Oscar....pheochromocytoma

[wracso]

Hi, I have a 10 1/2 yr. old Lab "Oscar" who was diagnosed yesterday with pheochromocytoma at a top veterinary medical center. I had noticed he was panting, more tired,coughing over a period of time and took him to my local vet about 2 months ago. She ran a serious of tests but could not diagnosis the exact problem so sent me to a veterinary center. He was tested for Cushing's numerous times but does not have it and this was the only forum I have found where anyone is even familiar with "pheo's".

I am not sure all the info you need but will try to give as much as possible in the hopes that someone can provide me insight and any guidance (or past experience). I have read the past stories on dogs with these cancers but would love more insight from anyone who has been through the surgery. His surgery must take place in the next 7-14 days so I have to decide quickly. The hospital is 4 hours from my home so it will be an undertaking as the healing time is 3-5 days just in the hospital.

He has an adrenal mass on his right side that is invading his liver and also is in the caudal vena cava. It is a large tumor and the only option is surgery which is very risky. It is a 10-20% mortality rate and a very serious and long surgery because of the location of the tumor. If surgery is not done the tumor will eventually cut-off blood flow to the heart and he can go blind, have seizures and die.

Neither of my options are very appealing but he is my guy and if his quality of life would improve I would do it. Has anyone had any experience post-surgery with their dog and their quality of life?

I truly can't thank you enough for allowing me to post his story and appreciate all comments and feedback. Or further questions?

Thanks so much!
Oscars Mom

[gpgscott]

I am so sorry that Oscar's condition has brought you here.

We have a few members who check in on a regular basis who have had surgery for benign adrenal tumors.

Please check back frequently, I know someone with some first hand comments about adrenal surgery will be along soon.

Best wishes to you both.

Scott

[lulusmom]

Hi Oscar's Mom and welcome to the forum.

I'm sure sorry that you and Oscar are having a tough time of it right now but rest assured that we do have members with experience with adrenalectomies onboard. Ken has a beautiful girl, Shiloh, that had surgery over 3 1/2 years ago and she's done really, really well and she is as gorgeous as ever. I've included a link to Ken's thread below and I'm sure he'll be by to share his experience with you.

http://k9cushings.com/forum/showthread.php?t=1332

These surgeries are not for novices so Oscar's surgeon should be board certified and extremely experienced in performing these surgeries. I'm sure you have checked all of this out but I know how addled I've become from time to time so it never hurts to throw stuff out there.

I normally have a ton of questions but for now, I'll leave the asking to folks with experience, like Ken.

Glynda

[labblab]

Welcome!

Here is a link to a thread on our Archives that details the experience of one of our members and her dog, Sammy, who underwent surgery for a pheochromocytoma of the right adrenal gland:

http://www.k9cushings.com/forum/showthread.php?t=1041

Although Carol described the experience as harrowing, Sammy was gifted with additional years of joyful life. Hopefully Carol may be able to stop by here herself. But in the meantime, here's Sammy's surgical story for you to read...

All best wishes to you and to Oscar,
Marianne

[littleone1]

Hi Oscar's mom.

Corky and I would also like to welcome you to a very wonderful group of very caring and knowledgeable group of people with a great deal of experience.

I don't have any advice to offer, but Corky has a right adrenal gland tumor which is infringing on his blood vessels, but he is not a good candidate for surgery. So far, his adrenal tumor has remained the same size for several months. He is being treated with Trilostane.

I wish you and Oscar the very best. I will keep both of you in my thoughts and prayers.

Terri

[wracso]

Hi,
Thank you so much for your commments and responses. I have read Sammy's story (I actually read it last night at midnight after we returned from our 4 hour drive home from the medical center). I haven't been able to find all the history on Shiloh so if there is a thread would someone send it to me? It's been such a traumatic few days I just am trying to wrap my head around the diagnosis. We were at one of the top vet schools in the country and spoke with the best surgeons. For this type of rare surgery they do about 12 dogs a year which is very high because of the few cases that actually are diagnosed with pheochromocytoma. I spoke with my local vet tonight and she told me this is her first case in 17 years. I so appreciate any other info or comments or guidance. I just don't know what to do at this point and am trying to gather as much info in a short time as possible.

Thanks Again.
Oscar's Mom (Anne)

[Harley PoMMom]

Hi and welcome to you and Oscar from me and my boy Harley!

Ken and his beautiful Shiloh don't actually have a dedicated thread about Shiloh's surgery here, yet, but I have searched through the forum and found some posts where he has talked a little about Shiloh's surgery...I hope it helps.

http://www.k9cushings.com/forum/showpost.php?p=24821&postcount=4

http://www.k9cushings.com/forum/showpost.php?p=24779&postcount=4

http://www.k9cushings.com/forum/showpost.php?p=12920&postcount=141

http://www.k9cushings.com/forum/showpost.php?p=11446&postcount=65

Love and hugs,
Lori

[wracso]

Lori,

Thanks so much for the posts on Shiloh, it helps me understand the procedure much better. Her surgery was on the left adrenal side and Oscar's mass is on the right side where it is extremely risky because it's so close to the liver, pancreas, vena cava (etc..) All of them have risk but those on the right side seem to be the most difficult from what my Dr.'s told me and from what I have read.

I so appreciate your feedback and kind words. We are still in a state of shock and still trying to absorb this sad news.

Thanks,
Anne (Oscar's mom)

[chapmandou]

Hi Anne,
Sammy's mom here. I'm so sorry to hear about Oscar's diagnosis -- it's certainly not a surgery that anyone wants to have to consider, although if successful, it can be very rewarding. As you know, Sam's pheo invaded the CVC, but not the liver. Even then, it was touch and go. Fortunately, he pulled through, made an amazingly quick recovery once he got home, and we were fortunate to have another two wonderful years with him before we lost him to another condition.

It concerns me to know that in Oscar's case the pheo is also invading the liver. Has the surgeon discussed with you exactly what this means, both in terms of complexity of the surgery as well as potential outcome? Obviously, we know that it's possible to remove a pheo with vein invasion, given a highly skilled surgeon, surgical team, post-op team, and a bit of luck. I would want to know how invasion of the liver impacts the prognosis.

May we know where you're located? Do you have confidence in the specialist/surgeon you've consulted? If so, I would be inclined to ask what they would do if Oscar were "their guy." Would they feel the surgery was worth the risk? In Sam's case, we knew that without surgery he had no chance, so we were willing to give it a try in order to extend his life if at all possible. It was a tough 5-7 days for all of us, but pretty smooth sailing thereafter.

It's very difficult to weigh the odds when, as you say, he's your guy and you want to do the very best for him. Sam was certainly our guy. Our surgeon seemed confident and up to the challenge. As Shiloh's dad likes to say, you really want a "Top Gun" sort of surgeon, and that's exactly what we got with ours. Sure enough, he pulled it off, as did the equally important surgical and post-op team. But it can be a bit of a roller coaster ride, as you no doubt surmised when you read Sammy's story. You also know the mortality rate, so all of this must be considered.

If I can answer any questions, please don't hesitate to ask. I'll do my very best to help over this next week or two while you evaluate the options.

My thoughts are with you and Oscar.
(((hugs)))
Carol

[wracso]

Hi Carol,

So nice of you to respond, Sammy's story was so great and one of the few happy ones I have come across. I live in the panhandle of Florida and Oscar was diagnosed at the University of Florida Veterinary Medical Center small animal hospital. The surgeons I met with have done this surgery before. You are correct that with the pheo invading both the CVC and the liver it does make the surgery more tricky. They typically tie off the artery on both sides of the pheo but because the pheo is in the liver they will have to put a Tourniquet over the part near the liver. They said the mass is usually very hard and just slips out, his is large enough that it cannot be missed (just under a golf ball). The odds they gave me are 10-20% mortality rate for his condition.

Oscar is a large dog which apparently is a plus for this type of surgery. He is a 100 lb. lab and his blood pressure is still fine. He was panting but they have put him on blood pressure medicine in preparation for surgery (in case I decide to move forward) so he just tired now and has been resting more than normal (if that's possible) since our return last night.

If you have a specific Dr. or other info you feel I should check into please let me know. I am open to suggestions but researched facilities near my home and it was UF or Auburn and UF seemed to be better in internal medicine.

Thanks Again,
Anne

[Buffaloe]

Hi Anne,

I am Ken, Shiloh's Dad.

Shiloh's tumor was a very large, malignant, corticol adrenal tumor. It was in her left gland and after my surgeon removed it he told me it was as big as two racquetballs. It was pressing against the caudal vena cava, deviating it and compromising the blood flow. It was not invasive. Prior to the surgery he told me they have an 85% long term success rate with these types of adrenalectomies...just what your surgeon told you. She was one month shy of turning 12 at the time of her surgery. Prior to her surgery she was in bad shape, just hanging on, really.

We were fortunate to have an extremely talented and experienced board certified surgeon perform Shi's surgery and he was assisted by another wonderful bc surgeon. I must confess, it was a very, very difficult thing to go through. But, I had no choice...either let her suffer and die soon or have the surgery. I knew if Shi knew the situation she'd want to go for it.

I truly believe it is a huge plus that Oscar is only 10 1/2 years old. We couldn't tell from the ultrasounds how bad Shi's tumor's involvement was with the cvc. I remember I asked him, if the tumor has invaded the vena cava if it would make the surgery more difficult. He answered, "a little." I have to believe the experienced surgeons know how to deal with a tumor that has invaded the liver. I'm sure the tumor's invasion into the cvc and the liver will increase the difficulty of the surgery. You need to make every effort to find the most talented and experienced surgeon available as I know you are. Oscar is pretty young and I bet he's a strong boy.

Before the surgery, my surgeon told me that the only people in my position who should not have the surgery are those who absolutely could not handle it if their dog didn't make it. I knew the risks and I knew we were giving Shi her best chance, by far. But boy, it was rough. When I dropped her off for her surgery, I hugged her hard and absolutely lost it...I flat out ran out of that facility. When my surgeon called me late that afternoon and told me the surgery went real well and she was resting comfortably...total elation. He said at that point we were, "more than halfway out of the woods." Post-op went well and she made a complete recovery.

I don't think you should feel like you are in some huge hurry. We had to wait an extra two weeks for my surgeon to return from Germany. Other good board certified surgeons wanted to perform her surgery right away but I decided to wait for Tim Tebow ;);)...or should I say, Joe Montana.

No question, it is a serious surgery with clear risks. One of the techs at my surgeon's facility told me that normally there is some levity in the operating room before most surgeries. But she said before adrenalectomies, Dr. Gilson gets real, real quiet.

Good luck with your decision. If you decide to go ahead with Oscar's adrenalectomy, you have to realize there is a chance he won't make it. You can't blame yourself if things don't go as you wished. Then again, what's the alternative. For me, the decision was clear-cut, it was Shi's only chance. It is flat out tough. Sorry for rambling.

Ken

[wracso]

Ken,

Thank you so much and I have slowly been preparing myself for all possible outcomes. Oscar's tumor is also an adrenal cortical tumor and they suspect it to be malignant because of its invasion into the surrounding structures (liver and CVC). What type of dog is Shiloh?

Oscar's CVC shows the tumor invading both the CVC and the liver and that does it make it more risky. Oscar also unfortunately has a very mild case of laryngal paralysis but at this point it does not cause him significant problems but can over time. His main symptom is that his bark is now horse, it sounds like he was out a concert the night before!

My main concern is his quality of life post surgery. If everything went well how would Oscar be if he survives? Shiloh is obviously a very special dog and you both are so lucky to have each other for so many years.

Thanks so much for the info!
Anne

[Buffaloe]

Hi Anne,

Shiloh is a german shepherd, collie mix, 75 pounds. At the time of her surgery in Oct. 2006 she was ready to turn 12. My vet and surgeons all said she was a good surgical candidate; other than the adrenal cushing's she was in good health.

Shi stayed at our surgeon's facility for 3.5 days after her adrenalectomy. As soon as I brought her home I could tell she was happier and feeling better than she had for months prior to the surgery. She would wag her tail and give me lots of kisses, which she didn't do at all prior to the surgery. She rested alot and just wanted to go out in the yard, do her business and come back in and rest. But, she got better and better every day. That malignant tumor was hurting her badly and having it out made all the difference in the world. She was immediately cured. It took a while for her to get her strength back but after 6-8 weeks she was running, going for mile long walks regularly, she was HAPPY and feeling great.

Obviously, not all dogs recover as well as Shi. I know we have been blessed. I really do believe God just decided to take care of us on this one.

I think you should try not to feel overly rushed in your decision. I'm a believer in surgery when it is needed but most people in our situations opt not to have an adrenalectomy. How is Oscar doing these days? Carol's little fighter, Sammie, had two adrenalectomies and she is a wonderful resource for you. Hang tough.

Ken

[wracso]

Ken,

Oscar is doing okay, he is more tired than normal because (I assume) of the blood pressure medication they have put him on in preparation for surgery. They also are really pushing me to make a decision with 2 weeks because of the size and location of the tumor. They feel it will grow and cut off the blood supply to the heart and then it will be too late. They are surprised he doesn't have more symptoms yet from the tumor.

Oscar has never been a big runner, fetcher or athletic dog. He has been a great lover of people, always loves to sit on the sofa or his bed and a superb eater (bones, food, yard debris or whatever he can find). He is a very sweet lab that gives kisses and is a big show-off and loves to be the center of attention (specifically mine).

My fear is because of the size of the tumor and the timeliness they are telling me that something else may happen in the meantime. I feel like I need to decide in the next few days (a week max) or it could be too late. The thought of him going blind, having seizures or dying because I didn't make a decision is what weighs on me the most.

Thanks so much for all of your input,
Anne

[gpgscott]

Anne,

It is never easy to decide for another.

Oscar sounds like a fighter, and you do too.

God's blessings to you all as you decide.

Scott

[wracso]

To All,

Thanks to everyone who has responded and given input and support on this very special website. I received an e-mail from the surgeons I spoke with at the veterinary center today (I had sent a list of additional questions). The primary Dr. has done over 50 adrenal surgeries and the secondary Dr. has done over 15. They would be the main two doing the surgery along with the supporting medical staff.

Lots to think about but for now I will go feed Oscar. He has decided to jump on the sofa and lick my face (he does that when he's hungry or wants something). :-)

Thanks Again,
Anne

[O'Riley]

Anne, if you're considering surgery at a teaching hospital, make absolutely positively certain that students won't be involved in your dog's operation. I've had (human) family experiences with teaching hospitals, when we thought the big honcho was doing the surgery, but found out that much of the surgery was performed by residents, students, less experienced people. Not only is this bad because of the experience level, but it takes soooo much longer when they're explaining and teaching and then handing over certain aspects of the surgery to students. The less time your puppy is under anesthesia, the better.

I'm a skeptical girl, so keep that in mind when reading my post. It is May, school's out for the summer very soon, and if most dog owners choose not to have the surgery done, that would make this a rare surgery. Could this be the reason for the pressure to make a decision?

I hope I haven't added to your anxiety with my comments, but I feel very strongly that patients are not made well enough aware of -- to put it bluntly -- the bait & switch that can go on in the operating room. If it were me, I would ask for written assurance beforehand that no vet students or residents would be involved in the surgery. I should add that this doesn't just go on in teaching hospitals. Private surgeons very often have interns that they turn at least some part of the surgery over to.

~Rosey

[gpgscott]

Anne,

In my opinion, teaching centers are the heart of learning. I am sorry that some have had an outcome that did not meet their expectations.

When a pup is at an accredited teaching center they are being treated by people who are training to become caregivers and they are being overseen by Dr's who are fully accredited.

Scott

[Buffaloe]

Anne,

That is really nice that you got a response from the surgeons and apparently, your questions answered. They sound very experienced which is terriffic. Do you get the feeling that they are fairly confident about Oscar's surgery? I believe they think they have a very good chance for success or they would not attempt the surgery. From conversations with my surgeon, I know he will not attempt to remove adrenal tumors from many dogs. I presume (don't know) the reason is often because the dog is just not a good candidate...too old/weak.

I believe that even the surgeons can only know "so much" before they actually get in there and see exactly what they are dealing with. So, I think you gotta take alot of it on faith.

I understand that you need to make a decision pretty soon. I was just trying to say, don't let them pressure you or make you decide in a day or two. Your surgeons sound very, very good to me and I hope you feel comfortable with them.

Whatever decision you make for Oscar will be the right one. Really, I think you gotta go with what your gut tells you. It is so very difficult to be ultimately responsible for the dog you love so much. It's also difficult because it is all the way or none...you either have a huge and risky surgery or you do basically nothing. Something tells me, you're going to have your answer within a couple of days. Again, whatever decision you make for Oscar will be the right decision.

Ken

[wracso]

Update,

I received a follow-up e-mail this morning from my surgeons letting me know they will be the ones doing the surgery. The students will only observe. There will be residents in the sugery room passing instruments to the Dr.'s but that will be it. They are actually doing another adrenalectomy this week. He reassured me they have as much experience as anyone in the southeast and will do their best.

I am leaning towards doing the surgery but it would not happen until next week because of our work schedules. I feel by having the surgery I am giving Oscar a chance and if I don't do it I am giving him a death sentence for sure. Not 100% sure yet but I think by tomorrow I will know my answer.

Thanks,
Anne

[MiniSchnauzerMom]

Anne,

I've not posted to your thread before and just finished reading about your Oscar. You sound confident in the facility and doctors who would be performing the surgery plus you've done your homework and asked plenty of questions. Whatever decision you make for your Oscar will be the correct decision. You've done all a loving, concerned Mom can do to take care of and make the best choices for her furkid. Wishing both you and Oscar the best.

Give Oscar some hugs and smoochies from me.

Louise

[frijole]

Anne, Please know that regardless, we are behind you. Sending warm thoughts and extra strength your way. Kim

[wracso]

Thank you all so much! I am so thankful I found this site and have received invaluable information and support. I uploaded a photo of Oscar today with his favorite stuffed animal and in his favorite spot (the sofa)!!

[wracso]

Update,

We have decided to have the surgery next week. We will drive early am next Monday the 4 hours to the veterinary hospital for bloodwork and pre-surgical tests. The surgery will take place Tuesday morning and we will be there for a few days at minimum.

It's been a tough decision but I have to give Oscar a chance. If you didn't know he was sick you would have no idea, he was playing around today. The blood pressure medication they have given him has stopped the panting and he has no signs of sickness (except he is extremely tired).

Thanks for your support and please keep him in your prayers,
Anne

[clydetheboosmom]

Hi Anne -

I'm so sorry you had to find us, but glad you did :) I'm glad you have decided to give Oscar the chance - we will be hoping and praying for you on this end.

I don't have anything intelligent to add here, but would like to say that you will not find a better set of caring individuals here.

Welcome.

Lynne, Clyde & Bailey

[littleone1]

Hi Anne,

I'm glad you made your decision. I know it was a very difficult one to make. Continued thoughts and prayers that everything goes well with Oscar's surgery. Corky and I are keeping everything crossed.

[labblab]

Oh Anne, we will definitely keep Oscar in our thoughts and prayers! I know this was such a difficult decision to make, but it sounds as though it will give Oscar the best possible chance for recovery. And now that the plan is in place, we'll all be able to focus our energy on wishing him well.

Please do keep us updated!!!!

Good luck hugs to you all,
Marianne

[wracso]

I cannot say enough about this website, what a blessing! Thanks so much to everyone for their support.

Anne and Oscar

[Casey's Mom]

I have been following your thread - just wanted to give you a big cyber hug. Big hug for Oscar too - we will be rooting and pulling for him all the way!!

Love and hugs,

[chapmandou]

Anne,
I believe you've made the right decision. We went ahead very quickly with Sammy's surgery for much the same reason -- invasion into the CVC, which was threatening his life every minute, even though he seemed pretty happy. That was the hardest part, taking him to the hospital the morning of his surgery. He was a bouncy boy, happy as could be that morning, but we knew it was only a matter of time before the blockage would take him from us, and it would not be pretty. You're giving Oscar the same chance we gave Sam. With a little bit of luck, your love, and good hands, you'll have a similar outcome. That's what we'll all be pulling for. Know that you'll have a lot of folks holding him (and you) in their thoughts and prayers.
(((hugs)))
Carol

[zoesmom]

Haven't posted to you before but have been following your thread and the agonizing decision process. The indecision can really get to you fast, so with the choice now made, I'm pulling for a good outcome for your guy. I think, given the prognosis, that you have made the only decision possible that will give Oscar a chance. Do keep us posted and many hugs to Oscar! Sue

[acushdogsmom]

Anne,

I haven't posted to your thread before either, but I am also following Oscar's story when I am able to, and I want you to know that like everyone else here, I am rooting for you and Oscar and getting ready to send all the positive vibes that I can muster in your direction for Oscar's surgery and post-op recovery.

[Buffaloe]

Hi Anne,

I definitely think you have made the best decision for Oscar. It is going to be an emotional thing for you to go through. Oscar will be in my thoughts and prayers in a big way.

Ken

[gpgscott]

Anne,

You have made the right choice. It does not matter which choice, it is yours and Oscar's. You are here to chose for him. Now you just have to live it out. And we will be here as you do.

Please lean on us.

Scott

[wracso]

Update,

We head out Monday at 6am for Gainesville, fingers crossed and prayers in full force!! Surgery will be Tuesday first thing and I have no doubt he will be their toughtest case of the week. I have heard from the surgeons or the Dr..'s each day and that does give me comfort.

I met some friends for a quick dinner tonight and when I returned at the front door was Oscar (and Scout -his collie/sister/mother). He was so excited (it had been a few hours since we had seen each other-HA) and if you didn't know you would think he has the most energy of any 10 1/2 year old Lab you have ever seen. That has been the toughest because he seems perfect now with his blood pressure medicine (although I know he isn't). He held out coming in tonight from the backyard unless I promised him a treat, so typical.

My many thanks to all,
Anne

[chapmandou]

Bless his little heart. I know exactly how you feel. Honestly.

Sending all kinds of positive magnetic healing vibes to the surgeon's hands and heart, too.

(((big hugs))) to you both
Carol

[O'Riley]

Wrasco...If you know, from all the discussions you've had with the specialists -- are there ever dogs with adrenal tumors that first try out mitotane (Lysodren) prior to undergoing surgery? In trying to educate myself about Cushing's, I was grateful to find the following website describing Cushing's in terms that even I can understand, complete with photos of ultrasounds, photos of drug vials, etc: http://www.lbah.com/canine/cushings.htm

In the adrenal tumor section near the end of the page, it says:

"Adrenal tumors can also be treated with mitotane at high doses and for a long period of time. Side effects are common at this dose, and relapses can occur. These dogs will also need to be on supplemental prednisone for the rest of their lives."

What conditions have to exist that would cause a vet to recommend surgery over drug therapy?

~Rosey

[labblab]

Hi Rosey,

I'm not Wrasco :o, but I can offer a couple of quick comments in response to your questions. If a dog's age and health permit it, most vets agree that surgical resolution of adrenal Cushing's is preferable over medication management. This is because surgery offers a complete cure, whereas medication does not. And depending upon the following tumor characteristics, surgerical removal may be needed in order to address a life threatening situation: the size of the tumor, location, rate of growth, and whether or not it is cancerous. When the tumor is of a size and location that it threatens the vena cava (critical blood vessel that channels blood back to the heart) or other internal organs, then surgery becomes a pressing decision.

For dogs without aggressive tumors for whom surgery does not seem to be a good option, medication can be helpful in easing Cushing's symptoms. As Terri has written, her Corky has been doing well on trilostane. Lysodren (or mitotane) can also be prescribed, and due to the way in which it acts to erode the adrenal cortex, it is thought that it may help to control the size of some adrenal tumors.

I believe the quote you've included above refers to a much more aggressive use of mitotane which is uncommon in the U.S., but is sometimes employed by vets in Europe when surgery is not an option. It involves high doses of mitotane that purposely induces an Addison's condition. This is not a casual undertaking. It can be life threatening it and of itself, and the dog must be monitored very closely with the need for ongoing medication supplementation for the remainder of its life.

Hope this all makes some sense. And I hope that others will also be by to correct any misinformation that I may have given, or add more thoughts.

Marianne

[acushdogsmom]

Just a quick reply to Rosey to let you know that a pheochromocytoma, although it may be located on an adrenal gland, is not the same thing as an "ordinary" adrenal tumour. With pheos, for example, there can be life-threatening blood pressure spikes and other very serious complications which do not occur with "ordinary" adrenal tumours. As far as I know, drugs such as lysodren cannot be used to treat a pheo. Surgery, done as soon as possible, by an expert and experienced Surgeon/surgical team, in a state-of-the-art 24/7 care facility, just like the one that Oscar will have, is the best and only treatment.

[wracso]

Rosey,

Unfortunately, Oscar is not a candidate for medication because of a number of factors. The location of the tumor is on the right adrenal side which is very close to the liver, heart, caudal vena cava. Also, the size of the tumor is large (golf ball) and is very close to cutting down or off the blood flow to his heart. They are sure his 99% malignant and it's located between the CVC and the liver and both are threatened. He is literally a walking time bomb and at anytime he could have a seizure, blindness, death if the tumor increases in size.

He is an extreme case and I have seen where smaller tumors that are not malignant can be helped with medication.

Thanks for your info,
Anne

[maggiebeagle]

I'll be thinking of you Tuesday.

[frijole]

Just offering continued support and I too will be thinking of you on Tuesday. Lots of hugs your way... Kim

[Harley PoMMom]

Will be thinking of you too, and tons of prayers are being said and sent.

Love and hugs,
Lori

[Dutchboy]

just reading your thread on oscar. my thoughts and prayers go with you. labs are dear to my heart...

[MiniSchnauzerMom]

Anne,

Add me to the list of members who are saying lots of prayers for Oscar's successful surgery. Will be thinking of you on Tuesday and awaiting your update.

Louise

[gpgscott]

Right here Anne,

For you and Oscar.

Scott

[mypuppy]

Hi Anne,
My prayers are ongoing for Oscar's speedy recovery so you can enjoy each other again. Tight hugs for you and belly rubs for precious Oscar and licks from my chocolate lab Princess...xo Luv ya. Jeanette

[Franklin'sMum]

Hi Anne,
Joining in to wish you and Oscar the best of luck. Thoughts and prayers from my home to yours
Jane, Franklin and Bailey xxx
________
Cheap Glass Bubblers (http://glassgallery.tumblr.com/bubblers/)

[zoesmom]

Same here - hoping for a good outcome and a speedy recovery for Oscar. Sue

[wracso]

Thank you all so very much for the words of encouragement and support! I have said it before but this site has been such a source of comfort for me and I truly appreciate all of you.

I have been dreading the upcoming week but know that Oscar will be in great hands. He has been his usual self since our return from the hospital two weeks ago, the high blood pressure medication has worked well. If you didn't know he was sick you wouldn't have a clue. Obviously, that has made the decision tougher because on the outside he appears perfect yet on the inside I know he is not.

Oscar and I just came in from the backyard. We shot some videos of him and took a lot of photos. Oscar decided to roll around in the dirt after I had brushed him which is pretty typical. He now has a bone and is sitting on his bed (with his bone shaped Oscar pillow behind him of course)!!

I will keep you all posted, the surgery is first thing on Tuesday morning and will take anywhere between 2-4 hours.

Thanks Again,
Anne and Oscar

[acushdogsmom]

I'm so glad to hear about your day with Oscar today - sounds like it was a special day for all of you, spent together having a good time.

It's Mother's Day today, too, so Happy Mother's Day to you! :)

I will be thinking positive thoughts and will also be anxiously awaiting all of your updates.

[chapmandou]

Anne, I'm so glad Oscar has had a week or so of BP meds prior to surgery. That's an advantage we didn't have with Sam.

Sending all the positive energy we can muster down your way for tomorrow. Give him lots of hugs and kisses for us.

((((((((Oscar))))))))

Big hugs for you, too, Anne.

Carol

[gpgscott]

Anne,

I know you are on pins and needles, and so are we.

Best wishes and prayers for a successful outcome.

Waiting to hear.

Scott

[frijole]

Sending great big hugs and lots of warm thoughts from the heartland to Florida. You, your family and dear Oscar will be in my prayers. Kim

[Harley PoMMom]

You, your family and sweet Oscar will be in my thoughts and prayers also.

Love and (((hugs)))
Lori

[mypuppy]

Hi Anne,
I too wanted to wish you my ongoing prayers for a very successful surgery and that Oscar recovers in no time. Take care of you. xo and luv, Jeanette

[SachiMom]

Hi Anne,
Adding my prayers for Oscar. We will all be sending out the healing thoughts and prayers for a successful surgery and speedy recovery. With all the stress, be sure to take care of yourself, as you will be needed to take care of Oscar.
Hugs from the west coast.
~Mary Ann

[Dutchboy]

Thinking of you and Oscar today and saying lots of prayers for a successful surgery and smooth recovery!

[Franklin'sMum]

Adding my thoughts and prayers to the mix. Update when you can, and all the best,
Jane, Franklin and Bailey xxx
________
Coach handbags (http://icoachhandbags.com/)

[lulusmom]

Adding myself to the long list of folks that are thinking of you and Oscar today. Looking forward to an update just as soon as you feel up to it.

Glynda

[frijole]

Continued warm thoughts... Kim

[Dutchboy]

checking back a few times to see how things are going....been thinking of you all day.....

[wracso]

Update.......

Oscar has made it through the surgery!! It took 4 surgeons and 4 hours to complete. He did as well as they could expect and his blood pressure fluctuated but that is typical. They also gave him a blood transfusion. The tumor was larger than expected and had grown in 2 directions which is why it took longer than expected. When the surgeons came in the quiet room to tell me the news they truly looked worn out!

What an excruciating long day. I ended up taking Oscar with me to the hotel last night and bringing him back this morning. I kept thinking if something happened at least he spent his last night with me. Needless to say it was a great idea but I couldn't sleep so if I am rambling so sorry.

I was unable to see him after surgery because they said I can cause his pressure to go too high once he hears my voice. They said I could see him tomorrow. The Dr.'s said he is 50% there and the next 48 hours are critical. They are happy with his progress so far but are monitorning his blood pressure very closely. If it goes too high his retinas can detach and he can go blind. He has someone with him at all times and I will receive an update again this evening.

Thanks so much to all for the support, thoughts and prayers! I will send another update once I have more info. I could not ask for anything better than what happened today.

Anne and Oscar

[lulusmom]

Hi Anne and thank you for the great update. It sounds like Oscar has an amazing surgical and recovery team which must bring you a great deal of comfort. I am sure that others, like me, will be elated to hear that things went so well. Of course, Oscar isn't out of the woods just yet so plenty of prayers will continue for you and your sweet boy.

[acushdogsmom]

Thank you for the update, Anne! This is such good news. :D

Continuing to hold my breath and still thinking positive thoughts for you and Oscar and I hope that we'll hear from you again soon with more good news.

Please update us as often as you can and try to get some sleep tonight. :)

(((hugs!)))

[chapmandou]

Anne, I'm so happy for you! That's one giant hurdle crossed! Now the healing starts, which can have its own ups and downs, as you know, but you're halfway there at least. Sam had plenty of BP spikes during and after surgery, but the 24/7 monitoring makes it a lot easier to manage and Oscar is in the right place. He'll be pretty out of it for a while, so best wait 'til tomorrow to see him anyway. I suspect they'll have all sorts of monitors and IVs hooked up, so be prepared for that. It's all necessary and good. A day at a time now, with fingers crossed for continued good news.

(((((((Oscar&Anne))))))

[Harley PoMMom]

Oh Anne, I am so happy for you too. We will definitely keep sending our healing thoughts, well wishes and prayers your way for sweet Oscar. Thanks again for keeping us updated.

Love and hugs,
Lori

[littleone1]

Hi Anne,

I'm so happy to hear that the surgery went well. You must feel so relieved that that part of it is over.

I'll be keeping you and Oscar in my thoughts and prayers. Sending positive thoughts that everything continues to improve and that he has a speedy recovery.

[Dutchboy]

Thank you for the update; I will continue to pray that Oscar makes a full recovery. Hope you get a good night's sleep tonight!

Sandy and Dutch

[wracso]

I just stopped by the medical center for my evening update. Oscar's blood pressure has spiked and they are now giving him medication to regulate. He has had no heart arrhythmia which they said was good. They told me if his blood pressure does not regulate by tomorrow we will have to get a new game plan. When I stopped by they said he was asleep and snoring so loud everyone in ICU was jealous!

I'm trying not to worry about the high blood pressure right now because he is doing so well otherwise. If his pressure is not back to where they feel it should be tomorrow we will deal with it then but hope and pray for the best tonight.

[frijole]

Thanks for the updates. We will continue to hold you and Oscar close to our hearts. Kim

[Buffaloe]

Hi Anne,

It sounds like Oscar's adrenalectomy went well and the surgeons put their all into it. I'm hopeful that his blood pressure calms down tonight. Thank you for the updates and Oscar is in my prayers.

Ken

[SachiMom]

Hi Anne,

Continued healing thoughts and prayers for Oscar's recovery.

You have to be exhausted so try to sleep.
We're all in this for the long haul, so you'll have to keep up posted.

Tons of (((((((((((HUGS)))))))))) to you.

~Mary Ann

[Casey's Mom]

Praying tonight for Oscar, wonderful news about the surgery though!! You must be exhausted and are hopefully sleeping by now.

Love and hugs,

[gpgscott]

Thanks for letting us know Anne.

Hang in there, Oscar is a tough one and it sounds like things are going well.

More prayers.

Scott

[wracso]

Update,

I was finally able to see Oscar. He actually walked into the waiting room and saw us. They said it was remarkable that he had major surgery 24 hours ago and was up and moving. He is doing well and his 2 outstanding issues are his blood pressure going up and the sutures are secreting a bit of blood/fluids. The blood pressure is being closely monitored with medication. The sutures need time to dry out and they have gauzed them for now.

I spoke with the surgeon and he said he just needs more time. He felt very good about things and he did a wonderful job. I will have to leave him there until Sunday at the earliest. He is eating like normal and ate every treat I gave him (and was sedated). Overall, he was extremely pleased and said everyone loves him in the back. He has a corner cage and an outdoor area with a bed and his stuffed animal. He carried his stuffed animal outside this am while he went to the bathroom and never dropped and just carried back in when he was done. The student attached to him is great and she really likes him which is comforting.

I am very pleased and cautiously optimistic for the rest of the week. I have to drive home tomorrow and will be back on the weekend. I will get multiple daily updates. Keep us in your thoughts and prayers!

Thanks so Much!
Anne and Oscar

[acushdogsmom]

Terrific update, Anne! :D I'm so glad that you got to see Oscar today. Sounds like a good report from the Surgeon and it also sounds like Oscar has settled in comfortably there for his recovery period. It's good to hear that he's eating and also good to hear that the staff who are caring for him have taken such a liking to him. :)

Continuing to hold my breath (I'll be doing that until he's back home again, safe and sound) and still thinking positive thoughts for you and Oscar and I hope that we'll hear from you again soon with more good news.

[Harley PoMMom]

Awww, I think it is just adorable that Oscar carried his stuffed toy outside and would not let it drop...he is so precious.

Most definitely will be keeping you and Oscar in my thoughts and prayers.

Love and (((hugs)))
Lori

[frijole]

Wonderful news. I don't think you could ask for more really. Love the story about the stuffed animal. Shows old Oscar plans on playing. Amazing. Do keep us posted and know that we will keep the vigil going. Warmest thoughts - Kim

[mypuppy]

Hi Anne,
Just wanted to say how adorable Oscar is and looks so much like my Princess. So glad his surgery is over and surely praying for his quick and full recovery. Btw, mY Princess is also a choco lab and as much as I love all breeds, I can only admit I am partial to labs for obvious reasons. I mean who isn't with their own, am I right everyone? LOL. I know life is very busy right now and will be during Oscar's recovery but I would,love to see more pictures of him and if you have some time yourself you can view some of my Princess on my profile. Take care of you and Oscar and looking forward to reading more good updates and hoping Oscar will be back home in no time so you can spoil him rotten. Haaaaaaaaaa. Luv ya bunches and sending you both very tight hugs. Xo Jeanette

[Casey's Mom]

Wonderful news - yeah Oscar!! I love the image of him carrying the stuffed animal outside in his mouth. Would love to see more photos when you get time.

Love and hugs,

[SachiMom]

Hi Anne,

:D:D:D:D:D:D:D:DBIG SMILES :D:D:D:D:D:D:D:D

Great update. Warms my heart.

Now the second hardest part comes in......waiting and worrying until he is home again. But he is where he needs to be right now and in the seond best hands possible....yours being first of course.!!!!!;)

Would love to see a photo of him with his stuffed buddy.

Continued healing thoughts and prayers.
Tons of (((((((((((HUGS)))))))))) to you.

~Mary Ann

[Buffaloe]

Anne,

It sure sounds like Oscar is recovering beautifully. He's probably farther along at the 24 hour post-surgery mark than Shiloh was at that point. He is remarkable and you are a very brave lady. Still, it's a little too early to celebrate and pop the cork yet.

I've been praying for Oscar regularly for a week and won't stop until he's safe at home in Momma's arms.

Ken

[zoesmom]

Anne -

That is just what I was hoping to hear. :):):):D:):):)

In fact, it's even better than I expected . . . so soon after such a major surgery like that. Will continue to keep Oscar and you in my thoughts and prayers and will be watching for more 'reports from the field.' Sue

[gpgscott]

It all sounds very good Anne. I know how tough it is going to be for you to go home and just have to live on reports for a few days but it is so good to know that his caregivers are treating him like family.

Best wishes for continued healing and recovery.

Scott

[chapmandou]

Anne, this is truly an amazing report after just 24 hours! Bless his heart, he's eating and carrying his stuffed animal pal around already. Hope his recovery continues at this remarkable pace. He sure is resilient, your baby boy! :)

((((Oscar))))

Carol

[wracso]

Update,

We left Gainesville today with heavy hearts but I have had 3 calls today from the hospital that Oscar is doing well. His blood pressure has come down and they were able to take him off the stronger medication and put him on a different one. They think because the pancreas was manipulated it just needed some time to get back to normal. His sutures are no longer secreting fluid so that was good news as well.

He is eating, going to bathroom and they said his tail wags non-stop. This has been really tough but so far so good and hopefully we will be able to take him home this weekend. We are planning on driving back Saturday to stay overnight and return home with him on Sunday.

I added a photo album of Oscar. The ones of him in the car on our way to the hospital are funny, he'll sleep anywhere.

Thanks again to all for the support and kindness!
Anne and Oscar

[frijole]

WOW!!! Great news. When I read the first line my heart just sank but then I realised you were just sad for leaving him behind. Whew. Anyway, I am amazed at how quickly he is healing.. tail wagging is a very good thing. Eating and pooping is important too! So Oscar is doing great. You made my day. Big hugs, Kim

PS I just checked out the photos and they are great! I cannot believe he sleeps like that! My fav is the one of him in his bed though...like he is a movie star. Totally shows off his personality.

[littleone1]

Hi Anne,

This is such wonderful news about Oscar. I'm so glad to hear that he's doing so good.

Keeping you both in my thoughts and prayers. He's a strong little guy, and so are you.

[chapmandou]

Been waiting all day for an update. Thank you, Anne! This is just the best news. Hope you can get some sleep tonight. ;)

((((((((Anne&Oscar))))))))

Carol

[zoesmom]

Me, too (waiting for the update). So glad to hear things continue to go well for Oscar. I know how hard it is to leave them but he's in good hands and Saturday will roll around before ya' know it. ;) Sue

[BestBuddy]

Anne,
I haven't posted on your thread before but believe me I have been reading and waiting for the updates as much as anyone. I know I am not the only one hiding in the background that has been cheering you both on. I have just been to see your pics and Oscar is one handsome boy. Maybe the fact that he can relax and sleep anywhere will help him heal and recover quicker.
Jenny

[acushdogsmom]

Thank you for the update and thank you also for the photos!

Oscar is a very handsome boy! :D

Still thinking positive thoughts and sending some more (((hugs))) too!

[gpgscott]

Thanks for the post Anne,

Now I hope you can relax and rest a bit as you look forward to bringing him home.

Scott

[Squirt's Mom]

Hi Anne,

Have been trying to keep up with you and Oscar and am so glad to read that he is doing ok!

My Squirt had a tumor and part of her spleen removed in '08 and experienced acute pancreatitis as a result of manipulation of the organ during surgery. She had been home just a day or so when the attack hit and it scared the living crap out of me! :eek::eek::eek: I just knew she was going to die, some awful complication or infection, but after a 4 day stay back at the hospital she came home and hasn't had another attack since. I know the two surgeries are no comparison but just wanted to share with you our experience with pancreatic issues after manipulation during surgery.

Keep your chin up! We are all with you and Oscar whether we post or not.

Hugs,
Leslie and the girls - always

[clydetheboosmom]

Just checking in....how are things? :)

Lynne, Clyde & Bailey

[wracso]

Update,

I received my evening update and Oscar has been cleared to leave the hospital!! Yippee!! We will drive back tomorrow and stay the night and will be able to pick him up on Sunday morning. They said he has become the center of attention and everyone will be sorry when he leaves, figures. She said he is getting picky with the kind of food he would like as well, typical.

He will have to come back in 2 weeks for a check-up and to have sutures removed. They also want to retest his liver enzymes because they have been slightly elevated. When he comes home he will only be on light pain medication and may not even need the high blood pressure meds any longer.

Wow, what great news and a true miracle. I asked if he could still get sick once he gets home and she said it was rare. He will have strict instructions on what he can do as far as activity and what issues to stay on the lookout for. As far as activity we should be in good shape, he doesn't move very quickly. The only thing he won't like is not being able to climb up and lay on the sofa or the bed.

Only 2 days to go, yeah!!! Thanks to all for the tremendous support, this site has been a lifesaver (his)!!

Thanks,
Anne and Oscar

[frijole]

Whoop Whoop! :D:D:D:D:D:D:D:D:D:D

I bet Oscar can lounge on that lovely bed of his though! What wonderful news. He will be so happy to be home. Again you made my day with this update. What a quick turnaround. Thanks for sharing his story with us.

Kim

[chapmandou]

WOO-HOO!!!! Anne, we are over the moon for you. Big smiles in this house for Oscar and you guys. My, my, my..... this is just such a wonderful result after a very challenging surgery. Please keep the reports coming, and photos when you get there and the drive home. Oscar, ya beauty, you!!

(((((((Oscar)))))))

Carol

[Harley PoMMom]

Oh Anne!! This is fantastic news!! I am just so very happy for you all!

If Oscar seems insistent about trying to climb up onto the sofa or bed, maybe a ramp could be built/bought for him.

Please, please keep the updates coming, and again, I am so very happy for you and Oscar.

Love and hugs,
Lori

[acushdogsmom]

Huge smiles all around!!! :D :D :D :D :D :D This is such great news!

But I'm not uncrossing anything and still sending positive thoughts and such in your direction until you tell us that he's home, lazing around in the backyard with you. :)

[littleone1]

This is such wonderful news, Anne.

Oscar is doing really good. I know that both of you will be so happy when Oscar is home.

[gpgscott]

Anne,

All I can say is :D

Can't wait to hear more.

Scott

[zoesmom]

So so happy and relieved to hear about Oscar's progress. I imagine you are with him right now. Keep the updates coming. The prayers continue for steady improvement. He is such a cutie! Sue

[SachiMom]

Anne,
I can only grin from ear to ear.
Smiley man can't compete.:D:D:D:D:D:D:D
Continued prayers for an uneventful recovery.
Hugs ~ Mary Ann

[MiniSchnauzerMom]

Anne,

So glad that the surgery was successful and Oscar's recovery is going equally as well. I know you will be happy to have him back with you tomorrow and I'm sure Oscar will be one very happy boy to be back in his comfy home with those who love him. Continued positive thoughts and prayers for Oscar's speedy recovery and healing.

Give that boy some extra hugs and lovin' from me!!

Louise

[wracso]

Update,

:)OSCAR IS HOME!!:) We just arrived from the hospital and what a complete sense of relief. When we arrived this morning at the hospital (which was closed) both his student and surgeon were there. What more can you say other than he has been in the best hands I could have ever hoped for and would recommend to any other animal owner. We were so lucky to have a wonderful team of caring professionals tending to Oscar!! They are the best!!

He is still on the high blood pressure (phenoxybenzamine) for another 2 weeks until we return to the hospital. He has a pain killer and other than that is good to go. When we go back he will have the staples & sutures removed. They will also check his blood pressure and do bloodwork to make sure the mild anemia he has is resolved.

This has been a roller coaster ride like none other but to be at home typing this update while looking down at Oscar asleep makes everything worth it! I will post more photos to his album by tomorrow (we are a bit wiped out today). He was usual self in the car and slept the entire way on his pillows.

Hugs all around to everyone for your support!!
Anne and Oscar

[chapmandou]

Once again, over the moon for you!!!! :D:D:D:D:D:D:D

Welcome home, Oscar! Can't wait to see the new photos.

(((((Big Hugs All Around)))))

Carol

[gpgscott]

Terrific Anne,

I am hugging him with you along with all of your cushingsbuddys.

I remember how we had to restrain Moria with surgeries. They do not know their limits, he may test you in his recovery.

Hugs and prayers for continued recovery.

Scott

[MiniSchnauzerMom]

Anne,

Fantastic!! Glad you and Oscar are home and that he is resting comfortably. Do get some rest and relaxation yourself. Looking forward to viewing Oscar's new pictures.

Louise

[acushdogsmom]

Woo Hoo!!!!!! Welcome Home Oscar! :D :D :D :D :D :D

(((((((HUGS!!!))))))

[frijole]

Amen! :D Oscar you be good for mom. Hope he slows down so he can heal. Hugs, Kim

[Buffaloe]

Anne,

Big time congratulations to both you and Oscar!!! I am so thankful and happy that things have gone so very well. I know it is beyond wonderful to have your precious boy home with you.

Oscar, you take things nice and easy, there's still lots of healing to take place. I bet you're already feeling better with that nasty tumor out of there. You are a tough boy and you have a brave Mama.

Ken

[HarrysMom]

Congratulations! I have been reading Oscar's story, and I am so happy for you two.

Yunhee

[littleone1]

I'm extremely happy for all of you, Anne. You all deserve "special treats".:)

You had such a wonderful group of medical professionals. Keeping you all in my thoughts and prayers that everything continues to go well.

Get some very deserved rest.

[wracso]

Update,

Oscar is back home and sleeping about 23 hours a day right now. He is doing well only he is not eating as much as usual. They said this is typical though. As long as I add some gravy or cheese whiz to his food he eats, a bit spoiled but that's okay with me.

I also added some new photos of our trip home and some shots of him sleeping:). We head back in 2 weeks for the follow-up visit!

Thanks Again to All!!
Anne and Oscar

[gpgscott]

Sleeping is good Anne,

He is recovering from MAJOR surgery, (like you don't know:p)

Please let us know, even if it is just sleeping.

Prayers for you all.

Scott

[chapmandou]

Yep, he'll be sleeping a LOT. This is good. Lots of healing going on, and much relief being home where he feels totally safe, sheltered and able to sleep without stress.

There's just no place like home for recovery and rest. ;)

Thank you so much, Anne, for the update. Please don't stop! :)

(((((Oscar)))))

Carol

[BestBuddy]

Sleeping is good. I think the body knows that it can concentrate on healing when everything else is still. It will be more of a worry when Oscar is moving about more, trying to stop him from doing too much won't be much fun.

Jenny

PS Keep spoiling him and add some extra gravy for me.

[mypuppy]

Dearest Anne,
Have not seen any recent updates on Oscar, and I have been thinking of him and how his recovery process is going? Please give him some very gently belly rubs on my behalf and lots of wet licks from Princess. Warm regards to both of you, xo, Jeanette

[wracso]

Update,

We just came back from (hopefully) our last trip to the hospital. All staples/sutures have been removed and the follow-up tests were done. He will be going off his blood pressure medicine tomorrow and my local vet will take his pressure in a few days. His red blood cell count has gone up from 28 to 33 also and that was good news. They feel it will continue to rise. Beginning tomorrow Oscar will be on NO MEDICATION, what a miracle.

We literally just walked in the door from the trip and Oscar is eating dinner and doing great! I could not have asked for more than what has happened. What a roller-coaster ride these past few weeks have been, I can safely say I'm so glad it's over with such wonderful results! The Dr's are so pleased of course but not as much as we are!!

He will have an ultrasound every 4 months to make sure no other tumors appear. I will post some new "healthy" shots of Oscar in the next few days.

Thanks to every person on this special site! What a tremendous source of support and valuable information I have received. If I am not on the site for awhile and another pheo case appears I am always happy to give any information and my experience.

Thank you (x's a million)!!!
Anne and Oscar

[chapmandou]

:D:D:D:D:D:D:D:D:D:D:D:D

That's all I'm sayin' ;)

Carol

[Harley PoMMom]

Oh Anne!

I am just so very, very happy for you all! :D:D:D

Love and big hugs,
Lori

[acushdogsmom]

:D :D :D :D :D :D :D :D :D :D

I am sooo happy for you guys! Can hardly wait to see some new pictures. And we are a bunch of worriers, in case you hadn't noticed, so please remember to come update us now and then, so we don't worry. Just a line or two now and then, telling us about Oscar's boring day playing with you in the back yard will do just fine.

:D :D :D :D :D :D :D :D :D :D

(((HUGS!)))

[gpgscott]

And our thanks to you and Oscar Anne.

You are the perfect mom, you learned about his issues, you found good Drs. and you stayed by his side.

Blessings to you all.

Scott

[littleone1]

Hi Anne,

This really made my day hearing this wonderful news about Oscar. :D:D:D I am so glad that everything is going so good.

Take a deep breath and treat yourself to something good. You deserve it. Give Oscar a special treat, and give him gentle belly rubs from me.

I'm looking forward to your updates.

[Franklin'sMum]

Hi Anne,

That is such great news!!! I am so happy for you and Oscar! As Cushy said, please keep in touch, even if it's just to say that Oscar has a new toy to play with.
Continued best wishes for you both,
Jane, Franklin and Bailey xxx
________
Vallerie (http://www.girlcamfriend.com/cam/Vallerie/)

[Casey's Mom]

Yours is an amazing story. I hope you will stay with us and tell your story to someone else being at the place you were a month or so ago.

I am so happy for you and Oscar!!! :D:D:D

Love and many hugs,

[Squirt's Mom]

Hi Anne,

I haven't posted to you before but have been reading along and am so very happy to hear that Oscar is doing so well! :D:D:D I know you are ecstatic as well but do take care of yourself. You deserve to have a bit of rest and relaxation!

Hugs,
Leslie and the girls - always

[zoesmom]

What terrific news. Oscar . . . here's to you, boy! :):):) Sue

[wracso]

Update,

Oscar is doing great and we are heading back to my local vet tomorrow to get our latest blood pressure reading. He is doing so well and is really starting to move around like he used to before he was sick. His energy has picked up and he is back to being my velcro (he follows me everywhere)!

I loaded some new photos from our time at the hospital last week when he had his staples removed. I also loaded a few from today in the backyard, he is rolling around and loving life.

I hope one day to help someone else as much as all of you have helped me. I will continue to check the site and provide as much input as I can for anyone who needs it.

Our Thanks to all of you!
Anne and Oscar

[acushdogsmom]

Thank you sooo much for the update and the new pictures.

Is there anything better in the whole world than rolling around in the grass in your own backyard? Nope, methinks not. :D

[littleone1]

This is such wonderful news Anne. I am so very happy for you and Oscar. Just reading about his successful surgery is so great. You've been such an inspiration to many of us.

[mypuppy]

hi Anne,
Oscar popped into my mind today and was wondering how he is doing after his surgery? Would love to get an update on him and maybe some new pics also. Hope all is well. Warm regards. Xo Jeanette and Princess

[gpgscott]

Thanks for asking Jeanette, (also love the avatar)

So, how 'bout it Anne? :D:D

Scott

[mypuppy]

Thank you Scott. Hope you are well. Regards. Jeanette

[wracso]

Hello Everyone!

Oscar has been doing very well. We had an issue last Friday when his blood pressure reading came back at 186 which is extremely high. It became panic mode for my local vet, myself and the hospital. It had been 155 the week before (average is 120-150). I had it done again yesterday and luckily it's back down to 150, phew........

I e-mailed his Dr.'s and received a quick reply and everyone was relieved it went back down yesterday. So, Oscar is now officially on NO medication!! We will be having a follow-up ultrasound next month and bi-weekly pressure readings done.

He is back to his old self only with a lot more energy! I couldn't ask for more than the outcome we received, it's a true miracle! I posted a few photos from today.

Thanks and Hugs:D From-
Anne and Oscar

[littleone1]

Hi Anne,

I'm so glad that Oscar is doing so good. That's really great.:D

[sunimist]

Annie, that is wonderful news to hear! :D Way to go Oscar boy!!

Sending a big smoochie to the sweet boy, and ((hugs)) to mom.

Shelba and Suni

[wracso]

Hello Everyone-
It's been awhile and I just wanted to say Hello and let everyone know the latest on Oscar. We have had a very long summer with the oil spill and other issues outside of Oscar's illness so I apologize for the update delay.

Oscar has been doing very well since his surgery until about 2 weeks ago. Unfortunately, he is now showing the same signs (panting, barking in the middle of the night until I move to the sofa to sleep with him and anxiety) as before the surgery. I am hoping and praying for the best and we are heading to our local vet tomorrow for blood work. We are also driving next week to the nearest vet facility 2 hours away and they will run an abdominal ultrasound and x-rays of his lungs.

I will let you know the results but our oncologist has told me once a dog has a pheochromocytoma the chances of another coming back are significant. I hope that is not the case, it's only been 6 months since Oscar's surgery and it's been so great to see him acting and feeling like he used to years ago.

More updates in the next few weeks once I know what we are dealing with. I posted some new photos too.

Thanks so Much!
Anne and Oscar:mad:

[chapmandou]

Oh dear, Anne, this is not the best news. We had similar bouts with Sam months after his surgery, but it was a lot MORE months, eventually leading to another adrenalectomy. The second, even though producing many of the same symptoms, turned out NOT to be a pheo. Sure hope that's the case for Oscar, if indeed another tumor shows up. In the meantime, I suspect he'll need to go back on the BP meds at least.

I know all too well that this is the last thing you wanted to see happen again. :( Please keep us posted. We're still here rooting for you both.
(((((Anne & Oscar)))))
Carol

[Bichonluver3]

Hi Anne!
Welcome to you and Oscar. We have had nothing of this kind of challenge but wanted to stop by to say we will support you in any way we can even if it is only a word of encouragement. The members here are very caring, loving people with a lot of experience in a lot of different issues. They will give valuable advice and suggest crucial questions to ask your vet. I want to say that all of us, from time to time, have moments of panic. Just remember to look after yourself and not get too overwhelmed. Easier said than done, I know. But the answers are there and they will come. When you do feel overwhelmed, step back, breathe, make a cup of coffee and try to relax, knowing that you do have options and we are all pulling for you and Oscar.
Lots of love and many tail wags from the furrbabies here,
Carrol

[Buffaloe]

Hi Anne,

I am so sorry to hear the news on Oscar. I'm thinking positive thoughts and he will be in my prayers. You should have a good idea of what's going on after his ultrasound.

Ken

[Squirt's Mom]

Hi Anne,

Sending prayers, healing white light and positive thoughts your way!

Hugs,
Leslie and the girls :D - always

[Harley PoMMom]

More prayers and positive thoughts being sent your way from my home too.

With much love and big hugs,
Lori

[littleone1]

Hi Anne,

I am also sending positive thoughts and prayers.

[Casey's Mom]

Sending you warm wishes and hugs,

[Squirt's Mom]

Hi Anne,

Any word from the vet visit yesterday?

Hugs,
Leslie and the girls :D - always

[Bichonluver3]

Anxious to hear........
Carrol

[frijole]

Thinking of you and sending best wishes. Kim

[mytil]

Thinking of you both!!!!!

Sending cyber (((((hugs)))))
Terry

[wracso]

Oscar Bloodwork Update,

The bloodwork showed his liver enzymes have actually gone down since the last test which was good. He is now showing non-regenerative anemia though which is most likely due to his chronic illness. I am taking the bloodwork to the specialist on Tuesday and it was also sent to University of Florida. On Tuesday they will run an abdominal ultrasound and do an x-ray of his lungs. Last time we had these tests run Oscar was very upset as the anesthesia wore off so hopefully they can be less intrusive this time or not put him all the way under.

Based on those tests a CT Scan may have to be run. If that is the case we will head back to Gainesville and have it done by his oncologist at U of FL. Hopefully, we will have more answers by late Tuesday night.

Thanks for all your encouragement!
Anne and Oscar

[mypuppy]

We are pulling for you and your precious Oscar, and praying for a good update. Love and hugs. Jeanette and Princess

[Bichonluver3]

God bless and we're pulling for you too. Here's to some good news.
We will keep you in our thoughts & prayers.
Carrol & Chloe

[wracso]

Oscar Test Update,

Today we had the abdominal ultrasound and lung x-rays done. The x-rays looked clear of masses and the ultrasound looked good overall. There is one possible mass near the liver but because Oscar has such a large abdominal cavity it has a limited view on an ultrasound. A CT Scan may need to be done to really show the details but that will depend on the opinion of our oncologist at the University of Florida. The Dr. today didn't think it was adrenal tumor which was great news.

Oscar does have laryngeal Paralysis and it has deteriorated some since our last visit. They also have diagnosed him with Chronic Airway Disease which helps explain his constant panting. His eyes don't show retina detachment from high blood pressure so that was also good news.

Today they said he is an 11 year old dog whose body is in the shape of a dog that age who weighs 95 lb. He had a friendly disposition as usual and was very friendly to everyone. Oscar's only complaint was that he didn't get to eat breakfast or get any treats, typical. There was some food waiting for him on the way back from the Dr. so he seemed happier. We are back home and he is resting from the day.

Once his oncologist has a chance to review everything I will post another update.

Thank You to Everyone as Always,
XXXXXOOOOOO- Oscar and Anne

[Bichonluver3]

We will be waiting....
Carrol

[Buffaloe]

Anne,

In my book, that is flat out great news on Oscar. I am so glad he doesn't appear to have another adrenal tumor. He probably has a couple of issues but he's 11 and he's a big boy. I'm pretty sure I'll have a few issues when I'm 80, as well.

It sure does sound like he is very happy and enjoying life...and something tells me he has lived a life most dogs can only dream about. I know you're taking full advantage of him every day. Please give him a hug and a kiss from me.

Ken

[Casey's Mom]

Great news Anne - all sounds good to me too!

Love and many hugs,

[asgparrish]

Hi,

I'm new to the forum. I ended up here because my 12 year old American Bulldog "Auggie" has recently been diagnosed with a left side pheochromocytoma. We will be going to NC State Vet Hospital on 04/21st to admit him and his surgery should be 04/22nd.

Has the vet center you took Oscar to recommended any of the following?

Phenoxybenzamine - this is normally given 2-4 weeks in advance of surgery for phechromocytomas - studies show that the largest risk associated with the surgery are problems with blood pressure (there are several good papers written on this if you would like links to them let me know) This med has been documented to reduce mortality rates from 48% in dogs that did not receive it to 13% in dogs that did. On the down side it's pricey - about 315.00 for a 2 weeks supply for Auggie.

Lignan - a natural supplement from flaxseed - shows some promise for preventing the conversion of excess "sex hormones"

Melatonin - also shows some promise with the prevention of the conversion of sex hormones

Both Lignan and Melatonin are inexpensive and easily found - they usually take a few weeks to kick in from what I have read.

All the info I have read still states that surgical removal is the preferred method of treatment unless the tumor is simply too locally invasive.

Has Oscar had a CT or MRI scan of the tumor? The vets at NC State and another specialist recommended I have something other than just an ultrasound. Auggie will have a CT scan pre-op. It should give the vet a much better idea of where the tumor is and how to best go about removing it. If the Ct Scan shows that the tumor has become too invasive and will make the surgery too risky then the surgery will be called off.

Has Oscar had an extended blood panel and/or an ACHT test? If so what hormones were being overproduced? That will help in treating his symptoms if surgery isn't an option.

The only stats I could find regarding life expectancy on surgical vs. non surgical treatment was 3 years for dogs that had successful surgical removal and 18 months for non surgical treatment. Of course, those could vary greatly depending on the dog.

I have been very frustrated with the lack of available info on these types of tumors (of course they are very rare). I've tracked down the one animal hospital in the USA that specializes in endocrine disorders (NYC) and even pestered a vet on ASK.com until he posted a request for referrals on a vet only website for me (numerous vets recommended that I go to NC State teaching hospital vs. the local vet specialty clinic).

If you decide to go with the surgery be certain to track down a vet that knows something about pheochromocytomas (not easy to do) the anesthesia techniques and drugs used during the surgery are different than normal surgeries because the tumors have severe, life threatening reactions with a lot of the common anesthesia drugs.

Tammy

[Squirt's Mom]

Hi Tammy,

We would love to be able to talk with you about Auggie as ya'll take this journey. This is most easily accomplished by starting a thread just for Auggie and you. Click on the following link, then click the blue button that says, "New Thread".

http://www.k9cushings.com/forum/forumdisplay.php?f=9

The box will open to write in - you can title your thread using Auggie's name and a short description of his diagnosis then start telling his story there. Our members will be able to respond to you there, keeping all Auggie's info in one place.

I look forward to hearing more about Auggie soon!
Hugs,
Leslie and the gang

[Squirt's Mom]

Hi Anne,

While I'm here talking to Tammy, thought I would ask about Oscar. How is he doing these days?

We would love an update!
Hugs,
Leslie and the gang