Thanks for asking.
He seemed uncomfortable and disoriented over night. I almost packed up and went to the emergency vet but here we have stitch em up and ship em out types or the intensive one attached to the practice that oversees his oncology where I’d be looking at $2-3k for an overnight. Spoke with a vet tech friend of mine at 2 am and she said he wouldn’t put him through the stress of waiting at the big practice for their typical 1-3 hour wait time.
He popped up this morning shockingly normal much to my relief but confusion. He ate breakfast and followed me into the bedroom while I got ready and walked himself to the car. He was seen at 9 am by my old practice. They agreed his bloodwork and symptoms were strange and concerning.
Initial thoughts are tick borne, Addison’s crisis, or some type of toxin exposure. They pulled more blood, urine, fecal, and did a bunch of abdominal views. Blood is getting sent out to ensure no mistakes so that’ll come back tomorrow. Vet said that Addison’s would be an easy answer. Tickborn the only definitive is tittering and monitoring over time but there isn’t harm in moving forward with starting treatment.
Tick borne would be doxy + prednisone but he’s a sensitive stomach schnauzer and prednisone carries pancreatitis risk. Starting him on doxy and then reevaluating based on bloodwork results tomorrow morning.
He ate dinner and has had some more chipper moments. He’s definitely not himself but today is the first time since Saturday afternoon where I felt like he has been aware and responsive to his environment.
Overall, I appreciate that no one wants to do anything drastic that could be wrong but I’m also feeling acutely aware of how much a vet is really like a human ENT and I can’t expect them to have internist level knowledge. If I don’t have clarity tomorrow and/or a pretty normal dog I’m calling oncology and seeing if they can expedite a referral. Ironically, I’m already scheduled to see the internist for an upper airway scope in two weeks but I’m not waiting two weeks for anything like this. Worst case I think I can completely circumvent wait times by going through the emergency room and being prepared they’ll duplicate all tests done to date regardless of what I did Monday and Tuesday.