2014-09-30

Gotcha Gabby

Gabby's "official" gotcha day is October 6th. She entered my care on June 4th. And her date of birth is November 30th. 

On September 30, 2013 I emailed Ellie, one of our regional coordinators, "a hypothetical situation." 


If I were hypothetically interested in keeping Gaby, would I be allowed to?
YES, AND I WOULD LOVE NOTHING MORE.
Hypothetically.
 Anyone who knows me a little bit, knows that I adore this dog to pieces. She does virtually nothing wrong and she is as good as gold. Gabby came into my life when I needed her most. She learned so many important lessons from Buzz, she helped satisfy my desire to train when Buzz no longer could, she provided company for Buzz when I worked long hours, and she sat with me while I cried and cried and cried when he was gone. She has been invaluable in helping my heart to heal from the immense loss of my heart dog. Gabby and I have bravely forged our own path where we are learning how to work together. She makes me so happy. She is so joyful. 

And she wouldn't be mine without the compassion and generosity of English Springer Rescue America. Being Gabby's foster means that I know how much money was spent on her care. And I know that her adoption fee was less than half of her veterinary care cost. Thank you for helping me find my Gabby.

Happy gotcha day Gabbers.


Aroha's ESRA Gift of Gab RLV





2014-09-17

Bailey's Behavior Modification Medications

Some of you know that Bailey has been struggling physically and mentally lately. Really struggling. She couldn't seem to settle unless she was sleeping and she was often restless even then. Unfortunately her "just not right"-ness has actually been going on for about a year with quite vague symptoms that seemed to change week to week.

She takes a variety of prescription medications as well as supplements. I've learned it can be quite difficult to manage so many medications successfully, there are so many potential interactions! One of the things her vet(s) and I have discussed recently was the possibility of incorrect medication doses. In medicine there are "relative overdoses" and "frank overdoses." The simple way to explain it is that a "frank overdose" means the patient received too much. A "relative overdose" means that even if the correct, calculated dose was administered, it was too much for that patient.

I'll start by saying I am so very lucky to have the resources I do. As we reviewed Bailey's symptoms, time-frame of onset, various diagnostics, and medications for the hundredth time I heard "what if one of her medication doses is now wrong for her." And we all paused. So we started looking up side effects of ALL the medications she takes. Fluoxetine is metabolized by the liver. Earlier this year, Bailey's liver values were elevated. She was started on a supplement from Standard Process and at her next recheck, her liver values had normalized. She, however, did not normalize. Hyperserotonin syndrome is not common as far as I can tell, and the onset is usually very quick with serious consequences if it isn't addressed. However, many of Bailey's symptoms were the same. She was more anxious, she was nauseous, she was ataxic (all four limbs didn't seem to get the correct signals from her brain), and she was restless (just to name a few). We had tried to rule in or out so many other causes without success. Nothing else added up the way this did.

Bailey was weaned off her Fluoxetine completely (and very carefully) over the course of 6 weeks. The lower her dose got, the more she improved. Both physically and mentally. She is no longer ataxic, she has more coordination than I've seen in a year. Her appetite is much better. And she is able to relax.

I've hesitated to share this publicly, because I am an advocate for behavior medication in dogs. Her life changed, for the better, because of it many years ago. As dogs age, their bodies change. It was a lesson for me to keep looking for an answer, because there was one for Bailey.