Mr. Rey- 14 y/o Yorkie possible Cushings ?- Mr. Rey has passed

[YorkieMama]

Hi! I have been extensively reading this forum since my 14 year old Yorkshire terrier has been diagnosed with possibly having Cushings.

Over the years, we have been to many vets. When he was 7, he started losing his hair. A lot of the vets thought he had allergies so they put him on a special diet (duck & potato) and did a skin scraping test which came out normal. One of the vets mentioned cushings disease but his blood tests back then came out within normal range. He also was tested for hyperthyroid and has been taking Thyroid medicine for several years

We moved to a different state 4 years ago, and started going to a new vet, which put him on a different perscription food, (Royal Canine Anallergenic) and also has him taking a thyroid medicine (Soloxine .1 mg twice a day). He has all the symptoms that point to Cushings disease except the bloated midsection. (Hair loss, spots on skin, hearty appetite, excessive water intake, trash digging, frequent urination,etc)

In the past 2 weeks, my dog has lost a considerable amount of muscle mass and looks very boney. His personality has changed completely. He is very lethargic and weak. Although, He still has a hearty appetite.

Yesterday, we took him into the vet for a complete CDC blood test as well as urine test. After those results came back, they said his liver enzyme count was high, his pancreas count was high, and his urine was dilute. (I have posted the high numbers from this test below)

They suggested we get the 8 hour LDDS test done. He is getting that today.

If the LDDS test comes back positive they want to put him on 30mg of liquid veteroyl. This seems to be a very high dose for a 13lb dog? Do you agree??

Any suggestions or tips you have for me that would be awesome! My yorkie, Mr. Rey is my baby and I just want him to be comfortable and not suffering.

Here is his test result numbers from his blood test that came back high. The numbers in parentheses are reference numbers.

IDEXX Labs

LaserCyte
WBC 17.07 (5.50-16.90)
NEU 13.24 (2.00 - 12.00)
MONO 2.36 (0.30 - 2.00)

Catalyst Dx
BUN 71mg/dL (7-27)
ALT 294 U/L (10-100)
ALKP >2000 U/L (23-212)
GGT 60 U/L (0-7)
AMYL 1578 U/L (500-1500)
LIPA 2661 U/L (200-1800)
Cl 109 momol/L (109-122)

Thank you and I look forward to your insight.

[Squirt's Mom]

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[labblab]

Welcome to you and Mr. Rey! I have only a moment to post right now, but yes, I agree with your reluctance to start dosing at 30 mg. should your vet recommend proceeding with treatment. Older treatment protocols recommended higher initial doses (including the dosing chart historically included on the official Product Insert for brandname Vetoryl). However, accumulated experience has led most clinicians and even Dechra (the manufacturer) to revise the dosing guidelines downwards. At this point, the highest recommended starting dose should not exceed 1 mg. per pound (2 mg. per kilogram). Since your vet is favoring a liquid suspension of the drug, you should not have a problem adjusting the dose accordingly.

Your vet may not yet be aware of these revised recommendations. Here's a publication that contains Dechra's revised dosing protocol, issued just this past July. I would definitely discuss these dosing recommendations with your vet prior to beginning treatment. It is much, much safer to start with a low dose and work up as needed as opposed to risking oversuppression with an initial dose that is too high.

http://www.vetsonline.com/news/product-news/140722-new-lower-starting-dose-for-vetoryl.html

Marianne

[molly muffin]

It rather sounds like he might have pancreatis at the moment, looking at those high pancreas numbers and that needs to be addressed first.

I'd go with mushy rice and boiled chicken, small meals, several times a day. Get that pancrease back to normal, and then you can think about cushings. And no more than 1mg/1lb and in a very small dog I might start at 1mg/1kg even.

Did they do a check for pancreatis or say anything about it?

Mr. Rey is certainly cute.

Sharlene and molly muffin

[YorkieMama]

It rather sounds like he might have pancreatis at the moment, looking at those high pancreas numbers and that needs to be addressed first.

I'd go with mushy rice and boiled chicken, small meals, several times a day. Get that pancrease back to normal, and then you can think about cushings. And no more than 1mg/1lb and in a very small dog I might start at 1mg/1kg even.

Did they do a check for pancreatis or say anything about it?

Mr. Rey is certainly cute.

Sharlene and molly muffin

Thanks Sharlene and Molly Muffin. I am going to ask the vet tomorrow about the pancreatis. They told me the results from the LDDS test will come back tomorrow. Thanks for the advice. I really appreciate it!

Molly muffin is Adorable as well!! Hugs!

[Megmor]

To you and the other post from Molly regarding the dosage that seems awfully high considering that my 60 pound dog started out at 60 and had to be changed to the 30 mg because she almost dropped so low in her cortisol levels which can be Addison's disease which currently is worse to maintain or more difficult to maintain and Cushing's. It is just from what I bet said after her levels drop so low.

[labblab]

Hi again! I just want to make sure you saw my earlier reply with the link to the revised dosing directions issued this summer by Dechra, the maker of brandname Vetoryl. It willl be important for you to have that to refer to when you talk to the vet today.

Marianne

[YorkieMama]

Hi again! I just want to make sure you saw my earlier reply with the link to the revised dosing directions issued this summer by Dechra, the maker of brandname Vetoryl. It willl be important for you to have that to refer to when you talk to the vet today.

Marianne

Hi Marianne,
Yes I have received your info and advice and I will definitely refer to this today when I speak to the vet. I sincerely appreciate your advice and input. I will update as soon as I hear. Thanks and Happy Friday!

[YorkieMama]

I spoke to the vet today and she gave me the results of the LDDS test. I have posted a photo of the results. I have no idea what these numbers mean? She says that it looks like Mr. Rey does have Cushings disease. When I asked her about the high Pancreas levels, she said that it could be the Cushings disease causing this. She recommended that I start him on .6 ml orally twice a day of liquid Trilostane.

She also gave me Prednisone. She said only to give this to him in an emergency, if he cannot lift his head, or is not moving. Why would I need to give him Prednisone?

Here is the link to the photo of his LDDS numbers. Could you all help me understand this?

http://i1290.photobucket.com/albums/b533/mrrey/image_zpsf3f2c2bb.jpeg

Also, since this is liquid Trilostane, she wants me to shoot the medicine in his mouth, which is quite difficult. Do you think I could mix it in some whipped cream or yogurt, since my dog loves both?

[molly muffin]

Mr. Rey's LDDS Result:
Pre - 7.2ug (1 - 6ug)
4hr - 5.5ug
8 hr - 5.7ug

Which does appear to be consistent with cushings, but not able to determine pituitary or adrenal.

You'd give prednisone if you suspect that his cortisol has gone too low. Remember that the starting dosage should be no more than 1mg/1lb in total for the day.
Cortisol going too low is when they are either given too much medication or they are very sensitive to the medication. It is a good thing to have on hand.

You want to watch for, vomiting, lethargy (not normal), diarrhea. These can be signs of cortisol going too low. If you start with the conservative dosage that is now recommended, then you should/hopefully have no problem.

You want to give the trilostane with food. I don't know if it is best to try to squirt it down their throat or put it with food. I'd think that either of the two options you mentioned would work.
Because his pancrease numbers are high, I'd keep food very simple and lower in fat, although you want some fat with the trilostane as it is fat soluable.

Some of the others that have more knowledge about liquid dosing will pop around soon and can give you more information.

[labblab]

We need to know how many mg. of medication are in each ml. of rhe liquid. Check on the bottle to see of it says, and if not, call the pharmacy who prepared the solution and ask them.

Marianne

[YorkieMama]

We need to know how many mg. of medication are in each ml. of rhe liquid. Check on the bottle to see of it says, and if not, call the pharmacy who prepared the solution and ask them.

Marianne

The bottle says Trilostane 10mg/ml (60 ml)

Dosing Directions: Give 0.6ml orally twice a day

The vet told me to give him a dose last night and then start with the twice a day this morning. I gave him a dose last night. However, yesterday he has been really lethargic and hasn't eaten very much. (He usually has a furocious appetite!)

Today he still seems lethargic and still hasn't eaten very much. Should I still give him the medication if he is not eating?

He is still drinking water.

It breaks my heart to see him like this. :-(

[Squirt's Mom]

No, do not give the med if he seems off, especially with appetite, bowel changes, or lethargy.

If my math is right, and that is highly questionable :p, you are giving 6mg of Trilo with each dose....which for a 60lb dog sounds very, very, very low. So hopefully my math is very, very, very wrong. :p


Trilostane 10mg/ml (60 ml)

This means that every 1 ml of liquid contains 10mg of the medicine. And the bottle contains a total of 60 1ml doses.

[YorkieMama]

No, do not give the med if he seems off, especially with appetite, bowel changes, or lethargy.

If my math is right, and that is highly questionable :p, you are giving 6mg of Trilo with each dose....which for a 60lb dog sounds very, very, very low. So hopefully my math is very, very, very wrong. :p



This means that every 1 ml of liquid contains 10mg of the medicine. And the bottle contains a total of 60 1ml doses.

My dog Mr. Rey is a 13lb dog. The vet told me to give .6ml of the liquid twice a day

[jas77450]

Yorkiemama,
Hi and welcome. I am sorry your little one isn't doing well. I am pretty new here but wanted to say my little Yorkie stopped eating when he got pancreatitis. From the amylase and lipase it might suggest it for yours. Have they mentioned this? Boiled chicken was the only thing he would eat and small amounts...at first...hope your little guy starts feeling better. There are a lot of caring and very knowledgable folks on here. Hang in there!

[Squirt's Mom]

Well apparently my reading skills are also highly questionable! :D I read a post from another member saying HER dog weighed 60 lbs. :o For a 13lb dog 6mg a day is still low but it's better to start low and work up.

How is he feeling now?

[YorkieMama]

Well apparently my reading skills are also highly questionable! :D I read a post from another member saying HER dog weighed 60 lbs. :o For a 13lb dog 6mg a day is still low but it's better to start low and work up.

How is he feeling now?

Squirts Mom,
That's ok. I think I read that post too. He is still feeling lethargic. For the past 2 days he has not really had an appetite
. He did manage to eat a tiny amount of chicken & rice last night an today. Although he still wants to eat his treats & still drinks water.

All- will the trilostane make him feel better and give him his appetite back? The doc also gave me prendisone, but she said only to give that to him if he is extremely lifeless and not responsive.

[jas77450]

I agree with Molly Muffin,
if he has pancreatitis I wouldn't give the whip cream, needs low fat. I learned this the hard way.

[YorkieMama]

He is currently not eating anything (not even the chicken & rice). I stopped giving him the Trilostane yesterday evening since he is not eating (he has only had 2 small doses since Friday). He is still drinking water, however he has thrown up. He also shakes. I am wondering if he is in pain or if he is cold? The vet said Cushings could be causing the shaking?

I am not sure what to do at this point? I am worried that this might be the end for my beloved pal.

Our vet is closed today. I am going to try to get him to eat something, and also keep drinking water. I can tell he is really sick. I was even thinking about taking him to the PetER, however I am afraid it is going to cost me a fortune!

[Squirt's Mom]

Do you have prednisone? If so, did the vet tell you what dose to give him? If so, give it now. If not, we can help you with the dosing if you have pred on hand. IF you do NOT have pred, get your baby to an ER facility now, asap.

[YorkieMama]

Do you have prednisone? If so, did the vet tell you what dose to give him? If so, give it now. If not, we can help you with the dosing if you have pred on hand. IF you do NOT have pred, get your baby to an ER facility now, asap.

Yes, she did give me Prednisone. It is 5mg and the bottle says to give 1/2 tab orally as needed up to two times daily.

Does he need to take this with food? He is not eating!

[YorkieMama]

Just gave him 1/2 of the pill. Not sure if he got it all because I put it in a little dab of yogurt and he licked it off my finger. The pill seemed to dissolve in the yogurt pretty quickly. How long do I wait to give him the other half?

[Squirt's Mom]

He should perk up within an hour and shouldn't need another dose today. Let us know how he is. Keep in close contact with us and we will be right here by your side. If he does not perk up in an hour or so, I would head to the ER.

[Squirt's Mom]

You're doing good, Mom. Just breath and watch your baby. You are not alone.
((((((((((((((((((((HUGS))))))))))))))))))

[YorkieMama]

He just threw up again. I am going to take him to the PetER. I do not want him to dehydrate.

[My sweet Ginger]

I think he will perk up as long as he got adequate amount of prednisone. When times like this, pup not eating and need meds desperately, I go by anything they eat. Try cheesecake. It doesn't melt any meds so quickly and also doesn't melt like ice cream. It's been saving my Ginger since April. Without the help of cheesecake I doubt she would be still here. Just let him taste it first by putting a small dab on his tongue so he will know its something that taste good and put the second one in with a pill in the center.

I'm sorry he threw up. I'm glad you are taking him to ER. I'm sure they can help him.

[jas77450]

Sorry to hear your little guy isn't doing good, I know how scary this is...we are here with you...keep us posted.

[molly muffin]

Oh dear, just checked in and saw that Mr. Rey is not having a good day :( So sorry to hear this. Let us know what they say at the ER. Poor baby and you. Hoping they can figure this out and get him back to where he'll perk up and do better.

I still think pancreatis is in play with those numbers.
Don't give up on him! Just don't give him any more trilostane until the pancrease numbers are good and lets pull him out of this and get him back on track. He might need some pain meds too, as pancreastis can be painful, not much just a tad of tramadol will usually help them.

hugs to you and Mr. Rey
Sharlene and molly muffin

[Squirt's Mom]

Good move, Mom! Let us know how he is when you can. We are right by your side, sweetie.

[YorkieMama]

Hi Everyone! Thanks for your support! After taking Mr. Rey to the Pet ER today, he is ok for now! Thank the LORD!!

The doctor did do a test for Addison's disease which came out negative. His heart rate and respiratory rate was significantly elevated (likely due to stress and dehydration) and his temperature slightly lower than normal (again due to dehydration) though his respiratory rate was normal. On physical examination, Mr. Rey has a soft heart murmur (grade 2 on a scale of 1 to 6). His abdomen was pendulously and slightly tense though not overtly non-painful.

His electrolytes were normal (sodium to potassium ratio of 32) glucose was normal. He did have an increased blood urea nitrogen though his creatinine level was normal. The ER vet said the combination of these two signs may indicate upper gastrointestinal upset or bleeding (a gastric or small intestinal ulcer) or a recent high protein meal.

At this point, the vet diagnosed him with Gastroenteritis. Mr. Rey was given under the skin injections of Cerenia, an anti-nausea medication as well as fluids. She said he would benefit from an antacid and a bland diet.

She prescribed him Famotidine (10mg tablets) telling me to give 1/2 tablet by mouth every 12 hours for 3 days as needed for gastrointestinal upset. She also would like Rey to eat a bland diet for the next 5-7 days. In the meantime, she would like me to discontinue his trilostane and prednisone. She also told me to contact my regular vet tomorrow to inform them of this.

Right now Mr. Rey is resting. Hopefully he will have an appetite later this evening or by tomorrow.

Thanks all for your concern. Any additional advice you all have is greatly appreciated! :)

[molly muffin]

Oh so glad to hear he is going to be okay. YayMr Rey's
Hugs

[labblab]

I am really relieved that Mr. Rey is doing better! Did the ER vet know you had given him the prednisone, though? Since you had just given him the prednisone, they really could not judge whether or not his natural cortisol production was too low. It is good that his potassium and sodium levels were OK, and perhaps that is what they meant when they said he was not Addisonian. But if they were trying to test his cortisol level, they would have had to wait 24 hours in order to get an accurate result after your having given him the prednisone -- the pred registers identically to natural cortisol on the testing.

Marianne

[YorkieMama]

I am really relieved that Mr. Rey is doing better! Did the ER vet know you had given him the prednisone, though? Since you had just given him the prednisone, they really could not judge whether or not his natural cortisol production was too low. It is good that his potassium and sodium levels were OK, and perhaps that is what they meant when they said he was not Addisonian. But if they were trying to test his cortisol level, they would have had to wait 24 hours in order to get an accurate result after your having given him the prednisone -- the pred registers identically to natural cortisol on the testing.

Marianne

Yes, the ER vet did know abow the prednisone. He is doing ok now. He is still a little lethargic and his appetite is not all there yet. He has eaten very little today, but has not thrown up any today. Keeping my fingers crossed he gets better!

[molly muffin]

Oh good, glad he is doing a bit better and not throwing up! Come on Mr. Reys, you can do this. :)

hugs

[jas77450]

So good to hear Mr. Rey is a doing a little better.

[YorkieMama]

Hi everyone again,

I guess I was hoping for the best, however Mr. Rey is still not eating very much, he is still throwing up, and has diarrhea.

At this point, I am not sure what to do? I stopped giving him the Trilostane a day after I started.

After taking him to the ER vet, she injected him with some fluids, and then he did start eating very little.

I have tried feeding him chicken and rice, and even a little wet dog food.

I am worried that this could be the end? Could it be he had Cushings all along and it is now taking over his body and killing him? I do not want him to be in pain.

He is still drinking water. I am thinking of calling the vet, however I know they will want me to come in and do an ultrasound, and then what? What if he has pancreatitis? How do you treat that?

[Squirt's Mom]

Did they do an ACTH? What injection did they give him? Has he been on prednisone all this time he has been off the Trilo? Has he had an ultrasound?

I would be insisting someone tell me what is going on asap. Pancreatitis can be treated if not allowed to go on for too long. Have they tested him for this? If not, why not?

Have they run any lab work? Would you please get copies and post those results here along with the results from the ACTH if they did one?

Keep in touch and let us know how he is doing but I would be making someone look at him and find out what is wrong. ;)

[YorkieMama]

Did they do an ACTH? What injection did they give him? Has he been on prednisone all this time he has been off the Trilo? Has he had an ultrasound?

I would be insisting someone tell me what is going on asap. Pancreatitis can be treated if not allowed to go on for too long. Have they tested him for this? If not, why not?

Have they run any lab work? Would you please get copies and post those results here along with the results from the ACTH if they did one?

Keep in touch and let us know how he is doing but I would be making someone look at him and find out what is wrong. ;)

Hi Squirts Mom,
They did not do an ACTH test yet. They did do a LDDS test. I posted the results from that in on page 1. The link to those results are here:
http://s1290.photobucket.com/user/mrrey/media/image_zpsf3f2c2bb.jpeg.html

After doing the LDDS test, the vet determined that he had Cushings disease from that test. She then suggested we put him on .6ml of liquid Trilostane.

When I asked about Pancreatitis, she said at that time that they did the LDDS test that he showed no signs of Pancreatitis. (When they did the LDDS test he was eating fine and not throwing up or diarrhea)

After the LDDS test results came back, the vet suggested we put him on trilostane. I gave him 2 doses, and he lost his appetite and then the vomiting and diarrhea started. That is when I took him to the ER vet and she gave him an injection of Cerenia, an anti-nausea medication as well as fluids. She also tested his blood levels to see if the Trilostane put him into Addison crisis (which it did not) ER vet said the combination of these two signs may indicate upper gastrointestinal upset or bleeding (a gastric or small intestinal ulcer). She said he would benefit from an antacid (famotidine) and a bland diet. After he came home from the ER vet, he did eat a small meal and take the famotidine. He did this for about a week. (It has been 1 week and 2 days since we were at the ER vet) In that timeframe, Mr. Rey's belly looks very bloated and the rest of his body is skin and bones.

The vet did give me prednisone, however he never ended up taking it. I thought I had given it to him the day he went to the vet ER, but he spit it out on the floor. I found the pill on the floor the other day when I was cleaning.

Now he is not eating again. He is still drinking water. I did put a call into our vet to update him and ask if we can come in for another test. The question is, what test? All these tests are breaking our bank account. I want to make sure my dog is ok, however it seems like we are being robbed with all of these vet charges, and no diagnosis.

[My sweet Ginger]

I'd insist the vet perform a ACTH stimulation test NOW if Mr. Rey were my dog. Thank goodness his electrolytes are fine but aside from that, he still needs an ACTH stim test to check how low his cortisol level is and he def needs prednisone if the results are low.It could well be something else but the symptoms you are describing are also classic clinical signs of low cortisol.
Please, post the pre and post numbers for us from ACTH stim test.

[Squirt's Mom]

Not an LDDS, sweetie, an ACTH. Two different tests altogether. The ACTH is given to monitor once treatment has begun as well as used to diagnose. The LDDS is not used once the diagnosis has been reached - it has no further purpose. ;)

Neither can the LDDS tell anything about pancreatitis - there are specific tests for that condition.

If he has not had an ACTH I would demand one be performed today.

[labblab]

It may be the case that the ER vet did, in fact, perform an ACTH since you say that blood tests were performed to rule out Addison's. In order to figure out the next step, can you get ahold of all the test results that were carried out by the ER vet? Actual copies of those tests will be important so as to know exactly which numbers were normal or abnormal.

Marianne

[YorkieMama]

I have him at the vet now. They are testing that and his pancreas.

[flynnandian]

hoping for good news.................

[jas77450]

Agree with the others here. hope you get some answers soon... hang in there.

[Squirt's Mom]

How's our boy this morning? Did you learn anything from the vet yesterday?

[YorkieMama]

Good Morning All,
Thanks for checking in. Still waiting on the results from the vet & the lab.

The vet did give him more fluids under the skin yesterday. He has been sleeping most of the time. He still is not eating anything and drinking some water.

The vet did say he could possibly have a tumor in his liver, which does not sound very good. He wanted to wait to see if the liver levels in the blood test he took yesterday have elevated.

As soon as I get the results, I will post more. Thanks for your concern.

[My sweet Ginger]

Did you ask them to run an ACTH stimulation test yesterday?

[molly muffin]

I hope you hear something back soon. There is nothing worse than waiting for the vet to call and results to be in.

hmmm, tumor liver, did they say they wanted to do an ultrasound to check for anything like that?

hugs

[jas77450]

Standing with you waiting and holding your hand.

[YorkieMama]

Hi Everyone,
I'm sorry to say that Mr. Rey passed away today. After the test results came back, the vet said not only did he have tumors on his liver, his kidneys were shutting down. The past few weeks have really taken a toll on his body and he stopped eating on Monday. His quality of life was suffering, so my husband and I made the toughest decision we have ever had to make. He lived a wonderful 14 years.

I would like to thank everyone on this forum for your guidance and knowledge.

Hug your fur babies tight tonight. We really miss ours!

[molly muffin]

oh no. I am heartbroken to hear this news. I really hoped for some better news as I know you did also. Poor little boy, you both fought a gallant fight. Their little bodies though sometimes just can't do it anymore, especially with so much going on.

I have changed the title of your thread to acknowledge Mr. Rey having passed on to a place where he will eat and run and play. I know he will always be by your side in your heart where it is most important.

I have added his name to our In Loving Memory Thread here:

http://www.k9cushings.com/forum/showthread.php?t=5973

My sincerest condolences on your loss.

hugs

[Budsters Mom]

I am so very sorry. :o Mr. Rey has been been greeted by our other fur angels at the rainbow bridge. They will watch out for him now.

Fly free sweet boy, fly free

[YorkieMama]

Thank you all!

[My sweet Ginger]

I'm so very sorry.

[doxiesrock912]

Mr. Rey will surely meet Daisy Mae. I know your pain.
He is no longer sick now.

[Trish]

So sorry to read about Mr Rey, my condolences to you and your family at this sad time. Big hugs for you all... x

[scoora]

I'm so sorry to hear of the passing of your sweet boy Mr. Rey.
My thoughts and prayers are with you.

[Squirt's Mom]

Oh sweetheart, I am so very sorry to hear about your baby boy. It is so very hard to make that decision no matter the circumstances. We want so badly to believe we can help one more time, we can get them through this too...but sometimes we simply cannot. I know precious Mr. Rey is grateful to you for all you have done on his behalf.

Today he is free from all pain and suffering, running in the Rainbow Fields like a wild child with all his friends, new and old. From there, he will watch over you with the same love and devotion you gave to him until you can join him there.

Our deepest sympathies,
Leslie, Trinket, Brick, Sophie, Fox, and all our Angels


FROM FRIEND TO FRIEND ♥

You're giving me a special gift,
So sorrowfully endowed,
And through these last few cherished days,
Your courage makes me proud.

But really, love is knowing
When your best friend is in pain,
And understanding earthly acts
Will only be in vain.

So looking deep into your eyes,
Beyond, into your soul,
I see in you the magic, that will
Once more make me whole.

The strength that you possess,
Is why I look to you today,
To do this thing that must be done,
For it's the only way.

That strength is why I've followed you,
And chose you as my friend,
And why I've loved you all these years...
My partner 'til the end.

Please, understand just what this gift,
You're giving, means to me,
It gives me back the strength I've lost,
And all my dignity.

You take a stand on my behalf,
For that is what friends do.
And know that what you do is right,
For I believe it too.

So one last time, I breathe your scent,
And through your hand I feel,
The courage that's within you,
To now grant me this appeal.

Cut the leash that holds me here,
Dear friend, and let me run,
Once more a strong and steady dog,
My pain and struggle done.

And don't despair my passing,
For I won't be far away,
Forever here, within your heart,
And memory I'll stay.

I'll be there watching over you,
Your ever faithful friend,
And in your memories I'll run,
...a young dog once again.

― In Memory of Asta, Feb. 1997 ♥
by Karen Clouston

[mytil]

I am so very sorry to hear about your pup. Even though you and your husband made the most unselfish decision when you set him free it does not stop your hearts from breaking. You gave him an amazing life and he will always be with you.

We will always remember your boy.
Sending healing (((hugs)))
Terry

[Amanda's Mom]

I am new here but I am so sorry for the loss of your baby. I know he had a wonderful life. When the kidneys fail it is heartbreaking and you made the supreme act of love to send Mr Rey peacefully on his journey. I will keep you in my prayers during this difficult time of adjustment.

[judymaggie]

My thoughts and prayers are with you--hopefully, knowing that Mr. Rey is no longer in pain will help get you through the sorrow.

[Renee]

I am so sorry. :(

Sail on Mr Rey.

[pansywags]

I'm so very sorry for your loss. Many of us here share your pain.

[Robert]

Praying for you and Mr Rey.

[jas77450]

I am sooo sorry, my condolences to you and your family. It is so hard to let them go. Keeping you in my thoughts and prayers. Mr. Rey is now pain free and running with our pups waiting to see you again.