Nacho is back from the vet's. I checked him in on Monday morning for his heartworm treatment and picked him up this afternoon. They took good care of him, but he is *definitely* glad to be home, and I'm glad to have him back. He seems a little weak and tired, but that is to be expected since the vet pumped him full of an arsenic-based medication with the scary name of Immiticide. I still have to take Nacho to the vet for a weekly checkup for the next six weeks, but the worst part of the medical treatment is over.
The next month is going to be difficult at home, though. I have to restrict Nacho's activity, which means crating him during the day and leaving him inside during the beautiful spring weather. Also, I can't take him for long walks or take him to the dog park. The reduced activity is necessary because as the adult worms die, they exit the heart through the pulmonary artery. Sudden activity increases the risk of a pulmonary embolism.
I wonder if Nacho is going to cough up bloody bits of worm. If I find any, I'll be sure to post a picture.
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