Good luck Jazzysmom and I'm glad you vet is willing to learn. After a few false starts the vet I have is really good and willing to learn as well. It is just such a relief.
I wanted to share with you this exchange I had with Dr. Gonto about the PCO2 and HC03 levels in the protocol. Tayda was showing around 19.5 for her HC03 levels which is pretty much on target, but her PC02 levels were around 33 (the protocol indicates to target 45-47)….When I sent my results to Dr. Gonto he was very pleased, which confused me since the PC02 levels seemed so low. So I sent him the email below (in blue) asking about it, and his response is below my question (in red). Basically he says that the 45-47 values are for a dog at rest and that when excited (like at the vet getting poked) they will blow down their CO2 by at least 5, so he compensates for this by adding 5 to the CO2 value obtained from the labwork. Hope this makes sense and of course if you want to hear it from the horse's mouth directly Dr. Gonto is always great about looking at labwork and answering questions!
Are we shooting for the PC02 level of 45-47 as it states in the Protocol? Or is a PC02 level of 33 all right if the HC03 level is at least 20?
When I have time to rewrite the Protocol there needs to be a change in the PCO2 levels we look for. The original numbers came from my own dog and a number who were actually owned by vets or doctors and thus could be easily and often stuck for blood with very little stress. That means that those numbers…45-47 are correct...but for a dog AT REST. Normal dogs..at the vet, excited and getting poked, BLOW DOWN their CO2 by at least five. We now simply look at the lab result and ADD FIVE to get the AT REST number to use. Understand? Thus, a 40 CO2 would be PERFECT...but we rarely get there. Even if the dog is SUPER hyper, that may be WAY lower. If I can see a dog with a 37 or better CO2 I am happy. The MUCH more important number is the HCO3. That is the REAL deal as to what is going on with the bicarbonate..and YES, the goal is 20....or close to it.
I hope that all makes sense.