the help of her harness and when the leash is held taut. Turning around is tough and where she takes her tumbles.

She already had problems with arthritis for her back legs and we're wondering if the many falls inside the house didn't further tear or sprain something. Again, only way to know is with an Xray and she needs to be sedated for any kind of testing. She's a Chow Chow mix and is aggressive with strangers.

I will say though, that during the visit (while muzzled) and constrained by an awesome vet tech, the doctor did say that she wasn't a bad dog at all. But he did tell us that we baby her too much the way we talked to her. Every single vet we've come across has told us how horrible she is, blamed the breed and pretty much dismissed us. The last vet we were with closed her practice and works out of a home basement office with no techs or clerical staff. Getting in touch with her, especially during these last 2 emergencies was impossible so while she was calm and very gentle with JB, not exhibiting fear, we had to switch and get to a well staffed office.

Her blood work came back today and I was told that everything was normal and negative. I will get a hard copy when I drop off her stool sample tomorrow. On paper, she is licensed and belongs to my sister but we ALL take care of her. She's been with me every day since and I've been taking her with me on the days I'm glassing. She loves the car and hanging out with me. I'm not getting as much done as I should because she needs to go potty almost every half hour but that's okay, my bladder is weak too.

So now it's a matter of getting the money together for the MRI ($1800. and any additional Xrays) as well as worrying about the sedation. But my sister said if it is a brain tumor and there's nothing that can be done about it, she doesn't want to know. She just wants JB to be happy. I just want JB not to suffer. The last few times she's been sedated she hasn't come out of it well and it takes a good week or two for her to return to normal. We're just worried about her age. I think I read that Chows have a life expectancy of 12 to 15 years. My sister thinks she's going to live forever and cries into hysterics at the thought of JB's demise. We know this a part of life. We've had her since she was 3 months old (she was abandoned and left in an empty apartment for days when the owners were evicted). My 10 year old nephew has known her all his life.

But I'm done talking as if this is her end until we do more testing and know for sure what's going on.

Even though the ER vet and new vet said windy days have nothing to do with vestibular disease, both incidences occurred on windy days and she is prone to ear infections. So now when it's windy or cold, we wrap her head like she's sporting some swagger with a Bubushka.

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Traci
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Re: Vestibular Disease - pics

Post by Traci »

Ugh, was hoping vet wouldn't recommend an MRI, although it would be a good method to rule certain things out.

Not sure what's going on with the urination accidents, could be related to the vesitbular problem if she can't get up and navigate at the time she needs to go. I don't think she tore a ligament or sprained anything, as she would be less likely to want to be up and about, growling when you get near her or touch her, etc. However, xrays would be a good idea, but palpation can also help rule-out ligament issues (the xray would be more for determining extent of arthritis, etc)

As for sedation, discuss with your vet that JoBear has mainly been sedated other times with acepromazine and that recovery from that was slow and difficult - your new vet can take that into consideration and choose something else.

A lot of vets and their staff are fearful of chows, they get an unecessary bad rap just as much as pitbulls, dobermans, etc. But, it sounds like you finally have a vet who is not afraid to care for her and get necessary diagnostics.

Hang in there, Cleo, I think your new vet is on the right track - they can discuss with you other options for sedation.
..........Traci
Cleo
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Re: Vestibular Disease - pics

Post by Cleo »

Thanks Traci. And I think I'm satisfied and comfortable enough with this new vet to switch the cats. I understand the benefits of staying with a feline only hospital but this is so much closer in distance, and well, after the last 3 incidences with my regular vet clinic, I think the relationship there is over. I can't have the ball continually dropped when it comes to their care.

Anyway, JB is improving. No more accidents in the house. She just has trouble when she goes to turn around still. We've lined the floors at home and at my shop with yoga mats so at least she has a secure path to get around. She's so stinking smart too, she will stop if there's a space between mats and won't walk until we pull the mats together!

Also, creatine level was normal. I don't see a BUN level, just the ratio and creatine. I will be dropping off a urine sample next week anyway.
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Traci
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Re: Vestibular Disease - pics

Post by Traci »

Good to hear - as always, it can take a few days to show improvement, but that she is, is excellent news. The unfortunate fact is, it is just not known why this reoccurs.

In renal disease, it is usually the BUN would be elevated before the creatinine - so possibly insignificant at this point.

Funny how she waits for you to pull the mats together!
..........Traci
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