Friday, March 26, 2010

Sandy's NYHA score

Something extremely exciting/darn hilarious happened at work today.
With all the weird sh*t that we've been dealing with this posting, I think we are all on the way to becoming psychos ourselves (our boss said smth abt us all being high at dinner the other day).

Anyway my Sandy has been quite sick a couple of months back.
It all started abt 6mths ago when the vet while asking some usual screening questions (like how we ask any CP/SOB) noted that Sandy has been coughing occasionally. And i learnt that coughing is like a sign of CCF in dogs!
The vet then asked questions abt when Sandy cough, is it when she's excited/barking/running? Is she more lethargic/still can run?
We told the vet very honestly that it's quite difficult to answer her questions as sandy is rather sedentary (to put it mildly).
And so a CXR was done: and lo and behold Sandy has what looked like consolidation/?pulmonary oedema in both lungs (yar i saw the films too).
She was then started on frusemide and some chim sounding heart medicine.

This was when she started to have urinary incontinence and increased urinary frequency but her cough didn't improve.
Slowly her NYHA score deteoriated, she couldn't walk/bark/scratch herself without coughing her self into a fit and would get very breathless after each episode. With each visit to the vet, her frusemide dosage was increased but that had to stop after a while because my mum refused to do a UECr (apparently the lab techs missed the vein in sandy's thigh and wanted to jab her neck!)

Anyway i kept bugging my mum to bring her back to the vet who repeated the CXR which shows no improvement. i asked my mum to ask the vet if it was just a simple infection but either there was a miscommunciation, my mum told me the vet mentioned smth abt hypertension in the lungs (does anyone else thinks this sounds like smoking?) and offered to do a $400 Dopler ultrasound of Sandy's heart which is so exclusive only the head of the whole place know how to do.
My mum very blurly agreed.

One week later, the ultrasound was normal, no SWMA (i assume) and no hypertensive cardiomyopathy (according to my mum).
And Sandy came home with some brand new medicine and a very ugly rectangular bald patch on her trunk (it's so ridiculous and ugly even i feel ashamed to post up a photo)

I looked in her new bag of medicines and what did i find but a packet of prednisolone and PROCODIN (which looked EXACTLY like the bottle i have in my medicine cabinet)
A few days later: Sandy was good as new again and took great joy at barking loudly at me everyday to feed her junk food.

I know it's difficult to diagnose without a history but this is simply ridiculous!

Anyway, i'm pleased to announce that Jack and Maggie (Jack's sister) have found good homes and after a harrowing 3 days looking after both of them (think of 2 energizer bunnies who pee everywhere, run at crazy speeds and fight with each other non-stop) , Sandy and I are relieved to have peace and quiet in the house again.

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