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Back from the vet's office, so I can update this. TIAs... apparently not.
His best guess, after exam and labs... probably a seizure related to elevated red blood cell levels. This is his body's response to hypoxia associated with mild cardiological deterioration. Rb will receive Enalapril for two weeks, then get another checkup. If red cells are down, no more meds at this time. If not, he may have to stay on the meds, maybe reducing amount. Dr. Lindstrom said his heart and lungs sounded very strong, but the red blood cells and the seizure gave us advance warning before anything was too serious. The cells had been a bit high before, but this latest test showed an increase, so... time to act. Enalapril, twice a day, .012 mg suspension.
I'm a little relieved and a little scared, but very glad to have my great vet on the job! I'm thinking of more questions now, but I think 'll just make a list for the next appointment.
Meanwhile, the Rb is his usual self.