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FoxersArtist
08-29-2010, 09:06 PM
Peggy Sue is a blue and gold macaw who has been with our family for years. She was our first project macaw, though I sought her out as a member of our family. I had handled macaws that friends had, but I wanted my own to work with and I knew I wanted one that needed rescuing. I had hopes I could learn from this first rescue macaw so that I could eventually help others and secretly hoped the bird would love us too, so she could stay for a lifetime. She was a blind placement and I had her flown to me from Florida from a family who could not take her screaming anymore. The chances of her being the perfect one for us was so slim (and now I realize after working with many, many other macaws, just how slim it was) but it was instant love for us all and I found my heart at her mercy before long. For this reason I call her "My heart" and "my blue bird of happiness" and that she truly is. She is patient and gentle and very smart. She is not like a lot of the other blue and golds we have worked with since adopting Peggy. She is uniquely her own. Peggy is somewhat of my security blanket also. She's the one I turn to when things go wrong, she's the one who always has a kind word for me when I need one ("I love you, pretty bird" she tells me.) Even during times when I was sick and had to be hospitalized for long periods of time, Peggy was there for me as my family snuck her into the hospital to be with me. She motivated me to get better so I could go home. Peggy was, and is, my first child as she came before we ever had human children and she is still just as much my baby as my two human kids.

Now it's my turn to be strong for Peggy. She has always had some allergies and she is seen by her vet regularly, any time we feel something is off with her - watery stools, runny nose, weight gain, weight loss, sleeping more than usual. She also has her beak trimmed every 2 to 4 weeks because of a scissor bill she developed as a result of poor handfeeding or nutrition as a baby. These visits have caused a progression of growing anxiety for Peggy and we had noticed that sometimes her anixety will trigger prolonged heavy breathing, which has gotten worse over the years. A few weeks ago I started to notice some familiar symptoms that it was becoming allergy season for Peggy. She had slight discharge from her nose and slept more in the afternoons. She also tends to get watery stools during these times, which we first worried was a kidney function issue. Once that was ruled out (I had been hysterical with worry), my vet felt sure it was just seasonal allergies and we started to be more mindful of where peggy was in relation to the other birds.

Most all parrots are dandery but cockatoos and other really dusty birds are known to cause health problems to macaws, especially where there is poor airflow. High grade air filters may be able to help this problem, but when there are a lot of birds or when a macaw is predisposed to respiratory problems, having extra dusty birds in the house can be a real problem. Obviously, we work with a number of cockatoos through our rescue so we have had to be more mindful of the areas we kept those birds and peggy. Even though Peggy is usually kept in our kitchen where there are only other macaws and a few amazons in those areas, I think the increase of cockatoos we have had surrendered lately that are in other areas of the home have increased the overall dust levels of the house. We do not plan to run our rescue out of home forever. In fact, we have plans to be building a seperate facility for all the rescues, so that our family does not eventually become sick from high levels of dust and so the birds can have more space just to be birds!

Last night Andy went over to Peggy Sue and stepped her up after dinner. She seemed fine at first but then suddenly started to breathe heavily. I thought maybe she was just annoyed to see him at first and acting flustered but then her breathing got worse and worse. Within a minute she was really huffing and puffing, started to look fluffed and closed her eyes. I put my ear up to her lungs and listened but there did not sound like there was any congestion. I flushed her sinuses just to be sure she didn't have mucus hiding in the back of her throat or deep in her sinues. There was. We put Peggy in our nebulizer with oxygen and a drug used to open up the lungs of a parrot who is struggling to breathe. Later I gave her a small amount of benadryl in case she was having an allergic reaction to something and to help soothe her and started her on antibiotics in the event that this "attack" was brought on by respiratory infection or to prevent secondary respiratory infection. Peggy struggled to breath for a few hours but the nebulizer helped as well as putting her in an incubator to warm her and keep her breathing humid air. She slept well and was breathing normally by this morning but still does not look like she is feeling well. Her daddy baked her some sugar free blueberry rice muffins this morning and she happily ate part of one. She has a vet appointment tomorrow and we are planning to do another CBC and x-rays of her lungs. After talking with my vet this morning on the phone, she wants me to do a few more nebulizer treatments using a drug called mucomyst, which should help break up any remaining gunk in her throat. She thinks that although our house being dusty may have contributed to what is going on with peggy, she said that some macaws are predisposed to having asthma and it sounds like this breathing attack was an asthma attack. With this knowledge, I am starting to feel that keeping peggy out of areas where cockatoos are kept may not be enough for her and am thinking it may be addition time so that we can build Peggy her own room in the house with her own air system entirely. We will do whatever it takes to keep her healthy.

Please keep Peggy in your prayers. she is doing well right now, but she starts breathing more heavily again with any activity (like stepping up). I think we have had enough medical situations in the past 6 weeks or so to cover an entire year or more, what do you think?
-Anna

birdie
08-30-2010, 01:33 AM
Anna~ prayers and hugs! I sure hope Peggy Sue is doing better today! She sure is one special bird. please let us know how things go.

lcarle
08-30-2010, 03:55 AM
Poor Peggy Sue!!!! Yes she is on my prayer list!! Take care and let us know what the vet says. Hugs!!!!!

FoxersArtist
08-30-2010, 04:10 PM
Peggy Sue went to the vet this morning along with one of our brand new rescues, Blue & gold Marlee who had laid several soft shelled eggs. Peggy Sue did really well during the whole trip and thankfully our poking and prodding did not send her into a respiratory attack. My vet thinks that if she had severe asthma, she would have had an episode at the clinic. She seems to be perking up, overall today and for that I am grateful. We took an X-ray of Peggy's chest and since she is my darling daughter, they allowed me to help with the X-ray to keep Peggy more calm. When we reviewed the slide, it was clear that the air sacs were in good condition and undamaged. There were faint foggy areas at the top of her lungs which could be scarring, or the picture could have just looked that way because of other muscle tissue also located in that area. My vet said she would have to magnify the image later and look at it in further detail to be sure. Either way, the x-ray did not look too bad. We also drew blood to send off a new CBC (her last one was April 2009) to see if there were elivated markers that might diagnose asthma. If the total white blood cell count was high, it may be that this entire episode was nothing more than Peggy having a respiratory infection which made it difficult for her to breathe. After nebulizing her with a drug to help break up mucus last night, she was looking and sounding very clear this morning. We also drew blood for an aspergillosis titer which will tell us if Peggy is having difficulty breathing as a result of a fungal infection in her lungs. I am sort of doubting this to be a cause due to the x-ray being so clear in the air sac area, but x-rays don't always show everything so it is best to be sure. I am starting to suspect that this was more of an upper respiratory thing that may have been irritated or partially brought on because we have so many cockatoos at the rescue right now. Either way, we aren't inclined to let Peggy hang out in either of the bird rooms where most of the dust is. My vet has visited the rescue on a number of occassions and said that at least for now, Peggy Should be fine in our kitchen area. She also said that if peggy does have Macaw Asthma - she will have respiratory attacks regardless of the level of dusty, though a dusty environment may bring on more attacks than would otherwise occur.

B&G Marlee also had an exam and her vet gave her a shot of calcium and vitamins. We also drew blood for another CBC. She did not feel another egg in her abdomin, but said that if she grows a new one in the next few days, the calcium shot will help to calcify the shell so that she lays a more normal egg, decreasing the risk of her producing an egg with no shell which can be dangerous. Thankfully, Marlee seems to have had no problems laying the last two though we are hoping that she does not lay any more soon.

We decided to put miss Peggy Sue back on her perch in the kitchen for now, as she was not eating well in the incubator. We hope there are no new breathing troubles today and are eager to hear back on her labwork.
-Anna

too&me
08-31-2010, 11:48 AM
Prayers for healing and let us know how he responds to treatment. Keep us updated.

birdie
08-31-2010, 11:52 AM
Prayers Peggy Sue continues to do better, and stays well!!

FoxersArtist
08-31-2010, 08:16 PM
I went to the vets today to pick up some health certificates for a few birdies who are flying to their new homes tomorrow. My vet was out as she is not feeling well today, but I asked the girls up front if any of Peggy Sue's bloodwork had come back yet. Her CBC was back and though they told me they couldn't tell me what the numbers meant, I was welcome to look at it. I shouldn't have looked (to further preserve the remains of my day.) There were three notable abnormalities that I saw. An enzyme typically associated with tissue damage (soft or organ) called CPK was through the roof with a normal range being 50-400. Peggy's was 22,721. In past cases where a bird was injured, we have seen the CPK go as high as 12,000 on bloodwork but my vet has told me in the past that if it's much higher than that, it is most likely due to organ damage. The highest individual we have had at the rescue to date, and as far as I know, has been 17,000 some. I saw those numbers and thought I might choke. I tried to assure myself that usually it takes multiple high values to decide something like organ disease so I checked the SGOT which is an enzyme particular to the liver. When the liver is damaged, those enzymes spill over into the blood stream. Like the CPK, there should be very little of this found in the blood. Peggy's SGOT was at 1,256 which is a very strong high value. Another indication of liver disease or liver function problems can be found by looking at a value called Albumin. When the liver is healthy, it produces albumin. When it is damaged, it stops producing as much. The low end of the reference range for albumin is 1.9 and Peggy's albumin was 1.7 - not as low as it could be, but low enough to be concerned with what the other values showed. I held it together in the vets office but cried my eyes out on the way home. I would have had the same reaction if my kids pediatric dr had told me something similar about one of them. I am eager to hear from my vet to find out if she has any theories as to why Peggy's liver is struggling. she could have had a severe infection that caused her liver to stop working properly, as we see this in a lot of birds that start to go into shock from infection. Within a couple of weeks, the liver usually heals itself and the bird bounces back. Unfortunately, Peggy's white blood cell count was within normal ranges. My vet told me a few days ago that even on antibiotics, if Peggy had an infection, her white blood cells would still be high. So i'm wondering if that cancels out the infection theory. Maybe Peggy ate something that suddenly made her toxic? That would kill the liver quite quickly. If this was the case, it wasn't something solid that is still poisoning her because it would have shown on the x-rays we took. That leaves me with wondering about genetic liver disease. Last April Peggy didn't seem to be herself so I took her in for an exam and we discovered really high uric acid levels which my vet thought might be kidney disease. A new CBC 4 weeks later showed normal levels so my vet told us not to worry. Now her liver is acting up on top of some pretty serious breathing problems. Based on the bloodwork, it did not look to me like Peggy has Macaw Asthma, but my vet will have to use her expertise to rule that one out for sure. Today peggy is acting sleepy and fluffed. She is usually such a chatty and enthusiastic bird but we have to work really hard to get even a word outof her now. She is usually a huge eater but the past couple of days she has just been grazing a little. I am sick from the inside out and just want this nightmare to be over. I am trying to be brave, telling myself that all things happen for a reason, even if I cannot understand them right now.

My precious, lovely angel, making funny faces at me:
http://i197.photobucket.com/albums/aa154/Foxersartist/Brag%20Photos/DerrFace.jpg
-Anna

birdie
09-01-2010, 01:51 PM
Anna~ more prayers for Peggy Sue, I know she means the world to you. Please keep us updated. :hgz:

Patty, Linus and Co.
09-01-2010, 10:55 PM
OMG Anna. I just read this. I am so sorry. I am praying hard for you both. Lots of love to you.

lcarle
09-02-2010, 11:11 AM
Oh, no!!!! So sorry Anna!!! Prayers and more hugs.

too&me
09-07-2010, 12:52 PM
it is so very scary when we just do not have the answers we are looking for and the clues do not add up to what we know. Hugs for you both and will wait for the next update. Hoping for improvement and understanding. Prayer and best wishes too.

birdie
09-07-2010, 02:14 PM
Anna~ how's Peggy Sue doing? I've been wondering about her all weekend...

Patty, Linus and Co.
09-07-2010, 09:07 PM
Me too! I'm worried.

too&me
09-08-2010, 12:30 PM
Fingers crossed please let us know.

Julie
09-09-2010, 12:22 PM
Sending well wishes and strenght out to Peggy and you...