Saturday, October 1, 2011

No News Is Good News

I didn't go up to Madison today to visit Pie, as I'm worn out from all the driving and had things to take care of at home - today they're starting to increase his feed and will do so again tomorrow - right now he's still not getting very much to eat.  By the end of tomorrow, he will be at the full hay ration (26 pounds a day, calculated by the vet students and approved by the vet) plus pellets that they think he needs.  So far - since he's been up there on Thursday - he hasn't had another colic attack.  This is good news in a way.  In a way it's frustrating, since the vets haven't been able to observe him when he's having an attack.  But it's also good - the vets say he's the picture of good health.  If he doesn't colic again,  he'll be coming home on Monday.

But he'll be coming home without a definitive diagnosis.  We know a lot of things he doesn't have - he doesn't have sand colic (they tested for that), he doesn't have primary liver disease, he has no masses in his liver or spleen, his GI tract is completely normal as far as they can determine.  They don't think he has ulcers - he doesn't present like a horse with ulcers and they've decided he doesn't need to be scoped. He does have these multiple masses inside his abdominal cavity and outside his GI tract, but we have no idea what they are, or even how many of them there actually are.  They aren't fatty lipomas - the shape is wrong - and there's no overt constriction of his abdominal tract. They probably aren't bastard strangles or any other infectious process, since his blood work and abdominal tap were unremarkable (although we're still expecting culture results, the vets don't expect anything).  They aren't certain types of cancers that shed lots of cells into the abdominal space - those would have been picked up in the pathology analysis of the abdominal fluid.  They could still be some other type of cancer, and that can't be ruled out.  A biopsy or laparoscopic or other more invasive surgical examination isn't warranted at this time because of the risks of complications and the fact that he's not that ill.

So there we are.  We'll see how he does over the next day or so, and then follow the vet's recommendations for the amount and timing of feeding him and see how he does.  That's what we can do, so that's what we'll do, and we'll live our lives like horses do - experiencing and enjoying every moment we're given to its fullest - that's all any of us can do.

10 comments:

  1. No news is good news, but its also frustrating. You are handling the unknown very well. I admire that.

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  2. I hope they figure it out soon and can help him. Poor Pie wish he was through all this and home feeling better.

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  3. I'm looking forward to that "Pie is home and he's doing great" post.

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  4. I heartily second Terry's post.

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  5. It's frustrating not knowing the reasons. But it's good that he's doing better.

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  6. Still hoping they find the trigger. Maybe something environmental?

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  7. Poor little guy! Poor horse mommy! Don't you just hate it when they can't tell you where it hurts?
    Hoping he's home and back to "normal" soon.

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  8. Catching up again. This is so worrying, but once again, you are doing everything right in order to find out what's going on.

    Here's more hope and good wishes for you and Pie. He is such a sweetheart who deserves only the best, and it's clear you are the person to give him your all. My prayers are with you both.

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  9. It will be interesting to see if Pie colics once he is back home- that would be a strong indication that it is something in his home environment -that isn't present at the vet clinic- that sets it off.

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