Friday, July 6, 2012
Will This Ever End?
Anyway, I just got a call from Dr. Webb at MedVet (Dr. Corbett is in Cincinnati this week, but Dr. Webb works with her). Lexie's incision sites did not bleed much through the night, which is good becuase it's a sign she does not have Von Willebrand's disease, but they don't know for sure if she has it yet because her test results still aren't back from New York. Anyway, Lexie's bacterial culture did come back showing that she's got two different kinds of bacterial infections right now: staph and serratia, which are resistant to the antibiotics she is currently taking. I should also add that Dr. Webb believes that these infections may be the reason why Lexie's incisions are pulling. So, they've changed Lexie to a more heavy-duty antibiotic.
Meanwhile, Dr. Webb has consulted with their soft tissue surgeon, Dr. Kennedy, who will be repairing Lexie's incision. Luckily, Dr. Kennedy feels Lou still has enough surrounding soft tissue to make it possible to re-close the wounds without having to perform a skin flap surgery, which is kind of an extensive (and I'm presuming expensive) last resort procedure.
I did ask Dr. Webb about Lexie's immune system because I know it has been weakened by the Prednisone (steroid) she was taking in the 1-1/2 weeks leading up to her bilateral enucleation surgery. She had been prescribed Prednisone because it was believed that her original disorder, anterior uveitis, was an autoimmune disorder, and Prednisone's function is to weaken her immune system in order to get it to stop attacking her own body. However, the ER vet on duty last night, Dr. Foust, explained that Lexie's weakened immune system could be a reason why she's having these post-surgical complications and not healing as quickly as we would like. Therefore, I asked Dr. Webb if there was anything they could give Lexie that would help build her immune system back up. Dr. Webb said I posed an excellent question, and she would speak to their Integrative Medicine department, which specializes in alternative therapies to compliment conventional treatments and veterinary medicine. She said they may have some suggestions for improving Lexie's immune system.
On an up note, when I asked Dr. Webb about a cost estimate, she said that she didn't have one yet, but added, "I promise, we are going to do all we can to keep the cost as minimal as possible for you." She said that I would probably still end up with a balance, but she said she was going to talk to Dr. Corbett and even Dr. Ellis to see what they could work out. (I forgot to mention that when I dropped Lou off last night, Dr. Foust told me they weren't going to require a deposit this time, which was such a relief.)
As I was writing this, Dr. Kennedy called. He said that the fact that Lexie has a staph infection, which is quite extensive, in addition to the serratia infection, is a little concerning. He said it would be prudent for them to treat this as an open wound for a couple of days in order to allow her new antibiotics to start fighting the infections while they also treat and clean the soft tissues of her wound. That way they'll be as healthy as possible when she goes into surgery on Monday, or possibly Sunday. He sounded confident, though, that Lexie is going to be okay when this is all said and done (if it ever ends!!!!). I asked Dr. Kennedy if HE had a cost estimate, because Dr. Webb had predicted that Lexie would come home tomorrow, but now it looks like Lexie may not come home until next Monday or Tuesday. Dr. Kennedy said he did not know yet what this will cost, but he said that they are still "working on it," and he'll call me later with an estimate.
Please continue to keep Lexie in your thoughts in prayers, especially for her immune system to regain strength in order to fight the bacterial infections, along with her new antibiotics. As much as I love the doctors at MedVet, I'm hoping never to see them again after this next surgery. *knock on wood*