I was doing some reading tonight and I saw where hairballs can actually cause IBD to be misdiagnosed. I talked with my vet tonight and the cause for action right now is what to do about the liver nodules. The course of action that needs to be decided is the best way to biopsy them. Two ways to do it... exploratory surgery or ultrasound guided biopsy. The ultrasound guided biopsy would be the least invasive but the problem lies in the fact that not all of the nodules may be reachable and also getting enough of a sample to be biopsied. The exploratory is far more invasive but would be more definitive as all of the nodules can be sampled and other areas of concern can be observed. It's a tough choice to make since both have their inherent problems.

I think it's great that you too were able to take advantage of Cornell's services. I have a friend that lives in PA and she too called Cornell for a consult on her Shiba Inu's allergies and skin condition. Even in the waiting room today I heard someone at the desk say they were from PA and they were having there dog examined there.
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Bob

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