Figured I would post an update here, and it’s not a particularly happy one but it could be worse, I guess.
We had another vet appointment today, finally, after a month or so of rescheduling. Her exam overall looked good. The vet palpated and did another ultrasound, and the ultrasound confirmed the same two slugs, slightly more compressed and in the same place as they were last time, both about 5cm in diameter.
In order to figure out next steps (surgery or continuing to wait and see), the vet has to sedate her to get a blood draw from a vessel near her heart, as they couldn’t get a good draw from the vein in her tail. The sedation went fine, she’s doing great, but the bloodwork came back with extremely elevated phosphorous and uric acid, and elevated calcium and potassium. I forget exactly the wording the vet used but she said that together, these levels indicate substantial dehydration and potential kidney disease. I’ve still been doing soaks 3-4 times a week, so her being so dehydrated is very worrying. The vet suspects a congenital issue that may be affecting both her reproductive organs and her kidneys, in addition to who knows what else.
Because of the suspected kidney disease, the vet doesn’t think she’s a good candidate for surgery, as she would be at higher risk for complications and it would be even harder on her system to heal and recover. So our options going forward are either
a) continue to wait and see, keep giving her soaks, and look into medication to manage the kidney disease
b) proceed with the surgery knowing it would be a much higher risk to her (and I’m a graduate student, so I don’t have $2.5k lying around) or
c) euthanize.
I was planning to rehome her to a pet-only home regardless, as I wasn’t comfortable trying to breed her again with the issues she had. But I can’t in good conscience do that when she has both the unresolved egg situation and now potential kidney disease, which (as I understand) is difficult to manage in snakes and tends to severely shorten their lifespan.
Even if I was going to proceed with the surgery hoping for a good outcome, I’m a graduate student and I’d still need multiple months to save two thousand dollars for the surgery, so for now all we can do is wait and see. The vet instructed me to soak her every single day, to keep her humidity in the 75+ range, and to continue to monitor. We’re going to re-check her blood levels in a month or so and proceed from there.