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peggys latest vet visit
Topic Started: 28 Jan 2013, 16:22 (1,276 Views)
peggysmum
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hi all. just got back from the vets with peggy for the latest round of fight the snot. she has been taking mabocyl antibs for the past 20 days because she had a bad smell coming from her mouth, pus apparently. the smell is now gone. the snot has reduced greatly on the antibs she is still sneezing but a lot of dry sneezing and some small amounts of snot, not the great flying globules that went everywhere, so the antibs are doing something. so she is now on another 10 days of mabocyl and she is starting steroids. we are giving up on the antihystamines. she has also done a wellness profile blood test to see how everything is working and what her t4 levels might be like, if you remember she had been taking thyroid meds for 2 yrs but the specialist last summer decided she wasnt actually suffering from thyroid issues so he stopped the forthyron. so we are seeing what the t4 is doing and if low they will do a full thyroid panel. fingers crossed it shows she is not hypothyroid. Anyway my vet happened to say she wished she had never sent her to see that specialist and they arent sending any more patients to him, as you can imagine i was a bit shocked so i said what because of peggy and she said partly and because several other patients had been sent to him, he spent out there insurance and then discharged them with no diagnosis and no treatment plan. as you can imagine im a little shocked by this, the only advantage was she had the mri which showed no tumour or polyp or foreign body, makes you wander doesnt it. i just dont know what to think he seemed such a nice man.
gerrit the vet also said we may never find out what is causing this and never stop it just control it, she may have this issue for the rest of her life, i can live with that, the sneezing she doesnt seem to mind so much it is the reverse sneeze spasms that really get her down but apparently that is not part of the problem gerrit says she is just a dog that suffers from reverse sneezing and that cant be cured :( it is a horrible thing revererse sneezing poor baby. anyway i just thought those of you following the saga of the snot may wish to know the latest.
thanks tracey and peggy
Edited by peggysmum, 28 Jan 2013, 16:23.
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missuswilderness
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Poor wee lass.

I may be off side here but have you collected the snot so they can test it for bugs. I think they can do that :unsure:

I've got two who reverse sneeze - one a greyhound, the other a whippety x. It doesn't get my grey down, it does my whippety boy. But I think that is partly about his awful mouth and his terrible teeth (he is due another dental but I'm holding off till the Spring and warmer weather) and that he has two fistula from where his top canines were removed (and pus exploded from the roof of his mouth and he hemoraged from his nose) when he first came into foster with me.

Give Peggy a big snog from us all :love:
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Seth's Servant
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Poor Peggy :love:
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Indie chick
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I'm glad the snot is a more under control. I think I would be making a complaint about the vet to someone - thats sounds really bad. Keep us posted on Peggy :love:
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peggysmum
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missuswilderness
28 Jan 2013, 16:59
Poor wee lass.

I may be off side here but have you collected the snot so they can test it for bugs. I think they can do that :unsure:

I've got two who reverse sneeze - one a greyhound, the other a whippety x. It doesn't get my grey down, it does my whippety boy. But I think that is partly about his awful mouth and his terrible teeth (he is due another dental but I'm holding off till the Spring and warmer weather) and that he has two fistula from where his top canines were removed (and pus exploded from the roof of his mouth and he hemoraged from his nose) when he first came into foster with me.

Give Peggy a big snog from us all :love:
they swabbed her snot when she had her first rhinoscopie back in july, it just came back as mucus nothing buggy, the specialist did biopsies (sorry my brain has gone i know it is spelt wrong but cant do any better) on her nose linings and they came back clear as just inflamed as you would expect from all that sneezing. her teeth were cleaned during the first rhinoscopy in the july last year and we checked again the other week to make sure there was know toofy problems. all i can think is how lucky i am that if she has had an infection in her head all this time it didnt spread into her brain, i have nightmares thinking about it. i shall pass on the snogs she will like that and i wont mind either cause atleast now i wont get a face full of snot :yikes: which i have had before from my dear one. :sick:
tracey
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DawnT
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Really glad you seem to be getting slightly more on top of things with her :love: :goodjob:
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peggysmum
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hi all. thought id update this one, i did post in the lounge. my vet gerrit rang today with peggys blood test results from last week. i dont know if you remember but last year when she saw the specialist he decided she did nto have hypothyroidisim so took her off the meds for it. so since last august she hasnt been taking the forthyron he also stopped the optimune for dryeye. andyway these test have come back showing low t4, raised cholestrol ,and high liver enzymes. given her general state of health this last 6 mths she feels this all points to her being hypotyroid. so she has asked the lab to retest the blood specifically for thyroid and if this is still low she iwll have to go back on the meds. im so angry about it, he took all my insurance money and discharged her with no diagnosis or treatment and he seems to have got it all wrong, im not the only client either apparently. i dont know what i should do about it. i still owe him money to.
tracey
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missuswilderness
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My random thoughts on what to do...

Talk to your insurance company. It was their money he took after all.
Once you have spoken to them and know if they are going to do anything I'd be writing a strongly worded letter of complaint - but don't give everything away to start with. I'd ask him to explain actions and clinical decisions as the evidence points to mis diagnosis which has affected Peggy's care. Run this past someone before it is send.

Depending on the response I'd be considering asking for monies back.

But your insurance company might be interested, very interested. I know someone who put something similar to their insurance company who refused to pay out and reported the vet.

And give Peggy and squidge and a :petdog: from us all.
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peggysmum
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hi jo. the only problem i have regarding the thyroid is that it was excluded so not of that part of his treatment was claimed for. the 3000 was all todo with the mri, and the rhinoscopies and the biopsy. the rest i think was the consults and drugs. she had atleast 3 hour long consults which are about 190 each. my vet referred her for the sneezing problem but he decided to investigate her whole life, which is why he decided everything was caused by allergies. the sneezing, the tummy problems her skin her eyes evrything was allergies and not thyroid, dry eye or undiagnosed ibd which is what we thought. im seeing gerrit this evening with my elderly neighbours foster cat so will ask her what she thinks. im wandering if he should have investigated all the other stuff if my vet only referred her for her nose.
tracey
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missuswilderness
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peggysmum
4 Feb 2013, 15:16
hi jo. the only problem i have regarding the thyroid is that it was excluded so not of that part of his treatment was claimed for. the 3000 was all todo with the mri, and the rhinoscopies and the biopsy. the rest i think was the consults and drugs. she had atleast 3 hour long consults which are about 190 each. my vet referred her for the sneezing problem but he decided to investigate her whole life, which is why he decided everything was caused by allergies. the sneezing, the tummy problems her skin her eyes evrything was allergies and not thyroid, dry eye or undiagnosed ibd which is what we thought. im seeing gerrit this evening with my elderly neighbours foster cat so will ask her what she thinks. im wandering if he should have investigated all the other stuff if my vet only referred her for her nose.
tracey
It is a tough one. You want a vet to do a thorough clinical history and make their own decisions. And they can be interlinked. But you failed to get a diagnosis, he jepordised the health of your dog by over riding your vets diagnoses. I'd be bloomin shouting about how unhappy I was.

I'd still talk to your insurance company. It is surprising how far they will take it if a vet does unneccessary things.
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peggysmum
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my vet has just called i feel devastaed i really do. she is hypothyroid has been along, apparently her other levels are really high. her poor brain has apparently been telling her body tp produce more hormone and ofcourse it couldnt. i dont really understand everything, just that i should never have took her of those pills. gerrit has tried to say well before it was borderline and we werent sure so not taking the pills for 6 mths means we know for definate she is but that is all very well, but it is how my poor peggy must feel, she has tried to say it wont have had an adverse affect on her but i know she hasnt been right for months so it must have. i feel terrible.
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Nikirooshka
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You haven't done anything wrong :hug: You put your faith in a vet as we should all be able to, and you were let down :hug:

The best thing I can say to you is not to dwell on the what ifs - I've been doing that with Remy for years, 'what if I'd learned years ago what I've learned over the last 2 years' and so on but it doesn't help him, it just upsets me. You know now, you're getting her well again and that's what matters :hug:
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Indie chick
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I agree with Niki and although I know its hard please try not to beat yourself up. You paid good money for what you thought at the time was a specialist opinion to be trusted and relied upon. Try to concentrate on now and making Peggy as well as possible again and then make an official complaint about him.
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Brenna
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I am with Kaye and Niki. You are fighting her corner and doing her best and I guess you now know how good you normal vet is. :hug: to both you and Peggy.
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missuswilderness
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They are all right you know. You have always done the very best for her including taking her to a specialist. It isn't your fault he didn't know his bum from his elbow.

Onwards and upwards for Miss Peggy now :love:
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Trailhoundann
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So sorry about all this Peggysmum. I can understand how you must feel but as the others have said the most important thing is what happens now and from now on. You should see a lot of improvement in Peggy once she is stable back on the medication again and that should help to make you feel much better about things. Once that is achieved then you will be able to think very clearly about what you want to do about the so called specialist Vet (apart from something lingering and painful of course).
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peggysmum
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thanks all for your kind thoughts, have been and got her meds and she had one this morning. i suppose it will take a couple of weeks for them to have any affect. ive thought and thought about what i should do about the vet and i dont knwo if there is anything i can. i may write a letter telling him what i think of him, but dont suppose it will make any difference to him. i think though in the long run he will get his, i do believe in what goes around comes around and as most of the vets round here will know longer use him i guess that will hurt him where it really hurts.
tracey
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missuswilderness
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Tracey - vets have to have a complaints procedure and deal with it properly. You might not feel there is any point complaining but perhaps 50 people before you felt the same and didn't say anything so no one knew he was useless so you still got referred. I really, really would complain (I'll help you write the letter) and explain that you will not be paying the other 300 you owe. That normally makes people sit up and listen a bit.
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Nikirooshka
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peggysmum
5 Feb 2013, 17:40
thanks all for your kind thoughts, have been and got her meds and she had one this morning. i suppose it will take a couple of weeks for them to have any affect.


Indeedy, it takes 3-4 weeks at least for it to build up in the system.

Purely from personal experience too, I had a 2 month break from my meds last year on doctor's request and it's actually taking longer this time around for me to reach full health again than it did the first time, simply from having that break - I've no idea if that happens in dogs (not been in that situation with any of mine) but everything else is much the same so I thought I should mention it in case it takes longer and you find yourself worrying :flowers:
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peggysmum
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had to take peggy back to the vets this evening as snot had started again last week , seemed to be as soon as i started the steroids. gerrit has done a blood test and a swab , she is testing for aspergillosis , please please everyone cross everythign it is not that. im so worried now. and on top of that we also took pumpkin the elderly cat my elderly neighbour and i share foster, last week we took him as he had a head tilt and gunky ears, week on ears are fine but he now has a worse head tilt and nystagmus. pumpkin has just about everything wrong with him but has battled on, kidney failure, high blood pressure, gluacoma he is blind, last year he had an eye removed cause he had a tumour now it looks like he could have another growth or the same one :cry: i feeel just a bit crap now.
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Trailhoundann
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:hug: :hug:
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Indie chick
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I haven't heard of aspergillosis before so have looked it up, didn't you say they took biopsies from Peggy before? if so would that not have picked it up? Keeping everything crossed for you and Peggy and also for Pumpkin :fingers: :fingers: :hug:
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peggysmum
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yes they did last summer, but gerrit is worried as her immune system is low and this has been going on so long that it might have sneaked in i guess. i dont know.she just wants to be sure it isint before she ups the steroids but im worried about that as it got worse from last weds when she started taking the steroids. she has also changed to a different antibiotic. im just hoping it is her just making sure.
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