My Pug Scoop (Precious Scoop has passed... )

OMG I'm so sorry. I seem to do this. I didn't mean to cause worry. Thursday turned out to be a long day. Waited for an ultrasound then for bloodwork to be run. Poor Scoop's on more meds. Now I have to start keeping a chart for his meds like I had to for his eye meds when he had his ulcer. I was so tired the last couple of evenings I wasn't on here. Sometimes it just hits me so hard. I will post more. Not sure how much will get done tonight. Thinking about it I should have just stuck my nose in here for a minute Thursday. Again I am so sorry. I just don't think sometimes. I appreciate everyone checking in on us.
Hope everyone and their pups are well.
Big hugs

Friends, Thank you.
I just read through all the posts for the last few days. I appreciate so much all the concern for Scoop. Again I apologize for the worry. Sometimes I get so tired and just drained I just don't bother going on the computer. I should have known better and I feel bad that you all worried so much.

Thursday turned out to be a longer day than I thought. Left the house at 9:30AM got home just after 2:00PM. The nurse didn't come out to get us till 10:20 then she stood there looking at Scoop's file for quite a while. It was pretty big. One of the ladies behind the front desk told me that Scoop's vet hand delivered the chart. I guess because it was so huge. Of course I had questions written down but things never seem to go the way I want them to go. So walked away not asking about everything. There's many things to tell but it's late and I will finish tomorrow.
Thank you everyone for caring about how my Scoop is doing.
Lots of love and hugs to everyone and their babies.

Hi Vicki
Big sighs of relief all around!! Look forward to your update tomorrow. :)
Trish xxxxxxxxxxxxxxx

good to hear from you. will check back later to see what all has been found out.

Glad you are ok, look forward to hearing what was said

Hope you are both having a good day today, I am supposed to be working now so will check back later

Really pleased nothing is wrong, clearly we all have over active imaginations, I think it kinda comes with the territory we walk over together

Big hug

Mel
Xxxx

Hi Vickie,

~~whew~~ So good to hear from you and yes, some of us are major worry worts. :o Ain't you glad we don't know your address?! There would have been folks driving up and banging on your door all hours of the day and nite! :p

I hope they were able to at least answer some of your questions and provide some insight to what has been going on with our sweet boy. Let us know when you can and we will TRY to be patient and not chew our nails down to the quick. :D

Hugs,
Leslie and the gang

Good morning, Again, I feel so bad for causing worry. I am so sorry but thank you for caring so much. I am going to start writing about Thursday. It will probably take a while or maybe I could do it in segments.

Thank you and big hugs.

Scoop and I left the house around 9:30AM, got there about 9:45, waited, which I know happens. The tech came out 10:20 and spent quite a few minutes looking at Scoop's chart. She took us into a room and asked questions. When the IMS came in she spent pretty much time with us, talking. She took Scoop and did an ultra sound and bloodwork. The tech brought Scoop out to the waiting room to me. I asked if I could give him something to eat. It was OK. Good thing I took some food and water with me. He gobbled it up. His dry food and carrots he gives me a hard time with eating at home, he just gobbled up so fast in the waiting room. At his usual eating time in the morning, he went into the kitchen looking to eat. I just kept telling him it wasn't time to eat yet but then he wanted a drink of water. He went to the dish and kept putting his nose in it but it was empty. I didn't want to take the dish away. I thought it might mess things up since he usually knows where to find his dish since he can't see. He kept pawing at the dish and moving it with his paw. I finally put just a little water, maybe an ounce in a little measuring cup and let him have a drink. I didn't let him drink it all but he seemed satisfied to at least have a little. That water thing worried me because sometimes he drinks a lot in the morning, like today. Anyway he gobbled up the food and some water, took him out to pee and then we waited. They can run blood work right there so they said if we waited the IMS would talk to me about it and the U/S. I'll be back with more.

Waiting sucks :rolleyes: Patience is not a virtue I have been blessed with

Least you took him some grub and water, I can imagine seeing him ask for water at the bowl was heartbreaking x

Xxxxx

This is what is typed on a paper I got from Scoop's visit to the IMS.

CBC: Hct 56%, WBC count 13.52 x 10 3/ul with 11.12 x 10 3/ul, platelet count 639 x 10 3/ul.

Chemistry: Creatinine 0.3 mg/dl, ALT 515 U/L, ALP>2000 U/L, GGT 92 U/L, Lipase 5393 U/L

Blood pressure: 150/83 mmHg with a MAP 103 mmHg

She had me start Scoop on:
Ranitidine 75 mg
Ursodiol 150 mg/ml
Denamarin 225 mg
She also increased his Benazepril. He was taking 2.5 mg AM. She added 1.25 mg PM

She said:There is a lot going on with Scoop that is contributing to the clinical signs. In reviewing his previous blood work she suspects his diabetes could be regulated although his BG was normal today (97 mg/dl). She recommends a BG curve to be done either there or at his vets. They have to remember he did not eat that morning and had 1/3 his insulin when they got the 97 reading. She did mention to me a couple of times that it doesn't look like his diabetes is regulated and last time I talked to his vet I asked if we were going to do a curve, she said not now. I guess we will be doing one now. She did mention that she felt his Cushing's is being controlled by looking at his ACTH results. I mentioned about twice daily dosing. She said it's something she hasn't done with other patients but she's not opposed to it. I showed her the print out from Dr. Peterson. She said if it would be split to not split it and change to compounded Trilostane at the same time. She said would have to use all 10mg of Vetoryl. I just wonder if 30mg-10mg split would make a difference?

She said his liver values went up. I was told their machine only reads up to 2000 and in Jan. Scoop's ALK. PHOSPHATASE was 2029. I guess ALP on this report is the same thing which says greater than 2000. Jan. ALT was 447, Thurs. 515, GGT Jan. 68, Thurs. 92, Lipase Jan. 606(which was in the normal range), Thurs. 5393. Geez that is high. What the heck is Lipase?
Creatinine Jan. 0.5(normal) Thurs. 0.3 which is low.

The IMS said since blood work shows increases in liver values and Cushing's appears controlled she not sure what to attribute increases to. Then she says the gall bladder is distended and there is a lot of sludge which may be contributing to some of the liver elevations. So the 2 new meds are to help promote bile flow and provide anti-oxidants for the liver.

Crap!!! I just realized I've been giving him the wrong dose of Ranitidine. I bought 150mg tablets and she said to give him 1/4 of a 75mg tablet twice daily to help with gastric motility and reflux. I must have written the wrong thing down when I went to the store. On the paper the Ursodiol is written underneath it and I must have looked wrong. I sure am glad I was writing this so I caught it before I gave him any more.
Do you think that can hurt him???