PDA

View Full Version : Hello



KevinsMom
07-28-2016, 02:47 AM
I find it very, very comforting to know that this forum exists. For anyone who takes the time to read this, thank you.
During the summer of 2011 my world was turned upside down. My husband was misdiagnosed with ALS, my then 6 year old had what was presumed to be an epileptic seziure, and my brother in law was diagnosed with testicular cancer. That August my sister and her husband headed to the Mayo clinic for a few weeks and I offered to dog sit. For three weeks I had a constant shadow. When Kenzie went back home I was lonely and decided I was getting a dog. I looked for nearly 2 months. My only requirement was that I wanted a dog that needed a home. I seached the shelters for a hundred miles in each direction. The only dogs I was able to find were pit bulls or coon hounds. While those are both lovely breeds, neither is really a lap dog so I started searching Craigslist. The ad said,"Wow Wauzer" and I thought, "What the he__ is a Wauzer?" Somewhere in the description it said he was 18 months old and just loved to be loved. I was a goner. I drove three hours to meet the elderly man who said they just couldn't care for him. It didn't matter that he was filthy and smelled like rotting garbage, I knew we were meant to be together. I handed the man the, "small rehoming fee" that turned out to be $250 and drove away...with the windows open because he really, really reeked. When we got home, I took him from the front door to the bathroom and gave him a bath. After three shampoos it turned out he was actually a white dog. A very scrawny white dog. When I was rinsing him off he would lift up each paw so I could rinse it. I knew at that moment he was special. He came with a terrible name so after much dicussion and debate we named him Kevin Ripley (as in Believe it or Not we got a dog!). That was nearly 5 years ago. Kevin became the family dog but made it clear from the start that I was his and he was mine. He's never chewed anything that wasn't his, never peed or pooped in the house, doesn't get into any trouble at all. I may be biased, but I'm pretty sure he's the best dog ever.
Over the last couple of years he got a little grumpy. Never to me, but if anyone tried to move him, he'd grumble and growl and often seemed depressed. He got pretty chubby, too. He had always been so happy but since the vet seemed unconcerned I assumed this was normal. Kevin is my first dog so I really had no frame of reference. In Nov he got sick, lots of vomiting and panting. The vet said he must have gotten into something. I brought him in 3 times between Nov and Feb. They barely looked at him. I decided if it happened again I would try a different vet. On May 15 my husband gave him two pork rib bones to chew on even though I told him not to. Kevin swallowed them whole. I stayed up all night with him waiting for the vet to open the next moring. They refused to see him. I call my friend who is the director of a nearby shelter and she recommended a vet an hour north of us. They said,"How quickly can you get here?" The surgery went well and he was very lucky that nothing was perforated. The Dr that did his surgery has only been out of vet school for about six months but she saved him. After the surgery said she was concerned about his weight and black, scaly looking skin and wanted to test him for hypothyroidism. He was so fat she had a hard time closing him up. The tests came back positive and on May 31 he started meds. At time of his surgery he weighed 36.8 lbs. On June 28th we went for a checkup and he was down 6 lbs. He was full of energy and no longer grumpy. The bad news was he was drinking a tremendous amount of water and going potty so frequently that he and I started sleeping on the couch so we wouldn't wake my husband up with his constant need to go out. Our vet did a urine test and said he had a UTI. She was concerned because the bacteria were rod shaped and thought this may be a possible Cushings indicator. The antibotic helped but he still drank more than normal and peed often. Within a few days of him being off of it the antibiotic he peed in the house right in front of me. It was like he had no control. He is a boy and always feels the need to pee on every tree, bush, step etc... But now while he was walking from bush to bush urnine was dribbling out. Our vet said this is also a sign of Cushings and scheduled him for a dex test. Today she called and said the results were in and he does have Cushing's.
Kevin is not just a dog, he is my family. When I brought him home, I thought I was saving him but I was very, very wrong. He saved me. He has forever changed the way I look at the world. I need this little boy to be ok.
If you have made it this far, I not only applaud you but I thank you, as well. I also hope you can tell me what I should be doing at this point. I like our vet very much but she is the first to admit this is uncharted territory for her. I don't know what my next move should be. I live in Northern WI, pretty much in the middle of nowhere so it isn't as though there are Vet's that specialize in Cushing's nearby. I will be grateful for any advice given. I'm beyond confused. He's now lost almost 10 lbs. Could he have hypothyroidism and Cushings? His fur has begun filling in on his belly and the black skin pretty much all fell off like dandruff. His fur has become very soft. Would these improvements have happened with hypothyroid meds if it was Cushings? If he has Cushings why didn't the excessive drinking & peeing start until almost a month after beginning the thyroid meds?
Thank you again for any help given.
Jennifer

DoxieMama
07-28-2016, 09:32 AM
Jennifer, welcome to you and Mr Kevin Ripley! I love your story and want to tell you that even though you didn't find him in a shelter, you absolutely met your requirement in "a dog that needed a home". The fact that you saved each other ... well, that's often the case. Dogs are the best. No, I'm not biased. :)

As for your questions... I'm sure it's possible for a dog to have both hypothyroid and Cushing's. Is that the case for Kevin? That I don't know. I have no experience with hypothyroid so I'll leave that to others who do.

But in order to provide you with the best information, they're going to want more information. Do you have copies of the test results that were done on Kevin? If not, I highly recommend you get them. You'll have them available if you ever need to take him to another vet, and to answer the numerous questions that we'll have for you. ;) We love to see the actual results of the tests, so if you could post the results of the LDDS (there should be 3 numbers), and any abnormalities from the bloodwork along with the reference ranges, that will help us provide you the best feedback.

As your vet admits to not being knowledgeable, it sounds like she may be more than willing to learn. There are some folks here that can help with that. Our reference forum has all kinds of useful information. http://www.k9cushings.com/forum/forumdisplay.php?f=10

Welcome to the family!
Hugs,
Shana

Harley PoMMom
07-28-2016, 01:22 PM
Hi Jennifer,

Welcome to you and Kevin Ripley from me as well! Aww, your story really touched me, Kevin Ripley sure hit the jackpot with having you as his Mom.

Yep, both of those endocrine diseases can concurrently be present in a dog. So, before I start asking questions regarding Cushing's, I really would like to know a bit more about about Kevin Ripley's hypothyroidism, if that's ok ;)

What test was performed to diagnose his hypothyroidism? Has his thyroid level been checked recently? Is he receiving the thyroid replacement medication twice a day and are the tests used to check those hormone levels being performed 4-6 hours post pill?

If a dog's thyroid level is too high (hyperthyroidism) the common side effect is an increase in drinking and urinating, which is generally seen in dog's with Cushing's.

So, if your boy does indeed have Cushing's we will walk that journey with you, and even if it turns out that he doesn't there is no reason to leave here as you both are family now!

Hugs, Lori

trishlhk
07-28-2016, 01:33 PM
Hi! Your story is heartwarming. I am sorry Mr. Ripley has gone through this. I am glad he is improving. I look forward to getting to know you all better!

molly muffin
07-28-2016, 05:25 PM
I just want to say and hello and welcome. Lori covered the basics of what I'd want to know too, especially about the thyroid issue as I think you need to know how well that is controlled or not controlled before going down the cushings road. It might be both, it might be only one but we need to figure that out first.

If you don't have copies of the lab results can you call the various vets and have them email you the lab results? That is what my vets do. Makes it much easier to keep track of different values.

Whiskey's Mom
07-28-2016, 09:03 PM
Hi What a beautiful story! So glad you found each other! Good luck with everything :)

molly muffin
07-28-2016, 09:45 PM
Your bond and how you found each other is just lovely and brought a smile to my face.

buffysmom
07-28-2016, 11:56 PM
I'm afraid I'm pretty much a newbie here also so don't have a lot if advice for you but wanted to welcome you and tell you this place has saved my sanity more than once and given me info that has saved me from making the wrong decision. We all have started in the same place you are. Totally confused and wanting only the best for our babies. Hang in there!

judymaggie
07-29-2016, 02:56 PM
Hi, Jennifer! I just wanted to add my "welcome" and also to say that I, too, loved reading your story of how Kevin Ripley joined your family. Please do not hesitate to ask lots of questions --- everyone here will do their best to help you out!

KevinsMom
07-29-2016, 06:23 PM
Thank you all for the very warm welcome! And thank you for understanding that Kevin is so much more than,"just a dog."
I was finally able to obtain Kevin's test results. I put them in an album, I would be grateful to anyone who wanted to look at them. I haven't a clue as to what they mean.
As a side note: Wed morning 15 min after I gave him his thyroid meds he threw them up. I was 98% sure he threw up his meds but I didn't remedicate him for fear of overdose. When his Dr called with his results that evening I told her that he had thrown up his pills, I didn't give him more, and oddly enough he had not panted at all that day. The night before he had been panting so heavily that I gave him a haircut nearly to his skin in hopes of helping him stay cool. She told me to keep him off the pills for two weeks and at that time they will do more bloodwork to get a baseline. It's now two days later, still no panting, no excessive water drinking and last night he went 10 hours without going potty. That may seem excessive but Kevin before thyroid meds was a bit of a priss. For example, I could let him out at 10 pm and go to bed. If it was raining out at 7 am when I got up to let him out he would look up at me as if to say,"get real, lady", turn around and go back inside for a few more hours until the rain would stop. He would hold it forever rather than get wet. (Some say he's spoiled, I say he just knows what he likes and won't settle 😉) Now without the thyroid meds his bladder seems to have returned to his normal state and he's much less hyper.

KevinsMom
07-29-2016, 07:08 PM
Hi Jennifer,

Welcome to you and Kevin Ripley from me as well! Aww, your story really touched me, Kevin Ripley sure hit the jackpot with having you as his Mom.

Yep, both of those endocrine diseases can concurrently be present in a dog. So, before I start asking questions regarding Cushing's, I really would like to know a bit more about about Kevin Ripley's hypothyroidism, if that's ok ;)

What test was performed to diagnose his hypothyroidism? Has his thyroid level been checked recently? Is he receiving the thyroid replacement medication twice a day and are the tests used to check those hormone levels being performed 4-6 hours post pill?

If a dog's thyroid level is too high (hyperthyroidism) the common side effect is an increase in drinking and urinating, which is generally seen in dog's with Cushing's.

So, if your boy does indeed have Cushing's we will walk that journey with you, and even if it turns out that he doesn't there is no reason to leave here as you both are family now!

Hugs, Lori
Thanks so much Lori! I put his test results in an album. I don't know what test was done to diagnose hypothyroidism but if it isn't in the photos I attached I can call the vet again and ask for that info.
Until Wednesday he has been getting the thyroid replacement twice a day since May 31. His dosage was dropped twice because it seemed like he was being overdosed. He was currently taking levothyroxine.

Before the pork rib disaster he was fat, grumpy, and black skinned but zero issues with urinating.

Harley PoMMom
07-29-2016, 09:44 PM
Hi Jennifer,

Thanks so much for posting Kevin's blood work results, and of course, I do have a few more questions :eek:;) But first, I wanted to say how sorry I am that you and your family went through so much in 2011 and I do hope that you and all of your loved ones are doing much better.

Now, onto your sweet boy and those questions I have. In your earlier post you mentioned that Kevin had an UTI and from his urinalysis, I do see that and I also see that he was put on the antibiotic, cephalexin. Was there another urinalysis done to make sure that his UTI is completely gone?

Kevin's LDDS test results do point to the pituitary type of Cushing's, however one flaw with the LDDS test is that it can yield false positive results if a dog has a non-adrenal illness. So, it looks like to me that Kevin's LDDS test was performed when the UTI was present and his thyroid level was not stabilized, am I making a correct assumption here? If so, I really do question those positive LDDS results.

Another thing that concerns me is his creatinine (a kidney enzyme) was elevated when he was at the vets for his surgery, which could just have been temporary if he was vomiting but has a recheck been done on his creatinine since then?

Does he seem to throw up frequently, and/or does his tummy seem to be tender when touched? I ask because these are symptoms of pancreatitis and even some of his blood anomalies could be attributed to an inflammation of the pancreas.

I am so sorry for asking more questions than providing you with any useful information so I appreciate your patience with me :o

Hugs, Lori

KevinsMom
07-29-2016, 10:34 PM
Hi Jennifer,

Thanks so much for posting Kevin's blood work results, and of course, I do have a few more questions :eek:;) But first, I wanted to say how sorry I am that you and your family went through so much in 2011 and I do hope that you and all of your loved ones are doing much better.

Now, onto your sweet boy and those questions I have. In your earlier post you mentioned that Kevin had an UTI and from his urinalysis, I do see that and I also see that he was put on the antibiotic, cephalexin. Was there another urinalysis done to make sure that his UTI is completely gone?

Kevin's LDDS test results do point to the pituitary type of Cushing's, however one flaw with the LDDS test is that it can yield false positive results if a dog has a non-adrenal illness. So, it looks like to me that Kevin's LDDS test was performed when the UTI was present and his thyroid level was not stabilized, am I making a correct assumption here? If so, I really do question those positive LDDS results.

Another thing that concerns me is his creatinine (a kidney enzyme) was elevated when he was at the vets for his surgery, which could just have been temporary if he was vomiting but has a recheck been done on his creatinine since then?

Does he seem to throw up frequently, and/or does his tummy seem to be tender when touched? I ask because these are symptoms of pancreatitis and even some of his blood anomalies could be attributed to an inflammation of the pancreas.

I am so sorry for asking more questions than providing you with any useful information so I appreciate your patience with me :o

Hugs, Lori
Lori I appreciate your concern more than I can possibly express. Thank you so much.
I should probably mention that the Vet's office is about 45miles north of where I live. On July 11 our area was hit by a devastating storm. The highway was washed out in several places. The detour to get to Ashland (were the vet is) was/is 165 miles.
When We brought him in to check his thyroid on June 28 (the test 4-6 hours after meds) they determined he had a UTI. I called the clinic on July 8th because they had prescribed two weeks of pills but he was short eight pills. So there a full 24 hours where he had no antibiotics. I called again on July 15 because he was peeing like crazy. My vet was kind enough to drop off another two weeks of antibiotics at a gas station 16 miles north of me so I wouldn't have to make the 165 trip. That's when she decided it was probably Cushing's because of the reoccurring UTI. He was not tested again due to the road (or lack there of) situation. You were correct that the dex test was done while he was still on the antibiotic. I don't think his creatinine has been checked again.
He rarely vomits. The night he swallowed the bones he ate grass to try and make himself vomit. He did throw up a couple of times that night. He had the bloodwork the next morning.
His tummy does not seem to be at all tender. It was odd that he trew up his meds Wed morning. His favorite food is Italian (odd for a Scotsman😉, I know) and seems to have an iron clad stomach.
Please don't hesitate to ask me anything!
Thank you again!

Harley PoMMom
07-30-2016, 02:14 AM
That was so thoughtful of the vet to meet you closer to home to deliver the antibiotics, I don't know of too many vets that would go out their way like that...WOW!

Reoccurring UTI's are very common with cushdogs and sometimes, even in a healthy dog, a bacteria can become resistant to an antibiotic.

In moving any further with the diagnosis of Cushing's I would wait, and instead, proceed in making absolutely sure that the UTI is completely gone. With Kevin having an urine specific gravity of 1.010, which means his urine is diluted, another urine culture and sensitivity test would be needed. This is just my layperson's opinion so conferring with Kevin's vet and getting her recommendation is the course of action I would take.

Love your avatar, Kevin sure is a handsome fellow!

Hugs, Lori

Allison
08-06-2016, 08:09 PM
Jennifer, hi.

Welcome to this site! I'm so sorry for all the trauma you've faced these past few years. Sounds as if the blessing that came out of it is Kevin. The two of you have obviously saved each other.

You've definitely come to the right place for help! There are many knowledgeable people here. And we all know what you mean by pets being family.

My husband and I didn't have much time to help Gizmo with his Cushings. Soon after I found this forum, Gizmo developed pancreatisis. We ultimately lost him due to his battle with it.

So I can't help you with questions. As you've seen though, many others can! I simply wanted to welcome you. Also, thanks for sharing so much of Kevin's story.