11/22/2025
Fatty McFatterson Update
November 22nd at 3:30 PM
I finally have an update that gives us a little bit of hope today. CARE repeated Fatty’s bloodwork this afternoon, and for the first time since this all started, we are seeing signs that his body is responding to treatment.
His total bilirubin dropped by HALF.
Yesterday: 7.3 mg/dL
Today: 3.6 mg/dL
This is huge. Bilirubin is what makes him yellow, and it’s the number that tells us whether bile is moving or stuck. A drop this big means the bile duct obstruction might finally be easing, and the bile is starting to drain again. This is exactly what we needed to see.
His liver values are STILL very high but they’re trending DOWN instead of up:
• ALT: 2,939 → 1,817
• ALP: 5,037 → 3,917
• GGT: 74 → 43
These numbers are nowhere near normal yet, but the downward trend is the important part. It shows the pressure on his liver might be decreasing.
Clotting tests are NORMAL
• PT and PTT both within normal limits
This means his liver is still functioning enough to make clotting proteins, and the plasma transfusions are helping. Also important: if he ends up needing surgery later, his blood can clot properly.
Kidneys and electrolytes look GOOD
• Creatinine: 0.6
• BUN: 8
• Sodium: 155
• Potassium: 4.6
• Chloride: 114
• Albumin: 2.9
His kidneys are holding steady and there are no dangerous electrolyte issues, which is a big deal for a dog this sick.
Pancreatitis markers are still high — but expected
• Lipase: 4,359
• Amylase: 1,410
This confirms the pancreatitis is still very active, but these numbers almost always lag behind clinical improvement. What matters most is the bile flow — and that number improved dramatically today.
His Diagnosis (straight from the doctor) Severe pancreatitis with extrahepatic bile duct obstruction.
This is exactly what we thought swelling from the pancreas is squeezing the bile duct shut, which is what caused his bilirubin and liver values to spike.
CARE is treating him aggressively with:
• High-rate IV fluids
• Continuous pain control (Fentanyl → Methadone)
• Plasma transfusions
• IV antibiotics (Unasyn)
• Cerenia + Ondansetron
• Sedatives (Trazodone + Acepromazine if needed)
• 24/7 monitoring
They’re doing everything possible.
Now… something I want to explain clearly. I am NOT going to visit him, and it’s not because I don’t want to.
It’s not because I’m being cold or detached. It’s not because I don’t care. Seeing my dog would be my number one priority today if love alone healed pancreatitis. But the goal right now is to keep him calm, quiet, and stable. And right now, the staff tells me he is being a good boy he’s quiet, settled, and not screaming or panicking. That’s exactly what he needs to heal.
If I walked in that room, he would:
• Lose his mind
• Scream
• Cry
• Shake
• Get overstimulated
• Demand to come home
• And completely fall apart when I had to leave
The stress alone could spike his pancreas again, raise his blood pressure, worsen inflammation, and undo every bit of progress he made today. When I see him, I want it to be because he’s coming home, not because I am walking away from him again. It may sound cruel, or cold, or like I don’t want to be near him but it’s actually the exact opposite. Right now, loving him means choosing the path that helps him heal, even if it breaks me in the process. Please keep the love, prayers, and good thoughts coming. Today is the first day he actually fought back and gained ground. And I am holding onto that with everything I have.