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Dooley still challenged

Patti

Admin
Staff member
Any idea what that means in English?
It means the liver is not getting enough blood, but they can't determine why from the biopsy, although they suspect the damage is occurring at the cellular level. They think an ultrasound might help differentiate the cause, although I thought they'd already done an ultrasound on Dooley.
 

John Popp

Site Supporter
Any idea what that means in English?

Not much of a clue outside of what the doctor told me. The liver isn't accepting blood as it should and there appears to be an issue at the micro vascular level. When he eats he experiences hypertension in the blood vessels traveling from the intestines to the liver. Spreading out his food has made a huge difference in his health. In fact I have been up over an hour because him and his brother have been on a mad tear.
 

SV Dad

Savannah Super Cat
I agree with Patti's interpretation. It is suggested this has been occurring since birth. The functionality of the liver is handicapped by the reduced blood flow.
I like the idea of spreading out the meals. IMO this may put less peak stress on the liver function. It appears Dooley is managing to handle this somewhat by tearing up the house with Dino. Hang in there Dooley!
 

John Popp

Site Supporter
Thanks Mike!

I'm not sure I am 100% inline with this being congenital. I can't get my head around how it just all of a sudden showed up. There were plenty of opportunities with sedation 6 weeks prior when Dooley underwent a series of X-rays and casts. Went through it all fine, no rapid breathing, no neurological signs.

From there, I have a series of suspects, the Orbee ball laced with essential peppermint oil, the jailbreak into the basement, one of the many cardboard boxes, pillows, shoes or whatever else he chose to ingest, asthma and perhaps something else environmental.

Things that I have ruled out is his asthma being the culprit. It certainly could be a contributing factor, but it isn't the root cause. Environmental toxins like black mold was tested for both outside and in and tests came back negative. While Dooley could have come across something toxic on his basement adventure, it was a full week before he showed any symptoms.

At this point I just need to hope he shows improvement. If the issue begins somewhat correcting under treatment it would be a huge positive and I guess we won't know until we have the opportunity to do a bile acid test or other blood work.
 

Patti

Admin
Staff member
There are definitely other things besides a congenital condition that can cause this, most commonly toxic exposure as you have already pointed out above. Unfortunately, you may never get to the root cause, but at least you have a plan of care, and it seems to be working, which is great!
 

John Popp

Site Supporter
Dooley had his best evening last night since February. Playing with his brother at full pace and tearing around like old times. He heads to the Vet again next week and we are hopeful we'll get the green light to reduce the Keppra.

I'm guessing the vet will do a bile acid test to see where we are and if anyone has any other suggestions on what I should be asking about I'm all ears.
 
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