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Thread: Daisy's Appointment At Chestergates "Mr Geoff Skerritt" Mon 22 nd 11.00 AM

  1. #21
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    Hey brian,

    I think PSOM is fairly common 40% I think? Look at rods website www.cavalierhealth.org. I know dr. Rusbridge also mentions it on her site. I asked this question recently about if they do an MRI (which will show PSOM) and it shows both, would they want to treat then?

    The person on forum that knows about this is blondiemaster.

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    Anne Proud mother of Elton 5 and Angel Ella

  2. #22
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    Its so hard because CM/SM can be asymptomatic and do you think its the PSOM causing symptoms or SM. There are different symptoms and I remember there is a blink test for PSOM, (which I will tell off forum) but I am praying for you!

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    Anne Proud mother of Elton 5 and Angel Ella

  3. #23
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    Hi Brian,

    PSOM is diagnosed/confirmed by MRI. I have very briefly described in on the Cavalier Matters website.

    There is more in depth information on Cavalier Health.


    http://www.cavalierhealth.org/psom.htm

    It is similar to Glue Ear, a mucus plus that fills the inner ear. Symptoms can be similar to cm/sm - can cause pain to the head and neck and a number of other problems.
    Tania and The Three Cavaliers!
    Dotty!- A Sweet Little Tri
    Molly - Pretty Tri Dougall - Gorgeous Blenheim

  4. #24
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    If Daisy has PSOM, this will be clear on the scan, because they do a picture from the front through the skull, which shows the inside of the ears very clearly. If Daisy has it, Geoff will discuss treatment with you. It sounds, however, as if she may simply have the 'normal' partial deafness that is common in Cavaliers. You can just make allowances for it, or you could ask Chester Gates to give her a BAER test before she has her scan. This will tell you the degree of deafness she has, if indeed she is deaf and not just naughty! It simply involves her sitting on a table wearing comfortable headphones that are plugged into a computer; a noise is sent through the headphones and the computer measures how each ear responds to it. This was how we discovered Oliver is almost totally deaf in one ear. When he had his test (at the same time as his last scan 2 years ago) he was filmed, so you may see him doing his Snoopy as Red Baron imitation on the video that runs in the CG reception!

    I think most neurologists take CM as a given in Cavaliers, because almost all of them have it. So the scan will tell you whether the CM is causing any problems, but its main purpose is to discover whether the CM has produced SM; it will tell you (a) whether Daisy has a syrinx, where and how big, (b) how much, if any, herniation there is (the bottom of the brain being pushed down into the spinal cord), and (c) whether her brain ventricles are dilated (enlarged). (b) and (c) can be produced by CM alone, without the presence of a syrinx; and the syrinx itself may or may not be producing symptoms, depending on its size (especially its width). All these factors will affect the amount of pain and discomfort Daisy experiences and what treatments will help. Oliver, for example, has a very small syrinx and moderate herniation, but very enlarged ventricles which cause most of his symptoms (the main one is light phobia and headaches) - so he is on a moderate dose of pain control (gabapentin) but a quite large dose of diuretic (frusemide) to try to reduce the fluid in the ventricles.

    Hope this helps,

    Kate (and Oliver and Aled on holiday)

  5. #25
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    Default Yes the MRI would show both...

    The neuro showed me where that would show up on Gracie's MRI if she had it. It shows fluids in light colors and bones and other hard matter is black. Very odd to learn to read it myself...but can do it a bit now. Whatever it is, I hope it is very treatable.

  6. #26
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    Rebel was diagnosed but asymptomatic by Geoff Skeritt with CM, a large syrinx between C1 and C5 and curvature of the spine. Two years later some of the classic symptoms appeared overnight, so armed with the pictures from the MRI and Clare Rusbridge's matrix off we went to the local vet. She knew nothing about SM, although having quite a few Cavaliers on the books, so started him on a conservative dose of Frusemide, while she had a week to learn more.

    As it worked out, the Frusemide brought about a vast improvement within about a week of treatment starting. About a year later he is a happy and healthy 8 yrs old Cavalier, now relaxed and living his life as it should be. He has regular 3 monthly check ups, the next of which is on the 24th. I am sure he will be fine, but if not, the vet has the matrix to take him another step up the treatment ladder.

    If I hadn't taken Rebel for the MRI because the researchers were looking for clear scans from over 6's at the time, I would never have taken Rebel to Chester Gates and my vet would not have had the benefit of his scan pictures to see what was going on. They are the very best, despite the recent adverse publicity and I would not hesitate to return if Rebel deteriorated.
    Warmest wishes
    Flo & the ByFloSin Cavaliers
    Winston Alexander,Little Joe & Holly Poppet
    Birmingham, UK

  7. #27
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    Hi

    Thanks to all for your kind advice and good wishes ,especially the personal experiances .

    We have an hours initial cosultation then I presume the MRI 4-5 hours and after that the diagnosis
    and explanation ,what questions should I ask and what do you think Mr Skerritt will ask me.?

    Luke will be with me and when Daisy is taken for her MRI rather than wait there like I did with
    Rosie I have a dental appointmet at 2.45 ,so that will occupy till my return .
    Brian M

    Poppy the Tri, Daisy the Blen, Rosie the Ruby and Lily the B & T

  8. #28
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    Default Here are my suggestions for what they are worth...

    Quote Originally Posted by Brian M View Post
    What questions should I ask and what do you think Mr Skerritt will ask me.?
    We were lucky that we were in and out of there in about 3.5 hours. The MRI did not take as long as I thought but they were not real busy either. General suggestions:
    • Bring videos if you can showing symptoms.
    • Make a list of symptoms and any patterns related to when they are better or worse....he likely will ask about this. Especially note which side seems to be more affected, if any.
    • Note when you first became suspicious it might be neurological.
    Other questions he might ask:
    • If you know of any neuro problems in her family history.
    • If she has had anesthesia before and any reactions to it since they will put her under.
    • If she is taking any meds and how much.
    Questions you might ask:
    • Is the MRI full length of spine or partial... full is better but partial seems to tell you what you need to know.
    • What are specifics on what they find in MRI, including size and location of any syrinx and severity of any malformatiion in blocking spinal column?
    • Does he recommend surgery fairly soon or later... and what factors does he use to determine when?
    • What specific technique is used if he recommends surgery at any point for PSOM or CM....and would he do it or someone else?
    • For CM surgery, does he just do decompession only or also implant mesh or other material to try to control scar tissue? Ask him to explain why he has chosen this method over others.
    • What is the purpose and side effects of any meds prescribed for her? how long are they effective in the system? do they have a conflict with any other meds she takes? (Note...our initial neuro did not prescribe what has worked best for most dogs with SM...so this is important)
    • When will full impact of meds be felt in her system?
    • How long does any surgery take and typical period of hospitalization?
    • How many such surgeries has he performed? What were the results in terms of dogs that got better, worse or about the same over time? Are most able to reduce or eliminate some meds?
    • How often would she be checked on by staff in the hospital, especially when out of intensive care?
    • How often would you be updated on her status in first few days? When can you first visit her typically?
    • What is the first 2 weeks of recovery like at home?
    • What are signs of major problems once she is home?
    If I think of more, I will let you know.
    Hope this helps. I went in with a list but forgot some of these. So glad Luke will be with you.

  9. #29
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    Amending the useful list of questions - Daisy won't have anaesthetic because Chester Gates do their scans with a sedative, which means she should come round much quicker. So may be out just as you go to the dentist! Though I'm sure they'll keep her in the recovery kennels until you're back!

    Kate, Oliver and Aled

  10. #30
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    Default That is awesome Kate!

    Wish we had had an MRI with just a sedative too! So much easier on their little bodies. Also means she does NOT get a poodle cut save on her front legs too!

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