Update on Ava #2

The blood work came back today and once again, it was inconclusive. The vet said that there were some liver levels that were elevated (for those of you interested - her AST was 541, her ALT was 736, and her CPK was 318) that he was concerned about, but everything else was in the normal range.

The immune panel came back normal as well, but he said he was STILL thinking it was an immune problem. He said sometimes these results get false negatives and all her other symptoms screamed auto immune to him. He wants to treat for auto immune, which would mean upping her Prednizone to three times the amount she is getting now, but is hesitant to do so without a cardio consult.

She has developed a heart murmer amidst all of this and he said he needs to rule out heart damage before upping her meds. He said if he ups the meds and she has heart damage, the Prednizone will make it worse and her heart will just give out.

My concern is this - if the echocardiogram shows heart damage, she can't stay on the Prednizone, but Prednizone is the only thing that has helped so far. Not sure what the treatment will be if she has heart disease. I suppose I need to ask the vet some more questions.

Why can't anything be cut and dry? There are so many iff's and inconclusive results. I just want to know what is wrong!