Notes:  I neglected to report Pacé's pulse on the first post. He has historically had a soft, deep,slippery pulse. Now it is deep, weak, and clearly more wiry though more difficult to find. It has that occasional bounding quality of VPCs--more often at rest now than a few weeks ago.

Diet is largely canned or kibble

Acupuncture points were stimulated

Manipulation or massage was performed

Notes:  Based on repeat bloodworm I believe Pacé has a GI bleed (fasting sample, increased BUN, normal Creatinine/SDMA, decreasing HCT [normochromic/normocytic though], decreased albumin). I've ordered Chai Hu Jia Long Gu Mu Li Tang. I'll start some Yunnan Bai Yao also.
Kelly

Notes:  Pacé is still with me! He is currently taking CHJLGMLT (Kan Essentials tablets) 5 BID, Yunnan Bai Yao, 1 capsule BID, Galliprant 90 mg SID, Gabapentin 200 mg BID, levothyroxine 0.7 mg BID, metoprolol 12.5 mg BID, Sucralfate 1g SID to BID, CBD treats, about 510 mg canabinols if I understand webpage correctly.

His heat signs are less--sebaceous cyst like growths are just that, not bleeding sores any more. I still feel a lot of heat emerge when I do tail to head tui-na and last night there was a place on the right side of his chest in the area of SP 21 that radiated so much heat my hand still felt it after I stood up and walked away.

Tongue and pulse: tongue is much less red but more scalloped, purple with a white coat most of the time; pulse is weak, tending to wiry when I first pick it up but is irregular, hard to find and fades away under my finger tips. GV4 and BL 23 make it stronger, PC 6 and 8 give me a more sustained pulse, and ST 36 and KI1 surprisingly don't change it much at all.

My big concern is that he seems painful, elbows especially and pelvis/knees when he lies down. He also rarely gets up on his own and really struggles to push his hind end off the ground. He also has a slow growing splenic mass (went from 1 cm to 3 cm in 6 mo) that I wonder about especially with that heat at SP 21 last night.

We still go for 20-30 min walks twice a day. Continence is good though I can tell he is a little surprised when a BM comes sooner than he expected on our walks. Stools are very normal.

He appears to have had a gi bleed while on previcox in September hence the switch to galliprant and the addition of Yunnan Bai Yao and sucralfate. That appears to be stable based on CRT and gum color though I am being an ostrich about lab work!

Diet is largely canned or kibble

Acupuncture points were stimulated

Manipulation or massage was performed