April
11th
2007
straight from the phone:
kidney dysfunction not alleviated
new finding - one of her liver enzymes is very elevated - was normal a few weeks ago - should be less than 100 and hers is 939 - that may be causing her decreased appetite right now
worry about something infectious or reaction to medication? only on clavamax
how to handle this? - check her back into hospital and put her back on fluids and try to get them all back down while figuring out cause of liver problems
if no hospital - put her on fluids - go to riverbend tomorrow for fluids and to bring new ones home - vet prefers homecare so going to riverbend tomorrow for fluids
blood tests - liver and kidney on tuesday, medication for liver - doc will call my vet so that she knows what is going on and for meds
if liver enzymes don't drop to an acceptable level - more tests: sample of liver - asperit (2 minutes) or biopsy (...)
does this change diagnosis? potentially - impossible to say in what way