2nd day of the doggie hospital

Although it kills me to not have my Sasha with me, I know that she's in great, capable hands.  Last night, Sasha bled internally some more, and her blood counts dropped to the point where she needed a transfusion.

Little girl was working so hard just to breathe.  She was so weak and out of it,  that I wasn't even sure she recognized me, despite the shnergles.

Sasha perked up a wee bit after her transfusion.  Her blood count and blood pressure went back up, and she was actually hungry.  Ravenous, in fact.  She literally face-planted in the plate of food a nurse brought to her.  

At this point, we can only see what the next day brings.  

Good news and Bad news

Sasha went to see the specialist vet, and they did some bloodwork.  The good news is that her blood count is holding steady, and not dropping.  

The bad news is that her kidneys are failing, which explains why she's been acting so punky.  It also looks like she's got an infection somewhere in that little pug body of hers.  She's going to need some round-the-clock fluids, medicine and care, so we admitted her into the hospital.  It was one of the harder things I had to do -- leave my dying pug in the arms of a stranger in the hope they can work some magic.

Sasha will be in the doggie hospital for at least 3-5 days.  We'll know better in the next 24-48 hours how she's responding to treatment.  Hopefully the bleeding will stop, and her kidneys can get to healing. 

Not the greatest news

Sasha went to the vet's again.  It was weird -- one second, she's alert and wolfing down her kibble voraciously, and imperiously yarping at me to carry her around.

look how awake i am, mama

And then, the next second, she's breathing like a race horse, and can barely keep upright without falling down.

is this pug or platypus?

I guess a mama knows.  Turns out her PCV dropped from 31 to 24, and it looks like she's continuing to bleed internally.  Tomorrow we see a specialist, who we hope will be able to help us get a handle on this, fingers crossed!

Not sure what to think

I've been spending a lot of time at home.  The puglets aren't used to such disruption in their typical 20 hour daytime naps.  Because they run to follow me every time I enter the kitchen, in the hopes that I'm getting something to eat and will share.  And it may very well be that I go into the kitchen a lot, so there, and I'm not ashamed of it. 

always on the alert, my little saber-toothed Cleo

Sasha has been particularly lethargic for the past day or two.  her appetite is very un-pug like, she's back to breathing like she's just run a race, and her heart is going a mile a minute.  Not sure if it's a side effect of one of the severals meds she's on, or if there's something else that's gone horribly wrong inside her little body.  Because I think her anemia is resolving, as she seems even pinker than ever:

The worst part is that I can see she's in so much pain.  We had to stop her arthritis med because it can contribute to internal  bleeding, and I can tell that it costs her so much even to do something as simple as bend her head down to drink water.

oh Sasha, don't you know that with your health is inextricably linked my happiness

Sasha update

Sasha's anemia continues to improve.  However, with her last blood draw, the vet thought it looked like she had an ongoing infection, despite the antibiotics that she's been taking. So just to make sure we weren't missing an intra-abdominal source of infection, Sasha had an ultrasound.

poor pug had her belly shaved for the ultrasound

The ultrasound came back clean -- no areas of infection, and no tumors.  Such a relief.  But she weighed in at half a pound less than last week -- quel horror!  She needs calories, stat!

In the meantime, we're just watching and waiting.  Sasha now gets a ridiculous amount of medication at mealtime, which she of course hates and tries to spit out.  Ungrateful pug.  She's also continuing to be really weird about what she will and will not eat.  We think her tastebuds are being affected by all the meds she's taking.

i need u to guess at what i'm thinking for lunch

Cleo and Deedee continue to respect the elder pug's space.  They seem to recognize that she's not as sturdy as she was.

we are certainly happy to eat whatever sasha won't eat, mama

Sasha is pinking up

At one point, Sasha was so anemic that her gums and lips were snow-white.  Thank goodness her system is making more blood cells, little by little, and her gums no longer have that terrible bloodless look.

Lacking a sophisticated home-lab in which to monitor Sasha's daily blood levels, I've been employing the ghetto blood-level check technique -- flipping up her lip to take a look at the color.  I like to convince myself that it's pinker than it was 2 hours ago.

sasha is a patient pug

Turns out that I was not that far off with my sophisticated monitoring method.  Sasha had a followup vet appointment today, and her PCV (packed cell volume) is 31!  This is compared with last week, when it was 21. 

She's still under strict supervision.  She apparently managed to lose half a pound in a week, so the lucky pug gets more meals.  She doesn't seem to mind the extra attention, since she's been ridiculously clingy lately, not allowing me to leave her sight.

mama don't leave me

At least we're getting our vitamin E

We've all been taking it pretty easy, because of the convalescing puglet.  She's not really up to a whole lot of exercise, so group 'walks' have been temporarily canceled.  

For Sasha's sunshine fix, she and Cleo and Deedee have been hanging out a lot in the yard. Lots of napping.  Interspersed with a bit of foraging within the garden.  A little bit of ferocious barking (Deedee) at the neighbor's dog.  

the girls, doing what they do best

And a lot of Sasha getting coddled within an inch of her life.

keep healing, little pug

This anemia thing is really taking its time

Sasha's blood counts are gradually going up, but of course not as quickly as I would like.  

look how pale her gums/lips were

She's still sleeping a lot, and breathes heavily.  

heal little pug, heal

This normally ravenous pug is still really choosy about her food.  Luckily she's still Miss Gluttony over bread-and-cream, so at least we're able to get some calories into her.

yes, that is a cream mustache you spy

Cleo and Deedee have been very solicitous pug sisters.  They're very careful around sleeping Sasha, and seem to know when she needs cuddling and where she needs more support.

seeing this truly makes my heart just burst

On the upswing

Sasha is a little more alert every day. Her last blood count showed that her system is making more blood cells, so even though she is still pretty weak, we are hopeful she is on the permanent road to recovery!

Sasha is so weak that she has a hard time keeping her eyes open

We have  been keeping her under very close surveillance.  I have her next to me almost every moment of the day, so that I can monitor every heavy breath, every head turn, every little paw twitch. 

my little pug is as snug as a bug

Her appetite is not the greatest, and she'll refuse foods that normally she likes.  We've discovered that she cannot turn down bread with cream, however.  Needless to say, she has been getting quite a bit of it.

Poor Sasha

Sasha was pretty lethargic over the weekend, and was breathing quite heavily.  Her little heart was going a-thumpa a-thumpa.  I knew it was something terrible when she refused her favorite -- tomato! Turned out she was profoundly anemic, probably because of a bleed somewhere in her intestines.  

Our lives have been revolving around my ol' girl for the past few days (interspersed with prolonged bouts of weeping -- by me).  We've been keeping her close at all times, mostly because she seems to get really anxious if we're not next to her or directly in her line of vision.  She's being treated like a little queen -- pretty much the only thing she'll eat is brioche dipped in milk or cream (hand-fed, of course).  

For now, we think the bleeding has stopped (wherever it is), and her blood counts have stabilized, and are actually starting to go back up.  Little puglet is still pretty weak, and breathes all the time like she's just run a marathon.  We're hopeful that she'll pull through on her own, and won't need invasive intervention like a transfusion.