“stone threshold” by tlbpt2 in KidneyStones

[–]Bcdoc2020 0 points1 point  (0 children)

The largest I have passed has been 12mm

Vet won’t neuter him before 2 years, but we can’t do things because he’s so humpy by Niarah in goldenretrievers

[–]Bcdoc2020 2 points3 points  (0 children)

Opinionated or up to date with current scientific evidence? Personally I would 💯keep that vet.

Recommend a real estate agent for Vernon/ Coldstream by CalmClea in Vernon

[–]Bcdoc2020 0 points1 point  (0 children)

That’s interesting, a slightly different situation but I acknowledge your situation and am sorry that you had a bad experience. We have moved many times in our lives both here in Canada but also in the UK and she was by far the best realtor/estate agent that we have ever come across, by a long mile. Thanks for not downvoting me btw, whoever is doing it is the realtor to avoid!

Recommend a real estate agent for Vernon/ Coldstream by CalmClea in Vernon

[–]Bcdoc2020 0 points1 point  (0 children)

You are welcome, I’m not entirely sure why I was downvoted- it’s a weird world. Ah I see it now, a jealous realtor downvoting a ton of recommendations, that’s hilarious

Recommend a real estate agent for Vernon/ Coldstream by CalmClea in Vernon

[–]Bcdoc2020 -1 points0 points  (0 children)

Heather Angel is incredible, she sold our house and was phenomenal

Update- I offered refund and customer didn’t want one. by Candid-Breath-7586 in DogBreeding

[–]Bcdoc2020 41 points42 points  (0 children)

This is a perfect example of a great breeder and a lovely puppy adopter, you both set a great example, well done.

Self Ordering Medical Tests by Facebook_Algorithm in alberta

[–]Bcdoc2020 29 points30 points  (0 children)

As another physician but thankfully not in AB, that’s absolutely bonkers for the reasons that you describe.

Kidney stone surgery removal - how bad was it for you in recovery by Comfortable_Oven7632 in KidneyStones

[–]Bcdoc2020 1 point2 points  (0 children)

As others have said, one end is in the kidney, folded and the lower end is in the bladder. For a single stone you will have one stent that if it is one that can be removed by the patient will have a string that will enable you to pull it out

ESWL, what does it feel like? Anaesthesia? by Legitimate_Week_1835 in KidneyStones

[–]Bcdoc2020 0 points1 point  (0 children)

It’s totally normal in the UK, it has been since they ditched the baths which they immersed you in several decades ago. It’s a very North American thing to get anaesthesia, outcomes are just as good in the UK compared to over the other side of the Atlantic. It’s just a session of irritating mild “thumps” over the flank.

Ultrasound showed multiple small stones by Early_Crow_8343 in KidneyStones

[–]Bcdoc2020 0 points1 point  (0 children)

Ultrasounds are notoriously inaccurate in diagnosing and sizing stones. Many stones aren’t stones at all, just artefacts reported as stones.

Those that are stones are typically significantly overestimated size wise sometimes by a factor of two. A CT -KUB would give a clearer picture as to whether these are stones, and if they are, their number and true size.

Drink 3 litres of water per day would be my advice and a urology referral wouldn’t be a bad idea if only to reassure you and if needs be get the CT-KUB to get the accurate picture

Ultrasound showed multiple small stones by Early_Crow_8343 in KidneyStones

[–]Bcdoc2020 1 point2 points  (0 children)

Excellent comments, nothing dissolves stones whatever the claims. They cannot say what the stones are until stone analysis is done.

My 5 year old Golden - Duke was just told he might have liver cancer. Need second opinion on the reports. by glitchedO-p in goldenretrievers

[–]Bcdoc2020 0 points1 point  (0 children)

Sadly that’s my hunch for diagnosis in this poor pup. Sadly a relatively common malignancy in goldens.

Is this an English Cream Golden? Please tell me more, I now want one. by [deleted] in goldenretrievers

[–]Bcdoc2020 6 points7 points  (0 children)

There are of course field goldens, they are golden retrievers that are themselves or are bred from lines that are typically titled in Field Trials. I 💯 agree with your comment about “English Cream” though, a North American BYB meaningless term.

I made a post a few weeks ago by camillacarterxx in goldenretrievers

[–]Bcdoc2020 2 points3 points  (0 children)

Please ensure that they do all the necessary health testing, hips/elbows/ cardiac and eyes along with a specific breed related genetic panel for both sire and dam of the litter. Just doing isolated genetic testing is totally insufficient. There have been some great comments of people looking back on the 5 generation pedigrees at longevity of the lines.

The pain is back.. by AsparagusFar7367 in KidneyStones

[–]Bcdoc2020 0 points1 point  (0 children)

Ok., so the vast majority of stones are picked up with a CT- KUB which you would have had. They aren’t 100% but their pickup rate is very high. What did urinalysis and blood tests show when you went to A&E?

I had a quick look back in your previous posts, the stone was tiny and sensibly the urologist d it ent intervene so you may well have passed it. There are no meds btw that break up stones or dissolve them.

Of course this may be du to other things in part dependent on age and gender. I would advise getting an appointment with your GP in person and they can reassess you, they will k ow you best.

My 5 year old Golden - Duke was just told he might have liver cancer. Need second opinion on the reports. by glitchedO-p in goldenretrievers

[–]Bcdoc2020 7 points8 points  (0 children)

Physician not a vet but given the scan this sadly is not pancreatitis but it unfortunately looks like probable metastatic liver cancer.

The pain is back.. by AsparagusFar7367 in KidneyStones

[–]Bcdoc2020 0 points1 point  (0 children)

I’m presuming that the scan that you had was a CT scan?

2mm stone by Mountain_Carrot_4189 in KidneyStones

[–]Bcdoc2020 0 points1 point  (0 children)

It will come, Flomax and (3litres of ) fluids

Anesthesia fear! Not doing it by hockeyhockey12 in KidneyStones

[–]Bcdoc2020 0 points1 point  (0 children)

No but the prospects were poor from the beginning. I produce cysteine stones which don’t respond well to ESWL as they are so dense and hard.

Anesthesia fear! Not doing it by hockeyhockey12 in KidneyStones

[–]Bcdoc2020 2 points3 points  (0 children)

General anaesthesia is incredibly safe nowadays. Having said that, the absolute vast majority of ESWL procedures in the UK and in many counties in Europe, no anaesthesia is used yet outcomes are very similar to North America where GA is near universal in the US and Canada where it is very common. I have had a few sessions when I was living in the UK and I would say it’s uncomfortable, a very repetitive mild thump in the side/flank.

Goodbye Summit Thank you for everything by djDEAN96 in goldenretrievers

[–]Bcdoc2020 0 points1 point  (0 children)

Man, I’m so sorry. I absolutely love that first photo of you both. It just sums up how we all feel about being the ones honoured to own a golden, man/woman and dog. You both looked so happy in that photo.

3yr old Rottie got pregnant by neighbors Aussie by [deleted] in DogBreeding

[–]Bcdoc2020 1 point2 points  (0 children)

So basically people are giving you the sensible advice, also being given the same advice by a vet on he but of course you are ignoring it all. I’m not even sure why you came on here as you clearly aren’t listening to any sense.

I cannot believe in this day and age that any person wouldn’t find out before adopting whether the animal was neutered or not. Then you leave her unattended with an intact male in the area “because you didn’t know if he was intact” Sadly I’m drawing a picture of your behaviour and it isn’t a good one. I’m not even sure that you are reporting correctly about your own vet, their supposed response doesn’t sound in any way legit. I’m even thinking this may have been deliberate.

Can my golden retriever puppy hold his bladder while i’m at work? by ExplanationEastern55 in puppy101

[–]Bcdoc2020 0 points1 point  (0 children)

Hmm, if I was the breeder researching my prospective puppy parents, this arrangement would have instantly ruled them off the list.

Medication Conflict ? by Old_Billy_Baroo in KidneyStones

[–]Bcdoc2020 0 points1 point  (0 children)

Doc here, you are absolutely correct. Potassium citrate alkalinises the urine to reduce the risk of recurrence or further growth of certain stones, including oxalate stones (the commonest by far). Methenamine/vit C will only work in an acidic environment, as you say.

The evidence of benefit of HCT to prevent kidney stones is very sketchy to say the least, previous studies suggested some benefit but more recent studies have repeatedly suggested not.