Tallula a Chinese Crested (Tallula has passed)

[Tullula'sDad]

Hello there everyone

I've been reading this fourm for just over a month since my 12 year old Chinese Crested was diagnosed with Cushings. I hope some body can help as I'm worried that she might be misdiagnosed and although I trust my vet, I understand Cushings is very complicated and misdiagnosis easy. Let me start from the beginning.

Just over a month ago Tallula started behaving very oddly. When she is ill with say, upset tummy, she will seek a quite place away from me and rest. Normally she's very attentive, wanting to lick me and be around me but when she is ill she will not want attention and want to be left alone. This started to happen about a month ago. She did pee in the house maybe a couple of times and she had diarrhoea in the house but that was more down to me not taking her out in time and as for diarrhoea I don't even the best of us can hold it long enough sometimes. She hasn't been eating or drinking excessively as other dogs with Cushings have reported. Another thing I noticed was that she looked very confused as if she didn't know where she was and had a glazed look on her. When she was on the floor she would just stand there for an age and just stare at the same point without even moving her head which she has never done. She does have a congenital eye problem and cataracts so she can't see at all properly but she was never like this.

She weighs about 3.5kg or 8lbs so she's a very small dog.

Anyway this "illness" of hers lasted for more than the few days, as it does normally and then passes, this seemed to me a little more serious. Prior to her seeming unwell on this occasion she was fine. So I took her to the vet who took a blood & urine sample and found she had very high levels of cortisone - I think - in her urine and that the vet suspected Cushings. So she went for a Cushings test and it came back positive that she did indeed have Cushings.

The vet prescribed 10mg of Vetoryl every 24 hours then two weeks later she had another test and decided to up her dosage to 10mg every 12 hours which is what she is currently on.

Her readings so far and I'm in the UK were

19th Novemeber
Pre reading 178: post reading 632

This was her very first reading before she started on the Vetoryl

Then after she had been on 10mg Vetoryl every 24 hours

11th December
Pre reading 278 : post reading 298

Now I don't know what the conversion is to US readings but these were the numbers I got for my UK vet.

Anyway, although Tallula had stopped shivering and staring confused, she is still by no means back to her normal self where she was before before the onset of her initial illness. She still doesn't want attention nor does she lick me like she used to. This has all happened very suddenly and I suspect there there might be something else going on but I don' t know what. So some help here would be oh so greatly appreciated.

Even though she was never off her food before the diagnosis, in the last couple of weeks she refuses to eat, even food that she would not previously hesitate to gobble down she won't touch. She has returned to wanting to seek a quite place and maybe even someplace cool which I understand quite a few Cushings dogs experience. She does eat, but only food that she really liked and she doesn't want very much. Not like her at all and I think she's losing weight.

Anyway I'm starting to get worried as it doesn't appear that she is getting much better although I do think the Vetoryl is helping with her hormones I don't think this is all on the matter. Right now she is in my laundry basket, she had her Vetoryl about 5 hours ago and she doesn't want to eat or want attention from me.

I don't know if I have given all the info that I need to. I have forgotten something or you need to know something don't hesitate to ask. As I said I'm am starting to get very worried and any help would be great. I'm really beginning to think that she might be mis diagnosed and as I said I trust my vet I would like to be able to say to her that something else that I was told here might be up.

If I remember anything I will add it and thank you for looking.

[doxiesrock912]

Others with more experience will respond shortly.
Whenever a dog stops eating or acts unwell, stop giving the medication and alert your vet.

If you feel uncomfortable, by all means get another opinion. Many of us see IMS specialists (small animal veterinarians).

All other health issues must be resolved prior to testing for Cushings because Cortisol levels will rise when an infection or injury exists.

[Tullula'sDad]

Thank you for that

I called my vet and she said that if Tallula has eaten something disagreeable then just leave her. If she wants to eat by the time it's time to give her Vetoryl then I can give it to her otherwise it's no problem that she misses it tonight. She said I should feed her bland food so I will give her boiled chicken breast if she eats.

If in the morning she wants to eat then I can give her Vetoryl otherwise if she's still not eating the vet would like to see her.

I'm a little worried for her to be honest. I'll try to post a picture of her so you can see what a beautiful little dog she is and thanks again for the advice.

[labblab]

Hello and welcome from me, too. I must admit that I share your concern about a possible misdiagnosis. Since there are a number of illnesses or conditions that can elevate cortisol, the presence of symptoms consistent with Cushing's is central to making the diagnosis. And from what you have written, Tallulah largely lacks any of the typical presenting problems. On the basis of what you've described, I'm not even sure why your vet decided to test for cortisol in the first place. Plus, depending upon the normal range for the initial diagnostic ACTH test that she was given, the result (approx. 23 ug/dl) would typically just be borderline high.

Her lack of appetite and behavioral changes seem very troubling to me, too. I believe I would not give any more trilostane and take her back to the vet for further evaluation. Were any other lab values abnormal at the time of her initial testing? Would it be possible to obtain an abdominal ultrasound? I am just wondering whether there is not something else that is the root cause of her elevated cortisol and odd behavior.

Marianne

[Renee]

What you are describing sounds like she could be having focal seizures.

[Tullula'sDad]

Hello and welcome from me, too. I must admit that I share your concern about a possible misdiagnosis. Since there are a number of illnesses or conditions that can elevate cortisol, the presence of symptoms consistent with Cushing's is central to making the diagnosis. And from what you have written, Tallulah largely lacks any of the typical presenting problems. On the basis of what you've described, I'm not even sure why your vet decided to test for cortisol in the first place. Plus, depending upon the normal range for the initial diagnostic ACTH test that she was given, the result (approx. 23 ug/dl) would typically just be borderline high.

Her lack of appetite and behavioral changes seem very troubling to me, too. I believe I would not give any more trilostane and take her back to the vet for further evaluation. Were any other lab values abnormal at the time of her initial testing? Would it be possible to obtain an abdominal ultrasound? I am just wondering whether there is not something else that is the root cause of her elevated cortisol and odd behavior.

Marianne

Thank you Marianne, yes you are right, Tallula does lack many of the symptoms reported here and why I am concerned about her.

Her cortisol level was discovered from her first urine test which showed high cortisol levels everything else in the urine was acceptable.

I will ask the vet I am due to see her on Monday about an abdominal ultrasound although before I can ask for further evaluation I would,d need to tell the vet the reason for further evaluation and what to look for. Which is why I am here :-)

[Tullula'sDad]

What you are describing sounds like she could be having focal seizures.

Although Tallula has had the very rare seizure - maybe once every 3 or 4 years or more she doesn't have any type of seizure regularly.

Having said that, there was a time between the vet seeing her and her test before she was on Vetoryl that she was having one of her dazed/far away episode on the floor ie just standing there staring, I went over to her to comfort her and she mildly fainted. It was as if she got all dizzy lost her balance and tumbled backwards. The episode only lasted as long as she tumbled. I told my vet about it but I wasn't questioned any further on it.

Another episode that she had about earlier this year maybe eight months ago. I took her out for a long walk and before I gave her her food she lost control of he hind legs and was scrambling around the floor trying to move but her back legs just wouldn't work.

I don't know if has anything to do with her current condition but I did take her to the vet straight after. It was suggested that this could be arthritis although I'm not so sure.

One more thing

About 2 weeks ago, she was yelping quite a lot as if in pain. I wasn't able to,localise the area of discomfort but once again it was though the pain originated from her hips. Tne vet prescribed a medicine called Nutraquin Plus which is basically joint support containing glucosamine & chondrotin supplement.

She also takes another preventative medicine called Akitvait that my vet recommended which are vitamins and minerals that maintain good brain function as dogs get older.

[labblab]

Have there been any abnormalities in bloodwork other than the ACTH? I am assuming that some standard blood panels were done at the same time as the diagnostic ACTH. Cushpups commonly have certain elevations in liver enzymes and cholesterol/triglyceride levels. Certain white blood cell levels can also be imbalanced. Was there anything at all out of line with her other bloodwork?

[labblab]

Just wanted to add that if there are no other blood abnormalities, either, then the basis for the request for re-evaluation would simply be that, aside from the elevated cortisol on the ACTH, Tallula has no symptoms or test abnormalities thus far that are consistent with Cushing's. Her illness came on suddenly (which is also inconsistent with Cushing's), and she remains affected even though she is taking Vetoryl. Something else entirely different may be producing the elevated cortisol. At this point, there is really no reason to believe that Cushing's is the cause.

I agree with Renee, in that what you are describing now almost seems more neurological in nature. You know, dogs experiencing grand mal seizures may relieve both their bladder and bowels when this occurs. Have you witnessed the episodes of peeing in the house, or have they occured overnight or at a time when you were not present?

Marianne

[Renee]

I also want to point out that there are many different kinds of seizures -- not just the grand mal that everyone is familiar with.

[Squirt's Mom]

I have a Pug who will start to act terrified of everything and everyone, as if nothing she sees is familiar or safe and we have decided she is having some type of focal seizure. I can tell by looking at her one is coming on - her tail tucks and her back end droops, her ears drop and go back, her head drops, her eyes start to get real big and then she starts running and slinking from hiding spot to hiding spot. It may last a few seconds or much longer. She was gone for over 2 weeks once.

[Tullula'sDad]

Have there been any abnormalities in bloodwork other than the ACTH? I am assuming that some standard blood panels were done at the same time as the diagnostic ACTH. Cushpups commonly have certain elevations in liver enzymes and cholesterol/triglyceride levels. Certain white blood cell levels can also be imbalanced. Was there anything at all out of line with her other bloodwork?

Hello again

I will need to ask the vet for the full breakdown of her initial tests. I'll get straight back to you with what I discover either tomorrow if Tallula is still not eating or Monday when she was due to have another ACTH test - I thinks that's the one? 4 hours afer she takes her pill.

Anyway, I've skipped her Vetoryl for tonight as she's still not eating and see if she eats tomorrow. Otherwise her test on Monday might have to be postponed.

[Renee]

I have a Pug who will start to act terrified of everything and everyone, as if nothing she sees is familiar or safe and we have decided she is having some type of focal seizure. I can tell by looking at her one is coming on - her tail tucks and her back end droops, her ears drop and go back, her head drops, her eyes start to get real big and then she starts running and slinking from hiding spot to hiding spot. It may last a few seconds or much longer. She was gone for over 2 weeks once.

Hey! I didn't know you have a pug! The behavior you are describing is kind of what I was thinking too, I have seen this before in other pugs. One such was a past foster of mine who ended up having a brain tumor.

[Tullula'sDad]

Just wanted to add that if there are no other blood abnormalities, either, then the basis for the request for re-evaluation would simply be that, aside from the elevated cortisol on the ACTH, Tallula has no symptoms or test abnormalities thus far that are consistent with Cushing's. Her illness came on suddenly (which is also inconsistent with Cushing's), and she remains affected even though she is taking Vetoryl. Something else entirely different may be producing the elevated cortisol. At this point, there is really no reason to believe that Cushing's is the cause.

I agree with Renee, in that what you are describing now almost seems more neurological in nature. You know, dogs experiencing grand mal seizures may relieve both their bladder and bowels when this occurs. Have you witnessed the episodes of peeing in the house, or have they occured overnight or at a time when you were not present?

Marianne

I've never noticed her to have any kind of grand seizure except once about 4 years ago. It lasted just a few seconds and she was fine after. She s never experienced anything like that although her gazing at nothingness does make me suspect focal seizure although I doubt it as she's never really out if her head - when I call her she snaps out if it. Perhaps more to do with her vision and perhaps what her elevated cortisol is doing to her. I do however believe her previous owner did says she suffered from seizures but as I hope I have pointed out they are very few and far between.

Tallula is usually very good when she wants to urinate she's able to hold it until I take her out unless I take too long and she gets down and does it on the floor. I'm not able to tell if she has done it without me knowing as she will do it on tne rug and I don't always see it. Being a Chinese Crested she does not smell much so it's difficult to tell if she has without me knowing Up until she started acting oddly she was fine with her urine there was nothin suspect about her but at the time of her change she did urinate in the house maybe on more than one occasion but only once I know of. I can't be sure but I put that down to me not taking her out in time rather than uncontrollable urinating under Cushings.

As for her stool, normally, unless she has diarrhea she can control herself and rarely defecates in the house unless she hasn't been taken out usually up to a maximum of 12 hours and up until the onset of her illness like I said she was fine but she did have diarrhea so it was expected she would do it indoors when she did urinate and stool in the house. I have never noticed her do it at the same time she does one or the other usually urinating first. That hasn't changed.

Since her diagnosis I have tried to take her out every 8 hours so I don't know if she's able to hold it or has to do it more frequently. After 8 hours she will do some

[Renee]

It is nearly unheard of for an uncontrolled cushings dog to be able to hold their urine in for 8 hours. And, if she only ever had one or two accidents in the house.. then I am very doubtful about a cushings diagnosis. PU/PD are one of the most prevalent symptoms of uncontrolled cushings.

Have you considered getting a second opinion?

[Tullula'sDad]

I have a Pug who will start to act terrified of everything and everyone, as if nothing she sees is familiar or safe and we have decided she is having some type of focal seizure. I can tell by looking at her one is coming on - her tail tucks and her back end droops, her ears drop and go back, her head drops, her eyes start to get real big and then she starts running and slinking from hiding spot to hiding spot. It may last a few seconds or much longer. She was gone for over 2 weeks once.

Hey hello and thanks for your input.

Tallula shivers a lot. I believe like Chihuahua's and maybe other small breeds they also shiver when they want attention but usually I can tell if it attention she wants or if she's cold but now it's more like you say like she's scared. Her eyes looks like she doesn't know where she is and she looks worried but this has been happening to her fir quite some time as she loses her vision but now it could be her hormones.
Right now instead of being on my bed she's in the laundry baskets this isn't like her at all unless she s I'll like upset tummy.

Maybe her condition has something to do with her stomach?

[Tullula'sDad]

It is nearly unheard of for an uncontrolled cushings dog to be able to hold their urine in for 8 hours. And, if she only ever had one or two accidents in the house.. then I am very doubtful about a cushings diagnosis. PU/PD are one of the most prevalent symptoms of uncontrolled cushings.

Have you considered getting a second opinion?
To be honest I never would have agreed if you said she had uncontrolled urinating - she doesn't
As for a second opinion I thought before I do I would tell my vet that I suspect a misdiagnosis and see where we go from there I'm seeing a different vet on Monday within the same practice either tomorrow or Monday so I'll see what she says

[Tullula'sDad]

To be honest I never would have agreed if you said she had uncontrolled urinating - she doesn't
As for a second opinion I thought before I do I would tell my vet that I suspect a misdiagnosis and see where we go from there I'm seeing a different vet on Monday within the same practice either tomorrow or Monday so I'll see what she says

Also wouldn't the Vetoryl help with uncontrolled urinating? So I wouldn't be able to tell right now

To add

She's not going to have her Vetoryl tonight so I'll take her out now and see if she has urinatied in the morning on the floor

[Tullula'sDad]

So I took Tallula to the vet concerned that she hasn't eaten in the last two days. It was a little scary as last night on maybe two occasions Tullah tried to vomit but nothing came up. She just went through the motions as it were. Ten minutes after speaking to the surgery to book her in she started to heave again and I went to check up on her. I found her hanging off the side of the bag she decided to occupy vomiting yellow vomit all over her and the floor. Worried that she might be choking I picked up her very limp body and standing her on the floor I stuck my fingers in her mouth to make sure she wasn't choking. As soon as I did that she got hold of herself and tried to vomit some more but nothing came. As soon as that happened I put on my coat put her into her carrying bag and took her straight to the vet without delay!

The vet gave her an injection if what I believe to be Cerenia for her nausea and also some Cernia tablets which she'll start in tomorrow morning. The vet also gave me so e antibiotics Stomorgyl 2mg and Promax 9ml to settle her stomach.

I also said that I think there is the possibility of a misdiagnosis on the basis that her current illness the onset of which was sudden that she doesn't drink or eat excessively and is able to hold her urine nor does she display 90% of the traits of Cushing dogs. In fact at the moment she's not eating at all which is not symptomatic with Cushings at all.

I didn't want to mention this place as it might put the vets back up so I said that it might be possible that her illness is neurotic rather than glandular. The vet dismissed focal seizures on the basis that her history of it is not very strong. However the vet was sympathetic and she said when I visit on Monday we will start taking other tests and see where we go fro there. I told the vet I would like an ultrasound of her abdomen and the vet agreed. So I will post up what happens on Monday and I'll keep this thread informed.

I'm sorry I forgot to ask the results of her very first urine test. It was constantly in my mind during the visit but at tne end, I forgot. I will endeavour or make sure I get the results Monday.

I'm still very worried for Taluua as she still refuses to eats it's now 8 pm although she is drinking water so at least she's not dehydrating.

The injection seems to have helped her shivers which although not stopped are not as bad and she is able to rest occasionally without shivering though never completely gone. I will mention this to the vet on Monday.

Right now she is on a duvet I have set up I the floor for her and she is rolled up resting although she does get up every 10 or twenty minutes to change. I hope she regains some appetite soon ir Monday can't come do on enough, thanks for reading.

[Harley PoMMom]

I am sorry Taulla is not feeling well and I hope she feels much better soon. Those symptoms of vomiting and nausea could be attributed to pancreatitis, I would ask the vet to run a spec cPL test, this test measures pancreas-specific lipase concentrations in the bloodstream. Here is a link to this test: http://www.idexx.com.au/smallanimal/reference-laboratories/testmenu/innovative-tests/spec-cpl.html

Hugs, Lori

[Squirt's Mom]

Very glad she is home with you! Good job! Please let us know how she is doing and especially what the vet has to say Mon.

[Tullula'sDad]

Hello all.

Things have taken a turn for the worse. Tallula still hasn't eaten

This morning I found Tullula in he laundry sack trying to scramble out. She was lying with me I the bed last night but being the good girl that she is she didn't want to foul the bed so she must have gotten off.

Anyway her hind legs were noT working weak and she had stool all over her backside. I picked her up and although awake she was very cold and weak. I took her to the bathroom to clean her up and wrapped a clean towel around her then lay on the bed myself with her on top so I could listen to her breathing. About half an hour later I got up and she had defecated in the towel. I remember the smell as the same smell of some tinned pilchards I have her on Thursday.

Anyway by this time it was time to take her to the vet she had an appointment at 10am. I cleaned her up wrapped her up again in another fresh towel put her in her bag then off to the vet.

The vet was very concerned about her and has admitted her and put her on a drip. I await them to call me back.

Something else a friend remined me of I will tell the vet I don't know if this is the cause but I forgot about it until my friend just reminded me.

I have a rather persistent mouse in my house and although I've put down poison for it - don't worry Tallula doesn't get anywhere near them and the poison s enclosed in a housing that only a mouse can get access too. Anyway a few weeks ago I saw the mouse climb up Tallula's food bowl and try to steal a piece of kibble. I frightened the mouse away and from then on kept her bowl away from where the mouse might gain access. Do you think that she has an infection that mice dropping might have given her in her food?

I don't know but the vet is going to call soon and I'll tell her then. I'm also to get a printout of her first blood and urine tests but right now I think they are going to give her more tests to find out what is wrong with her now

I don't know what to think. I think now that's he is at the vets she stands a better chance if recovery and discovery of her ailment but I want her here with me.

I'll keep you posed as to what happens when it does. Right now I'm a bit dazed by it all. Thanks for reading.

[labblab]

I am so sorry to hear this news and will surely be hoping that the vet can identify an easily treatable cause for Talulla's illness! As Lori said, acute pancreatitis might be an issue. As far as the mouse, do you think there is any chance at all that she might have come across a dead mouse and eaten it -- thus ingesting some poison indirectly? Probably a crazy thought, but just something to consider, especially if her symptoms match up with the profile of exposure to the particular poison you are using.

Please do keep us updated!
Marianne

[Squirt's Mom]

One of mine is a licker and will lick any surface whether it needs it or not. In addition to the question Marianne asked, I am wondering about the dust from the poison - could any of it have drifted around to places Tallula could have licked? The mouse in her feed bowl could have been walking on the bait box just before getting in her bowl, carrying poison on its feet. Could she have reached the bait box with the poison inside to lick even tho she couldn't get to the actual pieces? The container would have the dust all over it more than likely. Did she lick your hands after handling the poison?

[Tullula'sDad]

Just got a call fro the vet

Tallula is in intensive care.mthey were very worried about her but she's improved from when she came in this morning.

Her glucose and potassium levels were very low and they have tried to bring them up. She was also very cold and they have tried to keep her warm . The vet said they are watching her evrtry 5 minutes until they are happy.

The vet thinks this might be a reaction to Vetoryl and if it is she will have to discontinue its use. I think the vet said they will run some tests for this

I have to call at 3pm so I'll update then. Thanks for reading

[Tullula'sDad]

One of mine is a licker and will lick any surface whether it needs it or not. In addition to the question Marianne asked, I am wondering about the dust from the poison - could any of it have drifted around to places Tallula could have licked? The mouse in her feed bowl could have been walking on the bait box just before getting in her bowl, carrying poison on its feet. Could she have reached the bait box with the poison inside to lick even tho she couldn't get to the actual pieces? The container would have the dust all over it more than likely. Did she lick your hands after handling the poison?

Hi there

I did ask the vet but she discounted it as this wasn't the type of reaction she would expect. Tallula wouldn't eat a mouse if she found one and I'm sure I'd know if she'd eaten one but that's not the kind of dog she is to be honest although anything is possible. As for poison dust, feet of the mouse that's also possible. I will ask my vet again. Thanks for the input

[Squirt's Mom]

Prayers and healing white light flying her way! Let us know as you can.

[Tullula'sDad]

Prayers and healing white light flying her way! Let us know as you can.

Thank you.

[labblab]

For what it is worth, overdosing with trilostane would much more likely result in abnormally high potassium levels rather than the reverse. Regardless, I certainly would not resume the trilostane again until things are sorted out and a Cushing's diagnosis reconfirmed. But I still think it more likely that something else entirely different is going on here. :o

Marianne

[Tullula'sDad]

For what it is worth, overdosing with trilostane would much more likely result in abnormally high potassium levels rather than the reverse. Regardless, I certainly would not resume the trilostane again until things are sorted out and a Cushing's diagnosis reconfirmed. But I still think it more likely that something else entirely different is going on here. :o

Marianne

I really have no idea which is why I'm here hoping people like you can help. Thanks so far.

I think her glucose & potassium levels are down to her nit eating for the last 3 or 4 days. I went to see her at 4pm and she looked much better. She was at least able to be attentive and she was happy to see me. The vet said she would like to keep T. in overnight and tomorrow they will decide if she need to stay in longer or come home with me. I told the vet if she hadn't regained her appetite there would be little point in going home as the same thing would happen again.

Tallula has been off her Vetoryl since Thursday evening. So all Friday through to now she hasn't had any. The vet also told me that she had been in touch with with the company that make Vetoryl to tell them about Tallula's case and both my vet and the company rep. agreed that her treatment under Vetoryl will have to stop but I think they are going to do some more tests to see if it was the Vetoryl or not. The vet doesn't want to go onto the Vetoryl alternative as she feels that the alternative is more dangerous. Which is why they now prescribe Vetoryl.

[molly muffin]

Oh dear, so sorry to hear that Tullula is having such a bad time, although glad she seemed better when you saw her.
My thought is acute pancreatis too perhaps, so I hope they are going to test for that. Maybe an ultrasound to take a look at the pancrease, liver, gall bladder.

Best wishes for a speedy recovery

[Tullula'sDad]

Oh dear, so sorry to hear that Tullula is having such a bad time, although glad she seemed better when you saw her.
My thought is acute pancreatis too perhaps, so I hope they are going to test for that. Maybe an ultrasound to take a look at the pancrease, liver, gall bladder.

Best wishes for a speedy recovery

Yes that's a good idea I will ask for the ultrasound tomorrow thank you

[Squirt's Mom]

Hoping you and Tallula had a decent night and that she is much improved today. Let us hear from you when you get a chance.

[Tullula'sDad]

I'm sorry but things seem to be getting worse

I really need so e help to get through this

Apparently Tallula's collapse was due to complete renal failure

Her problem is chronic

The Vetroyl "unmasked" this disease and brought it the forefront

I have asked how long Tallula has got but the vet wouldn't say which I suppose is a good thing but there is nothing that can be done - she is still not eating although she is brighter than she was yesterday and definitely an improvement since the weekend. The vet wants to see how she does overnight.

Tne vet wants to see how she does overnight to see if I can take her home but can only offer medicines that will improve her quality of life like antacids and a few other food like substances and not give things that will control the problem

I have all her test results with me and the vet says they show kidney failure.

I'm in tears

Is there anything that can be done for her?

[Harley PoMMom]

There is much that can be done for a dog with kidney disease. I have had two dogs that had kidney disease, hydration is very important, are they giving her IV fluids? Also have they mentioned that she may need subcutaneous fluids when she comes home, subcutaneous means under the skin?

Could you post the lab values that you have, I am especially interested in the creatinine, BUN, potassium, and phosphorus.

Medication is usually needed when a dog has kidney failure, ACE Inhibitors are generally given. Another important matter, has her blood pressure been checked? High blood pressure is very hard on the kidneys and should be checked.

When the kidneys won't produce efficiently phosphorus can get elevated which does have a negative effect on their appetite, a phosphorus binder is necessary at that point. Depending on her stage of kidney disease a diet change may be needed, something more kidney friendly.

Some supplements I recommend are wild salmon oil, which is known for its anti inflammatory effects, and CoQ10, through research that I've read, sometimes CoQ10 has the capability to lower the creatinine.

I have only a moment to post, so I am providing a link for you with information regarding canine kidney disease: Kidney Disease in Dogs (http://www.dogaware.com/health/kidney.html[/url)

When kidney disease came to surface in Harley, which was also unmasked through Vetoryl treatment, I joined a Yahoo canine kidney group, I do urge you to join there too, they have a wealth of information about kidney disease in dogs, here's their link: https://groups.yahoo.com/neo/groups/K9KIDNEYS/info;_ylc=X3oDMTJkbmcwZXNnBF9TAzk3MzU5NzE0BGdycElk AzQzNDA1OQRncnBzcElkAzE3MDczNzc5NTMEc2VjA3Z0bARzbG sDdmdocARzdGltZQMxNDE4NzUxODkw

If you have any questions please do ask them, I understand your fears and we will help you and sweet Tallula, hang in there, ok ;)

Hugs, Lori

[Tullula'sDad]

Thanks Lori,

I know you guys will want to see the results I will have to wait until I get them done on my laptop I'll get in it straight away

And thank you

[Tullula'sDad]

link to the album here please take a look thank you

http://www.k9cushings.com/forum/album.php?albumid=950

[Harley PoMMom]

Could you add the reference ranges for those values too, I'm sorry I should have mentioned that, to do this all you need to do is edit that post and type in those references ranges, thanks.

Also, I did add more information about kidney disease into my previous post, did you see the addition info?

[Tullula'sDad]

Ok I hope this works a little better if it doesn't I'll go back to typing it all out

I've made an album with photos of the results

Unfortunately they start backward from 4 to 1 from the left to the right if you open the album called

Tallula test results from 05nov2014 to 16dec2014

Page 1 is on the right I hope you understand

Please let me know if this good enough

Thank you

[Tullula'sDad]

Could you add the reference ranges for those values too, I'm sorry I should have mentioned that, to do this all you need to do is edit that post and type in those references ranges, thanks.

Also, I did add more information about kidney disease into my previous post, did you see the addition info?


I'll lol again now but in the meantime I've created an album with photos of the full results I hope it's OK for you

[Tullula'sDad]

There is much that can be done for a dog with kidney disease. I have had two dogs that had kidney disease, hydration is very important, are they giving her IV fluids? Also have they mentioned that she may need subcutaneous fluids when she comes home, subcutaneous means under the skin?

Could you post the lab values that you have, I am especially interested in the creatinine, BUN, potassium, and phosphorus.

Medication is usually needed when a dog has kidney failure, ACE Inhibitors are generally given. Another important matter, has her blood pressure been checked? High blood pressure is very hard on the kidneys and should be checked.



When the kidneys won't produce efficiently phosphorus can get elevated which does have a negative effect on their appetite, a phosphorus binder is necessary at that point. Depending on her stage of kidney disease a diet change may be needed, something more kidney friendly.

Some supplements I recommend are wild salmon oil, which is known for its anti inflammatory effects, and CoQ10, through research that I've read, sometimes CoQ10 has the capability to lower the creatinine.

I have only a moment to post, so I am providing a link for you with information regarding canine kidney disease: Kidney Disease in Dogs (http://www.dogaware.com/health/kidney.html[/url)

When kidney disease came to surface in Harley, which was also unmasked through Vetoryl treatment, I joined a Yahoo canine kidney group, I do urge you to join there too, they have a wealth of information about kidney disease in dogs, here's their link: https://groups.yahoo.com/neo/groups/K9KIDNEYS/info;_ylc=X3oDMTJkbmcwZXNnBF9TAzk3MzU5NzE0BGdycElk AzQzNDA1OQRncnBzcElkAzE3MDczNzc5NTMEc2VjA3Z0bARzbG sDdmdocARzdGltZQMxNDE4NzUxODkw

If you have any questions please do ask them, I understand your fears and we will help you and sweet Tallula, hang in there, ok ;)

Hugs, Lori

Thanks Lori the Yahoo link works but the dogaware link if you could repost it would be very grateuful

[Harley PoMMom]

Sorry about that broken link, so here it is, let me know if you can access it: http://www.dogaware.com/health/kidney.html

[Harley PoMMom]

I did look at Tallula's most recent blood panel done on 12/16/2014, and yes it does reflect a dog with kidney disease. My concerns are her elevations in: PHOS (phosphorus) 6.46 mmol/l (.94 -2.13); cre (creatinine) 283 umol/l (27-124) which was = 577 on 12/15/2014; Na (sodium) 164 mmol/l (138-160); and K (potassium) 5.5mmol/l (3.7-5.8) which was 8.2 on 12/15/2014, so the creatinine and potassium have come down from yesterday but that high phosphorus needs to be addressed right away with a binder.

Will she be getting the subcutaneous fluids at home? I do highly suggest this right now, I have had to do this with one of my dogs and it is very easy to perform.

Definitely a kidney friendly diet should begin ASAP, this will make it easier on her kidneys, that dogaware link has all this information and more.

Have they checked her blood pressure? I can not stress this enough, it has to be done as high blood pressure wrecks havoc on those kidneys.

Remember we are here for you both, sending big loving hugs to you and sweet Tallula, Lori

[labblab]

I believe the "antacid" that is being given is for the purpose of binding phosphorous. So it looks like that is a base that is being covered.

Marianne

[Tullula'sDad]

Hello Harley PomMom

I've sent you a PM

I think it's quite urgent if somebody here on the forum could get in touch with her and ask her to read my message I would greatly appreciate it

Thank you

[Squirt's Mom]

How are things this morning?

[Tullula'sDad]

How are things this morning?


Hi there

I don't know yet the vet I want to see I believe started work 2 minutes ago lol

I hope to go to see her I've got so e Perritos snacks for her, chicken & pollock - she goes mad for them I recommend them fir any dog although normally I get the duck & pollock but everywhere seems to be out. I hope Tallula doesn't notice :-)

[Tullula'sDad]

Hello all

I just wanted to update on Tallula's condition.

I spoke to the vet over the phone who said that she was quite surprised at Tallula's rate if recovery judging from the test results she's been given recently so that makes me think that she is going to recover better tha I thought last night. I'll pst them when I have them

After speaking to the vet, I went to go and see her and although she is still very weak she did look much brighter than before. She's not shivering like she was before treatment with Vetoryl so I'm pleased about that.

She still hasn't eaten and is on drips but the treats I mentioned earlier, well she ate one so that was very encouraging although she didn't want more than one. I sat with her in my arms for about an hours and she was very content although I did notice and mention it to an assistant that she seems to have a bit if a twitch that she never had before. I told the assistant said she noticed it too while she observed her for a few minutes so I'll try to find out what that is. It could still be shock after her renal failure.

Anyway, the vet on the phone told me she might be able to,go,home tomorrow so,I'm looking forward to that but she will need aa great deal of care. But I don't mind I love her and I always knew times like this were going to happen

Anyway thanks for reading thanks for caring and I hope this episode will be behind us sooner rather than later.

Take care everyone

[Harley PoMMom]

When my boy's appetite waned I would try a few things to entice him, such as: baby food (the meat kind, and make sure that it does not contain any onions or onion powder), tuna, sardines, eggs (made any way), chicken along with very mushy rice, also when he would get like this he would prefer to eat out of my hands for some reason.

That is such terrific news that her lab numbers have improved....YYYAAAA!!!!

Keeping you both in my thoughts and prayers, Lori

[labblab]

This is great news that Tallula is doing much better today! :)

Please do continue to keep us updated.

Marianne

[Squirt's Mom]

Sounds much more positive today! Glad to hear it and I know you are!

[Tullula'sDad]

When my boy's appetite waned I would try a few things to entice him, such as: baby food (the meat kind, and make sure that it does not contain any onions or onion powder), tuna, sardines, eggs (made any way), chicken along with very mushy rice, also when he would get like this he would prefer to eat out of my hands for some reason.

That is such terrific news that her lab numbers have improved....YYYAAAA!!!!

Keeping you both in my thoughts and prayers, Lori

Quite funny ... When I went to see her earlier I looked at her notes that were hanging on the door of her cage. It showed the food that she'd been given and next to sardines in tomato was written "tried to bury it" made me laugh out loud!

Always have baby food and have been warned about giving dogs onions - very bad!!!

[Tullula'sDad]

Sounds much more positive today! Glad to hear it and I know you are!


Yes I'm more positive today thank you

[molly muffin]

Oh great to hear this. Hopefully she continues to improve and can come home.

Hang in there!~!!

[Tullula'sDad]

Tallula is back with me at home. The vet again said her test results look really good and she looks as she did yesterday when I went to see her. She has done a pee as well when I got her back. I will get the results this afternoon and post them.

Of great concern is that she is still not eating. The vet said that uf I can't get her to eat I will have to bring her in again tomorrow and she will have to have a feeding tube inserted into her nose.m speaking to the vet at about 4pm GMT.

I gave her one if those a Perrito treats at the vets and again she ate one but refused any more. I've just tried to give her another but she's not taking it. I'm going to buy some chicken liver later and see if she takes that. Maybe some duck liver pate too.

Does anybody have any ideas to get her to start eating? She still wants to lick me as she likes the taste and I've tried chewing up some chicken but she's still not taking it.

Any idea will be greatly appreciated and I know a lot of you have some great ideas to get a dog to eat. Thanks in advance.

[mytil]

Hi,

I have a sec but wanted to let you know I have used baby food (meat) slightly heated up in the microwave and my girl ate that.

Also, is she drinking? If so, to keep her electrolyte balance in check you may want to try Pedialyte (unflavored). This is in the baby aisle and used when babies or small children are sick.

There are appetite stimulants the vet may have mentioned to you.

Terry

PS I see Lori mentioned baby food above - sorry for the repeat. But whatever it is make it a bit watery and you can actually put a bit on your finger and place a bit on her tongue or gums.

[Squirt's Mom]

You might try sardines in water, tuna in water, canned green Tripe - ie stinky foods to see if that will start things flowing. If you go the baby food route, a good one, be sure to read the ingredients. Gerber is prone to add corn starch, onion powder and other flavorings while Beechnut does not. ;)

[My sweet Ginger]

Back in April I had to come up with something when my pup stopped eating anything and everything but still needed to take her many, many medications. I puréed variety of meats, rice, apple sauce and honey (I could tell she'd still go for something sweet), make the purée kind of runny so it will go through the syringe rather easily and syringed it in the back of her mouth. She fought back and we both got very messy each meal time but I guess I was more determined to get something down in her throat. Slowly, weeks after we moved onto spoon feeding which still continues to this day about 60% of the time. Mine only weighs 10 lbs. so I just lay her in my lap like a baby and feed her.:o I cover pills with cheese cake and that's the only way that works for my pup after trying many different ways.
I hope she will start eating soon but she really needs your assistance right now.

[doxiesrock912]

Canned, alleluia natural pumpkin from the baking aisle does wonders.

[Harley PoMMom]

It is especially worrisome when your furbaby doesn't want to eat, I totally understand that feeling of helplessness.

If this were me, I would try anything to get her to eat, even if that means getting a McDonalds hamburger for her. :eek:;)

I wonder if she would eat deli lunch meats, like ham, turkey, sweet bolonga, or maybe cheese.

Wishing you the best of luck, oh, try letting her eat the food out of your hands, this would usually work with Harley.

Hugs, Lori

[Tullula'sDad]

Hi,

I have a sec but wanted to let you know I have used baby food (meat) slightly heated up in the microwave and my girl ate that.

Also, is she drinking? If so, to keep her electrolyte balance in check you may want to try Pedialyte (unflavored). This is in the baby aisle and used when babies or small children are sick.

There are appetite stimulants the vet may have mentioned to you.

Terry

PS I see Lori mentioned baby food above - sorry for the repeat. But whatever it is make it a bit watery and you can actually put a bit on your finger and place a bit on her tongue or gums.

Thanks Terry great idea about watering it down & giving with her finger. I already have some baby food but dash, I went to the supermarket & forgot to get some more. Baby food is a bit hit or miss with her for example I have so e chi ken with vegetables but she's not interested and I know from the past that with beef isn't too tempting to her but I'll let you know how I get on later maybe tomorrow to the bigger supermarket.

P.S. I'm in UK and I don't know about Pedialyte perhaps we have it but if we don't I'll look for food when babies are sick. Thank you

Edit to add : yes she is drinking

I found out after I posted my first post today when I put her in front if her water bowl

[Tullula'sDad]

You might try sardines in water, tuna in water, canned green Tripe - ie stinky foods to see if that will start things flowing. If you go the baby food route, a good one, be sure to read the ingredients. Gerber is prone to add corn starch, onion powder and other flavorings while Beechnut does not. ;)

Great thank you for that I bought her some coley fish which I'll steam for her later :-)

[Tullula'sDad]

Back in April I had to come up with something when my pup stopped eating anything and everything but still needed to take her many, many medications. I puréed variety of meats, rice, apple sauce and honey (I could tell she'd still go for something sweet), make the purée kind of runny so it will go through the syringe rather easily and syringed it in the back of her mouth. She fought back and we both got very messy each meal time but I guess I was more determined to get something down in her throat. Slowly, weeks after we moved onto spoon feeding which still continues to this day about 60% of the time. Mine only weighs 10 lbs. so I just lay her in my lap like a baby and feed her.:o I cover pills with cheese cake and that's the only way that works for my pup after trying many different ways.
I hope she will start eating soon but she really needs your assistance right now.

Thanks for that. I'm considering the liquidising/syringe route but tomorrow if she still not eating the vet is going to feed her with a tube through her nose. I want to try to avoid getting messy as it's hard enough trying to cut her nails let alone trying to force feed her. I'll also get some advice from the vet.

Thank you

[Tullula'sDad]

It is especially worrisome when your furbaby doesn't want to eat, I totally understand that feeling of helplessness.

If this were me, I would try anything to get her to eat, even if that means getting a McDonalds hamburger for her. :eek:;)

I wonder if she would eat deli lunch meats, like ham, turkey, sweet bolonga, or maybe cheese.

Wishing you the best of luck, oh, try letting her eat the food out of your hands, this would usually work with Harley.

Hugs, Lori

So let me update on the food issue.

In normal circumstances deli meats wouldn't last very long but at the moment foods like that won't work.

I went to the supermarket looking for some food for her. I was looking fir duck or chicken liver but they didn't have any. I might have to try the bigger supermarket a little further away.

They did however have duck liver pate. I have given her some and she's eaten about 10 to 15 grammes before turning her head. I'll give her more later maybe every 4 hours and see how it goes.

I also bought
hotdogs - no
Chicken breast - no
Lumpfish caviar - no (sorry I went a but stupid in the supermarket)
Coley fish - shell get this tonight about 10pm

Tomorrow since it's close to Christmas I really want to try to get hold if duck liver it seems it's the duck she REALLY likes oh! And some tasty sounding baby food. I'll also look for the pumpkin suggestion. Thanks for that one I don't know who you are be cause this page now won't let me see and if I go there I'll lose all I have here so thank you whoever you are :)

Thanks everyone

[Tullula'sDad]

Tallula's latest test results

http://www.k9cushings.com/forum/album.php?albumid=951&pictureid=7290

Thanks for looking

[labblab]

Re: the duck pate, just want to warn you against giving her very much highly fatty food right now. I know you are desperate to get her to eat something, but there is some thought that highly fatty meals can trigger pancreatitis in animals who are vulnerable to, or are experiencing, GI issues and that would be the last thing you'd want to have to deal with right now. :o

Marianne

[Tullula'sDad]

Thanks Lori

I did ask the vet and she said right its not as important as it is to get her to start eating I plan to give her steamed fish tonight

If not then a little more pate & vet tomorrow.

[doxiesrock912]

I'm the pumpkin guru :-)
She ate something! That is a start. Smaller more frequent meals are better until she works up to eating normally again. There is nothing wrong with that.

Still be very careful with the fat content even though your vet said not to worry.
Pancreatitis is no picnic.

Crossing my fingers. Sometimes baby steps are best.

[Harley PoMMom]

I did take a look at Tullula's most recent chemistry panel, and Wow, what a significant drop in those kidney values, way to go Tallula!!!

I'm still concerned with some of the elevations on her November 5th blood panel, mainly the ALT and Gamma GT. I did see that the ALT level has come down, however, the Gamma GT was not measured on the recent chemistry panel so there is no way to tell if this enzyme has decreased also.

Those high values, ALT and Gamma GT, are not generally seen in dogs with Cushing's, they are more commonly seen in dogs with a gut issue such as a blocked bile duct, gall bladder problem, pancreatitis, or the liver is not functioning the way it should.

If this were me, I would have another chemistry panel done in another 2 -3 weeks, so that we can compare it to the other blood panels.

You're doing a great job, and I hope Tullula's appetite begins to perk up, keep us updated. ;)

Hugs, Lori

[labblab]

I am so hoping that Tallula continues to improve and is eating a bit more on her own. I am also very glad that Lori posted her comments above. Because I, too, had noticed those same liver elevations and wondered about their significance. All along, I have remained suspicious of the Cushing's diagnosis due to the total lack of consistent outward symptoms. Now, seeing that early labwork, I do agree with Lori that the pattern of those results are not typical of Cushing's, either. So although I hate it that you two have had to go through this crisis, if there is anything positive at all to come out of it, perhaps it will be a re-exploration of other undelying issues that may form the basis for the most accurate diagnosis possible.

Marianne

[Tullula'sDad]

Wow thanks guys

I went to see Tallula today and she looked miles better.

The vet spoke to somebody at Dechra about Tallula's condition. The rep thought considering what has happened to Tallula, her response to being on a drip previously that both the vet & rep. thought it would better for her to go back onto the drip over the over the weekend. So they asked me if instead of inserting the feeding tube they would like to keep her in the drip over the weekend feeding her instead by syringe to which she responded really well and that she'd eaten the maximum according to her size weight and calorific needs. I saw her this morning and her condition was amazing from even yesterday when I saw her last. She was much stronger on her feet and just brighter altogether to see. The only downside is that she still does t want to eat by mouth but I hope this will turn around very soon as her kidneys catch up with its healing. Little steps at a time.

I will take the advice and get another text done in a few weeks to see where we are but I'm confident that she will make a stronger recovery than first thought.

Thanks people for all your help and support. The start if this week continued to be a nightmare but things have slowly but surely workings for the best. Thank you for all your support. I will keep you all updated with her condition as and when I know. Once again thank you.

[Dixie'sMom]

I am so relieved to hear that Tullulh is feeling better and seems to have turned the corner. I will keep your little one in my prayers for continued healing.

[Squirt's Mom]

How is our little girl doing today?

[Tullula'sDad]

I am so relieved to hear that Tullulh is feeling better and seems to have turned the corner. I will keep your little one in my prayers for continued healing.

Thank you you really helped she was very close to death

[Tullula'sDad]

How is our little girl doing today?

Hi mummy squirt

This morning the vet called and said I could go and see Tallula at 1 pm and that overnight Saturday she has improved.

I went to see her and she was so much better.mshe continues to improve massively by the day. The vet said that she has eaten last night but she did t want to be fed this morning and she asked me to try to feed her in my visit. She had some pet food and boiled chicken on a plate. She didn't want the pet food but took the chicken from me.

The vet then said that she felt that Tallula had improved sufficiently to go home as the tube in her arm was being twisted by her turnin and turning and that the vet could either give a sedative to stop her but this would be a little too much and I agreed or I take her home. So we agreed I take her home and I would bring Tallula back to the surgery at 10am where she would have a kidney test and a ACTH test. So I'm very happy to bring her home. She very much ore active and doesn't wobble as much although by no means as steady as she should be but small steps she improves everyday.

I think next time I take her out to do her business I will need to keep her on a harness as keep her steady with it so far I've just taken her out - only twice but next time she will be on the harness.

I also made her some lightly boiled chicken liver. I placed it in front of her nose and it woke her up she sniffed it and ate a few pieces but then refused but I will wait and give her more I. A few hours. I've been waking her up every 3/4 hours and placing her in front of her water which she takes. As a friend of mine said water to the kidneys is like air to the lungs so that's my mantra for now.

Ok vets visit tomorrow with more test results to come. Thank you for taking interest and reading. God bless you all.

[Squirt's Mom]

I'm so glad she is home! Hopefully she will grow ever stronger there, willing to eat more and more. Something about home and that TLC found there works miracles when nothing else can. And I know she will get plenty of TLC! :)

[Harley PoMMom]

I can see why the kidney values need to be rechecked, but why is the ACTH stimulation test being performed? Do they want to make sure she is producing cortisol or are they trying to diagnose for Cushing's? If they are just checking to see if her adrenals are working than a resting/baseline result would be adequate for right now. Since Tullula has been through so much it would reason that her cortisol would be elevated as any kind of illness has the ability to raise cortisol levels.

Glad she is back home and in your loving arms, hoping her appetite picks ups and that her recovery continues to be speedy.

Hugs, Lori

[Tullula'sDad]

Hello all

Tallula went for a kidney test this morning and her results were not so good so the vet wants to put her back on the drip. I agreed as she seems to do better on the drip as she's not drinking enough on her own even though she has been drinking, it's not enough.

I don't think she was ready to go off the drip yesterday and this morning she was slightly more lethargic as well as being a little sick - vomit. Only a very small amount about 2 ml but vomit nonetheless.

I wonder how long she will need to be I. The drip before her kidneys heal enough.

:-(

[labblab]

I'm so sorry Tallula has had this set-back. How has her potassium level been doing? If they have had trouble keeping her potassium level down and if Vetoryl has been part of the problem, then it is possible that the potassium imbalance is a result of her aldosterone level being off, rather than the kidneys themselves. Aldosterone is also affected by Vetoryl, and it is the adrenal hormone that regulates the balance of potassium and sodium in the body. So I just wanted to mention that if her aldosterone level was decreased too far by the Vetoryl, she may still be having some lasting effects from that. If aldosterone production is too low, there is a medication that can be given to normalize the potassium/sodium levels in the body. Just a thought to consider.

Marianne

[Dixie'sMom]

I'm glad she got to come home, if only for a little while. I know that it lifted your spirits and her's. It sounds like recovery may be slow but as long as she is going in the right direction, thats progress. Hugs to you both. I won't forget to keep your little one in my prayers. :)

[Tullula'sDad]

Tallula is going to have a tube inserted into her esophagus so she can be administered the water that she requires to help her kidneys. Apparently she's not getting enough on her own which is why she does well on the drip but not so good without. She's having a very short intervention to do this. I'll also be able to feed her but I'm hoping she'll eat without it but it's still there should she not want to eat.

I will get her latest test results as well & post them so you can see the levels of potassium and sodium for yourself Marianne :-)

Thanks guys you are all so much support

[Harley PoMMom]

I am sorry that Tullula is not feeling well and is at the vet. I'm not familiar with giving water through the esophagus to keep them hydrated, it is generally given by IV or under the skin (subcutaneous fluids).

Did the vet mention that she could receive the subcutaneous fluids at home?

Hoping dear Tullula is much better soon, and keep us updated.

Hugs, Lori

[Squirt's Mom]

You are doing great, Dad, under awful circumstance. Keep the faith and know your family here at K9C is right by your side. It may help Tallulah to have something of yours or a blanket she uses at home to lay on at the vet's. Things like that can bring them comfort.

[Tullula'sDad]

Thanks guys you really are a great help & I thank you

Tallula's latest test results

http://www.k9cushings.com/forum/album.php?do=editpictures&albumid=953&pictureids[]=7297&pictureids[]=7298

Thanks for looking

[Trish]

Really hoping Tallula turns the corner soon, such a worry these pups but sounds like you are doing everything possible, best of luck she is home for the holidays.

[Tullula'sDad]

Really hoping Tallula turns the corner soon, such a worry these pups but sounds like you are doing everything possible, best of luck she is home for the holidays.

Thanks Trish

Yes, Tallula is at home with me & has a feeding tube.

She's supposed to get 24ml of recovery food along with 10ml of water every 3 hours 6 times a say. 5ml of water before I feed her and 5ml after.

I'm going to give her 10ml of water even through the night so she doesn't run low overnight at 3am and 6am. Then at 9 am start her feeding regime. The vet did say I could feed her by mouth if she takes it so I bought her a special treat of ducks liver which I'll make some up tomorrow but still have quite a bit of the chicken liver so that will follow if she takes the duck.

She's still groggy because of the anaesthetic so I hope she's a little getter in the AM. The vet did say however she looked better this morning before her little op. She has a vets appointment at 11am for a checkup.

So fingers crossed

[Tullula'sDad]

I am sorry that Tullula is not feeling well and is at the vet. I'm not familiar with giving water through the esophagus to keep them hydrated, it is generally given by IV or under the skin (subcutaneous fluids).

Did the vet mention that she could receive the subcutaneous fluids at home?

Hoping dear Tullula is much better soon, and keep us updated.

Hugs, Lori

Hi Lori,

I mentioned subcutaneous to the vet but she thought it was difficult/complicated for a parent to do it at home. The tube I believe enters her neck from the top so the tube is above a head to make feeding easier and into her esophagus then into her stomach. The only thing I gave to watch out for us that she doesn't cough when I first put water into her as this would mean it going into her breathing tube rather than stomach but so far so good

[Harley PoMMom]

Giving subcutaneous fluids to a dog at home is really not that difficult, really, I did it and I loathe needles!

I just looked at Tullula's recent blood panels and am quite concerned with her ACTH stimulation results. Tullula's pre is 16.6 nmol/L and her post is 40.3 nmol/L, which converted to the units we are used to seeing comes out to her pre = .6 ug/dl; post = 1.46 ug/dl, those numbers would be too low for my comfort. Is Tullula getting a supplemental glucocorticoid such as prednisone?

Do let us know how she is doing, you're doing a great job!! And I am hoping you see improvement in her every day, we'll be her cheering section..Go Tullula Go!!! ;)

Hugs, Lori

[molly muffin]

I'll join the cheering section. :) Go Tallula. :)

That is a very low ACTH, yikes.

So glad that she is home with you.

[labblab]

Yes, that ACTH is very low and her potassium is still either above normal or right at the top of the range. I agree with Lori, I would think she would be needing supplementation of glucocorticoid and perhaps also a mineralcorticoid supplement such as Percoten to offset a possible deficiency in aldosterone. I still can't help but wonder whether the primary issue here is not Addison's as opposed to renal. What are the vets saying about that low ACTH result?

Marianne

[Squirt's Mom]

Looks like you are gonna have to step up and get the vet to take a look at the cortisol and aldosterone. Sometimes we parents have to make the vets pay a bit more attention and I think that time has come for Tallula. Her kidneys probably aren't going to improve much with just food and water if this isn't addressed and soon. ;)

[Tullula'sDad]

Yes, that ACTH is very low and her potassium is still either above normal or right at the top of the range. I agree with Lori, I would think she would be needing supplementation of glucocorticoid and perhaps also a mineralcorticoid supplement such as Percoten to offset a possible deficiency in aldosterone. I still can't help but wonder whether the primary issue here is not Addison's as opposed to renal. What are the vets saying about that low ACTH result?

Marianne


Looks like you are gonna have to step up and get the vet to take a look at the cortisol and aldosterone. Sometimes we parents have to make the vets pay a bit more attention and I think that time has come for Tallula. Her kidneys probably aren't going to improve much with just food and water if this isn't addressed and soon. ;)

Hi Marianne & Lori

I hope you are both well and I wish you both a very Merry Christmas if I don't get the opportunity to do so later I'll say do now.

Bless you both :-). & I'm sure I'm not the only person here that think so either.

The vet hasn't mentioned the low cortisol test yet or I can't remember and I have been given the meds outlined below but I will ask specifically about it on my next appointment just after the Christmas holidays

On my visit today the vet gave me Renalzin to add to her food which is a supplement feed for nutritional purposes for the support of chronic renal insufficiency - in cats so the label says and

Prenisolone - a very mind dose of 1mg a day which I believe is steroid to help with her cortisol levels ???

Apparently the vet is in close consultation with the expert at Dechra who have suggested such an approach

Thanks for reading & Merry Xmas y'all! (I think that's what Americans say at Xmas lol)

[Tullula'sDad]

Double post

[Squirt's Mom]

Merry Xmas to you and yours, Dad!

[molly muffin]

Merry Christmas.

Sending you holiday greetings and hoping for a good day for you and Tallula

[Harley PoMMom]

On my visit today the vet gave me Renalzin to add to her food which is a supplement feed for nutritional purposes for the support of chronic renal insufficiency - in cats so the label says and

Prenisolone - a very mind dose of 1mg a day which I believe is steroid to help with her cortisol levels ???

Apparently the vet is in close consultation with the expert at Dechra who have suggested such an approach

Thanks for reading & Merry Xmas y'all! (I think that's what Americans say at Xmas lol)

Merry Christmas to you and Tullula!

Prednisolone is indeed a steroid, relieved to see that Tullula is taking it. Never heard of Renalzin, so I googled it, and see that it is a phosphorus binder approved and formulated for cats. I have not found any articles where Renalzin was used in dogs, so I'll be anxious to see how Tullula responds to it.

Also glad to hear that the vet is consulting with Dechra, now we just have to get her appetite perked up....come on Tullula, eat, eat for all your Aunties here on the forum ;)

Hugs, Lori

[Tullula'sDad]

Hi there

Just a quick update

Tallula is being fed recover food 150g or 175kcal a day divided into 6 meals day day into her feeding tube with 10ml of water with each feed and whatever she can drink on her own which is about 20ml every 4/6 hours

But she is still off her food by mouth so as Aunty PomPomMum said

Come on Talkula eat, eat eat

Update tomorrow she has a vets appointment

Hope your Christmases were bright

[addy]

Let us know the vet update,

We will all chant eat, eat, eat!

[doxiesrock912]

I was told that it can take as long as 8 months for kidneys to recover themselves.

[Dixie'sMom]

Hopefully the prednisone will stimulate some appetite. (It sure does stimulate mine... haha!) If I remember correctly the kidney problems make them very nauseous. Do they have her on something for nausea? If not, then ask the vet if he thinks it will help.

EAT TALLULA, EAT, EAT, EAT!!!

[Tullula'sDad]

Hello again everybody

I called tne vet on Monday with an update on how she's doing

I don't know if I mentioned but my last visit to the vet on the 27th Decemebr , I think, the vet gave her a vitamin B12 injection and it seemed to do Tallula a world of good she walked 3/4 of the way home and in fact wanted to get out of her bag and walk herself. When I mentioned this to the vet over the pho e yesterday (Monday) she said that this was a very good sign although her lack of appetite is a concern. She will have to have the feeding tube taken out soon, I have another appointment on Friday and I'm worried about it. Tne eft did say something to me that concerned me a little. That if she's not eating we will have to look at her quality of life on the feeding tube.

Anyway on Friday she's going to have another ACTH test. I'll post the results whe I get them but as I said I am very worried she still doesn't have an appetite although in the past week I've been more concerned that she gets enough fluid for her kidneys it now getting to the point where the tube is going to have to be taken out.

Her stool seems to becoming a little more regular and firmer and she's urinating regularly but she is still very wobbly on her feet and bumping I to everything more so than before. She is also sleeping a lot especially after I have fed her thrunthe tube. I hope she recovers from this I don't know what I should do.

[Tullula'sDad]

Looks like you are gonna have to step up and get the vet to take a look at the cortisol and aldosterone. Sometimes we parents have to make the vets pay a bit more attention and I think that time has come for Tallula. Her kidneys probably aren't going to improve much with just food and water if this isn't addressed and soon. ;)

What do you think I should do? She's having a ACTH test Friday

[Squirt's Mom]

I would have already had the vet looking at those things, especially since her appetite has not improved. If her cortisol went too low and is still too low, her adrenals could be destroyed without the meds to correct the situation. I'm sorry if we didn't impress on you strongly enough in our prior posts how important it was to have this done then. I would not be waiting til Fri. now either. ;)

[Tullula'sDad]

I would have already had the vet looking at those things, especially since her appetite has not improved. If her cortisol went too low and is still too low, her adrenals could be destroyed without the meds to correct the situation. I'm sorry if we didn't impress on you strongly enough in our prior posts how important it was to have this done then. I would not be waiting til Fri. now either. ;)

Problem is it's holidays and the ACTH has to be sent off as they don't do them in house. The vet did say that she wanted to see her settled before they do another round of tests at the end if the week. I'll see how she's doing tomorrow she seems to have slipped a little and lost a little of her brightness.

[Squirt's Mom]

If she seems to be slipping I would certainly let the vet know. They may want to reconsider removing the tube. Let us know how she's doing and what the vet has to say.

[Tullula'sDad]

If she seems to be slipping I would certainly let the vet know. They may want to reconsider removing the tube. Let us know how she's doing and what the vet has to say.

When I say slipping I mean she's rather more lethargic than normal also her tongue is cold when she licks me but she s had that all day

[Squirt's Mom]

Yeah, I understood what you meant. That is a rather common usage down here in the South. Our old folk are often described as slippin'. ;)

[Tullula'sDad]

I've sent a text message to the vet but I haven't heard from her as yet

I'll make an appointment in the morning

[Tullula'sDad]

The vet called back and said I should give her another 10ml of water now warmed up and then in an hour another 10ml

Tne vet thought that maybe kidney failure might be starting up again and she needs water as she's nit been drinking on her own as much as before.

I might give her 10 ml every 3 hours until her appointment

She also said I should give her a warm hot water bottle so that she doesn't have to rely on her body to warm her up. Her tongue has warmed up since but I have her now on my chest and she will go to the vet 9am tomorrow morning

[Tullula'sDad]

Just a quick update

I took Tallula to the vet yesterday morning who gave her a blood test

Everything was OK apart fro her BUN which was slightly elevated but this was out down to not getting enough water so I've upped the amount of water she was recommended to get through the tube and doubled it.

I'm also giving her an extra 10ml of water every hour and a half so that in total she is getting slightly more water perhaps 20/50 ml more than when she was drinking with the bowl on her own. Obviously her drinking from the bowl has gone down since but I am compensating for that as I said until it's time to take her off the drip

I did ask the vet to look at the possibility that Tallula had Addisons rather than Cushings but the vet doesn't seem to think her results lead to that diagnosis.

Tomorrow she is going to have an ACTH test. I'll get the results for this and the blood test which I couldn't at the time as the receptionist didn't know how to

It funny but as soon as she had her blood test at the vets when I got her back she had perked up which made me feel as if I'd cried wolf - a little lol but I'd rather that the be worried out her condition reversing which is what I tHought the other day.

I'll report back whe I have so e news which will be tomorrow hopefully


Happy new year to you all and I hope all your dogs get better this year

Thanks for reading

[Harley PoMMom]

We do tend to get worried, so thanks for the update ;)

All in all, how do you think Tullula is feeling? Has her appetite perked up?

I will be anxiously waiting with you for those test results! Give sweet Tullula a gentle hug from her Auntie Lori. :)

[Dixie'sMom]

I'll be waiting too to see how her labs turn out. I hope your baby girl feels better soon and will get back to eating on her own. Big Hugs and prayers coming your way. Give Tullula some belly rubs from me.

[Squirt's Mom]

I'm glad things seem better than they did the other day when she seemed to be "slippin". I hope she continues to feel better and will be eating and drinking on her own again soon.

[molly muffin]

Checking in to see how you and Tallula are doing. Hoping that the ACTH shows some good results.

[Tullula'sDad]

We do tend to get worried, so thanks for the update ;)

All in all, how do you think Tullula is feeling? Has her appetite perked up?

I will be anxiously waiting with you for those test results! Give sweet Tullula a gentle hug from her Auntie Lori. :)

Hello Lori & happy new year

Generally Tallula is a bit brighter and seems slowly to improve apart from if her water consumption gets low so I have to keep on top of that. She seems to sleep a little more than before especially after a feed but I'm not too worried about that. When she wakes she's a little groggy but soon wakes up a little after about 5minutes. She's still very wobbly on her legs and this is a concern as well as her not wanting to eat but eating might be down to me feeding her through the tube.

She had a ACTH & blood test yesterday so I hope to have tne results posted for her aunties to see and she will get her hug when she wakes next.

[Tullula'sDad]

I'll be waiting too to see how her labs turn out. I hope your baby girl feels better soon and will get back to eating on her own. Big Hugs and prayers coming your way. Give Tullula some belly rubs from me.

Lol yes if course I can always spoil her more than she is already tummy rubs on their way. Happy New Year

[Tullula'sDad]

Checking in to see how you and Tallula are doing. Hoping that the ACTH shows some good results.

I'll try and get them on Monday along with the blood test results she got on the 31st. Thanks very much :-)

[Squirt's Mom]

Thanks for updating! You are doing a great job with your sweet girl and I pray she starts to eat on her own again soon.

[Tullula'sDad]

Sorry guys for the lack of updates the last few days I've been really very busy with work so haven't had the time to update

I forgot to get Tallula's latest test results bu t I have a vets appointment tomorrow so I'll definitely pick them up then

But there so etching I need to ask you guys for help

I gave Tallula a bath today as she hasn't had one since Novemeber really since this all started. She doesn't like baths at the est of times and usually shivers quite a lot normally I think she fears baths

Anyway she had her bath I re did her dressing for the feeding tube but she has started the behaviour that took me to the vet in the first place. She seek da cooler place she's shivering and very slow on her feet.

What do I need to do to settle her down

Is is an emergency?

Some advice would grafefully be recieved thank you

[Dixie'sMom]

I'm bumping this up for you so hopefully one of the experts will come by soon and can answer your questions. Has she settled down any now? Has the shivering stopped since she is probably dry by now?
Someone should be by shortly. Hang in there Dad. You are doing a great job.

[molly muffin]

I too want to know if the shivering has stopped once she is dried and the bath time over with. She wasn't doing this prior to the bath right? If it stops, then it is most likely a reaction to the bath and being wet and just having gone through so much.

If it continues then yes I would call the vet, as it could be kidneys acting up again, etc. As she is in such a delicate state right now and still on the road to recovery, that is what I would do.

Let us know how she is doing now.

[Tullula'sDad]

I too want to know if the shivering has stopped once she is dried and the bath time over with. She wasn't doing this prior to the bath right? If it stops, then it is most likely a reaction to the bath and being wet and just having gone through so much.

If it continues then yes I would call the vet, as it could be kidneys acting up again, etc. As she is in such a delicate state right now and still on the road to recovery, that is what I would do.

Let us know how she is doing now.


I'm bumping this up for you so hopefully one of the experts will come by soon and can answer your questions. Has she settled down any now? Has the shivering stopped since she is probably dry by now?
Someone should be by shortly. Hang in there Dad. You are doing a great job.

Hello there and thanks for getting back to me

I called my vet, I have her number but she didn't pick up so I called the emergency vet and was told if I bring her in it would cost £200 about $300 for the emergency appointment and more if they have to take her in. I thought without her medical records and all the test results they wouldn't be able to diagnose her properly and give the right medication and if they took her in all they could do would put her on a drip so I've decided to wait it out until the morning when I have a vets appointment and not to go. Anyway they said the same thing. I did ask for some advice and that was to keep her warm give her 3 to 5 ml of water an hour and not to feed her as the last time she went to the toilet, which was Sunday, she had diaorria.

I gave Tallula a shower at about 8pm she was fine before not her best but not noticeably worseas she hadn't had a bath since Novemeber when she first started to become odd - like today. As she's a hairless dog she dries very easily. I then reapplied the dressing to her feeding tube fed her at 9pm covering her up in her blanket with a hot water bottle nearby as she likes it. But around midnight while I was in the kitchen I went to see how she was doing, she wasn't in her bed. She had moved over to the laundry bag and was shivering and breathing heavily. That's when I sent a text message to the vet and wrote to you guys.

Straight away I gave her 10ml of water and no food followed about 40 minutes later with another 5ml and 4ml every hours so far.

It seems that whe I picked her up and held her, her shivering would calm down a little and her breathing wasn't quite so fast. However when I put her down her shivering increased breathing got heavier and she wanted to sleep so I just held her in my arms for an hour or so. I've just put her her down again in the end next to me in her blanket with hit water bottle and she seems to have settled a bit better. Her shivering has gone but her breathing up until just now, fast and shallow. Her breathing seems to have settled a little better and she's snoring now all be it still shallow breathing.

I had a vets appointment at midday tomorrow but I think I'll call in and bring up to first thing in tne morning. A similar thing happens about a week and a half ago all be it not as bad as tonight and by the time she got to the vet she was much better.

I thinks it's best to keep her liquid intake up through the night and see where she is at in the morning.

I'd just like to know what is going on with her. As I didn't suspect she had Cushings but as mentioned here Addisons, I thought this episode was an Addinsons shock. I can imagine that giving her a bath raised her cortisol levels and the poor puppy just had to deal with a surge in cortisol but i don't know. All I do know is almost immediately after the bath she was affected by something.

If anybody has any idea the please say so and I will ask tne vet.

After my visit I will get all her recent test results so hopefully, as a collective we can work out what going on with her. I don't think she's suffers pain but the distress I imagine must be awful for her.

Thanks again for you'd help.mi can't tell you how much I appreciate it and how comforting it is to have a groupa1-


Oh Lord, just as I started to type this Tallula started to vomit, she body went all limp and she sounded as if she was choking. I immediately put her on the floor, undid the bung in the feeding tube and used to syringe to suck up some of the bile that was coming up. I rested her on her feet and rubbed her back. I've just put her back on the bed she's breathing but she's very limp. I think this might be a long night

[molly muffin]

They did an ACTH test right and said it isn't Addison's? Have they also checked her glucose levels as it is very easy to switch over into a diabetic episode and we have seen that happen overnight. Also could be kidneys.
You have to walk a thin line between not enough water and too much also. As you don't want her vomiting and blocking that tube.
Keep an eye on her. I know it is definitely going to be a long night.
My thoughts are cortisol low, blood glucose or kidney failing again.
If the kidney is okay have vet check glucose

[Spiceysmum]

Hope that Tallula eventually settled last night and is a bit better this morning. I hope that you get some answers at the vets today.

Linda

[Tullula'sDad]

I took Tallula to tne vets at 9am. She measured her temperature which was high.

The vet suspects pneumonia and has taken Tallula to be given antibiotic intravenously. The vet doesn't think tne shower is the cause as I made sure she was dry and apart from cleaning her feeding tube bandage she was wrapped up in a towel and then her bed.

I have to call back at midday

[Tullula'sDad]

They did an ACTH test right and said it isn't Addison's? Have they also checked her glucose levels as it is very easy to switch over into a diabetic episode and we have seen that happen overnight. Also could be kidneys.
You have to walk a thin line between not enough water and too much also. As you don't want her vomiting and blocking that tube.
Keep an eye on her. I know it is definitely going to be a long night.
My thoughts are cortisol low, blood glucose or kidney failing again.
If the kidney is okay have vet check glucose

Yes they did the test and said it's Cushings.

I kept her on 4ml an hour and had her lay next to me with a pillow supporting her head upright. The vet did say that she was having trouble holding her head up and I agreed as I had to keep her head up on a pillow.

The vet also said that although her breathing was nit normal about sixty breaths ore minutes there was no sign of water in tne chest

Thanks for your advice but I was unable to mention any of tu as bye vet took Tallula straight away. I'm hoping she cleearvthis setback but the vet did warn me about the seriousness of get condition.

[My sweet Ginger]

Would you post the pre and post number of the ACTH stim test and when it was done, please?

[Squirt's Mom]

Please keep us updated on our sweet girl as you can.

(((((((((((((((((((((HUGS))))))))))))))))))))

[Dixie'sMom]

Sending prayers for Tallula and hugs for you. I'm so sorry she is so sick.

[Tullula'sDad]

Would you post the pre and post number of the ACTH stim test and when it was done, please?

Tallula's latest test results

http://www.k9cushings.com/forum/album.php?albumid=963

I hope the format is OK with you the second page has the ACTH test

Thank you

[flynnandian]

this link doesn't work.

[Tullula'sDad]

this link doesn't work.

Is it working now?

I didn't cut and paste the last bracket I've added it now so it should work - sorry about that

[labblab]

The ACTH results from January 4th are horribly low!!! :eek: :eek: :eek:

Pre: 25.0 nmol/L
Post: 22.2 nmol/L

This means Tallula's stimulated ACTH value was even lower than her resting cortisol and they both are less than 1.0 ug/dl (U.S. units). This is Addisonian! Is she receiving any supplemental prednisone at this time? She needs it desperately.

I don't understand how the vets can possibly be calling this Cushing's and ignoring how low her cortisol has fallen. I am shocked and frightened for Tallulah! :( :( :(

Marianne

[flynnandian]

yes, the link is working ok now.

[molly muffin]

Marianne, the results from before around the 24th Dec, where as follows,


pre is 16.6 nmol/L and her post is 40.3 nmol/L,
which converted to the units we are used to seeing comes out to
her pre = .6 ug/dl; post = 1.46 ug/dl

They put her on 1mg prednisoline (sp) which is probably why her pre has gone up a tad bit, but her post is dropping, which is a definite sign of addisons, in that her adrenal glands aren't producing cortisol enough. This could definitely contribute and be the reason for the not eating, and also her kidneys failing, and the same signs of urinating. She doesn't need vetroyl or lysodren, she needs steroids. The vets should definitely be addressing this.

[Dixie'sMom]

Tallula's Dad, what did they say the last time you checked on her? If they haven't upped her Prednisone, I would be going over there and getting my dog and getting her to another vet ASAP.

[My sweet Ginger]

Yea, I'd suspected you could be dealing with low cortisol all along but she's been under care of many professionals so I gave them the benefit of doubt. I'm at a loss. I hope she comes through without much damages.

[Harley PoMMom]

I'm very concerned too, Tullula's recent ACTH stim results are way too low, which is known as Addison's and not Cushing's.

Do keep us updated and I will be keeping you both in my thoughts and prayers.

Hugs, Lori

[Tullula'sDad]

Tallula passed away this morning at 9am

[labblab]

Oh my goodness. I am so terribly sorry! Words otherwise fail me right now -- I am just so sorry!

Marianne

[My sweet Ginger]

Oh, Nooo! My heart aches so much for you and Tallula right now.
I was praying and hoping there still was time to turn her back around.
Words can't express how devastated I feel about this tragedy. More so because she was such a fighter.
Please, try to take some comfort in that she no longer has to go through any pain or torturous procedures. I'm just so sorry.

[Squirt's Mom]

Oh no no no.....I am so sorry to hear this. I know your heart is shattered. :( Please know we are here anytime you wish to talk or cry or scream.

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


FRIEND

I lost a treasured friend today
The little dog who used to lay
Her gentle head upon my knee
And shared her silent thoughts with me.

She’ll come no longer to my call
Retrieve no more her favourite ball
A voice far greater than my own
Has called her to his golden throne.

Although my eyes are filled with tears
I am thankful for the happy years
She spent down here with me
And for her love and loyalty.

When it is time for me to go
And join her there, this much I know
I shall not fear the transient dark
For she will greet me with a bark.

~Author Unknown

[Harley PoMMom]

I am so sorry for the loss of your dear Tullula and my heart goes out to you at this most difficult time.

We are here for you and do understand the pain you are feeling, please remember you can talk to us at any time.

With Heartfelt Sympathy,
Lori

[Dixie'sMom]

My heart broke and I felt a physical pain in my stomach upon hearing this news. I am so, so sorry for your loss. What a sweet girl and such a fighter. Now she is healthy and whole once again and running free at the Rainbow Bridge.

Please accept my deepest sympathy. I will be praying for comfort and peace for you and keeping you in my thoughts and prayers in the coming days.

[molly muffin]

Oh I am so so sorry to hear this. What a valiant fight the two of you managed in the face of the worst of situations.
I too really hoped that she could pull through.
All of our hearts are broken for you and Tallula today.

My sincerest condolences on your loss.

[judymaggie]

My deepest sympathies to you during this difficult time -- Tallula really did make every effort to keep going.

[Spiceysmum]

I am so sorry to hear that Tallula has passed away, my thoughts are with you.

Linda

[flynnandian]

i am so sorry you lost tallula today.

[Tullula'sDad]

Thank you everybody for all your help

Words fail me now so I shall offer none

I can't believe the hole I feel right now without her next to me

I am at a total loss

Thank you again everybody when I am better able to deal with this it will come back and express my gratitude

Yours

Moses

[molly muffin]

We are here for you anytime you want or need us.

hugs

[Renee]

I am so sorry. My heart hurts for you.

And, I'm just going to say what you aren't supposed to say.... I am so ANGRY that she saw so many vets and specialists, and it seems they let her down. :mad:

[Tina]

I have been following your thread and am just heartbroken to read about Tallula, I cried my eyes out. I am just so sorry for your loss and all that you went through, I couldn't bring myself to post it until now. Please know that you are in my thoughts and prayers. My deepest sympathy and big hugs.

Tina

[Tullula'sDad]

I have been following your thread and am just heartbroken to read about Tallula, I cried my eyes out. I am just so sorry for your loss and all that you went through, I couldn't bring myself to post it until now. Please know that you are in my thoughts and prayers. My deepest sympathy and big hugs.

Tina

Thank you so so much Tina

And to everybody else that have given me such kind words of support

I feel I have lost my best friend and there is a massive hole in my heart and in my life that isn't going to be healed anytime soon

This place is so different and empty without her and I can't even bring myself to see pictures of her of even clear away her belongings is so hard to do. Even the hit water bottle that she used in her last night here is still here I can't bring myself to empty it.

Thank you again guys for you support, thought love and hugs that you send me. I can't begin to tell you with words how comforting they are to me.

Everybody that has their beautiful pup diagnosed with Cushings has a very scary problem to deal with but the saving grace is that it is not the end it can be controlled and your pup will continue to live a long and happy life. I'm just so sad that my story wasn't able to end as it should have done and it feels that I have been and Tallula's life has been cheated for a few years.

I sincerely hope nobody goes through what I have had to and that this is the worst case scenario that anybody will meet.

Bless all you administrators for being there for me with you kindly advice and long may you continue to give hope to others like myself who feared this illness known as Cushings Disease.

Thank you again and please don't cry. Tallula is at the Rainbow bridge waiting for me and I can't wait to be with her again so I can be whole again. I must go as the tears have started up again.

All the very best to you all.

[mcdavis]

I am so very sorry to read of the loss of your dear Tallula. I know there are no words which can take the pain away, but would offer you my deepest sympathies.