Guest Greensleeves Posted August 17, 2008 Share Posted August 17, 2008 (edited) Hi, all... I haven't been around much since we lost Whistler to cancer last summer. Unfortunately, we have more bad news: Nelly is in renal failure. Apparently the search function isn't working, or I wouldn't have started a whole new topic! What I'm looking for is information on what worked for you, what helped your dogs, at what numbers they seemed "sick," etc. Really, *anything* you can share would be helpful. Nelly's creatinine was 3.2 three months ago, and was 4.2 earlier this week. I don't have her BUN or her other numbers. When she saw the internal medicine specialist on Thursday, he seemed to think she was too sick to even be walking around... but our regular vet is much more optimistic about the numbers (the specialist said she probably had 25% kidney function, but our regular vet said "we start to see numbers like that at about 75% kidney function.") We just don't know! The specialist (who is a wonderful doctor who really worked with us to save Whistler) gave us options but felt that having us get as much water down Nelly was the best/easiest current option (along with Pepcid to settle her stomach). Our regular vet suggested subcutaneous fluids and IV fluids. Since it was a late Friday afternoon, and the clinic is closed on weekends, we opted for the sub-cu fluids, and we're returning tomorrow for three days of IV therapy (she'll come home at night). Nelly is a solid, consistent girl who will eat *anything,* and has never, in 7 years, left a single crumb behind in her food dish. Last week she started declining a cookie at bedtime, and by Friday, she was refusing her meals. It's scary how fast she's started to feel bad. Other things the specialist suggested were a phosphorus binder (Epakitin); we got some from our vet, but nobody seems to know what the dosage is (Nelly is 70lbs), so we can't start that yet. He also suggested Metaclopramide (sp?) for nausea (but she's not vomiting, so our vet didn't think it was necessary yet), and he told us to look into something called Calcitriol--but it looks like we need some more exact numbers before we can start that, so we'll have to get through the next round of fluid therapy before we think about testing her again. He also mentioned bicarbonate, but again, we don't know what/how much/where to get it/when to give it. Arrrgh! This is really frustrating and scary--not knowing how sick she is or if we'll be able to do anything to help her. The ultrasound showed that her kidneys are only about 1/2 the size they should be (probably a birth defect), and as a result they're aging much faster than a normal dog's would. So we know that time is limited (she's only 8), but we'd like to know what we can do to hit this as aggressively as we can, to make the most of the time we do have with her. Thanks so much for anything you can tell me! (Nelly sends Nellahugs to all her Greytalk friends ) Edited August 17, 2008 by Greensleeves Quote Link to comment Share on other sites More sharing options...
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