Tess, radiation therapy (Tessie has passed)

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Originally Posted by Sammie

Was on hold 15 min another emergency walked in to there clink so she will call me back.

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Okay, give her half an hour and call back. No more. I am not medically knowledgeable, but if Debbie is concerned, that has me concerned.
~Mary Ann

What Mary Ann said....30 min and call back. ;) We are all worried and knowing Debbie sees a problem with the electrolytes....well, just call in 30 min...ok? :o:)

You're doing good, Dottie...keep your chin up and keep on hanging! :D
Hugs,
Leslie and the girls

PS. Estradiol will not be on these labs

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Originally Posted by Squirt's Mom

Hi Dottie,

In reading your post, I am confused by the following reference to a "full panel" -



Is the the full adrenal panel from the Uni. of TN in Knoxville we have mentioned? If so, this is not the time for that test. Her current stress levels will cause results that will not be accurate. Nor will it be able to tell you what is wrong with her right now.

As has been said, Cushing's is the last thing you need to be concerned about. So if Cushing's is where your focus is, take a step back, shake your head and get ready to start all over.

But that doesn't mean you get to leave....no way! We just need to be able to look at Tess from a broader perspective, with Cushing's last on the list, if on the list at all...'k?

If I have misread these statements, then never mind....:o

Hugs,
Leslie and the girls

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Hi Leslie Full Panel is just blood work. The normal full panel that I would get once a year. She said I should have one or my vet could do it. I wanted her in house Full panel and then on Monday I will have a full panel done that gets sent out to a lab and compare the two. There will be extra things I want to add to that panel based on all of you giving such great help and direction to find out what the hell is going on. :) Dottie PS my focus is now on possible lymphoma or Liver damage, or cancer. If you think I am headed in the wrong direction PLZ let me know. I have already had to much fun learning about cushings need to expand my mind with any of those three. LOL Just de stressing with humor. thanks guys Dottie:o

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Originally Posted by Squirt's Mom

What Mary Ann said....30 min and call back. ;) We are all worried and knowing Debbie sees a problem with the electrolytes....well, just call in 30 min...ok? :o:)

You're doing good, Dottie...keep your chin up and keep on hanging! :D
Hugs,
Leslie and the girls

PS. Estradiol will not be on these labs

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I hung up from the ER station at 7:50 PM LAX time so she has 10 min before I call back, that would make a total of 30 min

Thanks, Dottie! I feel so much better, not much smarter, but better. :rolleyes::D:o

As for the direction you are headed and where your focus is, I think you are fine, but leave yourself open to other possibilities, too. At this point, I think it is too early, and way too few tests have been done, to draw any clear conclusions.

It seems you and I think alike on the in-house and send-out labs...I like to have a comparison at times myself and sometimes I prefer for them to be sent out even tho it costs a bit more.

But, I don't think I would have the blood work re-done at my GP vets office.

If it were me, I would call my usual vet in the morning and ask for a referral to an IMS - Internal Medicine Specialist, if at all possible, an emergency referral. Ask that Tess' file be copied and sent to the IMS doctor they send you to, then call the E-Vet you have seen and ask them to do the same thing.

Until you see the IMS, do not give any more Trilo.

Take Tess back to the E-Vet tonite if:

*she cannot get comfortable to sleep
*she vomits...anything, even water
*has diarrhea
*pants heavier than usual
*seems to be in any type of pain
*begins coughing
*becomes lethargic
*becomes confused
*shaking and weakness worsen
***your gut says something is wrong***

Don't wait to ask us or anyone else...just go. Take your laptop (and a plug in if you have one. ;) ) and someone will more than likely be around all nite long to talk with you.

I have a feeling when you put your mind to something, you can learn anything you need to. :cool: I hope Tess and you can get some rest tonite. Try not to worry if you can help it...dumb, I know. :rolleyes:;) But there is method behind it...or meaning perhaps....the calmer you are, the easier it will be for Tess to be a calm as she can. You will get a better read of her behavior if she isn't worried about you. ;)

Hugs,
Leslie and the girls

I may be confused but I think the Na/K ratio is actually quite a bit better than was thought...

I-STAT EC8+ 07/12/09 1:35 PM
GLU 95 MG/DL
BUN 27 MG/DL 10-20
NA 145 MMOL/L 140-159
K 4.0 MMOL/L 3.7-5.8

This comes out to a ratio, I believe, of 36.25, which is the best it's been in days.

Dottie, could you check the lab work to make sure those figures are correct?

Y'all correct me if I'm wrong.

Natalie

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Originally Posted by Squirt's Mom

Thanks, Dottie! I feel so much better, not much smarter, but better. :rolleyes::D:o

As for the direction you are headed and where your focus is, I think you are fine, but leave yourself open to other possibilities, too. At this point, I think it is too early, and way too few tests have been done, to draw any clear conclusions.

It seems you and I think alike on the in-house and send-out labs...I like to have a comparison at times myself and sometimes I prefer for them to be sent out even tho it costs a bit more.

But, I don't think I would have the blood work re-done at my GP vets office.

If it were me, I would call my usual vet in the morning and ask for a referral to an IMS - Internal Medicine Specialist, if at all possible, an emergency referral. Ask that Tess' file be copied and sent to the IMS doctor they send you to, then call the E-Vet you have seen and ask them to do the same thing.

Until you see the IMS, do not give any more Trilo.

Take Tess back to the E-Vet tonite if:

*she cannot get comfortable to sleep
*she vomits...anything, even water
*has diarrhea
*pants heavier than usual
*seems to be in any type of pain
*begins coughing
*becomes lethargic
*becomes confused
*shaking and weakness worsen
***your gut says something is wrong***

Don't wait to ask us or anyone else...just go. Take your laptop (and a plug in if you have one. ;) ) and someone will more than likely be around all nite long to talk with you.

I have a feeling when you put your mind to something, you can learn anything you need to. :cool: I hope Tess and you can get some rest tonite. Try not to worry if you can help it...dumb, I know. :rolleyes:;) But there is method behind it...or meaning perhaps....the calmer you are, the easier it will be for Tess to be a calm as she can. You will get a better read of her behavior if she isn't worried about you. ;)

Hugs,
Leslie and the girls

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Hi Leslie earlier today when the ER Vet faxed over blood work I asked her for a doctor who does MRI or CT in my area and a Cancer doctor. I will tonight when she calls me back for a IMS in my area. Yes I like to compare things before I do any thing. Tes will NOT have any more cushings medication until we really know what is going on. I do have a laptop and I took it with me earlier today when I was at the ER VET. Forgot to tell you all. TESSIE POOPED. It was medium brown, big and long, soled . I was so happy. Tes is sleeping very nicely right now. She does not feel to hot. Her breathing is good. I am laying right next to her and watching poker. Dottie

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Originally Posted by k9diabetes

I may be confused but I think the Na/K ratio is actually quite a bit better than was thought...

I-STAT EC8+ 07/12/09 1:35 PM
GLU 95 MG/DL
BUN 27 MG/DL 10-20
NA 145 MMOL/L 140-159
K 4.0 MMOL/L 3.7-5.8

This comes out to a ratio, I believe, of 36.25, which is the best it's been in days.

Dottie, could you check the lab work to make sure those figures are correct?

Y'all correct me if I'm wrong.

Natalie

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Hi Natalie YES I checked off of the I-STAT EC8+ 07/12/09 1:35 PM, they are correct. I know it was posted for me how to do the ratio, but could you show it for me again. How you got the 36.25 and if this is correct then I only need to ask the ER VET again about the Liver. The ER VET has not called back yet so there is time. TY Dottie

Dottie, I am sincerely praying that they will find out what is wrong with Tess and that she will be alright. Also, sending prayers and healing for Tess and your family. I am up very late, until 2 AM, Ohio time and will check back every half-hour. I read the other posts and you have been given very correct advice. Please listen to them. I have information from Germany regarding Trilo and I agree. Don't resume giving it to her.
Love,
Candy

Hi Dottie,

If my math is correct, to find the ratio, you would divide the NA (145) by the K (4.0), which would give the result of 36.25...or that is how I arrived at the same answer as Natalie anyway.

NA=Sodium
K=Potassium