I have two updates.
First, we took Madison to the Vet School yesterday for a full cardio workup. The bad news is pretty much what we already knew - she has bad arythmia, and her contractile ratio (how elastic the heart is, so basically how well it pumps) is badly decreased. Her heart is full of scar tissue, which is not elastic and does not conduct the "pump now" signal. The vet there is wonderful, and everyone there just loves Maddie.
The good news is that they are guardedly optimistic about her prognosis. We will continue on her current meds, bumping the dosage up, and we will start with some new holistic meds to help balance the system out, especially the ion pumps associated with the heart muscle. She continues to play and love, looking for all the world like a normal pup, so we will give her all of the love she can handle. We will bring her back in 7-10 days to evaluate her heart again, perhaps with a Holter monitor. Cross your fingers.
Second, I told you back in May, in the blog Give the Boy a Break, about our precious Einstein. The poor guy just had one ding after another, and I asked God to give him a break. Well, Einstein had his break from pain - a couple of weeks ago several of his systems just gave out, and he crashed. The labs and evaluation made it clear that he was just not assembled according to the instructions. He was in pain, and was never going to recover. Einstein is now playing with the other pups over the Rainbow Bridge. He will will always have a room reserved in our hearts. Play well, little man.