Re: Flynn 11 y/o Foxie Cross - Right adrenalectomy, 3rd Dec 2012 for Pheochromocytoma
HI Sharlene - yes maybe contamination according to report, we are repeating his UPCR in a few days time, we stopped his Previcox and will see if that helps bring the level down. He is doing good overall in fact great tonight! He had the wobblies last week which thought might be the new arthritis injection Pentosan, but it also says on report the raised level could be due to unidentified toxin and I wonder when he was a bit off colour it may have been something like that, especially as they mention the other things like blood albumin ok when they would have expected it altered?!?! Who knows, will wait with fingers crossed for the repeat test.
HI Addy - I wonder about doing a needle draw too, would cut out the contamination risk I guess, but hate having him stabbed in the bladder, I guess with all his other parts of test not showing contamination it probably unlikely. Might be time to look at diet if it stays high.
HI Naomi - yes the wobbles have stopped now, he had his 2nd injection on Saturday after I checked with vet it was ok to give it with his proteinuria. So pleased it has settled down, he does not seem in pain today that I have noted so hopefully this is one good thing for Flynnikin!!
HI Tina - the comments on my post with the results are from the vet/pathologist lab doing the testing , not my vet. But he told me he rang her and they had quite a conversation about his results so I guess that is what those comments are all about. His vet asked me to measure how much he drinks, he is hardly having a cup of water each day in the two days since I started taking note. I wonder if that is not enough for him as his specific gravity is quite high. But that is all he normally drinks, I have not noted him having less than usual. I have spent quite some time adding all his lab results into his spreadsheet tonight, took ages and complicated by the labs using different reference ranges! But you know me, I love it all in one place. I just emailed it to his vet :D Will keep you posted on any new developments. Hugs for Jasper!!
Thanks for your comments everyone, most appreciated. With all my partying with friends visiting this weekend and then spreadsheeting tonight I have not had a chance to post in everyone's threads, but I will get to it in the next few days :D:D
xxxxxxxxxxxxxxxxx Trish and Flynn xxxxxxxxxxxxxxxxx
Re: Flynn 11 y/o Foxie Cross - Right adrenalectomy, 3rd Dec 2012 for Pheochromocytoma
I think this sounds like a solid plan Trish, wait for the next test and consider that it could be a number of things causing it. Flynn has been through quite a bit lately. :) (another understatement!)
He was a bit wobbly after the last injection too if I remember correctly. Seemed to setting down in about 48 hours, was this time only 24 hours of wobbles?
You need recoup time gf! Such an active lifestyle! LOL
hugs,
Sharlene and Molly Muffin
Re: Flynn 11 y/o Foxie Cross - Right adrenalectomy, 3rd Dec 2012 for Pheochromocytoma
Hi Trish, I'm so glad you are repeating the UPCR in a few days. I am not sure if a sterile sample has an impact on that test, but of course is necessary if a culture is going to be done.
Sorry I didn't get back on to post again last night like I said. I was so tired from shoveling snow, I pooped out! Well I looked at Jasper's chem profile and his serum protein and albumin have been in the normal range like I thought, so I would definitely be more interested to know more about the lab's or your vet's thoughts related to that. I figured those comments were from the vet at the lab, like you said. The units of measure on Flynn's bloodwork are different than Jasper's of course, so I can't compare. I can just compare what is in the normal range for him versus what is in the normal range for Jasper.
For Flynn's UPCR - it looks like the protein value and the creatinine value are in different units of measure? I wonder how they figured the ratio, maybe did some type of conversion? For Jasper's, both the urine protein and urine creatinine were measured in mg/dL.
We will be keeping all fingers and paws crossed here that the repeat UPCR is lower. Gosh Trish, neither of us should have to be dealing with this after everything else our boys have been through. I am hoping for the best for Flynn!
Hugs,
Tina and Jasper
Re: Flynn 11 y/o Foxie Cross - Right adrenalectomy, 3rd Dec 2012 for Pheochromocytoma
Hi all
Just had a rather depressing talk with my vet on the phone. He has consulted with IMS at pet hospital and Flynn has been started on Amlodipine tonight to try and get BP down to a better level and hopefully then proteinuria will decrease. No need to change diet or do anything else just yet.
A certain percentage of dogs (not sure how many) after surgery for the pheo will have continued BP problems. Not too much of a worry if we get it under control. Primary hypertension is apparently unusual in dogs.
The other cause of BP still being high (keeping in mind we got it down to 100-120 with the use of meds preop) could be recurrence of his pheo. His current BP is not as high as it was before his surgery but it is still 160+. He had been told as I was that they thought they got it all at surgery. But he was just reading me the histology report which did mention some mitotic cells in blood vessels outside adrenal which were not vena cava, these were in surrounding fat. I did not know about that and I do not have a copy of that report. Surgeon has said he thought he had clear margins and more of these tumours are benign in his experience. But local vet thinks could be chance that some could have already spread and that could be why BP still up and now these kidney problems flaring??! :(:( He has just emailed surgeon and IMS to get clarification on that and further advice. He will get back to me when he hears from them.
He wants to wait until early next week to recheck BP and urine test. I feel sick, but Flynn actually looks great! So who knows, I hope it is just his BP still causing a problem and we can treat that.
Trish looking :( but Flynn looking :D
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Re: Flynn 11 y/o Foxie Cross - Right adrenalectomy, 3rd Dec 2012 for Pheochromocytoma
Hi Trish
You guys deserve a break given everything you have been through!
When have any of our Cush pups been usual!
More waiting I think sometimes that's the hardest part. Hoping for excellent news next week
Mel and Tia
Xxx
Re: Flynn 11 y/o Foxie Cross - Right adrenalectomy, 3rd Dec 2012 for Pheochromocytoma
Well, having to worry about that sure stinks. I am hoping that the BP med will work out and I am not even going to go there about the other possibility.
((((((((((((((((hugs))))))))))))))))))
I'm sorry you have a new worry, Trish.
Re: Flynn 11 y/o Foxie Cross - Right adrenalectomy, 3rd Dec 2012 for Pheochromocytoma
Hi, I agree with Addy, not even going to go with with the other possibility. That dratted BP med better kick in. He came down before and he can do so again. He might be one of the rare ones (we all know Flynn dances to his own tune) whose BP remains an issue even after the surgery.
Hugs Trish and we'll be waiting for next weeks testing right along with you
Sharlene and Molly Muffin
Re: Flynn 11 y/o Foxie Cross - Right adrenalectomy, 3rd Dec 2012 for Pheochromocytoma
Oh Trish, I'm sorry you have to worry about this too! It slipped my mind that Flynn's BP had been running a bit high as of late. I am hoping that is all it is, and that the medication brings it down. Not going to think about anything else. Hang in there Trish.
Lots of hugs from me and Jasper
Re: Flynn 11 y/o Foxie Cross - Right adrenalectomy, 3rd Dec 2012 for Pheochromocytoma
oh no.. I wish you did not have to worry about another thing. :( At this point you two deserve free sailing. I am hoping that it is just the meds that have not kicked in yet. Try not too worry to much. I know it is easier said than done. hugs..
Re: Flynn 11 y/o Foxie Cross - Right adrenalectomy, 3rd Dec 2012 for Pheochromocytoma
I just got caught up on Flynn. Geez, the lil guy can't catch a break. I sure hope his BP issue isn't from spread of the pheo. You sure don't need anything else to worry about. Sorry, Trish;((
Happy Belated B-day!!! Don't you just love the iPad??? I fought getting one, but don't know what I did without it now.
Take care. I will keep checking back on Flynn.
Hugs,
Ro