December 26, 2012
The day after Christmas and we almost cancelled the visit since Dr. Gimmler wasn’t going to be there, as she was on vacation. We decided that I might be good to get insight from another vet with more experience, so we kept the appointment.
The history part went well, but his approach was FAR different than Dr. Gimmler–he wanted me to understand that the disease is fatal and we just needed to make Zoe comfortable.
It was funny, on the trip down, my husband and I had carried on a similar conversation–we were at the end–no venous access and the fresh frozen hadn’t helped her symptoms at all. We wanted to make sure it was clear we didn’t want them doing a lot of extra measures, but mainly just wanted to make sure there was no “stone unturned”. Evidently, he had similar concerns that I was pressing this just too far and needed to let the disease run its course.
He also wanted to really examine her paws to see if there was anything we could do to help with the infections. After a good conversation, we left Zoe for the exam and went to get some lunch. We were told they would call us when they were ready for us to come back.
We still hadn’t received “the call”, so we drove back to Auburn to the parking lot and just parked and waited for the call. As we waited, we discussed how GREAT the gravy was that I made for Thanksgiving–but it had turned to “gel” in the frige. My husband was telling me how he just did not like eating anything with that much FAT in it!! I argued that it wasn’t fat, but I thought something in the bone marrow and since we were sitting in the car and had time to kill, I googled “what makes gravy turn to gel”. One thing led to the other and shortly I was reading Dr. Ray Peat’s experience with gelatin and how it is made up of amino acids! Just the thing hepatocutaneous syndrome patients are missing!!!! I learned the difference (from another site) between chicken broth and chicken stock! Chicken stock turns to gel when cooled and is made when the bones release their collagen (amino acids). I decided right then and there I was making chicken stock when we got home! Ok, so really!!!!!?…God divinely showed me about chicken stock while waiting in the parking lot to pick up my dog?? Would it make a difference?
We got The Call and went back inside to get Zoe. We were told they gave her a different sedative this time that would be short acting. (Butorphanol instead of the usual methadone). Zoe came out very “drugged” and was really unsteady as she tried to walk. We got her in the car and headed back to Birmingham. By the time we got home, she was vomiting bile (not a good sign when your dog has liver disease!!) They had suggested we change her pain medication to Codeine, rather than tramadol and gabapentin. This wasn’t exactly the outcome I had hoped for!