尋求第二意見，請醫生幫忙我家小牛

[hyliao]

1.名字：小牛
2.年齡：1歲半(2009/10/1生)
3.犬種：西施
4.性別：母
5.體重：5公斤
6.病史：醫師判斷有CHD症狀
7.發病經過、症狀：七月齡時做第一次CHD檢查，醫師判斷小牛的腳十分良好，完全沒有CHD的可能，但約半年後，右後腳開始偶爾會有向外拐的情況，由於出現的次數不多，本來以為是腳毛毛流沒修剪好或我眼花，但再過沒幾個月，就變成天天跛腳且拐的幅度增加，感覺很痛的樣子。依我的觀察，跛足都是在緩步行走時明顯，跑動或快步走時就看不太出來。以為她會痛，但每天出門還是願意走，但實在太擔心她的狀況，遂於二個月前再帶去做了一次CHD檢查。這回醫師說小牛有CHD，要採保守療法且補充cosequin DS。二個月過去，小牛跛行的情況一天比一天嚴重，故想諮詢醫師，請求醫師給予意見，小牛是否應施予其他治療或根本為其他病因導致她的跛行
8.醫師的診斷：CHD
9.醫師的治療方式：補充cosequin DS
10.請儘量提供相關檢驗資料、x光片、Video檔：請見附檔影片及X光片
11.欲詢問醫生之問題：能否判斷何原因導致小牛的跛行，我們應再做何種檢查確認，或應施予何種治療來緩解她的症狀
小牛跛行
快步走
X光片

[Jeff Wang]

The hips look ok and thefast walking also looks OK, however the limping is obvious when walking slowly. It is very unusual. If it is possible, please bring her to let us take a look next month when we back to Taipei.

Jeff Wang

[hyliao]

Thank Dr. Wang for your reply.
I also feel a remarkable inconsistency between the radiograph and her adnormal limping gait and that's why I call for help here.
I will bring Hsiao Niu back to Elwood when you are in Taipei (actually, Hsiao Niu is Dr. Hsieh's patient and these two CHD examination were both done by Dr. Hsieh).
I appreciate your great effort. Thank you~~~