Laney - End of life

What was wrong with Laney?

Age: 12.5 yrs
Weight: 77.2 lbs
Diet: salmon based dry food

Chronic conditions/meds:

• suspected osteoarthritis/162mg aspirin q 6ish for the last 2? years
  
• ear infections w/significant flare-ups throughout life/ treated w/ boric/acetic acid periodically; enterofloxin/descending short course of prednisone (3-4x during life)
• cystitis a few times during last 3 years/ treated w/ nitrofurantoin & cranberry
• standard antihelminths prophylaxis, rabies vax 6 days prior
• FNA of largest axilla mass 6 days prior suggests benign lipoma
  

Symptoms immediately prior to euthanasia:

• Various lipomas & uncharacterized masses on torso
  
• 6 days prior: elevated alkphos & ALT (Tx w/herbal extract w/ planned followup labs to r/o Cushings)
• 2 days prior:frequent urination (dark; suspected UTI, Tx w/Baytril & cranberry)
• 4 hours prior: difficulty in standing, urination (suspected UTI unresponsive to Baytril)
• 1-2 hours prior: dark & maroon blood in vomit

Labs 6 days prior to euthanasia:

EL Electrolytes:
***CL 123 mmol/L ....|....> (109-122)
K 5.3 mmol/L ....|..v. (3.5-5.8)
NA 156 mmol/L ....|..v. (144-160)

General Health Profile:
Albumin 2.8 g/dL v...|.... (2.7-3.8)
***Alk phosphatase 576 U/L ....|....>> (23-212)
***ALT 239 U/L ....|....>> (10-100)
*Amylase 624 U/L v...|.... (500-1500)
Urea nitrogen 15 mg/dL ...v|.... (7-27)
Calcium 9.4 mg/dL ...v|.... (7.9-12)
*Cholesterol 120 mg/dL v....|.... (110-320)
Creatine 1.0 mg/dL ...v|.... (0.5-1.8)
*Globulin 3.0 g/dL .v..|.... (2.5-4.5)
*Glucose 87 mg/dL .v..|.... (70-143)
Phosphate 4.4 mg/dL ...v|.... (2.5-6.8)
Total bilirubin 0.4 mg/dL ...v|.... (0-0.9)
*Total protein 5.8 g/dL .v..|.... (5.2-8.2)

CBC (Complete Blood Count):
*Hemoglobin 12.3 g/dL v....|.... (12.1-20.3)
*Hematocrit 38.9 % v...|.... (36-60)
WBC 9.9 10^3 ....v.... (4-15.5)
*RBC 5.0 10^6 v....|.... (4.8-9.3)
MCV 78.0 fl ....|....v (58-79)
MCH 24.6 pg ....|v... (19-28)
*MCHC 31.6 g/dl .v..|.... (30-38)
Platelet Count 338.0 10^3 ....|.v.. (170-400)
Platelet Estima Adequate
***Neutrophils 79.0 % ....|....> (60-77)
Bands 0.0 % v....|.... (0-3)
*Lymphocytes 12.0 % v....|.... (12-30)
Monocytes 1.0 % <<....|.... (3-10)
Eosinophils 8.0 % ....|..v. (2-10)
Basophils 0.0 % v....|.... (0-1)
Absolute Neutro 7821.0 ....|.v.. (2060-10600)
*Absolute Bands 0.0 v....|.... (0-300)
*Absolute Lympho 1188.0 v...|.... (690-4500)
*Absolute Monocy 99.0 v...|.... (0-840)
Absolute Eosino 792.0 ....|.v.. (0-1200)
*Absolute Basoph 0.0 v....|.... (0-150)

Summary of abnormal & borderline lab values:
***CL 123 mmol/L ....|....> (109-122)
***HIGH Alk phosphatase 576 U/L ....|....>> (23-212)
***HIGH ALT 239 U/L ....|....>> (10-100)
*LOW Amylase 624 U/L v...|.... (500-1500)
*LOW Cholesterol 120 mg/dL v....|.... (110-320)
*LOW Globulin 3.0 g/dL .v..|.... (2.5-4.5)
*LOW Glucose 87 mg/dL .v..|.... (70-143)
*LOW Total protein 5.8 g/dL .v..|.... (5.2-8.2)
*LOW Hemoglobin 12.3 g/dL v....|.... (12.1-20.3)
*LOW Hematocrit 38.9 % v...|.... (36-60)
*LOW RBC 5.0 10^6 v....|.... (4.8-9.3)
*HIGH MCV 78.0 fl ....|....v (58-79)
*LOW MCHC 31.6 g/dl .v..|.... (30-38)
***HIGH Neutrophils 79.0 % ....|....> (60-77)
*LOW Bands 0.0 % v....|.... (0-3)
*LOW Lymphocytes 12.0 % v....|.... (12-30)
*LOW Monocytes 1.0 % <<....|.... (3-10)
*LOW Absolute Bands 0.0 v....|.... (0-300)
*LOW Absolute Lympho 1188.0 v...|.... (690-4500)
*LOW Absolute Monocy 99.0 v...|.... (0-840)
*LOW Absolute Basoph 0.0 v....|.... (0-150)

For Sale: Alveolite Liners US 7.5-M 8.5-W $125

Brand new in box, made in Italy, hard to find

Alveolite Liners

US Men's 7.5 or Wm's 8.5 (Box & tongue labeled "6 1/2" = UK Men's 6.5)

$110 shipped w/in USA
via USPS Priority includes delivery confirmation & insurance

$122 shipped to Canada - USPS Express Mail International
will be labeled "gift", but buyer may still be responsible for customs.

For upgrading your existing Scarpa Inverno's/Vega's or Koflach Arctis Expe's/Degre's, making them warmer & more suitable for high altitude climbing/mountaineering (Denali, Himalayas).


A good alternative to spending $800-$900+ on those uber expensive, uber specific, expedition boots (Sportiva Oly Mons, Kayland 8001, Millet Everest, Boreal G1, Scarpa Phantom, etc).

click for larger images

a ridiculous list of links related to Alveolite Liners:

http://outside.away.com/outside/gear/gearguy/200602/20060202.html

http://www.mountaingear.com/pages/product/product.asp/imanf/Scarpa/idesc/Alveolite+Liner/Store/MG/item/491080/N/684

http://books.google.com/books?id=Y_26yT9Nn7UC&pg=PA98&lpg=PA98&dq=alveolite+liner&source=web&ots=w-37V2DRSN&sig=qeT0tAnu4SFaH2kfBgdEjAa0CCM

http://swissmountainguide.com/equipment.html

http://www.mountainmadness.com/schools/schl_blv.cfm

http://207.195.198.22/edv/gear/gear2_boots.html

http://www.rmiguides.com/rainier/win_ex_sem_equip.html

http://outside.away.com/outside/gear/gearguy/200305/20030528.html

http://www.psychovertical.com/?mountainboots

http://www.rockclimbing.com/cgi-bin/forum/gforum.cgi?post=1367373

http://www.planetfear.com/article_detail.asp?a_id=418

http://dwb.thenewstribune.com/adventure/story/6235204p-5444831c.html

http://www.spgear.org/gear/119/inverno.html

http://64.233.169.104/search?q=cache:mNDUpPHy8lkJ:www.backpackinglight.com/cgi-bin/backpackinglight/xdpy/forum_thread/4647/index.html%3Fskip_to_post%3D58154+alveolite+liner&hl=en&ct=clnk&cd=45&gl=us&client=firefox-a

http://www.infinito-sur.com/trip-general-info-equipment-list1c.html

http://www.coloniaclimb.com/superior/huascaran_south.php?pag=2

La Sportiva Batura

Boots like these are an investment (and indulgence).

Here's all the beta I could find on them when I contemplated buying them.

For a 360˚ of these, go to the Sportiva website.

I only found one customer review before I bought them. It's probably still posted at Zappos, along w/ lots of pictures from multiple views:

___________________________________
2007-12-31 15:27:27 La Sportiva Batura
Reviewer: from NW
Overall: Comfort: Look:
Shoe Size: Felt a half size larger than marked
Shoe Width: Felt true to width
Shoe Arch: Moderate arch support

More winter choices? While intended for winter and cold weather mountaineering, The Batura really looks like something a '80's rock star or Star War's Jedi Master might latch onto. Last/fit is supposed to be the same as the Trango series. Felt bigger than my Trangos. A bit bigger internally than the Spantik.

went down a 1/2 size from a 46 to a 45.5 in the Batura. Still had plenty of room to add a better insole. The outer volume is way down from its big brother the Spantik as is the sole outline. The Batura is more easily compared to the Nepal top. Think of the Batura as a Fabric version of the Nepal top with a fixed Supergaitor. The actual inner boot is made of cordura like material and is flexible in every direction. More so than the Nepal more like the recent Trango Extremes.

The Batura *might* well be a bit warmer than the Nepals, but it is also going to allow better circulation just by being so flexible in the ankle. They will stay drier than the Nepals which will help. Sole is rigid with a slight rocker as expected.

Zipper and attached gaitor are a bit funky. Gaiter is a bit tight getting to the lock lace on the ankle hinge which you'll need to do. Bottom lace loops are all nylon fabric. Past the lock lace at the ankle there are two metal speed laces. To get in and out of the boot you have to unlock the ankle and then thread in some slack. Laces aren't intended to be removed from the last two speed laces. It is annoying. Zipper? Well it is a zipper on a mountain boot, bring the duct tape, enough said.

In my size they were a full pound lighter than the Spantik about the same as a Trango a bit lighter than the Nepals. Certainly not as warm as the Spantik on a cold day in the Rockies, but then I didn't get cold feet in either boot. But the lower temps were felt in the Batura, just not uncomfortable on short term adventures. A few days out and I'd want the insurance of a warmer boot.

I've owned a pair of almost every model of Sportive alpine boots. Some styles have been better than others. Sportiva is always innovative. Just wish they would be a little more practical in the execution. Light, bright cosmetics and they climb well if you don't need any ankle support. Still undecided is if this is Sportiva's best high Mtn alpine boot or just another disposable specialist tool. You'd think that would be clearer at the asking price.

Other shoes recommended by reviewer: Trango Extreme or the Nepal Tops

__________________________

Alaska Mountaineering & Hiking also mentions downsizing:

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Medical School Curricula with No Live Animal Laboratories

Please note that this list includes only schools that do not use live animal laboratories to train medical students and does not refer to basic research that may be conducted at medical schools and universities. From Physicians Committee for Responsible Medicine.

• Albany Medical College

• Albert Einstein College of Medicine of Yeshiva University

• Baylor College of Medicine

• Boston University School of Medicine

• Brown University School of Medicine

• Columbia University College of Physicians and Surgeons

• Creighton University School of Medicine

• Dartmouth Medical School

• Drexel University College of Medicine

• Duke University School of Medicine

• East Tennessee State University

• Eastern Virginia Medical School

• Emory University School of Medicine

• Florida State University College of Medicine

• Georgetown University School of Medicine

• George Washington University School of Medicine and Health Sciences

• Harvard Medical School

• Howard University College of Medicine

• Indiana University School of Medicine

• Jefferson Medical College of Thomas Jefferson University

• Joan and Sanford I Weill Medical College of Cornell University

• Joan C. Edwards School of Medicine at Marshall University

• Loma Linda University School of Medicine

• Louisiana State University School of Medicine in New Orleans

• Louisiana State University School of Medicine in Shreveport

• Loyola University of Chicago Stritch School of Medicine

• Mayo Medical School

• Medical College of Georgia School of Medicine

• Medical College of Ohio

• Medical University of South Carolina College of Medicine

• Meharry Medical College, School of Medicine

• Mercer University School of Medicine

• Michigan State University College of Human Medicine

• Morehouse School of Medicine

• Mount Sinai School of Medicine

• New York Medical College

• New York University School of Medicine

• Northeastern Ohio University College of Medicine

• Northwestern University Medical School

• Ohio State University College of Medicine

• Pennsylvania State University College of Medicine

• Ponce School of Medicine

• Rosalind Franklin University of Medicine and Science

• Rush Medical College of Rush University

• Southern Illinois University School of Medicine

• St. Louis University School of Medicine

• Stanford University School of Medicine

• State University of New York at Buffalo School of Medicine and Biomedical Sciences

• State University of New York Health Science Center at Brooklyn

• State University of New York at Syracuse College of Medicine

• Stony Brook University Health Sciences Center School of Medicine

• Temple University School of Medicine

• Texas A&M Health Science Center College of Medicine

• Texas Tech University Health Sciences Center School of Medicine

• Tufts University School of Medicine

• Tulane University School of Medicine

• Universidad Central del Caribe School of Medicine

• University of Alabama School of Medicine

• University of Arizona College of Medicine

• University of Arkansas College of Medicine

• University of California, Davis, School of Medicine

• University of California, Irvine, School of Medicine

• University of California, Los Angeles, School of Medicine

• University of California, San Diego, School of Medicine

• University of California, San Francisco, School of Medicine

• University of Chicago Pritzker School of Medicine

• University of Cincinnati College of Medicine

• University of Colorado School of Medicine

• University of Connecticut School of Medicine

• University of Florida College of Medicine

• University of Hawaii John A. Burns School of Medicine

• University of Illinois

• University of Iowa College of Medicine

• University of Kansas School of Medicine

• University of Kentucky College of Medicine

• University of Louisville School of Medicine

• University of Maryland School of Medicine

• University of Massachusetts Medical School

• University of Medicine and Dentistry of New Jersey - New Jersey Medical School

• University of Medicine and Dentistry of New Jersey - Robert Wood Johnson Medical School

• University of Miami School of Medicine

• University of Michigan Medical School

• University of Minnesota Medical School at Minneapolis

• University of Missouri - Columbia School of Medicine

• University of Missouri – Kansas City School of Medicine

• University of Nebraska College of Medicine

• University of Nevada School of Medicine

• University of New Mexico School of Medicine

• University of North Carolina at Chapel Hill School of Medicine

• University of North Dakota School of Medicine and Health Sciences

• University of Oklahoma College of Medicine

• University of Pennsylvania School of Medicine

• University of Pittsburgh School of Medicine

• University of Puerto Rico School of Medicine

• University of Rochester School of Medicine

• University of South Alabama College of Medicine

• University of South Carolina School of Medicine

• University of South Dakota School of Medicine

• University of South Florida College of Medicine

• University of Southern California School of Medicine

• University of Texas - Houston Medical School

• University of Texas Medical School at Galveston

• University of Texas Medical School at San Antonio

• University of Texas Southwestern Medical School

• University of Utah School of Medicine

• University of Vermont College of Medicine

• University of Virginia School of Medicine

• University of Washington School of Medicine

• Vanderbilt University School of Medicine

• Wake Forest University School of Medicine

• Virginia Commonwealth University, School of Medicine

• Washington University School of Medicine

• Wayne State University School of Medicine

• West Virginia University School of Medicine

• Wright State University School of Medicine

• Yale University School of Medicine

Pied en Canard

from:
Alpine Climbing: Techniques to Take You Higher

By
Mark C. Houston & Kathy Cosley