Molly, 13 yr, shih tzu - lhasa aspo - Molly has passed

[Squirt's Mom]

Oh Sharlene, not what we wanted to hear at all and I can only imagine how upset your family is right now. Prayers for all rising. Please know we are with you and here anytime you need to talk.

[Woodydog]

I'm sending all the positive vibes I can muster to your sister and her family.

Hang in there Sharlene we,re all by your side 😄

[Budsters Mom]

It doesn't matter what your individual belief's are. Healing energy, positive vibes and prayers all reach the same place. So come on Angels, let's join forces to send Sharlene and her family all we've got. It's time to surround them with love and care as only we can.

I'll be waiting alongside the rest for updates as you have them. xxxxoooo

[labblab]

I'm here, too, sending prayers and all my well wishes. I wish Daniel was right there beside you, as I'm sure you do, too -- for many reasons. But we will do our very best to fill in for him. We will stay with you through the night, Sharlene, and we are all wishing your family well.

[doxiesrock912]

Oh no Sharlene!
They can do amazing things with hearts nowadays and he's at a good hospital.
I'll be praying!

Dad had a heartattack that required a agent to unblock. This procedure is much less invasive than it used to be. Recovery is almost instant. Hugs

[molly muffin]

Okay so all I know at this point is that, they had to use the paddles on him twice. It was before they had rolled him to his stomach to do the surgery, which would have been a very different outcome, because it would have taken too long. If they hadn't transferred him to Stanford, it might have had a different result too.

They lost pulse, used paddles, then a short time later, it happened again and they used the paddles.

We're waiting on report of damage, and evaluation and to see what they have done.

The risk might be too great that if he survives this heart episode, that they might not be able to do the back surgery at all. His spine is unstable and it would mean months of not being able to move from a bed, to let the spine fuse on it's own. That takes a very long long time to occur. So much is dependent on what happens tonight and the days to come.

My sister told me not to stay up all night, but I don't see how I could possibly sleep with this going on and then Daniel surgery tomorrow. Thank god, molly isn't having anything going on this week and I told her already, don't think you can go wonky on me too little miss.

[addy]

We all rally by your side, Sharlene with positives thoughts for only good outcomes.

I am so sorry it is all happening at once for your family.

I know it will all get better. I just know it will

[My sweet Ginger]

Oh Sharlene, do you feel the hugs that all of us are sending your way? I will pray for the best possible outcome for your husband and BIL. I'm sure Molly will be a good girl and comfort her mama in her own way. Hugs, Song.

[mcdavis]

So sorry to hear about everything your family is facing this week Sharlene. I will be thinking of you all and hope that things will improve very quickly.
As others have said the doctors can do some amazing things with hearts and your BIL is in good hands.
I know it will be difficult but please take some time to look after yourself and try to rest - my old doctor used to say that even just resting the body helped.

[beaglemom3]

I am happy to hear Daniel surgery went well and is coming along thank goodness.

I am saddened to hear about your BIL, I will keep him and your family in my thoughts and prayers.

Take care of yourself Sharlene, this kind of stress can take its toll. Try and rest when you can even for short periods at a time.

[judymaggie]

Joining others in sending positive vibes and healing to your BIL! Also thinking good thoughts for Daniel's second surgery! Hug Molly tightly -- I am glad she is by your side during this difficult time.

[molly muffin]

Update; they said this was caused by a reaction to the anesthesia used. iHe is recovering in ICU and depending on how he does, they Might retry surgery on his back in a couple days.

Whew, what a relief! Thank you for the prayers and good vibes. We've made it this far and it's been a long evening but things seem better now.

So that is all I have heard but it is much more positive than earlier in the night.

Thank again everyone, if I hear anything more I'll update, but I rather doubt it. Molly wants some attention so I think I'll go play bunny rabbit with her before her last walkies.

Big Hugs to everyone for being there when I was all alone at the house with crazy worry.

[Budsters Mom]

Yes, it does sound much more positive. Thanks for the update.:p

A little game of bunny rabbit is exactly what you need right now. I would follow that with a tall glass of wine and some chocolate. We all know that chocolate cures all.:D;)

I'll check back in a little while. You were never really alone Sharlene. We were right here. xxxxoooo

[labblab]

Whew, that's much better news, for sure! OK, guess I'll toddle off to bed myself. Hope you and Miss Molly can get some good rest now, Sharlene.

[judymaggie]

Thank goodness for the better update! Hugs to you--try to get some rest.

[Budsters Mom]

Hi Sharlene,

I'm checking in with you one more time before I head off to bed. I'm glad that all is quiet on your homefront. I hope you're able to at least get a little bit of rest tonight. xxxooo

[Trish]

Holy Cow... what a day for me to be tied up, jeepers so pleased to read that better news at the end of the day for your BIL Sharlene. Now we have stage II for Daniel tomorrow, crikey it is never ending for you this week bet you cannot wait to have him home with you. Will be checking in 1st thing in the morning and be around a bit tonight if you need an ear. Big hugs to you and our furball Muffin xxxxxxxxxxxxxxxxxx

[beaglemom3]

Good to hear better news about your BIL, sending good thought and prayers for Daniel as well. I hope you are getting a good night sleep. Hugs to you and Molly. I hope today brings even better news for everyone concerned.

[labblab]

OK Sharlene, we're back on duty this morning with all fingers crossed for a better day all the way around! Good luck, Good luck, Good luck (I am very superstitious and always feel like somehow there is better luck when you wish it in "threes")...;)

[addy]

I have everything crossed so tight, it looks like I'm trying not to wet my pants:o:o:o:o:o:o

I know everything will go well. I cant say PAWS UP Daniel but there has to be an equivilant that I just can think of right now:rolleyes:

[Squirt's Mom]

Glad to hear some better news on your BIL! I hope today brings even more good news for both him and Daniel. Right by your side, sweetie.

[spdd]

Wow Sharlene... what a week you are having. I hope after today everything settles down at least a little for you, and your BIL is able to recover and have the surgery. Thinking about you and hubby.... God Bless you both.

[scoora]

Sharlene, Prayers and loving hugs to you and your family.

[Budsters Mom]

Now that's quite a visual Addy.lol That's pretty much me in between classes when I can't leave the room.:D

Sending tons more prayers and healing energy to surround Hubby and BIL.

Daniel sure has to go to great lengths to get another massage.:o
ooooxxxx



I have everything crossed so tight, it looks like I'm trying not to wet my pants:o:o:o:o:o:o

[Dixie'sMom]

LOL@ Addy! Now that's a true friend Sharlene. I'm hanging out also with the others waiting to see how things are going. Your BIL had a really close call there. Thank the good Lord he was in the hospital where he could get immediate treatment when this happened. Poor Joan Rivers wasn't so lucky. So I figure now that they have this new info, they will also be much more careful how, when and why they do procedures on him, which is a good thing. I hope Daniel's #2 surgery goes as well as the first and he is up and about really soon. This awful week is almost over. You're doing good hanging in!

[labblab]

OK Sharlene, gettin' anxious for an update :o. Surely hoping that everything is under control and going well!

[molly muffin]

I'm here. Worked this morning, spent the afternoon with Daniel, been on phone with sister since I got home and still have to call hubs mom to update her.

So, Daniel came through surgery just fine, a bit loopy from the morphine injection and amused me quite a bit with the wheelchair and doing the hang ten to everyone on the way to surgery. He's a hoot it turns out when loopy doopy. Who knew!

BIL has turned the corner. It was touch and go most of the night but better today and off the breathing machine. They think he'll be out of ICU in a day or two if he continues to improve.

However, the neuro surgeon says that it is now in his opinion to risky to give him any kind of anesthesia. That it was 20 minutes in from his first getting it that his heart stopped twice and if they had already cut on him, then he would have been lost, that now the concern is that all the anesthesia are very much close to this one and would do the same thing. I don't know where that leaves him as far as his back goes.

But the heart being better is good news at least. Hopefully they can come up with some kind of plan.

Molly had a reverse sneeze attack this morning and wouldn't eat eat or take any meds, couldn't breath. Took about an hour to get her settled. She is Fine now, bouncing around asking for a dental treat.

I am a bit tired. I think over all though that this is about the best possible update to be able to make tonight. They consider BIL stable, and hubby is being his amusing self at the hospital.

Last night, in the lounge after their late night snack. (yea, go figure) a bunch of guys sitting around and one tells a joke, they all start laughing and everyone of them was in pain. So, laugh, groan moan, laugh some more. Daniel said it was really something, you had to be there to thoroughly enjoy the agony of it.

Hugs all!

[molly muffin]

um, Addy you can uncross now!!
You guys are the greatest!

[labblab]

Whew, what a relief to get this report!!!!! I agree, it sounds like the best under the circumstances all the way around.

Ummmmmmm yeah, I'd think you'd be a bit tired, young lady!!

Poor Molly with the reverse sneezing! It must have been sympathy pain for her daddy and uncle. :o

[Trish]

Good news Sharlene, hope he has detoxed from those drugs before you get him home... imagine him and Molly together, would be a riot! :) continued good thoughts to BIL, hope they get everything figured out for him.

:D :DAddy, I prescribe pelvic floor exercises :) or a bladder retraining programme!!! xx

[addy]

Thank goodness some good news, whew:):):):):):):)

That sure is scary about your bil. Wow- I still am shocked about it. Thank goodness he is more stable now.

You better get all the rest you can now before hubby comes home and you have to put on your nurse's outfit:D:D:D:D;)

[mcdavis]

Pleased to hear you're ending the week with some positive news. When does hubby come home? I hope they manage to work out a solution for BIL.
Hope you manage to get some rest

[molly muffin]

Hubby will come home monday unless he blows the coop on sunday. He asked them if he could leave on sunday when he checked in and they said yes, but he has to decide on saturday. Not so sure he's going to feel like prancing out of there just like that. Snap! We'll see.

His mom even said, hmm, he should stay as long as they'll keep him, less time you have to run around and do for him. hahahahaha See, even his mom Knows what boys are like when they don't feel good. (course she did have 4 of them, crazy woman!)

I know he misses being here with me though. He didn't want me to leave today when visiting time was over and was so happy, kept saying I'm so glad you are here and then scooted over and said, here lay down. yea, have you seen those little hospital beds?!!! Well, he wasn't taking no for an answer, I mentioned he was loopy right?! So I had one leg on the bed, one leg on the floor and he immediately fell asleep and was snoring in my ear. I was afraid to move, yet I was also afraid there was going to be a big plonk of me hitting the floor!
He would start talking and by the end of the sentence be sleeping. Hello happy morphine. (that is what they give them prior to surgery)

So, how see how he is and he'll see what he thinks and we'll take it from there.
He has a flight planned to somewhere this coming week I'm sure of it, Ottawa I think. So, he isn't exactly planning for a lot of down time. I'll buy extra ibprophen I guess.

I know, my BIL, I don't know what the future holds for him. Nothing that I can imagine with either having surgery or not having surgery has a very good potential for success, although I do hope so, but knowing the things we know now, it's just very hard to know what happens next.

He's had multiple surgeries with no reaction to the anesthesia, so this is new and a game changer as the surgeons said.

hugs!

[judymaggie]

So good to hear that Daniel's second surgery went as well as the first! It sure sounds like his hospital is top of the line. Hope he hasn't gotten too used to the massages! I was given morphine after my appendix burst -- they had me take tablets for a week after I got home -- interesting stuff.

Sure hope that the doctors can figure out a way to treat your BIL's back problems -- since they know now about his allergic reaction, there should be a way that they can pre-treat him.

Please take care of yourself -- I know after a particularly stressful period that my whole body aches due to tensing up without even realizing it.

[Budsters Mom]

All in all a really good report!:p Daniel sounds like he's in really good hands and has some new loopy friends to commiserate with.;) I hope he able to take it easy once he comes home. That flight that he plans on taking might have to be mysteriously canceled.;)

I am glad to hear that your brother-in-law is stable. I hope they are able to do something to help his back situation. I definitely can see why the doctors want to be very careful. No more close calls!:o

Well Sharlene, cuddle up with the muffin tonight and try to get some rest yourself. xxxxoooo

[doxiesrock912]

Daniel's story sounds just like something my father would pull. Making friends in the hospital and causing trouble :) How sweet that he wanted you to squeeze in on the bed. That's adorable!

Frightening situation with your BIL! Allergies can be serious. Dad and I both have a long list. Mostly to medications. I get very sick from anesthesia and they give me something orally and by IV to combat that. They will figure something out with your BIL.

On the plus side, I am glad that the heart issue wasn't something to require surgery!

Until Bella, I had never seen a reverse sneeze. They are SCARY to watch especially with the noises that they make. Molly knows that you need her to be stable right now. They know us more than we know ourselves.

Hopefully you'll get plenty of sleep tonight.

Hugs

[Squirt's Mom]

Glad things have improved a bit for your BIL. Still doesn't sound like the best place to be but he is off the machine and that is a big step.

I love being with folks in recovery after minor surgeries or procedures and listening to them talk coming out of anesthesia. It's nearly always hilarious! :D

[beaglemom3]

good news all around! HUGS!

[molly muffin]

Poor hubby is not happy he has to stay till Monday. He was hoping to get out tomorrow. All his buddies that only had surgery on one side left today. So he's a bit down right now. Will go visit him this afternoon. Told him he just has to concentrate on getting better and this will all be over with.

They determined that BIL didn't have a heart attack from the anesthesia it was a straight reaction that made his heart stop twice and took hours for his heart muscle to start working again. That is why they said no surgery. They think it will happen again. His heart is only 50 -57% of a normal persons anyway so it's tricky without this additional complication.

Hopefully they will come up with a plan forward we just have to wait and it could be awhile for them to figure out what can be done. They plan to move him from ICU today so that is good. Not sure what happens after that. No one there knows either.

Hugs

[molly muffin]

Molly is doing okay. No more reverse sneezing. She has had that happen to her off and on for years now but it's been quite a long time since the last time.
I picked up low protein dry food and moderate protein wet food for her today and her liver support supplements. Sam-e and milk thistle.

We will see how she does on this. I only got a very small bag of the low protein dry to see if she will even eat it. I have dry green tripe to mix with it if need be. That is higher protein but low phosphorus.

Hugs all

[spdd]

Just checking in before I shut everything down for my road trip starting tomorrow. I had to know how everyone was making out, BIL, Hubby, Molly and of course the thread that keeps them all together, you Sharlene.
Keesh had a few reverse sneezes and really scared me. I rushed him to the vet the first time it happened (of course the one that misdiagnosed him) and they didn't have a clue. It was only me investigating on the internet that I found a few videos of what it was. Never ever did find out what caused his chattering and foaming the odd time. I do know that it was pretty much guaranteed to happen if he sniffed another dogs urine. Not all, but some. Then it would happen in the house for no reason.
I often wanted to clone him.... kinda wished I had, seeing he never had any puppies.
Anyway... you take care of yourself Sharlene, and our sweet Molly. Don't run yourself thin. I'll ck in when I get to the hopefully sunny south.

[molly muffin]

Judi, you be careful driving!

Hubby had lots of visitors today so was much happier. Unfortunately tomorrow will be quiet for him as he insists that I attend a birthday party for his best bud since he can't go. I said I would but wish it wasn't during the whole visitation time. :( Oh well, carrying out his wishes and then I'll pick him up in the morning Monday. I already took the day off work, so that is good. He even laughed this afternoon without it hurting too bad, but it takes a bit of time and as the doctor said, he had both sides done, so its a bit more invasive than the ones who just had one side. Poor baby. :) :)

BIL - I haven't had an update from family today since this morning. I guess my niece got a call that BIl was being combative. My sister called the hospital and they said the was agitated this morning and trying to fire all the nurses in ICU, but was resting now. She was going up with my nephew and his wife to the hospital this afternoon.

That's it, we are all hanging in there.

hugs

[addy]

Glad to hear hubby will be coming home Monday morning. I;m sure Molly will have a huge greeting for him!!!!

I hope you are not having this weird weather and hubby does not have to worry about any ice Monday.

[molly muffin]

We had snow and cold and now we have rain and above freezing temps. Monday should be warmest day before it turns cold again on tuesday. Go figure. They said this is what our winter is going to be like this year. Looks like if they are right, freeze, thaw, freeze, thaw, repeat till spring

hugs

[mcdavis]

Good to hear that hubby will come home on Monday. How long does he have to convalesce before returning to work?
Not happy to hear they're expecting a freeze / thaw winter - that makes for so much ice. I'd rather just have loads of snow and cold temps.

[judymaggie]

Hopefully, Molly will let you sleep in a bit tomorrow. Monday will be here soon!

Continuing to send healing thoughts for your BIL.

[Dixie'sMom]

Such a blessing to hear that all of you are hanging in there. It sounds like other than being lonesome, the hubby is healing well. The BIL is extremely lucky. I hope he will continue to do well and not fire everyone who is caring for him. LOL. If he didn't need spinal surgery, they could do an epidural and numb him from his feet to his chin if need be, but I don't know if they can do that since the epidural goes in the spine and they need to do spinal surgery. I hope they can find a good solution for him. Tricky, tricky. And as for Miss Molly, I hate those spells. They are not supposed to be dangerous but they always scare me to death and I don't imagie they are pleasant for the animals. I had a Himalayan cat (RIP sweet Taffy) that had them all the time and it was miserable for both of us. Hopefully she won't have any more any time soon.

You're doing a good job hanging in Sharlene. Try to get some rest. Hugs and prayers still coming your way. (They're blowing in with the nasty weather... haha!)

[doxiesrock912]

I'm going to take brother in law being combative as a sign that he's feeling a bit better hopefully. Curious to know how and if they will do the back surgery. I imagine they'll have to do something for him.

How sweet hubby worrying about his friend's birthday party. I'm sure it's not where you want to be. Make an appearance and visit Daniel after. Is that doable?

[labblab]

I hope today goes by as quickly and smoothly as possible for Daniel. He'll soon be safely home once again -- WHEW!!

As for BIL, I do share a great deal of concern over him. It seems as though the bleeding in his spine must be addressed in some way, but how?...:o. I'll bet those Stanford docs are consulting with colleagues around the world, and thank goodness they undoubtedly have tons of connections to do so. The power of networking!! Anxiously awaiting news about the next step.

[labblab]

Hey Sharlene, you've got so much other stuff on your plate that there's no need for you to even glance at this right now. But I just found this 2012 article by Dr. Peterson re: hypertension/proteinuria in Cushpups that may be of interest to you if you've not already read it. There is no urgency whatsoever because it confirms you are doing the right things treatment-wise. But it raises some interesting questions for further research. So when you are ready to turn your attention back to Miss Molly, you may want to take a gander.

http://endocrinevet.blogspot.com/2012/06/hypertension-and-proteinuria-frequent.html

[molly muffin]

I think that study is consistent with Molly's situation in that they have determined that she does in fact have glomerular disease a d this is what has caused the additional retinal problem.
My vet has made arrangements with a vets office near my house to do bp monitoring. My vet will send ACTH test to the is IDEXX lab as requested by the IMS so we are getting things in place for long term care. I hope this all works out.

The spinal bleed we have been told has not continued. Has formed a small clot and they think it will dissipate. It might take a bit for a plan. Just wait and see for now. He is in a lot of pain so they will need to do something.

Hubby is having pain to and might be a bit longer recovery time dur to the two surgeries as opposed to just one.

Long bloody week here.

Hugs

[judymaggie]

So glad that you and your vet could work out a bp monitoring plan for Molly as well as using the IDEXX! At least that is two things you can cross off your list --

Hopefully, the docs will provide Daniel with pain meds to use as needed when he gets home. Also hope that he will not overdue -- it is an easy thing to do once you start to feel a bit better but can definitely set one back.

Continuing to send good thoughts for your BIL!

[jas77450]

oh Sharlene, I hope you can find some time to rest and take care of yourself, thinking of you, hugs!

[addy]

I hope hubby arrived home safe and sound:):):):)

[Budsters Mom]

Welcome home Daniel. :p I'm sure you're sick of being surrounded by so many busy body angels.:D

Try to get some rest now Sharlene. I know that you're probably still running around like a crazy woman.;)

I'm glad that you found somebody local for Molly's blood pressure checks. xxxxoooo

[labblab]

Hoping you've just been busy getting Daniel home and settled, and that all is well. We've missed you today, Sharlene!

[doxiesrock912]

Daniel, don't overdue it. It's not worth it.
Both of you and Molly, enjoy your Thanksgiving!!!

Any news on BIL Sharlene?

Hugs

[judymaggie]

Thinking of you and Daniel tonight -- hoping that you are both back at home and settled in! I bet Molly was happy to see him and, hopefully, will just cuddle quietly until he heals.

[molly muffin]

Well Daniel is home and seems to be quite happy to be here. It is however, keeping me busy as all get out since he can't jump up and down and get something like he is use to doing. Still so happy he is here at home. Some pain still and he can't really get up or down very easily, needs help. Having a double surgery, really kicks your butt and does a big number on your lower abdominal muscles.

We're having really high winds tonight and power winks in and out. I'm trying to catch up a little bit on the forum, but a couple times I'd start a post and have to wait for the power to come back to get it posted. I don't think I've seen winds like this since I moved here. Yikes!

BIL. Current thinking is that they are going to get him into a brace if they can and see if he can sit. They plan to send him to rehab for care and then reevaluate options in a month. The nero surgeon said they might look at surgery then, but I really don't know how they could risk it with what just happened.

Molly has her next ACTH test on Wednesday. I don't think the cortisol has come down enough but we'll see. My thought is that with her showing no symptoms, then if her cortisol comes down, then perhaps I would see something different, but so far nothing. Hoping that the BP will be better this time.

So it's not going to be a calm week, but at least one thing is not a worry, and that is hubs. While he might need care, he isn't in the hospital and his surgeries are over! whoo hooo! One down and he Will be fine in a few weeks, I'd say about 3 weeks, but should improve a bit every day.

hugs all!

[Budsters Mom]

So glad to hear that Daniel is home where he belongs. He'll be up and around in no time.;)

Hang in there Sharlene. Hopefully everything will calm down soon.
xxxxoooo

[doxiesrock912]

Welcome home hubs!
Maybe they'll use some type of pain blocker for BIL?

[Squirt's Mom]

Don't forget about Sharlene in all of this, honey. She's gonna get so tired and stressed so don't forget to pamper her just a teeny bit.

I am so glad Daniel is home and know he will soon be up and at 'em again with your TLC. And I pray they can figure something out to bring BIL some relief soon. That has got to be a scary and frustrating situation to be in.

Let us know about the ACTH and BP when you can - no rush. I'm so glad Molly has done well with the treatment!

Hugs,
Leslie and the gang

[Trixie]

Sharlene...just caught up on your posts...can't believe you're still standing!! You have had so much going on. I'm so glad your husband is home and doing well. Hoping the best for your BIL and so sorry to hear what you and your family have been going through.
Molly...sounds like things are going pretty well?? Just hope for continued improvement and good numbers on the blood pressure~~

Barbara

[Dixie'sMom]

So glad to hear that Daniel is home with his family. You will all relax a bit more now that the family unit is intact. I hope those horrible winds have calmed down. I get antsy when the power flickers like that. It is warm here in N. Carolina today but cold and rain will be blowing back in tomorrow and Thursday. Just in time for the Thanksgiving crowd. I hope you and Daniel are getting take out and you won't wear yourself out even further cooking. I wish I was close enough to fix and deliver you a nice dinner. :)

Hugs and love and prayers still coming your way. Get some rest dear lady and give Miss Muffin a belly rub from me.

[molly muffin]

arggh, had a dental cleaning today. Now I go every 3 months for cleaning, and my hygienist knows me very well. Started cleaning and she says, are you stressed lately. I was like, why do you ask, and she said, well, your gums are inflamed and I usually only see that with you when you are experiencing stress. I almost broke down in tears on the spot. So, I filled her in and she said, yes, I expected it must be something. So, now on a warm salt water rinse and soft picks instead of floss for the next 2 weeks. Good grief. On the other hand my teeth are clean.

I haven't heard any update on my BIL since Sunday, so not sure what is going on with him right now. I guess I'll know when there is something to tell. :(

I wish they could do a blocker but I'm not sure they can. He has an electronic pain blocker already for his back, the electrodes run up his spine. This is from a long ago, work related back injury.

Tomorrow is BP and ACTH at the IMS. After work in the morning. So, guess on thursday evening I should hear something about that. Will know the BP tomorrow of course.

Hubby over did it a bit today I think and didn't take anything, so tonight he is hurting a bit. I gave him some ibprophen and he is crashed out on the couch. I don't think I should wake him. I'd rather he slept as long as possible.

Thanks all
hugs

[Budsters Mom]

((((((((hugs))))))))

[doxiesrock912]

Stress does strange things to us.
Good luck tomorrow!!!! Hugs

[molly muffin]

So, ACTH results are back.

ACTH Oct 17, 2014

Pre 74 nmol 2.68ug
1hr 858 nmol 31.09ug
2hr 1024 nmol 37.11ug

ACTH Nov 07, 2014

Pre 102 nmol 3.69ug
1hr 582 nmol 21.09ug
2 hr 608 nmol 22.03ug

ACTH Nov 26, 2014

Pre < 27.6 nmol 1.003ug
4 hr 339 nmol 12.28 ug
8 hr 408 nmol 14.78 ug

We are leaving her at 8mg Trilostane, retest in 1 month. It is still coming down and while we want to be in the 150 - 250 nmol, I don't want to increase her dosage as it has come down what I feel is significantly in the month she has been on this dosage. In fact, over 50% decrease on the same dose just as we so many times have said, it can go lower even at 30 days, so don't increase at the 2 week mark if seeing reduction. I don't know if I will even wait for a month as I don't like that pre number one bit, but they don't seem concerned with the pre, only with the post.

Her ionized calcium is at 1.40 which is the high cut off and she was last week at 1.46. Nothing about an increased high ionized calcium is good, as it means usually either cancer or parathyroidism.
To get accurate testing of parathyroidism, you have to send the test to Michigan and it has to be done, while a high ionized calcium is occurring. So you have to test the ionized calcium and if it is high have enough to send off to Michigan.

Her BP is still high, she was 180, 184, 182 today. We are going to introduce amlodipine .625mg once daily for BP and hope that helps. She'll need to be retested BP in a week and have to watch it doesn't go to low.

We'll also need to recheck the UPC in 2 - 3 weeks too, and see how the increased dosage of benzapril is working. She is on 10mg currently at (5mg morning and night).

So, that is where we stand on Molly.

Daniel continues to improve every day, so very happy with that.

BIL will be going to a nursing facility since they can't operate currently. The good news is that it will be closer to home for the family.
He will be in a back brace and only able to lift his head a little bit for the next 3 weeks. Then they want to see if he will be able to go to a 90 degree angle and maybe into wheelchair. The neurosurgeon will also want to evaluate him for possible surgery at that point.
They said they still don't know if an abnormal heart caused the reaction to the anesthesia or if the anesthesia caused the abnormal heart incident.

That's it for us today.

I hope that everyone is having a very Happy Thanksgiving!

hugs all

[molly muffin]

Hmm, will have to recheck if the plan has changed for BIL since last night as I just heard that he is to be moved to a hospital in their home town tomorrow, and is in the back brace. So, not sure if he is just at the other hospital until he can go to the nursing facility on Friday or what.

[judymaggie]

Wow -- you sure have a lot to monitor with Molly! I am not familiar with hypercalcemia so will have to do some reading about it. You are a really wonderful Mom!

Will continue to send healing thoughts to your BIL! Happy to hear that Daniel is mending as expected.

[Dixie'sMom]

Just popping in to catch up and say hello. I hope Daniel is still improving and they can get the BIL situation settled. As for Molly, I hate she has to take yet, another BP pill but I know that sometimes it does take more than 1 type to do the trick. Even though you have now gotten it worked out to get her BP checked at another GP's office, I wonder if you would feel better about it by having your own machine to keep a check on it. Hopefully the calcium thing is just a fluke and her next blood test will show it back to normal. I can't remember what her BP medicine is called, but if it contains a diuretic that could cause some changes in the blood work. Hugs and prayers for you and yours today and always. Good job hanging in, Sharlene!

[Trish]

Hoping your week has been one of relaxation, de stressing, Molly being her usual precious self, hubs healing, BIL rehabbing and you have had a chance to breathe without any new stressors... somehow I doubt it :D:D xxxx

[molly muffin]

I've been in training this week since I have to cover during for 2 employees that will be away over the christmas holidays. It's been pretty stressful. 2 doctors appts for me this week hasn't helped a lot.

Molly is doing okay. She is a bit more jumpy. I don't know if it is from her eyesight failing or if it is from the low pre cortisol. She's been higher for so long, I'm sure she feels different without it.
A bit of a snafu with her BP med and I still don't have it. It wasn't ready when I finally got over there last Saturday to pick it up, then they were suppose to mail it, but it isn't here yet, so I don't know if they did or didn't mail it and if I should try to pick it up on Sunday. I'll call to see if it is there, since it's a pain to drive half an hour to get there and then it not be ready.
I just realized I don't have enough trilostane to get her through to her next test either. Argghhh Of course I have to get it from the same place I get the BP med. Would be much easier if my vet could/would order it compounded, which is what I need.

Hubby is recovering but having some pains. From what we've read it's to be expected, so not going to worry about that, Yet.

BIL. sigh. I'm waiting to hear back tomorrow on what the plan is. He's currently in a nursing home, but I don't know if he can stay there if he isn't doing PT or not. He's on full bed rest, as they can't at this point do surgery on him and I guess they are hoping for some fusion to take place with bed rest.
It's just all very complicated.

I'm having a lot of trouble getting into the holiday spirit this year. Very much not like me but just too much stress going on right now I guess. Hopefully the real me will kick in soon and this will pass.

I know I haven't updated much since the whole drama stuff sort of hit a stable point. I don't think I handle "drama" very well at all. I'm more of cruise through type of gal, me and molly just going along, I don't like rollercoasters in life very much, only at amusement parks. :)

hugs

[Budsters Mom]

Oh, big hugs Sharlene. :o

It's not too late for that exorcism. Maybe you could get a priest to dress up like Santa Claus and some altar boys to dress up as elves. That way you can kick in the holiday spirit at the same time.;):D

Seriously my dear, please take care of yourself too. I know how hard that can be at times. xxxxoooo

[labblab]

Hmmmm...I'm not so sure I like the sound of two doctor's appointments for you. Surely hoping they were just routine. Good grief, but you've had a lot on your plate. It's no wonder that you've got less interest and energy for holiday prep this year. I hope you get some well-deserved down time over the weekend. Maybe a girlie drink with a little umbrella...or two...or three...

[Dixie'sMom]

I'm with you Sharlene. I'm trying to muster up some holiday spirit but I'm too exhausted and I haven't had nearly as much on my plate as you have. Maybe the spirit will hit all of us at the same time and we can have a cyber party with those girly drinks that Marianne is talking about. :) IN the meantime, take care of yourself.

[doxiesrock912]

Me too. I start to get into the spirit and something happens.
Dad and I went shopping tonight and twenty minutes into the trip he started having chest pains and we headed right back home.

Hopefully tomorrow will be better for all of us.

[Squirt's Mom]

Many hugs and much love for you, Sharlene. Too much has happened all at once, and still too many unknowns from them remain. It is no wonder the spirit of the season has escaped you for the moment. But you know what? All those decorations and neat foods and parties and such don't really mean a hill of beans in the grand scheme of things. What is important is already at the forefront of your mind and activities - your family, which by the way is what this season is all about...compassion, love, forgiveness, helping others...and you have that in spades year round. So from where I sit, you keep the Christmas spirit alive all year long even sans lights and ornaments.

Hugs,
Leslie and the gang

[jas77450]

Ditto what Squirts mom said. You are putting the important things first, that's what really counts, you have a lot going on, prayers for strength and grace!!!

[Tina]

Hi Sharlene,
Sheesh, your work situation sounds a lot like mine. And the same with the doctors appointments. :( Holy cow, what is going on with us?! I hope things are slowing down for you a little bit. I've been reading and keeping caught up on everything. How is hubs doing now? I hope he is continuing to improve and also that the pain is under control now for him. And how is your BIL? Keeping them both in my prayers.

How is Molly doing since you started the amlodipine? I hope she's tolerating that okay. And also I was wondering, maybe I missed it in your thread, but I looked back and didn't see where you posted the results of the UPC from 11/13. How was that? So sorry if you posted it and I missed it.

I completely understand the lack of holiday spirit, I don't have much of it either. I made the executive decision that I'm not putting up our Christmas tree this year. This is so sad, but all I could think about was how much work it is to take it all down and put it away, and that is how I based my decision. So pathetic, I know. I just don't feel that I can face it right now. I put a clear string of lights on my ficus tree in the living room and that's what I've been plugging in, so at least I have some sparkling lights to look at. I do enjoy that. :)

I have been thinking of you and your family so much Sharlene, I really hope hubby is feeling better and getting back to normal.

Big Hugs,
Tina and Jasper xo

[molly muffin]

Hi Tina I probably didn't post it. There was no change. Still 1.7 I think it was. Same as the time before. I need to take urine in to get another UPC done. I also need to get her in for a bp check it no time to get an appt. starting we'd my work gets even more hectic as peoples vacation start and that makes it hardto get vet spots. Sigh. I will have to figure it out though and soon. Molly needs groomed. So far I am. Keeping the tangles at bay with a diet angler, a good comb and much patience on both our parts.
She seems to be handling the bp meds okay. I haven't noticed any ill effects so far.
Hubs gets better every week. It will just take time for the discomfort from the scar tissue inside and the steel thread to go away.
BIL well we wo t know for awhile if this bed rest has helped or not. He is due for evaluation at Stanford on 31 dec.
I got busy this weekend and decorated the tree and did my Xmas shopping.
I know I won't have time after this weekend for much of anything. I have to set my alarm and get up at midnight or very early in the morning to get the days work stuff going. I have to wait for the kick over to tomorrow time for the North American programs to release correct info. Talk about not being a happy worker and I do this on my own time so I won't be behind all day tomorrow. The guy I am covering for starts at 7am normally. Problem is that I hear via the grapevine that this will become my permanent job going forward. If it wasn't for Molly. I would definitely quit.

Oh well so etching to think about I the new year.

Thanks for checking in

Hugs

[Budsters Mom]

Now for the question of the evening.....

How many bottles of wine did it take to get the tree decorated?LOL ;):D

Life's been so tough for you, that my goal is to get you to crack a smile. Did I succeed?

[molly muffin]

Why yes you did Kathy. :).
I skipped the wine because I got distracted by a beer or two instead but the tree did get decorated so. Whoo hoo. Also got a couple other decorations up.my biggest pron
Blem was I was easily distracted by just about anything else. Lol

[molly muffin]

Good grief. Yesterday molly got stuck in the window seat. She managed to at some point knock over one of the rail gates, kick her window bedding down onto the steps and found herself stuck. So she waited till I came home, whined a tad, I went to get her and she ran for a drink of water. I bet she was stuck since the mail man came and she gets all excited and goes for the window to get at him, kicking her bedding with her back legs.

First time That has happened. She also went bouncing UP the steps the other night, when she decided I wasn't moving fast enough to come take her to bed. Normally she waits to be carried but she is in definite alpha mood the last few days. I'm just guessing that maybe her body is feeling better or at least I hope that is the reason. She won't play with her toys any more though. That is kind of sad. Not sure if it is a sight thing or basic disinterest. Even tried some new ones, no go. She is fine for her walks and for bouncing around the house though, so doesn't seem to be a matter of not feeling well at least.

Ugh, we're getting rain today, and will switch to snow tomorrow. You can always tell because you get that barometric pressure switch. Gives me a headache every time. Molly is not impressed that I have a headache. Think I'll try to talk her into a nap in a bit.

hugs all

[Budsters Mom]

Well if she had to be stuck, at least she had a view. ;) Poor baby. I hope she wasn't stuck there very long.:o

So glad to hear that she's been bouncing around. She must be feeling better.:p It is kind of sad about the toys though.

So sorry you have a headache. :o yes, you are exactly right. They are not impressed when we have aches and pains. I hope you were able to convince the little muffin that a nap is in order. She might be pretty tired after being stuck today. xxxxoooo

[molly muffin]

Well, I called the vet who is closest to me and whom my vet had said could do the BP checks for us and now Molly is to be seen by this vet, Dr. Fenger, who is the owner of the clinic and then will have her BP checked. After that she'll have regular monitoring there for her BP. Luckily for me it is close to my house and I should be able to get her in with no problem for BP checks.

http://www.parkanimalhospital.ca/staff.php

This is a list of their services of which I am definitely impressed by:

http://www.parkanimalhospital.ca/services.php

I like that this vet and her husband specialize in adopting stray animals. That says something about the kind of person that she is and I'm looking forward to meeting her and getting her opinion on the Molly situation.

As a note to all others out there, they need copies of mollys records and test history and this is a great example of why you need to have copies of your records and tests. I'm not switching vets persae, but even for a checkup and something as simple as Blood pressure monitoring, you NEED to have copies of your test results.

Molly is going tomorrow to be groomed so she'll be looking all nice and spiffy to meet the new vet gang. I told her she has to be on her best behavior and no snipping at the staff. We're trying to make a Good impression young lady.

So that is my latest update on Molly.

hugs

[judymaggie]

Very impressive resumes and available services! Sounds like an excellent group to handle Molly's BP evaluations.

[molly muffin]

Merry Christmas everyone :) It's been a heck of a year for all of us hasn't it :) Yet here we still are. :) :)

Molly update: Her BP medicine has been increased as it hasn't dropped below 170. Curve was between 195 - 173, so up it went and we'll retest next monday.

New vet doing BP is close, and seems to be very knowledgeable. Does compounded medicines (order them) and has 5 different places they can check on prices to get the best one. Although they have one that they think is the best around the area and use quite often, so I can get mollys meds easily now. I still need to drop of urine for a UPC. It's just been so darn busy at work lately with covering others on holiday. Feel like I seldom have any spare moments.
I also found out that she has a 3/4 luxating patella on one side and the other is a 1/2. Unfortunately, this vet doesn't feel molly is a candidate for surgery either, in agreement with my primary vet and my IMS. They think there is a risk that molly would throw a clot during any surgery. We are just trying to manage as best we can. She is still her happy little self, but I have to watch those legs rather carefully, along with so many other things. I have a heart attack when she goes racing through the house and burns out. Also, her back showed some signs of inflammation again, so no jumping up and down from the couch. Glad we got her use to the steps up to her window seat or she would really be a peeved little girl.

Hubby is recovering quite nicely and has rejoined his racquetball guys and is playing, although taking it slow to build back up.

BIL well, more upsetting developments in that they say he now has gone into congestive heart failure, what with being in the bed and unable to sit up or move. I'm not sure where this is all leading with him, but it is hard to see the way out some days. When I do have spare time, I try to spend it talking with my sister and just being supportive of her. It's a rough place to be in.

All in all, I just want to get through the holidays. I did manage to find a bit of the old holiday spirit. Turns out it was in the box of tree decorations and when I got them out and put on the tree, then it got a bit better. :)

I hope everyone is having a joyous as possible holiday season. We've had a few bumps, but we're still here, maybe not going strong, but definitely going, so that says a lot.

hugs all

[Budsters Mom]

Well, throughout it all, our muffin is still her happy little self. That is good news indeed!:p


She is still her happy little self

I am very sorry to hear about your BIL. That is not sounding good at all. I will continue my prayers for all of you.

Happy to hear that hubby is healing well. Another blessing!:p

Yes, you've had a tough year too. We've managed to stick it out together though.;)You are such an inspiration to all of us.

Merry Christmas Sharlene. Hug the muffin for me if you can catch her. LOL xxxxoooo

[doxiesrock912]

Merry Christmas everyone!
I managed to decorate a small tree tonight. Dad will come home for Christmas day. Not sure when he'll be discharged from the rehab facility yet.

[Squirt's Mom]

I'm glad you found a modicum of the seasonal spirit, Sharlene. It's been hiding from many of us this year it seems. Changing those traditions we have held so close and cherished for so long is both healing and devastating. Being able to see and feel those old traditions still breathing and living strong in a simple box can open the doors of our Souls just a crack...and a crack is all that Light needs in order to enter.

My thoughts and prayers remain with your BIL and sister. I hope some measure is found to bring him relief and allow him to take steps forward toward recovery.

Molly is of course so lucky to have you as her mom. You are the best and she knows she hit the jackpot that day you first took her in your arms and said, "this one is mine."

MERRY CHRISTMAS TO YOU AND ALL YOURS!

[molly muffin]

Merry Christmas and Happy Holidays~~!!!

From Sharlene and the molly muffin 2014

http://www.k9cushings.com/forum/album.php?albumid=583&pictureid=7303

[Trish]

So CUTEEEEEEEEEEEEEEE!!! Aww you just wanna squeeze that Muffin and give her kisses.... she does have a bit of a grumpy cat frown on hahaha, but I know that is just her way of convincing you she is starving and needs TREATS..... NOW!!!

MERRY CHRISTMAS SHARLENE AND MOLLY!!!!!!!!!!!!!!!!!!!!!!

[flynnandian]

hi sharlene, merry christmas from us too!

[doxiesrock912]

Merry Christmas everyone!

[mcdavis]

MERRY CHRISTMAS to you and Miss Molly from Henry and I. Lovely picture :D

I'm so pleased to hear hubby is on the mend, but so sorry to hear about BIL. I hope they are able to find some treatment that will help.

[Harley PoMMom]

Merry Christmas to you, Miss Molly, and to your family...Luv ya bunches ;)

[Dixie'sMom]

MERRY CHRISTMAS
Sharlene, Daniel and Molly Muffin!

[My sweet Ginger]

Merry Christmas Sharlene, Molly, and all of your family. Hugs, Song.:)

[spdd]

You are a sweetheart. I now know that all the decent people on this earth have found themselves on this forum. Never, ever met a kinder more considerate bunch then here, and I'm old:eek::o
Thanks for writing on my thread.Wishing you nothing but joy, happiness and all great things in 2015. As for our little diva Molly... Keesh's mommy gives you big hug and kisses.

[judymaggie]

I hope you and Daniel and Molly have had a wonderful and relaxing holiday! Hope you are resting your fingers ... you are so sweet to wish everyone individual holiday greetings!

[addy]

Had to stop by to wish you a Merry Christmas, wouldn't be the same if I did not.

Hoping the New Year brings better days and less stress.

Hugs to Molly, Koko says woof and Angel Zoe wants dinner or a snack!

Love ya

[kaibosmom]

Hi! Thanks for the message. I was coming to your page next (after Trish) but got sidetracked as we were heading out to look at Christmas light displays. Anyway, I hope you had a great Christmas. Kaibo is doing well (mostly) and I'll try to update today or tomorrow. It's been way too long. I still can't post pictures on here so you still need to find us on Instagram. Lol. I'll try to put new videos on you tube as well. So much to do! How's molly? I've read a bit on and off over the months since I've been active. Anyway better go downstairs and be part of the family for now. Catch up to you soon.

Nikki and Kaibo.

[molly muffin]

Molly is a lot less grumpy looking in this photo:

http://www.k9cushings.com/forum/album.php?albumid=583&pictureid=7312

more how you usually see her when she is in major relax mode. :) :)

[Squirt's Mom]

That is one precious baby girl right there!

[addy]

I love it when they are so relaxed and happy. Molly looks good and she has a new haircut I think??

Gives new meaning to underneath the tree:)

[apollo6]

Wishing you and Molly a blessed,health New Year.
I looks like you had a beautiful Christmas.
Thank you for all your kind words and support.
Sonja and Angel Apollo

[flynnandian]

you got a nice gift from santa, a cute molly present! a doggie from santa, you must have been a good girl last year......

[Squirt's Mom]

Hope hubby and BIL, not to mention YOU, were able to enjoy the holiday half as much as Molly looked to be!

[Tina]

Sharlene! Thanks so much for the Christmas wishes on our thread. I didn't get much posted this year, have been having some internet connection problems, and also just exhausted. So sweet of you to post individual greetings to so many of us. We had a nice quiet Christmas here. Sounds like your holiday was good. I love the new pics of Molly, especially the last one. Her little pink tummy is the best, I just want to give her some belly rubs! :) xo

[molly muffin]

Dropped off urine for another UPC follow up test this morning. Ordered a small bag of low protein dog food for her. Had a BP check this evening. I think still high, although they were happy with the bottom number and the "mean" number saying they are better.
The top number was different each time, 155, 175, 195 I think was the top but the bottom was like 67. So we're waiting to see what the IMS has to say. I suspect we'll be increasing the amoldopine, again. We are now at 1 1/2 pills per day, so just a teeny bit under 1mg.

Will update when we have results back on UPC. Last two were at 1.7 we want it lower.

Next up in January will be an ACTH retest and an ionized calcium test.

[Renee]

Hey Sharlene - I'm too behind on your thread! OOPS!

What is the inonized calcium test for?

[molly muffin]

Ionized calcium if high means a possibility of two things either cancer or parathyroid tumor. Ionized is not like the total that you will have on your regular blood test it is more of a singled out portion of calcium. So because we had checked pricing and there was a test at a better price that have us what we want on bun and creatinine we did that test. It turns out that ionized calcium was included in that test. Which is how we found Molly's was high. So recheck and it was high normal next test. We will be rechecking. The cut off is 1.40. Molly was 1.46 first time we checked and 1 40 second check. Unfortunately there is nothing good to be said about a high result on this test from what I can find out. Tell a vet you have high ionized calcium and their face literally falls to their feet. Found that out with two vets now.
To test for parathyroid you have to get the blood when the ionized calcium is spiking upwards and it has to be sent to michigan.
New vet had asked me what Molly's thyroid results where like and I had a thyroid panel done before all of this which was normal.
Anyway. One day at a time grasshopper is what I tell myself. :).

[Renee]

Wow. I have never, ever heard of this!!

So, if the next result is in the normal range, you will continue to monitor?

Yes, one day at a time is a good motto with these babies. They live in the moment, and we should too!

[molly muffin]

Yea, I think I would probably retest it like every 3 or 6 months just to keep an eye on it.
Woody's ionized was high, went back down and he did have cancer, so we know it can move, so yea, keep monitoring.
Interesting that it can show up in dogs with Addisons too, but they don't list cushings as a probability.

This is Dr. Peterson's article: http://endocrinevet.blogspot.ca/2012/05/top-10-differentials-for-hypercalcemia.html

[labblab]

Sharlene, I see that renal disease is also listed as a possible cause...

Molly is certainly a long ways away from renal failure (and we intend to keep it that way!). But is it possible that chronic renal issues might raise the calcium up into that borderline range?

Marianne

[molly muffin]

I wonder about that too Marianne and will definitely ask the IMS about it. Nope, she isn't in renal failure, but then so much has happened so quickly that I wonder what is causing what at this point. I mean, her blood pressure was perfect last April and eyesight excellent. It is definitely a good question to get clarification on.

They checked for an anal sac tumor already, ruled out vitamin D toxicity and lab error, based on repeat higher results and of course ruled out Addisons, as we know she has High cortisol not low.

[addy]

stopping in before I leave for work to wish you:


HAPPY 2015

[mcdavis]

Just popping in to wish you, Molly and your family a Happy 2015 from Henry and me. We wish you health and happiness in 2015, and hope that they will be able to help your BIL.

[Squirt's Mom]

The very best in the coming year to you and yours, Sharlene!

How are hubby and BIL doing?

[molly muffin]

Hello everyone and Happy 2015!

Hubby is doing great, if he'd just take it easy with the racquetball playing and ease into it. He's feeling the aches and pains of not playing for a few months.

BIL - he is being taken by ambulance up to Stanford today for a re-evaluation, to see how he has done in the last few weeks of bed rest. I don't know what they will decide but the place they had him at has said 6 January he has to leave there as the goals he came in with have been met. (putting on a t-shirt daily and doing leg/arm exercises) It doesn't seem like much does it with a broken back, and he still can't sit up, so no idea how this is going to play out. Plus he developed some congestive heart failure while there, which they think has cleared up, which I wasn't aware it could go away, so not sure about that at this point. It does make the idea of any surgery iffy I think though. We'll just wait and see.

I went and picked up more medication for Molly today (refills) and some Low Protein food, so that is it for me today. I'll be away this evening.

I hope you all have a safe New Years.

hugs

[doxiesrock912]

You too Sharlene!

[My sweet Ginger]

Sharlene, my wish for you is you and your family to have a very happy new year and good health and luck be with you through out 2015 and Molly to be more forthcoming for her mama.
Thank you for your happy new year wish for us. :)
Hugs, Song.

[Dixie'sMom]

Happy New Year Sharlene, Daniel and Molly Muffin! I hope you had a great nite out last nite and a restful day today.

The last months of 2014 was very stressful for you so I hope that trend is gone. I have high hopes or the New Year and hope we are all blessed with wisdom, clarity, peace and more joy than we can imagine! Hugs!

[flynnandian]

a healthy and happy new year from us too!

[addy]

I'm so used to seeing your thread on page one I just had to bring it forward.

Keep warm and kisses to Molly.

[molly muffin]

Thanks Addy. Trying to stay warm. Might be tough to do this week though. Brrrrrr.

Still waiting on the UPC result. Trying to figure out when to make appt to get Molly in for her next ACTH test. Trying to gauge when weather will be best for making the drive to the specialist. I want to go through her for this next test for cortisol and calcium but after that I plan to use the vet near me which will be more convienent.

Just doing the best we can. The ice and snow is making it difficult for walking Molly with her luxating putella. It scares me to death when she slides. I also am very aware of the potential to go sliding if I try picking her up on that stuff. I just end up keeping the leash tighter on the harness and using that to lift her when I see she might lose traction.

I think tomorrow I will go see about booties with grips on them. Although she thinks she can't move when I put booties on her perhaps I can get her use to them slowly by putting them on in the house and leaving them on till she at least moves. Might take many hours. She is fairly stubborn.

I too am looking forward to longer daylight hours.

Hugs

[Budsters Mom]

Hi Sharlene,

It sounds like you're freezing your tushi off!:eek:

Buddy had a hard time walking on smooth surfaces due to his hind leg weakness. His legs would sadly slide under him, making it difficult for him to stand, more less walk, or run. Glynda sent me some Pawz in a couple of different sizes for Buddy to try. Although he didn't want to walk in them at first, they did help with his traction. She originally sent them to help with his grass allergy on walks, but I ended up using them more for traction. They feel like a thick balloon material.

http://pawzdogboots.com/prod_boots/


I think tomorrow I will go see about booties with grips on them

[mcdavis]

Another supporter of Paws bootees here. Hamish hated wearing the normal boots and did the whole refusing to move thing, but with the Paws he didn't seem to notice he was wearing them and just trotted out happily the first day. We had to walk quite a bit on ice and snow, quite often on slopes, and I never saw him slip - I think it was because they are made of some sort of rubber.
I'd also recommend these for you http://www.amazon.ca/Stabilicers-S-Lite-Blk-Small/dp/B000GUEAUK/ref=sr_1_3?ie=UTF8&qid=1420471619&sr=8-3&keywords=stabilicers+lite

[Renee]

My pugs won't really wear booties either, until we get walking, then they focus on the walking part and forget the booties. I haven't tried paws yet, but they are on my list of products I've been wanting to try out.

[doxiesrock912]

Both look awesome!!

[molly muffin]

Thanks gals for the suggestions. Will let you know how it goes.

UPC result in 1.0 down from the last two times of 1.7 That is progress!

Cheers!
hugs

[Renee]

Go Molly, Go! Always good to see numbers going down. :)

[doxiesrock912]

Let me know how Molly tolerates the paws if you order them please. I might get them for Bella.

Go Molly!

[Squirt's Mom]

Good news! YAY!!!

[labblab]

Aw Sharlene, that's great news, for sure! You've been working so hard to help Molly; you two girls definitely deserve this reward! :)

[molly muffin]

I'm very happy with it, at one point it was over 2.0 and then stuck at 1.7 for a long time. She is on 5mg am and 5mg pm on benazepril to get it there, but it might also have to do with bringing the cortisol down and the BP meds too. It all seems to be working in concert. One goes hay wire and they all do. Arggghh

I would love for her to be settled in the next week, but doubt that will happen. I'm going to be going away for a week this month and it's driving me nuts worrying about her and I haven't even left yet .
Hubby surprised me on Christmas Eve, by saying we are going with friends to Barbados for a week. He has already booked it and it's settled, so while I'm thrilled to get out of the cold for a week, I'm a basket case trying to get the little miss settled.

Okay, so I have a thing of pawz, it says x-small for shih tzu. Really do they fit that tight? looks very small. Not sure how it will work but we'll try it tonight and see.
I have to come up with some solution as this afternoons walk was a disaster. :(

hugs

[Budsters Mom]

Yes, The Pawz do stretch and fit tight, so they can't pull them off. The x-small were too tight for Buddy and he weighed 16 pounds. We ended up going with the next larger size. They stayed on, but they weren't so horribly tight.;) If they don't fit, exchange them. Yes, I realize that your weather is horrible, so that's easier said than done.

We had 80F weather today. That's 26.7C. I bet you really wanted to hear that! Mean!!!:D:D


Okay, so I have a thing of pawz, it says x-small for shih tzu. Really do they fit that tight? looks very small. Not sure how it will work but we'll try it tonight and see.
I have to come up with some solution as this afternoons walk was a disaster. :(

hugs

[molly muffin]

X-small, fits a shih tzu, does Not fit molly. Can't even get one of them on her. Back to the store tomorrow. In the mean time, no sure Where I put those ones I bought her years ago that she refused to wear. hmmm

[mcdavis]

We used the blue (medium) Paws for Hamish, who was around 17lbs. I think he would have been OK with the red (small) ones but they were out of stock when we went to the store to try them.
They were a bit big on his feet but were about right (i.e. not too tight) on his ankles.
The lady in the store did insist on trying the orange (x-small) ones on him and they were seriously tight - he was very unimpressed when she tried to take them off, as they clung to his fur.

-23C feeling like -36C for us in the morning :eek:

[Budsters Mom]

The red/small Pawz ended up fitting Buddy just right. ;) The extra small (orange) were a definite no. Molly is not too big. The dang things are too small!

[molly muffin]

Holy cow that is cold! That is what our Wed is suppose to be like. We're in the wind chills of -25c now and that's too bloody cold for me and molly.

I'm going to try the small and if that doesn't work, move up to med I guess.

I tried looking everywhere i could think of and couldn't find the booties. I might have given them away. It was quite a few years ago and she never wore them outside (have to stand to be able to go outside in them and she would just lay down) So back to the store tomorrow. Darn if we aren't in for more snow on Thursday night too. I think maybe a bit tomorrow too. I can live with cold and dry pavement but molly cannot do this salt stuff on her paws.

[molly muffin]

Our x-small was black. :( I saw she had a box of small red though, so that is what I'll try to get tomorrow

[Dixie'sMom]

Great news about the urine protein! Go Molly, GO! and nice work, Mom.

The cold... holy cow. I hope you can get Molly's boots and you don't have to stay out in that any longer that necessary. Having always lived in NC, I can't imagine that kind of cold. Y'all snuggle and stay warm!

[labblab]

Holy Heck, how are you supposed to get the dog's paw through the tiny opening of the PAWZ bootie, no matter the size???? I got the large ones for Peg yesterday, and they look like they ought to be the right size if I could ever get them on, but there is NO WAY her big fat paw is gonna make it through that opening :(. I was really hoping these would work (especially cuz the large ones are purple, and that matches her collar and also her bandage tape -- the girl would be stylin' :)). But I'm thinking I'm striking out on these. Phooey, the idea seems so good otherwise...

[Renee]

I think they are supposed to be rather tight, but should stretch over the paw. I remember a friend who put them on her pugs... she called them paw condoms, lol.

[mcdavis]

Have you seen this http://pawzdogboots.com/size-chart/?

When we got the mediums for Hamish they were a good fit, but definitely not tight, around his ankles and a bit large on the foot. I had planned to make them smaller with duck tape (someone told me to patch them with duck tape if they wore through which was great advice as it meant one pack lasted an entire winter) but he didn't seem too worried by the extra space.

[molly muffin]

Well it is quite the production to get it on her, but I tried a size small on to see if it would fit and it did.

Marianne, whatever size you Think will fit and should, go up one, otherwise it's a tight stretch and impossible to get on.

I haven't tried all 4 on her yet or taking her outside. When I put the one on her she held the paw up and tried to walk on 3 legs like she was dying or something, but she finally put it down, and went running up her steps to the window seat using all 4 feet, so I think this might work out, if I can just get them on her. After I took it off, she is running and hiding from me every time I call her, so she must think I'm torturing her. (she'll get over it, she thinks the same thing about being brushed)

hugs

[Budsters Mom]

Now that's a visual!:D:D:D

The are designed to fit tight around the ankle so they stay on. They should not be so tight as to cut off circulation.:eek::eek::eek: They look very small, but do expand significantly. I wouldn't give up on them as of yet Marianne because they are waterproof and will keep Peg's sore foot clean and dry. You might need to go up a size.;)


paw condoms, lol.

[Budsters Mom]

That's encouraging Sharlene.:p If Miss Molly can run in one, she can run in four. ;) Great Job!

[molly muffin]

Update! They are so worth it for outside in the snow and salt. Once I convinced Molly that I had not in fact cut her feet off from her legs and that they still worked it was easy peasy. She was going lickty split down the sidewalk, through the snow, peeing and pooping where ever she wanted with no problems what so ever. She even discovered that she can run and jump, still do the back kick after a potty and the world is still her oyster.

Marianne, it's worth getting a size that will fit around the ankles. The body around the paw is a bit loose but around the ankle fits perfectly and I just pulled them off when I came in the house.

One thing I did notice is that when they are wet and you come in, get them off right away as they WILL go sliding on the tile or wood floors when the booties are wet.

SUCCESS is wonderful!

hugs all and Thank you!

[molly muffin]

Marianne I forgot I was going to tell you I saw a lab today in them, they were green.

[spdd]

Pics or video please. I'm sure they will be much cuter then what I'm imagining.

[Dixie'sMom]

I'm with Judi! LOL, my visual is waaay too funny!

[molly muffin]

Well I got a picture. Gives new meaning to the phrase "paws up" LOL

http://www.k9cushings.com/forum/album.php?albumid=518&pictureid=7387

She doesn't seem to mind them once I get them on her now. Once you know your feet are still there and work the same, and your paws won't freeze when you go outside, it's a whole different story I guess.

[Budsters Mom]

Thank you so much for sharing that photo Sharlene! It is absolutely adorable!:p Every time "paws up" is mentioned, i'm going to see that picture of our little muffin.:p:p

[Trish]

It's hilarious! Some mentioned condoms and now I cannot get the thought out my mind! haha... red is her colour though and any photo of Molly is adorable and so so pleased they are keeping her little pretty paws protected! x

[molly muffin]

For the first time ever, I notice that molly now shivers when at rest, or standing or sitting, just shivers an awful lot and her hair while still growing, is getting thin. Maybe she is feeling the cold as her hair seems thinner, but she shouldn't be shivering in the house with the heat on and hasn't been outside for hours.

It's like with her cortisol lower she now shows symptoms she never did before.
She is to have an ACTH test next week. We haven't increased her dosage at all as I wanted to see if it would continue to come down even after 30 days.

I must say, I don't like this. No attitude change, but other things and particularly the new shivering are concerning to me.

She'll have a cbc done the week of the Jan 26.

[labblab]

Oh pooh, I don't like the shivering either! I know we've had a lot of shivering episodes reported here through the years, and darned if we could just make better sense of them. I've repeated this many times, but my Barkis started having shivers (or tremors as I started calling them because it was obvious he was not cold) shortly before he was diagnosed with Cushing's. They got dramatically worse after he started on trilostane, but then stopped entirely after 2-3 months on the drug. Such a puzzle we could never figure out.

Sharlene, remind us of Molly's most recent ACTH. It is possible that these new problems (hair thinning, shivers) are related to the treatment. But the reverse is also possible, at least with the thinning coat -- that her cortisol is still hanging up there high enough that she is finally exhibiting a standard external Cush symptom.

It is just very hard to know. But I understand why all of this is upsetting, regardless of cause. The tremoring always really bothered me (actually, far more than it bothered Barkis because he basically ignored it!).

[molly muffin]

Marianne, here are our last few test results.

ACTH Oct 17, 2014

Pre 74 nmol 2.68ug
1hr 858 nmol 31.09ug
2hr 1024 nmol 37.11ug

ACTH Nov 07, 2014

Pre 102 nmol 3.69ug
1hr 582 nmol 21.09ug
2 hr 608 nmol 22.03ug

ACTH Nov 26, 2014

Pre < 27.6 nmol 1.003ug
4 hr 339 nmol 12.28 ug
8 hr 408 nmol 14.78 ug

I elected to Not increase the trilostane at that point and wait to do a test in January to see where she is at. My specialist was away over the holidays and it seemed smarter to just not do anything and see where it went, plus I didn't want an increase with that low pre cortisol reading. It did as they tell us it can, continue to decrease at the 30 day testing. I'm worried that it has continued to decrease. What is very strange is that the pre would be so low with the posts still being high, but then molly has always been the abnormal case study for cushings.

[labblab]

Yep, your rationale for holding off an increase totally made sense to me. But I had forgotten about that 1.0 pre reading. That does seem bizzaro given the post of over 14. Did you IMS consider contacting Dechra about that because it seems so strange? It will certainly be interesting to see what the January results turn out to be!

[molly muffin]

Didn't seem concerned about the pre number at all, and was concentrating on the post number. They want the post to be around 250 nmol I think they said. These tests all used the same lab, IDEXX, and we want to make sure to use that for all acth testing going forward to so we don't get any lab differentials to deal with or have to factor in.
I'm thinking, hmm, either the pre number is really bothering her now, or kidney/liver would cause the tremors. It will be one of those, what changes have you noted conversations for sure.

[mcdavis]

During the last winter that Hamish was with us his fur was a bit thinner and I noticed he shivered a couple of times so I put a little sweater on him and he was absolutely fine - no more shivering. I think it was just the thinner fur as often dogs coats are thicker in winter.

[Dixie'sMom]

Molly's picture is precious! The boots are adorable, but I must say that with my crappy eyesight they look like little boxing gloves. My first thought was "MOLLY-ALI".

I'm sorry to hear about the shaking. Buttons, my noncush pup shakes and it is very disturbing. I wonder sometimes if it could be a drop in blood sugar or something. Otherwise she is perfectly fine and has no health issues that I am aware of.

I know how worried you are about her. Hopefully this will pass as Barkis' did.

[Tina]

Hi Sharlene,
Just doing a bit of catch-up here on the forum. I am thrilled with Molly's last UPC!! I would give my left arm to have Jasper's be that low! Great job, so happy for you. Is she still doing the shivering? I hope that isn't continuing.

OMG, the pic of Molly in her Pawz is adorable! We use the red ones here also, and Jasper lays on his back just like Molly for me to put them on. So cute. They're a little big on his feet but not too bad, I don't think I could get the next smaller size on him. I've been using the same ones for Shelby, but they're a bit bigger on her. But so far so good, they have stayed on when she is out in the yard. I'm not sure how well they would stay on if we were out walking around the neighborhood, though. But I don't want to buy another whole box in a different size, so we're going to see if we can make it work for this winter.

I hope you and the little Muffin are doing well and keeping warm.

Hugs,
Tina and Jasper xo

[Harley PoMMom]

Hey Sharlene, Just wanted you to know that even though I don't post much here that I am always reading about our dear Molly and wishing the best for you both. ;)

Love and hugs, Lori

[Budsters Mom]

Hi Sharlene,

So sorry to read that our little's muffin's eyes have aged two years in two months. :o Is she still able to see well enough to get around safely?

On the upside, reading that the supplements are helping to keep her legs pain free and that she's wearing her Pawz outside, is really good news. She looked adorable in her bootie photo.:p

Molly is very lucky that you're on her team. Go Molly, go!

Big hugs,

[addy]

Did I miss a post about Molly's eyes?

A www, and here I was going to ask about what size paws I should buy Koko and tell you road trip to Vegas,

Hugs Sharlene to you and sweet, pretty little Molly.

[molly muffin]

I had posted that on Marianne's thread, but the eye situation happened in August.
She had normal BP, her eyes were clear, UPC okay, we did three to try and determine if she had the protein loss, and couldn't get 3 consistently bad. Then she boarded in August for a weekend or something and my vet said, what has happened, molly's eyes have aged 2 years in 2 months. That was when I made the appt with the doggy ophamologist and her specialist in September. Verdict, high BP caused by cortisol and protein losing kidney disease has caused retinal bleeds which has caused loss of focal point sight.

Yes she gets around okay, she can still see shadows, etc, but she doesn't recognize us if we are outside the window, and she doesn't see things close up very well. She knows her house and her steps on the staircase and maneuvers fine. If she can't see something well and is nervous, she will bark and we'll come and tap for her so she knows where things are.
We play the throw the kibble game so I can keep track of how she is doing and she loves that. She doesn't bump into anything and still flies up and over the one step to the front door like a pro. I'd say she is doing very well for everything she has going on these days.
The back legs luxating worry me quite a bit, but as long as she isn't in any pain I guess she is doing okay. They have gotten worse though. No surgery option for her as they feel she is high risk to throw a clot. So, we do what we can with what we have and molly is still our diva molly. Maybe even a bit more so. :)

We have an appt tomorrow for a recheck on ACTH and the ionized calcium. Please lord, let that be below the high cut off. Don't think I'd handle it well if it is out of sorts again. Hoping the ACTH is good too, I don't want to raise the dosage with that low pre number and the shivers she has started to exhibit in the last couple weeks.

Just hanging in there :)

Vegas!! wooot woot.

Koko is about molly's size, I went with the red size small. It's tricky at first to get them on, but once they get use to them, tis a wonder.

hugs girls

[addy]

Thanks for explaining, I knew the original eye issues, I thought they worsened now and had missed the post. Zoe could not see well either but got around ok, I just had to watch her closely outside.

I'll hope for a good recheck for Molly so you can both relax. Glad her Upc is down that is good news. I had read that earlier. I may not always write but I always read your updates.

Thanks for the tip for Koko. We may try them out. We have not been able to walk even in the yard for two weeks, his paws freeze in this awful cold.

[molly muffin]

Back from the vet and we'll have to wait of course for the results of the ACTH but should have them back in a day or two.

I am pleased as punch to say that molly's BP for there stay there was consistently 150/160 range. Whew, best its been since early last year and this mess started!!!!! No change in medication dosage for either BP or protein in urine since it 1.0 I couldn't be happier with that.

We had a bit of a panic as when we first got there, she was obviously stressed, tried to bite the vet tech (visions of Zoe for a moment there) and just was NOT happy. Her BP was 230 twice, so we thought oh no this is not good. However, as the day went on and she was comfortable it went down and stayed down. By the time I picked her up, she wanted to hang out with Chris, the vet tech, she had tried to bite and normally likes and wasn't interested in me at all! Traitor. LOL Actually I'm very happy that she likes Chris as he is usually who does her testing.

I mentioned the shivers as being the only change she has had, so we are now waiting to see what the cortisol level is like. She had diarrhea today when we got to the specialist office, took about 15 minutes outside in the snow with her having a bad time of it to get it settled down. I Think it was because she didn't have her morning poop (sometimes she doesn't) but then had a car ride during which she was nervous (she hates car rides and shakes the whole time, unless we are leaving somewhere and going home, then she is fine) or if she is having some tummy troubles.

I'm considering not giving her the trilostane till I hear back on results, not because I think she is low, I don't think so, she had plenty of room on the post to come down and we didn't change dosage, but just if she has an upset tummy, then better to hold off and a day or so should see her settled back down. Since she has had the tummy upset with diarrhea before, we know it doesn't take much to set us off on a bout of gastro upset and best not to rock that apple cart too hard.

My only qualm with not giving her trilostane is that dang BP/protein, is finally in a good place and I don't want to risk that going up if the cortisol coming down has been a contributor to that being good, which is rather has to have had an effect since it all seems to work together hand in hand.

Argggh, so frustrating sometimes.

hugs all

[addy]

Choices, I feel your pain, Sharlene. Do you think skipping one day will affect her blood pressure?

Sorry to hear her tummy is upset, poor girl.

I admit to laughing out loud that Molly took something out of Zoe's playbook! Bite the vet tech, such a Zoe move! Glad they made up, she must have really been stressed.

I'm so glad the blood pressure is controlled.

[judymaggie]

Sharlene--sounds like a stressful visit for Mom, too! I am glad to read that Molly's BP is finally in a good range. Hoping that ACTH results are great!

[FemaleK9]

Hope the tummy trouble is over quickly. Will be keeping my fingers crossed for a good ACTH report.

[molly muffin]

I will see if she has a normal poop in the morning and see how that goes and then decide about the trilostane. One or two doses missed probably won't be a problem. It has just taken so long to get the bp and UPC better I hate to do anything to put that at risk.

I don't know if I am looking for a perfect ACTH test for her as in post to 250 so much as I am curious to see if it has moved at all since we didn't raise her dosage over the holidays. Now with us going away I am loath to raise it with me not here with her too. We will just take it one step at a time.

[Budsters Mom]

Hi Sharlene,

I know how frustrating this all is and how easy it is to feel helpless at times.:o At least it was for me. If I was having the challenges that Molly is facing right now, I would want you on my team. That way I would be guaranteed of getting the best possible care and the most amount of love.

Molly has everything she wants right now. That's you and her daddy spoiling and loving her. She's happy Sharlene. I am sure of it!

Big, loving, hugs

[Dixie'sMom]

yay Molly! I'm so glad the protein and the BP are in a good range. That's progress!! Now if those stim tests are good then you can take a big deep breath and relax a bit and enjoy your trip!

[spdd]

Glad to hear about all the good results. Sure hoping this last test comes back good as well. Regarding the poop problem... do you think she knew where she was going and that started it? Keesh knew and he'd start up at the end of the road prior to even pulling into the parking lot. It got so bad, I'd take him a few times to the vet just to have a good experience, like walk in the door, get a treat, get weighed and then back outside and home. It worked cause the next few vets I took him to there was no problem.

[Woodydog]

Yay glad to hear the tests results and Bp are heading in the right direction.

Sorry had to laugh when I read she tried to bite the vet tech, Woody was the same, he almost got Craig my vet a few times but as soon as his exam was over he was up on Craigs knee for kisses, gotta love them feisty ones. :D

[molly muffin]

IMS just called with the ACTH results:

Pre - 89
1 hr post - 378
2 hr post - 499

so has gone up a bit.

Once I am back from holidays we will up her trilstane to 11mg from 8mg and see how that works. it is a 38% increase.

She seems fine today but didn't poop at all this morning (maybe just empty from yesterday) but was playing this morning so I gave her the trilstane.

Yes definitely could have been jitters from not having a morning poop and then a car ride she hates. So, I'll just keep an eye on that. Over all I think she is doing good with everything going on. We'll recheck BP in a month, same with UPC and of course start back on the ACTH testing.

You bet we love those fiesty ones! They keep things interesting! :)

hugs all!

[molly muffin]

Oh I forgot to say that her ionized calicum level is back in the normal range. The IMS doesn't think molly has a malignant cancer as she said we would be seeing some weight loss and her not feeling well by this time.

Molly is currently having the ACTH bounce and I do mean bounce! she is bouncing all over the house, eating anything in her bowl and begging for treats. I know i've said it before, but boy am I glad she never displayed these symptoms normally, only for 48 hours after an ACTH test.

For those who have followed my BIL's journey. He is currently able to sit in a wheel chair, which is progress. He can't stand or get into it on his own, but he can sit and have lunch and wheel himself out to the patio, etc. It's going to be a long recovery, but at least we are hopefully looking at recovery now.

hugs all

[Budsters Mom]

Progress is progress and we'll take it!!! It looks like your BIL is finally heading in a more positive direction. Yay!:)

Doc thinks Molly is cancer free! How could you forget to tell us that little tidbit?;) Awesome news! :D:D:D xxxooo

[molly muffin]

Just wanted to pop in real quick and say I'll see everyone in a couple weeks (Feb) as this is crazy week at work and then off to sunshine and warmth.

No worries all and everyone stay healthy and safe!

Big hugs!

[Budsters Mom]

Have a wonderful, well deserved vacation Sharlene.:p You will be greatly missed. xxxxoooo

[Bailey's Mom]

Sharlene!!! Are you coming to visit me?? It's nicely warm here. :D
I've just caught up on Miss Molly and am very glad to hear things have settled down some. Bailey has that snap trick in her repertoire also, although it's usually being protective of me.
We went to an art show over the weekend. Here in FL everyone seems to take their doggies EVERYwhere. Even to grocery stores. At the art show, folks had all their little doggies (and some big ones!) on leashes strolling with them. Bob commented on how everyone's dog was walking along so calmly...not even bothered by other dogs. I think I only heard a growl once. Had we taken Bailey it would have been a totally different story!! Although she is usually intimated with other dogs, at first.
Wherever you are going, I hope the weather cooperates for you. I hope you have a wonderful time and I look forward to your return. :)

Hugs,
Susan

[Squirt's Mom]

Have fun, Sharlene! I am so happy to read about BIL! He must feel as if he has the world by the tail being able to sit up some now. Good for him! Ya'll be careful, forget all that has been going on lately, and just enjoy!

[molly muffin]

Relaxation is what we are looking for. And warmth. Lol. Barbados Susan. Everyone says it is lovely. I've never been but looking forward to it. And we are going with friends who have been and loved it so that is a plus.
Yes BIL is happy to have a bit more movement. Loving to get out and about in the wheelchair. Today is his birthday. He's come a long ways from where he was. Very happy about that.

Hugs

[judymaggie]

Sharlene--have a wonderful, relaxing vacation! Just close your eyes, wiggle your toes in the soft sand and soak up the Caribbean sun. :D

[doxiesrock912]

Good news all around.
Now you can enjoy that vacation!

[Spencersmom]

Sharlene, I hope your week goes by quickly so you can get outa town and enjoy vacation!

Hugs!!

[Dixie'sMom]

Have a wonderful vacation, Sharlene. You deserve it since the last few months have been so stressful. It's so good to hear Molly and the BIL are doing well. We'll miss you!

[addy]

Fly away into the sun, girl, and have the best time ever, you and hubby deserve it.:):):):):)

[kaibosmom]

Enjoy your trip. Relax. Slushy drinks. Sun. Sounds perfect. Thanks for all of your support!

[Bailey's Mom]

Oooooooooooooooooo.......Barbados! We honeymooned there and have been back several times. You will absolutely love it.
IF you get a chance....there is this really cool restaurant. It's called The Cliff Restaurant. Here's a link.
http://www.thecliffbarbados.com/CR/Public/Gallery.asp?SubFolder=/RESTAURANT

It is indeed on a cliff and is absolutely gorgeous. You will need to make reservations if you go. It's a tad on the pricey side, but worth every penny. The food is out of this world. The location is wonderful.....really on a cliff. The staff is so very professional. You can see fish swimming in the waters while you dine. (They have spotlights on, which attract the fish.)
Have a WONDERFUL time. You will LOVE it!! :D
Hugs!:)
Susan

[flynnandian]

http://www.boredpanda.com/new-canadian-passport-uv-light-images/?utm_source=newsletter&utm_medium=link&utm_campaign=Newsletter

i found this about your canadian passports, very funny.
i hope you will have a very relaxed trip to barbados.

[molly muffin]

Oh that Is cool Iris. I never knew that about the canadian passports.

So before I leave I am off. I will leave you of a little video of molly spontaneously playing with her toy.

http://www.youtube.com/watch?v=Ce2oDzNE9cI

Enjoy, hugs all, behave yourselves while I'm away.

[Trixie]

Finally had a second to sign on and check in...that video is too cute!! Molly totally being a puppy!! Trixie plays much the same..which makes me happy. I haven't even caught up with any posts yet but had to wish you a wonderful vacation Sharlene!! Hope you have a fantastic time and enjoy much needed relaxation and rest!! :p:p:p:p:p:p:p

Barbara:)

[beaglemom3]

OMG Molly is too cute for words! whatta doll face and so cute! How she was playing. She looks wonderful!

Have a wonderful vacation! HUGS!!!

[labblab]

Bon Voyage, Sharlene!!!! Have a wonderful trip!!!!!!!! :) :) :) :) :) :)

[Harley PoMMom]

Molly is such a cutie pie!!!! Have yourself a fabulous time!!! We will miss you!

[My sweet Ginger]

Sharlene, Molly is sooooooo cute!!
Enjoy your vacation and try not to miss your Muffin too much.:)

[Budsters Mom]

I miss you already Sharlene!! ;) Have loads of fun in the sun. You and hubby deserve it! Next time, TAKE ME WITH YOU!!!! :D:D:D

Thanks for posting the video of our little muffin playing. That's what it's all about.

Big hugs,

[Trish]

If your going up for drinks soon.. Mojita please!!!!!!!!!!!!!!! With an umbrella and lots of lime! Party on Sharlene and don't forget to slip slop and slap!!! xxxx

[doxiesrock912]

Adorable video :-)
Enjoy your much needed vacation!!!

[Woodydog]

Hope you are having a fab holiday I,m sure Molly is having fun on her vacation as well :D

Trish I love that saying slip slap slop made me smile

[spdd]

Love the video.... her ears get me... so cute.

Hope you are having a great time. You are going to miss the snow heading for Toronto tomorrow.

Enjoy, relax and just soak up the warmth.

[mcdavis]

Looks like you may be home? Hope you all had a wonderful vacation. We're all waiting to hear all about it.
How's things with Miss Molly? Hope all went well in kennels and that she was pleased to see you.

[molly muffin]

Yes, we're home and just in time for a snow storm! Of course. LOL Wouldn't be Toronto without snow in the winter. I miss the sun and ocean already.

The trip was good, except that hubby was sick so we had to cancel a few activities we had planned. We didn't cancel the snorkeling with the turtles and snorkling a man made reef at a sunk barge, and sailing on the catamarran.

Now we are home though and hubby is still sick but back to work and now I'm sick. Arggghhh! I really thought I was going to miss the winter sick part this year. Best laid plans eh. No energy really at all, coughing and aching joints seems to be the main symptoms.

Molly is adorable. She came flying down the hall at the vets office as soon as she heard my voice and pranced and jumped and carried on like I'd been gone months! She really is so cute. She had a bath and good grooming while there so is looking pretty spry and cute right now. Tons of energy she has.
Not a fan of the snow storm though. She does Not want to go outside and only begrudgingly will because I make her. But no walks, no siree. Do her business and head to the door. Can't say I blame her, it is pretty cold and who wants blowing snow in your face.

hugs all
Sharlene and molly muffin

[judymaggie]

Welcome home! Getting sick on vacation is always a bummer--glad your hubby could do a few fun things. Take care of yourself & a big hug for Molly!

[Budsters Mom]

Thrilled you are home! Sorry hubby got sick and shared that with you. What a guy.;) I hope you had a pretty good time anyway.

I really don't know what to say about the snow. It is hard to relate when you never get any. It was in the low 80s here today. That's 26.7 degrees celsius. I would never know that without asking Siri. LOL :D;) Rosie has never seen snow and Buddy never did either.

I know it's hard to take care of yourself when you have so much to do and so many responsibilities. Please try. Our little muffin need you and so do we. xxxxoooo

[kaibosmom]

Oh yay for snow. Ugh. I heard there was quite a storm there but hoped you were still away...unable to come home. Not that we don't want you back but a few extra forced days on a hot island! No brainer. Lol. Molly sounds like my Molly. My girl won't poop outside unless her boots go on first. Diva or what? More like spoiled by her daddy. Don't even get me started on how he feeds her. He's away now and ate like a champ for me ;). Welcome back. I hope you feel better soon

[Squirt's Mom]

Glad you are safely home but sorry the bug found hubby. Hope you don't get down with it as well!

[Renee]

Your description of Molly running down the hall at the vet... so cute! No one loves us like our babies, do they? Guaranteed to always bring a smile to my face.

[Dixie'sMom]

Welcome Home Sharlene! We missed you!

And it sounds like Molly missed you too. The picture in my mind of her running towards you is so sweet. What would we do without these sweet babies to fill our heart with Joy?

I'm sorry you picked up the hubby's bug. ugh. Hopefully it won't get ahold of you really bad and get you down. Hugs and drink lots of OJ!

[addy]

Hope you are feeling better and hubby too.
I know little miss is a bundle of joy because her mama is home:)

Think Spring:D

[beaglemom3]

Welcome Home! Sharlene, I hope your husband is feeling better and you too! I am jsut getting over 5 weeks of the flu UGH
lots of hugs and kisses for your princess Molly ((((hugs))))

[apollo6]

Hope you both are feeling better and Molly is keeping you happy.
Sonja and Angel Apollo

[beaglemom3]

Hiya Sharlene hoping all is ok with you and Molly. I hope you and your hubby are feeling all better by now.

[doxiesrock912]

Happy critter greatings are the best!!!!!
Getting sick on vacation is not allowed. :-(

I got heat stroke the 2nd day in while visiting Mexico. After clearly telling the travel agent to plan for the least humid time. She did NOT.

Hope you both feel better soon!!!!!!

[molly muffin]

This is one nasty bug and the antibiotics they have me on seem to cause other issues, like bad tummy. Plus with the ear canal being affected by the sinus pressure, I'm dizzy half the time it seems. Some worse than others. But we are hanging in there and I am hoping that now it's been a week and a half with it, that I am on the upswing of the other side. We'll see, but this is why I have been missing in action on the forum since returning from vacation.

Molly is doing great, such a crazy personality.
We upped her dose of trilostane to 11mg as of this past Saturday, so will be doing another ACTH test in the coming week to see how that is working for her.

You know we have these wooden gates that block the stairs down to the basement so she can't get down there. With the eyesight bad, how steep they are and most everyone remembers she would get stuck down there, I just didn't want her to go down them. So little miss has taken to using her nose to push it out of the way, so she can do what?! Yep, go down the stairs to the basement and then look at you like, what? I didn't do anything. Last night I stopped her on the second step down and said, you best get yourself right back up here Now! and she turned right around and came back up the steps and then pranced and jumped around. I spread the gate wider so hopefully she can't get her nose in there and push it again. We'll see, but I swear, she just goes looking for trouble some days.

What has done my heart good though is to see her bouncing around with one of her stuffed toys in her mouth, just like she use to do. She had stopped that for a long time, but now has done it a couple times. I just laugh at her antics!

Hubby is recovering pretty well from this bug, better than me, but then he had it while on vacation too, and I didn't get it till the day we were coming home, so guess I have some make up time there.

Now we're getting ready to go into wedding mode real soon. Family coming in for that and of course our house will be the staging area for the bride (she's using her old bedroom to get dressed on the day of and it will be filmed by the video people) We'll be hosting the day after the wedding brunch for the combined families too. Not sure yet about the rehearsal dinner, rather hoping the grooms side will do something with that, but I don't know. If not I'll probably suggest a restaurant.

Thanks for thinking of us. We're still hanging in!
hugs

[addy]

Don't you love when they play with toys that they had been ignoring?
Sounds like our miss is a happy girl:)

I rather hope the wedding will be like Father of the Bride:D:D

[molly muffin]

I rather hope the wedding will be like Father of the Bride:D:D

OMG, I had visions of Steve Martin and disaster for a moment there! (I LOVE that movie)

I know that the feeling is there, exactly like the movie, always his little girl, but so proud and not wanting to let go of that time in their lives.

Hubby bought about 30 umbrellas for the oldest girls wedding, and figure if he did that, it wouldn't rain (outdoor wedding) and if he didn't do it, it would pour and ruin everything. Well, he was right, we had a umbrellas Everywhere and no rain! thank goodness, it worked!

I wonder if it will snow..... We just booked the flights for the oldest daughter and her family to come for the wedding.

I think I'll have molly home for that week but take her to the kennel for the day of the wedding and the day after. Just would be way too stressful for her to have people she doesn't know here and others in and out of the house. She does love the kids to all be home though. She is pack happy when the girls and their guys are home.

She is definitely very happy girl right now.

[addy]

Not that one, the original movie with Spencer Tracy and they had the wedding at home and the house looked beautiful!:) I was picturing that.

So happy Molly is feeling so happy. I always want dogs to be happy, they are so joyful.

Full house may cause some stress. Molly seems not to be bothered much about her kennel stays, they probably pamper her.

What a sweet story about the umbrellas!

Hope you feel better soon.

[molly muffin]

Not that one, the original movie with Spencer Tracy and they had the wedding at home and the house looked beautiful!:) I was picturing that.


Whew that is a relief!!

[Trixie]

Hi Sharlene, Glad you had a nice vacation...sorry you husband is sick and now your'e under the weather..ugh...this time if year it's hard to shake things.
So nice to here Molly is being cute and bouncy...she must have been so happy to see you guys when you got back.
Have you noticed improvement with the Trilo? I guess playing with toys and feeling chipper is a great sign...
Just thought I'd say hi...don't get on here as much as I should..I seem to never catch up with everyone's posts..especially all the new people! Hope you have a nice weekend! :D When is the wedding??

Barbara

[molly muffin]

ACTH scheduled for this friday. This is 2 weeks after increase her trilostane by 3mg to 11mg.

boy I'd like to not have to do acth tests so often.

She is acting fine, being her bossy little self.

Not please with the cold out there and can't say I blame her. Did you know Paws also makes coats? I got molly one and it is now her (or by her maybe I mean me) favorite coat. Easy to put on and wear with the halter over it. Not so bulky that it weighs her down but still is warm.

hugs all

[Budsters Mom]

We wouldn't want her any other way.;):D


She is acting fine, being her bossy little self.

[kaibosmom]

Have you seen changes with the new dose? Is it normal to go up so much...or what seems a lot? Just curious what we have in store for us! Is it generally a slow process with the trilostane? Kaibo has been doing well so far, no changes yet, but it's only been 4 days. Good luck with the ACTH.

Ok...I went back a bit. I see you went from 8mg to 11mg. I need Coles notes on everyone since I've been gone for so long!

[Budsters Mom]

Yes Nikki, I went back and checked too.;) Molly went from 8 mg to 11 mg. Trilostane. The 3 mg. below are a typo.;)

[molly muffin]

I meant we had increased 3 mg. actually that isn't much if an increase. We started low at 8 mg. My vet started with a 1 mg/1kg ratio.

No changes noted and doubt the cortisol will have changed much.

It is a much lengthier process to get the vetroyl dosage where it needs to be it seems.

[addy]

Good luck tomorrow and I hope the stim goes well, at least I think it is tomorrow, geez I must need a nap:o

[Harley PoMMom]

Good luck from me as well!!

[Budsters Mom]

Hmmmm.... I wonder if our little muffin will be wound up like the energizer bunny this time after her Stim test. With your kind of support for team Molly, it can't help but go well. xxxxoooo

[kaibosmom]

Ok...so that is what Kaibo's vet used to base Kaibo's dosage on I guess. He is 5.3kg and she started him on 2.5 mg twice a day, so 5mg total. This slow process is going to remind me of treating the diabetes I think! Hoping for good results tomorrow. Well, today...I'm typing this at 1am...yikes! Time totally got away from me. Night!

[molly muffin]

Yep, we are into the ACTH Buzz alright. She'll drive me nuts for the next 48 hours at least.
I picked up some veggie treats on the way home.
I also picked up the orange Paws, as the red ones I'd start to lose one or two booties each walk. They stretch out I guess and then slip off. So, I'm trying to next size smaller down. We shall see how that goes.

So, toay, her electrolytes are good, her renal panel is good, her calcium is in normal range still, so that is all good. Hopefully the UPC and Urinalysis will come back good too. ACTH results should be back tomorrow.

We (the IMS and myself) both think Molly's hair is getting thinner. :( So, that may be due to the cortisol. We're trying to bring it down slowly, so hopefully this increase will knock us down some more. She is looking for molly's post to be right under 5 ug.

Molly has lost about 1/2 kg though in weight. So, not sure if that is a scale abnormality or what. We'll see if she is the same weight at the next appt. If not, then we'll have to look into running a CBC to see if there is something going on. She doesn't Feel any lighter and she isn't in a bad weight zone for her, just one of those things that you go, hmmm, about. She has been known to fluctuate, so I'm not going to worry yet.

So, tomorrow we see how she is doing on cortisol. Today, I try deal with a bouncing, demanding diva.

OHHHH I almost forgot, repeated BP monitoring today showed her consistently in the 130 - 160 range, with One spike over 200. They aren't sure what caused that or if it was the machine. They used two different ones and both she was fairly consistent on except for that one time. So this is VERY good.

hugs all

[judymaggie]

Sharlene--I know you're disappointed about Molly's thinning hair but, overall, it sounds like a pretty good visit. Great news about her blood pressure!

If you can catch the bouncing Molly, give her big hug from us!

[kaibosmom]

I bet she has more hair than Kaibo ;). Sounds like a good report overall. Hmmmm. I wonder what's in store for me after Kaibo's ACTH!?

[Squirt's Mom]

Wonderful news on the BP! :cool::cool::cool: Looks like ya'll have a good plan in place that is bringing positive results. What we all want for our Molly and Mom!

[molly muffin]

Yea I'm really pleased with the BP results. Hoping that the UPC results are good too. Last time via one of the vets it was 1.0 so cross fingers that this one as good or lower even.

I'm not totally worried about the thinning hair as I know it is part of the disease and that the cortisol has to come down and that even then, the hair has to go through it's cycles and it could take many many months till it comes back, if it does. We'll see. That's why we have coats for the winter right. :)
She isn't bothered by it so that is good. It is the undercoat that is showing the most change. Her outside coat, is still growing long and she'll be a ragamuffin in no time I'm sure. What doesn't grow as fast now is the length of her ear hair. It does grow but at a shorter rate. I wish I could say the same of her feet. They are thick and grow long in no time, making it pretty hard to get those booties on sometimes and getting them to stay on. LOL

hugs all

[molly muffin]

So the cortisol is coming down a bit, not there yet though.

ACTH 20 Feb 2015
Base 166 nmol
1 hr 339 nmol
2 hr 389 nmol

So we'll retest in a month on the 11mg trilostane

That was the good part. Now for the not so good.

The UPC came up to 2.4 :( We are increasing her Benazipril to 7.5mg am and pm. That is the max for her weight that we can go to. Doing this means we have to watch her BP that it doesn't drop too low. (so test that in a week) and keep an eye on kidney and potassium. (retest that in about a week too) different vets for those two items. Her potassium is currently 4.7 which is within the normal range. If it goes to 6.0 we have to be concerned, if it goes to over 6.5 we have to intervene.

If none of this works on the next UPC, which will be at the time of the next ACTH test, then we'll have to add in yet another medication. Gads!!!

That is where we are. She is concentrating at 1022. but we really want her to be less concentrated, actually below 1020. due to the stones.

hugs

[mcdavis]

I'm so pleased to see those BP numbers and the other positives, and I'm keeping my fingers & toes crossed that the increased Benazipril will help.
I just wanted to mention that one of the groomers we used for Hamish said that most dogs' hair thins as they get older - a bit like humans (well, me anyway :p ).

[Renee]

Sharlene, hard as it is to watch, that thinning hair is just a cycle. I actually think using vetoryl contributes to it's initial loss. Tobey went through two cycles of complete baldness, after starting treatment. It came back in super thick, like a puppy coat!

I'm sorry to hear about the UPC, but those stim results are heading in the right direction!

[Dixie'sMom]

Sharlene, little Molly is getting there is baby steps. I'm thankful her BP is better so hopefully the rest will follow suite soon.

It sounds like she has new booties to add to her winter wardrobe. I think a pair of every color would do nicely. haha! (I do realize that they are sized by color but a nice seamstress could fix that for a little diva, right?)

I don't envy you this cold weather. We have had record breaking temps here this week and it has NOT been fun. The girls enjoyed the snow until the sleet fell and it wasn't so fun anymore. I hope ya'all are staying warm.

Hugs and belly rubs...

[labblab]

Hi Sharlene, yes we are very grateful for those positives!!!

But I am sorry to hear about the UPC, and although it is improved it will indeed be a relief when the cortisol is down to a therapeutic level. Does your vet have a range that she is specifically shooting for in that regard? With Molly's lack of traditional overt symptoms, I know it must make it somewhat difficult to judge progress on the basis of outward symptom resolution. But hopefully once the cortisol does come down, that will help limit additional UPC elevation, too. Do you know what other med they are thinking of adding in if you don't see improvement?

Marianne

[Trish]

Darn that UPC, they seem to fluctuate so much in a few of our dogs. Can you see any trend in the separate numbers... I mean the total protein and creatinine that make up the ratio? I know that is meant to be taken into account but personally have noticed them swing somewhat. Hopefully this dose does the trick, remembering that sometimes ace inhibitors can increase the blood renal levels but Molly's are fine from what you have posted. Great on the cortisol though! x

[apollo6]

Dear Sharlene
Pray Molly improves. She is a fighter. Hugs
Sonja and Angel Apollo

[scoora]

Sharlene-Hugs to you and Molly

[molly muffin]

I'm taking molly to get her blood drawn for a renal panel on Friday. Since it's to my GP vet, it will take some time to get results back. (I'm guessing). Just an in and out.

Last week after starting molly on her increased dose of benazepril, I had a hard time waking her up to go outside in the morning, then I went to work, came home and she didn't want to wake up. So, I immediately panicked, called the BP vet, said I was bringing her in around 6pm to have BP checked. By the time 6pm rolled around, molly was wide awake, playing, had a grand ole time at the vets office, played with them too, had treats, BP fine.

Molly just wasn't interested in waking up and going out in the cold that day it seems. *sigh*

I doubt I have anything to worry about, so far her BP has not responded to the medication for the protein loss anyhow. Which is why she is on BP meds too

We're having another winter day here. Snow all day, now freezing drizzle, temps below freezing now, so it's a mess out there with another arctic blast pushing in tomorrow night.

Dang I miss spring and summer.

hugs all, stay warm and safe.

[Budsters Mom]

AWWWW Sharlene, we do worry so.:o She's one smart little muffin. Do you really blame her?;)

Big hugs,


Molly just wasn't interested in waking up and going out in the cold that day it seems

[molly muffin]

LOL Kathy. No, I admit I wasn't really interested in going out in the cold either. Normally she is the one waking me up! But there has always been that odd time when she decides to sleep in. Can't do that after we do a med adjustment though, it freaks us moms out!!!!!! Pffft

hugs