Monday, November 12, 2007

Life is like a Rollercoaster


I've put off writing this story as my stomach has been in knots for the past 4 weeks while I've been playing the wait and see game.... wait and see how much longer I would have my MissMoo in my life.... wait and see whether miracles do happen.

On October 13 we went to Caboolture for a weekend of camping and the Suncoast Fundogs Double Header. We had a good trip up and I left the dogs in the car while I flipped the camper trailer out. When I went to let them out to put them in their crates I found Missy had discovered my stash of Chico jube lollies and had devoured the remainder of the packet. It is not the first time she has done this and it hasn't had any negative effects in the past. I wasn't especially concerned, just cranky at myself for having given her the opportunity to eat them. I figured she wouldn't much feel like running agility now with a stomach full of glucose lollies.

Well I ran the first class with her, open jumping and she was indeed sluggish, running clear but just overtime. So I pulled her out of the next run advanced agility. As the evening cooled I thought I'd give her another go in gamblers- usually her best event. Still sluggish and not really motivated so I called it quits with her for the night. I ran Jonty and Zoom in the remaining events and went back to camp to find Missy had thrown up in her crate. So the chicos had come back up. I cleaned out her crate and put a fresh bed in for her and tucked her in for the night.
She woke me at dawn with a little whimpering so I let her out, only to find she was disoriented and moving like she was drunk. I watched her for the next half hour and found she was getting worse; walking in circles, pacing rather than walking; she was bumping into things and was agitated and certainly seemed disoriented.




I talked to Glenn and my friend Sam and decided I'd best get her to a vet as soon as possible. I phoned a local to get the nearest vet's phone number; they directed me to the Brisbane Veterinary Specialists about 20 minutes away. So into the car and off we went. When we got there we met a lovely vet who helped Missy relax. She ran a battery of neurological and eyesight tests to come to the conclusion that my little girl had a brain tumour and it was causing blindness and the neurological symptoms and inability to coordinate her limbs. The prognosis was not good; it might be possible to operate on the tumour but it would require a CT scan and spinal tap to determine whether it was in a place and was of a type that was operable. She ran me through what to expect over the coming days or weeks but couldn't give me a timeline of life expectancy without a CT scan. She also said that there was a small possibility that Missy may have had a cerebrovascular accident, though she was lacking the head tilt or head turn that is most commonly associated with canine strokes. Her symptoms were more closely aligned with Meningioma located in either the cerebellum or forebrain. She recommended prednisone to reduce the inflammation and allowed me to take Missy home to decide if we were just going to continue with palliative care or whether we wanted to get a scan to decide whether operating was possible. As we were leaving the vet squeezed my hand and said "Hope for the best; miracles have been known to happen."

That day Missy continued to have petite-mal seizures. The next morning though you wouldn't have even know the previous day had happened. It was like I'd woken up and it had been a nightmare. Missy was up to her usual antics wrestling Jonty on the bed and bringing me her squeeky to play with. Our vet suggested that the prednisone can have this effect, reducing the inflammation a little, and reduced the blood flow to the tumour which in turn had eased the symptoms. His advice was to wait 10 days and see whether improvement had continued before deciding on the CT scan.

We waited and indeed the improvements continued. After the 10 days we returned to the vet and he found that her sight had largely returned and based on there not having been any neurological incidences during that time he reassessed her diagnosis. He now felt that it was most likely that Missy had indeed had an ischaemic cerebrovascular accident (stroke) that may have been induced by a diabetic seizure suddenly stopping the flow of blood to her brain. Nothing could be confirmed for certain without scans but in assessing her condition and the incidents preceeding the event, he felt this now seemed the most likely scenario. So we are still on the wait and see to reassure ourselves that the stroke was not caused by an embolism or thrombosis, but she is continuing to improve.

So a month after the event and my stomach is still in knots and I'm still watching her like a hawk. She has pretty much all of her coordination back and is active again. She is sleeping more and is a little less tolerant of the other dogs. But there do not appear to have been any major behavioural changes even though some brain damage must have occured. I find myself often replaying in my mind that moment with the emergency vet, hearing her say miracles do happen, and I get teary and think yes, they do.





Some links on brain tumours and strokes in dogs:
http://www.marvistavet.com/html/body_meningioma.html
http://www.marvistavet.com/html/vascular_accident_in_the_brain.html
http://www.vetspecialists.co.uk/06_Animal_Welfare/Neurology_Facts/Stroke.html
http://www.cvm.ncsu.edu/docs/brain_tumor.html

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