THE NIGHTMARE
It struck so suddenly, I
didn't have a chance to think. When a perfectly healthy animal
suddenly becomes deathly ill, one becomes stunned.
Kelly has always been a healthy
dog. Since the day she was born, she's always been a bundle
of "yellow" joy. She was the brat of the litter. First to
climb out of the whelping box at three weeks; and at six weeks
climbed out of the four-foot high wire puppy pen. She kinda
picked us as well as our picking her. At nine weeks she went
to her first fun match and promptly won Best of Breed puppy
over much older dogs. From that time on, up until the time
she became ill around her fifth birthday, she gained eight
titles. These titles were in all fields of competition. She
had done so much in such a short period of time. I simply
steered her in the direction to take and she took it from
there. For example, she finished her Canadian Championship
in seven shows - all before the age of two. She picked up
twelve U.S. points before running into an incredible streak
of nineteen Reserves. She's earned obedience and field titles
too. She was trained for Utility and we hoped to start in
trials in the fall.
In January 1990, I decided
to breed her again. She had given me a beautiful litter of
six previously. After getting textbook perfect breedings on
her, we crossed our fingers. She then developed a proteus
bacterial vaginal infection and after consulting with a reproductive
specialist, my vet put her on ampicillin.
At five weeks she started
acting a little "dumpy" and there was an enlargement of her
abdomen. At eight and a half weeks she still at times acted
"off" and her abdomen was still enlarged and now somewhat
tender to the touch. However, her nipples and breasts remained
unchanged from their normal state. After examination from
my vet, it was determined she was not pregnant. After consulting
the reproductive specialist again, it was decided to put her
on Trimeth-sulfa drugs for two weeks to try to totally clear
up the bacteria.
After being on the sulfa
a week, on St. Patricks Day she then started scratching at
her ears. Upon inspection I discovered dried blood in the
ear. I cleaned them out and the next day discovered what looked
to be little bites on the inside ear flaps of both ears. Never
having them, I thought ear mites. That night (it was Sunday)
she became uncomfortable and wouldn't lay in her bed. Her
abdomen was still slightly swollen and tender and I started
to become alarmed. Oh Lord, pyometra, I thought. I
took her to the vet early Monday morning thinking the worst.
The vet felt her abdomen and recommended blood work to determine
if her white cell count was up. If it was then he could assume
it was pyometra. I had him check the "bites" on her ears and
that's when he became alarmed. He also then checked her gums
and noticed "spots" that looked like bruising on her gums
and tongue. Drawing more blood it was determined that her
blood wasn't clotting properly. She was given a couple of
shots of Vitamin K and steroids to help promote clotting and
we were told the blood results would be ready the next day.
Later that evening I noticed
Kelly's neck really looked swollen. I called the vet and he
told me to bring her right in. Upon examination he determined
that her lymph nodes were swollen. By this time, her whole
face was swollen; she looked like a Bull Terrier. My poor
baby Kell. Upon checking her gum color he felt she was quickly
becoming anemic and was close to going into shock. Kelly was
given electrolytes, more Vitamin K and steroid intravenously.
Her gum color immediately improved and she went home.
Back at the vet's the next
morning it was discovered that her platelet count was very,
very low. However, her white count was normal, indicating
she did not have pyometra. Both my vet and his partner then
began to bounce reasons off each other while they consulted
medical books. They were convinced it was either a reaction
to the sulfa drugs or an autoimmune problem. (or both) According
to their books, the necessary treatment was oral steroids.
Upon seeing the results of her blood check on Wednesday, it
was decided to send Kelly to someone who had better testing
facilities and were capable of performing a blood transfusion
if necessary. I was warned that a blood transfusion could
be fatal to Kelly. The reasoning was that if Kelly's body
was fighting her own system, her system could destroy itself
fighting someone else's blood.
I left my vets office in a
daze and an hour later found myself at the specialist. I still
can't remember my trip there. After being examined, Kelly
was left for additional tests. She would have various blood
tests, x-rays, lymph node aspiration and a possible bone marrow
aspiration. Kelly stayed for two days. She came home shaved
to the skin in six different places. The only thing we knew
for sure was that she did not have cancer. However, all the
tests were not in and the cause of her problems had to wait
on the return of the bone marrow tests. It was felt that the
bone marrow could tell us the cause of this sudden platelet
drop and whether she could be cured. Though out all these
tests, this poor dog was such a good patient. She never growled,
snapped or otherwise complained while they poked and prodded
her. She also continued to eat. However, the day after she
got home, she quit eating. I tried everything. She was only
interested in drinking water. My vet recommended taking a
60 cc syringe and squirting watered-down baby food down her
throat. The next day (Sunday) she started vomiting. Her vomit
had traces of blood in it.
Monday morning, only a week
since her illness started, we were back at the vet's and he
gave us some medicine to stop the vomiting. She promptly threw
that up. He then gave her a shot of something to control the
vomiting and I was told to try the anti-vomiting medicine
three hours later, once her stomach settled down. Well three
hours later, she once again vomited the anti-vomit medicine.
Every time she vomited, there was blood present.
Back to the vet we went where
they gave her the anti-vomiting medicine intravenously. I
was told she would be able to hold food down later that evening.
Well, she refused to eat (back to the baby food), and she
threw up three times that night.
We received the bone marrow
result back which showed her body was trying to rebuild its
platelets and red cells. The news was encouraging. It was
felt that provided we could control the vomiting, she was
treatable. However, the bone marrow did not reveal why she
became sick. The next morning found us at the vet again where
she was fed intravenously and given another anti-vomit shot.
We had a new platelet count which showed us a number of 15,000.
The previous Friday, the count was 2000. (normal is 350,000
- 500,000) However small, it was an improvement. However,
we had to take her off the steroids for a day to give her
intestinal tract a rest. We fed her again intravenously the
next day and again no steroids. When I consulted with my vet
on Thursday, he felt we could not put her back on steroids
for fear of killing her. He felt that even though the steroids
were the treatment of choice, they had ulcerated her stomach
therefore she was unable to hold down food. Her blood work
was once again encouraging so I agreed to see how she did.
We decided to give her to Monday. If she continued to show
signs of improvement we would continue to treat her. If not,
then I would have to make the toughest decision of my life.
We did not feed her intravenous that day, instead I was to
give her water laced with honey, vitamins and antibiotics
throughout the day. She wouldn't touch any of this so I had
to crush the vitamins and antibiotics, mix them with the water
and honey, feeding her by syringe. Friday I was told to give
her the baby food mixed with water throughout the weekend.
(again by syringe) She seemed to perk up slightly, but she
continued to vomit off and on, mostly during the night.
Monday came and she had blood
drawn for her bloodwork. During Monday she seemed alert and
happy. She continued on her baby food and munched a few plain
crackers. However, she again vomited that night.
Tuesday we learned of her
blood results. From a platelet count of 2000 ten days ago,
Kelly's platelets have grown to 184,000. Almost perfect! The
bruising and hematomas have almost completely disappeared.
Now if we could just control the vomiting. She continued on
her baby food and had some bread dipped in honey. However,
she continued to vomit during the night. After further consulting
with my vet, we decided that her stomach acids were irritating
her stomach ulcer. To try to correct this, I fed her later
in the evening so she would have food to digest during the
night. She still was only eating baby food and various bread
and crackers, but this seemed to do the trick. Her vomiting
began to slack off.
For the next three to four
weeks, my life revolved around Kelly's recovery. I continued
to take her to the vet each day for monitoring. We rejoiced
when she finally graduated from baby food and toast to dog
food. Then the fun became convincing her that she should eat
dog food since she was a dog. It had been a very long five
weeks, but I began to think that she was going to be well
again. Finally, one day her platelet count was up to 350,000
which was considered normal. It was safe to cut her nails
again, there was no longer a risk of her bleeding to death.
A month later we felt it safe enough to spay her. Four months
later she received an ovation from her friends during the
Parade of Champions at the H.R.L.R.C. specialty. She glided
around the ring like her old self. I had tears in my eyes.
We were very happy to be there.
Looking back a year later,
I remember rejoicing at things which seem so basic. The first
time she was able to keep dry toast down; doesn't seem like
much but at the time it showed us that she might eventually
be okay. I can't tell you how many times I lay awake at night,
during the worst of her illness when her nasal passages were
so swollen that she couldn't breathe through her nose. I'd
just lay there listening to her having trouble breathing and
wonder if she'd take her next breath. Sometimes I just sobbed
all night as I stroked her head while she slept. I wept while
I held her as she vomited, praying all the while that the
Lord would heal her.
A year later, no one's sure
what caused her immune system to go crazy. She had been vaccinated
prior to her coming into season and being bred. Was it the
sulfa-drugs, the stress of her infection, environment or the
vaccines, no one really knows. Her thyroid tests have all
come back normal. I have changed her vaccination schedule
to one that will not over-stress her immune system. You can
bet she'll never have sulfa-drugs again!
A year later, she's healthy
and seems completely back to normal. She'll celebrate her
sixth birthday next month. I've retired her from competition.
If she continues to do well, maybe I'll bring her back for
the Veterans classes when she's old enough. She spends her
days playing ball, chewing bones, wrestling with her grand-daughter
and napping in the sun. Her face is completely white - she
went gray after being so sick. Kelly and I have always been
close, but now after her illness we are even closer. If I
must leave her behind, she whines the whole time I'm gone.
I can't possible relay the
helplessness I felt during this nightmare. In order to understand,
you'd had to have gone through something similar to this.
That's something I wouldn't wish on anyone. I guess I've learned
something from all this. I try not to take myself or the dog
business too seriously. I'm very thankful for what I have
and no longer get too upset if one of my dogs doesn't win
at a show. I still like to compete, but its not life and death.
If they do well, that's great. If not, well we tried and at
least the dog had fun and we're healthy. I thank God every
day that our family is intact. The only way I got through
this ordeal was through the caring of my friends and family
and especially my faith in God! The get well cards that Kelly
received have all been saved. They helped me when things looked
so bleak. You really find out who your friends are when you
go through something like this. Kelly and I will never forget
their kindness.
© 1991 - LRM
Post Script (2007):
It was determined a few years
later that Kelly had developed Auto-Immune
Hemolytic Anemia
(AIHA). She was the first Lab on record to have this
disorder. (lucky us) It was thought that the infection, plus
vaccines, plus the Tri-Meth Sulfa drugs combined to make her
immune system start to destroy itself. It was an overload.
Back then we didn't know what we know now about over-vaccinating
and various medications.
We lost Kelly to kidney failure
in 1995. A scant five years after her surviving AIHA.
She fought so hard through the AIHA only to ultimately lose
the battle. The vets we consulted all thought the kidney
failure was due to the AIHA and the toll it had taken on her
body.
I wrote this story to remember
what Kelly and I had been through. I have found out through
letters and email that what Kelly and I went through has helped
others be aware of this disorder and to give others hope that
their stricken dogs might pull through.
Kelly's death was not in vain.
I still miss her terribly
every day of my life. I have not been the same since
losing her. She was a great dog and most importantly,
my friend.