Canine Cushing's Information and Support Forums  

Go Back   Canine Cushing's Information and Support Forums > Canine Cushing's Questions and Discussions

Canine Cushing's Questions and Discussions Introduce yourself and tell us about your dog, ask questions about and discuss diagnosis and treatment options for Canine Cushing's here

Reply
 
Thread Tools Display Modes
  #21  
Old 08-14-2017, 01:15 PM
molly muffin's Avatar
molly muffin molly muffin is offline
Administrator
 
Join Date: Jun 2012
Location: Canada
Posts: 15,484
Default Re: Scared! Dog just got diagnosed with Cushing.

Oh dear, poor Chemo doesn't seem to be feeling quite himself and now a possible upset tummy on top of everything else.

Let us know what the IMS says and your vet recommends.
__________________
Sharlene and the late great diva - Molly muffin (always missed and never forgotten)
Reply With Quote
  #22  
Old 08-16-2017, 09:57 PM
Chemo Chemo is offline
Junior Member
 
Join Date: Aug 2017
Posts: 13
Default Re: Scared! Dog just got diagnosed with Cushing.

Talked with IMS we have a game plan. Gonna start with a ultrasound with Chemo under sedation on monday.. Question if it's a adrenal tumor is the sergery dangerous? What are the chances of it being cancer that spreads.. Will be sleeping very little till Monday I guess. I hate having questions and no answers it so frustrating. I just want my boy better.

Also the ultrasound is 600$ is that high?
Reply With Quote
  #23  
Old 08-17-2017, 07:46 AM
WinstonTheWestie's Avatar
WinstonTheWestie WinstonTheWestie is offline
Junior Member
 
Join Date: Jul 2017
Posts: 9
Default Re: Scared! Dog just got diagnosed with Cushing.

I'm fairly new here, but my dog just had surgery last week for an adrenal tumor. It is a risky surgery, and statistics say 1 in 5 dogs do not survive it. But if they do survive, they could be 'cured' from Cushing's or whatever signs they have, so sometimes it's worth the risk. Some are malignant (capable of spreading), and others (like my dog's) are benign. They will sometimes grow out of the adrenal and invade veins around the area, which makes them harder but usually not impossible to remove.

An ultrasound is about $350-400 in my area, but in larger metropolitan areas I have heard of them being more. So maybe $600 is on the higher side, but I'm not sure if its crazy for wherever you are.
__________________
Kellie, dog-mom to Winston
Reply With Quote
  #24  
Old 08-17-2017, 09:16 AM
Squirt's Mom's Avatar
Squirt's Mom Squirt's Mom is online now
Moderator
 
Join Date: Mar 2009
Location: rural central ARK
Posts: 13,167
Default Re: Scared! Dog just got diagnosed with Cushing.

FYI, here is a list of questions that you may find beneficial -

Quote:
This was put together by one of our members Trish whose dog Flynn under went an adrenalectomy for a pheo successfully.

Part I is for owners in the initial stages, when an adrenal tumour has been identified and they are considering if surgery is even an option for their dog.

Part II is for when surgery has been decided upon and what questions might help when they are discussing it with their surgeon.


Part I - Questions to ask when considering if surgery is an option for your dog’s adrenal tumour:
1. What type of tumour do you suspect, ?functional, ?non-functional, pheochromocytoma, benign, metastatic
2. Expected life span for my dog in a normal situation. If your dog is close to, at or past his expected lifespan for his breed is surgery going to be of any benefit?
3. Prognosis for my dog if we treated medically i.e. with Cushings medications. AND if we do not proceed with surgery how long do you think it would be before the tumour started adversely affecting his quality of life?
4. If he is miserable now, does the benefit of potentially risky surgery outweigh his current quality of life?
5. Are there any other health problems that could impact on a positive surgical outcome, for example: if your dog is overweight or has heart, BP, liver, kidney or lung conditions
6. Is there any sign of tumour spread – imaging should be done, including ultrasound and on advice of specialists either CT or MRI to check whether there is local invasion around the tumour, into blood vessels including vena cava or spread further away in the body to lungs etc
7. Surgeon recommendations – would he/she do it for their own dog?
8. Psychological impact for the owner: It is important to understand this is risky surgery, sadly current guidelines indicate 1:5 dogs do not make it, and some recommendations are not even that high. Can you accept it if your dogs dies during or in the postoperative recovery period surgery? This is where it is important to weigh up whether the benefit of your dog being fully cured is worth the risk of possibly losing him.
9. Financially – can you afford it? Find out estimate of costs.
10. Hopefully this will not happen, but if your dog collapses, e.g his heart stops either during his surgery or afterwards what emergency measures should be undertaken, do you want your dog to have CPR, how far are you (the owner) willing to go for your dog to be saved in such circumstances

Part II - Surgery has been recommended as treatment for your dogs adrenal tumour, here are a few suggestions on what questions you should ask your surgeon:
1. Are you board certified? How many operations of this type have you done? What complications have you experienced? What were the outcomes?
2. Please explain to me how you will do the surgery, which part would likely give you the most trouble? Will you be doing the actual surgery or a resident in a teaching situation? If so, is their close supervision?
3. Will there be a specialist anaesthetist available for the surgery?
4. If it hasn’t been done, do we need a CT/MRI scan to look at the tumour more closely to check for vena cava involvement or any other tumour spread?
5. What are the risks associated with this surgery, including
• Bleeding (including trauma to blood vessels or other organs during surgery)
• clots
• Blood pressure or heart problems such as arrhythmias
• pancreatitis
• pneumonia
• kidney failure
• infection
• wound problems
• bowel problems
• anaesthetic risks
• adrenal insufficiency or electrolyte abnormalities
• death (sorry but you have to ask that risk too)
6. If we proceed with surgery does my dog need preoperative treatment with Cushing’s meds, antihypertensive if high blood pressure is a problem – phenoxybenzamine recommended preoperatively for dogs with pheochromocytoma, anticoagulants or anything else?
7. How will you treat to prevent clots postoperatively?
8. What would you do if you found anything else during the surgery i.e. nodules in other organs e.g. spleen, opposite adrenal, liver, kidney. Would you remove them and what are the risks associated when doing additional abdominal surgery together with adrenalectomy
9. How long will it take and when will you contact me so I know all is OK, when can I visit after surgery?
10. How will the postoperative period go, how long would you anticipate he would need to stay in hospital? How will we manage pain?
11. What monitoring would be needed, e.g. heart monitoring, oxygen levels in the postoperative period
12. If your dog has an adrenocortical tumour affecting cortisol production will he need to be on steroids following surgery and for how long?
13. If there are problems when I take him home, who do I contact? Hopefully the surgical team until all is stable.
__________________
"May you know that absence is full of tender presence and that nothing is ever lost or forgotten." Anne, a Corgi mom

Death is not a changing of worlds as most imagine, as much as the walls of this world infinitely expanding.
Reply With Quote
  #25  
Old 08-17-2017, 09:18 AM
Squirt's Mom's Avatar
Squirt's Mom Squirt's Mom is online now
Moderator
 
Join Date: Mar 2009
Location: rural central ARK
Posts: 13,167
Default Re: Scared! Dog just got diagnosed with Cushing.

Flynn's story is rather remarkable and worth the read when you have the time - https://www.k9cushings.com/forum/showthread.php?t=4242
__________________
"May you know that absence is full of tender presence and that nothing is ever lost or forgotten." Anne, a Corgi mom

Death is not a changing of worlds as most imagine, as much as the walls of this world infinitely expanding.
Reply With Quote
  #26  
Old 08-18-2017, 07:20 PM
molly muffin's Avatar
molly muffin molly muffin is offline
Administrator
 
Join Date: Jun 2012
Location: Canada
Posts: 15,484
Default Re: Scared! Dog just got diagnosed with Cushing.

I know it is hard when you are waiting on something that can tell you if you are going to have to make further decisions, and especially surgery, but I do hope you can also find time to relax this weekend and just find joy in the small things. Deep breaths!
__________________
Sharlene and the late great diva - Molly muffin (always missed and never forgotten)
Reply With Quote
  #27  
Old 08-19-2017, 12:52 AM
Chemo Chemo is offline
Junior Member
 
Join Date: Aug 2017
Posts: 13
Default Re: Scared! Dog just got diagnosed with Cushing.

Thank you for the support everyone!! Some people will never understand the bond that a dog and a owner have but everyone here does! It really helps me get thru the day reading all the love in this forum thanks so much!
Reply With Quote
Reply

Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off

Forum Jump


All times are GMT -4. The time now is 01:50 PM.


Disclaimer -- The content on this site is provided for informational and educational purposes only. While we make every effort to present information that is accurate and reliable, the views expressed here are not meant to be a substitute for the advice provided by a licensed veterinarian. Please consult with your veterinarian for specific advice concerning the medical condition or treatment of your pet and before administering any medication or pursuing any course of treatment that you may read about on this site.

The views and opinions expressed by contributors to this forum are strictly their own and do not necessarily reflect the opinions and views of the owners, administrators, or moderators of this forum and the k9cushings.com website.


Powered by vBulletin® Version 3.8.7
Copyright ©2000 - 2017, vBulletin Solutions, Inc.