Update on Maggie’s kidney disease….

Maggie’s doing pretty well. Yesterday at the vet she had her usual laser(one more treatment then on to probably monthly maintenance or more if needed). I got a lesson yesterday on giving her subQ fluids. I flunked the first time as the fluids were coming out instead of in! Needle probably up in dermal layer the Tech told me…so my second poke I got it right. Lucky for me, Maggie doesn’t even flinch at the pokes of an 18 gauge needle. After we were done, Dr. Adrian came in as I wanted to know how much I should do fluids at home. She said let’s run her blood work again on Tuesday as it will be two weeks since first blood draw. That way we can see where she’s at and what/how much fluids she should get. She’s also been on Azodyl (probiotic supplement that can help reduce urea nitrogen levels in the blood) and Epakitin(phosphorus binder) and Standard Process Arginex and Renafood for two weeks as well. I told her I need a prescription for Royal Canin kidney diet kibble. Maggie is preferring kibble as part of her diet now and refuses to eat her usual Honest Kitchen foods with raw meat added. Dr. Adrian suggested I wait until blood work to decide which kibble to get as they have an early stage kidney diet and an advanced stage kidney diet kibble. She didn’t realize Royal Canin had a prescription food(they sell Science Diet but I don’t want to use that on Maggie). I told her I go to http://www.dogaware.com/ for all sorts of medical information – of which she wrote the website down 🙂

I have also ordered the Canine Caviar Special Needs one on this list – zoom down to kibbles:
Saw a friend of mine yesterday during training practice with Haley and she said Maggie looked better than 3 weeks prior when she saw her. Stronger and in better weight behind her ribcage. What I noticed just before I started going to the vet with this condition was that Maggie was loosing muscle in her rear end – now I have since read that kidney dogs will start to “use” their own protein – muscle in their system. I’m sure that is what was(is?) happening. The Azodyl and Epakitin will slow that down along w/ low phosphorus foods. I also have her on Parotid SP supplement as that helped Maggie when she was so sick after amputation and didn’t want to eat.
Her appetite is better but not 100%. She is eating approximately 1/2 kibble(Acana Chicken/Potato as that is what I have right now) and 1/2 cooked diet I got off Lew Olsen’s website:
Recipe #1 Mix 1/2 cooked sticky rice (sushi rice) cooked in unsalted butter with 1/2 HIGH fat hamburger or dark meat chicken (lower in phosphorus than white meat). Add two cooked egg whites (no yolk) per cup. You can make as large a batch as needed and freeze for daily portions. Save the egg shells, and add back one teaspoon of egg shell (dry overnight, grind in a coffee bean grinder) per two pounds of food. The egg shell is good for calcium and also act as a phosphorus binder.
I’m feeling better now as it seems Maggie is getting more stable now. The Epakitin is a powder but she won’t eat supplements in her food, so I have been making capsules out of the powder(got a pill maker from Nature’s Farmacy a while back – putting it to use now!) I hate pilling her but she got “wise” to the pill pockets and won’t eat them now. So I have to pill her about 16 times morning and night. 🙁 Good thing she’s a good girl and compliant in all of this!
‘Til next time, Maggie says she’ll keep on hoppin’!
Tracy & Maggie

A different kind of battle……..

Well, Maggie is now fighting a different battle than cancer…she has the start of kidney disease………..:-(

Earlier this winter, she got a tad picky on her Honest Kitchen foods, so I found another food that she just loved, Dr. Harvey’s premix with her usual raw meats added to it. She had been going along great with that food. Then a couple weeks ago, she started get a tiny bit picky about that food.. I just figured it was “old age” finally catching up with Maggie… Then shortly after that, she started drinking a lot more and peeing more. I made an appointment to a new vet practice as I wanted Maggie to have some laser treatments – as her mobility/flexibility was getting worse as well. This was a welcome thing to see a vet practice up in my neck of the woods. Not a common modality in this area! Maggie has had laser treatments before but the holistic vet I use for that is 4 hours South of me, so as you can guess, can’t get regular treatments.

So off to the new vet practice(to us) we went…with a urine sample in hand(and fecal). Dr. Adrian of North Country Animal Hospital, drew some blood and ran a urine test and fecal test on Maggie. Fecal test results were negative. Urine results came back with a little bit of protein in her urine. Her blood work wonky numbers are as follows:

RBC – LOW

HCT – LOW

MCH – HIGH

WBC – LOW(which is very normal for Maggie her entire life)

BUN – HIGH

CREA – HIGH

PHOS – HIGH (which is causing the nausea and lack of wanting to eat sometimes)

ALT – HIGH

Conventionally, I was told there wasn’t much to be done regarding her kidney disease. It will progress. It was suggested to lower her protein(I have since read in my research that it isn’t protein you need to lower but phosphorus). And eventually, I could get subQ fluids into her when needed or they’d show me how to do it at home.

So, I left there and immediately called my sister, Gina (LVT), to tell me what can be offered holistically for Maggie. Gina suggested the following:

Give her subQ with B Complex added, 2 times per week for a few weeks…to see if that would make Maggie feel better(flush out bad stuff and see if it would help her appetite).

Start Maggie on the following supplements:

Azodyl – Helps support normal function and health of kidneys.

This treatment is important for pets with Chronic Kidney Disease (CKD), which begins with azotemia. Azotemia occurs when nephrons decline and non-protein nitrogenous compounds build up, impairing the kidney’s ability to filter and eliminate waste. Azodyl helps reduce azotemia and slows the progression of CKD.

Renal Advance – can help support throughout the stages of kidney disease by preventing hypokalemia, replenishing the loss of B Vitamins, controlling metabolic acidosis and helping to reduce azotemia.

  • Reduces Phosphatemia: Calcium carbonate and chitosan act as binders to reduce intestinal absorption of phosphorus.
  • Restores Acid-Base Equilibrium: Potassium citrate acts as a metabolic acidosis buffer.
  • Helps Prevent Hypokalemia: Potassium citrate provides a safe source of potassium.

Standard Process Renafood – designed for kidney support and detox.

Standard Process Arginex – promotes a physiological diuresis. It also aids in metabolizing urea for excretion. The effect is produced by arginase which breaks down arginine. Arginine builds up in the kidney as a result of protein metabolism.

So far, she’s been on the supplements for a week, as of today. Her drinking has gone down some and peeing less. Her appetite is still iffy..more so in the morning. This is due to the excess phosphorus, so need to find foods that are low in phosphorus. I have ordered Grandma Lucy’s premix and Essex Cottage Farms Kidney Diet premix. They can’t get here soon enough! 🙁 In the meantime, there is one Honest Kitchen diet that is also low in phosphorus, Preference, that I have been able to get her to eat but she isn’t all that crazy about. And another one, Honest Kitchen Keen, that is low in phosphorus but Maggie doesn’t want to eat that one.

She will however, eat Greenie Pill Pockets(JUNK FOOD!) until the cows come home with her supplements in them! Oh and she still adores duck feet chews 🙂

And the other item I went to the vet for – laser work – in hopes to help her mobility/flexibility. She was getting so she didn’t want to go in certain places in the house and had fallen down in the house and loosing strength. So, they are doing laser on her for about 10 minutes per session, 2 times a week for 6 sessions. After that, we’ll go on maintenance ‘dose’. I have seen an improvement in her strength/flexibility and willingness to move around in the house in certain areas on her own free will now. But it may be the kidney supplements may be playing a part in that too.

Here’s a photo of Maggie in her first session of laser. She has to wear ‘doggles’….she’s pretty cool in them 🙂

Maggie in her "doggles" getting ready for laser treatment
Maggie in her “doggles” getting ready for laser treatment

 

The reality that Maggie IS 13 years old and she isn’t going to be here forever, hit me today on our walk together. 🙁 Here’s some photo’s of her and a short little video showing that she still has her Maggie attitude 🙂

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‘Til next time, keep on hoppin’!

Maggie & Tracy