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Thread: Don't know what to think

  1. #11
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    Quote Originally Posted by murphy's mum View Post
    Thank you. I did doubt myself, wondering if I'm over reacting, but I know I'm not really. The symptoms are there, and I know my dog.

    He was more receptive than the first vet, it was the first one who said there was no treatment, and brushed me off Like I say he has given me Metacam, and said to see if there was an improvement at all.

    Kate like you say maybe they haven't seen any Cav's with SM/CM symptoms, and he's trying not to get my hopes up as he hasn't heard of positive results. However, I've read success stories on here that are heart warming. I think that if I go back and ask for her to be referred, then he will do it. Maybe I let his cautioning words put me off. I'm not fully aware on the testing process, is it a consult and then an MRI scan? There aren't any risks involved in any of it are there?

    I'll start the Metacam tomorrow morning though. Should I see if there are any improvements before demanding a scan? Any idea how long it would take for any improvements to show?
    I a second what has been said and I'm shocked! You need to trust your instincts. Like shannon said, they don't always scream in pain. Ella would only if I picked her up the wrong way. Also, some scratch more, some have more of a balance trouble walking etc.

    I am glad you are on this forum and yes it can be tough to get right medication but there is a significant difference. I can't believe a vet would give no hope or try treatment.

    Well you have many supportive people and it looks like you may try to see dr. Rusbridge. Either her or another neurologist familiar with SM will help a great deal. *sigh*

    Sent from my Droid using Tapatalk
    Anne Proud mother of Elton 5 and Angel Ella

  2. #12
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    It seems everyone here that has suspected SM/CM has gotten a consult with a neurologist first. If you aren't comfortable discussing it with your current Vet, I would start looking for one on my own. Even checking on several sites that are linked here at CT might help you locate one. Or, just pose that question over at the CM/SM forum, as I am sure someone can give you a recommendation,

    In the meantime, I do believe that several have mentioned the looking back at their backs as being tied into the disorder, as it can cause funky sensations along their spine.

    Praying that it's not what you are thinking.
    Cindy and Claire
    Claire was born on Feb7, 2010

  3. #13
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    A second opinion is a good idea, yet you might just get the same from the second opinion vet. We have tried a couple of times talking to vets about SM/CM. The first vet we talked to just shrugged it off and said it wasn't worth giving such a young dog an MRI and the experience he has had with cavalier owners getting scans is that they all turn out negative Our girl Belle has exhibited the rear end turning (rarely) and chin rubbing (getting more frequent), but seems to be a happy healthy dog otherwise. A few months ago we went to a recommended vet and he said she probably has SM as all cavaliers have it and just keep an eye on her and if symptoms appear more or get worse then we'll opt for medication. So it's a tough one. Sometimes I worry so much about our dogs health and bring them into the vet, I'm afraid they think I'm one of those neurotic moms who thinks their kids are always sick. I don't know- it's like waiting for a time bomb.

    Our Bobby seems fit as a fiddle, yet he has the wonky knee, which is at a grade 1 right now. It's all very sad. I don't know if I would ever get a purebred puppy again, cavalier or any other, there is just too much heartache and worry involved. That is the way I feel at the moment anyway. I want the cavalier breed to survive, and would like to contribute to helping the cause any way I can, even if it's donating a few bob to Rupert's Fund.
    Desrae, guardian of two tri-coloured cavaliers, Belle 3 years old and Bobby 1 year/8 months.

  4. #14
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    Default And there is drug treatment to at least help....

    They are not well informed at all!!! Agree you need to ask around about a vet that knows more about the condition...or look for neuro on your own. You know your dog better than anyone. My first vet also said ears and when that did not fix it, I went elsewhere for help. I hope you are doing okay and we are here rooting for you.

  5. #15
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    Thank you for all the replies, and most of all the support

    Nanette, yes, we get glands emptied on a regular basis as Misty doesn't scoot until they are really bad, so we go every 6-8 weeks to keep on top of it.

    I spoke to Axa last night to find out whether a MRI scan is covered, I was sure someone on here, mabye Pauline, had had one done through them. The advisor said that MRI's can be covered, but it's taken on a case, by case basis. I pointed out that I haven't claimed for anything remotly similar for Misty. so shouldn't it be covered. He did say that if I can find out how much it would be for a scan than it could be pre-authorized, if they will cover it. So I need to find out how much a scan will be, both for the insurance campany, and in case they cannot cover it and we need to pay ourselves.

    I'm going to speak to the other vets this morning. I'm just worried that they'll be the same. If they are "backwords" like our current practice seem to be, then I'll stick to the younger of the two vets I spoke to last night. They have always been very good to any animals I've had treated there, my horse, hamsters, rats, cats and now my dogs. Misty has needed so much done to her since we got her poor soul, and I cannot fault their care of her. She's had teeth done, both eyelids operated on, surgery to remove a peach stone she swallowed, and they provided excellent care everytime. I think there is a hole in their knowledge when it comes to SM though, however, I do think if I out right demand an MRI he would refer me. If not I will need to try and find a neurologist in Scotland or the North of England. I'm quite friendly with on of the ladies on reception, she rescues Ragdolls, so she may be able to help me find one.

    When we do get Misty scanned, and we will, there is no doubt in my mind now, is it the neurologist that decides her meds or would that be up to which ever vet I end up with?

    Thanks again
    Paula
    Paula - mum to Murphy(6) & Misty(7), and Jerry our cat.

  6. #16
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    Yes, sometimes we have to just demand these things. I had to ask my vet for a refferal too, she didnt offer at first. It was much easier than your story though, she did know about SM, but just told me that if I hadn't of brought it up, she would not have even thought of it in relation to Brooklyn. She immediatly called a neuro for me though while I was in the office with her and got some more info and said "yup, referral it is". Some vets just don't think to look for it and some actually just don't think it exists. The good ones are the ones who once they hear you...go on a quest to learn more and get involved. They are only GP's after all, so we have to stay informed and on top of them too, but once we do, they should listen, learn and come with us for this journey.

    I am so sorry to hear about all of this. Hang in there, here to help however I can. Hugs to you.

  7. #17
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    Default Aarrhhhh!!

    Bloody hell, I am so f***ing mad right now. Went back to our vets this morning, he was in surgery, so he's just called me back. I asked him outright for a referral, and I now have no doubt he's trying to put me off getting one done

    I said I had thought about it overnight and I would like a referral to a neurologist as soon as possible, and as my insurance company wasn't saying yes or no to whether it would be covered, then could he give me a rough estimate to the price.

    His reply was similar to last night so I'm not imagining his hesitation. He said I would need to weigh up the "need" for her to be MRI scanned. Is it really something that would benefit her, or would it be something to bring me peace of mind, by confirming my suspicions. There are three ways to look after SM:

    ~ One, if there are mild symptoms then just monitor the dogs condition

    ~ Two, if there are more serious symptoms try and medicate appropriately

    ~ Three, in the worst cases where meds are not working to try surgery

    He said we were trying to medicate her symptoms by starting her on the Metacam. I ask how she can be medicated without an MRI scan to show the extent of any CM/SM she may have. And he said a MRI scan doesn't help to decide what meds a dog should be on. All a MRI scan does is prove whether or not she has it.

    How can he be looking to medicate my dog without knowing if she has CM or SM or POSM? God!!!

    I asked would he be looking to give her any pressure reducing drugs if he didn't have a MRI? He says most of those drugs come at a heavy price for long terms use and would not consider using them without trying to relieve the symptoms using NSAID's first. Why jump into something when we haven't found if the NSAID's work on her.

    I am so mad, and upset I'm nearly breaking my keys as I furiously type. He's made me feel as if I want a MRI scan for my bloody benefit, and not to try and help Misty have a better quality of life. I've never heard of anyone on here being medicated without a MRI scan being done first.

    I told him I still want him to call for a referral. His reply was he would not get anyone at the weekend, but will call the neurologist next week to discuss Misty's case, and to see what they think. He will call back on Wednesday night to speak to me.

    I've contacted the only other vet in town, and I am waiting for a call from them, unfortunately they are very busy today, so I may not get a call till Monday. We only have the two full time practices in Dumfries, there is another one which opens part time, but I wouldn't consider using that one. I don't know if I should look further a field for a vets, but what is the point of having a vet if it's not close in an emergency?

    Sorry the flood gates are now open, must go.
    Paula - mum to Murphy(6) & Misty(7), and Jerry our cat.

  8. #18
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    The only way you can definitively diagnose SM is by MRI scan - period. You cannot treat the symptoms until you know what you are treating. My Oliver has a small syrinx which doesn't seem to cause any problems; what he does have is CM which causes seriously dilated ventricles which give him bad headaches - and no vet could pick that up without a scan. He has been mildly light phobic all his life, and we only discovered why when we saw the size of his ventricles, pressing on to the back of his eyes.

    I would think your nearest neurologists are at Glasgow and Edinburgh University veterinary schools. These are the details for Glasgow - you could find Edinburgh by googling. Nicki, living in Scotland (though the other side to you!) may have more ideas.

    Gawain Hammond MA VetMB MVM CertVDI DipECVDI FHEA MRCVS
    The Small Animal Hospital
    School of Veterinary Medicine
    University of Glasgow
    Bearsden Road
    Glasgow
    G61 1QH

    Tel: 0141 3305848

    Email: clinoff@vet.gla.ac.uk
    Web Site: www.gla.ac.uk/schools/vet/smallanimalhospital/

    I should phone or email the neurologist and discuss the best way of proceeding - I think they will probably give you an appointment to discuss symptoms and go over Misty and then decide whether a full scan is needed. They may need a referral from your vet, but if you explain the situation, they may waive that - or the other vet in Dumfries may be willing to give it. I'm not sure why your vet thinks a scan is such a big deal - yes, it involves a general anaesthetic, but then so does taking out bad teeth - or does he let them rot in the dog's mouth to avoid giving anaesthetic?!

    Kate, Oliver and Aled

    PS Oliver and I had a lovely holiday in Lochfoot a few years ago - you live in a lovely part of Scotland!

  9. #19
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    I did Google Glasgow, it's referral only it says. Will look for Edinburgh, meanwhile not heard from the other vets, they closed at 1pm too, so hopefully I'll get a call on Monday, or I'll call in if I can.
    Paula - mum to Murphy(6) & Misty(7), and Jerry our cat.

  10. #20
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    Default Hang in there

    Maybe someone here from Scotland can tell you better vet to go to not too far away who WOULD give you referral. I am so very sorry. There are many vets like this in USA who are clueless about SM and othe Cavalier conditions. What about calling the Glasgow neuro office to see if they can recommend a vet?

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