Molly, 13 yr, shih tzu - lhasa aspo - Molly has passed

At vets now. They took Molly back for testing and to see docs. She will have 3 eye tests today too. I am heading for coffee and them waiting.

Appreciate everyone being with us today.

Hugs
Sharlene and Molly muffin

I'm grabbin' my cup and I'll head over some coffee, too. Thank goodness for our wings so we can speed back-and-forth between you and Molly and Earnie and Rosie all day! ;) :)

I hope she will be a good sport having all the tests done today.
She needs them so that's all there is to it. You can shower her with love and treats later. Sending hugs for you now. Song.

I hope you get some answers!

I don't have any answers yet. I have some, but not enough. I had to leave her at the vet hospital for the afternoon due to high BP. This wasn't a planned stay, but more of we need to check her over a few hours time period situation.

I still don't know what the ultrasound has shown and I need to speak with the IMS about that and her sight.

What I can say now about her sight is that she has significant loss of sight. I'll be able to tell you more once I have the reports and have spoken with the IMS. She isn't totally blind (yet) and we'll try to save what we can and prevent further, but it's tricky at this point. There is retinal bleeding that we need to stop, probably due to high BP which wasn't a factor when she was checked in April. They think it might have started spiking in the June/July/August time period.

More later
hugs all
Sharlene and molly muffin

Not going anywhere until I hear whats what with Miss Molly! Hopefully we hear some good news soon Sharlene. I know you are super prepared for this visit and will be coming out of there with a plan to move forward. Our Molly has her No. 1 advocate by her side so she will be happy although I am picking a little miffed at having been left there all day!! It's for your own good Miss Muffin! xxxxxxxx

I'm waiting with you Trish!

Huge hugs Sharlene, thanks for not sitting on me!:p

Henry and I are also awaiting the outcome of the tests and hoping for good news. Lots of hugs for Molly and you.

okay, so ultrasound, nothing is significantly different from previous ultrasound.

However, the hypertension is a huge concern and is the main cause of the problem with her eyes and loss of sight. I spoke with the IMS and she says her gut instincts after reviewing all of mollys labs going back I don't know how long is that we might be dealing with kidney disease. Specifically, Systemic hypertension is a common occurance in chronic kidney disease. What she said maid her lean more towards that as possibility is that no matter what the UPC says, her urine protein has been consistently high. So, more labs drawn today, another urinalysis and UPC panel to be done. She said she wants to have their lab do these as a second opinion from the lab my GP vet used. She wants to see if the book work and urine work show anything different since previously when they were done and her eyes clear.
The hypertension appears to have begun in around July/August as before that her BP results were 140 range consistently while today, they were consistently 180 - 190. She said that is the most important thing to treat. We are starting Benazepril 2.5mg, prob moving up to 5mg and maybe adding in amlodipine if the BP doesn't come down on the Benazepril. She said for kidney disease though as the underlying problem she prefers the Benazepril as it helps with the protein.

Dratted timing as molly goes into boarding tomorrow, so they will be giving the BP med and then we'll recheck when I am back next week. This is recheck on the BP. IMS will call tomorrow with all results she gets back and any other tests that might need to be done as a result of those. They took extra blood today just for that reason.

I'm a tad bit overwhelmed at the moment with information. I asked if she felt cushings cortisol could be the underlying factor, she said, considering how long they have suspected cushings and her not showing cushings symptoms, that she doesn't think so. She thinks that in the 4 years we've been on this journey, symptoms Would have shown by now and that the cortisol in the last ACTH wouldn't have been lowered than it was in the 2012 test. That it wouldn't get better on it's own usually. (ever) Not saying it couldn't still be a factor but she thinks the kidneys are the main thing and that the numbers and symptoms are not consistent with either a pheo, or cushings causing the kidney problems. I can't remember what exactly she said we would see if it was high cortisol causing the kidney problems, everything has turned into a jumble in my brain.

Anyway, we are trying to preserve the sight she has as long as possible and the name of the supplement is Ocu-Glo R. We can't get back what is lost, but the eyesight is a result of the hypertension and the vet feels the hypertension comes from the kidneys. That is the summary I think.

Hopefully we'll be able to get this hypertension and the protein knocked down.

hugs
Sharlene and molly muffin

Sounds like you have a plan. So sorry to hear about Molly's eyesight.:o I know you are worried about boarding her and being gone, particularly when starting new meds. You have told us several times how wonderful the people are that take care of Molly when you're gone, so I'm sure it will all be fine. We worry. It's part of the program.:o

Of course you feel overwhelmed, there is so much information to process! You'll get it all figured out. You always do!:p

Right now, love on that little muffin. Sending tons of love to you both.