Category Archives: Oliver

Happy Halloween!

It’s that time of year again!  We just wanted to wish all of you a happy and safe Halloween!

Dads tried to embarrass once again this year.  Seriously, when will they ever learn?!?

Oliver is a Bee!  Bzzzzzz!

Oliver is a Bee! Bzzzzzz!

Tucker as The Red Baron

Tucker as The Red Baron

Barclay as The Headless Horseman

Barclay as The Headless Horseman

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

And OF COURSE, a reminder to keep your fur-kids and friends safe this Halloween — it’s one of the biggest times of year when pets go missing ’cause it can freak us out a little bit.

Ain't we cute?

Ain’t we cute?

 

 

 

 

 

 

 

Here’s Barclay’s advice from last year:  https://buckwhiteboys.wordpress.com/2012/10/31/boos-halloween-advice/

And if you don’t trust him, here’s some good words from The Humane Society:  http://www.humanesociety.org/animals/resources/tips/halloween-safety.html

Hope you have a PAWESOME HOWL-I-DAY!!

BWBoys Halloween Greeting

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Filed under Advice, Barclay, Dog Safety, Holidays, Manipulating Humans, Oliver, Recommendations, Tucker, Ways Our Dads Embarrass Us

If you didn’t know . . .

If you didn’t know Oliver was sick, you’d never be able to tell.  He’s bouncy, goofy, silly, wonderful Oliver, but a little quieter, with a little less stamina and every once in awhile he gets this far away look in his eye and you know he’s not feeling 100%.

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We had a good follow up visit yesterday.  Here’s the status report:  BUN and creatinine (measures of kidney function) are back to normal!  Hooray!  His blood pressure was 150, so still high, but lower than it was and being maintained by the medicine.  Great!  Pretty much all of his “numbers” were in really good shape.

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Except for one.  We got a really good education on how blood is produced yesterday.  You ready?

OK, reticulocytes are immature blood cells that have shed their nucleus and been released by the bone marrow.  The presence of reticulocytes in the blood indicates that the marrow is producing new red blood cells and responding  to a hormone released by the kidneys called Erythropoietin.

So, we know that Oliver is still anemic because his Packed Red Blood cell count yesterday was 24.  That’s steady from the last time it was tested on September 23, but it should be around 40 so it’s still low.

Oliver’s bone marrow is not producing reticulocytes and it appears his kidneys are not releasing erythropoietin.

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We’re now in entering into the “Land of Could Be” – a place where we’re just going to go ahead and buy a permanent vacation home. This issue with the kidneys COULD BE kidney fatigue, basically.  Oliver’s system has been through so much in the last month that it’s just packed up its toys and is pouting in the corner, not wanting to do any more.

Today Oliver is going BACK to the ER Vet and will get a shot of Vitamin B12, a shot of Iron and a shot of erythropoietin.  The erythropoietin will have to be repeated twice more over the next week and the whole goal here is to kick-start that hormone production, get the kidneys in gear and kick the whole system back online.

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If that doesn’t work, Oliver will have to have a bone marrow test to see if there’s another reason why they’re not producing new red blood cells and we DO NOT want to do that.

Oliver played it up pretty hard during a visit to Barking Dogs yesterday.

Oliver played it up pretty hard during a visit to Barking Dogs yesterday.

 

 

 

 

 

 

 

 

In the meantime, we were able to reduce his number of meds, cut back on the prednisone even more and we’re just gonna keep bouncy, goofy, silly going while all of this is going on.

‘Cause that’s what Oliver’s all about — if you’re going to do something, do it ALL OUT.  If you’re going to eat, eat with gusto and enjoy every bite – even the ones you dropped on the floor.  If you’re going to sleep, sleep hard – throw your legs up in the air, kick your head back and snore your little head off.  If you’re going to play, play until you collapse on the cool tile, worn out, panting and smiling.

And if you’re going to get sick, well, you may as well have something very rare, very odd, very confusing — and very expensive.  That’s our Oliver.

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Filed under Manipulating Humans, Oliver, Veterinarian

Maintenance

Welcome to our 50th post!

It has been relatively uneventful a Chez Buck-White lately, but there is still plenty going on.  We met with Oliver’s new “specialist” veterinarian – he’s an internist, apparently the only one in the state of Nevada.  Who knew?

He keeps his happy face on through all of it.

He keeps his happy face on through all of it.

 

 

 

 

 

 

 

 

 

 

The plan is that O-man will have regular check ups and at each one we’ll do blood tests, blood pressure, etc.  The most recent tests showed that his red blood cells are still not as high as we would like; they are better than they were, but not as good as they had been.  This is the one we need to watch carefully since it could indicate more bleeding or “leaking” blood vessels.  His blood pressure is still too high, as well.

Nap time is the best time!

Nap time is the best time!

 

 

 

 

 

 

 

 

He’s on a lot of meds, but we’re pulling back on the prednisone.  This immune-mediated disease responds well to steroids, but steroids have some pretty ugly side effects; it’s a delicate balance.  And since we’re still dealing with so many unknowns, we keep trying to maintain that balance.

The daily dose - twice a day.

The daily dose – twice a day.

 

 

 

 

 

 

 

 

 

 

His attitude through all of this is great.  His energy isn’t exactly what it was, but he went through a lot in the last month.  We did notice, though, that once all the fluid he was holding onto was gone he started looking really, really thin.  He’s always been on the skinny side, but he was really gaunt.  A call to the vet said that Dads could increase his food to FOUR CUPS A DAY!  We hate him for that – now he gets Breakfast and Dinner like usual, but he gets LUNCH TOO!  Not fair.

Got to go on an outing!

Got to go on an outing!

Just chilling!

Just chilling!

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

He gets a little sleepy from time to time and you do NOT want to be in the room when he, uh, “crop dusts” if you know what we mean.  Phew-eeeeeeee, that’s some nasty stank.

Naptime for yellows!

Naptime for yellows!

 

 

 

 

 

 

 

 

So we keep going.  We cannot tell you how much we appreciate the thoughts and prayers and karma and tweets and posts – keep ’em coming!   We’ll try to steer this blog back to fun stuff, toy reviews and stuff we really love.  Which is a lot of stuff!  Besides, Barclay’s getting a little jealous that the blog hasn’t been about him for awhile.

Hey, by the way, here’s a little thing one of our Dads wrote about their trip to Alaska: mpeska.blogspot.com.  Enjoy it and check out Marcy Preska’s writing – good stuff!

 

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Filed under Barclay, Oliver, PoopyPuppies, Veterinarian

Toy Review Tuesday (and an Oliver Update)

Oliver had a good day today – very quiet and subdued, but that’s what he’s supposed to do.  The doctors do want him moving around a bit so that he can work out some of that edema and fluid build-up and he was feeling pretty spry at certain times of the day.  He does love his boiled chicken and rice.

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For the record, this is his pill dose – twice a day.

O Pills

 

 

 

 

 

 

 

 

 

And, also for the record,we can’t decide if he looks like a beached beluga whale or a baby albino hippo. Either way, and all kidding aside, we are seeing the swelling and fluid build up going down – slowly. Follow up appointments with specialists have been scheduled.

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Now on to the Toys . . . Dads went on vacation, as we mentioned, and had a brief stop in one of The Buck-White Boys’ favorite places, Seattle! And, even more specifically, Pike Place Market.

Three years ago they passed through Seattle and picked up the greatest dog toy at the Market – it was this rope tied in loops and knots. The guy who was selling it said that it was made from recycled or discarded climbing rope.  So, that’s cool.  We loved it immediately.  Check this thing out:

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We have chewed this, tugged it, dragged it around and every foster that came through took their time with it as well.  Sure, it’s a little frayed in some places, but it’s holding up REALLY well!

Well, we’ve all talked about that toy for three years and we’ve even sent people also passing through Seattle to pick ’em up.  We seriously love this thing.  And wanted more.

Guess what!  Looks like this has turned into a really good business for these people – they’re called Adventure Day Treats and they also make what sound really yummy, all-natural treats.  We think Tucker should try the Breath Nuggets and Barclay ought to have a crack at the Calming Nuggets, don’t you think.

But, of course, the real draw was THE ROPE TOYS!  They call ’em the “Monkey-Fist Tug” and they are just as much fun as we remember!

Dads picked up a couple and brought ’em home:

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You can tug ’em, you can chew on ’em, you can fling ’em around (gently and if you’re outside).  Here’s the thing, though, they are so well made they don’t fall apart.  A lot of rope toys come apart once you start chewing on them, or they get so frayed so quickly that they’re not fun and leave shreds all over the house.  These “monkey fists” are the real deal and are super, super awesome.

They also make other kinds of pulls and rope toys – different materials and different sizes.  There are also these really cool leashes.  And treats.  Did we mention the treats?  And gift baskets.  Of treats.  We might be hungry . . . . we’re labs and we’re awake, so, yes, we’re hungry.

Definitely go check these out on their website www.adventuredaystreats.com.  Looks like you can order them online – they’re worth getting your paws on, especially if you’re a big chewer or tugger.  Or, even better, make a trip to Seattle and visit them in Pike Place!

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Filed under Christmas, Food, Oliver, Recommendations, Toys, Uncategorized

Interconnected Confusion

Yesterday when our Critical Care Vet was talking it reminded us of this:

With Oliver it’s like something caused something which affected something which caused something which affected something and they all have different treatments or medications which are causing this or that effect . . . . we’re all beat.  Except Barclay who’s enjoyed having all the toys to himself.

Oliver came home today – hooray! We’re really hoping some good rest and familiar surroundings will help a lot.  We figured out that he’s essentially been in puppy prison for nearly a full month now.  It helped all of us to sit down and piece everything together, and enough people have asked that we thought we’d list it all out  . . . ready?

Oliver was first admitted to the vet on Sunday, August 25th with vomiting and melena.

On Monday, August 26th our regular vet recommended Oliver be moved to Emergency and Critical Care; we knew he was bleeding internally, but did not know why.  He had 3-4 blood transfusions and an albumin transfusion, along with a lot of other treatment.

There is no canine albumin for transfusion so human albumin is used.  A dog’s system CAN see that albumin as a foreign body and attack it and a dog can only have a human albumin transfusion once in their life as the second time the “allergic” reaction is extremely severe.  We were warned of the possible complications and were very clear.  This will come up later, so hold on to it.

Oliver had surgery on Friday, August 30. They sutured a bleeding artery in his stomach and sent a tissue sample for biopsy.

Oliver came home on Monday, September 2.

On Friday, September 6 Dads left for a long-planned-and-already-paid-for vacation.  Barclay & Tucker stayed at home with Aunt Lady; Oliver stayed at his regular vet because everyone just felt better in case something happened.  When he went in he seemed perfectly healthy, was in great spirits and only needed some tummy meds and ultimately to have the staples from his surgery removed.

Saturday, September 14 Dads were back in cell phone range.  They’d talked to the vet a couple of times earlier in the week and everything seemed cool – they decided to keep him on his tummy meds awhile longer just ’cause he seemed a little oogy still. Checking in, they learned the results from the biopsy had come back, Oliver was his normal self and the results indicated that pathology wasn’t sure what had come first, an ulcer that caused the artery to burst or the burst artery caused an ulcer.  

The pathology report noted that the tissue sample, or lesion, ” . . . may represent a case of systemic necrotizing arteritis or polyarteritis nordosa.” But their findings were inconclusive because the ulcer could have occurred first.  The only way to 100% diagnose arteritis is through pathology. 

On Sunday, September 15 Dads were headed home.    Sunday morning at about 5:00 a.m. the overnight vet tech noticed Oliver’s face seemed a little puffy.  Thinking it might be an allergic reaction to something, the on-call vet prescribed a shot of an antihistamine.

By about 10:00 a.m. when Dr. C. came in, Oliver’s face was still puffy and he had bruises on his abdomen.  He’d been in a very controlled environment so this was puzzling.  A shot of steroids to reduce the swelling was prescribed.  By mid-day, several veterinarians had been consulted and we all begin operating under the theory that Oliver does, indeed, have this arteritis.

Arteritis is very rare in humans and even rarer in dogs.  There’s very little literature or case studies on it, but what is known is that it is usually immune mediated, that is where the immune system essentially attacks the arteries.

On Monday, September 16, Oliver begins aggressive steroid therapy to try to get his immune system somewhat suppressed.  He also came home that day.

On Wednesday, September 18, it appears Oliver is not getting particularly better, having vomited several times and he is referred back to the Emergency and Critical Care vet.  He is admitted to the hospital again to be watched and have his medicines adjusted.  He begins having diarrhea and continues vomiting.

So here’s where the connections start happening:

— It appears that the vomiting and diarrhea are a reaction to one of the medicines; he’s taken off of it and it slowly gets better.  But this was a medicine we really needed to try for the immuno-suppression;

— During blood tests his BUN and Creatinine numbers start increasing.  These are measures of how the kidneys are processing toxins;

— His blood pressure starts to increase, so he goes on blood pressure medicine;

— His tummy starts to fill with fluid and he gets edema in his back legs.

Now, as time goes on these issues start to get better – kidney values get closer to normal, blood pressure is lower, etc.  The continued issue is the fluid build up.  SO, here’s what we’ve got:

1) The Arteritis – very rare, suspected to be an immune system dysfunction – treatment is steroids;

2) Steroids and Other Medication – can cause diarrhea and vomiting and also fluid build up (a relatively common side effect of prednisone);

3)  “Lymphoplasmacytic Gastritis” – or Inflammatory Bowel Disease – this was also identified on the biopsy, but could have been caused by the bleeding and the ulcer (if the ulcer came first);

4) The Ulcer – did this come first?  Were the arteries already weakened because of the Arteritis, so the Ulcer caused them to be weaker? Or did the injury to the arteries cause a loss of blood flow to his stomach?  Unknown;

5) Vomiting and Diarrhea – is this due to the Gastritis?  Or is it a reaction to one of the medicines?  It seemed to get better once he went off that one medication, but it’s still too soon to tell for sure.  Or it could be a combination;

6) Protein-Losing Nephropathy – he’s losing protein through his urine.  Could be because of the weakened arteries, or — ready for this? — it could be an adverse reaction to the albumin transfusion he had before his surgery;

7) High Blood Pressure – who knows?  Could be related to any or all of the above – any of these issues can cause high blood pressure as can a couple of the drugs he’s on;

8)  Edema and Peritoneal Effusion – the fluid retention is most likely due to the weakened arteries and the vascular disease, but it could be because of the low protein in the blood.  Y’know, that he’s losing in his urine.  Because of the weakened arteries or reaction to the albumin transfusion.

9)  Chronic Thrombocytopenia – low platelets in the blood.  Part of the protein loss?  Left over from the anemia when he was bleeding internally?  Because Thrombocytopenia is fun to say and difficult to type?

10)  Chronic, Variably Regenerative Anemia – his packed red blood cell counts are lower than we’d like but significantly higher than they were, so we’re not too terribly worried about blood loss, but we do have to keep an eye on if he’s peeing/pooping/vomiting blood or appears pale, lethargic, etc.

So, all told the diagnosis and prognosis are:

Sick Dog Meme

 

 

 

 

 

 

 

The plan now is that he’s home, getting plenty of rest and love and we will continue to monitor him, work with the specialists, slowly wean him off of these medicines and see where he gets it.  We’re hopeful and confident that he’ll do great, but it’s going to be quite the haul — and, truthfully, all of this may prove too much.  We don’t know what long-term affects these illnesses have caused and we don’t know what could happen.

But we do know that he’s an awesome, awesome boy and is doing really well handling all of this and being chipper about it. If that changes, we’ll know that means he’s really, truly sick.

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Filed under Oliver, Uncategorized, Veterinarian

Poor Little Guy

This is a tough post to write – through all of this, even when the internal bleeding was the worst, Oliver never lost his spirit or his joy.  To see him with his tail tucked and clearly not feeling well was so sad.

It appears that the arteritis has begun to affect his kidneys.  With a blood test on Thursday, his BUN result (Blood Urea Nitrogen – a test of the amount of nitrogen in the blood that comes from waste) was very high, indicating that the kidneys weren’t processing toxins correctly.  At the time, his creatnine (another indicator of kidney function, releasing waste) was fine.  Our primary veterinarian felt it important that we consult with the emergency vet where he was first diagnosed.

This condition is so rare that there are a lot of experts being called and involved in determining best approach.

The emergency vet really felt strongly about admitting him and administering “aggressive IV fluids.”  He stayed overnight Thursday, hoping to come home today.  Unfortunately the BUN and creatinine levels continued to rise, so he is there again tonight.

He is not happy, he does not feel well and he’s just not himself.  Tomorrow will tell us more and we hope beyond hope that he’ll come home sometime on Saturday.  The doctors remain confident that the course of treatment is correct – the approach was changed slightly yesterday so we need to give it time to work.  In the meantime, we do everything we can to keep his spirits high – dads visited him today with snacks and toys and a cozy blankie.

Please keep the good thoughts and prayers coming – we are all very, very thankful.  Especially Mr. Oliver.

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Filed under Oliver, Veterinarian

Artery + Itis

Dads went on vacation – one that had been planned a long time and couldn’t be changed (they felt bad about going, but they did get some much-needed away time).  Barclay and Tucker stayed at home with their favorite Aunt Lady (thanks again, Aunt Lady – we love you!).  Oliver, on the other hand, got ten days at Camp Vet.

Everybody was a little concerned about Mr. O-Man after his “adventures” the week prior, but it was the best solution having him stay with the doctors while dads were away.

Oliver did really well.  Dads talked to the vets every day they could (some days there was no cell service) and Oliver did great – he was happy, healthy and charming.  On Saturday of this past weekend, everything was a-ok . . . Oliver had his staples out and was his bouncy, normal self.  Ready to come home and, believe-you-me, Dad & Dad were ANXIOUS to see him and get him home (and see B&T, too, of course).

Sunday morning the vet tech noticed that Oliver looked a little puffy and then that he had some bruises on his abdomen.  First thought was that it was an allergic reaction to something . . . which would be odd, given that he hadn’t been exposed to anything in the vet’s office.

Let’s make the long story very short — specialists were called, there were conferences and blood tests AND the pathology report came back from the biopsy from the surgery.  It is possible that Oliver has a very rare condition referred to as “Arteritis” or “Artery” plus “-itis.” Which, essentially, is a condition where the white blood cells attack the arteries as a foreign body.

This is typically diagnosed by a pathology report from a biopsy.  Oliver’s says it COULD be this issue, but it’s unclear whether the ulcer happened first and caused the arteritis or the arteritis caused the ulcer.  Given that symptoms seem to be occurring again – edema and unexplained bruising – this is the operating theory now.  It is treated with a course of steroids and “most dogs respond very well to the treatment.”

Here’s the thing – it’s so rare that there’s really no way to know what is normal or really have a strong prognosis.  We are in another “wait and see” mode.

Oliver is a little puffy and swollen and he clearly doesn’t feel well.  There’s a bit of diarrhea, some throwing up, he’s lethargic and a little wobbly.  Some of this is reaction to the steroid treatments and he’s on big doses of Benadryl, so it’s to be expected.  Once the course of treatment is done we’ll run more tests and evaluate.

Right now he’s getting a lot of love (which makes Tucker very, very jealous), a lot of sympathy and pretty much anything he wants whenever he wants it.

Barclay would very much like for all of this to be over because he’s not getting nearly enough play time.  Tucker is jealous of all the attention Oliver is getting.

We are confident in our vets, confident in Oliver’s resilience and so appreciative of everyone who’s asked about our Goofy Guy.  Who tends to take naps in the most wonderful positions and inopportune locations:

desknap desknap2

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Filed under Oliver, PoopyPuppies, Veterinarian