We ended up back at the emergency vet last night for 3 hours. I think dh may have overreacted a bit, but I tend to underreact, so we decided to take him in, mainly because he had been having diarrhea all day, on top of his nose still bleeding a little and we can't get him into that specialist until next Thursday. His appetite is good, but no energy. So, $821 later we really don't know much. We had her do a chest xray and also she did an ultrasound of his stomach. When she was feeling his stomach she said she was suspecting maybe a mass in his stomach. Nothing showed up. There were no masses or fluid. The only thing she can see is that his lungs look "opaque". She showed us what an image of a 10 year old dogs "normal" lungs look like and there are definite outline/margins of the lung. His looks blurry. Honestly, after I got home I was wondering....he was overexcited being there and just panting like crazy the whole time. So obviously his lungs were just moving fast with all the panting....would that make taking an image harder...wouldn't it end up looking a little "blurry" like it did? I'm sure I'm wrong, but she really had no answer as to why his lungs would look like that, other than maybe metastatic cancer. Then she said she's also wondering if it's pancreatitis from his stomach images, so they also redid his blood work (she said the vet next week can use it, too) and 2 weeks ago everything was good except some liver enzymes were just a bit elevated. Now they are normal. There was no pancreatitis.
She gave us some probiotic stuff to help with the diarrhea. It's a paste to give 3x a day for 2 days and also a pill once a day. Also an antibiotic for a week and some other herbal type pills that is supposed to help coagulate his blood to stop/slow the nose bleeding. She seemed pretty convinced he probably has a tumor in his nasal passage. When we first got there the girl at the desk told us it would probably be about an hour wait, as they had patients in both their rooms, so we sat down to wait. We only had to wait 10 minutes and one of the rooms got done, but we were still there 3 hours. He had diarrhea twice while there. DH took him outside once and then when they took him back for the imaging he had some.
We got home at midnight, so I gave him the first dose of the probiotic paste and the pill. I wasn't starting the other pills until morning, as they are every 12 hours and would be easier to do 8am and 8pm (they suggested waiting until morning to start). At 7:15 this morning the vet calls me. She was getting his records sent to our regular vet and the specialist and realized that she put the wrong instructions on the label for the antibiotic. It said 2 pills, but it was supposed to be 1 pill. She was very apologetic and I said that's ok, I probably would have figured it out this morning when I re-read the instructions and realized there was only half that amount of pills compared to the instructions and called to check on it. She also said due to his weight, (90 pounds) it would be ok to increase the dose of the paste stuff from 5mg to 8mg. So, I'll end up giving him like 5 doses instead of 6 total.
He's not really liking the paste. It's in like a big syringe thing and at midnight I squirted it (tried) into his mouth. This morning I squirted it into a little bowl hoping maybe he'd lick it out. Nope. So, then I took some small pieces of hot dog and put it on those and he ate it and then got all his other pills down with the cheese. Hopefully the diarrhea will start improving today. He actually seems to have more blood out his nose today...it's been very little before today.
Then this morning I call my payroll benefits help line to find out why I haven't gotten an insurance card for dh, from adding him onto my work insurance plan, to start 6/1. I got my new card last week. They said cards come from the insurance company so I would need to contact them. The health insurance company then told me they don't show dh on my plan...so call back our payroll benefits advisor who puts me on hold for 20 minutes. First she tried to tell me "well it takes 7-10 days for them to add someone" I said he was added like 5 or 6 weeks ago, during open enrollment. Then comes back to tell me it's now with their "benefits specialist" and she created a case and they are resubmitting dh's info the the health insurance company, but the info won't get to them until Monday and then probably another 48 hours after that before he's set up. I said he has a dr. appt next Tuesday, I need his ID# so they can bill for it. I was then told to pay for it out of pocket and submit for reimbursement. Really??....Good grief.
Last night when I talked to mom to make sure she got her pills taken, she was pretty confused. She really wasn't making a lot of sense. Most of it is because she can't think of the words she wants to use to tell me something, but finally she said "you can check my accounts right?" I think she was trying to tell/ask something about what her apartment place charges and she maybe thought they were charging her extra? I just said they aren't charging any extras. Everything is included in your monthly rent. Then she said something about sitting in "some room" to eat and then said "well at least it's people I know from (old work place from 30 years ago) and have them to visit with".....She hasn't worked for like 30 years now. She and her old bf used to go to these "retirees lunches" about once a month or so. Maybe she was thinking that's where she was? I didn't correct her (obviously no one from where she and my step dad (and then her bf) retired from lives over here!) and just said "oh that's nice you can visit with them". But she was up and ready to go down for breakfast on her own again this morning, so that is good.
You're absolutely right not to correct your mom. It would be so stressful for her. We couldn't get through to my brother to stop correcting dad, telling him you just have to agree with him. But nope, he would argue with dad and it would make him worse. And sorry to hear about pup. I do hope he gets better quickly!
ReplyDeleteIn my grandma's last year or two of life, she started getting some dementia (she was 95) and my mom would always try to correct her and they'd just end up arguing because of course grandma believed what she believed now. Several times I had to say "mom - just agree with her. It's not hurting anything".
DeleteSorry to hear the pup is not doing well.
ReplyDeleteYour mom is living in her imagination. That happens & it will come & go.
that's what I figure, somehow she had a memory of being with work people and I'm sure that memory will come and go. But, it's kind of good that she actually remembered the name of the company she worked at (for about 25 years).
DeleteAt least you have the xrays done for when you have the other appointment next week and some meds. I am glad he likes hotdogs. You handle your mother well, causing her the least stress. About 30 years ago, one of my tutoring students, a CNA studying to be a nurse, said she was ordered to correct her patients and not give in to their delusions.
ReplyDeleteMy student said an elderly woman looked up at her from bed and said, "Mama, can we go to the park tomorrow?" She said they would. The student said that if that white haired, white woman thinks I am her Mama, I (black woman) cannot explain anything to her. I wonder if correcting dementia patients was once thought to be the right thing to do.
wow, that is a strange thing to say to correct them. It sure doesn't change anything in how they think, that's for sure. If my mom thinks some of those people she's eating with in the dining room are her old co-workers, then it's not hurting a dang thing and probably makes her feel more comfortable, even.
DeleteBack in the 90s it was protocol to correct dementia patients. I was a cook at Nursing Home. There was a woman crying she was so upset, I asked her what was wrong. She had lost her car, a red Studebaker, license plate number 1. I promised her I would look for it and let her know if i found it. It made her stop crying and cheered her right up to know someone was going to help her. The charge nurse told me I was wrong to encourage her and lie to her. I said i wasn't lying. Of course I would look for the car and I asked how I was hurting her if she was happy now. "She needs to be in the present". Everytime that woman saw me she was happy. The Nurse just made her confused and cry. That never sat well with me.
ReplyDeletethose poor people :( I'm glad we don't do that anymore. gosh it's doesn't take a doctor or scientist to realize they can't help their memory and confusion, even back then.
DeleteWondering if your dog's nose bleeds could be caused by a foxtail that got up his nose.
ReplyDeleteWell, I am praying it's just something like that, that can be fixed. But, we don't usually see foxtails around here this time of year, not until mid summer when it all dries out. Right now everything is wet and green from all the rain we've been getting.
Delete( Anne Bee ) you're absolutely right to go into her world rather than dragging her out into yours. It reassures her that she can talk freely with you without fear of being made to feel foolish. For her it is the truth. I hope she had a nice time with her old colleagues!
ReplyDeleteI agree. If it makes her feel happy and content, then I'm all for it.
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