Flynn 11 y/o Foxie Cross - Right adrenalectomy- Good Bye Flynny We will miss you

Gosh Trish that,s a lot of information, but I did understand some of it as it reads a bit like Woodys which you helped me understand. I think it all sounds pretty good especially if slow growing is mentioned. My last JRT had IBD for 3 years so I,m pretty clued up on that subject if you need any help with it (probably the only thing I,m clued up on lol). I hope Mike can talk you through all this in laymans terms please let us know how you get on.:D

Quote:

---

The gut biopsies show evidence of IBD. I have briefly discussed further management of this with diet and perhaps a 2 month
course of prednisone once his surgery wound has healed. Trish will talk to you further about this. Monitoring urine protein loss
is recommended if prednisone is started - hopefully the glomerulonephritis will settle at the same time.
Please contact me with any further questions, I am currently working Tuesdays and Wednesdays in medicine.
Regards,

---

http://veterinarynews.dvm360.com/dvm...le/detail/3000


You can ask their opinion of using budesonide rather than prednisone.
I think I gave you the link a while back about it, I can try to find it again.:):)

Thanks to you all for reading it! Trixie - IBD is Irritable Bowel Disease. Thanks for reposting that link Addy, I do have that other article saved in my favourites so will have to dig it out and have another read. The funny thing is since his surgery his poops have never been better!! Nice colour, firm, barely a scrape of mucous, so that has been good. They have generally been good since we did that month of hypoallergenic food, he absolutely hated it and lost weight but it seemed to do the trick.

Local Mike txt last night quite late and he had a really busy evening clinic and had just got home and wanted a bit longer to digest the report. He just rang and wants to meet me for coffee at 11.30 this morning at a café once his surgery finishes so we can discuss it in person. Yikes I hope this is not bad news and he doesn't want me in a mess at the practice :eek:

Just popping in to say good luck with Mike as if I,ve timed it correctly you should be there with him by now. Off to bed will pop in, in the morning see how it all went.

Tracy x

Yowser! A face to face over coffee with the vet. Hey, my vet doesn't do that. I'm going to tell her that yours does! :) Maybe IMS mike sent information about going forward treatment for him to do that he wants to talk about.
I thought the report sounded really good over all. The one that was slow growing before, is expected to remain slow growing, so other than just doing checks to keep an eye on it, hopefully nothing further on that front.

Hugs,
Sharlene and Molly Muffin

Well that was a very productive Flynn day!

Met with Mike and we went through the whole report and clarified it in both our heads. I had written him a list of my questions that we went through and the ones he did not know plus a couple of his own, he emailed to IMS Mike who replied within the hour! Wow, I am seriously impressed with them.

So we have come up with a plan going forward as you know how much I love a good plan!

Flynn's New Plan
Liver:
Continue Samilyn
Recheck LFT in 1/12 22nd December
Rescan in 2 - 3/12 (2 months is 22nd Jan)
Renal/BP:
Continue Benzapril and Amlodipine
Fish Oil
Hopefully Prednisone will help kidneys too
Recheck UPC, BP December
IBD:
Start Prednisone 22nd Dec (one month postop)
Diet - keep as is? He said to assess response, how do we do that as he is not symptomatic at the moment?
?add Azothiaprine later on
Continue probiotic and metamucil
Arthritis:
Not convinced about continuing Pentosan, esp after Alastair told me the mass was full of blood, that drained out when he removed it. Maybe we just see how he goes without it?
Continue bone and joint supplement

Lots of info but you have a plan! I'll have to read it again. Just stopped in to say hi and check on you both. Lazy days are good. I get one tomorrow Sick day! Ugh. I'm so tired of being sick. Darn grade 1s and their germs ;). At least I get to cuddle poodles all day.

Trish that sounds like a good plan you,ve got there. How is Flynn doing today ?

Sounds like a good plan, Trish. We all love plans. I am not sure how you will know if it work without symptoms. That was why I did not want to do the full treatment for Zoe's helicobacter well, that and I read it often just comes back.:confused: I guess you just do the treatment and see if his stools are firm, a good color with no tail or mucus.


Have a great day with Flynn and emjoy relaxing!!!

Hi all

Tracy, Flynny is doing OK. He is a little quieter if anything today and was not in a rush to get out of bed. He has been off his Temgesic 24 hrs so that might just be messing with him. He is so bored too, we have had absolutely yuck weather last two days, unseasonably rainy and cold I have had had to put the heater back on and even a couple of thunderstorms, not that they bother this boy though. I took him for a little walk up the beach last night between showers and that perked him up.

I think you are right Addy, just watch and see. Hopefully it knocks it on the head but the prednisone dose is worrying me. 1mg/kg twice a day for 3 weeks, then weaning it down for 3 weeks at a time. Mike said he always has a hard time with nurses and prednisone doses for their dogs as we think it is too much, but he had a long explanation of how certain receptors in dogs are lower than humans so they need higher doses of pred. Still a worry, but he has checked the pred protocol with IMS and he agrees. He is thinking the scratching is possibly tied in with this problem and we hope to see an improvement there too.

Sorry you are feeling unwell Nikki, darn kids and her boogers :) Hope the poodle cuddling is just the remedy you need!

I have been researching liver adenomas vs well differentiated hepatocellular carcinomas and sending the articles to Mike. He will be sick of me before too long!! I guess the thing is even though adeonams are benign and carcinoma's not, the outcome is similar as they are both slow growing, both can get very big and have to come out. The question is what do we do if we find another that grows big like this one has. He still has one that is smaller than a golf ball in him now, this was tested and showed the same tumour of the big one that was resected. he was unable to take that at same time as it would have been to much liver loss at once and he had already taken 25%. Again it is not obviously cancerous but it is growing so do we put him through surgery again? I do not know the answer to that and IMS wants to talk to the surgeon about whether further surgical options in the future would be viable if Flynn runs into trouble, the surgeon is away this week, so the IMS wants to have that chat before he comments on the other smaller nodules seen. Surgeon told me in Auckland he did not think they looked particularly nasty.

So who knows, I work in a surgical field so perhaps do not have the fear of it in my boy. He has done so well this time he has totally amazed me, you would think he had an appendicectomy or something minor. The only time I have really felt bad for him was those two days in hospital as he absolutely hates that, but my thoughts were that discomfort for him was majorly outweighed by the benefits. I would consider doing it again if it would help him later on.

Today is the 2 year anniversary from his first liver resection!! So the fact he is still here with us tells his vets that this tumour is not that invasive.

My gawd I can blather, sorry about that! Anyway, my days of laziness are over, I have hair appointment this morning which like Sharlene is well overdue, then a friend to visit who has had her fair share of troubles lately and tonight is fish n chip night with the family at my parents. Tomorrow, I have to drive down to Palmerston North (where old pet hospital located) for a funeral. A colleague died unexpectedly earlier in the week, such a shock as my last memory of her is from only a couple of weeks back at our conference and we were sipping a glass of pinot gris admiring the view at a most gorgeous winery for a conference dinner. So I want to go and pay my respects at the celebration of her life. About a 2 1/2 hr drive there and back and funeral is at 10.30 so an early start and a day for Flynn with his grandparents. I really think I should stop here :D xx