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Thread: Back to the Cardiologist

  1. #31
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    Quote Originally Posted by Pat View Post
    Hydrochlorothiazide can sometimes also be given - this is called triple diuretic therapy for cases that become refractory. These are three different acting diuretics.
    This is the new diuretic that Nicki recommended I ask my vet about for Victoria's ascites and I've just picked up the prescription this morning. In the UK it's called Co-amilozide (which contains two active ingredients, amiloride hydrochloride and hydrochlorothiazide). The vet's wholesaler had never heard of it (!) but forunately a local pharmacist had some in stock so we start the new regime tomorrow

    So we are now on the "triple diuretic therapy" you outlined, Pat. Thank you, as always, for your helpful and informative posts - where would we be without you?

    I'll let you know how Victoria gets on.
    Marie-Anne taken over by
    Hattie (Blenheim) Poppy (Blenheim) + Lucy (Shih-tzu)
    Louie, Joss, Peppa, Megan, Victoria all waiting patiently at the Bridge

  2. #32
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    Thank you. They are really great dogs, I would have bought another but the memories would be too much. I'm so glad Raisin was able to go in peace. I had wished ours would have done the same but he was very comfortable with us there with him. With him his heart was enlarged so much that it started cutting off his trachea so it was the only choice we could make. It will take time to get over this loss and with a new puppy coming into our home it won't be so quiet. We will be happy to have a young pup in here.
    I wish you nothing but the best and I hope you are able to get another peke someday.
    Becky


    Quote Originally Posted by Pat View Post
    I'm sorry about your Peke. I had a wonderful black Peke named Raisin who lived to be 16 1/2. He is my only dog that ever died on his own - he had a fatal arrhythmia one night during his sleep and just didn't wake up. He was curled up very peacefully, and I think it was a good way to go. He had severe heart disease for a long time but symptoms were well controlled until the very end. I'd like to have another Peke one day; he was very special.

    Pat

  3. #33
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    As always Pat thanks for the detail -- am going to get Lucy into the cardio and ask about some of these possibilities for meds down the line; she is managing really well at the moment with the addition of spiro. but useful to know frusemide could go up and spiro. could be twice daily; as well as triple diuretics.

    One thing I am learning with Lucy -- you just cannot make predictions with cavaliers and MVD as to how they will do and the RIGHT combination of meds can add weeks/months/years to a dog's life even when you think they are on their last few days!! It is so worth working with a cardiologist. It is also worth our (owners) doing our best not to panic or get really upset as the journey with MVd can be quite long with much quality of life left for a diagnosed dog. I really try not to worry and just go day by day. Almost five months ago I was very upset and sure Lucy was on her final days while I was away. And she is sleeping beside me on a footstool right now.
    Karlin
    Cavaliers: Jaspar Lily Tansy Libby Mindy
    In memory: Lucy Leo
    Cavalier SM Information site:www.smcavaliers.com

  4. #34
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    I can't figure out how to add photo, but I added a prayer photo that is under my photo library on my profile. It will not let me add it!
    Anne Proud mother of Elton 5 and Angel Ella

  5. #35
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    I always think having a dog with severe SM is terrible, but then I read all these stories from Marie-Anne, Sharon, Joyce, Karlin, Deb, Shirley who have dogs who are suffering with various or end-stage MVD and my heart breaks for you all. It just sounds horrible to witness your dog not being able to breathe. Three of my dogs are already oldies and are murmur free (yeah!!!!). Oz was born with a congenital murmur which has not changed since he's been born (he'll be four in one month) and his cardiologist (Dr. Michael Leuthy) doesn't think it makes him any more prone to MVD than any other cavalier. So, my heart aches for all of you. I hope I never have to experience what any of you are going through. SM is bad enough thank you.

    Becky, I am so sorry for the recent loss of your peke. I hope he is running around like crazy at the bridge meeting all of our wonderful cavaliers that are there waiting to be his best buddies.

    Hugs for all of you and your dogs.
    Bev
    Oliver (blenheim, born 3/2001), Riley (black & tan, born 8/2002,), Madison (ruby, born 9/2003), and Oz (tri-color, born 7/2007)

  6. #36
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    Thank you very much. Many thoughts and hugs to everyone else

    Becky



    Quote Originally Posted by Love my Cavaliers View Post
    I always think having a dog with severe SM is terrible, but then I read all these stories from Marie-Anne, Sharon, Joyce, Karlin, Deb, Shirley who have dogs who are suffering with various or end-stage MVD and my heart breaks for you all. It just sounds horrible to witness your dog not being able to breathe. Three of my dogs are already oldies and are murmur free (yeah!!!!). Oz was born with a congenital murmur which has not changed since he's been born (he'll be four in one month) and his cardiologist (Dr. Michael Leuthy) doesn't think it makes him any more prone to MVD than any other cavalier. So, my heart aches for all of you. I hope I never have to experience what any of you are going through. SM is bad enough thank you.

    Becky, I am so sorry for the recent loss of your peke. I hope he is running around like crazy at the bridge meeting all of our wonderful cavaliers that are there waiting to be his best buddies.

    Hugs for all of you and your dogs.

  7. #37
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    I always think having a dog with severe SM is terrible, but then I read all these stories from Marie-Anne, Sharon, Joyce, Karlin, Deb, Shirley who have dogs who are suffering with various or end-stage MVD and my heart breaks for you all. It just sounds horrible to witness your dog not being able to breathe. Three of my dogs are already oldies and are murmur free (yeah!!!!). Oz was born with a congenital murmur which has not changed since he's been born (he'll be four in one month) and his cardiologist (Dr. Michael Leuthy) doesn't think it makes him any more prone to MVD than any other cavalier. So, my heart aches for all of you. I hope I never have to experience what any of you are going through. SM is bad enough thank you.
    SM is terrible. I don't know much about it except what I've read on this forum. By the same token, I know a lot of people know alot about heart diseases. I don't always come here for answers and when I get people addressing my concerns, both the emotional and medical, I always feel better. Glad Oz is OK and hope he stays that way.
    Joyce - Proudly owned & loved by

    BellaMia (Aug. 30, 2012) My Beautiful Ruby Milo (Jan. 20, 2014) My Handsome Tri
    Sydney (
    April 16, 2000~April 4, 2012) Always and Forever In My Heart

  8. #38
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    Quote Originally Posted by Karlin View Post
    As always Pat thanks for the detail -- am going to get Lucy into the cardio and ask about some of these possibilities for meds down the line; she is managing really well at the moment with the addition of spiro. but useful to know frusemide could go up and spiro. could be twice daily; as well as triple diuretics.

    One thing I am learning with Lucy -- you just cannot make predictions with cavaliers and MVD as to how they will do and the RIGHT combination of meds can add weeks/months/years to a dog's life even when you think they are on their last few days!! It is so worth working with a cardiologist. It is also worth our (owners) doing our best not to panic or get really upset as the journey with MVd can be quite long with much quality of life left for a diagnosed dog. I really try not to worry and just go day by day. Almost five months ago I was very upset and sure Lucy was on her final days while I was away. And she is sleeping beside me on a footstool right now.
    I remember when you were really upset about Lucy and was thinking it was close to her time. That is really good advice because sometimes they surprise us. I thought Ella was going to have months and she could have had years. I too only know about SM but reading this and seeing all the medications and heartache, I feel for all of you. I do understand about taking things day by day and since you said Sydney still wags her tail, then thats something to treasure. All we can do when our loved ones are sick is what you are doing. Asking questions, talking and visiting her cardiologist and making things the best they can. It's hard not to worry about tomorrow, when you have today but I am thinking of you
    Anne Proud mother of Elton 5 and Angel Ella

  9. #39
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    Marie-Anne, I really hope that the Co-Amilozide will give Victoria a good while longer - It's not used as much now as most vets think that modern drugs are better, but my [older] cardiologist thinks it is brilliant for belly fluid - it really helped Fufu, cleared all her fluid. I think it must be so uncomfortable for them I was taught to tell if it was fluid by turning them on to their backs and tapping the belly slightly, you can see it sloshing around. It helps to compare it to a normal dog to start with.

    I'm sorry that so many of you are struggling with MVD dogs right now - like SM it is an emotional rollercoaster but I think that with MVD they do not have the pain which is a blessing. They seem to gradually adjust to a lower activity level, and it's only when their breathing is badly affected that they get distressed with it. They do surprise you though as Karlin has found, which is lovely to hear.

    This is upsetting to read but I think it is important and you need to have things clear in your mind.

    I think dogs do let you know when they've had enough - there are lots of posts about this, my thoughts are:



    I think it is important to be around for the dog, not least for them to be able to go out for a pee when necessary also you have some special time together.


    I would write down the things that you think are important to your dog to give them a good quality of life

    These would be on my list:

    managing a short walk - even if it's only 5 minutes for the stimulation


    Being able to eat and wanting to eat [2 different things]

    Able to move about happily

    Managing to access water bowls - make sure you have one near their resting areas so they don't have to walk too far if not feeing too good

    Managing a cuddle or whatever affection They want

    Being able to breathe when lying down

    Not in any distress


    You are going to get times where things aren't totally under control and you need to speak to your vet then to see whether it is a temporary crisis or a permanent state.


    Most importantly obviously - is your beloved companion still enjoying life?



    Mine have always let me know in some way or other that things are coming to an end - and once you've made that decision, there is an air of peace about them even if they are in pain. I think there is also a calmness within you that the decision is made, even though it's not the one you would like.


    Yes in some ways we'd like them to go naturally - but actually going naturally can be extremely unpleasant for them, and a huge shock to us to find them suddenly gone.


    So I've always felt it is better to let them go too soon, they don't suffer at all that way. Too many are left too long and that is just cruel and you feel guilty forever.

    I always have the vet out to the house [put other dogs away] - have something very special for a treat - such as prawns or sausages - and have them lie across my lap on a towel and feed them the treat whilst the vet lets them go. This way it has always been peaceful. You can have time to say goodbye - and I always let the others say goodbye too so they don't look for them [will still grieve but not search which can be distressing].



    Sadly some people seem to leave them too long - please if your dog cannot breathe if he or she is lying down, so is sitting up all the time, then get them straight to the vet to see if it is something that can be helped or if maybe it is time. I know it is very hard but so many times I've read posts of people leaving dogs like that for hours and I can only imagine how distressing it is for the poor dog.



    Please know that you are all in my thoughts, I hate that we have to face these battles with our beautiful dogs - we go in to the relationship knowing that they will not live forever - but you do feel cheated when you get less time with them than you hoped. All we can do is make the time together as special and precious as possible.
    Nicki and the Cavalier Clan Our photos www.scotlandimagery.com
    Supporting www.rupertsfund.com and www.cavaliermatters.org

  10. #40
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    Pat thank you so much for your posts, I always learn so much from you and I know so many people benefit from your knowledge and experience
    Nicki and the Cavalier Clan Our photos www.scotlandimagery.com
    Supporting www.rupertsfund.com and www.cavaliermatters.org

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