Uploaded May 2025 | Updated September 2026, 3 weeks ago
Archie, a Pembroke Welsh Corgi, arrived at AMC in January 2024 and was diagnosed with severe protein losing enteropathy (PLE) by Dr. Bianca Landfield. He was hospitalized for four days with the Internal Medicine team, requiring intensive care, a gastrointestinal endoscopy, and a feeding tube. His long-term care was overseen by Dr. Elizabeth Appleman and Patient Care Assistant Emma Jachimowicz. Despite steroid therapy, Archie’s condition worsened, leading to abdominal fluid buildup, portal hypertension (or high pressure in the liver), and severe paw pad ulcerations on three paws, prompting wound repair and skin grafts by AMC surgeon Dr. Daniel Spector. In March, a CT scan and liver biopsy were performed to further investigate Archie’s liver dysfunction; complications from his high steroid dose were suspected as the cause. At the height of his treatment, Archie was on 12 medications, multiple tube feedings daily, and frequent bathroom breaks to manage his steroid side effects. For eight months, Archie visited AMC weekly—initially for abdominal fluid drainage with Karen Poeppel, LVT, and later for bandage changes with Dr. Shana Coffey. With ongoing medication adjustments by Dr. Appleman, Archie’s PLE was controlled, his liver function stabilized, and his paw ulcerations fully healed by August 2024.
Archie, a Pembroke Welsh Corgi, arrived at AMC in January 2024 and was diagnosed with severe protein losing enteropathy (PLE) by Dr. Bianca Landfield. He was hospitalized for four days with the Internal Medicine team, requiring intensive care, a gastrointestinal endoscopy, and a feeding tube. His long-term care was overseen by Dr. Elizabeth Appleman and Patient Care Assistant Emma Jachimowicz. Despite steroid therapy, Archie’s condition worsened, leading to abdominal fluid buildup, portal hypertension (or high pressure in the liver), and severe paw pad ulcerations on three paws, prompting wound repair and skin grafts by AMC surgeon Dr. Daniel Spector. In March, a CT scan and liver biopsy were performed to further investigate Archie’s liver dysfunction; complications from his high steroid dose were suspected as the cause. At the height of his treatment, Archie was on 12 medications, multiple tube feedings daily, and frequent bathroom breaks to manage his steroid side effects. For eight months, Archie visited AMC weekly—initially for abdominal fluid drainage with Karen Poeppel, LVT, and later for bandage changes with Dr. Shana Coffey. With ongoing medication adjustments by Dr. Appleman, Archie’s PLE was controlled, his liver function stabilized, and his paw ulcerations fully healed by August 2024.
