9/26/22 – Update on our appointment at Oakland Veterinary Referral Services. Today we saw the internal medicine specialist, Dr Kustaz. She was very nice and spent time listening to the history on Muffins as we talked about a plan.

The next step is to put her under anesthesia and examine for a polyp. If there is one remove it, but depending on where it stems from and how invasive it is the surgeon may have to do a separate procedure which involves going through her ear. If the internest can remove it easily that would be done the day of. If no polyp is seen a CT scan will be done to look for evidence of a foreign body or a cutereba larva. If something is suspicious on CT then a separate surgical appointment will need to be made when she is bigger and can be guided with a scope. Right now she is to small for a scope. If there is no polyp and CT is normal then nasal biopsy of the tissue to see if she has immune meditated rhinitis, fungal, or a bacteria infiltrating her nasal passages. She is tentatively scheduled for the procedure on Tuesday Oct 4th if private funds can be raised. The estimate is $2800. The consultation today was just under $200. If you would consider donating to help this sweet girl donations can be made or check can be mailed to our P.O. box on our website under donations. Thank you – Gina

4paws1heart.org/donations P.O. Box 84, St. Clair Shores, MI. 48080