Yesterday was an up day, a good day. Today took us on another turn. In very general terms, Oliver is pretty much the same as he was yesterday. What we need to see is better, not just the same. The reality is that his blood counts dropped “a little bit” but all of his other vital signs remain strong.
It’s clear that there is still internal bleeding; it’s still, uh, coming out. He is eating normally and is not vomiting any more, so that’s a positive. That’s just it – there are small positives and some negatives. The second biggest problem is that he’s losing blood protein – another sign that the internal bleeding is still happening – and is suffering from pretty severe edema, still. Since the blood counts are dropping slightly and that edema is still occurring its clear we really need to know what’s going on.
We met with the ER vet this morning and we all agreed it was time to move forward with the endoscopy to try to find out what’s happening. We are still worried about his strength being able to handle it.
He is receiving an overnight albumin transfusion. Albumin is a blood protein that, essentially, holds the fluids, hormones and fatty acids together in blood cells. Since his protein is low, the transfusion should help hold everything together and reduce the swelling.
There are any number of things we could find from the endoscopy tomorrow – they still seem to be leaning towards an ulcer, possibly perforated. It could be any number of things as well – from lymphoma to other types of cancer to who-knows-what. Once we know what it is, we’ll know what to do.
So, we continue to wait. And hope. And throughout all of this, Oliver has maintained the joy that is Oliver – he’s charmed everyone at the ICU, greets us with bounding hugs and kisses and carries his toys around everywhere he goes. Sweet boy doesn’t deserve any of this and, boy, is he happy to see family and ready to go home.