Showing posts with label RESPIT. Show all posts
Showing posts with label RESPIT. Show all posts

May 03, 2016

Heidi's Medical History

I bought Heidi in July 2011 from the Guardian Angel Basset Rescue. Their link is on my left sidebar under "basset hound rescue". It was documented in her medical records and her paperwork that she had skin allergies and would need monthly treatment during the high allergy seasons. I had no problem with that.

July 30, 2011

Here is a list of medicines given to her with a short summary of each.


June 29, 2011
2.25 cc
Steroid - anti inflammatory for allergies and skin conditions.

Given only one time prior to my ownership.
June 2011 - February 2013
200mg
Anti fungal for fungus infections

Months Used - Oct, May, Sept, Nov, Feb

Stopped working after 7 days.

March 2013 - September 2014
Dose amount not known

Steroid - Rapid Relief, treats inflammation and skin conditions caused by allergies.

Months Used - March, June, August, October, November, May, September

Stopped working after 7 days.

New Vet
October 2014 - December 2014

Use along with Atopica Treatment. Shampoo was used until the bottle was empty around May 2015.

This shampoo irritated her skin more than it help as if it was too strong.






October 2014 - December 2014
100mg daily

Immunosuppressive to treat skin conditions. Plan to cut dose gradually.

Great results with daily does but bad for long term use and strong side affects.

While trying to reduce the dose to every other day, skin condition went back to where it was when started.


New Vet
January 2015 - March 2016
500ml

One time injection to treat demodectic and sarcoptic mange

Was recommended as a "just in case" situation.

No change in skin condition.







February 2015

Her skin was in such bad condition, the worse ever seen, this shot was given only for rapid relief.

It did give relief and reduced the inflammation.







February 2015 - May 2015
.1ml - 1ml
Non-Steroid
Regionally Specific Immunotherapy

A gradual build up in dosage, weekly shot. After 15 weeks no improvement.


Between September 2014 - May 2015 her weight dropped from 49 to 36 pounds. From May 2015 - March 2016 she has remained at 36 pounds.

After trying all of these different treatments and her skin showing signs of being the worse conditions ever from September 2014 to May 2015 I decided to take her off of any medication. I wanted to cleanse her system. I also wanted to go to a dog food that had just one protein source and off of grain free.

To help her immune system which was obviously out of sync, I bought Probiotic Miracle to add to her food. I told the vet what I was doing and he approved.

I started this supplement in September 2015 and still give it to her today. I am not sure there is any way to tell if it is working. The vet that I had in 2015 and her original vet that I have gone back to in March 2016 both said it would be good for her and wouldn't hurt.

During this time nothing has changed as far as her skin.


When I bought her in July 2011 she had been eating Purina One with Chicken. I moved her to what Sadie and Winston was eating. I was rotating Diamond Naturals and Fromm for Large Breeds ... both with grain.

From July 2011 until September 2014 her skin rashes were only mild due to allergies and most of the time the Ketoconazole and then the Vetalog did work. Her skin rash would go away. It was toward the end where it would stop working about 7 days with her skin going back to being bad.

For some reason that four different vets have not been able to figure out, her skin condition worsened in September 2014 and it has been an ongoing battle every since.

I have tried single protein source food, grain-free foods, grain free without potatoes. Vet #3 in February 2015 recommended duck or venison as a protein source. Neither of those made a difference.

Protein sources have ranged from chicken, lamb, duck, bison, wild bore, salmon, venison.

Different lotions, creams, salves, have been tried with a zinc oxide base. Aloe vera gels, K9 Klearup and now Wounded Warrior Ointment.

I have also checked to see if her bedding might be the cause. She has slept on Mexican wool blankets, flannel blankets, cotton sheets, nylon on the outside of a sleeping bag, fleece blankets ... there were no changes in skin condition.

As of this morning her skin does not look any different than it did in September 2014. Something happened yesterday to take away what little improvement was seen. As always during this 20 month period, her skin always looks it's best first thing in the morning after she wakes up.

Any comments or suggestions are welcomed.

January 28, 2016

Heidi's Basset Hound Skin Issues Stabilize

About this time last year I was taking Heidi to her 2nd new vet in 4 months. The vet changes were an attempt to find the cause and solution to Heidi’s Basset Hound skin issues that exploded at the end of the summer in 2014.

When I adopted her in July 2011, vet records showed she did come with skin allergies that would require treatment. In certain parts of the year, those treatments might be a monthly shot. At the time she was prescribed Ketoconazole but had a steroid shot of Depo Medrol the day before I picked her up.

Over the next 20 months Ketoconazole lost it’s effectiveness, meaning the treatment was not working longer than 2 weeks compared to months in prior years. Her treatment changed to Vetalog steroid injections.

Like the medication before, it eventually became less effective. Her last steroid shot did not last 17 days before her skin was back to where it was before the Vetalog injection. I decided I needed a 2nd opinion.

In October 2014 after an examination I was given a choice between two treatments for her skin condition. I chose Atopica, along with a shampoo prescribed 3x per week. The prescribed plan was daily capsules for 1 month and then decrease the dosage. Her skin never looked better after 30 tablets. I was happy with the skin improvement but she was very lethargic and that concerned me. Due to the severity of long-term use, plus side effects (Heidi was showing), I was reconsidering the choice of having her on a daily dose.


Before Atopica Treatment
After 6 Weeks of Atopic Use

After 6 Weeks of Atopica Use

The goal was 1 tablet per month. We would start cutting back dosage to every other day, then twice per week. Within days of changing the dose to twice per week, her skin condition flared up worse than what it was months before. The vet wanted to move her back to a daily dosage.

With Heidi showing signs of some of the listed side effects, namely very lethargic. She barely made the walk to her food/water bowl, along with zero activity. I decided to discontinue Atopica. Her tail was always lowered and she never did her routine of daily morning sprints around the living room. What I was reading about long-term use was turning me off on the medication.

My decision was not to continue giving her Atopica.

A neighbor is a vet but his office was 16 miles away, a direction I rarely traveled. I decided in January 2015 I’d have John look at her. Basically Heidi’s 3rd vet in a 6 month period. ALL of this is discussed in detail on my blog hosted by Blogger — the older version of this blog.

At that time Heidi’s skin was so bad he did not think she would ever grow hair back on her paws and rear shoulders. Even though he found in his studies that only 3% of canine skin allergies were food related, he suggested a ‘grain free’ dog food, one that I had been feeding her for the past year. I changed brands of ‘grain free food’, with very little improvement.

February 2015

He thought her allergies were more environmental allergies instead of dog food allergies (only 3%). From February until May 2015 I gave her a daily shot of RESPIT. Yet, I was told I may not see any signs of improvement for 6-12 months.


With little to no visible improvement from February – May, I stopped the RESPIT injections. With more research, more emails to friends … I decided to change her food to minimal ingredients and only one protein source. I also decided to take her off all medications.

May 2015
May 2015

May 2015
We traveled west for a week in June 2015. There were no signs that her skin was getting worse in a different environment and a change of dog food to Fromm’s very basic blend with chicken, chicken meal and grains.

With a change back to basic food, with rice and barley, chicken, chicken meal and no medications of any kind … her basset hound skin condition did not get worse. Looking through her file of photos in date sequence I could see slight improvement with hair starting to grow back on her paws, rear shoulder plus her stomach started to clear up.

August 2015
Upon a recommendation from someone who had positive results on their basset hound’s skin condition, I changed to Earthborn Holistic Dog Food, grain free. Multiple sites ranked their food 5-stars. All ingredients are USA based. It is manufactured 70 miles from me, so the cost is below the standard price for dog food of that quality.

I liked the changes of Heidi’s coat and skin at first. After a couple of months she started itching more, almost obsessively, along with a ‘greasy’ feeling to her coat, I could smell yeast from her ears (first time) and skin. I decided it didn’t matter if it was rated 5-stars, I was going to change food brands.

I tried their different protein sources … with the same results.

It was also in June 2015 that she became “skin and bones”. Was it the stress of the camping trip out west? Was it the RESPIT shots I gave her for 90 days? Was there not enough carbs in the ‘no grain’ food to help her maintain her weight? All blood work showed normal readings. The vet could not come up with a reason for her 13 pounds of weight loss in 10 months. In the 2 months prior she had lost 7 of those 13 pounds.

In the past couple of months I have mentioned without going into detail, that I had changed her dog food back to ‘grain’ dog food with only one protein source. I started a probiotic supplement with her food for her immune system in October 2015. Her skin has shown improvement with that supplement and has stabilized. My spreadsheet log for Heidi’s skin condition that I update daily, shows there is not a difference in improvement between ‘grain free’ and dog food with brown rice and barley included.





In fact I find that her skin looks better — longer — feeding her Diamond Naturals with Chicken and Chicken meal as the only protein source. I tried their Lamb blend but within a week her skin flared up enough that I stopped feeding her lamb and lamb meal immediately.

The times I tried Fromm for Large Breed, with duck, chicken and chicken meal being the protein sources, her skin would become red and inflamed within a 7-10 day period. Changing her back to Diamond Naturals, her skin improved.

It is interesting that as the day progresses, not every day, her rear hocks will become red and inflamed. I have changed blankets from wool to cotton — no difference. I have periodically have soaked her with Epsom Salts with mixed results. Sometimes it looks like it makes a difference, other time it looks like the skin is irritated by the Epsom Salts soak.

Bottom line … feeding her Diamond Naturals, with chicken and chicken meal along with the probiotic supplement, there is NO yeast smell coming from her ears or body. Her coat is shiny and soft but not oily and does not smell. Hair has grown back on her paws but not with the normal thickness. Her belly is clear and normal skin color. Her rear shoulders have improved with skin texture that is now the normal softness even though parts of it are bare.

January 2016
Remember the vet in February 2015 didn’t think hair would ever grow back on her paws and rear shoulders based on the severe damage she showed. In that January 2016 photo you can see the white hair on her rear shoulder has tried to fill back in, where in the February 2015 photos above, you can see the hard crusty elephant type skin.

I forgot to add, currently her energy level has never been better … like a puppy. She IS gaining her weight back slowly but surely, 2 pounds at a time it seems. Her tail is wagging and she does her morning sprints around the living room until Stella decides that she wants to play … then Heidi stops.

So, we will stay with the same dog food currently fed. She will still be supplemented with Probiotic Miracle. I have noticed she doesn’t really like having her picture taken with the Nikon D3200 but with an iPhone I no longer have, I am not able to get a picture of her before she moves. Consequently, less really good photos of Heidi are available.

I will continue to post photos and updates on Heidi’s skin condition.

April 19, 2015

Yard Work is Kicking My Ass

As you can see from the hat, I've been working way too hard outside in great weather. I'll get to the yard work with some photos but first since I have not posted in over a month I thought I'd write about general stuff first. I will say my time on the internet is still low. I'll read my Feedly feeds, check the sports news, over my first cup of coffee then turn off the computer or put it in the sleep mode until early evening. Every day it's been sunny outside, I've been outside 4-6 hours per day doing things, by late afternoon my body is sore (out of shape) and by early evening I'm headed to bed.

That's quite a change for me since I'm a night person by nature and spend most of my time up past midnight, sometimes till 2am or 3am. So when I am going to bed and am fast asleep by 9:30 or 10pm, that's history.

Heidi has just started her 11th week on RESPIT. I've been giving her 1ml shot per week as directed. I started with .1 and then increased it each week by .1ml until the 1ml was reached. A couple of weeks ago I saw a lot of improvement, although it is said not to expect any signs of improvement for a 140 days of treatment.

Her stomach and armpits have healed. Under her neck has healed and has white hair growing back. She continues to lick her front and rear paws, will tear off baby socks when worn to protect her feet, so those spots on the paws are healing, the skin is a lighter red and nothing raw. Her hair is trying to grow back on all the spots that were red and raw.

One of the side affects of the RESPIT, is being lethargic. She is all of that for the first 3-4 days after the shot on Wednesday. Still she is back to sprinting around the house after her first trip outside to start her day. She is also back to barking when she wants fed, so I take it she is okay.

Winston has had a little lower back/hip problem as all older bassets have on occasion and has a little trouble getting up the two steps to get into the house. I'm finding that the "buffered" aspirin helps that lower back out, although I don't give him that on a daily basis.

Sadie is normal, happy go lucky and obnoxious as always ... lately getting her aerobics in by chasing the rabbit in the yard to the back of the field into the woods ... then she returns to her yard. If it isn't a rabbit it's the squirrel that likes to torment her. She is strong pulling on the retractable leash when she locks into the scents that are more evident in the spring time.

Back in the middle of March I was doing some indoor minor repairs and general house maintenance, waiting for warmer temps outside. Then 'March Madness' started so there went most of the nights and afternoons from Thursday - Sunday. Once the college basketball champion was crowned in early April, the good weather showed up, so the yard work commenced.

After the first time of mowing the yard with my 22" push mower, on the side of a 80' hill, I found out really quick just how bad of physical shape the winter had put me in. My breathing and muscle soreness told me just how bad of shape I was. I was somewhat shocked as it felt worse than past years.

July 2014
I had more plans this spring than just cleaning the yard, picking up the fallen tree limbs from the winter and mowing weekly or around the rains. This spring I wanted to do two things. I wanted to clear out a patch of land that had been overgrown with wild bushes, some honeysuckle, vines of some sort and really just brush junk. I also wanted to clear the bank on the side of my driveway, which consisted of dead 6' horse grass and a LOT of small tree starters that had trunks of 1"-2" in diameter. I didn't clear them last summer, so I had some work to do.

First with the land in back. I really didn't know this was my property until the neighbor had the field surveyed when he bought it a couple of summers ago. Of course I'm still not sure how accurate that survey was because soon after they started they had wood markers pressed against my truck door on the south side and metal stakes with orange flags driven into my yard on the north side inside my fence, not 5' away from the house.

A few days later after returning home from work, I noticed I had gain my original property line on the south side but had gained 10' on the north side of the house along with 10' more along the back. So I decided I'd cut those bushes out, at least burn them, clear the land and make it into a "camping" spot. I would build a fire pit, sit out a couple of chairs and spend some nights out there with a fire and a sky of full of stars.

It didn't get that done last summer due to laziness, so this spring was my chance. I started with this in March. Once the snow melted and things dried out, I burned it. That took out a lot of brush but still left me with a lot of vines that had taken root. I pulled out what I could, then cut them out of the ground. There were some trees where I cut with my hand saw, down to ground level.

January 2015




I did half of the area, raked and leveled the land enough to plant grass seed. Just the bending over to pull roots out of the ground or to kneel down to cut small tree limbs put more hurt on my body than the lawn mowing did. My nights ended with me laying on tennis balls, on different pressure points on my back. Cheaper than a massage and still will point out all the bad parts of the back.




Still with each day bright and sunny, my focus on the job at hand would fade. My focus would move on to the next job outside even though I had not completed the land in back.

So last Thursday I glanced at the bank along my driveway and decided it was time to clear it. I started by cutting many of those small trees with an electric handheld saw. Since I had sold my old Chevy truck last spring, trying to downsize the auto herd, I found out the only way I could remove those 10' trees were by hand. That meant I had to take as many as each hand could hold, walk up the hill more than a few times and haul those 1" & 2" trees back into the woods behind my house.

October 2014
January 2015
That took time. That also was a workout climbing that driveway going up the hill.

With tree limbs dead from previous years, dead horse grass stems and the usual wild brush ... my urge to build fires came back to me ... so I lit the bank on fire, with the water hose turned on and nearby in case the fire wanted to go further into the woods than I had planned.

There were no problems with the fire, except the one spot that burnt my fence. That took place as my neighbor and I were discussing life in general. By Saturday afternoon I had raked all of the dead leaves, branches and anything else my rank could find, down the bank into a burn pile.




Some of the trees branches were too green and were not expected to burn but I was planning to burn as much as possible. This will now have some green wild stuff start growing to cover the bank. It will also prevent those small trees from growing taller and harder to cut down, that would disturb my clear southern sky for my Directv and Internet Satellite dishes.

With rain forecasted today and Monday, I will get a break from killing myself clearing land. On Tuesday I will be back in the back area to complete the land clearing and plant more grass seed.

The land that my house is now on plus the field behind my house use to be my great grandfather's property. As a kid, my dad use to farm this property with a team of mules. He remembers putting this roll of barbwire fence on the fence post sometime before 1944. I found the barbwire and a rusty metal fence still attached to the post after I cleared out the brush and overgrowth around the fence post and trees.


Well the rain has stopped, the sun is trying to peek out from behind the clouds and Winston is whining to go outside. I'll start blogging  more often and hopefully Heidi will be willing to have her picture taken outside, where I can post some updated shots of her.

March 15, 2015

Good Weather Makes the Mind Wander

I actually believe that winter is officially over here in the 'tropics' of Southern Indiana. It's 58° right now on a bright sunny Sunday and a forecasted high of 68°. Although in past years I have seen weather like this in mid-March and have a snow storm weeks later ... in this case I am believing the "global warming" stories and am planning that the 2015 spring is here for good.

Not a lot going on as usual. Not really a lot to blog about, so this is just a short update for the past few weeks.

About 10 days ago when the snow was so high, Heidi did what she rarely does, she peed on the concrete. That was a blessing in disguise. As I was about to pour water over the urine to get it off the concrete, I see a puddle of blood in her urine. This poor basset hound is having a rough winter.

By the next morning we were at the vet to check that out. She had a urinary tract infection and the vet said it was not surprising with all she is going through. With a weak immune system, the infection didn't surprise him. He sold me some Baytril tables that she ate like candy for the next 10 days. Within 24 hours of the first two tablets, she was back to her normal self sprinting around the house after her first trip outside in the morning. I could tell she was already feeling much better.

The vet was happy with the improvement she saw on her skin. This is not clearing up her skin as fast I want nor as the Atopica did back in November and part of December. At times she looks like she is improving and by the end of the night, she looks no better than last October when this skin rash mess started.

Very frustrating to say the least.

The weekly shots of RESPIT are increased on schedule by .1ml until we get up to the 1ml weekly injection. Basically that is an immune program that fights all allergies that are geographic location specific. It will take almost 140 days before any improvement will be noticed. Still, it is not damaging to her kidneys or liver that long term steroids would do nor the reports of what long term Atopica would do. So I guess the wait is worth it, even though that is hard to do.

We have just passed week 6 of the treatment or as of today it's day 46 days out of 140 before noticeable results.

Would her skin problem heal or be a potential problem with location changes, environmental changes, while traveling?

Temperatures are getting high enough for me to finish the last few things on my list of house 'to do'. These things on the list have been held off until the temps get warmer. There are a couple of things I will have to wait until the ground dries out. The ground is extremely saturated with the melted snow and then two days of rain this past Thursday night and all day Friday. I'm not thrilled about getting under the house to inspect, especially with a rising water table. It's not a crawl space under there but a huge dirt hole about 4' deep and I have seen it after there are heavy rains.

As every spring, improving weather generates mind cell activity. I start thinking of traveling, and it has happened every spring since 2012. Of course two of those three years I was still working, so it wasn't possible long term. Last year I was very close with the Chevy pickup truck I had bought and the search for the right trailer. I only kept that truck for a month and a half before buying what I really wanted ... the Toyota FJ Cruiser 4x4. I still love that vehicle.

I still cannot understand why it seems to be so important what I do or don't do to some readers of this blog. I've always done what I want, not what someone else tells me to do, even at work. I've never followed the path of the yellow brick road and white picket fences around the 2-car garage house... or even the plans required to move up the corporate ladder. All of my moves have been location/recreation first ... job second. That is until this last move back to Indiana in 1994, that was job related. Even then I've pretty much followed my own path.

Based on just a few past comments and emails I have received, my traveling decision seems to be more important to them than me ... I find that very strange.

So, yes I am talking and thinking of traveling again ... dogs and all. I am also seriously considering selling the house and moving west and have thought of that most of the winter. I just need to complete those 2-3 things on the 'to do' list that I've been needing warm weather to complete. Then I can turn the house over to an real estate agent. I don't need to be around to sell the house. With no mortgage payment, I can leave the house empty, put my furniture, computers and bikes in storage and hit the road. They can show and sell the house empty. That seems to be my most consistent thought.

I still think it would be a quick sell based on price, size and location. There are not a lot of good quality houses around here in the price range of the asking price. It would make a great house for a young or older couple. The area has extremely low property taxes and the house requires little maintenance but more than I am wanting to do. I'm just not into the normal house maintenance that is required with ownership.

I've looked at willow.com, realty.com and houses.org for houses in Arizona, New Mexico and Utah recently. Once again I can't really make a decision where to go until I could get there and check the areas out. I am also not sure I want to be a homeowner once my house would sell. I'll decide that later.

I had a friend wanting to buy my Mini Cooper and all was looking good until she couldn't find someone to give her a loan. That seemed strange to me because she works where I did and is paid well. Two income family with two kids and a house. After she later told me that she had just had transferred $20,000 of credit card debt to a loan, the answer was pretty obvious.

The Mini Cooper will sell quick after I detail it, get the winter grime off of it, park it down by the highway for all to see with a for sale sign on it. I will also list it on Craig's List. Over the past few months of my blogging vacation and reduced computer time, things have getting downsized again, some detailed inch by inch house cleaning, and some minor repairs fixed.

Computer time has still stayed low. I survived the winter using little heat as possible, thus heading for a big refund in May for overpayment of my utility bills. I pay a fixed amount every month and then settle up every May. My vehicle license plates are due in April as well as my property taxes ... so basically all of the small stuff will be taken care of for the year before I hit the road.

Before next spring I would expect that my legal residence would change. With my military retirement health plan, TriCare, luckily ObamaCare is not an issue for me. With that not being a factor I can still have about any state I want as a legal residence for full time traveling.

All I know is I am tired and have been of the daily routine living where I do and the responsibilities of home ownership.