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Caring for a Three Legged Dog or Cat

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Happy Hannah two wks. on Cytoxan and UTI already?? Is that even possible?
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8 August 2013 - 2:41 pm
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This is just my opinion but I would not change to another drug based on that one sample since there is no evidence of hemorrhagic cystitis (straining to pee, blood, etc).  I also do not think you have any evidence for a UTI since that is a caught sample.  Cephalexin is a pretty benign antibiotic but why give it if it is not needed?

We are lucky to have an ultrasound at our practice so it makes it easy to see the bladder and get a sample.  I usually put dogs less than 150 pounds on their back in a padded tray to support their muscles.  Larger dogs or dogs with bad hips or that don't like to be on their back I will just do in a standing position.  There is also a blind technique that is pretty easy to do on most dogs that does not involve using the ultrasound.

So if I were in your position I would not give cephalexin, I would continue Cytoxan and piroxicam, and I would get a sterile urine with a culture to see if there is any evidence of UTI.

Every vet has their own comfort level with sample techniques, treatment plans, etc but you should not hesitate to state any concerns that you have.

Pam

By the way I have been to VA which is beautiful but I fear the heat would kill me!

Virginia




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8 August 2013 - 9:15 pm
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PAM---MICHELLE Please know that the information you are sharing is INCREDIBLY helpful!! Your expertise and virst hand kowlege is so valuable!

I feel like I'm now clear (well, relative to the last 24 hrs.:-) )

I'm going forward with the culture and going forward with the piroxicam and cytoxan....which none of this can happen before Monday anyway. Then onco will ave to call in prescription, then shipped, etc. so it will probaly be Wed. before I get her back on ot......ohhhh welllll....at least I've got a plan! thanks to you two!!

Pam, I'll figure out a wy to "dehumidify" and air condition the whole stae if you'll move your practice here!!

Michelle, keeping all paws crossed for good results for Sassy so you can get back on Cytoxin.....but at least we all have Luekeran as a back up.

AGAIN, pleas, please kow how much I value and appreciate your input!

Love to you both,

Sally and Happy Hannah

Happy Hannah had a glorious additional bonus time of over one yr & two months after amp for osteo! She made me laugh everyday! Joined April's Angels after send off meal of steak, ice cream, M&Ms & deer poop!

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