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Dog

Hi Dr. Michael;Are you here...

Resolved • Response time 1 hour 26 minutes

27 Nov 2021

Hi Dr. Michael;
Are you here today?
Alette
Read Less

27 Nov 2021

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Dog Specialist's response
27 Nov 2021
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
Dr. Michael Salkin is typing. Please be patient.
27 Nov 2021
Dog Specialist's response
27 Nov 2021
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian

Yes, Alette.  I saw your other post but couldn't access it because another (inconsiderate) expert responded instead of deferring to me.  Kailee isn't emergent. Those structures in the cornea appear to be keratic precipitates or cholesterol/lipid deposits.  They still need to be examined under magnification but certainly not by an ER vet.  Note that they're non-painful.  She's not squinting or pawing at the eye.

Please respond with additional questions and concerns if you wish.

27 Nov 2021
Customer reply
27 Nov 2021
You're here!!!!! Thank god!!!
27 Nov 2021
Customer reply
27 Nov 2021
Thank goodness!
27 Nov 2021
Dog Specialist's response
27 Nov 2021
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian

My daughter came to visit and I've been playing tour guide for 7 people.

27 Nov 2021
Customer reply
27 Nov 2021
How are you?? I'm so sorry its been so long. Thats terrific your daughter is here!!
27 Nov 2021
Customer reply
27 Nov 2021
I kept trying to come tell you about Reilly but I was so crushed I haven't really been able to but I've intended to a ton of times.
27 Nov 2021
Dog Specialist's response
27 Nov 2021
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian

Who knows how I am?  I was trying to get younger than older but it doesn't seem to have worked...

It's time to tell me about Reilly, please...

27 Nov 2021
Customer reply
27 Nov 2021
Awww!! Lol you already are like a puppy so you're good! :)
27 Nov 2021
Dog Specialist's response
27 Nov 2021
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian

I can still hike up godawful trails up and down lava strewn mountains!

27 Nov 2021
Customer reply
27 Nov 2021
I think a respiratory infection finally took him out suddenly that they didn't realize was going on cause of him constantly having pneumonia and all the problems. His good bacteria was wiped out from all the antibiotics for so long and some bacteria got out of control. One night suddenly he threw up his pills and then fell over into his vomit. I ran and pulled him up but he never could really catch his breath. I realized that was probably it for him and thought he was about to die. I laud on the floor all night with him and he finally started rallying in the morning so I thought maybe I should get him to the hospital.
We struggled very hard to get him in the back seat of the car and they put him in an oxygen kennel and gave him more antibiotics. But he made it one more day and started failing again so we said to let him go. He was in my arms and looking in my eyes and very gently left. I never stop missing him.
27 Nov 2021
Dog Specialist's response
27 Nov 2021
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian

Oh my goodness. He was so lucky to have you and your assessment was right on the money. My condolences for your loss.

27 Nov 2021
Customer reply
27 Nov 2021
Between him and Alyssa and my Mom and my best friend all leaving last year it really kind of was overwhelming. I ended up getting diagnosed with pancreatic and liver cancer in March probably because my immune system just couldn't handle all of it.
27 Nov 2021
Customer reply
27 Nov 2021
Thet just were focusing on the pneumonia and ironically I had a study done of his stool and it showed the bad bacteria that had gone nuts that came in a week after he died.
27 Nov 2021
Customer reply
27 Nov 2021
Its some bacteria that causes a disease similar to parvo. I forget the name.
27 Nov 2021
Customer reply
27 Nov 2021
He was one in a million. You helped save his life probably dozens of times. So we both are so grateful for all those times you helped.
27 Nov 2021
Dog Specialist's response
27 Nov 2021
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian

Yes, we can reach the point at which no antibiotic will be helpful. There are all sorts of bacteria that can cause parvo-like symptoms.

You're quite welcome. Are you being taken good care of?

27 Nov 2021
Customer reply
27 Nov 2021
I'm hanging in there. I'm still doing everything I normally do. Chemo is definitely tough but I'm hanging in there thanks.
27 Nov 2021
Customer reply
27 Nov 2021
I was thinking similar to what you mentioned about Kailee.
27 Nov 2021
Customer reply
27 Nov 2021
First I thought maybe she scratched herself but it doesn't look like a scratch.
27 Nov 2021
Customer reply
27 Nov 2021
its best to get her to an eye specialist?
27 Nov 2021
Customer reply
27 Nov 2021
No discharge and doesn't seem painful but maybe she's just not showing she's in pain.
27 Nov 2021
Dog Specialist's response
27 Nov 2021
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian

I'll think good thoughts for you.

A specialist has the type of equipment to best examine the different layers of the cornea and then be more specific about what's going on and know how best to treat. "Corneal dystrophy" is likely to be diagnosed and medical care is limited to products that decrease the fluid accumulating in the cornea. Surgical treatment is available, however.

27 Nov 2021
Dog Specialist's response
28 Nov 2021
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian

Please continue in this conversation if you wish.

28 Nov 2021
Customer reply
30 Nov 2021
Hey Dr. Michael, Sorry for taking so long to get back to you. As it turned out while I was waiting for you a dog opthamalagist called on Saturday, returning my call, and agreed to see Kailee on Saturday down in Monterey. So we trekked on down there and as it turned out she has Chronic Superficial Keratitis , or pannus, and crystalline corneal degeneration in her right eye and also unfortunately has the pannus in her left eye also. She prescribed NP Dex Ointment 3-4 times a day for the next 2 weeks going down to 2 to 3 times for next two weeks and then 1 to 2 drops for the rest of her life. And then Optimmune Ophthamalic ointment once every 12 hours also for the rest of her life. So I guess, thankfully, we caught it at the beginning and she thinks that she'll have some improvement but she should be safe as long as we keep up treatment. She says that she isn't in pain and that it shouldn't be affecting her vision at this point. So pretty much what you were saying.
30 Nov 2021
Dog Specialist's response
30 Nov 2021
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian

I didn't see the pannus but that's not your fault. Photos can be misleading. I did see the corneal changes which were your primary concern. Kailee is being treated appropriately. Thank you for the update. Please continue your good care of her and please take care of yourself!

30 Nov 2021
Customer reply
30 Nov 2021
Yeah the photos didn't completely show it. Tough to get the lighting right so it could show. Definitely wasn't a scratch though. Thanks for the reassurance and it was nice to finally get to talk to you. You helped Reilly so much for years and we both appreciated so much. Both him and Alyssa. I hope you're well and enjoying Hawaii still! :) I'll check in in a month or so and update you about Kailee to make sure we're on the right track. You take good care of yourself and hope you enjoy your holidays! Hugs from Kailee and me!
30 Nov 2021
Dog Specialist's response
30 Nov 2021
Dr. Michael Salkin
Dr. Michael Salkin
It's my pleasure.  I always enjoy speaking with you and helping you with your pets.  They've all been very lucky to have you.
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
Avg. question only $30
University of California at Davis graduate veterinarian with 48 years of experience
30 Nov 2021
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