My girl pug (confirmed Cushings & confirmed calcinosis cutis) / Tobey has passed

Just re-read my whole thread the other night. Talk about a trip. It was nearly surreal, especially reading the posts where I was clearly feeling discouraged.

I keep waffling back and forth on the low cortisol. When I went back and looked at all her ACTH's the last year, it appears her baselines have always been rather low. Highest was 3.9, but most hover in the 2-3 range. I am watching her like a hawk for any signs of low cortisol, but she's doing absolutely fine. In fact, last night she chugged a good bit of water, and I figured her cortisol might have spiked a bit.

I'm going to keep on with the current dose, but recheck numbers mid-november.

All that said - I sure do feel like Tobey could be considered a 'success' case, especially with the CC. I cannot thank my vet enough for her part in this journey. I really think I need to get her a gift and a card on the one year anniversary. And, of course, without the guidance of everyone here, we would not have been able to make such steady and safe progress. So, THANK YOU!

It is kind of wild going back and reading your own thread isn't it. :) :)
I think Tobey is a success too. That she is a success WITH the cc, is just down right phenomenal aka awesome!

Good idea on getting your vet a card and a little something. She sure has worked well with you as a team and that's pretty cool in and of itself.

But, I will always say, that you have played the biggest part in Tobey's success.

hugs Renee, and a job well done if I do say so
Sharlene and molly muffin

Hi Renee.... long time no see!! It is weird rereading your thread thought it would probably take me a couple of days to go through Flynny's now.

Tobey sure is a success because he has the Mama CC extraordinaire!!! I full heartedly agree with Sharlene, big pat on the back for you!! x

Oh yes, reading back through Flynn's thread would take a while! I can't believe how long some of these threads are. :) Talkative bunch around here, lol.

CC is so difficult. Mostly because a lot of people, vets included, really do not have good advice for managing it. No one knows what it looks like, how to treat it for short and long term, etc.

Renee, You did and are doing a fantastic job with Tobey.
I know how hard CC is.
Tobey is a very lucky girl to have you as her mom.

Tobey has thrown up 6 times in the past hour and a half. :(

She hasn't had an ACTH since the one in October. Before this, she has not displayed any symptoms of low cortisol at all. She should have gotten it tested this week, just to check, but with the holidays, it didn't work out. I had planned to get her cortisol tested next week.

I'm a little confused about whether she is throwing up because of low cortisol, or just over indulgence from Thanksgiving.

:(

Is just with hold the next trilostane dose. And maybe give her some
Pepcid and see if her stomach settles.

Renee, exactly what did Tobey overindulge in eating? Unfortunately, vets often refer to the Friday after Thanksgiving as "National Canine Pancreatitis Day" because of the uptick in cases due to overconsumption of fatty foods or foods that are unfamiliar to a dog's GI tract. Vomiting so frequently in such a short time is somewhat worrisome. If she keeps it up I would worry about dehydration. Does she seem to be in any pain?

Marianne

I'm not sure if she's in pain or not. She's being very quiet.

She had some turkey (white meat), mashed potatoes, and a few bites of coconut cream pie. :( But, the day before, my husband gave her some pizza crust too.

I just tried giving her some rice and broth, and she ate a bit of that. She did drink a bit of water too.

I'll definitely be withholding her vetoryl for a while.

After that much vomiting, you may want to hold off on feeding any solid food, even just rice, until later tomorrow. I would be afraid that anything more right now may continue to overstimulate her GI tract. The coconut cream pie was probably pretty rich and fatty, so it may be the culprit. I'm guessing it's more likely the food than the trilo that is causing this upset, but I understand why you'd want to temporarily discontinue the drug. I hope little girl feels better tomorrow!

Marianne