Thursday, March 31, 2011

What's a Bilirubin?

Holy Crap, it was a long day.  We left at 8am and didn't get back home until 8:30pm.  I was exhausted and I did nothing but sit in a car and drive or sit in a waiting room and wait.  Weird?

Upon entering OSU, I felt welcomed.  Very open waiting room and I barely sat down before my "student" came to greet me.  OSU is a teaching hospital so each case is assigned a student.  They are on three week rotations so don't be surprised if you have a different student at your next visit. 

I was initially hopeful.  Our Dr. was optomistic and said they can do surgery on a pancreas (you don't need the whole thing to survive) and the different vital ducts can be rerouted.  His plumbing would be changed if needed, all things I wanted to hear. 

So, I left Rumble there to get x-rays of his chest, an ultrasound, a needle asperate (?) taken of the mass and analyzed and a urine collection taken directly through a needle into his bladder.  The whole bladder thing was checking for a rare, but prevalent in oklahoma more than people think, fungus that can be flushed out of a system with medicine.  I have never prayed for a fungus before but that's what I hoped was wrong.  How amazing would it be if the mass was just a swollen part of his organs due to a fungus that could be treated with medicine?  Probably too good to be true. 

His chest x-rays were clear.  Our Dr. said if they found cancer in his lungs then they would not proceed at all.  But, thankfully, his lungs were clear.  Our Dr. said they look for the 3-L's:  Liver, Lymphnodes, and Lungs.  If the 3-L's are clear then they have a fighting chance and will continue with surgery. 

Turns out it's not the fungus we were all crossing our fingers for and it's not exactly a mass of any sort.  A mass would be easy to remove.  You can see a tumor and remove a tumor fairly easy.  Instead, Rumble is diseased with rare, clumpy cancer.  They have to remove the diseased part of his stomach and reroute ducts and even then she's not hopeful because you can't see this weird cancer, meaning it could be in other parts and they wouldn't even know it. 

Currently, his bile and stuff is backing up into his stomach and not draining, because the stomach walls are inflammed and it can't drain, so his liver is working over time and having trouble. His bilirubins are already sky high.  A normal bilirubin count is between 0.1 and 0.4 and Rumble's was 3.4 (always the over achiever).   We are to watch for more jaundice over the weekend. 

They will remove and do what they can but our new vet said this is not a fix and she doesn't think he will return to normal.  She will call tomorrow when she schedules the appointment with the surgical team for monday and tell me what time to bring him back.  So, I'll be going back to OSU monday morning. 

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