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

Wasn't there going to be a 3 month ultrasound coming up?
Sharlene

I emailed earlier but I just txt him as well :rolleyes: so he will definitely get that. I guess he has to have weekend off even if he is super-vet. The IMS said to rescan in 2-3 months. It's only 2 months on 19th April.

We both thought he was doing so well so these results have sure thrown me for a loop today :( But the other liver tests like bilirubin is normal so his liver is not totally packed up. The urine from his UPC shows high cr and that has always made it worse, he is drinking more lately due to Pred so I am sure that has affected that. But the protein is also much higher.

Hi Trish,
I would think these numbers must be reflective of the prednisone that Flynn is on.

I really like what he wrote-don't panic or worry--if he didn't mean that he may have said something more cryptic-like "we need to talk", but he didn't so he must feel like he knows why these numbers look like this. I hope you can speak to him soon and hear what he thinks. You've got lots of normal numbers on the test too so that's good news. Hopefully you will hear from him soon, try not to worry too much in the meantime.

Barbara

HI Sharlene and Barbara - thanks for your comments girls

I know he warned me the the LFTs would go up with the pred, I was just not expecting it to go this high.

I restarted his Samilyn last night, he took it fine then. But this morning I gave it with a wee bit of fish as he has to have it on an empty tummy. But it is like a horse pill and he will not take it without a little food covering it. It came straight back up, immediately (just the pill, not the fish funnily enough). He does not seem nauseous and ran around outside right after. I think it is just the size of it. I put a little cheese around it and he took it and it has stayed down this time.

Mike did txt back
He said we should do three more doses of pred on alternate days then stop. So today, Monday and Weds. He said I have not poisoned him :rolleyes: and these levels are not a concern
1. His baseline levels are higher so a higher level is expected
2. Most patients (including people) are not aware that this happens with pred unless they have bloods taken while on it
3. The course of pred had been very short for a good reason
4. No problems with samilyn but this result does NOT indicate any impairment of his liver function
5. It's likely that his hepatocytes are more responsive to pred with this jump in levels
6. We need to look at the patient too! I thought he seemed very well in himself this week

I don't think I have read many on here with results this high though. I just hope it is the pred and is reversible and not something brewing again in his liver :(

Well, then fine, but the plan has to be that after the pred is stopped completely that a follow up test for levels will be done to verify that it was indeed the pred causing it. Nice to think that but this group and Flynn's mum, likes to see the results to be sure. :) ;)

Sure Flynn has a tricky liver. That little scamp is writing a whole new text book, on canine liver function, with chapters added by more than a few others, tina/jasper come to mind. hahaha

huggers Trish
Sharlene and molly muffin

Trish,
I saw Flynn’s labs this morning but was running late so wasn’t able to post to you before work. Glad you heard back from Mike already to ease your mind a bit, but I was basically going to say don’t worry a ton about the liver values. (I know you can’t help but worry some, especially with his history).

I would think that the increases are most definitely related to the prednisone, especially the ALP. Jasper’s has been staying consistently high, in the 2000’s now, and my vet has said it is because he is on long term steroids so it will always be elevated. But he needs the dex to live, so we can’t help it. After he was so sick in September with pancreatitis, or Addison’s crisis or both, he was on the dex daily for at least a week, maybe closer to two. His ALP on 09/25/13 was 4753 (<95). :eek: :eek: :eek: I about had a stroke, but my vet said it was directly because we had been giving him increased dex, higher than the physiologic dose he had been getting. I think this was the highest his ALP ever got. My vet also said that this value does not indicate liver damage or impairment in functioning.

I have a bit more to add but will need to post later. I am at work so need to keep this very brief. But I just wanted to share Jasper’s high number with you so maybe it would help ease your worries some. Our boys, they just seem to follow each other back and forth with these lab results and UPC’s! And my gray hair is increasing.

Hope we can chat later once I get home. I have more to post on Jasper then also.

PS Thanks for thinking of us Sharlene, LOL :) :p

Big hugs,
Tina and Jasper xo

He sent all those comments I posted via txt, he did not mention when we should retest but I will be onto that next week but I imagine we will have to wait a while to let the liver settle down. Just gave him his breakfast with his other meds including the Pred... damn drug. It did relieve his itching really fast so it does have its good side. Mike said to save the rest of the Pred that we are not going to use in case we need it in the future... not blardy likely lol

Hey Tina... you are a darling popping in at work to ease my mind. I am going to have to book in for colour touch up weekly at this rate... or maybe I should just let the silvers take over.... nah, not ready for that just yet! But I have to say I am very happy to read Jaspers were in the 4000's too and came back down phew! Thank you xxxxxxxxxxxxxxxxx

oh good, you heard from Mike. So this news got here right in time for the weekend and can put your mind at ease so your weekend is not spoiled by worrying about the numbers.. I know it's not all that easy to put out of your mind but at least you know he thinks this is all expected. I wish I had a "Mike"!! Love how attentive and reassuring he is!!
I was thinking the same thing about how Flynn seems and he has been doing so well...a little bad poops here and there are so common and otherwise he's been great. Then all those good normal numbers to remember. I'm so glad it all seems okay.

I give Trixie her Denamarin (liver supplement) with food around it too or else forget it...it's way too big a pill. If I don't get it all covered like a little sausage she will spit the pill out. Denamarin is also supposed to be given on an empty stomach but it's impossible...not to mention that Trixie's stomach is almost never empty. I give it right before bed with her canned food around it..that's as empty as her stomach is going to be over the 24 hours.

Now for that hot jelly donut and coffee you were going for :p...just one of my favorite indulgences...I hope you had it and enjoyed it!! :D
SO happy it's Friday...getting ready to order in some Indian food, no cooking tonight! ;)

Barbara

Evening.

Am here! Sorry to read about the latest results I would have freaked too. At least Mike isn't worried and you have a plan. So fish seems to be helping his ibd but stinking out the house :eek: maybe you need to invest in some yankee candles to help get rid! They are expensive but worth it. I got one delivered today from amazon fluffy towels I like it. Usually get Christmas cookie as that's my favourite

How is Dad? Mum doing ok after her scare?

We are ok, busy with work and I have stayed away a bit as just recently there have been many new people posting about macros and it brings it back for me, I am not at the stage of being able to add anything helpful as it's painful to think about.

Will hang around for a bit, will have to take Boyce but will be back. Will nip into Tracy's thread now. See you soon

Love
Mel
Xxxxxx