Tessa Adams – Chronic Renal Failure

Patient Information, Medical History and Blood Test Results

Breed: Cross
Age: 8 year old
Sex: Female
Name: Tessa Adams
Reason for visit:
Tessa was presented to us with chronic renal failure

Vet Diagnosis
Owner has been notified by their vet that no further treatment is advised for Tessa as she is now considered terminally ill and given ~3 months to live. They have prescribed a KD diet of dry kibble.

Overall health assessment
Her kidneys have scanned and measured twice the normal size. She was presenting with incontinence, constant urination, urinary tract infections and frequent drinking.
Her bloods are showing significant change and she has already lost a few kilos recently. She was vomiting and not drinking very much. Vet has her on heart blood pressure tablets as well as antibiotics anti inflamatory, anti nausea. Since being on the antibiotics she has stabilised since starting treatment end of Jan. But hasn’t gotten better and her bloods indicate that her kidneys are further deteriorating.

Medical history review
Tessa is hypothryoid. 7.7
Urine pH levels are ok
Notes: Tessa has been on the drip on 2 occasions and since her vet treatment she hasn’t thrown up. Her Lipase (pancreatic enzyme) is also up so pancreas is showing signs of disease and struggling to perform. I suspect this was contributing to her nausea and vomiting.

Current vet prescribed diet
Royal canine kidney. Rice veg and renal can food.

Blood test results – 27th January 2016

  • ALB – 17             Low
  • BUN – 19.2        High
  • Creatine – 124   High
  • TP (Total Protein) – 54  Low
  • PHOS – 2.64     High

2nd Blood test results – 4th February 2016

  • BUN – 22.2        High and increasing
  • Creatine – 418   High and increasing
  • TP – 52               Still low
  • PHOS – 2.64     High

Bloods also show that Tessa was Hypothyroid as her T4 levels were very low

Naturopathic Treatment Schedule

Consultation 1 (6th February 2016) 
Assessment: When meeting Tessa, her weight was good even though she may have lost a few kilo’s in the past weeks. She was still active and I believed she may have a good chance of recovery with the correct medical regime.
Notes: At this stage I chose not to treat her Hypothyroidism as it may correct itself after her kidney’s improved.
Prescribed medicines: Tess will be on a treatment plan containing 4 medicines initially
Prescribed diet: Tessa is put onto a raw natural diet mix of meat, meaty bones and vegetables. Need to keep in mind her protein requirements due to kidney disease.
Session conclusion: I have asked for Tessa to have a blood test after 1 week of treatment when we will assess the treatment plan from the results.

Consultation 2 (11th February 2016)
Assessment
Blood test results – 11th February 2016

  • ALB – 29            Returned to normal range(25-44)
  • BUN – 28.6       Increased
  • Creatine – 275  Decreased significantly from 418High
  • TP – 48              Decreased
  • PHOS – 3.14     Increased

Notes: BUN levels have continued increasing, Creatine has decreased significantly, ALB has returned to a normal range, PHOS has increased and TP has decreased.
Prescribed medicines: Tessa will continue on the same treatment regime of 4 medicines.
Prescribed diet: Tessa will continue on the same raw natural diet mix of meat, meaty bones and vegetables. It has been noted that she is loving the new diet and there have been no issues in her switching foods.
Session conclusion: Overall, the blood tests have provided mixed results but it is still very early in the treatment plan. As it has only been one week.
I have asked for Tessa to continue on the same treatment plan and diet and to have a further blood test in 1 week.

 

Consultation 3 (18th February 2016)
Assessment
Blood test results – 18th February 2016

  • ALB – 27             Stabilised(25-44)
  • BUN – 37.6        Increased significantly
  • Creatine – 301   Slight increase but initial decrease was so significant, believe it will stabilise and continue to drop
  • TP – 48               Still low
  • PHOS – 2.64     Stabilised

Notes: BUN levels have continued increasing, Creatine levels have increased slightly but have stabilised, TP is still low, PHOS levels have returned to normal range.
Prescribed medicines: Tessa will continue on the same treatment regime of 4 medicines.
Prescribed diet: As Tessa’s BUN levels have increased significantly to 37.6 we have changed her diet to reduce the protein intake. A decreased meat portion with a substitute of raw eggs. Even though eggs are thought to be high in protein, in comparison to meat they are much lower but will still provide good nutrition to her diet. This dietary change has made a great and positive impact to her Bun Levels and it is noted that she is still very happy with the new diet.
Session conclusion: Overall, the blood tests have shown improvement in BUN and PHOS levels which is a good result so far.
I have asked for Tessa to continue on the same treatment plan and new diet and to have a further blood test in 1 week.

 

Consultation 4 (11th February 2016)
Assessment
Blood test results – 26th February 2016

  • ALB                   Stabilised
  • BUN – 16.9       Continued decrease
  • Creatine – 271  Major decreas. No longer in the 300’s
  • TP – 47              Decreased but stable
  • PHOS                Stabilised
  • Kidney size tested Returned to normal size

Notes: BUN levels have continued to decrease, Creatine has had another major decrease and is now below 300 which is an excellent result. TP is slightly lower but has stabilised. Kidney size has been retested and they have now returned to normal size which is an excellent result.
Whilst Tessa had her blood test the vet has performed a health assessment. They were unaware that Tessa has been on a naturopathic treatment plan but were aware of the diet change. Vet believed that Tessa had a miracle recovery and wanted her to be put on KD dry kibble diet again. Owner has now explained that she is on naturopathic treatment and will continue with treatment and natural diet. Vet understands and after seeing Tessa’s improved health will continue to do testing and happy with current treatment to continue.
Prescribed medicines: Tessa will continue on the same treatment regime of 4 medicines.
Prescribed diet: Tessa will continue on the same raw natural diet mix of meat, meaty bones and vegetables. It has been noted that she is continuing to love the new diet and there have been no issues in her switching foods.
Session conclusion: Overall, the blood tests have provided excellent results in Tessa’s recovery but there is still further improvements to come.
I have asked for Tessa to continue on the same treatment plan and diet and to have a further blood test in 1 week.

 

Consultation 5 (4th March 2016)
Assessment: Tessa has been into the clinic as she has had a setback in her recovery. Whilst out walking at the local park, Tessa got loose and ran rampant. This has unfortunately made her quite unwell. She has been panting very hard and has persisted over the week and she would also at times shake uncontrollably.
Notes: I believe she had become seriously dehydrated. I have advised that she needs to have large amounts of water added to her food to help rehydrate. Due to the setback her dosages for each of the medicines have been increased by 50% in case her kidneys have been effected negatively.
Prescribed medicines: Tessa will continue on the same treatment regime of 4 medicines with a 50% dosage increase.
Prescribed diet: Tessa is to continue on her new diet regime including eggs.
Session conclusion: Tessa’s medications have been increased due to the local park episode. A further set of blood tests are to be taken in a few days to find out if there are any further health issues from the park.

 

Consultation 6 (10th March 2016)
Assessment
Blood test results – 10th March 2016

  • ALB                   Stabilised
  • BUN – 10.3       Significant decrease and close to normal range(2.5-8.9)
  • Creatine – 226 Decreased significantly from 271
  • TP – 47              Stabilised
  • PHOS                Stabilised
  • T4 – 18              Returned to normal levels (10-51)

Notes: Tessa’s blood test results are in and have provided excellent results with many returning to normal range.
Most importantly, Tessa has not had any adverse reactions to the recent park episode. The vet has checked her over and she is ok. Bloods were redone to assess any kidney damage. (10th March bloods)
There is NO kidney damage. In fact, the results have significantly improved. We believe the increased dosage of her medications has not only prevented damage but has escalated the kidney healing process.
T4’s have been retested and they have returned back to normal without medication, but Tessa’s moods can still swing and she can often have low moments. I believe her to be subclinical hypothyroid and have put her on Thyrocalm to try and improve her mood swings, highs and lows.
Prescribed medicines: : Tessa will continue on the same treatment regime of 4 medicines plus Thyrocalm for her thyroid.
Prescribed diet: Tessa is to continue on her new diet regime including eggs.
Session conclusion: To date Tessa’s recovery has been significant and I do not believe she should be considered terminally ill any longer. She will continue on her diet and medication plan but I will not need to see Tessa for further visits unless there are any significant setbacks to her recovery.
Her bloods continue to improve and she will be on reduced treatment for the rest of her life. Once her BUN and Creatine levels are back to normal range her kidney medications will be reduced by 50% and this will maintain her kidneys, stopping the disease from reoccurring.

 

Overall Conclusion: Tessa was brought to me with such severe health issues that she had been deemed terminally ill and no further treatment would be administered.

After only 2 months of naturopathic treatment Tessa’s health has improved significantly enough that she is no longer considered terminally ill. The blood tests have provided excellent results and prove that her health is returning to normal levels.

Tessa will continue with her new diet plan and she will be on treatment for the rest of her life.  Once her BUN and Creatine levels are back to a normal range her kidney medications will be reduced by 50% and will maintain her kidneys, stopping the disease from reoccurring.

I expect Tessa to be able to lead a normal life in the future.

Here is the beautiful Tessa Adams

tessa2 tessa1

 

5 year old Labrador

Patient: Labrador
Age: 5 year old
Sex: Male/Desexed
Name: Geoffrey
Symptoms:
Clipped coat and won’t grow back. What is growing back is faded in colour and very course. Burnt patch of hair over bridge of nose and ears. Gets red on the groin area. Skin is dry. Previous ear infections. Has been on repeated antibiotics for itchy face and other irritations. Clears but always comes back in one form or another. Antibiotic treatment has commenced over a long period of time.

Vet Diagnosis
Vet diagnosed skin allergies and recommended the client get an allergy test performed. Cost $1000. Two separate allergy tests were recommended totaling $2000. Client decided to try alternative therapies instead.

First Visit Treatment
After speaking to client, they advised they clipped Geoffrey many months ago as he liked to swim in the pool and it was easier to dry him off with a clipped coat. I believe that Geoffrey doesn’t have any skin allergies. I believe his coat has been burnt by the chlorine and because he didn’t have his protective coating, the chlorine has absorbed into the skin and caused the above symptoms.

Diet

Natural diet

Supplements

*DigestaVite Plus
*High Potency Vitamin C
* Omega 3, 6 & 9 for dogs with Vitamin E
Phone call from customer (2 weeks later)
Hair has begun to soften and is growing back. Burned hair beginning to fall out.
Phone call from customer (2 weeks later again)
Hair is soft and can see large amounts beginning to grow back. Old burnt hair has fallen out and replaced with new coat.

geoffey before photo Geoffery 2 weeks after treatment1   Goeffery 2 weeks after treatment2

  • Recommendation
    Continue with supplements till coat has fully come through. Once finished growing then
    *C-max to be stopped
    * DigestaVite Plus to be reduced to maintenance dosage
    * Omega oil to be reduced to ¼ of current dose. (maintenance dose)

Coat back to normal in less than 2 months

Geoffery after pic2   Goeffery after photo 1

 

Lame Boxer Pup

Patient: Boxer
Age: 7 ½ month old pup
Sex: Male/Desexed
Name: Bruce
Symptoms:
Lameness in right hind leg.
Lifting to walk. Walking on three legs. Suspect pain in shoulder. Left hind leg cannot stretch out. Too painful even though on anti inflammatory from vet.
Cannot sit on hind end. Has to lie down, too painful. X-rays have shown fluid on both knees.
Lack of activity, prefers to lie down. Lack of interest in anything around him. Spends most of his time in his basket. By 8pm Bruce is asleep and will not wake till the next morning. Undersized for his age. Little in size and muscle development.
History:
Come from a backyard breeder renowned for close inbreeding.
First Visit Treatment
Diet
BARFSupplements
Natural Animal Solutions
*Omega 3, 6 and 9 Oil with Vitamin E for *Dogs
*High Potecy Vitamin C
*Joint & LigamentSupportInformation
Blood tests were conducted and nothing abnormal came up in report. Paw was x-rayed by vet, nothing was shown as broken or damaged. I believed it was shoulder related rather than paw.
High doses were administered of the above supplements. This treatment continued for 2 weeks. Within the first week owner began to see improvement. After second week patient was brought back to the clinic for assessment.

Second visit
Doing exceptionally well. Early this week Kate brought Bruce back to the clinic and he is a totally different pup. He is able to walk on his right foreleg. I can still see a slight twinge. Owner advised he tends to lift it at the end of the day after playing with her other pup all day.
His back legs: The one that couldn’t stretch, now can up to 50% better than previously. Bruce can sit down now but he will sit to the side rather than straight.
His attitude. He’s become a little terror. Difficulty in keeping him still and chewed anything in site. Looks like he is returning to normal puppy behavior.
Supplements
Same supplements continued, reduced the dosage of the Joint & Ligament.

Medication

OA/RA from CHMRD for arthritis and osteoarthritis in combination with
RV-1185 from CHMRD. Combination is to assist drainage of fluid from the hind legs and repair any potential joint damage.
3 days later owner has e-mailed
“Thanks for seeing Bruce on Tuesday night, he is even better again this week, which is fantastic.”
At this stage Bruce has been off anti inflammatory for 10 days.
Third visit (2 ½ months from first visit)
Bruce’s shoulder is doing very well. No pain or lameness present. Even after long days of exercise.
Can sit on his hind legs quite comfortably, and stretch his hind legs out quite well. Looking very good overall. Bruce’s has almost doubled in weight and his muscle development is fantastic. Still energetic. All looking good.
Will continue on RV1185 and all other meds. Hopefully this will be the last of the tea. Will look at weaning off OA-RA then the Vitamin C.