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Dog in crisis: Please help!

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This is a story about Luna the catahoula mix who is fighting hard to recover after almost dying. The past five days have been a terrible nightmare but finally there is hope. I encourage you to read this because while I do need help, this story might also save someone's dog. Dogs can be euthanized or die from what is labeled as "acute renal failure" but sometimes it is another disease, one where if they are lucky, and diagnosed appropriately and treated quickly, can live a normal, happy, and long dog life. PLEASE READ :)

When Luna came into my life I had just lost my 11 year old Great Pyrenees to bone cancer. It was love at first sight. From the moment I adopted her from the SPCA of Titusville, we were best friends for life, totally inseparable. I named her Luna because her coat looked like the moon.




Luna is about five now and for the last two years she has been my Wekiva trail buddy, my jogging partner, and my best friend. Every one who meets her falls in love with her.

Last week Luna seemed a little off, and more tired than usual, within two days she stopped eating. I took her to the vet immediately and by the time we arrived she had become completely lethargic. Following labs, the vets became worried, and came up with a plan of action. The diagnosis was that her kidneys were failing and there was something going on in her intestines and she might require "exploratory surgery". The plan was to put her on IV fluids with three days of hospitalization. I love my dog and am annoying. She can't talk for herself so as her caretaker I am her advocate. I called every chance I could to see how she was and visited the following morning. I expected to be brought back to her but was shocked when they brought her to me. The dog who lost five pounds in just a couple days seemed to have bounced back to "normal" running around, barking, and crying in the office because she HATES the vet! At that moment I felt a sigh of relief, despite being faced with either acute or chronic kidney disease. I had hope.

I went home and began doing homework. I paid to ask a question to a vet on the JustAnswer website. Her name is Dr. Deb and little did I know, how invaluable her advice would be. I explained in detail what her symptoms were, told her Luna's labs, and what my local vets were doing, everything I could. I asked her if there was anything else this could be, is there anything else I should be looking at that they weren't? Within 15 minutes she told me if she was in her care, based on her labs and symptoms she would run tests for two things: Addisons disease and Leptospirosis. Unfortunately, my clinic was closed on Sunday so without sleep, I waited impatiently until I could call the vet at 7:30 and told them to run the suggested tests.

I called back a few hours later just to double check that the lab tech received the request, which they hadn't. About an hour later I got a call from a different vet, saying that Luna was still weak but not vomiting or having diarrhea. She questioned why I wanted the suggested tests ran and I explained to her I had spoken with another vet and based on her labs and symptoms she thought it was very important to be investigated. She went over the fact that they were expensive, and acted as if it was unnecessary. I told her I didn't care.

Later on that day I called the clinic after getting off of work around 5 and asked if I could visit with her. Again, I am her only advocate, it is my responsibility to be her voice. They said of course. When I arrived I was put into a room. I anticipated the same dog I saw Saturday who looked like she was doing WAY better than she was the day she came in. I was greeted by the vet, and the look on her face made me go limp. She said she had to warn me that Luna had taken a turn for the worst and since we last spoke she has become a little "drunk" and lethargic and wanted to prepare me. I went back and what I saw was a completely unresponsive dog. Unable to move. The only way I can describe it is if you saw someone in a coma. My heart was breaking. I went out and spoke with the vet, and said: "She isn't drunk! She is completely unresponsive!" I brought up the suggestions the vet online brought up and questioned her. She said she would try steroids (the treatment for Addisons Disease). I left feeling scared. I cried the entire way home (this vet is not close to my home.) As soon as got home I corresponded with the online vet.

Two hours later I heard the phone ring. The vet had called me to tell me Luna was worse and felt she needed to go to an emergency vet because she couldn't ensure she would make it through the night and her techs needed to go home. Her blood pressure had dropped very low. I asked her about the steroids, if she had tried them? She said yes, one shot, but if she DID have Addisons she would have done a 180 by now.

I broke down.
She encouraged me to drive to an emergency vet where the original vet who cared for her was working because he was familiar with her case and that she had spoken with him. I ask her if he had any ideas, what would he do? She told me that he said they had done everything they could do at this point and the decision was up to me. What I gathered from this was try and keep her alive through the night or leave her to die but either way that was her outcome. His location was very far, and in my state I was scared to drive, I asked her if she could meet me there with Luna, that I was all alone, and late at night. I didn't know if I could handle it by myself. She said she couldn't meet me but if the drive was too far there was another emergency clinic just down the street. I agreed to take her to the furthest one, where her original vet was working for the night.

At this point her 3 days of care was over 2k.

When I arrived, the vet pretty much gave me the "it's likely something terminal, cancer speech" and that there was unlikely anything that could be done. I went back to get Luna and saw her try to lift her head and wag her tail. This dog 2 hours ago was completely unresponsive! I went back to her and said she is moving! She consoled me in a sweet way and explained that she did not think she had Addisons. I inquired what dose of steroids did she give her, would it even be enough to help a dog with that disease and in a crisis? She said no, but after we talked on the phone she did give her a second shot just in case.

I made the crucial decision TO NOT take her to the emergency vet clinic where the original vet was working. I opted to go to the closer one in hope ANOTHER vet could help me. She had already been given multiple injections of metronidazole, batril, amoxicillin, and steroids.

With the help of a tech we carried my sweet Luna to my backseat. Although she was unable to move whenever I came near her tail would wag a little. I took this as a sign to not give up. By the time I got her to the emergency vet just down the road she wasn't moving at all. The tech got her into the room and laid her on a cold table while the vet talked to me. They gave me that "look" and said they had to come up with an estimate to keep her alive through the night. They left and I was all alone. I just talked to her and pet her. She grew colder and colder and started to shake. I took off my sweater and tried to warm her. She was 100% unresponsive at this point.

Why were they taking so long? Almost 15 minutes went by! Suddenly a large amount of urine dumped onto the floor and I thought I had lost her. I beat on the door and cried for help. I put my nose to her freezing cold nose, and said "you are the best dog Luna, and I am so happy I met you!" and at the very moment about a quarter of an inch of COLD tongue hit my nose and the very tip of her tail moved. I told her that I wouldn't give up on her!

Another 15 minutes went by before they took her away from me and asked me to sign the resuscitation waiver. My head couldn't even understand what I was doing. I got the "no news is good news" and if she made it I would need to pick her up by 6:30am to take her back to my vet.

This night alone was estimated at $1100

I drove home in shock and crawled into my bed wide awake preparing myself for the phone call, and for the idea that tomorrow I might need to end her suffering. I hadn't slept in over 48 hours but I just couldn't sleep. I cuddled with her wooly mammoth (her favorite) dog toy until my alarm went off and prayed for a miracle.

No call had come, and I didn't know if that was good. When I got there, to my surprise, the vet said she had lifted her head, and tail was wagging. I looked at his paperwork that I was instructed to give my vet and there was a picture of her, head up. He said he didn't have to do what he anticipated and that he just kept her on fluids and medicine to raise her blood pressure. Two labs showed her potassium which had remained sky high for almost 4 days had finally come down twice throughout the night! I thought the steroids were working, see--THIS IS ADDISONS!

Hours before she was almost dead. I cried and consulted with the doctor who was reluctant to give me advice in respect to the clinic I was working with but he revealed his gut instinct was that is was an "addisonian crisis" what dogs go through when they crash because their adrenals cannot make any stress hormones and can cause their kidneys and liver to fail and bodies to go into shock. He said that she has to be diagnosed with that test and that test can take a day or two and to take her immediately back to my vet. I asked him to confirm that her previous vet did give her 2 steroid shots. She had almost died twice! How many vets does it take! For 3 days this dog knocked on heaven's door!

I rushed her back to the vet with her IV bag and had the techs get her set up again. At this time there were no vets on staff.

I drove home and consulted with the online vet and told her what happened through the night and how her potassium came down and she became "alive" again. Her remarks were something to the nature of: "This dog is screams addisonian, and as far as I am concerned needs to be treated as such until proved otherwise."

I called to talk to the staff and spoke with a third vet and told her the situation last night, how suddenly she was responsive after steroids. I got a conversation that went like, she isn't showing signs of a typical Addison dog, and now she appears to have something neurological going on. Thankfully she made arrangements for her to go to AVS (a veterinarian specialist clinic) and visit with a neurologist. She kindly spoke with them and was able to get her in right away despite that it takes a while to get an appointment there. I happily agreed since I knew I would be with experts even though after all I had been through in the last 24 hours I agreed with my online vet.

I drove back to where I just came from with the feeling of hope for the first time. When I got to the clinic, I met the 3rd vet and waited while she got Luna's paperwork. A very nice tech cradled Luna the entire time--all 50 pounds down from her healthy 58. Luna's eyes were "awake" for the first time and though unable to move her tail still wagged. As I was about to load her up, the vet came at me excitedly waving test results saying SHE DOES HAVE ADDISONS. But, still worried there was something else going on neurologically and AGAIN that her symptoms weren't typical of an Addison dog.

I burst in to tears smiling. Now something could be done but time was of the essence. I got her to AVS and waited while they immediately took her back for care (this is important because time and time again I was left with a near death dog off of her IV). I was put in a room while a team of experts reviewed her labs, charts, and history. If your dog gets referred to AVS, it is usually for something more serious, but she will be in the best of hands.

I was greeted by a neurologist. The same vet that discovered my Pyr's advanced bone cancer while getting an MRI of a fractured limb. There had been a cancerous tumor growing inside his bone and he was in pain. I remember her and because of that she scared the hell out of me.

She was very kind and explained that she did not see any signs of a neurological disease but they did find everything was indicative of Addisons disease. I was happy for the first time, why? because she could be treated and there was hope. She kindly turned me over to an internist who sat down with me and asked me in detail my experience, from the moment I adopted her to the last 4 days of near death experience. She explained to me ALL of Luna's symptoms were TYPICAL of Addisons disease and at the very moment they were treating her with the correct steroids and working on a plan for her recovery. She explained that when they are in a "addisonian crisis" it can be fatal if not caught at the right moment and (while holding up the positive test) that this paper and pushing for the test and the steroid saved her life. Her recovery will be slow and needs 24 hour care until she responds but once she has stabilized and begins eating she can live a normal happy life until she is old so long as she receives a shot once a month and a daily pill.

The estimate for her bill was about 3k for 24 hour intensive treatment at AVS. Because she had crashed so hard and this bill is likely to go up since her recovery has taken longer. The first month of treatment will be costly as the vets explore her dosage.

I visited with her today and she stood up for me! She is very weak and has lost a lot of body weight but tomorrow we are hoping to get her to eat a little for the first time in five days. Baby steps, but we are headed in the right direction :)


HOPE at AVS 12/18/13! This is me with Luna, happy, with no sleep for almost 72 hours! She had only been her overnight and for the first time in almost 5 days (with help) could stand up.

So far her total bill is about $6200 and will go up.
Unfortunately, I have paid and borrowed almost every bit of money I could between the emergency vet and the clinic she was at previously. I am doing everything I can to come up with the funds. I have donated to the ASPCA, and for dogs who needed help with life saving surgeries before and am hoping in my dire situation, kind people might do the same and invest in Luna's recovery as I have for others.

The more I research this disease the more I find out that it is often overlooked, and misdiagnosed until the kidneys fail or they are euthanized when it is something that is COMPLETELY TREATABLE. There are telltale signs such as HIGH potassium and low sodium levels. It is often see that the "kidney" patient bounces back quickly because of the IV fluids as Luna did on Saturday only to later crash because of their condition. Vets are being advised to run the ACTH test before euthanizing a dog in acute kidney failure. I owe everything to a second opinion to an online vet that helped me understand her symptoms and test results. I paid only $38 for her service and encourage everyone to always get a second opinion. In my case, I had 3 different vets with different backgrounds who all refused to acknowledge what seemed so obvious.

When treated earlier than in my case you can avoid stress on your pet, money and save their life! My hope is to spread awareness on this journey with this disease and help Luna get back to walks, and trails, and playtime with her favorite buddies at the dog park.

Even if it is only $5, kind words of encouragement or similar stories, or simply to share this story, I would be eternally grateful.

I understand there are untrustworthy people out there.
If anyone feels more comfortable to make a donation at AVS where she is currently being treated and will be continuing her care with:

AVS Specialists
9905 S US Hwy 17-92, Maitland, FL 32751
(407) [phone redacted]

Please make sure they have the following:
Patient: Luna Stevens c/o Candice Stevens


Also, if any one would like to make a donation specifically to the Vet who continuously helped me through this, I am hoping to give Dr. Deb on JustAnswer a bonus to my $38 question but can't afford it, she was absolutely amazing and consulted with me consistently and I owe my dog's life to her! She gets 75% of the bonus. Feel free to read our conversation as I went through this scary experience! Click here


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To learn more about Addisons disease and how you can save your dog's life visit:

http://www.2ndchance.info/addison%27s.htm

http://www.addisondogs.com/addisons/

Organizer

Candice Sarah Stevens
Organizer
Orlando, FL

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