Sunday, January 29, 2012

1/18/2012 - Meeting with the Neurologist

1/18/12 - 4:00PM - Met with Neurologist. Bloodwork, X-ray, and Ultrasound clean except for nodule on spleen (not a likely cause). Phenobarbital level is at 28 (was at 20 on 1/3/12). Ideal phenobarbital level is around 33. We will measure the nodule in 3-4 months.

Cletus had full head tilt today, seems better now. When head was straightened, eye dropped. Could be as simple as inner ear infection combined with epilepsy where phenobarbital not working for Cletus. If need to, potassium bromide next drug of choice combined with phenobarbital.  I asked about Sodium Bromide instead of potassium bromide to help avoid GI issues and possible risk of megaesophagus (enlargement of esophagus). They said they split the dose in half and give with food to avoid complications.

Could be brain tumor, cancer, etc, or a combination or any of these as well as ear infection and/or epilepsy. MRI and Spinal Tap on 1/19/12. Total expected cost $2,500 - $3,000.

No comments: