SOPHIA aka BERTIE – A1072377

Manhattan Center

My name is SOPHIA. My Animal ID # is A1072377.
I am a spayed female yellow and white am pit bull ter and dachshund mix. The shelter thinks I am about 4 YEARS old.

I came in the shelter as a OWNER SUR on 06/16/2017 from NY 10465, owner surrender reason stated was PET HEALTH.

06/29/2017 AT RISK MEMO
Sophia A1072377 was placed At Risk for Medical reasons- please see notes below

MOST RECENT MEDICAL INFORMATION AND WEIGHT
06/29/2017 Exam Type RE-EXAM – Medical Rating is 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, Behavior Rating is EXPERIENCE, Weight 31.4 LBS.

06/25/17 13:17 Hx: re-admitted 6/12 with dx of epilepsy, on Phenobarb, hematuria noted (started on Clavamox), no hematuria or polakiuria noted since intake & Clavamox was discontinued 6/25), has had decreased appetite for several days, had a seizure 6/28 while outside, brough to medical CBC/Chem recheck 6/25 = unremarkable S: quiet, sweet, not interested in canned diet O: 5%dehydrated EENT: no discharge AU/OU/nares Oral: mederate dental tartar Int: WNL Lnn: WNL CV: NMA, s&s pulses, pink moist mm Resp: clear lungs, eupnic Abd: SNP no distension UG: spayed female, no discharge at vulva MS: 4x ambulatory, BCS 6/9 Neuro: QAR, PLRs & meance WNL, CPs WNL, no obvious CN deficited A: breakthrough seizures (r/o epilepsy vs other) hx of hematuria P: 300ml LRS SQ BID x3d 1.5ml Cerenia SQ SID x 3d watch for seizures add 20mg/kg Keppra q8hrs if breakthoguh seizures continue recheck Liver panel q3-6 mos px: good to fair, epilepsy is a lifelong disease that typically respond swell to variety of anti-seizure medications

06/11/2017 PET PROFILE MEMO
06/11/17 19:56 Basic Information: Bertie is a 4 years old medium spayed yellow and white dog. She was adopted from and returned to ACC. She was surrendered due to her medical condition. Socialization: She was friendly around strangers. She was relaxed with the children she lived ages 3 and 5 years old. She played gently with adults and children. She has no bite history. Behavior: She was not bothered during storms/fireworks. She was friendly when her food bowl, toys and treats were touched while she had them. She was friendly while being held or restrained. She was not bothered by baths or being disturbed while sleeping or resting. She barked at unfamiliar that approached the house. She was not bothered by unfamiliar that approached the family. For a New Family to Know: She was described as a friendly, affectionate, mellow, and excitable dog. Her activity level was medium. She would give her paw whenever she wanted affection. Her favorite activities were playing in the yard. She followed the previous owner around the house. Her favorite toy was a stuffed squirrel. Her favorite game was fetch. She was kept mostly indoors and slept in her own bed or with the owner. Her diet consisted of Blue Buffalo grain free wet but mostly dry dog food. Previous owner stated to never feed her greenies because it upset her stomach. She was very house trained and only went potty on the grass. She was well behaved when left alone in the house. She knew “sit”, “down” and “give paw” on command. She played in the yard for exercise. During Intake: She tolerated all handling and allowed collaring. She paced around the admissions room. She had a relaxed body, and soft eyes.

06/29/2017 WEB MEMO
A volunteer writes: I met Sophia, then Bertie, exactly one year ago. This lovely gal was adopted quite quickly and one can see right away why. She is as cute as a button, petite, unique and sweet, although very timid, which she has remained. Her former owners took very good care of her but relinquished her to us as Sophia developed seizures and other medical issues that they could not handle. Sophia is easily leashed in her kennel and is a good little walker, doing her business on the way. She is adorable and looks like a little loaf of fresh baked bread on short legs and with half-puzzled, half-wary button eyes. She attracts lots of attention when she is out in the street. She comes when called, initially shies away from caresses, then thinks better of it and comes back for more. Same goes for treats. Indeed, shy Sophia needs a little warming up before she can feel “at home” with someone she does not know. Sophia is waiting for her forever home and family at the Manhattan Care Center. She will need veterinary follow up and care as well as all the love she deserves. Come and meet her soon.

06/13/2017 BEHAVIOR EVALUATION – EXPERIENCE
Exam Type BEHAVIOR
KNOWN HISTORY: Full Profile 6/11/17, second stay at the care center Spayed, Owner Surrender Previously lived with: Adults and children (ages 3 and 5) Behavior toward strangers: Friendly Behavior toward children: Relaxed Behavior toward dogs: Unknown Behavior toward cats: Unknown Resource guarding: None Reported Bite history: None Reported Housetrained: Yes Energy level/descriptors: Sophia is described as social, affectionate, mellow, and excitable with a medium activity level. KNOWN HISTORY: None 5/5/16, first stay at the care center Spayed, Owner Surrender SAFER ASSESSMENT: 6/13/17 Look: 2. Dog’s eyes are averted. Her body posture is stiff and fearful, her tail is low and not moving. She allows head to be held loosely in Assessor’s cupped hands. Sensitivity: 2. Dog stands still and accepts the touch, her eyes are averted, her tail is between her legs, body tense, mouth closed. Tag: 1. Follows at end of leash, body low and a bit fearful. Squeeze 1: 1. Dog gently pulls back her paw. Squeeze 2: 1. Dog gently pulls back her paw. Toy: 1. Minimal interest, dog sniffs toy. Summary: Sophia appeared fearful during her assessment but allowed all handling. PLAYGROUP: Sophia’s behavior around other dogs was not described by the previous owner. Sophia has displayed limited interest in socializing with dogs in the care center, though has been tolerant of polite greeting from respectful dogs. The behavior department recommends slow introductions between Sophia and calm resident dogs. INTAKE BEHAVIOR: During Intake Bertie tolerated all handling and allowed collaring. MEDICAL BEHAVIOR: 6/12/17 During her initial medical exam, Sophia was tense with restraint. ENERGY LEVEL: Sophia’s previous owner described her as having a medium level of activity. RECOMMENDATIONS: Experience (suitable for an adopter with some previous dog experience, especially with behaviors outlined below)

Potential challenges: _X_Fearful: Sophia is fearful at the care center. It is important to always go slow and give Sophia the option to walk away from any social interaction. Sophia should never be forced to approach anything that she is uncomfortable with or to submit to petting or handling. It should always be Sophia’s choice to approach a new person or thing. Sophia would do best in an initially calm and quiet home environment and should be given time to acclimate to her new surroundings.

05/04/2016 GROUP BEHAVIOR EVALUATION 
Exam Type GROUP BEHAVIOR
5/4/16 When off leash with other dogs, Bertie is defensive and corrects approach. 5/5/16 update: Bertie is nervous with a tucked tail. She bares teeth when approached. 6/17/17: When introduced off leash to other dogs at the shelter, Sophia becomes stiff during prolonged greetings then mostly keeps to herself. 6/18: Sophia keeps mostly to herself. 6/19-21: Sophia keeps to herself, and runs throughout the pen while not completely engaged with the other dogs. 6/22-6/23: Sophia keeps mostly to herself. 6/24-26: Sophia briefly play bows to a select dog, then runs throughout the pen while not completely engaged with other dogs. 6/27-28: Sophia is vocal, pushy, and solicits play.

06/16/2017 DVM INTAKE PHYSICAL EXAM
Medical rating was 3 NC – MAJOR CONDITIONS NOT CONTAGIOUS, behavior rating was EXPERIENCE
DVM Intake Exam Estimated age: 4yr Microchip noted on Intake? yes History : returned twice from adoption, o phenobarbital for seizures and clavamox for hematuria Subjective: Observed Behavior – allows most handling, but got nervous during exam, was head shy Evidence of Cruelty seen – no Evidence of Trauma seen – no Objective P = 96 R = 36 BCS 5.5/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: unable to examine, head shy PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: spayed, grossly normal, no palpable MGTs MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: mentation appropriate – no signs of neurologic abnormalities, no CP deficits Assessment hematuria: UTI, secondary to uroliths, other seizures: r/o intracranial causes (idiopathic- spilepsy, infectious, inflammatory) vs. extracranial causes (secondary to hepatic shunt, other) Plan finish up course of ab’s for suspected UTI: clavamox 250mg: 1T PO BID until finished with 14day course- today is third day of treatment if hematuria does not resolve on clavamox or reoccurs once it is d/c, then rec’d u/a with culture to Idexx and AXR to r/o urinary stones phenobarbital 32.4mg: 1T PO BID ***this med is in the medical safe*** recheck phenobarbital levels in 14days, repeat CBC/chem in 3-4 weeks if seizures are not well controlled (short, self limiting; q4-6months) then rec’d neuro consult with MRI increasing phenobarbital dose and consider adding adjunctive therapy prognosis: good; epilepsy considered most likely cause of seizures at this time but cannot rule out other causes without MRI Prognosis: fair to good with appropriate management SURGERY: n/a

06/29/2017 RE-EXAM (LAST MAJOR EXAM)
Medical rating 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, behavior rating EXPERIENCE
06/25/17 13:17 Hx: re-admitted 6/12 with dx of epilepsy, on Phenobarb, hematuria noted (started on Clavamox), no hematuria or polakiuria noted since intake & Clavamox was discontinued 6/25), has had decreased appetite for several days, had a seizure 6/28 while outside, brough to medical CBC/Chem recheck 6/25 = unremarkable S: quiet, sweet, not interested in canned diet O: 5%dehydrated EENT: no discharge AU/OU/nares Oral: mederate dental tartar Int: WNL Lnn: WNL CV: NMA, s&s pulses, pink moist mm Resp: clear lungs, eupnic Abd: SNP no distension UG: spayed female, no discharge at vulva MS: 4x ambulatory, BCS 6/9 Neuro: QAR, PLRs & meance WNL, CPs WNL, no obvious CN deficited A: breakthrough seizures (r/o epilepsy vs other) hx of hematuria P: 300ml LRS SQ BID x3d 1.5ml Cerenia SQ SID x 3d watch for seizures add 20mg/kg Keppra q8hrs if breakthoguh seizures continue recheck Liver panel q3-6 mos px: good to fair, epilepsy is a lifelong disease that typically respond swell to variety of anti-seizure medications

Generated on Jun 29 2017 6:00PM

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**RETURNED 06/11/17, HX of SEIZURES**

SPAYED FEMALE, YELLOW / WHITE, AM PIT BULL TER / DACHSHUND, 4 yrs
OWNER SUR – EVALUATE, HOLD RELEASED Reason PET HEALTH
Intake condition EXAM REQ Intake Date 06/11/2017, From NY 10465, DueOut Date 06/11/2017,

Medical Behavior Evaluation BLUE
Medical Summary  Estimated age: 4-6 years Microchip noted on Intake? yes. Previously adopted from ACC; owner surrender due to recent history of seizures that have become more frequent in the last few days; also may be losing eye sight and is urinating blood; was started on phenobarbital (32.4 mg BID) Blood work from RDVM shows mildly elevated ALT. BAR, head shy, warms up quickly but becomes tense with mild restraint  BCS 5/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: muzzled for exam for precaution; mm pk, moist; CRT <2 sec; rostral teeth have mild tartar/staining PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: spayed MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: mentation appropriate; appears visual OU; normal proprioception/reflexes x 4 Rectal:not performed Assessment 1. History of seizures-r/o epilepsy vs neoplasia vs metabolic 2. Hematuria-r/o UTI vs bladder stones Plan Continue phenobarbital 32.4 mg PO BID, recd pheno levels in 3-4 weeks Clavamox 250 mg PO BID x 14 days If has seizure, then give 1 ml midazolam IM Rec’d neuro consult +/- MRI Prognosis:fair to good; due to age, overall normal bw and no obvious neurologic deficits, consider epilepsy as top rule out for h/o seizures but would need MRI to definitively r/o neoplasia or other neuro condition; due to recent history, she will likely require long term medication to control her seizures; epilepsy can vary significantly in difficulty of management; will likely require adjustments to phenobarbital dose and possibly adjunctive anti-convulsant if not well controlled SURGERY: spayed
Weight 31.4

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ADOPTED 05/10/16

I am an unaltered female, yellow and white American Pit Bull Terrier and Dachshund.

The shelter staff think I am about 3 years old.

I weigh 25 pounds.

I was found in NY 10035.

I have been at the shelter since May 03, 2016.

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JUNE 2017

MAY 2016

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