Wednesday, November 02, 2011

Medical Scare

Following hot on the heels of Summit's pannus diagnosis we had a bit of a scare. I had enrolled Summit in a hemostasis study at school. I informed the researchers of the greyhound anomalies in bloodwork and coagulation and they still elected to include him in their study. He had two blood draws approximately 3 weeks apart. After the first draw his blood results showed a slightly elevated steroid induced ALP. This was shortly following all the gun fire at the agility field that we had been dealing with so I told them it wasn't a big deal. It wasn't very elevated anyway. With high s-ALP we worry about Cushing's, but usually the value will be very high. They were also concerned about his blood pressure which was very high. Again, I told them it was no big deal since he was a greyhound and he was probably a little stressed in the hospital. No one believes me when I tell them he's stressed at the hospital because he's so quiet and so good and just sleeps. But try giving him a plain dog cookie. He won't take it. If you give him something higher value he usually will, but normally even a plain cookie at home gets gobbled down.
Fast forward 3 weeks to his second test results. His s-ALP was still mildly high, his blood pressure was still very high (despite me being with him this time around), and now his urine protein:creatinine (UPC) ratio was super high. Of course everyone is freaking about glomerulonephritis (GN) but to me it just didn't make sense. It was so sudden. I had let him run around A LOT that week, and it wasn't the first pee of the morning (the creatinine was actually quite low and the protein wasn't all that different from the first test). I elected to rest him until Friday and bring in a new sample when he came back in for his blood donation. To say I wasn't concerned would be an understatement. The researcher was very concerned because there is no good physiologic reason for protein to show up in the urine, and greyhounds do have a tendency to develop GN. However, I really didn't think he had GN. I must have checked for lab results at least 6 times on Friday before they finally showed up. Totally normal.

I have no explanation for that elevated UPC other than the fact that he'd had a lot of hard exercise, it wasn't the first pee of the morning, and possibly test error. I'm just glad that the re-test showed nothing abnormal. Tomorrow he is back in to see ophtho to get a script for his eye drops that he will be on for the rest of his life. I am also hoping that his Doggles will be arriving soon. I ordered them about 4 or 5 weeks ago and the store estimated about 6. He's going to be a very cool dude with his camo print sunglasses!


Never Say Never Greyhounds said...

Sorry to hear about the Pannus. Knock on lots of wood, I haven't had to deal with Pannus or corns.

The Lady said...

Can't wait to see him in his doggles!

Glad all the new stuff ended up not-scary!

Never Say Never Greyhounds said...

I love that you brush his teeth too! Its such a pet peeve of mine that people will just let their greyhound's teeth just rot out of their heads. And its funny how people will do sprays, gels, and very expensive dentals... but brushing for 1 minute a day is just this huge monumental thing they just can't do. We do our 6... okay preaching to the choir. :-)