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Home » ByJane

Immune Mediated Hemolytic Anemia: Not my dog’s best friend

Submitted by byjane on Monday, 5 April 201013 Comments

So–there’s no Monday post up as there usually is on MidLifeBloggers. Well, there’s this, but it’s definitely a ByJane, so it doesn’t count (yeah, there is a method to my madness–you haven’t discovered it yet???).

My beloved Molly is VERY VERY VERY SICK. Right now, she’s getting a blood transfusion. The vet hopes that will buy enough time for the meds to start working. She has something called Immune Mediated Hemolytic Anemia (IMHA). Sounds grotesque, and it sort of is. It’s an autoimmune disease in which the body stops recognizing the red blood cells as good and attacks them. And destroys them. And without red blood cells, you die–end of story. It came on suddenly (as IMHA does) and without warning on Saturday. When I took her to the vet on Sunday, her red blood cell count was 17%. Normal is 37-55. This morning, it was 11, and thus the reason for last ditch transfusion.

IMHA is not that uncommon. Sometimes it’s caused by an underlying disease (which Molly doesn’t seem to have). Most of the time, it’s just spontaneous. Statistically, it happens more often to females in the 6-7 years of age range. That’s Molly. It also happens more to poodles. That’s half of Molly.

The symptoms are not particularly cleancut. Molly was kinda funny-ish on Saturday morning, but was fine after a bit. She ate, walked, played, etc etc etc. We went to friends for dinner, and maybe she was a bit more subdued, but nothing that alarmed me. When we got home about 7:30, she was tenuous jumping out of the car, but again nothing that alarmed me. Normally, when she jumps out of the car, she runs right over to the grass to pee. She didn’t this time. Instead she just flopped down on her side, like she was taking in the sun. But it was night. And cold. And that did alarm me.

I carried her into the house and she spent the rest of the evening on the sofa with me. Normal. But she refused her beloved Greenie. Not normal. I examined her all over and couldn’t find anything untoward. So I left her on the sofa when I went to bed. About twenty minutes later, she came in and jumped up on the bed. Normal. Then promptly fell backwards on to the floor. Not normal. I cuddled her for a while, brought her back onto the bed and fell asleep. Sometime in the middle of the night, she got off the bed and in the morning when I got up, she was just lying kinda calmly on the floor. I tried to take her out, but she wouldn’t get up. I’m fairly good about human diseases and what’s serious and what’s not. I’m a dunce when it comes to dogs. Maybe she had doggie flu. Maybe she just needed a day or two to get over it.

This was Easter Sunday and her usual vet is closed on Sunday. Their weekend emergencies are handled by a clinic in Sacramento, miles away. Was this serious enough to traipse all the way into the city? I didn’t know. Some friends said yes. And then I remembered driving by a local vet’s that I thought maybe had 24/7 emergency services. I looked them up–Bradshaw Veterinary Clinic–and they gave me an immediately appointment. Before I took her over there, I put her down on the grass to pee. She promptly fell over again.

I want to blow Bradshaw’s horn a bit because if Molly lives, it will be thanks to them There are TWENTYONE vets on staff there and probably an equal number of licensed vet techs. And no, it’s no more expensive than where she’s gone in the past. Fortunately, Molly has pet insurance (yeah, yeah, I know–but I’ve been down this road before with my Yorkie, so I got it for Molly the day I brought her home).

If you’re the praying sort, or the meditating sort, or just the sort who will think good thoughts for a little dog who means the world to me–please do.

Updated 4/9/10:

Molly came home last night with a bagful of pills.  Her red blood cell count yesterday was 19.  Not great, but stable and will, we hope, improve.  She was in the hospital four nights total.  They did all sorts of tests and xrays and ultra sound to see if there was a disease that was causing the IMHA.  The good news is: nope, it’s just a fluke.  However, considering that exactly four years ago (April of ’06) she ended up in the hospital with what is essentially the opposite of IMHA–her platelets were being destroyed then, not her RBCs–I’m wondering if anyone is doing research on these autoimmune diseases.  It just seems too much of a coincidence.

Thanks for all your thoughts and prayers and concern.  It really meant a lot to me–and, since she’s on the mend–to Molly as well.

13 Comments »

  • Brenda says:

    I know how tough it is when your best friend gets sick and you feel so helpless. Good luck with Molly and thank goodness you had pet insurance. Which is a good reminder to me since I adopted a new dog recently to keep my old dog company (who has cancer and on medications to prolong his life). My best friend, Meesha, was diagnosed with prostrate cancer over about 16 months ago (and we don’t know how long he had it before). Luckily I have an holistic vet and we started him on herbs and western meds which has given him more energy, has helped his arthritis and he seems to not be in pain. I am grateful for every I continue to have him in my life because he has been a gift from the Universe and helped me get through some really tough times in my life. He is now 15 years old and has perked up a lot since I have brought home a rescue dog (that I was fostering). It is so hard to let go and I pray that he doesn’t suffer….this little creatures are truly gifts from the Gods and deserve all the love, nurturing and care we can give them.

    Best of luck,

    Brenda

    byjane reply on April 21st, 2010 11:33 am:

    @Brenda,

    Before Molly, there was Pupi, a Yorkshire Terrier, who died when she was 19. That’s a ripe old age for a dog, but she was really sick at the end and I think we put her through some misery just so we could be with her. My experience with Pupi taught me that hanging on is sometimes not the loving thing to do. When Molly got sick this time, I kept that in mind and knew that I would take the hard road for me if I had to for her. I feel for you and Meesha…

    Jane

  • lauren Jarvis says:

    Be well Molly~

  • Duchess says:

    So glad to hear that Molly is on the mend. I hope she keeps on getting better.

  • Duchess says:

    I checked in to see how Molly is doing. We will all be glad for an update whenever you feel ready.

    byjane reply on April 9th, 2010 5:12 pm:

    @Duchess,
    thanks for giving me a poke. I’ve been updating on Facebook–and now on the post itself.

  • We have 2 Boxer Dogs and they are like our kids! We will keep you and your precious Molly in our prayers.

  • Lady Fi says:

    I’m thinking of you and Molly and sending you healing thoughts.

  • Duchess says:

    Oh, I hope Molly will be well again! I know how loved a little dog can be, especially when you live alone. And Molly should be with you for another 6 or 7 years or more.

  • byjane says:

    Thank you for all the kind thoughts. She was better last night after the transfusion, but she’s still not out of the woods.

  • sammy bourke says:

    Molly and Jane:

    We are rooting for Molly.
    And thinking of you both.

    Love from Sammy,

    And his Best Friend & Kind Friend.

  • Dorothy says:

    Sending good thoughts and prayers for sweet Molly…

  • ann tracy says:

    Sending good healing energy to Molly….