ShinBi gains 10 pounds and needs more funds

ShinBi peeking out

As you might have noticed, ShinBi is doing better. He has gained weight so he isn’t that bone thin boy that flew into Los Angeles in February.

If you recall we were really worried because ShinBi had actually lost a few pounds. You can see that he is no longer a collie with a bad buzz job, but he is still a collie with many bad hair days ahead.

Our original projected cost for six months (February to July) was $3,000. That figure has proved to be too optimistic. Our current projected cost is $6,000. We have started a new GoFundMe campaign and at this moment have $575.

http://www.gofundme.com/ShinBi

We also have an offer from the Collie Rescue Foundation. We will know more later.

We know that we are asking a lot and there are many other needy animals, including The Arrow Fund’s Lad in Northern California at UC Davis.

Lad’s life isn’t in danger and he has experts at a major university looking out for him. Team ShinBi on the other hand is small. ShinBi is a dog who cannot survive without treatment. Because he has several health issues, the vet must approach each with caution. First, the vet wants to get his diabetes under control and this has delayed his heartworm treatment for the adults heartworms. The adulticide was originally scheduled to begin in late April.

ShinBi’s wonderful foster mom, Sue Baldwin, had to do a 12-hour blood glucose curve and chart the results for his diabetes. ShinBi now thinks there must be vampires in Southern California and he’s not a fan. You can see him peeking out to see if any needles are hovering in his near future in the photo above. His insulin amounts have been adjusted six times already from 9 units, to 11 units, to 17, to 19, to 22, and now back to 17.

The latest news on ShinBi was good. His original liver values were numbers in the thousands and thousands, but now are down in the hundreds. The vet is pleased. He has just been on his liver medications for about seven weeks. The vet is sending his results to a specialist for recommendations on starting his heartworm medications

We don’t want to keep asking for money without giving you anything back so we are looking into other fundraising approaches. One thing we’re considering is having a Southern California fundraising night at a chain restaurant where you can invite your friends and family and have a great time with 20 percent of the amount spent on food going to ShinBi’s medical fund.

There have been other suggestions such as auctions or a garage sale. Nothing is definite and the Southland Collie Rescue board has yet to give the go-ahead so keep the fundraising news under your hat for now. We are open to suggestions.

Through it all, ShinBi has remained happy and bouncy. His vet declared ShinBi “doesn’t walk, he dances!” You can see below that he does want to play (with Sue’s own Teddy). If he’s this happy and bouncy when he’s so sick, imagine how much more loving he’ll be when he’s better.

Below is the current medical costs:

Vet Bills through February 28, 2014 (Serrano Animal and Bird Hospital)

2/21 Exam, CBC, Fecal                    $183.77

2/24 Tick Panel, Doxycycline       $254.71

2/25 Dexamethasone Suppression, Dexamethasone Injection, Blood Glucose, Microfilaremia test, Radiology                                  $345.22

2/27 Trifexis                                       $103

2/28 Insulin, Syringes, Urinalysis, Urine Culture and MIC, Nail Trim   $223.45

TOTAL:                                                 $1110.15

Vet Bills starting in March 2014 

3/7  Minor recheck exam, 1 Health Check (bloodwork)    $121.49

3/12 Ultrasound Abdominal Sonogram; 1 Coagulation Panel 1; 1 Bile Acids (Prepost)  $467.40

3/14  1 Blood Glucose; 1 Ultrasound Guided Biopsy; 1 local/Topical Anesthesia     $202.40

NEW VET BILL TOTAL:    $1901.44

3/18    1 Insulin Vetsulin;  20 Doxycycline     $71.50

3/22    Prednisone tabs;  Baytril Tablets;  Denamarin      $211.20

4/03/14  Exam, Glucose Testing, Radiology, Insulin and syringes   $578.87 (minus the board which I paid $107.80 – charge to SCR would be $471.07)

NEW VET BILL TOTAL:    $2655.21

4/7   Colchicine $189,  Ursodiol  $86

 4/14   2 Insulin  $84, 1 Denamarin  $66

4/23   Rechesck Exam $22.50; Blood Glucose Curve $65.79; Hematocrit/Total Protein $16.61

4/30  2 Insulin Vetsulin   $84.00

5/1   Colchicine  $189.44;   Ursodiol  $56.38

NEW VET BILL TOTAL:  $3,514.93

4/29  Glucose Test Kit   $34.48

5/1    Goat’s Milk (Bloom)   $26

5/4/ Glucose Test Strips   $41.03

Advertisements

ShinBi update: 5 March 2014

We hope to use this blog to keep you updated with ShinBi and be able to understand all of his medical problems as well as his progress.

sleeping under a warm blanket

ShinBi tested positive for heartworm, but he has no clinical signs (cough, fatigue, vomiting, diarrhea). So he has been started on Trifexis which will also prevent fleas. He is also being given Doxycycline and Dexamethasone.  Luckily, this isn’t mosquito season yet and heartworm can only be transferred by a mosquito bite. Dogs on preventative heartworm medication will be protected.

ShinBi displayed excessive thirst and urination. Poor Sue Baldwin! That means a lot of clean up.

E28

We had feared he might have Cushings disease, but that’s been eliminated. ShinBi has diabetes and is being treated with insulin.

First insulin shot

Although ShinBi’s outlooks is basically positive, remember, with heartworms and diabetes, along with his severely emaciated state, ShinBi still has a long way to go. He needs to regain weight (he’s already put on 3 pounds as of last week) and he needs to rebuild muscles. He’s too weak to be allowed out and around with other normal dogs who might inadvertently injure him.

Because he was shaved in South Korea due to his tick infestation, ShinBi also doesn’t have insulation against the cold or protection against sunburn. He needs to be covered as much as possible.

The blog contains information about ShinBi’s treatment and the medications he is taking.  This blog is still under construction so there are categories (especially about the team members in South Korea and California) that have not been completed. Shinbi in raincoat

Jana J. Monji

with Merroll Flynn and Mearl Hickey

 

If you’d like to help Southland Collie Rescue cover the costs of ShinBi’s care, you can:

Donate directly by sending a check to:

  • Southland Collie Rescue 
  • P.O. Box 1596
  • Brea, CA 92822-1596
  • Instruct that the donation is for ShinBi

You can donate through Just Give.

You can donate through the GoFundMe page.

Diabetes and Malnutrition

Diabetes mellitus is a common disease in dogs and according to PetsWebMD.com, some breeds such as Golden Retrievers, German Shepherd Dogs, Miniature Schnauzers, Keeshond and Poodles have a high occurrence rate, but all breeds are affected.

The usual age of onset is about 6 to 9 years.

Diabetes results when the body, specifically in the pancreas, doesn’t produce an adequate amount of insulin. Insulins enables glucose to pass into cells, where it produces energy for metabolism. “Insulin deficiency results in hyperglycemia (high blood sugar) and glycosuria (high urine sugar).  According to PetsWebMD.com, Glucose in the urine causes the diabetic animal to excrete large volumes of urine. In turn, this creates dehydration and the urge to drink large amounts of water.”

Early signs are frequent urination, excessive thirst, a large appetite and unexplained loss of weight.

Diabetes can be malnutrition related.

ShinBi is being treated with insulin.

First insulin shot

Heartworm treatment

Treating for heartworms is not just a simple pill. The treatment must kill the microfilariae and the adults. Remember that a dog can have a heartworm infestation and not test positive. A heartworm infestation will only become apparent if there are adult females present because the standard tests looks for microfilariae (baby or the first larval stage of heartworm parasite development).

Here’s what the Heartworm Society writes about the standard treatment:

Adult Heartworm Therapy (Adulticide Therapy)

There is currently one drug approved by the FDA for use in dogs for the elimination of adult heartworms. This drug is an organic arsenical compound. Dogs receiving this drug therapy will typically have had a thorough pretreatment evaluation of its condition and will then be hospitalized during the administration of the drug.

Melarsomine dihydrochloride (Immiticide®, Merial) has demonstrated a higher level of effectiveness and safety than any other adult heartworm treatment previously available. It is administered by deep intramuscular injection into the lumbar muscles. For complete information on the classification and treatment for heartworm infected dogs using this product, consult your veterinarian.

Post-Adulticide Complications

Prior to treating the adult heartworms, your dog will be put on a 4 week course of doxycycline (or a related antibiotic). This helps reduce the viability of the parasite and decreases the reaction to the dying and decaying heartworms following adulticide treatment.

The primary post-adulticide complication is the development of severe pulmonary thromboembolism. Pulmonary thromboembolism results from the obstruction of blood flow through pulmonary arteries due to the presence of dead heartworms and lesions in the arteries and capillaries of the lungs. If heartworm adulticide treatment is effective, some degree of pulmonary thromboembolism will occur.

When dead worms are numerous and arterial injury is severe, widespread obstruction of arteries can occur. Clinical signs most commonly observed include fever, cough, hemoptysis (blood in the sputum) and potentially sudden death. It is extremely important to not allow exercise in any dog being treated for heartworms. Often dogs with severe infections will also require the administration of anti-inflammatory doses of corticosteroids.

Elimination of Microfilariae

The most effective drugs for this purpose are the macrocyclic lactone (ML) anthelmintics, i.e.,milbemycin oxime, selamectin, moxidectin and ivermectin. These drugs are the active ingredients in commonly used heartworm preventives. Although their usage as microfilaricides has not been approved by the FDA, they are widely used by veterinarians as there are no approved microfilaricidal drugs currently available. It is recommended that microfilariae positive dogs being treated with these macrocyclic lactones be hospitalized for at least eight hours following treatment for observation of possible adverse reactions, including those resulting from rapid death of the microfilariae.

Circulating microfilariae usually can be eliminated within a few weeks by the administration of the ML-type drugs mentioned above. Today however, the most widely used microfilaricidal treatment is to simply administer ML preventives as usual, and the microfilariae will be cleared slowly over a period of about six to nine months.

Confirmation of Adulticide Efficacy

The goal of adulticide treatment is the elimination of all adult heartworms. However, clinical improvement in dogs treated for heartworm infection is possible without completely eliminating the adult heartworms. Heartworm antigen testing is the most reliable method of confirming the efficacy of adulticide therapy. If all the adult worms have been destroyed or very few survive, heartworm antigen should be undetectable after six months post-adulticide. Dogs that remain antigen positive at that time could be considered a potential candidate for repeat treatment with an adulticide only after a full review of each case. In some cases, an alternative is to not retreat with the arsenical but to continue with a preventive such as ivermectin which will gradually eliminate the remaining worms.

Diagnosis: Anaplasmosis

According to the Centers for Disease Control and Prevention, Anaplasmosis is a tick-borne diseased caused by a bacterium (Anaplasma phagocytophilum). Anaplasmosis can be transmitted to humans or dogs by tick bites.

There are four distinct phases in the tick-life cycle. Typical symptoms include: fever, headache, chills and muscle aches. There are no known cases in the state of California. The highest incident rates are in Delaware, Marine, Minnesota, New Hampshire, New Jersey, New York, Rhode Island, Vermont and Wisconsin in humans.

In dogs, according to the VCA Hospitals website, infection can cause lamesness, joint pain and low appetite in dogs. Most dogs show signs in 1 to 7 days. The treatment is the same for other tickborne infections: Doxycycline.

Remember, ShinBi was shaved in South Korea due to a tick infestation. ShinBi is already being treated with Doxycycline for his heartworm condition.  He is also being treated with Trifexis for heartworm as well.

 

 

Treatment: Doxycycline

Doxycycline is an antibiotic used for treatment of a variety of problems. ShinBi is being given this medication for his heartworm.  ShinBi was also positive for Anaplasmosis and Doxycycline is also used to treat this–that’s two for one!

According to PetMed.com, here’s what you need to know:

  • Drug Name: Doxycycline
  • Common Name: Vibramycin®, Doxychel®, Doxy Caps®, Bio-tab®, Monodox®, Doryx®, Doxirobe®
  • Drug Type: Broad spectrum antibiotic
  • Used For: Bacterial infections
  • Species: Dogs, Cats
  • Administered: Tablets, Oral liquid
  • How Dispensed: Prescription only
  • FDA Approved: Yes
  • Recommended Online Pharmacy: Get Doxycycline at Pet360.com

General Description

Doxycycline is a broad spectrum antibiotic that is a member of the tetracycline family. It is used to fight bacterial infections in dogs and cats. Doxycycline is used to treat many different bacterial infections including, leptospirosis, toxoplasmosis, mycoplasma, psittacosis, and tick borne diseases including Lyme disease, ehrlichiosis, and Rocky Mountain spotted fever.

How It Works

Doxycycline binds to specific cell parts (ribosomes) of the bacteria and inhibit the protein synthesis, thus not allowing the bacteria to grow and divide. The process of shutting the protein synthesis down is not rapid. For this reason treatments using Doxycycline are generally termed as a long term treatment. It takes some time after the process is shut down until NSAIDs work by reducing the enzyme COX-2. COX-2. these enzymes are involved in the formation of prostaglandins which cause swellingand inflammation. Reduction of these factors reduce the pain and inflammation your pet experiences.

Treatment: Dexamethasone

ShinBi received a Dexamethasone injection.

PetMD.com explains the usage of Dexamethasone:

Dexamethasone is many times more potent than other anti-inflammatory and immunosuppressing drugs including hydrocortisone and prednisone. It is often mixed with other drugs to treat difficult ear, eye, and skin infections. It reaches every system in the body and therefore is used to treat many disorders:

  • Adrenal insufficiency
  • Rheumatoid arthritis
  • Systemic Lupus
  • Allergies
  • Asthma
  • Dermatologic diseases
  • Hematologic disorders
  • Neoplasia (Tumor growth)
  • Nervous system disease
  • Emergency shock
  • General inflammation
  • Inflammatory bowel disease
  • Nephrotic syndrome