|Barked: Tue Sep 3, '13 7:27am PST |
|I would go straight to the internist.
This has been going on for a long time. Your current vet is at a dead end. If nothing has improved yet with what you've been doing, it's not going to be better at this recheck either. Go to the internist, let them pull this round of bloodwork - because that's where they're going to start, and every vet wants the bloodwork to go through their own lab. If you go for a recheck with your current vet, they're going to end up sending you to the internist who is going to want to repeat the same bloodwork you just had done.
Then just hear the internist's plan. You don't have to do anything they recommend.
Ultrasounds may be a good idea. I don't recommend doing a biopsy without a target area, though. I did one, it came back inconclusive. The vets seemed totally unphased by this and recommended we just keep doing biopsies until we got a result. I was literally told, "Well, the biopsy only looks at 1/1,000,000th of the liver, so it's easy to miss without a target area. We should do a second biopsy from a different area." Because I guess 2/1,000,000th of his liver would have made a difference?
Different or more extensive bloodwork may be a good idea as well. It's possible the seizures are caused by whatever is going on the liver, and brought out by stress. I'd look farther into that as well.
As far as saving money, Denamarin is Sam-E and milk thistle, sold exclusively to vets with a brand name. You can buy those on your own for much less. Still expensive, but not as much.
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