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Hurricane Patti is gaining strength inland! High winds and flying crap expected in the morning hours, possibly waning in the afternoon hours but no guarantee. These storms are unpredictable and fierce when they are given impetus. The K9C Weather Service says this storm has the capacity to leave shattered egos in its wake. All those in the path of Hurricane Patti need to take cover immediately...or leave the state. :p
Leslie:
You are too funny, I laughed myself silly reading this. You sure have a way with words. Hoping you had a good nite and Squirt had the same. Blessings
Patti
Hi Everyone:
The saga continues. I called the vet's office first thing this morning only to find out my vet will not be in until Monday. I will go ballistic by then. I am driving down there to see the vet on duty. My Tipper is not doing well and I have had enough ___! Someone better be prepared to give me answers and get my girl a prescription for 5mg Trilostane. You can only push me so far, and then you are going to get the anger of a mom that truly loves her girl. I will post later, I have my war face on now and I'm heading to the vets, hope who ever is on duty is ready for this. Blessings
Patti
Go get em Patti and "git er done" - how frustrating, and annoying. I'm still waiting myself, had to call my vet then the IMS and seems nothing has been done so far.
Good luck Patti!
That really stinks Patti!! Can't someone at least let you know the results so you're not waiting til Monday!! Then you can call Dechra yourself and see what they recommend. Wow...can't believe your vet is such a meany!! Is there another vet there who you can speak to for now??
Sorry you are going through this frustration!! :mad:
Barbara
Hi Everyone;
I have to quickly post and take Tipper to laser therapy. I had to get someone to watch her while I went to the vets. I got there and asked the girl to call the Dr. on his cell phone. She said "is it important?" and I said "very."
She called him and told him I needed him to come to the office. I sat there and waited quite a while, my anger boiling over. The girl tried to make small chit chat with me and I was not having it. Finally he arrived, and said " Patti where is Tipper I thought this was an emergency?"
I said " it is", but Tipper is not here." 'I am the one with the emergency." He said "I don't understand." I said" then let me explain it to you so you do understand." I said " I am not playing games with you anymore, I am done." I told him I knew he had these test results yesterday morning at 8am, and how dare he let me wait and carry my phone and paperwork around with me all day thru the house waiting for him to call. I said " Do I pay you on time?" and he said" yes always." I said then I am demanding the same respect from you, and want the results I paid you for the day they come in, not the next day. I proceeded to say how Tipper has been bad this week, and she is in a fragile state, and who does he think he is having her as a patient and not even caring about her enough to get this straightened out so she can get on the proper medication dose asap??? I told him I have busted my butt to keep her going and all I get from him is no cooperation what so ever. I said "look I am very ill from all this if you cannot deliver what I expect then it is time to part ways. There were people in the waiting room listening to this and I was very loud on purpose. I told him I know enough about this now to handle things myself and all I need is testing and RX's, and any flunky can do that. He said "I did not realize you would be this upset over waiting a day." I said when my dog is sick, and needs something don't mess with me, I thought you learned that before?" I said "This dog is my world, and I won't stand for this kind of shoddy care." He said I know how much you love this dog, but I can't personally involve my self in every case." I said ' I am not asking you to love my dog and be involved emotionally with her, I am asking for what I pay you for and giving me test results in a timely manner does not require you getting emotionally involved with my dog." He said I will make sure to get you the results as soon as I humanly can." I said the next time there is a problem, I won't be coming in here and calling you to meet me, I will be seeking help else where for the sake of my dog, and for my own sanity as I have put up with enough here and you better understand that. " He then reluctantly went over her results with me. She is pre 3.0 and post 7.0 so she doubled the numbers from before on both. He said he talked to Dechra yesterday about the situation. Dr. Fox is in agreement with me about 10 mg morning 10 mg evening, the next day 20 mg morning and 10 evening. So it will be every other day she gets 30mg total. The only caution was she must have her next ACTH on the 30mg day. I am still going to keep trying the 10 and 10 split. Yesterday was the second day I overlapped the dosage gave one at 7am and the next at 2:30 when she eats again. It seemed to help with the hunger, and I want to make sure it will work before jumping to the 30mg. I am hoping I can hold her where she is with the 20, as that also keeps the tumor from growing as it has some cortisol. I am trying for the healthiest way for her, without more harm from the cortisol. Please give me some opinions on if you think these last cortisol numbers are ok or not. Maybe they are too high???? Feedback please from our Vetoryl people. Have to run to laser therapy, I have a headache from telling this vet off and not sleeping all nite. Blessings
Patti
SO.....Let me get this straight..he did have the test results, he did look at them and he did call Dechra to consult with them about Tipper---ALL this happened yesterday, but then he didn't see fit to call and let you in on anything?? It makes no sense! He said he didn't think you would mind waiting a day but really you would be waiting until he came back on Monday? That's not A day, that's 4 more days. I don't get it, why didn't he just call you after he reviewed the results yesterday????
Ok...water under the bridge I guess.
As for the dosing...so it's one day 20mg and the next day 30mg, alternating each day? If the drug is cycling out of the system every 12 hours does it help to have one day higher than the other? I'm just asking because I don't know?
Why wouldn't you increase each day's dose? maybe going to 26 or 28 each day from 20? Giving 12 or 14mg at each dose?
Is the thinking that too small an increase would not make a difference?
Are you comfortable going up 10mg in one day all in one dose?
I am not expert enough to know, I'm just asking. Seems like a more balanced approach would control Tipper more consistently. Getting a jolt of 20mg-double from what she's used to, once every other day seems daring to me.... I really don't mean to doubt what you and the Dr. feel would be right, I'm just wondering about why it would be best. I hope whatever the new dosing is that Tipper gets controlled and feels better...that's all I wish for her and for you too Patti.
Barbara
just adding that Trixie had an acth in April that was Pre: 3.2 Post: 7.2 (very close to your current result)
In May she had Pre: 8.0 and Post: 10.4
so that was a big increase for one month. We raised to 28mg a day in 2 doses.
July acth was Pre: 2.9 and Post 4.1. Good numbers but still symptoms. Stayed on 14mg 2x a day and now symptoms pretty much gone...we'll do another acth in a few weeks unless she shows signs of too low.
Way to tell him, Mom! :cool:
Since you are seeing signs to accompany the 7.0 post number, that tells me she does need the increase. Dechra says a post of 9.1 is ok as long as all signs are controlled - Tipper's are not so the post of 7.0 is not ok for her.
One of our members, Corky, had an adrenal tumor and he had a hard time staying regulated through the day and night so they went to a 3x a day dosing schedule. Just something to put on the back burner should you need to consider it at some point. ;)
Of course Patti, I can't give you any advice, but I will say this.
Next time I EVER get into a sticky situation with anyone... can I bring you with me? That was great what you said to him, and I feel he deserved it. I want you on MY TEAM !!!!