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Thread: Emphysema

  1. #11
    Warren Scout Jasperello's Avatar
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    Quote Originally Posted by MightyMax View Post
    Hi Laura

    I'm really sorry to hear about Jasper. This is so worrying for you, and on top of all that there is returning to the surgery that treated Millie. It's never an easy thing to do, but as they are the most savvy vets around, I would have a word with Craig and explain the situation and how nervous it makes you following on from last time.

    So the course of antibiotics is finished and you are soon due for review. I guess Craig doesn't want to change the abx to perhaps injectable penicillin until he's assessed the situation? Remember a sedation for an X-ray isn't the same as a GA and doesn't post the same risks. I have had rabbits with both upper and lower respiratory issues who've had X-rays and been fine. It does provide a lot of info as to what's going on and will also show whether there's any enlargement of the heart.

    I am sending you loads of vibes and will be thinking of you both, whatever you decide to do

    Hugs xx
    He's one of those REALLY in-demand vets and he never seems to have any appointments or time for a phone call or anything, but I suppose its a good thing that he's so popular, he is the most sought after, qualified and experienced vet around our midlands region. So we haven't had a follow-up chat or visit since we were sent home 3 weeks ago, so I've reached that point now where I'm just desperate for Wednesday so we can hopefully have some sort of information or positive news about Jasper. It's very different going there to going to my primary vets, like you can always speak to the nurse or even the vet sometimes and they ring you to check up on your poorly rabbits or whatnot, so this long, lonely wait hasn't been great for me. But that's what happens with specialists and large vet hospitals I guess.

    Thanks, because I hadn't thought about that re: the sedation. And I've begun to really fret about that especially as his breathing is so bad and has been for what seems like a long time to me now- I just keep thinking how much longer can he go breathing at at least double the rate he should be without getting too tired and just giving up?! 4 weeks seems a long time to keep that up.
    Millie 07/16-10/02/17
    Giving all my love to Zuccy, Jasper, Lola, Charlie and Poppy now

  2. #12
    Wise Old Thumper MightyMax's Avatar
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    Quote Originally Posted by Jasperello View Post
    He's one of those REALLY in-demand vets and he never seems to have any appointments or time for a phone call or anything, but I suppose its a good thing that he's so popular, he is the most sought after, qualified and experienced vet around our midlands region. So we haven't had a follow-up chat or visit since we were sent home 3 weeks ago, so I've reached that point now where I'm just desperate for Wednesday so we can hopefully have some sort of information or positive news about Jasper. It's very different going there to going to my primary vets, like you can always speak to the nurse or even the vet sometimes and they ring you to check up on your poorly rabbits or whatnot, so this long, lonely wait hasn't been great for me. But that's what happens with specialists and large vet hospitals I guess.

    Thanks, because I hadn't thought about that re: the sedation. And I've begun to really fret about that especially as his breathing is so bad and has been for what seems like a long time to me now- I just keep thinking how much longer can he go breathing at at least double the rate he should be without getting too tired and just giving up?! 4 weeks seems a long time to keep that up.

    My thoughts are with you, and will be with Jasper tomorrow

    Sending you loads of strength and hugs, and vibes for the little man xx
    Up to date and comprehensive info on RHD2:
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  3. #13
    Wise Old Thumper Jack's-Jane's Avatar
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    Quote Originally Posted by Jasperello View Post
    He's one of those REALLY in-demand vets and he never seems to have any appointments or time for a phone call or anything, but I suppose its a good thing that he's so popular, he is the most sought after, qualified and experienced vet around our midlands region. So we haven't had a follow-up chat or visit since we were sent home 3 weeks ago, so I've reached that point now where I'm just desperate for Wednesday so we can hopefully have some sort of information or positive news about Jasper. It's very different going there to going to my primary vets, like you can always speak to the nurse or even the vet sometimes and they ring you to check up on your poorly rabbits or whatnot, so this long, lonely wait hasn't been great for me. But that's what happens with specialists and large vet hospitals I guess.

    Thanks, because I hadn't thought about that re: the sedation. And I've begun to really fret about that especially as his breathing is so bad and has been for what seems like a long time to me now- I just keep thinking how much longer can he go breathing at at least double the rate he should be without getting too tired and just giving up?! 4 weeks seems a long time to keep that up.
    Topping up the vibes for Jasper's appointment today. I hope that the outcome is a positive as possible xx



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  4. #14
    Warren Veteran daphnephoebe's Avatar
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    Sending lots of vibes xxx

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  5. #15
    Warren Scout Jasperello's Avatar
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    Thanks for the positive thoughts and well wishes for today, unfortunately it wasn't a great visit.

    Had a long chat with Craig and he is describing Jasper's condition as Emphysema. He talked about discussions at conferences and research etc. and how its rare or poorly reported and recognised. But he himself has come into contact with rabbits with Jasper's presentation before. The positives end there, if you can even find a positive in that.

    It was decided further x-rays would not be necessary- there has been no improvement at all in his symptoms etc. and there was no expectation for any imaging to show anything we don't already know, and if anything it would just show us he's stayed the same or got worse. That combined with the very real possibility he wouldn't survive the sedation, as Craig put it, led us to abandon plans of doing any more x-rays. The plan now is to add in a steroid as the final medication combination and see how he reacts to it. He has had the PTS conversation with us for when his quality of life is no longer good. For now my Jasp is generally pretty happy still, eating, drinking, hopping around my garden (currently as I type this I'm watching him having a dig in a pile of dirt and chinning some stones...) We've been warned its likely a maximum of months as a best case scenario

    For those interested, and those in the future who may be interested in the treatment:
    The treatment plan is to try to prevent further damage to his lungs and hopefully provide some relief from the worst of the symptoms, using an antibiotic, bronchodilator and steroid as follows:
    Baytril 2.5 % 100ml 1ml once a day
    Corvental 0.25 of 100mg capsule twice a day
    Prednicare 1mg twice a day

    So we'll just take each day as it comes for now.
    Anyone with experience or an interest in emphysema or other lung disorders please feel free to chat with me or others on this thread, lets see if we can turn it into a place for information and guidance because so far it seems rather mysterious and rare or under-reported in rabbits. I'll change the title of the thread too.

    Laura x
    Last edited by Jasperello; 10-05-2018 at 04:33 PM. Reason: wrong medication dose
    Millie 07/16-10/02/17
    Giving all my love to Zuccy, Jasper, Lola, Charlie and Poppy now

  6. #16
    Wise Old Thumper Jack's-Jane's Avatar
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    Quote Originally Posted by Jasperello View Post
    Thanks for the positive thoughts and well wishes for today, unfortunately it wasn't a great visit.

    Had a long chat with Craig and he is describing Jasper's condition as Emphysema. He talked about discussions at conferences and research etc. and how its rare or poorly reported and recognised. But he himself has come into contact with rabbits with Jasper's presentation before. The positives end there, if you can even find a positive in that.

    It was decided further x-rays would not be necessary- there has been no improvement at all in his symptoms etc. and there was no expectation for any imaging to show anything we don't already know, and if anything it would just show us he's stayed the same or got worse. That combined with the very real possibility he wouldn't survive the sedation, as Craig put it, led us to abandon plans of doing any more x-rays. The plan now is to add in a steroid as the final medication combination and see how he reacts to it. He has had the PTS conversation with us for when his quality of life is no longer good. For now my Jasp is generally pretty happy still, eating, drinking, hopping around my garden (currently as I type this I'm watching him having a dig in a pile of dirt and chinning some stones...) We've been warned its likely a maximum of months as a best case scenario

    For those interested, and those in the future who may be interested in the treatment:
    The treatment plan is to try to prevent further damage to his lungs and hopefully provide some relief from the worst of the symptoms, using an antibiotic, bronchodilator and steroid as follows:
    Baytril 2.5 % 100ml 1ml once a day
    Corvental 0.25 of 100mg capsule twice a day
    Prednicare 1mg once a day

    So we'll just take each day as it comes for now.
    Anyone with experience or an interest in emphysema or other lung disorders please feel free to chat with me or others on this thread, lets see if we can turn it into a place for information and guidance because so far it seems rather mysterious and rare or under-reported in rabbits. I'll change the title of the thread too.

    Laura x
    Oh bless him. Well obviously the diagnosis is not great news, but the treatment he is now on could well bring about a significant improvement in the severity of his symptoms. I had a Rabbit with a similar diagnosis and whilst he could not be cured a treatment regime which included a corticosteroid enabled him to enjoy a good quality of life for at least 10 months from initial diagnosis.

    It is hard for us as we know what the problem is and that it is terminal. But the effected Rabbit does not know any of that and as long as they are feeling OK within themselves then as far as they are concerned there is absolutely nothing wrong.

    I hope that every day will be as good as possible for Jasper, he will always be living in the moment and not bothered about any 'what ifs'. Doing that may be harder for you, I completely empathise with that fact xx



    Myxomatosis , RHD1 & RHD2 - Vaccinations are ESSENTIAL to protect your Rabbit(s)
    http://forums.rabbitrehome.org.uk/sh...rum-Moderator)

    Rabbit Welfare Association & Fund (RWAF)~ Britains Biggest and Best Organisation for Everyone who Loves Rabbits
    https://rabbitwelfare.co.uk/

    Reference links for various Rabbit Health problems :
    http://forums.rabbitrehome.org.uk/sh...99#post7048099

  7. #17
    Wise Old Thumper MightyMax's Avatar
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    Quote Originally Posted by Jasperello View Post
    Thanks for the positive thoughts and well wishes for today, unfortunately it wasn't a great visit.

    Had a long chat with Craig and he is describing Jasper's condition as Emphysema. He talked about discussions at conferences and research etc. and how its rare or poorly reported and recognised. But he himself has come into contact with rabbits with Jasper's presentation before. The positives end there, if you can even find a positive in that.

    It was decided further x-rays would not be necessary- there has been no improvement at all in his symptoms etc. and there was no expectation for any imaging to show anything we don't already know, and if anything it would just show us he's stayed the same or got worse. That combined with the very real possibility he wouldn't survive the sedation, as Craig put it, led us to abandon plans of doing any more x-rays. The plan now is to add in a steroid as the final medication combination and see how he reacts to it. He has had the PTS conversation with us for when his quality of life is no longer good. For now my Jasp is generally pretty happy still, eating, drinking, hopping around my garden (currently as I type this I'm watching him having a dig in a pile of dirt and chinning some stones...) We've been warned its likely a maximum of months as a best case scenario

    For those interested, and those in the future who may be interested in the treatment:
    The treatment plan is to try to prevent further damage to his lungs and hopefully provide some relief from the worst of the symptoms, using an antibiotic, bronchodilator and steroid as follows:
    Baytril 2.5 % 100ml 1ml once a day
    Corvental 0.25 of 100mg capsule twice a day
    Prednicare 1mg once a day

    So we'll just take each day as it comes for now.
    Anyone with experience or an interest in emphysema or other lung disorders please feel free to chat with me or others on this thread, lets see if we can turn it into a place for information and guidance because so far it seems rather mysterious and rare or under-reported in rabbits. I'll change the title of the thread too.

    Laura x

    Hi Laura

    I'm sorry the day wasn't a better one. However, there is now a plan and although the vet gave a pretty poor prognosis, Jasper himself didn't hear that and will carry on being the happy boy you see until it's time to have his forever rest. And I hope he will outlive all the vet's expectations on that score!

    I've had a little rescue rabbit, quite some time ago, with a similar diagnosis to Jasper. He was put on a regime including a corticosteroid and did very well for the time he was with me. Yes it's horrible and sad for us. A loved one leaving us can only be heartbreaking. But I get through these things by enjoying every day, knowing that they feel well in themselves, feel lively and want to eat.

    Don't hesitate to get in touch if I can help more. Hugs to you xx
    Up to date and comprehensive info on RHD2:
    http://forums.rabbitrehome.org.uk/sh...16-Sept/page14
    An extensive guide to all things RHD2 - Please Vaccinate!

  8. #18
    Warren Scout Jasperello's Avatar
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    Quote Originally Posted by Jack's-Jane View Post
    Oh bless him. Well obviously the diagnosis is not great news, but the treatment he is now on could well bring about a significant improvement in the severity of his symptoms. I had a Rabbit with a similar diagnosis and whilst he could not be cured a treatment regime which included a corticosteroid enabled him to enjoy a good quality of life for at least 10 months from initial diagnosis.

    It is hard for us as we know what the problem is and that it is terminal. But the effected Rabbit does not know any of that and as long as they are feeling OK within themselves then as far as they are concerned there is absolutely nothing wrong.

    I hope that every day will be as good as possible for Jasper, he will always be living in the moment and not bothered about any 'what ifs'. Doing that may be harder for you, I completely empathise with that fact xx
    That is so true, Jasp is seemingly happy as ever, and yet I'm here stressing constantly about if he's breathing heavier etc. I seem to spend half my time just watching him, counting his breaths, trying to analyse if he's 'bouncing' with it and struggling more than he did the day before...etc. I drive myself crazy, because he's relying on me to judge whether he's coping or not.
    Millie 07/16-10/02/17
    Giving all my love to Zuccy, Jasper, Lola, Charlie and Poppy now

  9. #19
    Warren Scout Jasperello's Avatar
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    Update:

    Tried the Prednicare for 2 weeks and some days we thought he looked a bit better, other days just as he was without it. Been very hard to judge if its had any positive effect or not, and the weather has added to the difficulty because the warmer days make it worse for Jasper despite any medications. Vet said if I was struggling to tell then it probably wasn't helping that much, but maybe I've stared at him that much I don't even know anymore And I guess I don't even know what an improvement is supposed to look like other than slower, steadier breathing?! Anyway it was decided we go the bank holiday weekend just on the corvental and try to figure out if he looked worse without the prednicare.
    And the verdict is... I've still no idea. I'm driving myself insane trying to figure it out, one minute he looks relatively relaxed and his breathing is slower, then the next he's very 'bouncy' and his little body looks more like its throbbing again.
    I DONT KNOW WHAT TO DO!
    Now I'm thinking maybe its better to go back on it, in case it is helping ease him, even on those bad, hot days and I just can't tell. But then I think what if its doing harm to him that I cant see? Because the vet said steroids could make it worse too! I cant cope with this weight of making the right decision without having anything concrete to help me.

    Millie 07/16-10/02/17
    Giving all my love to Zuccy, Jasper, Lola, Charlie and Poppy now

  10. #20
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    I'm sorry that I do not have any experience of this type of issue, but I do empathise with your situation and send lots of hugs.

    Sending lots of vibes for Jasper.
    "The mind tells me this is our new reality, the heart aches for it to be just a bad dream" Frans Timmermans

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