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Re: Tipper - adrenal tumor/breathing issues
Addy,
was Zoe on Trilostane or Vetoryl? If not, then Patti, I would lean toward a bacterial infection. They found some in Daisy's urine but it didn't grow at the lab. Weird. Apparently, some grow with air and that is the most common but there are some that don't.
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Re: Tipper - adrenal tumor/breathing issues
I wonder why none of this shows up on her blood work?? She does have the goopy eyes it comes and goes. I must investigate this further as I am really at my wits end with this.
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Re: Tipper - adrenal tumor/breathing issues
Hi Everyone:
As I was saying I am going to have the vet see if Tipper has a sinus infection Wednesday. She is making a lot of breathing noises now, this is scary as you are in the dark about the cause. I need to get this handled. I just wonder why an infection would have not shown up in her blood work though. I have to go back over it again. Last nite she was moving about the bedroom again. neither of us sleeps well with this going on. I am going to call the vet that subs for my vet today and ask that he look over Tipper's blood work the last few times and see if he thinks it indicates any type of infection to him. Yesterday it was cool as it is this morning. We went out on the porch and I made bubbles for Tipper. She still wants to jump at them and fly thru the air like she used too though, so I have to watch her and keep her down. She does get angry when the bubbles drift off the porch and sit on the grass where she cannot get them. She was actually trying to climb thru the porch railing to get at them! I am waiting on a call from the pain clinic as I am miserable with this pain. I am going to call them if they do not call me. The humidity is coming back next week so we will have to walk early. I wish it could just stay in the high 60's with no humidity. Blessings
Patti
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Re: Tipper - adrenal tumor/breathing issues
Patti,
I hope that they find the cause for Tipper. Daisy is St congestion free and I am still amazed.
Humidity bothers me also. Another reason why I wanted to live near the water and we got the house in West Haven. It's two streets away from Long Island Sound. The beach has a boardwalk so I plan on taking Daisy walking there.
Good luck with the pain clinic!!!
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Re: Tipper - adrenal tumor/breathing issues
Hi Everyone:
Well I called the substitute vet, who I do like and seems competent enough. He told me that on Tipper's blood work nothing is showing infection, so he also said that there can be times when a sinus infection would not show up in the blood work. He said the greater 5 of the time it will not show up. So we discussed the options since you would have to really sedate a dog to go up their nose and get a good sample, and may not get the right spot either. Then we discussed X Rays, but it is hard to do the sinuses he said he would have to sedate her. So that left those two things out. Then I asked if we could do a trial antibiotic that was safe, and see if the problem is eliminated. He said that is the most conservative, safest way to go with her. She does get an acidy stomach though and this will bother her probably. Any ideas on minimizing that will be helpful from you all. She also cannot have the mox antibiotics as she had an allergic reaction to one, even though he said those were the safest. He said he would research it and come up with something safe and compatible to her current meds, that would do the job. So I will go and pick them up in a while and give this a whirl. If it does not work then there are two possibilities left. Either allergies or trilostane side effects. I used to love a good mystery, and solving it. Not since Cushings! Blessings
Patti
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Re: Tipper - adrenal tumor/breathing issues
Daisy is on Clavamox for infection and Pepcid AC for acid. She also gets Carafate which coats the stomach. The Carafate is dissolved in a syringe with water.
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Re: Tipper - adrenal tumor/breathing issues
Hi Everyone:
Well the vets called and said to come and get Tipper's RX and when I got there they had a sign up saying closed be back at 3:30. I was so disgusted, why did they not tell me this??? Well I had to go back and get the lousy 7 pills of Simplicef for 30.00 what a rip off!!! Any way does anyone have an bad info or experience with this drug. I have started researching it and have seen nothing bad. She will only be taking it a short while, but she must her safety is paramount to this experiment. I will not be giving her this until tomorrow after she has eaten, as I never give a new med unless the vet is in in case she has a reaction to it. Tipper was never so happy when she saw the vets and we turned around and left!! She has been ok inside the house today. The vet told me the pollen is really bad this year, and a fellow sitting there with his dog said it keeps getting goop in it's eyes! So we will see what this is. I may have to give her some Greek Yogurt after this course of drugs. I just hope it does not start her stomach going as antibiotics caused her acid reflux in the beginning. I have worked like crazy today. The neighbor brought me sweet potatoes, and Elvis loves them so I cooked up a bunch and processed them for him and they will go in the freezer, have some left to do yet. I made a corned beef and cabbage, made Elvis some couscous he loves it. Various other things and two trips to the vets, so I am tired. I am taking Tipper out on the porch as Toby was just out, and make her some bubbles. Blessings Patti
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Re: Tipper - adrenal tumor/breathing issues
I don't know anything about that med Patti. The only thing I saw was Not to give with anti acids.
Hope this helps or at least eliminates possibilities.
I wonder what kind of treatment Valerie's doctor is thinking of trying with Daisy.
Hugs,
Sharlene and molly muffin
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Re: Tipper - adrenal tumor/breathing issues
Patti, my Peg has been given Simplicef for treatment of UTIs and she has not had any problem with it (and it has cured the UTIs :)).
Marianne
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Re: Tipper - adrenal tumor/breathing issues
Hi Everyone:
Thank you for the help, as I said I will start her in the morning in case of any reaction. The dogs each went out separately on the porch and played with bubbles and they really enjoyed it. Toby still wants to play with Tipper and he just wants to rough house you can tell. Poor fellow, he gives her kisses thru the gate, and tries to make up to her. It's a shame cause he is lone!y, but Tipper cannot be trusted anymore. It is nice and cool with the air on and Tipper and Toby are knocked out. I have been researching about Tipper's tremors. I found
several references to vitamin B12. I read that if it is low it can cause tremors, and some medications can cause problems with it . I am wondering if Vetoryl could cause this. I looked in all the vetoryl studies on dogs, but found nothing on vitamin B12 deficiency from it's use. I need to ask my vet about this. I am still trying to get these tremors stopped, but need to know what the mechanism is that causes it. Could it maybe be this?? It's worth looking into since so little is known about these tremors. Blessings
Patti
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Re: Tipper - adrenal tumor/breathing issues
Patti,
before Cushings, the only meds that Daisy ever needed she received after luxatng patella surgery and as a pup when she came home with us and had kennel cough. This one is not familiar to me at all. Sorry.
I'm curious to see what the vet says about the B12 and tremors.
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Re: Tipper - adrenal tumor/breathing issues
Hi Everyone:
Well I gave Tipper her antibiotic dose today so we will see what happens. She has already walked because we are to have a hot day today. With her supplements and pills I have to set a timer on the IPhone to remind me when she gets what, and as I said before it is so cute how she runs to tell me when it goes off and waits for her pill. I have talks about her obsession of wanting to kill anything with a motor. Yesterday I had to use the food processor. She was jumping as high as the counter to get at it and bite it. I had to grab her and put her in another room. She must be felling ok if she is willing to jump, or else the obsession overrides any pain she has. She stayed out on the porch for about a half an hour and that is a good improvement over last year form her being afraid of noises. Yesterday I was so busy it was almost 2 hours past her feeding time and she never made a fuss. I realized I had forgotten and fed them. I know her cortisol must be pretty low not to be hounding me for her food, so I better be extra vigilant as she does not get her ACTH until July. I am hoping no problems come up. I just have a feeling she will be off the Vetoryl for a weeks and restarted at a different dose again, because that has been the pattern to date. I really pray we do not have to as that means another ACTH 2 weeks after the one scheduled for July. It is just too hard on her and it stresses the &%$ out of me. Hoping everyone has a good weekend with their babies, Well no reaction so far from the antibiotic, so I am grateful for that. Blessings
Patti
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Re: Tipper - adrenal tumor/breathing issues
let's hope the ab will do the trick with tipper's breathing issues.
seems like tipper is doing ok on this vetoryl dosage.
as long as she is jumping and playing and walking.
no more thunderstorms i hope?
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Re: Tipper - adrenal tumor/breathing issues
Hi Patti & Tipper
Just checking in on you and was happy to read your baby is trying to eat the food processor. You are so lucky she likes to take meds. Maya will not. Doesn't matter what I hid it in she will find it and spit it out. I have to put it down her throat and usually get a few teeth marks in the process. Griffin on the other hand will gobble down anything. I hope the antibiotics help Tipper to breathe easier. You are both in my thoughts. ~Angelique & Maya
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Re: Tipper - adrenal tumor/breathing issues
Hi Patti! I'm glad you got some antibiotics for Tippers and at least she feels like playing. Eli won't even play anymore. My Vet sometimes gives Eli something for his stomach as well. I have to look at my thread to see what it is though.
Eli tremors as well. Iris said her Flynn had tremors also, but the Vetoryl stopped that. I know when Eli had the few days on Vetoryl, he had stopped all the trembling too. Or, maybe he got Essential Tremors from me!! :eek::eek::p:D:rolleyes:
I wish Eli played more, he worries me. Poor little guy seems he got so old over night. :( I hope you both have a happy weekend though. Did you ever hear from that pain clinic?? I go on Tuesday myself. <sigh>
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Re: Tipper - adrenal tumor/breathing issues
Hi Everyone:
Well day two of the antibiotic so we will see what goes on here in about a week, The IMS emailed me back and basically said this much: I thoroughly examined Tipper inside and out when she has that scope done, there was nothing seen that could cause her problems, or put her in danger, so be glad of that! Well I never said I was ungrateful number one, and secondly that does not help the mystery of this congestion she is having right now??? She said it would not be the Vetoryl, so like I said these Dr.s always think they know everything, when in fact it is clearly stated that it can be a side effect of it. So I guess I am on my own as usual, and will need to crack this case without her help! I have not heard back from the Cardiologist on the question I asked about what happened to Beckys dogs heart. I am still waiting! Tipper slept ok, but was up and moving around the room a lot. I am worrying about these storms from Monday to Thursday that are to be coming. I will have to leave town! Tipper will not be able to handle four days of thunder. I need to think of something to do for her. I am going to give the dogs a bath if it gets real warm outside to day. Tipper has a grey look to her hair since being sick. She has always been snow white, I think it is the Vetoryl as like with people taking drugs and it leaves a marker in your hair. Blessings
Patti
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Re: Tipper - adrenal tumor/breathing issues
Patti,
Just wanted to say you and Tipper are in my prayers.
Donna
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Re: Tipper - adrenal tumor/breathing issues
Hi Patti,
I am so sorry you are having all these problems with Tipper. I know I have been away for a long time, not always a good thing.
Lola used to do that swallowing A LOT especially at night, actually now that I think about it, it was worse before she was diagnosed. She still does it, I researched it and found so many different things, some of which made sense and some didn't. What I thought made perfect sense is that dogs usually do that when they have acid reflux of upset stomach, so it could be caused indirectly by Vetoryl. did you try giving Tipper some Pepcid AC? it may help.
Lola is doing better overall Cushing's-wise, but the knee injury is not giving up, she is limping again and seems to be in pain. I gave her half a tablet of Tramadol this morning.
Her tests are due in two weeks, so I will wait until then to have her seen by an Orthopedic surgeon for another evaluation.
Nadia
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Re: Tipper - adrenal tumor/breathing issues
Nadia:
Glad to hear from you. Thank you for thinking of us. Yes Tipper is having quite a time. She does get acid reflux, I do treat it off and on as she does not have it all the time. I think this is connected somehow to her sinuses or trachea maybe a sore throat from post nasal drip? I am sorry to hear Lola is having leg troubles. Tipper does off and on too, but I think hers is because I have never been able to completely stop her from jumping on things, and from doing the Jack Russell pogo jump. I think sometimes she re-injures it so that may be what Lola is doing. I take Tipper for Laser therapy still every three weeks. I am being bled dry by all of this, but I continue on for her sake. I hope Lola gets better. I think Tipper may have a low pre number again from how she is acting so I am watching her closely. I really don't want her to have to had another ACTH until July as she has had way too many, then if the dosage changes another one already! Blessings
Patti
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Re: Tipper - adrenal tumor/breathing issues
Hi Everyone:
Well Tipper had fun chasing bubbles on the porch. It got too hot and humid so we had to come in. She does love her bubbles! She had a good day and played with her ball and her toys. She seemed a bit better today. She is still doing good with the food, no begging!! Both dogs had a bath, and are smelling and looking good. Elvis had his shower, and the cats well ,they are the cats! So all in all a good day for Tipper. Hoping for another one tomorrow! Blessings
Patti
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Re: Tipper - adrenal tumor/breathing issues
Sounds like a very good day Patti. It's nice to have those once in awhile, eh :)
hugs
Sharlene and molly muffin
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Re: Tipper - adrenal tumor/breathing issues
Happy to read this!
Please enjoy days like this!
Treating a disease when no happy moments exist is a disease not worth fighting against...
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Re: Tipper - adrenal tumor/breathing issues
Hi Patti! Just checking on you and Tipper. Sounds like you had a good weekend for the most part. :D Eli is starting to run me up and down to pee every couple of hours. I'm starting to think it's about that time again.....as you and Marianne said. ....I thought he might go a couple of months, at least drug free. I guess not.
I hope the AB are working for Tipper. I hope that will be the "cure" for her immediate ills for now anyway. :D
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Re: Tipper - adrenal tumor/breathing issues
Hi Everyone:
Yes I love the good days Tipper has. She was mischievous yesterday, getting into all her toys and dragging them all over, throwing ones up in the air, and wrestling with others. I did notice however when bathing her she was moaning a bit as I washed her. Her skin is so paper thin, don't know if that is the reason, could be as instead of massaging muscle, skin, and fat, it is just thin skin on top of bone. Maybe rubbing hurts in that situation even though I was very gentle with her. I think back when she loved a bath. Now she dreads it. I happened to look at a picture of her in my old house on the back of the sofa looking out the window was her favorite spot. From seeing her so boney now she looked fat to me in the picture even though she weighed almost 2 pounds less than now. It was obviously all the muscle etc. making it appear this way to me since it has been so long since I have seen her like that in person. It did upset me greatly seeing how she once was so muscular and strong. We are on day three of the antibiotic. I do not know if it is working as she senses the impending storms coming and got off the bed, went into her crate, then decided to sleep in the closet after all. So I could not hear her breathing or noises she makes. I am hoping this storm stuff for four days passes us. We got to the vet Wednesday for Adequan and blood pressure, if it is storming maybe her will give her something there? Other than these storms she is outwardly doing good, still going on the porch, and generally enjoying her day. I try to put out of my mind what is going on inside her and I am living in my denial bubble for a while. I am sure you have all been there. Delora is having a blood transfusion this week, I guess due to all the bleeding she has done for 7 months now. She does not understand why, so she was not able to explain to me what is going on. She is never told the truth, that is the biggest problem. I am going to be giving Tipper some herbs today when this storm gets closer. I had the dogs in the yard last nite, some of my beautiful Rose Azaleas did not make it thru this brutal winter, so I have to dig them out. Always stuff around here that needs done! Blessings
Patti
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Re: Tipper - adrenal tumor/breathing issues
Hi Everyone:
Well the storms blew in and thundered like crazy. I had given Tipper herbs and she ran to the closet. I turned the TV up and put the fan in the closet and shut the door as far as possible. It has been over for almost an hour and she is not coming out. I do not hear her panting, so I think she is staying in there in case it starts again. Thank God for this walk in closet. I have so much stuff in it it should be sound proof! The sun is out now, but no telling what this weather will do. I am just acting normal and talking to Toby to see if she will come out. Toby went out during the storm, he wanted on the porch. He is not bothered by anything, that would be horrible with two being scared! I whizzed around here and cleaned the house today to get it out of the way. I had a friend call and said she may drop in with her dad for Fathers Day. I really hope not, that is an extremely bad day for me always, and really would rather be alone on that day. Wish she would just come another day. Blessings
Patti
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Re: Tipper - adrenal tumor/breathing issues
i hope the storm is over now.
as long as she is feeling safe in the closet, i think it helps her survive the storms.
just let her decide when she feels safe enough to come out of the closet.
and when she does do not pay extra attention to her.
act as normal as possible. give her the idea that a storm is just a part of the daily routine.
maybe you can postpone your vet visit a few days till the storms are over.
driving in a storm and a vet visit sounds like double stress for you and tipper.
but maybe the storms will miss your area this time. that would be great!
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Re: Tipper - adrenal tumor/breathing issues
Iris:
I know two stressors are not good. I may cancel after seeing the weather report
tomorrow. If it changes I will go as Tipper needs her Adequan. Blessings
Patti
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Re: Tipper - adrenal tumor/breathing issues
Hi Everyone:
Well Tipper came out of the closet, so I said let's get your teeth brushed as she likes the poultry flavored toothpaste! She was ready so we brushed her teeth! I just acted normal like nothing was wrong. She is resting on my bed now snoring. I hate to say it but, it is threatening to start again. All I can do now is put the fan on and the TV up. I have been praying for these storms to go away. Please all pray for Daisy Mae.
Patti
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Re: Tipper - adrenal tumor/breathing issues
We are all pulling hard for Daisy Mae. She is a fighter and I do hope she can beat this thing.
Hope the storms aren't too bad, or not at all would be even better. She must be calmed down if she was ready for a tooth brushing. :)
hugs
Sharlene and molly muffin
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Re: Tipper - adrenal tumor/breathing issues
Patti,
I think about Tipper when it rains here too. I know she gets panicky just as bad as Tia did. Sounds like the herbs are working though and the walk-in closet is a great idea too. Take care.
Much love and prayers,
Donna
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Re: Tipper - adrenal tumor/breathing issues
Hi Everyone:
Donna thank you for all the moral support you give me for Tipper. This is hard as you know with her being scared all the time. Last nite was one of Tipper's worst nites. It was a bad storm. We were both up all nite, and I acted like nothing was wrong. I turned ont he tv and listened for Tipper as she was panting her head off and scared to death. I ignored her and I am so sorry I did at one point the panting got so bad I thought she would have a heart attack. She will never go out potty when it is storming, but she need out and I did not realize it. I took her out and diarrhea just squirted out of her, she could not stop going even though she was scared to death outside. My poor girl really had the worst time. Then she had poop on her put and snapped at me for trying to clean it. She was so upset it was horrible to watch. The herbs I think are becoming ineffective on her or not lasting long enough. She held that diarrhea for a half an hour and never went in this house. She is an amazing dog, but I am needing some way to help her. I inquired about a sound proof kennel that has air circulation that she could sleep in and not hear all this, it is clear so she can see out. the company is in the UK but they have yet to answer my email inquiring about it. I am desperate. I gave her no Vetoryl this morning for two reasons. One she is sick, and two I want her cortisol to come up a tad to help her with this stress. These storms may be here until Thursday. I may ask the vet to give her a valium and sit in front of his office in the car for an hour or so to see if she has a reaction. This needs addressed she cannot go on like this or it will kill her I am sure her heart cannot take this wither blood pressure skyrocketing, and then her eyes. I am scared of that too. Please God let it be calm today. I can barely stay upright today, I cleaned the house yesterday and was up all nite and I am exhausted. Tipper did eat this morning and did walk for me. If she has no more diarrhea and we have no more storms before morning I will give her the Vetoryl in the morning. I am sure her cortisol is up after last nite. Please pray for her that these storms go away and she can be calm. Thank God for one thing Toby did not start barking at the thunder, he was too tired. Blessings
Patti
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Re: Tipper - adrenal tumor/breathing issues
Hi Patti & Tipper
Poor baby girl having thunder and diarrhea all at the same time. Have you tried the Rescue Remedy yet? It is exhausting to be up all night worried about your pup. Do try to take care of yourself as well as Tipper. You are in my thought today. Hugs Angelique
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Re: Tipper - adrenal tumor/breathing issues
Thank you for thinking of us Angelique. We are now having another round of storms. The thunder will not let up. I just gave Tipper herbs and she is in the closet. This poor baby, my heart aches to see her like this, and I am worried what
all this is doing to her. I hope it goes away soon! Blessings
Patti
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Re: Tipper - adrenal tumor/breathing issues
That sounds quite awful Patti! Poor Tipper, she must have been so upset to get the runs. Stress for sure.
I do hope that these storms stop. You've just been swamped lately. :(
thinking of you both
hugs
Sharlene and molly muffin
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Re: Tipper - adrenal tumor/breathing issues
Hi Everyone:
Well the storm is done for now. I gave Tipper a good dose of herbs and she stayed in the closet. I just saw the weather report saying that we are going to get tornadic weather coming from the west with real bad winds tomorrow afternoon. Tipper did just go out on the porch with me for awhile and we did bubbles, but she is panting already from no Vetoryl this morning. It is to get cooler tomorrow. My vet may have to step up and do something here as she goes in the morning.I can't believe how strong Tipper's symptoms are. Every time I have stopped her Vetoryl she starts with the symptoms so quickly. I just saw a bulletin on the weather saying out west is having really bad weather and tornadoes coming this way! Great! Blessings
Patti
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Re: Tipper - adrenal tumor/breathing issues
i am sorry for you and tipper that the weather is so bad lately.
we are getting temperatures up to 30 C [85-90 F].
these are causing thunderstorms too.
i agree you need something stronger than herbs to control tipper's fear.
if the storms permit you to drive safe tomorrow, you can ask the vet for it.
the effects of extreme stress are worse than a tranquilizer i guess!
this can not go on for tipper [and you of course]
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Re: Tipper - adrenal tumor/breathing issues
Hi Everyone:
Just a short post as I have to take Tipper for her Adequan shortly. Tipper is developing the habit of sleeping in the closet. I don't exactly like it, but I think she is gun shy because of all the storms we have had day after day, she feels she does not want to get caught out of the closet and it starts thundering. So last nite was at least peaceful. I am going to go over this with the vet again today. Hope he has time to discuss the Chinese Herbs!! I have to get him in a good mood. Blessings
Patti
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Re: Tipper - adrenal tumor/breathing issues
Hi Everyone:
WE are back from the vets with no blood pressure done as Tipper got riled up at Toby before we left the house and she was nervous in the car because the weather is ready to get bad and she can sense it. I di however talk the vet into valium. If that is good or bad remains to be seen today. I was going to give her one and sit in his office which he thought was a real good idea. Then I thought if I do this and then the storm comes this afternoon, she cannot have another one. So I opted out of that. His other office is open later if need be, as she could have an allergic reaction. I told him what happened the other nite and said I can't watch this anymore, this anxiety with everything else she has going on is going to kill her and I have worked so hard to keep her here. He finally gave in, but was hesitant as I am too. There is just simply nothing else left, I have tried it all, and there is no other options. I pray to God I am not sorry for giving this to her if I have to. She got her Adequan and we discussed my theory of the vitamin b12 and the tremors. He said it could be possible as the dogs get older they have less of it, he said he will research it- probably 4 years form now! Then I started to ask him about the Chinese herbs, he said I am not ready for that argument today, do that next week please!! Crap!! You can only go so far with him and he explodes. He also said several of the fatty cysts Tipper has have to come off. I said if you put her under than I would want he teeth cleaned and get it all as I will not do it again. The one by her ear is bad, she must have at least 7, 4 of which are bad . Has anyone had anything removed like this? I am wondering if these will heal ok, as I am not wanting to start any skin issues as she has enough going on now. So please some opinions on this please. There would be my vet and another vet working on her at the same time, so I am fairly comfortable that with two vets they could handle an emergency situation if one should arise. The other vet is younger an d I like him, he is very innovative and intelligent. I think it will be in July as she is due for blood work and ACTH then and we could use the blood work to make sure all is well before putting her to sleep. Does anyone think it is possible to do the ACTH then too, as she would not be stressed out from it, or would that not ne possible when she is under?? God I hate Cushings, our lives were so much easier and simplified before all this. I have to go though I know I do. Blessings
Patti
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Re: Tipper - adrenal tumor/breathing issues
Hi Everyone;
Well this storm was supposed to blow in here around 4pm. It really cooled down though and I saw on the weather that cooler temps came in and we may not get the storm, just rain-YAHOO. The next threat is Sunday. So we will be ok for a few days- Yipeee I do not want to have to use these pills and will wait until the last minute to do it, but it gives me a certain security knowing she won't be crazy and making herself sick over the storms anymore. It is a low dose 2mg of valium, so I hope it works and does not give her reaction problems. Lucky is pretending he is stalking the birds while I type this. He chatters his teeth at them, but one bird in particular I noticed he makes a different sound at. I am disappointed we did not get to go over the herbs at Tipper's appointment, but he is just hard to deal with so next week I will hit him with the print outs I made. I have to up and out of here early and be at the hospital for my echo tomorrow so the dog sitter is employed once again. I am hoping to get some feed back on Tipper's lumps having to come off and what you all have seen as far as healing on Cush dogs??? I hope my Tipper has a good nite. Toby already fell asleep as it looks dark out and he must think it's nite time. I just saw the lower part of the state is going to get the bad weather so I hope we are safe. Blessings
Patti
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Re: Tipper - adrenal tumor/breathing issues
Hi Patti, did you get the storms today? Did you try the valium? if so how was Tipper? Hope no allergic reaction and it helped her if needed.
I have never heard of an ACTH while they were under anesthesia. I don't think I would do it, simply because I don't think I'd want to risk anything else while they were also under anesthesia and they do have to inject that agent into them, which dumps cortisol into their body, however much that may be. I just don't like that risk. I'd do the ACTH before the removal of lipomas so you know where her cortisol is at.
I think if they have uncontrolled cushings, then it can take longer to heal, but with controlled cushings I'd hope that it would heal better. Since you always have to worry about infections with cushings, I think as long as you get it cleaned out and any antibiotic ointment or antibiotics that they want to have her on, even if they start before, which often they do with teeth cleaning It should be okay.
If I remember correctly Tipper doesn't have an enlarged liver, so that should be one less thing to worry about. Of course the vets have to be aware of her heart murmur nd monitor her closely, but I expect they have dealt with that before?
hugs
Sharlene and molly muffin