Tomorrow is day 28 – 4 weeks pot amp, and 4 weeks on the antifungal. But I’ve got a final and work, so probably wont have time to get online. Maybe Ruth will celebrate with them while I’m out of the house! Aside from the split incision that had to be stitched back up, Sheba’s amputation site is looking really good! The fur is growing over it so you can barely even see the emergency vet’s stitches. She did note that there could be a delay in healing due to the underlying systemic fungal infection, so we’ll be seeing Sheba’s surgeon Tuesday before having the stitches taken out. We also felt a funny bump on the princess’s chest so they’ll be taking a look at that as well. Fungal ID is expected by the end of the week , so hopefully we have more of a treatment plan and prognosis. Otherwise we’ll just keep chugging along with the itraconazole and monthly labs/x-rays/ultrasounds. It was not helpful to hear of a few local cases of canine disseminated Aspergillosis that were vary quickly fatal. No more talking to people!
As I’m sure is true in most of the rest of the country, its hot (almost) as Hades out here (88 with 42% humidity I’m sure sounds like whining to the rest of you!)! In another moment of teenage angst, this dork goes out in the middle of the day, about 90 degrees air temp, Dog knows how hot the cement was, and she lays on the cement, IN THE SUN!! I had a fit and made her come inside, what a poopy head! I know being skinny makes her cold, but if that’s the case she can ask for her blankie, she does NOT need to sit on the dirty cement. Where Bruddah Zia barfed during his bath yesterday! Double EWWW! I’m glad Zia is her waiting for his daddy to recover from surgery. Sheba has been getting into the funks and its hard to pull her out. She’s also been starting to have bedtime agitation again so we’ve pulled the Xanax back out. I’m not sure if she’s tiring more easily or just being too active, but the stiffness and fatigue that she didn’t have a week or two ago is worrisome. Hopefully it’s all nothing!
We were supposed to have a consult with a new internist, apparently her staff forgot to tell her that so she was very unprepared. Didn’t even have Sheba’s records from across the office. She showed us how to check her lymph nodes, symptoms to look for and agreed to add terbinafine, and antifungal that is commonly used in conjunction with azole antifungals when there is systemic disease. She’s supposed to give me a call with the microbe ID and susceptibility results (shouldn’t be back yet) when it does finally come in. At least its not infectious to the other dogs, but we’re looking at 2-3 years not that we know there’s lymph node involvement. That microbe ID will give a better clue as to the growth speed of the fungus and give us an idea of how long it’ll take to spread globally.
