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Hello again.Tommy is slowly improving I'm glad to say! The vet is treating him with steroid injections, anti inflammatorys and antibiotics. Last night I spoke to a breeder who lost 3 pups and got 1 pup through it. The danger for us now is as the worms in Tommy's lungs are killed they release a lot of toxins. One of the effects of this is that his blood will not clot so you have to be careful to avoid injury. Yesterday we bought him a baked bone to keep him occupied. We had to take it off him because even the smallest cut in his mouth could be very serious! Another symptom is abnormal gait and yesterday we noticed that he was having trouble walking on our wooden floors. I asked our vet about treatment to help Tommy cough up the dead worms as I had seen it on a website. The impression I got was that he didn't appreciate a layperson telling him his job. I expect he hears the internet from his customers several times a day. All I can say is his other practices might benefit from the occasional glance at the internet themselves. You might detect some bitterness creeping in here and you're absolutely correct. Early diagnosis and treatment is the key. A 4 day delay is unacceptable in an area where lungworm is rife! Despite this I am optimistic we can get Tommy through this and my thoughts are now shifting to how we can prevent reinfection. Slug control is impossible as is keeping out the foxes. I'm thinking of getting a microscope and checking his poo on a weekly basis. Any suggestions will be welcomed. Many thanks