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

Yay for 2 years for flynny I hope one day I can post the same:D sorry to hear of your colleague,s passing. I'm glad you and Flynn are doing well x

oh dear what a shock at your colleagues passing :( That is so sad. I'm glad though that your last memory with her is a fun one. A perfect setting for a memory.

Well maybe the big difference between the adenoma and the carcinoma is whether it would metastasize into surrounding organs or just via size be invasive. If it is a size issue only then another surgery if it grows the same way as this one did would be in another year. If it is even slower, then probably a couple years if at all. You'd have to see how Flynn is at that point in his life.
But it is down the road at least.
I have a love hate relationship with prednisone. I know it's necessary in some cases, but it is so hard to get off of and the side effects can be pretty bad when on high doses long term. (my golden was). 1 mg though doesn't sound too bad, with a plan in place at the beginning for how long to be on the dose and how and when the weaning off will start. It's the open ended, lets see how it goes, and we'll judge it as time goes on, that is really scary I think.
A plan is just down right smart and good. We love plans!!

Have a good night. Get some rest. Hope Flynn isn't feeling too ucky from not having the Temgesic.

Oh and I manage to get an "emergency" hair appointment today, took off work during the main part of the day to get it done. Then had to work late tonight to make up for it. LOL Still, I'd say it's worth it. Now at least I can show my head out the front door now without the neighbors screeching and running inside their homes in horror!

hugs,
Sharlene and Molly Muffin

Thanks Tracy and Sharlene

Yes I agree about the spreading to other areas Sharlene, what has added to the confusion is the small mass that was found on his mesentery. But I have to wonder whether that has been sitting there since his original liver resection two years ago. It was definitely seen and biopsied and declared benign before adrenalectomy one year ago and it has not grown in the past year. :eek::eek: You would think if it was metastatic it would have done something in that time and the rest of his omentum, mesentery are clear according to his surgeon. At original liver surgery he did have a spot of direct spread from liver to omentum. Old surgeon had clear margins then. :confused::confused: So I think that mesentery mass is from original tumour and now its gone for good!

I found this excerpt in a book about adenomas I thought interesting and could apply to Flynn. I have wondered about the androgens, IMS Mike mentioned it at our initial consultation, I think I might press to get them checked. Will talk to local Mike about it when I see him next.
Hepatocellular Adenomas

These tumors are more common than hepatocellular carcinomas in dogs and are uncommon in cats. They may be associated with increased liver enzyme activity, particularly AP. Dogs with atypical adrenal hyperplasia associated with high androgens or progesterone may be predisposed to hepatocellular adenomas. Rather than single mass lesions, some dogs develop multiple adenomas in different liver lobes. Hepatocellular adenomas may achieve massive size and encroach on normal structures by outgrowing their central blood supply and developing a necrotic core that may serve as a nidus for abscess formation. They may rupture, causing critical abdominal hemorrhage. Differentiating adenoma from hepatic adenocarcinoma in a patient may be controversial; this may be pedantic because wide resection is curable in either case. Tumor margins should be demarcated for the pathologist on submitted specimens to judge adequacy of mass resection (tumor free margin).
http://www.merckmanuals.com/vet/digestive_system/hepatic_disease_in_small_animals/hepatic_neoplasia_in_small_animals.html#v3268802

I think I have found out why he was a bit sluggish this morning, poops looser and look like a bit of blood and mucous in it today. So I think we are heading towards that Prednisone whether I like it or not. :(

Happy thanksgiving to those that celebrate it :) xxxx

hmmm, that means that any dog that has cushings, increased cortisol with liver enzymes increased could be susceptible to developing adenomas in liver nodes.
A good reason to get ultrasounds whenever possible I'd think.

If it was associated with the main liver mass that was removed that may be why it hasn't grown in the last year. Makes sense. Supply wouldn't be there to feed it any longer.

Oh fooey, mucus and blood, sounds like you are going to go down that road after all. Hopefully it will help.

So, you can see now and I won't scare the neighbors. Sounds like we should be good for awhile at least! LOL

hugs,
Sharlene and Molly Muffin

Awww Flynny had been doing so well. We had appointment with Mike this morning for suture removal. When I have a shower Flynn goes and waits for me on the bed in the spare bedroom which is right next to the bathroom. I was drying my hair then he comes in looking awful, all shaking, hang dog, leaning up against my bed, back a bit hunched when he walks. I could immediately tell something was wrong, lucky we were on our way out the door to the vets. Mike said as soon as he spotted him in the waiting room he could tell something was amiss by the way he was standing. He thinks he has tweaked his back possibly jumping off the bed. His tummy checks out fine, nice and soft so he does not think it is anything to do with surgery. he took out the sutures.

He has had a shot of Temgesic and home to rest up and I have to call him in a couple of hours to let him know how he is. He said he would usually give anti inflammatory but does not want to with Flynn so soon after surgery. He said this can happen following surgery as even though they are feeling better if they jump while still splinting their tummies they can have musculo skeletal problems. :(:(

I was due to go to a friends birthday this arvo and Flynny was going to his Nan and G'dads. but I have him cuddled up on the floor in the longue, he is still shaking heaps. Poor boy, so we are most definitely staying home :(

Oh no. Poor Flynn, and poor Trish. So darn scary when they do something and tweak themselves like that. Hopefully this is something that will sort itself out with some time. A muscle pull or something. Just as long as it is nothing inside.
Not more bed jumping Mr. Flynn!

hugs,
Sharlene and Molly Muffin

He is crying a little, might be the shot of temgesic making him feel funny. But he is lying there with his eyes wide open :( he hasn't cried since he got out of the hospital so he must be really sore.

He couldn't have pulled anything inside of him or torn anything right? That is all healed up nicely? Local Mike confirmed.

That would probably be one of my biggest worries. That and I disc I suppose. Backs can be so painful.

It's so hard to see them in pain, when all you want is to fix it for them.

Hang in there. I'm here with you. Getting ready to take the muffin out for a walk but will be back.

hugs,
Sharlene and Molly Muffin

Hey you

I am here lottering and just read your post. Bless him, rubbish when they have a set back.

Hopefully the Temgestic will kick in for him soon. Sucks to see them so upset. Good that you can check in with local Mike later

Sending you a big hug and scratches to the wee man

Mel
Xxxxx

No, he doesn't think there is anything torn inside of him because tummy is soft. He does not think it is a disc because he cannot palpate any particular sore spot. His back was slightly tilted to the left. I just went outside to hang a load of washing and he must have tried to follow. He got out there but then just stood there and I carried him back in. Just sitting with him beside me now. Day 10 today, thought it was all going a bit too smoothly!

Well it was going smoothly and I'm sure it will go smoothly again, once we are over this hurdle.

If he wasn't such a rambunctious, I can conquer the world sort of guy......

He is neutered right, because that sure seems like the typical male response to anything. ROFL! I kid, the guy just doesn't like hanging about being all sick and stuff. Actually I've found it evenly split between male conquer the world, nothing keeps me down and all out whiney, can't get off the couch, take care of me modes. hahahahaha
On the other hand, women can be so smart, since I abhor Both responses.

On the other hand, the laundry did get done and hung out. :) Guess what you don't have to do tomorrow now!

hugs,
Sharlene and Molly Muffin

He just decided he wanted to get up and have a walk, bit wobbly on his feet and still crying intermittently and panting. I just wish he would doze off, I have the house quiet and sitting by him but now he is off his bed laying in middle of room! He is panting a bit too. He keeps looking at the fridge! Maybe he is hungry but don't want to feed him right now.

Poor little guy, hate it when they won't settle.

How long does the Temgestic take to work?

I just txt Mike to see if he gave him enough temgesic that would make him wobbly and he said, yes he did.

He is neutered Sharlene.

I did just give him a bit of food and he gobbled it down and I have him back on his blanket reluctantly on his part, prefers to sit where he wants to which was just under the a/c which is on as it is a hot day. Now hopefully he will go to sleep, but he is still giving little squeaks. When he went to his bowl he stretched like they do, go down at front and stretch out their back... you would think if it was his back it would be too sore to do that?

No that doesn't sound like his back then, although a good stretch can feel pretty nice when you are sore. Muscular perhaps, or maybe not even that much, just that he jumped down, he had just had surgery and he forgot that it can really hurt to do too much too soon.
So maybe not damage actually, just very sore.

Maybe he had a jolting pain when he landed that hurt and scared him.

Hoping he settles now xxxx

Aw come on Flynny get better little man, your our super dog remember we need you up and about :D

Yes, starting to think it might be muscular. He won't lie down now, keeps wanting outside and when I opened the door out he trotted a little wobbly, I would sit with him out there but it is real hot and blowing a gale! I did not leave him out there much to his disgust and he is back in but won't like in his bed and keeps crying a bit :confused: Maybe he has had enough of the tem to make him feel weird, like spaced out but not enough to make him sleep.

Poor guy! I hope he feels better soon.

Thanks Nikki
I really think the girls are right that when he has jumped he has pulled something, the pain seems to have settled judging by his desire to go outside. The drugs making him feel funky now I think. Stubborn little bugger will not go to sleep though, like he is fighting it. He was standing up before and I saw his eyes close.. so lay him on his bed and nope back wide awake and crying. I remember he has done this before on injectable temgesic and he certainly does it in hospital. The oral one they gave me in syringes to squirt in his mouth does not really seem to do this.

That helpless crying thing is almost too much to bear. :o I so wish I could be there to sit with you Trish. Hopefully he'll be able to settle soon. Xxxxxx

Too much directly into him with an injection. Not too much as in dose is wrong, but too much as in, it hits him fast and makes him feel weird. That is true sometimes with people too.

Hopefully he will settle down and get some rest, that would be the best thing for him, but I know, he's got a stubborn streak. See how he does in the morning after a good nights rest. (if he will rest) It might make a world of difference.

hugs,
Sharlene and molly muffin

You are sitting with me Kathy, just through a screen! Now I think he is just reacting to the drug. He is hungry and moving much easier.

I am meant to be at a good friends daughters 4th birthday party.... ohhh little Madi, you have seen pics and video of her in our beach holiday album from earlier in the year. I am sure they will understand why I cannot come. If he is better tomorrow I will pop over with her pressie. Mum said she would watch him but I do not want to leave him while he is so unsettled. I have just txt Mike the latest update, lucky for us he is the vet on over this weekend!

Yes I think your right Sharlene, physically he is much better. Just this intermittent crying worries me. I have laid beside him scratching his back and he moves about so I get the right spot, crying at the same time! He keeps wanting food too, he has had more than I usually give him by this time of day and he keeps going and sitting by the fridge! Poor boy is all muddled

Well, he isn't feeling nausous from the pain then. I wonder if he feels like he is hungry to try and get himself right from the medication. Yet crying because nothing is helping. (sleep Flynn That will help) too bad you can't "logic" to a dog. :)

hugs,
Sharlene and Molly Muffin

Maybe I should try hypnotise him!

I'm still here With this dang screen between us.:o

I do remember the video of Flynn in that cute little girl digging on the beach.:p They will understand the you're not there. Your folks will understand why you need to be home with Flynny. I didn't leave Buddy either when he was acting like that. Even going to work and leaving him was very difficult. I never can tell what day it is there, but I think you have one more day before you need to return to work. I hope Flynny is all settled down by then. ((((Hugs)))))

I'll check in with you later.;)

Hi - he finally seems to have settled down. Mike called and was pleased to hear he was feeling better. He said to take him for a short walk to get his muscles working and also to help clear his head which seems to have helped. He wants me to txt before bed to let him know how he is. He does not seem all that sore now, but I guess if he jumped and pulled his wound that could have done it, but it was pretty acute and he felt miserable most of the afternoon. He is considering whether we should give him a previcox before bed so will see how he goes over the next few hours, its only 6.30pm now and I feel nearly ready for bed now :eek::eek:.

Awwww. I can't stand it when they cry!
I'm glad that he's settling down so that you can both rest.

Daisy had a reaction after her luxating patella surgery and she cried unless I was laying down right next to her.

I am relieved to hear that he is settling down. :p Try to get some rest When Flynny rests Trish. It is midnight here so I'm off to bed, but I will check on you both first thing in the morning. Xxxx

Hoping you have both settled down now for the night.

Will come back later to see how you are both doing.

Mel
Xxxxx

No he's not settled down, keeps wanting to go outside and crying intermittently, last in touch with mike 10pm, have given previcox. He tries to run and sniffed out a cat on our last outing 10mins ago. This temgesic inj has really played havoc with him. He did a tiny soft poop last time too, not much compared with what he has eaten today which was heaps. Hopefully get some sleep soon

Hey Trish, I'm here now and all caught up on things. :o

Surely hoping that you two are finally asleep by now...

So sorry I missed you posting, have to avoid that injection in future then as this must be stressful for you both.

Hope it will wear off soon and you both get some rest xxxxx

I hope that you and Flynn are fast asleep. Sending big hugs to you and Flynn hopefully he,ll be feeling better soon x

Oh Trish, I just got caught up on everything with Flynn. It does sound like he may have pulled a muscle or tweaked something in his back. So glad your vet is on and doesn't think it is something internal related to the surgery. Jasper got an injection of Buprenex after his liver biopsies, I think that is the same drug as Temgesic. And I remember him being restless even though he was sedated and out of it. He did some quiet whimpering under his breath, and most certainly was sleeping while standing up and wobbly on his feet. So a lot of that with Flynn could be related to the medication.

I hate it when they won't settle and are doing that crying, it is nerve racking. This probably does not apply to Flynn right now, but there have been a couple of occasions where Jasper was unsettled and whimpering and I think it may have been due to having gas. (My vet said that when I described what he was doing). You mentioned that Flynn had eaten a bit more than usual, so just thought I would throw that out there in case it might be helpful.

I hope he has settled down a bit and both of you are getting some sleep now. I will check in again later when I can. Gentle hugs and a belly rub for our boy.

Love and hugs,
Tina and Jasper xo

Goodness, Flynny Boy! I hope you are feeling so much better now, resting easily and deeply, so you can be up and causing havoc in the morning. It's good to keep Mom on her toes but this may have been a tad too much. ;)

Let us know how he is when you can, Trish. I hope you, too, are sound asleep, dreaming pleasant dreams along with Flynn.

Hugs,
Leslie and the gang

Oh Dang, I am just reading all this now. I'm so sorry Flynn is have trouble. Dang post op anyway, sometimes it is more unnerving than the actual surgery for me. That crying is always so hard to take.:(

Oh Trish, I hope that today brings a better day for you both.

Checking in this morning on Flynn and you. I hope he is much better when you wake up this morning and that you both got to rest through the night.

I have to get motivated today as I need to do a run to the store to check out some gifts for family, then get ready for a bday party tonight. Hopefully no snow today as we are going north this evening and they seem to get snow even when we don't.

Crossing fingers for a good day today for both of you.

hugs,
Sharlene and Molly muffin

Aw Trish,
I was so hoping that Flynn was back to his usual, perky self this morning. Poor little dude.:o It seems to be one thing after another with these pups. How is he going to keep that sly neighbor's cat out of his yard, after all? There are priorities, you know. Okay Flynny boy, it's nap time. Ask your mom to tell you a bedtime story, something about an adventure at the beach, then both of you crash for a while. ;) Big hugs sweet girl. I know how hard this is and how exhausted you must be. Xxxxxxx