This is the most controversial post I have ever written in ten years of blogging. I wrote it because I was very angry at a specific incident. Not meant as a criticism of feminism, so much as of a certain way of operationalizing feminism.
We had follow up 3 and 4 month follow up testing and it was unchanged. No other values were elevated at that time. We had our annual checkup last week and the results of his liver enzyme panel were not good.
This time not only was the alk phos elevated to but his ast and alt levels were also elevated, and respectfully. Obviously this was very disheartening as he is clinically asymptomatic. He shows no signs of any problems associated with these results. I immediately got on the internet and started reading to understand more about the potential for liver disease and found your foundation website.
I wanted to tap into your experience and knowledge Synthesis essay samples hopefully get some feedback from you. We have an appointment Monday for xrays.
My concern is this is the first time other enzyme levels have been elevated and could this be a fluke or testing error!! I found a round table discussion on this and it suggested repeating the test in 2 to 3 weeks to substantiate the results.
I need to have this discussion with my vet and will do so Monday. Another concern is what I am feeding Jake.
About six months ago I put him on a raw food diet Primal. I tried to find info to see if this could be potentiating a liver problem. The only supplements he is on are kelp and a probiotic. I did have him on milk thistle when the initial alk phos level was elevated but only did this for two months.
He has been on other nutritional supplements for skin and coat but I stopped those. I forgot he is also on organic coconut oil. Other than this Jake has had occasional earskin, and pad issues but for the most part had remained in good health.
I might also add we exercise regularly, walking twice a day weather permitting. Needless to say I am quite concerned and any help you can provide would be greatly appreciated. I am considering requesting a consult to see an internal vet specialist. I have some other questions about further testing such as serum bile acid.
I might also add that I am in medicine myself and knowing what I know about the human element heightens questions and poses trust issues in the care and treatment of Jake!!!
I have had some unpleasant vet experiences and just changed vets so at this point my confidence level is being tested and it scares me… Thanks for listening and I look forward to hearing from you.Course materials, exam information, and professional development opportunities for AP teachers and coordinators.
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