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a diagnosis for Clem/ CT results are bad/ Updated with details

I have completed missed this.

Hope there is a treatment which can make Clem better again. He is such an amazing rabbit.
Sending lots of getting well vibes for Clem.
 
I hope there is something that can be done for Clem. He is such a young bun to have such a battle on his paws.

Thinking of you, Liz xxxx
 
Thanks everyone

I'll try to explain what's happening the best I can in simple terms as I understand them from the specialist. He gave me lots of details but I think I've got the main points. He has also sent me the full report but I've not read it yet.

Firstly he was not wrong about the soft pallet being too small leaving a gap between larynx and windpipe but he was wrong about the cause. It is not congenital and unfortunately the symptom of a much bigger problem.

The CT scan showed two large growths one behind the other right at the back of his nasal passage.
The front one is an abscess the second is unknown and is the cause of everything. It could be another abscess but unlikely, cyst, polyp or tumour.
This unknown growth has blocked the airway and caused infection to build up in front of it leading to the known abscess. This abscess has attached itself round a tooth root and infection has also spread to the bone.

The large growth has caused the soft pallet to stretch round it meaning it's no longer long enough to close off the windpipe with the larynx so he chokes. This in turn lead to the aspiration pneumonia.

The scan also showed scarring on the lungs which is to be expected. But also air in the chest cavity where there shouldn't be any. This is emphysema. Which if course makes any GA a huge risk.

So what are our options? Not great tbh. Obviously we can pts. But he is young, has fought hard and is binkying despite everything
So the next cause of action is to put him under and remove the affected tooth and abscess. Then attempt to biopsy the unknown growth. This isn't easy due to its position. They may be able to do this through the gum after tooth and abscess removal. They might be able to go in through the nose or they may need to go through the side of his head

If it turns out to be a tumour then nothing can be done as it is too close to major blood vessels and his brain.
So now we decide what to do. Pts, put him through all that only for it to be a tumour and then pts. Put him through that, find it can be removed and put him through a second op only for the bone infection to take him. Of course this is all if he survives the GA s. But we could also beat all this so give him some quality of life, something he really hasn't had so far.
 
Hugo's There said:
Thanks everyone

I'll try to explain what's happening the best I can in simple terms as I understand them from the specialist. He gave me lots of details but I think I've got the main points. He has also sent me the full report but I've not read it yet.

Firstly he was not wrong about the soft pallet being too small leaving a gap between larynx and windpipe but he was wrong about the cause. It is not congenital and unfortunately the symptom of a much bigger problem.

The CT scan showed two large growths one behind the other right at the back of his nasal passage.
The front one is an abscess the second is unknown and is the cause of everything. It could be another abscess but unlikely, cyst, polyp or tumour.
This unknown growth has blocked the airway and caused infection to build up in front of it leading to the known abscess. This abscess has attached itself round a tooth root and infection has also spread to the bone.

The large growth has caused the soft pallet to stretch round it meaning it's no longer long enough to close off the windpipe with the larynx so he chokes. This in turn lead to the aspiration pneumonia.

The scan also showed scarring on the lungs which is to be expected. But also air in the chest cavity where there shouldn't be any. This is emphysema. Which if course makes any GA a huge risk.

So what are our options? Not great tbh. Obviously we can pts. But he is young, has fought hard and is binkying despite everything
So the next cause of action is to put him under and remove the affected tooth and abscess. Then attempt to biopsy the unknown growth. This isn't easy due to its position. They may be able to do this through the gum after tooth and abscess removal. They might be able to go in through the nose or they may need to go through the side of his head

If it turns out to be a tumour then nothing can be done as it is too close to major blood vessels and his brain.
So now we decide what to do. Pts, put him through all that only for it to be a tumour and then pts. Put him through that, find it can be removed and put him through a second op only for the bone infection to take him. Of course this is all if he survives the GA s. But we could also beat all this so give him some quality of life, something he really hasn't had so far.
Click to expand...

How absolutely horrible for poor Clem and for you :cry: I am so sorry :cry:
 
Liz, I am so terribly sorry to read all this. You must be devastated. (((((((((Huge hugs)))))))))))
Of course, only you know what will be best for Clem, and how you should proceed. Whatever decision you make, whenever you make it, you have my full support.
It's not a bit fair. This boy is your special bunny. This should not be happening to him. :(
I will continue to keep him and you in my prayers and thoughts. Bless you, I wish there were more I could do. xxxxxxx
 
Absolutely gutted does not even begin to describe how I feel.

I am so sorry for you and baby Clem, but I know that whatever you decide, that he has the best chance being with you. I will continue to send vibes for you and Clem.

Hugs.
 
I am so sorry to read such distressing news. The term "unfair" is completely inadequate. Sending lots of hugs for you and vibes for Clem.
 
I'm so sorry :cry: what a dilemma :cry: sending lots of vibes for Clem, and hugs for you xx
 
Hugo's There said:
Thanks everyone

I'll try to explain what's happening the best I can in simple terms as I understand them from the specialist. He gave me lots of details but I think I've got the main points. He has also sent me the full report but I've not read it yet.

Firstly he was not wrong about the soft pallet being too small leaving a gap between larynx and windpipe but he was wrong about the cause. It is not congenital and unfortunately the symptom of a much bigger problem.

The CT scan showed two large growths one behind the other right at the back of his nasal passage.
The front one is an abscess the second is unknown and is the cause of everything. It could be another abscess but unlikely, cyst, polyp or tumour.
This unknown growth has blocked the airway and caused infection to build up in front of it leading to the known abscess. This abscess has attached itself round a tooth root and infection has also spread to the bone.

The large growth has caused the soft pallet to stretch round it meaning it's no longer long enough to close off the windpipe with the larynx so he chokes. This in turn lead to the aspiration pneumonia.

The scan also showed scarring on the lungs which is to be expected. But also air in the chest cavity where there shouldn't be any. This is emphysema. Which if course makes any GA a huge risk.

So what are our options? Not great tbh. Obviously we can pts. But he is young, has fought hard and is binkying despite everything
So the next cause of action is to put him under and remove the affected tooth and abscess. Then attempt to biopsy the unknown growth. This isn't easy due to its position. They may be able to do this through the gum after tooth and abscess removal. They might be able to go in through the nose or they may need to go through the side of his head

If it turns out to be a tumour then nothing can be done as it is too close to major blood vessels and his brain.
So now we decide what to do. Pts, put him through all that only for it to be a tumour and then pts. Put him through that, find it can be removed and put him through a second op only for the bone infection to take him. Of course this is all if he survives the GA s. But we could also beat all this so give him some quality of life, something he really hasn't had so far.
Click to expand...

Liz, I am so very sorry to read this. You must be devastated.

Praying you get some guidance to make what you feel is the right decision xx
 
So sorry. I know that you will make the right decision for Clem, whatever that proves to be. Sending hugs and nose rubs xxx
 
Oh my goodness I've just caught up with this, I am sorry for you and Clem :cry:

You will of course make the right decision for him, whatever that may be. Sending strengthening hugs xxxxx
 
I'm so sorry to read this ! I can't imagine how difficult this decision will be since there really doesn't seem to be a right one! Just know that any decision you do make you will have been made with love and so I'm positive it will be the best decision for your little guy! Sending lots of vibes. Please do keep us updated xxxxx
 
So sad to read this update.

I think it's made much harder in your context too because you have other buns who also rely on you, so there are competing claims on your resources. :(

A heart-breaking decision; I'm so sorry. :cry:
 
Thanks for all your replies

I honestly can't believe this is happening. Clem was my birthday present, my healthy happy bunny to help me get over the loss of Otis and all our other special Rainbow Rabbits :(
 
Hugo's There said:
Thanks for all your replies

I honestly can't believe this is happening. Clem was my birthday present, my healthy happy bunny to help me get over the loss of Otis and all our other special Rainbow Rabbits :(
Click to expand...

:cry: (((((((((HUGS))))))))))

There is still hope for him though, he sounds like a little fighter xxx
 
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