Tuesday’s blood work still showed signs of possible kidney failure and an ultra sound of the right kidney showed an increase in accumulated fluid. I believe the left kidney is was still too deep in the body cavity to be assessed. Given this news and after discussion with Max’s Doctor, we decided the best plan was to bring Max home and monitor his progress to see if this is a chronic condition (which is a possibility), Max’s norm or something that will improve or worsen over time.
I left early Wed morning to get to the Vet school by nine so that Max could travel when it was relatively cool (of course it was super hot yesterday). Discharge was pretty quick and his student and Doctor were very helpful answering my multiple questions and making sure I understood the care he needed when he got home. Rising sophomore Alexandra Fullerton was also at the Vet school doing an externship which was great as she kept Max supplied with apples during his stay.
We made it back to the Burg in time for Max to settle before I was scheduled to present the summary of my trip to the NAEAA conference to the equestrian staff, administrators and business faculty. After our brown bag lunch I was able to clean Max up and observe that he was pretty much back to normal. He came home on SMZs for the urinary tract infection, and Phenazopyridine which is an analgesic drug to help him feel more comfortable. One side effect of this drug is that it turns the urine bright yellow and everything the medication touches turn yellow including Kellie’s hands and Max’s teeth and tongue. Max’s student from the Vet school called me today to let me know the urinary culture came back and the SMZ’s should take care of the infection.
So Max is home, eating, begging for treats and acting pretty normal. The plan is to reassess his blood and urine before he comes off of his meds in a couple of weeks. The elevated kidney enzymes in his blood are an indication of kidney failure which maybe chronic and progressive and which has a poor prognosis. In the meantime the barn staff will be extra vigilant for any changes and Max will enjoy being spoiled more than normal – if that is possible.
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