First off, I'm going to say that I love, love, love this new vet. First thing he did was introduce himself and shake my hand. And he ended the consultation with another handshake.
During Bacca's consultation, suddenly a dog woke up from anaesatia and was screaming like crazy. He politely excused himself immediately and came back about 10 minutes later. I could see what was doing on because the door was open. Amazing staff and amazing doctors.
I arrived and he had already reviewed Bacca's file in detail (he has two Shelties himself, so he is generally interested....and one of his dogs is indirectly related to Bacca.
While there, he decided to another ultrasound of Bacca's gall bladder. He asked me to come to the surgical room to help control him. He did the ultrasound.....and no charge! I couldn't believe it.
Bottom line is that everything points to a liver shunt....the degree is TBD. He is know on 6 weeks of antibiotics for his skin funk (really bad, right now, btw), continuing with Zentional.
Surgery is still the best prognosis for him, but at $5-6k, he was honest in telling me that he would probably not do it himself because there are no guarantees. So he has committed to work with me to do all that we can do medically.
The big issue I have right now is switching him to a low protein diet. That means Medi-cal or Hills. i.e. around 12-15%. But when you read the ingredient list it starts with corn......
I've been on a hundred posts today. Some say the medi-cal diet is fine....better than dealing with a failing liver. I'm trying to decide how low protein is good enough.....Natural Balance Vegetarian is 18%. Is that good enough? I'm also considering homemade, but have to be realistic as to my ability to keep it up. I don't even cook much for myself.
Anyway, thanks for letting me write this.....its actually helping me think through my options by writing it down.