Finally made it home phew. By that had to be the longest day every, I left the house at 6 am this morning and just got home at 10 pm, and I,m only a little bit further forward.

Forgive me as this maybe long, I will try and just bullet point it.

1. Woody presents with a lot of Cushing symptoms, PU/PD excess hunger, pot belly, thinning of hair, especially after being shaved for operation. LDDS test done results tomorrow, all other tests for cushings show negative - Cushings is not being ruled out at this point.
2. Collapse:- Sounds like a syncope and maybe related to his already exsisting heart murmour - ECG and Chest X Rays required, to rule out heart related.
3. BP remains stable no sign of hypertension, blood pressure taken during the day at intervals I think the highest was 170 which they weren,t too bothered about as it could be white coat syndrome.
4. General blood work up done - results tomorrow.
5. Colitis still present and at times severe - continue with meds the vet gave me, change of protein in diet recommended.
6. Due to Woody having a neuroendocrine tumour, Thyroid, cushings and several other hormonal diseases can,t be defiantly ruled out.
7. Adrenal Mass - Could be the primary tumour but they can,t understand if it was then why did the cancer cells go from right to left and cordial and not cranial as it "should" do. Adrenal Mass maybe a Pheo but CT scan would be need to confirm, and if so then surgery would be the normal option, but may not be in woody,s case. Ultrasound recommended to check on the adrenal, all lymph nodes in the area, and internal organs.
8. Anal Sac Carcinoma and Left Medial Iilac LN. LN had cancer in it of that there sure and again should go cordial towards the anal sac and not across the body to the left adrenal gland, although pathology has revealed that no cancer was found in the anal sacs they are not convinced that there wasn,t a microscopic tumour there, cancer cells have been found in woody,s endocrine system, but no sign of where they are going, coming from or will end up.
9. MDR Entercoccu - Urine sample taken results tomorrow to see if this has cleared up or not.
10. Palladia - Ian explained all he knew of this drug, I have literature home with me (not had a chance to read it yet). Primarily this is for MCT tumours and has quite a good success rate, it is also used in skin tumours, which is what Anal Sac Carcinoma is classed as especially with a mestarsized (sp) to a lymph node. This drug is given Mon, Wed, Frid for the life of the dog. Main side effect is GI upset, which usually happens in week 2 then the dog is taken off the drug until symptoms subside then slowly drug is re-introduced, I take it this is a bit like what people do with the Cush meds. The dog is monitored every week with bloods being taken to see if causing any damage to likes of liver, kidneys etc, this is done for 6 weeks then monthly thereafter if dog is doing well.

All of the above was talked at great length and detail, so I,m just giving you the outline of it. Ian has explained endocrine system, and neuroendocrine cancer to me in full, and I finally get it, and how hard this is to pinpoint the tumour. Nothing has been ruled out, which I know isn,t great but at least things are a bit more clear to me. I have asked Ian what happens if I just do nothing except US every month or so, what can I expect, symptoms, life expectancy, and he said honestly he couldn,t answer me as they don,t know where the tumour is. He said he would expect it to go to the lung first, then liver and heart possibly brain, as he,s not sure of primary then he didn,t know life expectancy as some tumours grow quickly and others don,t. It was hard to hear by I admired his honesty. He did say that as Woody isn,t the norm then who knows lol. We didn,t get out of "class" till 4.30 pm and as Woody wasn,t due his last blood till 6 pm I just stayed at the hospital café. At about 5.45pm Ian came into the café and had a coffee with me, he said he had been down to say hello to Woody and he was doing fine, but he was really worried about his colitis especially the straining and couldn,t believe it was still going on, we discussed it again at great length and how worried I was that he was hurting himself, he said he was going to look into it some more as he hated watching Woody earlier in the day. When he was leaving he said to me how glad he was that Woody was with me, and he could see how dedicated we were to each other, and that he would try his best to help Woody and I should never give up on him as he is a fighter, then he gave me a big cuddle, I had tears streaming down my face.

Now here,s where it all goes wrong, at 6pm I went to reception to let them know I was there to pick up woody and sat in the waiting room, at 7 pm (reception closed) I rang the night buzzer and a student vet came out, I explained that I had been waiting an hour to pick up Woody, she apologised and said she would go get him. At 8 pm after trying to get a hold of numerous people I got a hold of the cleaner and told her to either get someone out to speak with me or swipe her card and let me into the wards, as by this point I was tired, hunger and worried that something had happened to Woody. Finally at 8.15 pm this student vet brought Woody to me, I was so relieved that I asked what had happened as I had waited 2 hrs, he mumbled something but by that point I was heading out the door. So if that wasn,t enough I get home, walk Woody and go indoors to see that he had a bandage on his back leg, started to take it off him, when I realised they had left the canular in his leg (idiots) I called them immediately and was told to bring him back in, I live 2 hours away, so I agreed to take him to my own vets in the morning and keep him quiet tonight. What a day eh. Woody is fast asleep in my bed as I type this and hasn,t bothered with the bandage yet.

Sorry its so long