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

Well done you, ouch on the scratches. I did mums garden today, cut the grass weeded all the borders, so like you a bit sore tonight :)

Flynn the Disco dog i like that, those flashing collars are great in the dark, I hope you have a good week at work :)

Everyone is gardening this weekend it seems :) :)

Ohh, will Flynn do the Saturday Nigh Live dance? Disco Flynn. Good call Tracy!

I'm so flippin happy I don't have to get up and go to work in the morning. hahaha Isn't that sad. I bet those in the US are looking forward to next weekend when they get a 3 day break.

Have a good week Trish

hugs
Sharlene and molly muffin

That we are and the weather is actually going to be nice all weekend!!

Trish- the pool guy is an older hippie motorcycle guy with a long gray pony tail, He is very nice and we have had him open and close our pool and do repairs for 14 years.

Funny when you asked that because Kate would play Hotel Knollwood; sitting at the desk in the living room and I would be the guest. She always gave me the room over looking the pool as it came with a "pool guy". I have no idea in her mind what that meant but I would always laugh so hard. I think she thought her Papa was the "pool guy":rolleyes:

Have a good work week!!!

Well at least you got the nice room with the pool view Addy!! Yep our gardens are all going to be looking beautiful with all this hard work going on!!!

Well here we are Tuesday morning, and do I have a report yet... NO!! :mad: My patience is wearing thin... and there wasn't a lot to start with. Mike emailed last night to say he did not have it either. Maybe today, my check email button on my phone is wearing out!!

OMG I am such a bad dog mother, Mum had cooked a lovely dinner tonight but it was early so I took mine home on a plate wrapped in paper. Chicken satay sticks. I stopped at the store on the way home and when I got back to the car Flynn had climbed into the front seat, removed all the paper and was crunching away as fast as he could. 9cm of the stick was missing!!! :eek::eek::eek: including the pointy end.:eek::eek: I searched everywhere in the car hoping I would find that piece of stick. They were quite thick satay sticks too..., so I rang Mike in a panic but he had left for the day but he said feed him more dinner and bring him straight down so they could make him vomit. He rang the staff on duty as luckily it was late night for them and gave them instructions.

But trouble is it was pointy end and that could cause trauma and they might have to operate!! He said sometimes difficult to see skinny bits of wood like that on xray so he said best option is for him to puke it out if he can. So the poor Flynn got given IV medicine (apo-morphine) and thank god he puked it up. Two pieces of the wooden stick, pointy sharp end included, with the chicken still skewered on it! We measured it against a whole chicken stick from the other one that he had not got time to eat! He must have gnawed right through the stick and swallowed each piece whole in his haste to finally get some chicken to eat. He home and looking a bit sorry for himself, but hopefully no damage done as there was no blood in the vomit.

I feel so bad for doing that, I did not think he could get to it all wrapped up like that. I am still shaking and feel ill myself! I said lucky he is not a cat because I am pretty sure he has used up more than 9 lives... x

Oh Trish! How frightening for you. Please do not blame yourself, I think we have all overlooked things at one time or another and did not foresee what might happen. We are only human, we are not perfect like our dogs are ;)

I am so happy Flynn is okay and the pieces of stick came out of him. Be kind to yourself. Take some deep breaths and know your quick actions kept Flynn safe. (((HUGS))) to you and to Flynn!

Thanks Vicki

He is feeling much better, hungry and has eaten his dinner. It was that sharp pointy end of the stick that had us worried. Plus Mike saying he might have to operate put the willies up me!! God I have never been so happy to see him puke and that come out of him.... :eek:

Oh Trish!!!!! :eek: :eek: :eek: :eek:

Thank goodness everything came out alright (literally! :o ;) :))!

I know, I should have taken a photo of it to show you all :eek::p the vet on call and the nurses were all surprised he had chewed right through the stick a couple of time then swallowed it whole - surely he could have just nibbled the chicken off the edge of it :rolleyes: But probably better that he chewed it up a bit and did not swallow the whole 9cm in one piece or that would have had trouble exiting his stomach! I left the sticks there for Mike to have a look at when he goes in tomorrow. I txt him to let him know what happened and he said that Flynn never ceases to amaze him and he hopes his Flynn (the new grandchild) is not such a challenge! :o Night.. bedtime for us! xx

Omg Trish that must have been terrifying. That Flynn he is unstoppable when it comes to getting his meat. Remember the sausages. Lol.
I'm real glad that the sticks including the pointy ends came back up and no blood that would have been horrible.
Hope the rest of your week is less eventful.

Hugs
Sharlene and Molly muffin

Well, that was terrifying!:eek::eek::eek: So glad wonder vet Mike was available to come back and save the day (or night) once again. Fynny doesn't have 9 lives. He used those up many years ago. He's probably on number 20 by now.;) WHEW!!!!

You can breathe now;):p xxxxxx

And today's lesson is NEVER leave food wrapped, unwrapped, boxed or nailed shut near Flynn as he is a terrier and led by his food. I can actually see him looking at the food then look out the window for you and thinking right I've got 2 mins and goooooooo munch munch. :D

All joking aside I'm so glad he is feeling fine now bit of a scare for you though, I'm sure owning a dog ages us by years lol

Oh Trish, how SCARY!!! That little scamp, he is too crafty for his own good. I can't even tell you how happy I am to read that he is ok, and they got all the stick pieces out. Is he still doing ok? Hopefully he hasn't had any after effects. I bet you were just shaking, I know I shake like a leaf when I am that scared for Jasper.

Any report from the ultrasound yet?

I am working on an update on Jasper, I don't know if I will get it posted yet tonight or not. I think he is feeling a bit better, but still problems with eating, and mopey.

Hugs,
Tina and Jasper xo

Hi girls
Kathy, Mike did not go in. He was off duty but rang his colleague to say what she was to do, which luckily worked. If Flynn had needed surgery he would have gone in.

He was OK yesterday but overnight had me up 3x with ever increasingly soft poops and then this morning it was stingy poop with straight mucous :eek: Then he only ate half his breakfast and took himself back to bed :( Unfortunately Mike is still off duty, so I took him in to see the vet he saw the other night. She checked him over as I was worried it was aftereffects of the stick and hoping there had been no trauma causing his upset gut. She was happy it was just flare of colitis/IBD and gave him a shot of cerenia and prescribed metronidazole which he has never had before. I had taken him before work and then dropped him at Mum and Dads where he looked starving and gobbled down more breakfast! It was the same food that he had turned his nose up at not 1hr prior and the cerenia had only been in him about 15mins so dunno what caused that quick appetite turnaround! I have not seen a poop tonight, Dad took him for short walk and said he was fine but no pooping. But he has his usual IBD symptoms, slow walking, lethargic, looking for grass to eat but on the good side he is hungry tonight and scoffed his dinner. So we will see what happens overnight.

Mike did txt me today and said that the apomorphine could have upset his gut. So hopefully it will settle back down fast. I still worry that stick has caused some trauma :mad: I really could kick myself, he had been doing so well too :(

Still no report Tina, the vet today was going to give them a ring to hassle him but I said not too, don't want to pee him off.

Quote:

---

Originally Posted by Trish

Blardy hell, poor Mac!! That big bully black dog :mad::mad: Flynn loves all dogs except for big black ones after he got bit once, now he growls at them and if I see one coming on our walks I get him back on his leash quick smart!! Wonder if Mac will be wary of them now.

---

Oh Trish, I bet my Peg would be able to charm Flynnie. She is really, really good with everybody -- especially the wee ones. :o :) :)

To this day, she always lets Luna take any toy away, right out of her own mouth! Peg is such a good, sweet girl.

http://www.k9cushings.com/forum/albu...pictureid=2169

Fingers crossed that the metronidazole will do the trick for Flynn!

omg, I cant believe all of this. reminds me of when Zoe had to have the endscopy after swallowing Koko's hot dog!!!

Now, stop beating yourself up, stuff happens no matter how careful we try to be. Zoe would have eaten the dang paper with it:rolleyes:

I posted on my thread about the metronidazole and the dosage we use here. I just know our Flynn will be fine.

Koko was out of sorts for a few days when he chewed the nickel button off my boot and they made him throw up - he has not poo problems so, I think Flynn will be just fine, Trish, I refuse to think anything else.:)

Now, you cant blame a boy for trying some chicken. Lesson for all of us, though, no shiskabobs (spelled wrong) at our houses. Yikes!!!

Did I ever tell you about the 4th of July Zoe a six pack of hamburger buns along with half the plastic?

All kidding aside, now, Big hugs, Trish, I know how worried you are. I know the pointy sticky is a worry but it probably did not cause any damage. (((((((((((((((HUGS)))))))))))))))

Saying prayers and crossing everything I can.

Trish I hope Flynn is back to his normal self by tomorrow, and mine usually don't poop for a day and a half after a bout of loose poop, so to me that is a good sign it means all the bad stuff is out.

Goodness. You are having a bit too much drama over there on your side of the world! My thought is that it probably was the apomorphine, and we know it doesn't take much to set Flynns tummy to an unsettled state. I am betting that it will clear up in a couple days and this grand adventure of his with shishkabobs will be a thing of the past.
I know it's worrying about that pointy end, but I think you would have seen something if there had been any trauma caused by now.
I'll want to know if the internist got to cooking as directed and what he came up with. :)
Hopefully something yummy and surprising! Should be a rule that each new one has to try and out do the last one. hahahah

hugs
Sharlene and molly muffin

Trish- I think the metronidazole part of the pill is fine for Flynn. When Zoe had terrible flare ups she was on 125 mgs twice a day. I checked her bottle and she could have had more than that. I never gave her more though. Her maintenance dose was far, far less. I am not familiar with the combo drug you have so will have to research it like you. How long do you have to give it to Flynn? Zoe was anywhere from 18-20 pounds back then.

Oh My Goodness!! :eek: Never a dull moment! Poor you and Flynn, you must have been so frightened. How in the world did Flynn swallow that stick and all the chicken still skewered on it!?? I guess it was in one big gulp!
What a relief that it came back out and no surgery was needed...that's all you needed to go thru again, another operation! :eek:
So glad it didn't come to that.
Not at all surprised that the result from this incident is tummy trouble. Metron. is such a good medication for Trixie...it works so quickly for any bad poops. I give Trixie 125mg twice a day when needed.
I'm so glad Flynn is okay and I hope his tummy upset is getting better already. :p

Barbara

Trish,
that would've scared me to death too!
The lengths they go through to get at our food!

One of the few times when vomiting makes us happy! I get it.
Thankfully everything worked out.

Report is in, IMS must take after me as it is quite long!!

Dear Mike and Team and also Trish,

Please accept my apologies for the delay in reporting on Flynn's visit here earlier this month. It has been crazily busy here and we actually have fewer staff than we had at this time last year so it has been a case of managing the sick patients as best as we can and getting reporting done when time permits. I know this is much less than desirable for you and the owner but I can't do much about it at the moment. I am advertising for a new specialist but unfortunately the American market is humming again and is soaking up all of newly qualified specialists with salaries that exceed those that we can pay here! As you know better than anybody Flynn is a very complex character and Trish has done a great job of documenting all of his biochemical abnormalities. I explained to Trish that the chances of me being able to manage every issue in one single visit were very small.

I think we should focus on the good news in that the imaging shows an abdomen that that looks pretty much identical to the previous ultrasound study done here. There is no sign of a new or redeveloping liver mass nor is there evidence of progressive gallbladder disease. The enlarged lymph node that was mistaken for an adrenal gland last year is gone. His remaining adrenal gland looks exactly the same.

Chest radiographs were taken because of Trish's concern about increased snoring but as you can see there is little of significance there.

I will discuss various problems below; please take into account that I can't possibly know Flynn's issues in the detail that you and Trish know them.

(1) His inflammatory bowel disease seems clinically quite quiet at the moment. As you know there is no commercial diet that is truly hypoallergenic and also designed to be optimal for his liver. It did not seem to me that his gastrointestinal tract was causing him enough trouble to justify additional treatments or dietary change at this time. I am always cautious with dogs that are on multiple treatments that the addition of another medication could cause unforeseen drug interaction issues and upset a stable situation. If his bowel seems to deteriorate then switching him to the new Royal Canin Anallergenic diet might be appropriate. However this is not a low-fat diet, not is it optimized for the liver. One could also consider the addition of azathioprine as a form of gentle immunomodulator aimed at the inflammation in his bowel. This could have the additional benefit of being anti-fibrotic for his liver.

(2) Trish was worried about his skin and the effect that the steroids are having on his liver enzymes. I explained that I am not a dermatologist and if this issue does not improve she should consider seeing one. She asked about Apoquel. I am just getting to know this drug because as you know the launch has been delayed by Zoetis due to supply issues. I don't know of any reason why it could not be tried in Flynn but Trish would have to be aware that we are stepping into the unknown a little bit. There is no group of dogs that are exactly the same as Flynn that have been tested with Apoquel to ensure safety. However if anything untoward was seen I would estimate that it would quickly resolve once the medication was discontinued. I think on balance the risk of trying the new product is less than the risk of using ongoing steroids which we know are bad for his liver.

(3) We discussed the possibility that he may have Cushing's of one form or another. He is displaying some degree of muscle weakness according to Trish. This I think is an under-appreciated clinical sign of Cushing's disease in dogs. As you know proving a diagnosis of Cushing's disease can be problematic and if he has so called atypical Cushing's disease then it is even harder with our limited laboratory backup in New Zealand. One option is to try a trial course of trilostane at a conservative dose and see what happens. Another is to go with a non--pharmaceutical approach to Cushing's as some people with a more alternative philosophy are trying.

This would include the use of lignans and melatonin as a more "gentle" approach to controlling adrenal hyperfunction.

One thing that we should say is that Cushing's is an insidious disease that creeps up slowly and in such a well supervised dog it's improbable that he would have an irreversible complication from Cushing's before it became more obvious that he was suffering from the syndrome. I am not a believer in a hands-off approach to Cushing's but I am cautious about subjecting a dog to too many tests in the early phases of such a syndrome.

(4) I know that his blood pressure bothers Trish, although the combination of amlodipine and benazepril is safe for ongoing use and benazepril will also be helpful for his kidneys. Some dogs never recover normal BP management after phaeochromocytoma surgery. Trish does worry that the remaining adrenal gland nodule is a phaeo, and this is certainly possible, although it does not seem to be growing. We regularly investigate the laboratory diagnosis of phaeochromocytoma and unfortunately living in New Zealand is a handicap here. The lab can do some urinary catecholamine metabolites but they cannot give reference ranges and we would need to supply a number of normal dogs for comparison. I don't think Flynn requires this level of input right now, but Trish may choose to go down this path way if it becomes more of a problem to control his blood pressure.

His high cholesterol is not a worry in and of itself but of course is a hint that there are underlying metabolic abnormalities. I assume that his thyroid hormone status has been checked regularly? He does not look like a hypothyroid dog. Yes the cholesterol could be a sign of Cushing's and I refer to the discussion above on that subject.

Trish mentions a high albumin reading. As you know there is only one reason for that and that is dehydration. That in turn can then cause the calcium to be slightly elevated. I think the best explanation then is that if he had high albumin and calcium at the same time on a blood test then he was dehydrated at that time for some reason.

I like the supplements he is on for arthritis. Trish mentions that he needs a lift up on to the couch sometimes. To me this is sometimes an indicator of underlying Cushing's disease but also it could just be arthritis and old age.

Overall it seemed to me that given his history and his age that Flynn was in quite good shape which is a tribute to his owner and to the various veterinary teams that look after him most of the time. I think the dominant question at the moment to my eye is; could he have some form of Cushing's? I think if Trish cogitates on all these factors she will either choose to sit tight and wait for the syndrome to become more obvious or try some speculative treatment as discussed above.

Please call with any comments or questions,

Regards,

Repeat Abdominal Ultrasound Report

The appearance of the liver is similar to the previous study with several small nodules throughout the

parenchyma. Most of these are less than 1 cm in diameter. Some of the nodules are hypoechoic in

appearance, some hyperechoic in appearance. The previously identified nodule with a target appearance was

not visible in the study today. The 2 cm diameter hyperechoic nodule in the right liver is unchanged compared

to the previous study. A very small amount of free floating echogenic debris within the gallbladder is identified.

The gallbladder wall appears normal.

The spleen appears normal in size and echogenicity.

Both kidneys are normal in size, shape and echogenicity. The urinary bladder appears normal.

The left adrenal gland still measures 11 mm in thickness. The hyperechoic area within the left adrenal gland is

also unchanged.

The mass effect in the region of the absent right adrenal was not visible today.

Portions of the stomach wall, small intestinal wall, colonic wall and pancreas imaged appear normal.

Thoracic Radiograph Report

A peribronchial–interstitial pulmonary pattern is identified. This is very similar to the previously reported

radiographs. There is no evidence of metastatic disease.

I'm pretty pleased with this, especially the stable liver!!

The cushings talk came from a discussion on the adrenal nodule he has and narrowing down what it could be. He still thinks it is benign. Adrenal hyperplasia with elevated hormones has been linked to liver adenomas so we also talked about that, testing in my country is tricky for this as you can see from his comments. Trilostane was only to be considered if cortisol was high on testing. He has not had ACTH/LDDS since before his adrenalectomy 18 months ago so we don't know where his cortisol is sitting, but I suspect not high with no typical symptoms of PD/PU so from my point of view I would not even think about trying trilostane. I might consider lignans and melatonin at some stage. But with no growth in that adrenal nodule in over 18 months again I don't think I would right now.

I want to look into that lung thing, but he does not seem too alarmed by that.

Mike just text, he is still on a little break but said he has received it and is going to digest over weekend then we can discuss.

Appreciate any thoughts and comments, really sounds somewhat similar to our Molly Muffin...

Flynn's tummy seems better and even the itching has settled somewhat! So all in all, pretty happy this Friday evening. Not going out, just ordered fish and chips and looking forward to a nice relaxing weekend!

I also wanted to say thank you all for the comments on our "incident" :p luckily there appears to be no real damage done. Barbara I do not know how he swallowed it, it must have scratched going down, we all looked in amazement when it came up with the chicken still skewered and we were sooo pleased to see it come up!! Addy, I did ask Mike if he had to go in would he try via endoscope first and he said he would have but thank goodness we did not have to go there. Good to know Koko was a bit off after being made to vomit, (well not good for Koko to be off) but you know what I mean! Flynn seems better but I have not actually seen a poop since those soft ones overnight yesterday, Dad said he did one on their walk today but he is hopeless at describing them :rolleyes: he said bit soft but OK, I asked if there was mucous and he said he does not look that closely at dog poop LOL just "it's fine" :cool: OMG Zoe ate a 6 pack of hamburgers AND the plastic, little witch :eek::eek: did that come out on its own??

He has been given one week of the Stomorgyl, he has had two doses. I think if I see some normal poops I might stop it. Just figure with his liver problems the less meds the better.

Sharlene, we got carrot cake with cream cheese icing! He said he had not baked a cake in 10 years so we all think he did very well!! We certainly do have our favourite bakers over the years, we hear the next girl we are getting is a brilliant baker and does it often, so we won't have to wait until her last day :D

Usually after we get these big reports Mike and I go over it, I will email him my questions this weekend, then he can get back to IMS then we go from there. So hopefully now he gets over the tummy thing, the results are good, we can relax!!! Phew, so relieved tonight! xxx

Trish, I just have a couple of minutes here as I have to go in way early to work today for a meeting and also in the hopes of not having to work late tonight going into my 3 day weekend!!

I think this report looks great! I am so pleased for you and Flynn. Aren't you so relieved? I will need to go back through and re-read when I have more time, but my initial take is that it all looks wonderful. As far as the Cushing's discussion, I don't think I would even consider treatment unless he was showing some symptoms. So great that he isn't.

As far as the lungs, I am not sure what a peribronchial interstitial pulmonary pattern is exactly, will need to look that up. But as you said, they don't seem too concerned. And the liver report sounds very good. I am so pleased to read all of this, and also happy to see that his tummy has settled after his latest "adventure". Once again, our boy amazes! :)

Well, it looks like you should have a nice relaxing weekend! I better run, I want to post a quick blurb on our thread since I still haven't been able to get an update posted on Jasper. It seems like my evenings go by in a matter of minutes, and then it is time for work again. Hope to do some catch up with you over the weekend. Give a pat to that boy for me.

Hugs,
Tina and Jasper

Hey Tina!! Yes generally pleased, I do have a few questions about his lungs, I googled it and scared myself lol... but I think his is just minor and as he said to me while I was there "old-dog lungs" :p Ohhh I forgot about your 3 day weekend, nice!!! We have one next week! YAY for long weekends :) I will be looking for Jasper's update too. Already 5am for you Tina, back to bed asap... you need to be up soon!! xxx

Trish, no back to bed for me, I am up now for the day since I have to go in to work so early. :eek: Still need to shower and get ready, and then there is the struggle to get Jasper to eat. :rolleyes:

I will need to do some googling as well after work. Hope to catch you later. Almost bedtime for you, Happy Weekend! I better run.

OH no, you poor thing, you will be in bed early tonight! Hope Jasper eats his brekky for you... have a good day, it always seems a bit easier on Friday and it is my favourite day of the working week, not just because I get the next day off because I genuinely love that day the best with the people I work with so hopefully it will be the same for you!!

I think the report is pretty darn good and as always, I am amazed at the awesome quality of your veterinary teams. You and Flynn are so lucky to be in such thorough hands and the teams are lucky to have such a knowledgeable, proactive Mom.
His IBD sounds under control, I think this doctor is spot on with that. Actually I think he is spot on with everything.

Now Flynny boy, no more helping yourself to dinner.

Trish, I think you and Flynn are just fine. Thank goodness for that!!!!

Thanks Addy, I agree with you! It has occurred to me that this helping himself to dinner is unusual, he has never done that kind of thing before. Especially unwrapped it like that :eek: my sister said it is my own fault, because I taught him to unwrap his Christmas presents and they often have a tasty snack inside! So this time he just did it off his own bat and he is too smart for his own good :) Ahhh Saturday morning, love them! Washing in the machine, but crud weather, it blew a gale overnight but no rain!

Well that is a great report and seemed to cover most of the basis you were concerned about. Great that he has no lasting effects from his naughty food thieving.

I had fish and chips for tea tonight as well, and now chilling out

Hi Tracy, thanks :D he did just have a poop and was more formed but still bit mucousy so I gave him another dose of the stomorgyl. Little shite, he can get 9cm of stick in one gulp with chicken attached but he does not like that pill and spit it out four times! Yay for Friday night chilling out, I enjoyed it last night and plan on doing more of it today :D How is Mac no lasting effects from his fight? Also how is Rachael and Mason doing this week??

Yes they can tell the difference between tasty chicken stick aswell, and a tablet lol.

Mac has been a little stressed, kind of on high alert since it happened but i,m sure he,ll get over it, i will pop over and see him tomorrow. The neighbour with the dog who is called Harvey is devasted that it happened, so he is having a wall built round the garden, so that it never happens again, so Marie is pleased with that, she understands that it was an accident. But by gawd little Mac was giving as good as he got :eek:

Rachel finally is looking a bit like her old self, a little bit of colour back in her cheeks, and well what can i say about Mason he is gorgeous and threw up on me tonight lol. My sister has him overnight and Rachel and Ian are going on a "date night" they didn,t want to but my sister insisted and she is only allowed to phone home and check on Mason twice :D

Well that little Mac is a spunky young thing, he is going to be checking around when he goes outside for a bit.

Awww nice for Rachael to get out with Ian, bet she is home early! Bet your sister loves having him over too... ewww baby spit haha.. stinky!

Yeah i was straight home, stripped and into the bath ha ha. Yip my sister is a very good Gran or Glammy Gran as she calls herself hee hee. She asked me during the week if she could come along on holiday with me in September and as well get along well most of the time I said yes, so we can share the driving etc.:D

I,m on a three day weekend and boy do i need it. Whats your plans

hahahah, only 2 phone calls eh. Wonder if that will work or if they will call it an early night and just come home when the phone call limit is reached. Good of your sis though to suggest that.

Awww, and a throw up too. Throw up is only cute to a certain stage though, so enjoy it now. hahaha

Mac will come around once he realizes that the big dog won't be coming at him any time soon again. Hope that wall is high, those dogs sure know how to get over them if they aren't.

Friday night chilling sounds very good. Once I figure out what I'm fixing for dinner. (so not interested, I might do the same) Kind of wondering if I'll be able to stay awake for the meteror show that might happen tonight. Word is it Might be a good one. I'll need a nap of course. :) hmm, that's the ticket, pizza/wings (not interested in cooking), a nap and then meteror show. Just the thing for a friday night! Oh and choco chip cookies to munch on with the gallons of coffee I'll need to stay awake (make that espresso)

I thought Flynns report was good too and nothing urgent that needs to be addressed but options available if needed.

He just has a thing for his nans cooking. :) She cooks it, he eats it, they have a perfect relationship. ahhaha Nothing said about whether it is in the car or wrapped up in the fine print!

hugs
Sharlene and molly muffin

Oh Sharlene can,t beat a good meteor show, i think Friday nights should be re named take away food night ha ha.

Yep, I really wanted an Indian but could not be bothered driving that far and they don't deliver!! Maybe tonight :D Had not heard about the meteor shower, wonder if I can see it tonight?? I like all things astronomical!

Yep Sharlene, watch and wait... seems a good plan to me! It is reassuring to know that adrenal nodule is not growing either. That whole link with the possibly atypical cushings or whatever going on their metabolically just makes my head spin. But from where I am sitting if he is not displaying clear cushings symptoms I would not even ask Mike to test it. Will hear his thoughts on it too when he is back on board next week. I just wonder how come that 1cm target lesion is not visible on this scan? Did not think they would just disappear like that, and good to hear that enlarged lymph node mimicking his right adrenal has disappeared too.

Molly's enlarged lymph node went away too (disappeared). Actually a lesion can decrease in size. If you google "canine lesion disappears ultrasound", then you'll find several hits about where lesion can decrease in size enough to not be seen. I wonder if it was tied to what was causing the lymph node to be enlarged, an infection usually.

I was interested where the IMS said he doesn't like to even continuous test for cushings without symptoms. I wonder why that is and if there is some risks he associates with the testing itself. (not that I have ever heard of any risk, I'm just curious).

If you can't see the meteor show from where you are, then you can check this out:

http://live.slooh.com/stadium/live/c...ca-may-23-2014

It goes live at 11pm EST I think it is. They say there is a good chance that will be not a shower but a storm of meteors and that there should be lunar impacts with flareups. So maybe a good one. It's supposedly due to a heavy debris field left a comment from the 1800's.

I think a bath sounds good right now too! Might jump in one while I'm debating on where to order pizza from. :)

hugs
Sharlene and molly muffin