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Thread: HELP!! Thrombocytopenia (low platelet issue)

  1. #11
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    More on platelets, a VERY welkl recognised condition with cavaliers and noted by ALL the breed clubs on their websites:

    http://www.cavaliertalk.com/phpBB2/viewtopic.php?t=471

    I would immediately change vets (individually or collectively); honestly, what an attitude! And also give them these links so they can see you are right. As Nicki says you shpould have a partnership with your vets and sometimes we do need to help them understand the specialised breed health issues in our dogs. But to be told we are wrong without them even considering your points is very unfortunate. I would not start the steroids either unless there's other reasons to consider them.

    On the wider issue, I am sorry you are seeing these health problems. If other possibilities are ruled out, you might consider trying him on frusemide -- the first step of SM treatment -- to see if it helps. This could be the problem and medication might really help.

    PS there will be a VERY low cost MRI facility available to your area in the next 45 days or so -- stay tuned for news. So don't go to MRI him yet unless absolutely necessary.
    Karlin
    Cavaliers: Jaspar Leo Lily Tansy Libby (foster) Mindy (foster)
    In memory: Lucy
    Cavalier SM Infosite:www.smcavaliers.com

  2. #12
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    It is ironic that even the ACKCSC has on its so-called "Health" webpage a link to an article about the platelet issue (albeit 5 years old and out-of-date due to four major platelet studies written since then). That webpage totally ignores the disease affecting and killing the most Cavaliers, which is mitral valve disease, and yet it pays great attention to the platelet disorder, which really is not a health problem for the breed.

    I do not mean to downplay the importance of knowing about the platelet issue, but the bottom line of that issue is that a low platelet count, by itself, is not a health problem for Cavaliers, while MVD, which the ACKCSC's "Health" webpage refuses to acknowledge the existence of, is the most serious health problem for the breed.

    Rod Russell
    Orlando, Florida USA

  3. #13
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    Rod, I'd never noticed that, but you are right -- how bizarre. Their 'current breeding advice on syringomyelia' is also the advice initially offered by Dr Rusbridge 3 or 4 years ago. For more than a year, there's been a suggested programme involving MRIs that is quite detailed.

    The CKCSC website finally put up information on SM a few months ago -- and their explanatory document is a very thinly disguised amalgam of Dr Rusbridge's information sheet and my symptoms document with no credit given to either of us. You'd get an 'F' in fifth grade for such blatant plagiarism. But at least the information is out there.

    http://www.ckcsc.org/ckcsc/ckcsc_inc...gomyelia2.html
    Karlin
    Cavaliers: Jaspar Leo Lily Tansy Libby (foster) Mindy (foster)
    In memory: Lucy
    Cavalier SM Infosite:www.smcavaliers.com

  4. #14
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    Karlin, the reason the CKCSC,USA has any information at all about MVD is because of the change in presidential adminstrations at that club. The past president downplayed MVD, stopped publishing the MVD breeding protocol which the club's prior administration (under president Anne Eckersley-Robins) endorsed, and eviscerated the club's health registry (really a healthy heart registry). The current president appointed Anne Eckersley-Robins as the chairman of the CKCSC,USA's health and education committee, and she is responsible for the club re-acknowledging the existence of the MVD breeding protocol by including it on the club's website, and re-invigorating the health registry.

    Rod Russell
    Orlando, Florida USA

  5. #15
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    I want to thank you all for your help and encouraging words. I have printed all the data I could find on this condition and will ask the vet Monday to have a hand count done along with the clotting factor test. And I also thank you for the good thoughts for him.

    I will be sure and let you all know what happens as we go down this testing path. Murphy has been our problem child for the year we have had him. I am hoping that he does not have an under lying severe medical condition that is causing all his issues. Thanks again.
    Molly and Murphy (tri), Katie (ruby), Casey (B/T),Spike the wonder pup (tri), Suzie (tri) and Penny (blen)

  6. #16
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    Molly, sorry to hear about your boy's symptoms.
    Good for you, to have the thyroid sent to the Tufts study, and for at least trying to help your vet help your dog.

    You haven't included in your posts anything positive about your vets, and lots of negatives, so like others, i want to encourage you to shop around as Rob did and find someone more intelligent than your current one. This is not just about being male, I've met female vets who have narrow limited perspectives and presumptions too--not that they aren't nice, some have nice personalities, and as you describe the other vet, are "more open," but more open is not enough. If possible one should have a vet who is seeking to learn, who is interested in things that are new to them that they don't already know about, and who encourage patients/owners to express their concerns and to enlighten them when such things come up.

    The fact that you said "they" were not happy with you for wanting the thyroid panel faxed to the Tufts study sums up the whole problem right there. "They" (the practice in general? the office staff? under the leadership of the chief vet?) are opposed to participating in such an important study? What you have decribed is rigid prejudiced thinking that opposes learning. They are hostile to being told things they don't know, and they are hostile to others, such as the Tufts researchers, for trying to learn new things, or bothered by patients wanting to participate in such attempts to advance learning.

    Even though no one at your vet's office may have stated these unfortunate biases to you, you have gotten that message. I am just responding to what you have said. I would not trust that office or that practice to give my dog the best possible care. A vet that would rush to give the highly toxic prednisone without checking into the possibility the dog may not need it, is careless and arrogant. He is using scare tactics with you to pressure you to follow his advice--he probably believes in his statements to you, he probably expects your dog to bleed out at any minute. However, until the blood panel, "they" (you said) were dismissing his symptoms, "just behavioral." This can't be good medicine. First, they dont' know the cause of his symptoms so they dismiss them rather than trying to investigate thoroughly. Then, they get a blood test result and they swing the other way, hysteria and ominous threats of eminent death requiring damaging medications. This is not intelligent. If the female vet was fundamentally different, i doubt she'd remain in that practice with the other guy.

    How about asking Dr Dodds for a referral? I live in the same town where her home office is and when my zack was sick when i first got him and 4 vets were just throwing medicines at him without success and without know what was going on, i was going to take him to see her, and i talked to her office. I was told that i could email her about zack and that she would definitely write back to me, though it might take a while because she was out of the country at the time.

  7. #17
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    Cavaliers aren't the only breed that has large platelets that clump and get computers confused. 5 years ago we did a blood test at UW Madison-- they freaked out when they saw his platelet count--- I pulled from memory something I'd learned on a cavalier list. The vet said he didn't know that cavaliers had that too. He mentioned two other breeds that have the same thing. The wanted to put him on steroids-- of course my vet and I now laugh a bit-- IF his count was truly that low-- he'd be bleeding from every oriface and bleeding internally. (NOT running around playing like a maniac). Sandy

  8. #18
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    Molly,
    Just to let you know, Geordie has been having Jekyll and Hyde issues since he reached maturity. It seems to be partly temperament, partly lack of proper socialization during the key window of time for puppies, and, I'm guessing here, partly PSOM, probably pain/discomfort and hearing problems, which could affect his self confidence.

    I have been working with a trainer since Geordie was 7 months old and he is now 3 years old (on July 30!), and he has come a long, long way. I will not give up on him, but I realize he does have certain limitations, like he will never be a therapy dog like India and Chocolate.

    That said, we love Geordie all the more because he really needs us to understand and help him.

    If you find out what is causing Murphy's problems, please share with me, I keep thinking maybe I'm overlooking something!

    Give Murphy extra kisses and snuggles from us!
    Cathy Moon
    India(tri-F) Geordie(blen-M)Chocolate(b&t-F)Charlie(at the bridge)

  9. #19
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    The current president appointed Anne Eckersley-Robins as the chairman of the CKCSC,USA's health and education committee, and she is responsible for the club re-acknowledging the existence of the MVD breeding protocol by including it on the club's website, and re-invigorating the health registry.
    I know she has really worked hard on a number of fronts.

    All the same I've emailed them to state they need to accord the same respect to copyright material they use from others that they demand from people using their own site, where people are required to gain permission to use any material and credit them. I've asked them also to link directly to the downloadable versions of the symptoms and information sheets as they are restricting distribution on their site but Dr Rusbridge and I freely allow those two documents to be downloaded and circulated (obviously in a form where they include the authorship and copyright information). And suggested it would make sense to link directly or get permission to post all of Dr Rusbridge's current breeding recommendations, as they surely are of interest to breeders.

    So now I will see what they say.
    Karlin
    Cavaliers: Jaspar Leo Lily Tansy Libby (foster) Mindy (foster)
    In memory: Lucy
    Cavalier SM Infosite:www.smcavaliers.com

  10. #20
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    Molly,

    How did things go today with Murphy at the vet's office.

    Been thinking about you both.
    Charleen and Cav's: Pippin (ruby male), Merry (b&t female), Luke (blenheim male) & Jolly (tri male puppy)

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