Dear Dr. Magnifico, I felt compelled to contact you after reading your blog. My dilemma is with my 22 month old French Bulldog, Thibaut. I knew when I got him that he would be higher maintenance than other breeds, but his health issues have been overwhelming. I am at a total loss on how to help him, if in fact he can be helped. He has chronic aspiration pnuemonia. His stomach doesn’t empty. Pyloric stenosis ruled out. Esophageal sphincter normal 3 mos ago. Mega esophagus ruled out. He’s on a combo of cisipride , reglan, carafate, Prevacid. He refluxes sometimes thru his nose and develops pnuemonia every few weeks. Episodes cause vasovagal syncope. Consulted with docs at Auburn. Waiting on test results for myasthenia gravis. When he’s "healthy" he’s a total joy. He’s just sick more often than not. It’s not that he’s too much of a burden; he’s my best little friend. It is just painful to watch. My vet is great and has been totally committed to his care. Truthfully, I have lost all perspective on what is the kindest thing for my dog. I have spent in excess of 10k since last May, and did so gladly, but at some point it will become a factor. Any suggestions on a next step? I would be most grateful for any input.