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Re: My 13 yr old baby has Cushings
Hi Marianne,
Hope all is well. See below email answer from Dr. Yau. Chi is still having issues eating so I guess we're going to wait to start the trilostane. We have her on a low fat diet. Also, how much should a ACTH cost?
Thank you so much!
Dear Elizabeth and Danielle,
I will recommend low fat diet for Chi at this point. Pancreas does not like fatty food.
I will not treat her Cushing's until her appetite is back.
Diet recommendation
Royal Canin GI low fat
Hill's i/d low fat
Purina EN low fat
Lipase can be elevated from hydration status. It is not a reliable test for pancreatitis.
Sincerely
Vivian
On Wed, Oct 26, 2022 at 12:21 PM Elizabeth Daro <elizabethdaro@eliasentertainment.net> wrote:
Hi Dr. Yau,
Hope all is well with you.
Sorry we missed your call yesterday. I’d like to get your thoughts on Chi starting Trilostane in light of her Spec CPL levels. Also, as I mentioned before, Chi has become a picky eater which is very unusual for her. I’m assuming that’s caused by the pancreatitis. I noticed back in March her Lipase were at 1564 and now they’ve dropped to 342. Has she had pancreatitis since then? Is there anything we can do to help her out? She’s not her old peppy self. ☹
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Re: My 13 yr old baby has Cushings
As always, thanks so much for this update. I certainly can’t argue with holding off on starting the trilostane until Chi is eating normally once again. Hopefully the low-fat diet and a bit of time will turn things around for her.
As far as ACTH costs, it’s been years since I personally paid for one, myself. We do have a survey posted here to which members have had the chance to respond over the years. Unfortunately, there have not been many recent responses, and costs are probably higher now than ever before. Historically, it looks as though the average was in the $200-250 range. But as you’ll see, there was also a lot of variation around those numbers. For what it’s worth, here are those historical survey results:
https://www.k9cushings.com/forum/sho...st-U-S-Dollars
Marianne
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Re: My 13 yr old baby has Cushings
Hi Marianne,
Thank you so much for your response re: ACTH costs.
I'll keep you posted on Chi's progress.
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My Baby Chi Has to Have Surgery
My 13-year-old chihuahua (Chi) has Cushing and now has to have another tooth extracted. I’ve read that general anesthesia should not be administered and that Cushing dogs require a different drug administered by a specialist. Has anyone dealt with this issue?
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Re: My Baby Chi Has to Have Surgery
Elizabeth, welcome back to you and Chi. You’ll see that I’ve merged your new question into Chi’s original thread. This way we can remind ourselves of her past history and also keep any new discussion consolidated in one place. As for your question about general anesthesia for a Cushpup, I’ve personally not heard of a blanket contraindication. However, anesthetic agents can be hard on both the liver and also the kidneys. So any dog who’s suffering from compromised liver or kidney function can be at an increased risk. Since liver abnormalities are often associated with Cushing’s, I’m guessing that’s where the concern may arise, depending on any given dog’s individual situation. In terms of an anesthetic alternative for a tooth extraction, though, I’m afraid I’m unfamiliar with what that may be.
How’s Chi generally doing these days? Did she ever start taking the trilostane? Once again, we’re glad to have you back, but sorry about the need for the extraction!
Marianne
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Re: My 13 yr old baby has Cushings
When my boy, Harley, had 3 teeth extracted, it was performed at one sitting, and this was when his Cushing's was not controlled, he sailed right through this surgery with flying colors, no complications at all. Harley's vet did state that they would be doing things a bit different with him since the Cushing's was not controlled: like pushing more fluids before, during, and after surgery; using a different kind of anesthetic that's not as hard on a dog with some type of illness, I believe it was Propofol.
Hugs, Lori
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