So an update on Whisper girl.
It’s been over two months on the two different enzymes to treat the “exocrine pancreatic inefficiency” (EPI) thing, something GSDs get. Then she got really sick and tired of the enzymes and refused to eat. She’d eat anything else but not her meals. She would either lay down or turn and leave the room.
Last Wednesday (4th), Lorna took her to the vet (I had a killer headache). Whisper had not gained any weight maybe a pound or two. So our wonderful vet started over again, looking at the entire Whisper puzzle again.
- The blood test for the EPI had come back borderline anyway but it can be. We had assumed it was the cause for the weight loss and the lack of weight gain since it is oh so typical of the breed. Dr K tossed that diagnosis out the door.
- Whisper’s urine had a ton of bacteria but she had no fever. White blood cell count was normal. (see? puzzle)
- Red blood cell count was low. She was anemic.
- We decided to do some other blood tests to see some other numbers and based on those, we may or may not do an ultrasound. One of the tests was a better red blood cell count which would tell how long she had been anemic.
- Based on those results, which were even more puzzling, we opted to do the ultrasound the next day. They were looking for several things. Whisper had gone through a heat (yay) several months ago so it could be a uterine infection, which would account for the bacteria and the anemia but not the weight loss. There could be something intestinal which would account for the weight loss and the anemia but not the bacteria. An ultrasound would see both of those things as well as other organs.
The ultrasound results were puzzling, of course.
- Liver looked good.
- The intestines were fine. If she had the EPI, they would be thickened so that dx just officially got kicked. (which is good ’cause that enzyme is expensive!)
- The uterus was fine, although slightly enlarged but not unusual. No infection there.
- But the spleen had an “undefined” area. In ultrasound speak, you want everything to be defined. You want to know this is this and that is that. You don’t want blurry and fuzzy. It seemed to be just one area of it so it could be an infection that just isn’t big enough to warrant a fever.
After discussion with Dr K, we decided Whisper would get spayed and they would do exploratory surgery to look at the spleen and a few other places. That was done today.
Whisper’s entire spleen was “thickened”. It was removed and was sent off for biopsy. Based on the results of that, we’ll know what to do next. Dogs (and humans) can live without a spleen, even though it is a blood filtering organ.
We went to see her this afternoon. She was still kinda stoned but far too happy to see us. She began bleeding from her surgical wound while we were there and they had to do patch work on her.
We will speak with the Great Dr Knepshield tomorrow and know more specifics.