Update on Sadie

I haven't been on here in quite a while, it has just been really hard trying to cope with everything. The prognosis for Sadie is not good. For those who don't know, Sadie was a rescue 3 years ago. Apparently, she harbord a tick borne disease called ehrlichiosis. She showed no signs of disease and was the perfect dog and companion. When the disease got to her bone marrow she began to show clinical signs, and sadly, by then it was to late. We have doctored with her since August with high doses of steriods, antibiotics, iron supplements, etc. She has had some days that have been good where we see that spark that is the "real" Sadie; then other days she is mopey and just lays around. There have been uncontrollable nose bleeds from low (to nearly zero platlet count) and incontinence and other side effects of the high doses of meds. Our vets here and the consulting vets at Oklahoma State University Veterinary School believe the ehrlichiosis is taken care of, but that it triggered IMHA.

I have read everything I can on IMHA and none of it seems good. All say there is no cure. We are devastated! and of course, very sad. Our next step is to add Imuran to shut down her autoimmune response (if I am saying this right) so it does not attack her red blood cells. The next step after that would be to remove her spleen, if she could even survive the surgery. Good grief! they won't even clean her teeth so they don't case some undo bleeding, how could she have surgery? I don't know how we could put her through all that anyway. She is a love. My love. But I feel very selfish to keep trying just so I can keep her. Our vet, who is wonderful and very understanding, has said we would check her again in two weeks (still on all the meds). I think she is trying to give me some time but also trying to prepare us for the inevitable. However, if Sadie has another bleeding session, that will probably be it.

We have been talking, crying, talking some more. We have wondered if getting another OES would help ease the pain. I even completed an application to OES Rescue Network. Then I feel guilty like I am giving up. There is nothing I would like better than to keep Sadie. It just seems so hopeless. We are so torn.

I know from reading the forum, many of you have faced losing your companion and know from your stories it is never easy. We have lost other dogs to old age, but this is so unexpected. Sadie just turned 4 this past Tuesday, and is this is really difficult. I just hope I haven't rambled. If there is anything we haven't tried, or any advice, please comment. We would appreciate comments.
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I am so sorry to hear about Sadie......
Our first sheepie Mandy was on Imuran and
it seemed to really help.
I wish I could remember the specifics better.

I would also like to mention the
supplement maybe you can ask your vet
to check into CAS Options.
It is an immune booster, my vet had never heard
of it and it was suggested here on the forum.
He now recommends it to other clients
(as an immune booster as well as a cancer supplement)

I am sure you will get some wonderful advice here.
I do believe nutrition can play a huge part.

:ghug:
We will be thinking of you and sweet Sadie
I have no answers as I've not had a dog in such critical condition. How devastating this must be for you! All I ask is at some point ask yourself are you keeping the dog just to feed your ego or need.

If you are in-tune with your sheepie you will be able to read their eyes. At some point they will let you know they no longer have interest in life but just a long, permanent sleep.

It's an awful process to get to that point, I know you are in pain and confused. Don't let her age be your guide, it's not quanitity, but of course quality.

When she passes either from a bleed or a more gentle escape, know we will shed tears with you. :ghug:

s.
I can only echo the last thread, she will tell you when she has had enough, and you must be strong for her. So sorry such a young dog, give her a cuddle from me....xx
Sorry to hear about Sadie.Only you know when it's time. They say the animal will let you know. I personally have never had to deal with this matter and pray it is a long time till I do.
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