Sophie is Anemic

If you know Sophie, you know her to be fun, playful, ravenous, and energetic. Well, this week she took a nose dive. Each day she lost an adjective. She lost her energy, she lost her interest in games, she lost her prankster side and finally she refused to eat. I can tell you there is nothing sadder than a Labrador that has lost her wag, nor anything more terrifying than a Labrador who won't eat.

I made an appointment for Sophie to see her regular vet on Friday. She continued to decline so I thought I should take her in for lab work before her appointment so we could move more quickly toward a treatment. The vet took her in the back to take the blood and urine samples and when they returned her to me the vet (not her regular vet) came out to look at her gums. The lab tech reported that Sophie's gums were pale, and the doctor was coming to check it out. She said they were quite pale and then told the tech to run a portion of the CBC in house so we could get some of the results more quickly.

What she found is that Sophie was very anemic. This isn't the same thing as being human and being anemic, it is much deadlier in dogs. It is WAY more serious than just taking some iron supplements. Her values indicated she was somewhat close to needing a blood transfusion. Yeah, I felt nauseous too. We took an x-ray of her so we could have a better picture. We talked with the vet for a while about what this means. It could mean: she was bleeding internally; she was bleeding into a tumor, her immune system was killing her red blood cells; the list goes on and it is merely shades of bad.

The vet recommends we take her for an ultrasound - it gives a better picture and more information. Hopefully that would show us if there was bleeding or a tumor or some other abnormality. We scheduled the appointment for Friday.

Friday morning was more of the same in terms of Sophie's behavior. She wants to go on walks, but she has a hard time walking. She wants to swim, but she has a hard time shaking off. She still doesn't want to eat. That is the scariest part.

We took her to VMS in San Mateo (they are phenomenal there), meet with the vet there and get the ultrasound done. The remainder of the lab work was complete and now we can diagnose and treat. The good news is she has regenerating anemia (Autoimmune Hemolypitic Anemia, or AIHA) caused by her immune system attacking her her blood cells. Now that doesn't sound like good news but it gives more hope than a bleeding tumor. And her blood work showed that she was already starting to fight this on her own... she just needs help.

So, Sophie is spending the night at VMS. She has a nice fluffy bed and an IV and the same nurse and vet that talked with us are on shift this weekend (happy coincidence). She is going to be treated aggressively with IgG Gamma Gard, and prednisone and another medication that protects her GI tract (which has a tendency to bleed in anemic patients during this treatment). She may end up spending the entire weekend depending on how she does.

Sophie is by no means out of the woods. Fingers crossed she will do great and be home with us soon, but it is possible she won't ever come home. Once home she will remain on predisone and another med for the rest of her life. Should she get a recurrence of this, it usually comes back much more virulently. But we hope she will be in the group that does well on the cocktail of meds and is back chasing down Frisbees in no time.

Suffice it to say, Roy and I are a mess. This has been a tough, teary week watching Sophie, our beacon of light, slowly but swiftly dim. She is my angel. I can't believe we might lose her. And as this was happening to Sophie, Joey has been fighting a dramatic reaction to her spaying. Her abdomen has filled with fluid and the incision is hard. The vet gave us some antibiotics and pain medicine for her. Recheck tomorrow.

Really tough week.