14 year-old Shih Tzu With Recent Cushing's Diagnosis

Thanks for sharing your thoughts, ladies.

Addy, I've got about a month's worth of notes on Hannah's meds, and about three months notes on when she has had diarrhea, but not daily notes on her poop. I've been doing that for about a week.

Sharlene, I was thinking they would test her stool last week, but the vet said they need to be on a no meat diet for three days to accurately check for blood. A normal fecal doesn't do that. Maybe we'll be doing that soon, but I'm thinking the fact that the stool initially did change color might mean something. I'm also thinking the fact that it is darker again probably isn't good.

Tina, yes, Saturday is closest to Hannah's normal. I do think it depends a lot on food. But my two dogs eat the same food and their poop is still not the same color exactly. Hannah's has just been a lighter brown like that for months. And all of a sudden, like one day, it was much darker. At first, I thought maybe that was more normal, but it was sooo much darker I thought I'd mention it. Also, it was darker on the outside and lighter on the inside and I wasn't sure if that mattered. Because she has been borderline anemic and my vet mentioned there could be a slow internal bleed, it made me nervous. I'm not sure I would've worried otherwise. Also, I always thought Hannah's poops seemed a little light, so I was wondering if the darker color was more normal too. But I guess it was a little too dark.

When I brought in her poop last Tues., the vet did say she thought there could be blood in it. She said it didn't have to be tarry, which is what I wondered. I think the sudden change in color is what was a bit strange. She said it could be an ulcer because Hannah has had so many tummy issues and she did just have an oral surgery about 6 weeks ago too. She said we should just treat (with Sucralfate and Pepcid ac) to see. If it improved we would know it worked. Now I'm worried because it went back to a darker color today.

She texted me back today and said to call tomorrow if it is dark again and she may want me to start metronidazole. She's only supposed to be on Sucralfate and Pepcid through Tues. so I don't know what will happen.

I am trying so hard to spread out her meds to do what's recommended, but it's insane. This morning I was up at 4, 5, and 7 for meds and then fed her at 8:00. I can't keep that up forever-especially on weekends. I already wake up between 11:30 p.m. and 12:30 a.m. to give her Hydroxyzine.

Izzy decided to get up at 4:30 and go outside and want some food. She had a loose poop yesterday morning, but that was it. I found out my hubby had been giving her some turkey jerky treats occasionally, and they are both supposed to be on the strict ID diet. That could've been it. She's been pretty normal since-just only eating a little at a time.

It occurred to me today that maybe I shouldn't be giving the Atopica (which can upset their stomachs) to her now. I emailed the derm vet to get her opinion. I won't give it tomorrow a.m. if I haven't heard. In my searching it does say not to give to dogs with stomach ulcers. Of course, we don't even know what's going on, but I figure it's best to wait to hear from her.

I'll keep you posted on what happens tomorrow. If anyone were to see my phone or computer, they'd probably think I have some weird obsession with poop. But it does really help to keep track that way. I'm glad they suggested it!

Julie & Hannah (& Izzy)

What happened with the increase in peeing? Did that stop?

Always so hard to know what is really going on and then everything changes from day to day.

I can always tell when Zoe has eaten bunny poo because of the smell of her stool and if it smells that way for more than a day or two I had to up the metronidazole. But it did not get that color.

If I think back to Koko's poo and the work dogs poo when it is that color, it usually is after they ate some non food thing so it could be Hannah's gi tract is inflammed and she has an ulcer, not that she ate a non food item.

When Zoe had her endescopy they said she had helicobacter which they thought was causing the scarring on her tummy and the other issues which led to IBD diagnosis. The treatment for it was two different antibiotics, amoxicillin and metronidazole and pepto bismal.
Since Zoe was not showing any signs, vomitting, diarhea, not wanting to eat, I did not want to treat it as how would I know the treatment was successful? Plus a study I read said it just comes back for a lot of dogs.

Maybe ask your vet what she thinks about the possibility of helicobacter infection.

Just a quick update from "poop patrol" today: totally normal again. (I attached it if you care to look). ;) I didn't do anything differently, other than the fact that she got her food one hour after the sucralfate yesterday both time, as well as this morning, rather than the two hours that passed on Sat. morning. Vet didn't think that should cause it. She will be calling me tomorrow. Hannah gets the last dose of sucralfate tomorrow morning. I'm not sure what will happen then. Guess we'll find out...

Julie & Hannah

I started Squirt on CoQ10 a while back and her poop suddenly started looking like it had been rolled in flour - like Lady Finger cookies! :eek: I asked the manufacturer, the vets at Drs Foster and Smith, our doc, and our nutritional/herbal consultant if the CoQ10 could be causing that change - they all said they had never heard of it doing that. I stopped it, and her poop returned to normal. That coating told me that something in the CoQ10 either wasn't being correctly absorbed OR that it was interfering with something that been absorbing well before. This incident just proved to me once again how unique, how individual, each of our baby's systems are. ;)

Wow Leslie, you are so right, like the melatonin bothering Zoe's eyes when the "book" says it should not.

Julie, I am so glad poo patrol led to normal poos. I would imagine with all the snow, she is not eating bunny poo, right? Grasping at straws, I guess.

I am running so late this morning, I had to wake up Zoe again, almost wasnt going to give her Vetoryl.

Let us know what the vet decides to do. We have sunshine this morning. I hope the sun is shining on you as well:):):):)

THAT IS AWESOME!!!!!!!! YOU ATTACHED A POOH PICTURE!!!!!! i mean i jumped up and put both arms in the air and was hooping and hollering my husband thought i had gone crazy. LOL!!!!!! I am ALWAYS taking pooh pictures. and inspecting pooh. I loved it that you posted one!!!! hope that makes sense. i am still smiling. pooh is gold. GOLD!!!!! lol. and that pooh is quite a lovely healthy pooh!!!!! i have pictures of shysies angry pooh from the icky chicken that i also have photos of. lol

Oh You have to go back a couple posts and look at the pooh collage, day by day poohs. If one gets you going, the first picture of about what was it 5 or 6 will just really get you jumping!
hahaha
Sharlene and Molly Muffin

Only here would I find poop pictures - LOL

Hi Guys-

Hannah's poop is darker again. Tues. it looked good and yesterday got a little darker. Today it was quite a bit darker. :(

I'm having blood work done tomorrow because
A) I just like to monitor it.
B) I want to know if she is more anemic (due to what looks like blood in her poop).
C) Her BUN was elevated and I want to see if it's okay.
D) I'm curious if anything improved after the dental.

I will also talk with the vet about her poop. It sounds like she might have me start sucralfate and Pepcid again. I don't know what it means if it gets better and then gets dark again.

Hopefully I'll know more tomorrow. I dread these appointments, but yet I want to know how things look. Cross your fingers for us that it's good news.

Julie & Hannah

Fingers crossed. Hope you can get some answers. Are you taking a poop sample from today in since it was so much darker?
That is so weird. If it's blood in the poop, why would it go dark, light, dark, light like that. Strange. Could it be the food and the way she is digesting it? hmmm. I hate having so many questions and no answers.
I know what you mean. I take Molly every so often to get blood drawn, because I want to know. It's the only way I know to see how she is and what's going on.
Hoping for a good day tomorrow.
hugs,
Sharlene and Molly Muffin

Hi Julie,

Wondering how your appointment went and hope you are not having snow.

Waiting to see what vet has to say about the poos. My IMS wants me to take a picture of Zoe's rectum when she poos as I told her I had been seeing something I have never seen beofre since surgery, not sure if it is her anal glands.

We might have to sensor the forum for explicit weird photos, huh?

thinking of you always, with love to you and Hannah and little Izzy

Yeah, or password protect them so that some freak with a fetish doesn't find us.

Hi Guys,

Waiting to hear on the blood results. They took blood and sent me home. I asked her to look at the poop quickly and she didn't think it looked like there was blood in it. It looked okay to me today too, but still a little dark. Yesterday it looked weird though. I don't get it. I'll let you know when I hear, but I just wanted to tell you I laughed out loud at your comments! I keep joking that if I lost my cell phone someone would think I had a weird fetish; it's full of pictures of dog poop! :D:eek:

Julie & Hannah

OOOH BABY!
(Just kidding, I had to do that).

Before getting all of this under control with Daisy, I've seen every kind of poop that a dog can make!

well, my new iphone will be full of pictures of Zoe's rectum:eek:
IMS made a comment "if your neighbors wont think you too odd"
heck, after all of these years of poop patrol, they expect weird thing from me.

When do you know the results of the blood work, tonight or tomorrow?

Sending hugs

I finally heard from the vet. I'm left a bit confused. Here is what I know so far:

BUN-51 (normal is 7-27; a month ago it was 39)

Hematocrit is 41%, which is normal (it was low last time)

ALKP-557 (a little higher than last month)

ALT-138 (this is elevated but I can't remember the range-the last two tests it was in the 50s, I believe, after being elevated several months ago)

The vet suspects there could still be an ulcer. She said that the BUN can be elevated with an ulcer and thinks that we should continue treating with the sucralfate and pepcid for potentially a month.

I have to go pick up meds tomorrow and I plan to bring in a urine sample. She thought we could possibly do that later on, if necessary, but between the fact that Hannah's been off the SO food for a couple of months, and the fact that her BUN is elevated again, I'd like to have it checked. Her creatinine is normal, and apparently not even a high normal. I'll get copies of the blood work too.

One thing I'm wondering is if the ID food could cause the BUN to be elevated??? I don't know if Hannah had had much water before going in to the vet this afternoon either; it was right when I got home. I know they say dehydration can affect it as well.

There are sooo many things to think about. And worry about. And now we have no anemia, but possible kidney and liver issues. :confused:

I'll be on my crazy med schedule again, having to separate meds and food. Back to no sleep.

Julie & Hannah

Hi-
Just thought I'd update quickly that I took in Hannah's urine sample this morning and got a message from a vet tech that it was normal. She said the pH was normal, there were no ketones, protein, white blood cells, or crystals. The only thing I didn't hear was the specific gravity, which is probably what I want to know the most. I assume they would have mentioned it, but maybe not. I'll have to call Monday to find out.

So, I guess this means I shouldn't be too alarmed by the high BUN level. And we are starting on the sucralfate again tonight. I'm going to try to move when I give Hannah Atopica because I don't think it's fully absorbing when I give it in the morning because it's too close to the sucralfate. I'm waiting to hear from the derm vet.

Hannah is really itching her chin today. Like she was going crazy this morning. It looks a little pink. I don't know if there could be a skin fold issue, yeast, if it's pink from her rubbing it and scratching it briefly when her cone is off.....or what. I hope my groomer can trim her face soon so I can keep the hair shorter. I'm sure getting it wet every time she gets a drink can't help.

I have chlorhexidine pads to use if there is a skin fold infection and I have been using them once a day for a few days, but I know they can irritate and dry the area too, so I think I'll stop to see what happens. I also have steroid spray, but I don't know if that can create a problem if there is an infection??? I don't want her to be miserable, so I may need to use it.

She is still begging me for food and is probably drinking a little more water, but it's not a crazy amount. I don't know what's going on with her. It always seems to be a mystery, doesn't it?!

Julie & Hannah

Zoe's BUN was 15 in 2011, 24 in 2012, now 31. Her ultra sound says"There are small anechoic cyst like area in the left renal cortex".

IMS told me that indicates kidney disease and is waiting for the rest of the labs to come in. Julie, I just felt like the ultra sound will give me the most information so I went ahead with it with the understanding that since Zoe was not fasted, if they could not get good qaulity, they would not do it.

It sounds like good news for Hannah's UA and maybe it is the ulcer increasing her BUN. We could not get any urine out of Zoe Thursday so I am worried she was dehydrated and not sure how that will affect her labs.

((((((((hugs))))))))))))))

Popping in to personally thank you here for finding the info for me. I hope Hannah's chin is better. The weird thing with Zoe is she is not itchy or red. Groomer said it was yeast, I thought it was yeast and it looks like pictures I have seen of yeast but it seems Hannah itches more when she has yeast and Zoe is not scratchy or itchy. Weird.

We are to have a nice day today so I hope that means you will too. Did all your snow finally melt? Our yard is trying to dry out.

I have been meaning to ask you how the training is going with Izzy? Are you still seeing the trainer? If the trainer is using a clicker, ask her about free shaping with Izzy. You sit on the floor with a pile of treats and wait for her to throw out a behavior and when she gives you one you like, you click it. Zoe loved it and it helped her confidence. Only bad thing was she would start throwing out cute behavior when I did not want it:rolleyes::rolleyes:

Like durring dog training class and then get mad at me and bark for not rewarding her:rolleyes::rolleyes::D

Hope the vet can determine what is going on with the new spot on Hannah's neck. I know how you feel about needing to know. Zoe seems to really love her Betadine iodine warm cloth wipe downs but I have know idea if I am helping or not since I have no idea if anything is even wrong or what it is:confused::confused:

I sure hope you did not get all that thunder snow either. They said we might get snow tonight. I hope they are wrong.

I made appointment with GP to discuss his possible envolvement in overseeing what the IMS does. I need someone to work with me on all of this, I cant be the GP vet and I have tried to be the GP vet and it is now too complicated and the IMS is always "busy":mad:

give the pups hugs from me

Thanks for checking on us, Addy. Luckily, we did not get thunder with our snow last night, but it sure snowed a lot. It was a winter wonderland this morning, but I am THRILLED to say that most of it has melted and warmer temps are finally in our forecast for this weekend!!!

We went to the vet today and she didn't even check for yeast. She said she just figured there was some. She said they could look if I really wanted them to, but that most likely knowing her history, there would be at least some, possibly a lot. So, I am just going to treat it with the wipes again.

I got the copy of Hannah's blood work and we talked about her UA results. Everything was normal, including specific gravity. It was 1.032 and above 1.025 is normal. That's better than it has been the last two times it was checked. I am kind of confused now. Does this make you think even more that she doesn't have Cushing's? She is concentrating her urine fine. (It was a morning sample, but isn't that the best time to check it?) I guess it made the vet think she doesn't have a kidney problem, despite the high BUN. She still thinks that may be due to an ulcer.

We also discussed Hannah's constant itching and the inability to get it under control, no matter what we've done. I really appreciate that she is concerned about Hannah's comfort, as I feel terrible that she's lived in an e-collar for months.

So here is what we decided: we need to finish treating for what we think is an ulcer. I am also going to try to transition her to another food to see if this could all be due to a food allergy. She no longer needs the SO, considering her urine was fine after being on the ID for about 6 weeks. If her stomach can't handle the food, Izzy is still on the ID so I have it and metronidazole.

If that doesn't work, I am going to try her on a steroid. That has always been kind of my last resort. With warmer temps coming I know her seasonal allergies will get worse. I don't want her to be miserable and scratching herself raw. And I want to get her out of the e-collar. I am worried about the side effects, and the possibility that if she does indeed have Cushing's, it could make the drinking, urinating, and eating go crazy. But I feel like I need to try it to see if it brings her comfort. I hope that since we would try a low dose we could always reduce it and stop it if the side effects were bad. The derm vet did have a couple of steroids I hadn't heard of in mind because she thought those would be the most gentle on Hannah (but I can't remember why).

I have a little time to think about it while we treat the ulcer and try the food. But at some point I do need to think of her comfort and happiness, and maybe take a risk. I know I don't want her to live this way forever.

I'd love to hear your thoughts.

Julie & Hannah

I know I haven't checked in for a while. Something is wrong with Hannah. I've sensed it for over a week. Her back legs aren't right. Yesterday morning she couldn't stand up from a sitting position, but it was on the wood floor, so I thought maybe it was just that her back legs were getting weaker. She went to the vet and the vet said she did have some lower back pain and this could be a disc issue again. They did a laser treatment. She could walk fine.

This morning she was worse. She couldn't even walk right after getting up. Her back legs (especially the right one) were going in all directions. I put her on thicker carpet and it was still a little weird. It seems to have gotten a tiny bit better. She can walk around some of the time and was able to go potty. But she seems to have random times when her legs don't work. I tried to check her reflexes and she refuses to let me turn her toes under. She holds her leg really stiff. I don't know if it hurts or what, so I'm not going to do it anymore.

My mom is coming over this morning and I am going in to school to get things set up for a sub for the afternoon. I don't even know what to do anymore. I just have a feeling this might be it....that eventually she will be paralyzed. She's done so well after so much back trouble, but I don't know if that will be the case this time.

Not even sure what the vet will do. Just please keep us in your prayers.

Julie & Hannah

Hi Julie
Just wanted to say hello and thank you for all the support and kindness after my Fella passed.I just read your latest post about your sweet Hannah and she is in my thoughts and prayers.I'm just beginning to go thru threads but wanted to say hello and that I'm thinking of you.Hugs to you and Hannah.
Love,
Patty

Aw, Julie,

That is an awful feeling to have - that "something" is wrong. :( To voice that feeling somehow makes it more real. I felt that for several months before Squirt had the seizure; I took her in several times and Doc found nothing wrong - now I wonder if some part of me knew what that Proin was doing to her.

I so hope this is just a bad patch in the road and Hannah will soon be back to her usual self. Any possibility she hurt her back somehow and she's sore from that? We've decided that's what happened to Squirt's shoulder - some injury causing her pain. She moves better when she first gets up but the more she uses the shoulder, the more pain she displays.

Prayers and healing white light flying you way, sweetie. Keep in touch and let us know how things are going. We are right by your side.
Hugs,
Leslie and the gang

Thanks Leslie and Patty.

I took Hannah to the vet again today. She examined her again and said she has a hard time knowing the root cause of the issue. Part of that is because Hannah is so stoic. She said she thinks there is a disc issue, and that it's possible this is also an arthritis issue because Hannah seems so much worse in the morning. We have had really weird weather (cold, then hot, then damp, then cold and damp, etc.) and she said that makes any arthritis issues much worse. She said there also may be some pain contributing to this.

I don't know what she could have done to hurt her back, so it could just be a flare from previous issues. This weird inability to use her back legs came on very suddenly.

She got acupuncture today (and tolerated it fairly well), and I was sent home with Tramadol for pain. I've never used it before and I know many people do and all of my vets feel it's very safe, but I worry about the wacky reactions some people mention. She said she will start her at a low dose, which is 1/4 of a 50 mg. tablet, but that she can safely take up to 1/2. Hannah is 12 lbs. Does that sound good? For now, I am to give it at night, but she said I can safely give it every 6 hours. (She thought twice a day would be good if I did it more often).

The weird thing is that she still walks/trots fine, where before she would move at the pace of a 95 year-old lady. I'm not sure what's going on. But I just have this nagging gut feeling that she isn't going to bounce back this time. I don't know how to explain it. I hope I'm wrong, but this morning I thought for sure she was becoming paralyzed and that it was the end.

We are just supposed to wait and see what happens. She wants to see if they acupuncture helps at all and if she improves, continues to have some morning issues, and get better, or if things progress.

Julie & Hannah

Julie

So sorry to hear this news, I hope that she bounces back with the pain medicine

Thinking of you both. Big hug, kisses to sweet Hannah

Mel
Xxxx

Gosh it does sound like the old problems maybe coming back to haunt her. Course with those disc issues, just a wrong step can move something enough to pinch the nerve or put pressure on something. Poor little Hannah.
Hope the acupuncture helps her. Mommas always know don't they. :(

Prayers and healing thoughts
hugs,
Sharlene and Molly Muffin

Julie,
I have friends whose dachshund had back issues. They would take her out and loop ladies pantyhose around her so that they could support her as she walked.

This prevented her legs from going out and helped her gain some strength back. It helped immensely they said.

Worth a try in conjunction with the other things that you're doing for her.

Hi Sweetie,

I know exactly how you are feeling because we know we cant have them forever and so everytime it is something serious we wonder is this it? Hannah has pulled through so many times, she might suprise you again. Zoe stands with her back legs splayed out so far sometimes:eek::eek::eek::eek: She will walk so slowly some days, like she cant hardly move and then a few hours later is hoping and running to get chicken:confused::confused: Some days she seems to have much trouble getting up from her bed.

I did read it is better for them to have a firm foam bed then a soft bed filled with dacron or shredded poly. We just bought a memory foam tiwn size mattress pad to cut up and put in Zoe's beds for more support for her. A clerk at the department store has an eldery dog with arthritis and she suggested it to us. It was cheaper then the $190 dog bed with memory foam and dacron gel:rolleyes::rolleyes:

I had to come to check if you were okay.

Love to you and Hannah and Izzy girl

Hi Julie,

My boy, Bear, weighs around 15 lbs and when he was on the 50 mg of Tramadol he received 1/2 tablet (this was for his post-op stone removal surgery). Unlike some of the other dogs, Bear and Harley never had a bad reaction (got loopy) to the Tramadol.

Hoping sweet Hannah feels much better soon.

Love and hugs, Lori

i have heard water therapy is good, massage, and air mattress play. water therapy and air mattress is excerise that offers no impact so strength can still be built and massage helps circulation to promote healing. also combined can help them stay stretched and fluid.
IF ever needed, there is a man who builds little carts for babies to zoom zoom zoom around it. He donates them to animals who need them.

Hi Julie
So sorry to read about Hannahs sore back. I posted on Addy's thread some info about the tramadol. I saw your post there before this one! Hope it helps and she is feeling perkier soon!
Trish xx

Hi Julie,
My intenet connection keeps going out I could not get on line last night to answer your question and cant answer from my phone.

Zoe is 17 pounds. When I gave her as much Tramadol as your prescription for Hannah, she was knocked out.

I can only give 1/4 tablet of a 50mg pill twice a day to Zoe maximum.

I think try that first with Hannah and see how she does.

((((((((((((hugs))))))))))))))))))

Thanks everyone for thinking of us.

Thanks, Lori, Trish, and Addy for the info. on Tramadol. I knew you all talked about using a very low dose-and often times lower than the vet says-so I wanted to start low too.

Trish, I read the same info. on petmeds, which is why I was a little worried about even the 1/4 pill dose, because at the low end, Hannah would only get 5.4 mg. I ended up splitting one chunk of 1/4 pill in half, so she got about 1/8 of a pill last night (hard to make it exact) and she slept the entire night (unusual for her, so I'm sure the drug was the reason). So for now, I feel like the 1/8 is okay. I'm just relieved she didn't show any issues.

I'm up early waiting to see how she is. If she has her morning leg issues I would like to be here to see if it straightens out. My anxiety is high right now, but I'm focusing on staying calm for her and letting her get up slowly. I also have to decide if I give another Tramadol this morning. The vet said to maybe just start at night, but that I could certainly go to twice a day as well.

I'll let you know how she is later today.

Julie & Hannah

Julie, I was talking to a friend tonight. She has been on Tramadol herself, she got it in a drops format, 5 drops = 12.5mg.

I have emailed my vet to see if I can use that, as she said I could have it as she is not using it anymore. I also called the pharmacist at the hospital as I am always a bit leery about opening capsules as that is often not safe to do. But we do not get it in pill format here. So I have to quarter the powder in a capsule which is pretty difficult to do accurately. He said it was ok to do it that way if that was all I had, safe for Flynn if he got a wee bit extra or less in a dose. So I imagine Hannah will be fine as well. But I like the drops idea as I could put it on his food. He is such a good boy with taking pills, I just wrap them in a piece of his meat, but he could taste the tramadol powder and did not seem to like it, but his love of meat made him swallow it!! I do not want to put him off taking pills though.

Hi Julie, checking in with you to see how Hannah does this morning. I really am hoping that this is something that is going to clear up with just a bit of rest and no overuse. Back problems are so hard on dogs and humans.

hugs,
Sharlene and Molly Muffin

I'm still confused about what's going on with Hannah. I took a video of her walking yesterday morning and sent it to both vet offices (my primary one and the one that does the acupuncture/laser) and they both felt it was neurologic. They just don't know why she pulls out of it as the day goes on.

They don't want to start steroids at this point because of the possible ulcer and because we don't really know what's going on. As of now, if she gets worse, they may start steroids (although they both say it's controversial as to whether or not it helps). If we can get through the ulcer treatment (a couple more weeks) and she seems okay, we will probably start steroids anyway, to see if it helps with her allergies.

She is scheduled for acupuncture again next Thurs. morning. I won't be able to go, so my parents will have to. I feel bad because it isn't too fun to watch her go through the needle insertion, and I know my mom hates it, but it has helped her. She did pretty well on Thurs.

The possible good news is that this morning she didn't have any horrible issues. Just seemed a little awkward and maybe a little painful. There is uncertainty about if we rest her or keep her moving, but I'm going to try resting her for the most part, assuming it is a disc problem.

Julie & Hannah

We'll just take the possible good news and go with it:):):)

Maybe resting is better for her. I know Zoe is better since I went back to walking one day on, one day off. I think I was pushing her too fast.

One of our work dogs, the South African mastiff, has pretty bad seasonal allegories that come on fast and he rips up his face scratching in a weekend. My boss gives him a low dose of prednisone which usually takes care of it right away as long as he does not let it go too long before treating. His brother-in-law is a vet and supervises the dose, making sure it is always the lowest dose possible and it is only given for the season. I have always been concerned about it but they felt they had no other options, they tried numerous things, nothing helped him and he would really suffer, even his ears would get boiling hot.

sending you love and hugs

sending hugs and prayers for Hannahs back..and for you too!!

Hi Julie,

How is Hannah doing? Is the leg getting any better? Hope the acupuncture is helping here and that everything else is okay. Hope Izzy is doing okay too.

Just wanted to check in on you

hugs,
Sharlene and Molly Muffin