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| Dec. 3o, 2014 (First day Gunnar was found in the road) |
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| January 4, 2015 |
Shortly after my daughter found Gunnar abandoned on the road in late
December she noticed that he wasn’t quite right health–wise. He was only
about 6 weeks old and had been out on his own in the cold and snow in the woods
for a few weeks. I honestly don’t know how he survived. After a few trips to
her veterinarian’s office he was diagnosed with:
Portosystemic (Liver)
Shunts in Dogs
Definition
Portosystemic shunts (PSS), also known as liver shunts or
portosystemic vascular anomalies, are anatomical defects where one or more
veins let blood bypass a dog’s liver. These veins are remnants of embryonic
blood vessels that are supposed to regress shortly after a puppy is born. What
causes portosystemic shunts is unknown. They may be caused by some insult to
fetuses inside the womb. There almost certainly is a strong genetic component.
As the abnormal veins shunt blood around the liver, substances that normally
would be filtered, metabolized or modified by the liver stay in circulation.
Many of these, especially ammonia, are harmful - especially to nervous system
tissue. Affected dogs usually develop symptoms by 1 year of age. The signs of
PSSs are nonspecific and episodic. They include lethargy, weakness,
disorientation, drooling, vocalization, vision disturbances, pacing, stunted
growth, vomiting, diarrhea, constipation, appetite changes, changes in
urination, itchy skin, tremors, seizures and collapse.
If you’re interested in more information on this condition click on
the link below:
Needless to say my daughter was very concerned, as we all were, to see
if we could help the little guy lead a normal life. I’ve never heard of
this condition in dogs but now we are all becoming experts.
Gunnar is the friendliest, sweetest dog I’ve ever met. Everyone
who meets him falls in love with him on the spot. People actually come
over and ask to pet him all the time. My daughter is lucky she can bring
him to work with her. He’s made friends with everyone there from the UPS
guy, the mailman, the people who work in the building, and even random people
in the parking lot that he meets on his potty runs. Gunnar loves to explore
outside, meet new people and dogs, and play with his many toys. His
Lambie is still his favorite though.
Needless to say, we all wanted to do the best we could for him. His
regular vet referred him to a specialist at Cornell where he was given a CT
scan. It turned out he had the more difficult kind of shunt to operate
on. Gunnar's is inside his liver instead of on the outside. The vet
there referred Gunnar to his mentor who has pioneered a new procedure for the
kind of shunt he has. So he was scheduled for an appointment with that
specialist in a month or so. In the meantime, Gunnar was being treated
with medication and a special diet while we waited for him to get a little
bigger and put some weight on.
The day came for his consultation with the new specialist in
Manhattan. When he arrived they examined him and decided he was ready for his
operation the next day. There is a 95% chance of success with this
surgery. The doctor seemed confident that he would do well. The
operation is done laproscopically (if that's the right word?) and they go in
through the jugular vein in his neck. It’s less invasive than the other
surgery he might have had if the vein was outside the liver. For that surgery
they would have had to open him up and recovery time would be about a month or
more. During the operation they put in a stent and 14 coils--he did
great. We had to wait to see if he would have any complications after the
procedure, as seizures and hepatic hypertension are major concerns. The
day prior to surgery they gave him anti-seizure medication.
He stayed in the ICU unit for a day. Apparently, they let him
walk around and he kept going over to the packages of food and bringing them to
everyone who worked there. Sort of a “how about it guys, I’m hungry!”
Afterwards, when everything appeared ok, he went into the general ward
and got ready to come home. I’m happy to report that he’s doing fine and
there was really no down time for him. (As far as he was concerned.)
He’s playing and just being super cute.
The vet did say that when he’s full grown he
might need another operation to put in more coils. It all depends on
whether the shunt begins to leak as he continues to grow. Fingers
crossed. We will deal with that if and when the time comes. But for now
we get to be friends with a very sweet lovable pup who is one of the happiest
dogs I’ve ever met.
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| Here's Gunnar a few weeks before his operation. (Both pictures) |
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| No gloves are safe since he was allowed to play with one of my daughter's! |
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( I have no current pictures of Gunnar - I blame this on my daughter who is terrible about taking pictures!)
Quote
for Today
“Happiness is a warm
puppy.” – Charles M. Schulz