HOLY SMACK! That is huge-when I was researching ALT stuff I found some as high as 9000 I believe (not sure what the reference range was-but know it wasn't anywhere near that).
You know, now this makes me think that pre-HW treatment bloodwork needs to be done as a matter of procedure to
A. have a reference range
B. to determine if the dog has any health issues that will impact tx
Regardless-do you think she is having a reaction to the Ivermectin?
Do you have access to (if she's well enough) an ultrasound? I've gone to Dr. Homko, who is out of Ithaca, but comes to Rochester on Thursdays and she's really good.
In the meantime have any x-rays been done?
She's not eating Nutro is she? (I know-but...)
Rimadyl?
Also, was this what they were seeing with the aflatoxin thing?
And there is jaundice? Or...???
I mean, I look at those combos of numbers and have no idea. It has to make sense to someone, somewhere.
If my vet had no idea, I'd say let's you call Cornell in case it's some sort of new something that hasn't been confirmed yet.
Crap-when Kramer had a giant liver tumor his ALP was normal and his ALT was 540 I think (something in that range). SO would that possibly mean that this is an acute reaction and not a chronic thing like a tumor? I have no idea if that is an OF COURSE IT IS! question or not.
That is just-yikes. The good news is that the liver bounces back. Kramer's values are normal in all liver functions except just a little step high in the ALT-but have been going down since January-so it's regenerating. Let's hope that it will here.
Is she eating? Dr. Dodd's has a fish based liver cleansing diet that while it might not fix things, would help her liver work less perhaps? As long as you don't use fish from China. I have a link somewhere.
Can you get some Denamarin from work? http://www.nutramaxlabs.com/products/animal/denamarin/denamarin_faq.asp
Prayers on the way.
You know, now this makes me think that pre-HW treatment bloodwork needs to be done as a matter of procedure to
A. have a reference range
B. to determine if the dog has any health issues that will impact tx
Regardless-do you think she is having a reaction to the Ivermectin?
Do you have access to (if she's well enough) an ultrasound? I've gone to Dr. Homko, who is out of Ithaca, but comes to Rochester on Thursdays and she's really good.
In the meantime have any x-rays been done?
She's not eating Nutro is she? (I know-but...)
Rimadyl?
Also, was this what they were seeing with the aflatoxin thing?
And there is jaundice? Or...???
I mean, I look at those combos of numbers and have no idea. It has to make sense to someone, somewhere.
If my vet had no idea, I'd say let's you call Cornell in case it's some sort of new something that hasn't been confirmed yet.
Crap-when Kramer had a giant liver tumor his ALP was normal and his ALT was 540 I think (something in that range). SO would that possibly mean that this is an acute reaction and not a chronic thing like a tumor? I have no idea if that is an OF COURSE IT IS! question or not.
That is just-yikes. The good news is that the liver bounces back. Kramer's values are normal in all liver functions except just a little step high in the ALT-but have been going down since January-so it's regenerating. Let's hope that it will here.
Is she eating? Dr. Dodd's has a fish based liver cleansing diet that while it might not fix things, would help her liver work less perhaps? As long as you don't use fish from China. I have a link somewhere.
Can you get some Denamarin from work? http://www.nutramaxlabs.com/products/animal/denamarin/denamarin_faq.asp
Prayers on the way.