NeylasMom Posted December 17, 2014 Author Share Posted December 17, 2014 (edited) I would give Amicar regarding the extractions (remember they will have a normal clotting profile and can still experience post op bleeding). Regarding the hematuria I would wait and see what they spin down. Thanks. The doctor is now operating on someone else and the lab results aren't back so I'm trying to just find out what they found when they spun down the urine. It's been about an hour now, is it hard to spin down a urine sample?! I don't want to not be giving fluids or other treatment while we're waiting for test results when the urine might already tell the story. A tech is supposedly coming out to hopefully answer my question. Update: So we are relying on the ER staff to run these tests and they prioritize patients so the urine is spinning down now but it might be another half an hour before someone finishes and read the results. She is checking with the doctor about starting her on Amicar in the meantime. Edited December 17, 2014 by NeylasMom Quote Jen, CPDT-KA with Zuri, lab in a greyhound suit, Violet, formerly known as Faith, Skye, the permanent puppy, Cisco, resident cat, and my baby girl Neyla, forever in my heart "The great thing about science is that you're free to disagree with it, but you'll be wrong." Link to comment Share on other sites More sharing options...
tbhounds Posted December 17, 2014 Share Posted December 17, 2014 (edited) Takes about 5 minutes to spin down the urine and other 2 minutes to read the sample. I'm sure they are just busy. It can't hurt to run fluids while you wait. I'm sure they just have her on a maintenance rate. Edited December 17, 2014 by tbhounds Quote Link to comment Share on other sites More sharing options...
NeylasMom Posted December 17, 2014 Author Share Posted December 17, 2014 Takes about 5 minutes to spin down the urine and other 2 minutes to read the sample. I'm sure they are just busy. It can't hurt to run fluids while you wait. I'm sure they just have her on a maintenance rate. Thanks again (have I told you lately how much I love you and appreciate you? ). Vet just came out, they're administering Amicar via injection and he updated me on urine progress - they're almost done. Going to look at a slide to look for RBC and then report back. Specific gravity is low, but she's also been on fluids so who knows if that means anything. CK is a little high, but not unreasonable (1300) and so far the people dealing with the urine say it does look like blood, but he is triple checking that they checked whether it separated or not when spun down. So more waiting. Sorry for the miniscule updates, but I really don't know what to do with myself. I finished up the work I was doing and am waiting to hear back from people before I move forward (not that I could focus anyway) and I've reached the end of the interwebs, so basically I just sit here and wring my hands in between updates. Quote Jen, CPDT-KA with Zuri, lab in a greyhound suit, Violet, formerly known as Faith, Skye, the permanent puppy, Cisco, resident cat, and my baby girl Neyla, forever in my heart "The great thing about science is that you're free to disagree with it, but you'll be wrong." Link to comment Share on other sites More sharing options...
winnie Posted December 17, 2014 Share Posted December 17, 2014 I'm so sorry to read about this turn of events. Hoping all is well with Violet. Quote Laura with Celeste (ICU Celeste) and Galgos Beatrix and Encarna The Horse - Gracie (MD Grace E) Bridge Angels Faye Oops (Santa Fe Oops), Bonny (Bonny Drive), Darcy (D's Zipperfoot) Link to comment Share on other sites More sharing options...
robinw Posted December 17, 2014 Share Posted December 17, 2014 Holy cow! The blood in urine could be a very treatable infection. Also, she will feel so good without those teeth! I know what it's like to freak out over unexpected stuff and to watch the bill go up and up. It Will all work out, and if there's something going on, it's good that they'll find it now. Quote Xavi the galgo and Peter the cat. Missing Iker the galgo ?-Feb.9/19, Treasure (USS Treasure) April 12/01-May 6/13, Phoenix (Hallo Top Son) Dec.14/99-June 4/11 and Loca (Reko Swahili) Oct.9/95 - June 1/09, Allen the boss cat, died late November, 2021, age 19. Link to comment Share on other sites More sharing options...
MaryJane Posted December 17, 2014 Share Posted December 17, 2014 if this was my dog, I would have them check her gums ASAP and also run a Hematocrit & maybe clotting profile. They have probably already done this .... but then again, maybe not. Quote Link to comment Share on other sites More sharing options...
turbotaina Posted December 17, 2014 Share Posted December 17, 2014 Sending good thoughts, Jen, and hoping for a UTI. Quote Meredith with Heyokha (HUS Me Teddy) and Crow (Mike Milbury). Missing Turbo (Sendahl Boss), Pancho, JoJo, and "Fat Stacks" Juana, the psycho kitty. Canku wakan kin manipi."Those who can make you believe absurdities can make you commit atrocities." - Voltaire Link to comment Share on other sites More sharing options...
Jenbo Posted December 17, 2014 Share Posted December 17, 2014 Sending more good thoughts. Quote Camp Broodie with tuxedo Summer 12 and tuxedo Dio 6 Missing KC Kitty 2000-2016, Myka and part of my heart 2006-2020, and Saint YellBoy 2014-2020 Link to comment Share on other sites More sharing options...
carronstar Posted December 17, 2014 Share Posted December 17, 2014 Adding lots of prayers and good thoughts. Quote Link to comment Share on other sites More sharing options...
NeylasMom Posted December 17, 2014 Author Share Posted December 17, 2014 (edited) Reasonably positive update, sort of, I guess. First of all, Violet is pretty much recovered from anesthesia - she's happy to get up and move around, acting normal, physically seems okay, no obvious muscle pain, gums are normal, etc. This is all according to them of course because they haven't let me back there to see her. The other positive thing in a "it's not rhabdo" way is that when they spin her urine down, there is sediment. However, they urine doesn't clear completely. So basically they can't rule out that there is myoglobin in the urine, but we do know at least that there IS blood. Also, he just recently told me (or I missed it earlier) that when she first urinated the blood, there were clots of blood in it. So rhabdo not ruled out, it could be rhabdo or it could be rhabdo concurrently (wouldn't that be fun?!), but signs seem to be pointing away from that in a definitely not definitive at all way. If it's not rhabdo, we're looking at underlying bladder/UT issue that was exacerbated or bleeding issue. I am guessing weird greyhound bleeding thing. They are going to do an ultrasound and a full blood panel include clotting factors next and in the meantime she is back on IV fluids. And again they administered the Amicar injection and are getting some for me to take home (if I take her home, that's up in the air). Anything else we should be doing? Oh shoot, I wanted to ask whether she was on an anti-inflammatory. I think they gave a Rimadyl injection before surgery and they probably haven't given her any NSAIDs since, and whatever they were going to give her she had had when hospitalized for rhabdo so I doubt that's causing the bleeding, but I want to be sure. So, other than that anything else I should ask about? And thank you so much for the good thoughts. Seriously, you guys are the only thing that keeps me sane in the midst of these things. I can barely keep it together in between checking in here, I don't know what the heck I'd do without GT. Edited December 17, 2014 by NeylasMom Quote Jen, CPDT-KA with Zuri, lab in a greyhound suit, Violet, formerly known as Faith, Skye, the permanent puppy, Cisco, resident cat, and my baby girl Neyla, forever in my heart "The great thing about science is that you're free to disagree with it, but you'll be wrong." Link to comment Share on other sites More sharing options...
Guest MnMDogs Posted December 17, 2014 Share Posted December 17, 2014 (edited) Oh Jen, what a stressful situation. I'm thinking very good thoughts for you both, I wish I had something valuable to offer. Edited December 17, 2014 by MnMDogs Quote Link to comment Share on other sites More sharing options...
tbhounds Posted December 17, 2014 Share Posted December 17, 2014 I would ask if they already gave antibiotics--I'm sure they did but, if not see if they will culture the urine. Hopefully, this is just an incidental finding of a uti. Not sure why the clotting profile with the absence of petechiae etc?? Quote Link to comment Share on other sites More sharing options...
turbotaina Posted December 17, 2014 Share Posted December 17, 2014 Glad to hear it doesn't seem to be rhabdo. Quote Meredith with Heyokha (HUS Me Teddy) and Crow (Mike Milbury). Missing Turbo (Sendahl Boss), Pancho, JoJo, and "Fat Stacks" Juana, the psycho kitty. Canku wakan kin manipi."Those who can make you believe absurdities can make you commit atrocities." - Voltaire Link to comment Share on other sites More sharing options...
NeylasMom Posted December 17, 2014 Author Share Posted December 17, 2014 I would ask if they already gave antibiotics--I'm sure they did but, if not see if they will culture the urine. Hopefully, this is just an incidental finding of a uti. Not sure why the clotting profile with the absence of petechiae etc?? Just covering our bases? I asked about it so I don't know if he was saying do it because I asked or because he would have anyway. He's working very hard to make sure he addresses all of my questions and concerns and I did basically tell him to do whatever he felt was warranted to rule things out/try to get an answer. Does the lack of petechiae make you think a bleeding issue (even weird greyhound bleeding) is less likely? I am nearly positive they gave an AB injection, I remember it being on the estimate when we had our consult and with 7 teeth coming out they must have. But I will ask. Having given them so close to getting the sample though, the culture might still be worth doing, no? I'm hoping that the sediment from the urine or the u/a results themselves tell us something new and more definitive. Otherwise I'm concerned we'll have no clear answers despite all of the tests and I'll be faced with deciding whether to keep Violet hospitalized on fluids overnight just to be safe in case it is rhabdo, which I don't want to do to her. Oh Jen, what a stressful situation. I'm thinking very good thoughts for you both, I wish I had something valuable to offer. Your good thoughts are valuable indeed. Although if you could somehow get me a bottle of wine and a glass that would be nice. Quote Jen, CPDT-KA with Zuri, lab in a greyhound suit, Violet, formerly known as Faith, Skye, the permanent puppy, Cisco, resident cat, and my baby girl Neyla, forever in my heart "The great thing about science is that you're free to disagree with it, but you'll be wrong." Link to comment Share on other sites More sharing options...
tbhounds Posted December 17, 2014 Share Posted December 17, 2014 I assume they are just being very careful. I guess they are running another cbc and an in house clotting profile just to dot their I's. You can have a lowering platelet count before you see visible clinical signs of petechiae. Perhaps minimally they are trying to get a base line. I wouldn't run a culture right now--too late since the abs were already given. Quote Link to comment Share on other sites More sharing options...
NeylasMom Posted December 17, 2014 Author Share Posted December 17, 2014 (edited) I assume they are just being very careful. I guess they are running another cbc and an in house clotting profile just to dot their I's. You can have a lowering platelet count before you see visible clinical signs of petechiae. Perhaps minimally they are trying to get a base line. I wouldn't run a culture right now--too late since the abs were already given. I think I give the impression that they need to be very careful. We're running the full panel to also look at kidney values (more rhabdo thoroughness) so I guess it was also partly why not just add the clotting profile on. Still waiting for another update. Trying so hard to be patient, but it's hard. I decided I have a 10 minute rule - similar to my 10 sec rule in the car where I am not allowed to beep at someone (outside of an actual emergency) for a full 10 seconds after I get pissed. So when I get antsy, I tell myself to wait 10 more minutes and then I can go ask. So far that's worked all but one time. Edited December 17, 2014 by NeylasMom Quote Jen, CPDT-KA with Zuri, lab in a greyhound suit, Violet, formerly known as Faith, Skye, the permanent puppy, Cisco, resident cat, and my baby girl Neyla, forever in my heart "The great thing about science is that you're free to disagree with it, but you'll be wrong." Link to comment Share on other sites More sharing options...
MP_the4pack Posted December 17, 2014 Share Posted December 17, 2014 I keep checking for updates and am waiting for the one that says "she's home and comfortable!" Quote Link to comment Share on other sites More sharing options...
turbotaina Posted December 17, 2014 Share Posted December 17, 2014 I'd tell you to stop off at my place this evening for a drink, but I'm teaching tonight. Keep us posted! Quote Meredith with Heyokha (HUS Me Teddy) and Crow (Mike Milbury). Missing Turbo (Sendahl Boss), Pancho, JoJo, and "Fat Stacks" Juana, the psycho kitty. Canku wakan kin manipi."Those who can make you believe absurdities can make you commit atrocities." - Voltaire Link to comment Share on other sites More sharing options...
NeylasMom Posted December 17, 2014 Author Share Posted December 17, 2014 Ha, I wish! And darnit. I waited my 10 minutes, then went to the bathroom and told myself to wait another 10 minutes but I couldn't. So she checked for me and they just got all of hte results back and are putting them together to come talk to me. So close! Hopefully they will forgive me since it's basically decision time on whether I will get home in time for Zuri & Skye or need someone else to go get them. Quote Jen, CPDT-KA with Zuri, lab in a greyhound suit, Violet, formerly known as Faith, Skye, the permanent puppy, Cisco, resident cat, and my baby girl Neyla, forever in my heart "The great thing about science is that you're free to disagree with it, but you'll be wrong." Link to comment Share on other sites More sharing options...
NeylasMom Posted December 17, 2014 Author Share Posted December 17, 2014 Well not surprisingly I guess they want me to leave her overnight. Ultrasound showed nothing and they took a quick look at her kidneys while they were doing it, nothing. Bloodwork and clotting all normal, except for elevated Sodium, which they can't explain. They want to give a medication (?) to lower it. Urinalysis showed nothing further, sediment had RBC so unless we send urine out to specifically test for myoglobin there's no definitive way to rule out rhabdo. That's about it. This was just the tech, she couldn't give me details about why the sodium might be elevated. Dr. Stiles (our dentist) is in a procedure for the next hour or two, but she's checking on when the ER vet will be available to talk to me about that. I can't really see arguing to take her home when they're recommending I don't. Especially since we can't completely rule out rhabdo and if that's what's going on, overnight fluids are really the best thing we can do. She is resting comfortably (the tech took a photo to show me - she's all curled up on her bed with a blanket over here and her head on a pillow made of a folder blanket ). She's in their room so she's not crated or anything. They took her out, but she didn't pee so we don't know if her urine has changed. That's one thing I'd like to try to get them to do again before I leave. Thoughts? Advice? I REALLY don't want to leave my girl here. Obviously I will though if that's what's best. The staff here is amazing so there's that. And thanks Mer, I'd be taking you up on that if you were actually home. Quote Jen, CPDT-KA with Zuri, lab in a greyhound suit, Violet, formerly known as Faith, Skye, the permanent puppy, Cisco, resident cat, and my baby girl Neyla, forever in my heart "The great thing about science is that you're free to disagree with it, but you'll be wrong." Link to comment Share on other sites More sharing options...
tbhounds Posted December 17, 2014 Share Posted December 17, 2014 (edited) Will the clinic be staffed overnight? Edited to add--elevated sodium can be seen in dehydrated cases. How high is the sodium value? Edited December 17, 2014 by tbhounds Quote Link to comment Share on other sites More sharing options...
MaryJane Posted December 17, 2014 Share Posted December 17, 2014 I went back over your entries and the one about the clotted blood in the urine caught my eye. This is unusual unless the urine belongs to a menstruating female. If there is a UTI, you typically see red cells in the urine under microscopic examination but, it's unusual to see clotted blood by a visual exam. It could be that mucous and blood cells were adhering and that looked like "clotted blood" to someone. It's very rare (not impossible though) to have an infection cause "clotted blood". There could be some recent injury to the bladder/kidneys causing this but, that seems unlikely since you would have seen some symptoms unless the injury happened at the vet and that really doesn't seem likely either. Sometimes cancer can cause symptoms like this but again, I expect that you would have noticed something earlier. Can you confirm whether there was "clotted blood" in the urine on visual exam as I am suspecting there may have been some miscommunication (or maybe not). Also, are they still asking you not to see her? Quote Link to comment Share on other sites More sharing options...
NeylasMom Posted December 17, 2014 Author Share Posted December 17, 2014 Will the clinic be staffed overnight? Oh yeah, we're at an emergency/specialty hospital. This is the place that treated her for her rhabdo so they have staff 24/7 and she'll be monitored constantly. MaryJane, would it make a difference diagnostically at this point? The vet said they saw blood clots when she urinated, but I can't imagine they picked up a clot to examine closely so it's possible it was mucous (but why would there be mucous in her urine). The clots seem more likely to me - from what I can tell, she had a lot of blood in the urine. But I can ask if you think it would help with diagnosis. I did give them the okay to keep her overnight. They are setting up a room for me to meet with the ER doctor who will be supervising her case overnight and then I will be able to spend some time with Violet in the room. They have to take her off of fluids to bring her in though so it will probably only be for a half hr or so. Quote Jen, CPDT-KA with Zuri, lab in a greyhound suit, Violet, formerly known as Faith, Skye, the permanent puppy, Cisco, resident cat, and my baby girl Neyla, forever in my heart "The great thing about science is that you're free to disagree with it, but you'll be wrong." Link to comment Share on other sites More sharing options...
turbotaina Posted December 17, 2014 Share Posted December 17, 2014 TBhounds- the place she's at is a shared specialist/Evet place, so yes, they do have overnight staffing (I'm guessing they'd move her over to that side). It's a really good hospital. God knows I've been there enough. Jen - we were posting at the same time. Sorry you don't have more answers, but your approach is prudent. Let me know if I can do anything for you. Also, thank god for insurance! Quote Meredith with Heyokha (HUS Me Teddy) and Crow (Mike Milbury). Missing Turbo (Sendahl Boss), Pancho, JoJo, and "Fat Stacks" Juana, the psycho kitty. Canku wakan kin manipi."Those who can make you believe absurdities can make you commit atrocities." - Voltaire Link to comment Share on other sites More sharing options...
Burpdog Posted December 17, 2014 Share Posted December 17, 2014 If it's staffed I would leave her overnight. Sending lots of good thoughts!!! Quote Diane & The Senior Gang Burpdog Biscuits Link to comment Share on other sites More sharing options...
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