Re: Molly, 10 yr, shih tzu - lhasa aspo, cushing diagnosis
Ooooh, poor Muffin and poor Sharlene. I hope she is taking her confinement rather well as she is a free spirited independent girl.
I can see you glued to her crate trying to comfort her but don't try to get in there to be with her as it will be quite cramped for both of you.:o I hope your muffin will get better soon so we can enjoy hearing about all the cute things she does so naturally. I'm a big fan of her. Will you tell her that please? :) Love and hugs from Ginger and Song
Re: Molly, 10 yr, shih tzu - lhasa aspo, cushing diagnosis
Okay back. So, the vet showed me the xrays and there are two areas where it looks like their could be some inflammation and one area that seems to have some bone degeneration of the spine. At the moment she is confined to living room/dining room with no where to jump (big body pillows Do come in hand). Tomorrow the new dog pen that I ordered for overnight delivery will be here and she'll be confined to that for about a week. We'll see how she is doing then. This appears to be only, at this point, some slippage that can correct itself, if she doesn't rehurt it, continue to hurt it or do anything else to cause damage. We have to limit the areas that she could get into trouble in.
So, my IMS was out and the other IMS on duty hadn't gotten back to my vet, even though she called twice, so we talked about options. The fear with prednisone is that molly has been living on the edge of cushings since at least 2011 and she (my vet) is worried that even the amount of pred we talked about could throw her off. So, we have gone with Tolfedine. She had an injection today and then will have tablets for 4 days. We'll re-evaluate at that point. Either she'll be off for 3 days and then back on, or she'll be off.
She will also have laser therapy, since she responded very well to that today. For back, disc issues, it is 3-2-1. So 3 this week, 2 next week and then 1 the following week.
I am going to go with being hopeful that this will fix things. It does make me wonder about those steps that she wouldn't come up, remember? So, maybe it wasn't the wipe out yesterday morning, but the fall on the step, or a combination (most likely I suppose) of all them put together. Molly does tend to think she is indestructible.
Her leg joint is also not good, but we've known that since she was around 3 or 4 maybe. The vet said it is a wonder she can walk, but she does. I hope she never has any problems with that, as my husband said that would be such a painful surgery that he doesn't think he could put her through that kind of pain. :( I said we'll see. He feels the same way about back surgery, but I said, it's an option we'll have to talk about if something happens with her spine.
Well that is it for now. I don't know why I was avoiding my own thread, I think I was having a weird moment. I am so use to sharing all the good things that happen with molly, this one scared me and still scares me. We were both so worried last night, that my husband and I both were up at various times during the night making sure she was okay.
hugs,
Sharlene and Molly Muffin
Re: Molly, 10 yr, shih tzu - lhasa aspo, cushing diagnosis
Oh I forgot to mention that on the xray, she took one that showed an angle of the liver (since that was a consideration with the treatment chosen) and it remains enlarged, but doesn't appear to be any more enlarged than it was on the last xray. Lucky the spleen can move and does when the liver pushes it, and depending on what position they are laying in, because it looked like mollys spleen was pushed off by about 2 1/2 inches. Still it's good that it hasn't enlarged any more.
hugs,
Sharlene and Molly Muffin
Re: Molly, 10 yr, shih tzu - lhasa aspo, cushing diagnosis
So sorry to hear about the leg injury! I haven't visited your thread in a while... it's easy to fall behind, lol.
I had success with laser therapy on one of my other pugs, so I really hope this does the trick for Molly. How does she take to crate rest?
Re: Molly, 10 yr, shih tzu - lhasa aspo, cushing diagnosis
Not well. She was only a crate dog at night in the bedroom, and that hasn't happened in many years, since she was a puppy. She sleeps on her bed though in our room all night so that is okay, she doesn't move much except if she goes to sleep in the bathroom. So we'll just keep our door closed or blocked off.
The day time is going to be the worse. And anything back worries me, so that is the main thing right now. Hence the dog pen, which is soft sided and I hope works for her. It will give her about 4 feet I think of movable space to be in. She'll hate it but not much else I can do for her. That and I'll work from home this week, and take her to her laser appointments.
Going to be so not fun with family arriving this week and a big dinner with everyone over on Saturday.
We'll just have to get through it and deal though, so choice.
Hugs,
Sharlene and Molly muffin
Re: Molly, 10 yr, shih tzu - lhasa aspo, cushing diagnosis
When my Ichiro hurt his back, and he still has a bad back, the combination of laser therapy and methacarbomol as a muscle relaxer really helped him. He was so very stiff from clenching his muscles, he could never settle down. The methacarbomol really helped him to be able to relax the muscles and sleep.
The pen might be much more manageable than a crate, so that is good to try.
Re: Molly, 10 yr, shih tzu - lhasa aspo, cushing diagnosis
Sorry to hear about Molly's woes. I don't understand about the prednisone and borderline Cushing's....you make it sound like taking the prednisone could push her into Cushings....or did I misread something?
Did hubby recover fully from pneumonia? You may have to get one of those red machines that doles out tickets so people can take a number!
Give Molly a hug from us!
Hugs,
Susan
Re: Molly, 10 yr, shih tzu - lhasa aspo, cushing diagnosis
Hopefully Molly's injury will heal itself quickly and that will be the end of it.
Bone degeneration is scary. What will they do for that?
Re: Molly, 10 yr, shih tzu - lhasa aspo, cushing diagnosis
Uh Oh dearie me, what you been up to Miss Molly! :eek: Poor wee pet, sore backs are not fun!! Flynny did his once when he was about six, xray sounds similar to yours. Also I think if you xrayed all our dogs we would find a fair bit of bone degeneration as they get older, the same if you xrayed all of us owners!! None of us are getting any younger and those changes are often be seen. Flynn's settled with rest and NSAIDS (this was before kidney, liver, IBD :eek: issues) so I am sure with the meds to settle down inflammation Molly is going to bounce back just fine after a bit of rest and pampering. Doesn't it just suck when we see them in pain. Hope she likes her playpen, I am sure if she has some nice treats and toys she will do just fine, well she has to listen to her Mama telling her to rest up and let that back settle down!! Hope her tummy is OK too :)
Sorry you have to deal with this Sharlene, But you will do just fine taking care of the little Miss who I am sure is going to be showing her displeasure at being penned in soon enough! Sounds like you have a nice safe environment for her to recover in. Big Hugs and a snuggly pat for Molly (and some snacks!) xxx
Re: Molly, 10 yr, shih tzu - lhasa aspo, cushing diagnosis
Molly appears to be in a lot of pain this morning. I think the injection has worn off and she doesn't get the tablet until this afternoon. She certainly isn't interested in trying to walk or jump anywhere. She can't stand even, starts quivering as soon as she does. So, in pain, not eating. I did get her to take her liver supplement with some can food wrapped around it. It is bloody cold here at -20C and a wind chill of -33C. brrrrr So, she did a couple pees and then I brought her back inside. I salted the driveway down to the sidewalk snow and that seems to be where she wants to go to.
I forgot in all the huha yesterday to say that molly for the first time in her life, threw a +2 protein in her urine, which she has never done. We don't know what is going on and some more tests are being run on that urine, but she'll probably need some follow up urinalysis.
Susan, yes, that is exactly what my vet said, push her over into cushings with the prednisone. Maybe she meant because you're adding steroid to already high cortisol, so symptoms will start to show up, or something. I don't even know if that Is possible or how risky it would be with her, and hope the IMS which my vet is still hoping to contact will have some input on this. If this Tolfedine doesn't work, then we'll be back to the prednisone option.
Well I have to get to work. Yes hubby still has pneaumonia according to xrays. So, here we are, they forgot to take numbers obviously.
Thanks for the support everyone.
hugs,
Sharlene and Molly Muffin