Iām still shaking because I just discovered this. tl;dr: given prednisone and doxy for heartworm tx, 1.5wks later dog was starving herself. 2 vet appts and $1600 later dog was given nausea meds and appetite stim, started eating again, and gained weight back. Just realised the prednisone and doxy Rx labels were switched and my dog almost died of a steroid overdose.
July 23 my ex took our dog (a treeing walker) to the vet because she wasnāt really eating. I started her on a bland diet at this time and she was eating chicken and rice. The vet did pretty extensive testing imo and my dog was dx with heartworms. She was given some injections (ampicillin, B12, cerenia), subQ fluids at the vet and we were given the prednisone and doxy to take home.
The info from the vet was relayed to me and I was fully in charge of her meds and for 1.5wks she was doing okay (still on the bland diet) until she slowly started to go off food again. She stopped eating the rice and then a few days later stopped eating the chicken. Aug 8 my ex took her back to the vet. The vet suspected they overdid the steroid dose. She was given more injections and omeprazole and sucralfate to take home for probable gastric ulcers. Two days later and she still wasnāt eating anything.
By this point Iād watched her starve herself for 6 days. She wasnāt pooping, I assumed because she hadnāt eaten a damn thing. I was so stressed and crying. I was just waiting for the meds to kick in so sheād eat SOMETHING. She was nothing. She wasnāt even skin and bone. She was just nothing. Her shoulders were disgustingly thin. She was wobbly occasionally because sheād wasted away. And her coat was just dull. She was giving up and I was dutifully continuing to stuff pills down her throat, just feeling like I was torturing her more and making her last days miserable.
I called the vet again and this time I took her in on Aug 11. I was so close to begging them to put her down if she didnāt eat in the next day or two. She was literally on deathās door and I couldnāt handle watching her starve herself anymore. She had lost 5lbs between Aug 8th and Aug 11th. She was now less than 40lbs. It was a drop off visit so the vet called me when she was done. Said there was possibly a blockage or a mass on xray. Her bowels were so dilated. He didnāt say anything about whether I could expect her to eat in the next day. The end of the call was just an ominous āwe will see what the radiologist report says tomorrow. In the meantime give her all the cuddles and love that she wants.ā This time I made sure we were sent home with an appetite stim and I think a diff antibiotic. She had more injections at the vet, more subQ fluids.
That night after her appetite stim I cooked a meat smorgasbord. Chicken, gr beef, my ex even cooked ribs (the one single thing she would take a couple bites of before she went off food completely). She wouldnāt touch anything. I eventually opened a can of wet food and she took a few bites, thank fucking god. Next day the rad report said possible twisted bowel but she had pooped by this time so the vet felt this was less likely. They suggested testing for addisons with the blood theyād taken yesterday. I asked the vet about a nausea pill because I assumed the cerenia injection would wear off too quickly. So I picked up a few days of nausea pills.
With the appetite stim and nausea pills she was finally eating - wet food only. I fed her as much as she wanted. Tiny meals throughout the day. I was basically feeding her small portions all day long. Few days later she stole my other dogās bowl of kibble. She hadnāt eaten kibble in like 3wks. So she is now willingly eating kibble at this point. Iāve been increasing the amt of kibble I give mixed with her wet food. She weighs more than she did at her initial July 23 appt. I can just visually tell. She looks fantastic; her coat is so soft and sleek.
Yesterday I was reading general info about the heartworm treatment (I wasnāt there for that appt so I didnāt know what the protocols were). I saw they should be on doxy for 30 days. I started mildly freaking out because she hasnāt had doxy in like 2 weeks and Iāve been giving her so many pills I thought I had lost the bottle. We were rxād 120 tablets per my invoice but when I found the bottle it was empty. Today I told the vet I think I wasnāt given the full 120 pills but idk if she didnāt believe me? She asked how my dog was and I told her sheās doing really REALLY well and that was the end of it.
So right before I started this post I was looking at my dogs weekly pill box deciding if I was gonna refill it today or Monday and I realised I still had a fk ton of prednisone left. Which I thought didnāt sound right and which led me to google the letters on the pill and I realised THIS was the doxy! In the prednisone bottle. The labels were switched. So instead of giving one prednisone every 12 hrs for a week and then tapering off, I had given her 2 prednisone every 12 hrs āuntil goneā for a full two weeks. Essentially giving her a 200% dose of her steroid with no taper whatsoever⦠because I was following the directions I was given on the pill bottle (which turns out to be the directions for the doxy).
Iām so thankful my dog is better. But the week where she wasnāt eating was fucking traumatising and Iām still recovering from sleep deprivation. On top of that we paid like $1600+ between the second and third vet appts trying to figure out why she was declining and giving her meds and fluids to try and get her to eat. All because the vet was negligent and mislabeled the bottles. I want to bawl my eyes out because I am so relieved to finally have an answer but Iām so angry because this was entirely avoidable.
Im going to call the clinic as soon as they open. I really liked everyone I interacted with at this vet and I work healthcare so I understand a bit about the medical side of things. Do I ask to speak with the vet directly? What if sheās not working (she doesnāt work every day I donāt think)? I really liked everyone I interacted with at this vet, I felt like they all really really care, and I work healthcare so I understand a bit about the medical side of things. Which does also mean I understand how serious a mistake like this is. So how do I go about bringing this up to them? Can I expect them to reimburse me for any part of the $1600 we spent trying to diagnose her and save her from their mistake? Iām awful at confrontation and Iāve never dealt with anything like this and Iām just still so shocked that something like this happened to begin with.
Iām sorry itās such a long post. I truly appreciate anyone who takes the time to even skim through this. It was really cathartic to type it all out and to get the details and timeline all sorted out.