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06-02-2018, 05:28 PM | #31 |
Donating YT Addict Join Date: Aug 2010 Location: SW USA
Posts: 2,505
| Thumper Thank you for the latest news on your baby. Sounds like he has been through a lot of vet visits and testing and that he and you could do with a break to recover. As the tests appear to indicate the possibility of early issues, it is a good idea to follow up in the future and keep an eye on him. In the meantime, if he is behaving normally and not getting worse, a rest from vets and tests would be good for both of you. Thinking of you and praying all will be well. |
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06-02-2018, 05:36 PM | #32 | |
YT 500 Club Member Join Date: Aug 2015 Location: New Yok, NY
Posts: 723
| Quote:
We went to the fair today to celebrate and if the weather holds out tomorrow will be a day at the dog park.
__________________ Ashley mom to Thumper and Bella RIP Boomer | |
06-02-2018, 05:42 PM | #33 |
Donating YT Addict Join Date: Aug 2010 Location: SW USA
Posts: 2,505
| Hooray!!!! Thanks for the good news. So happy for you and glad to know you are enjoying some R & R to celebrate. |
06-02-2018, 05:55 PM | #34 |
YT 500 Club Member Join Date: Mar 2018 Location: AZ
Posts: 928
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06-04-2018, 04:26 AM | #35 |
Furbutts = LOVE Donating Member Moderator | Great news ! With that high-normal LDDS - I'd absolutely be sending his bloods to U of Tennessee for that next ACTH - bc it could be very likely he has Atypical Cushings - and your vet cannot test for that - it can only be done at U of Tenn. If you do the ACTH and it comes back "borderline" just like the LDDS - you'll have paid your normal vet for that ACTH test, and then you'll have to pay all over again for the specialized ACTH & Atypical testing at the U of Tenn. And in the end, you would already have all this info had your vet sent the bloods to the U of Tenn in the very first place. I honestly would not be having any vet diagnose Cushings in my dog (an extremely complex disease) if they didn't even know about U of Tenn in the first place (world-renowned, known about by any / every vet who knows anything about Cushings bc it's the only place that has the advanced endocrinology diagnostics). If the vet has never heard of Dr. Jack Oliver from U of Tenn and what he did for the diagnosis of Cushings and Atypical Cushings, again, the vet would not be touching my dog in regards to Cushings. It'd be like giving a bow and arrow to a soldier who only used guns, and expecting them to be successful (?!). Here is the link again. If you scroll to middle area - you can click on those pdf's and read about how U of Tenn doesn't just test for ONE steroid (cortisol) like your vet is - they can test for ALL the other Cushings related intermediate steroids - which ALSO cause Cushings. Your vet cannot test for the intermediate steroids (17-hydroxyprogesterone, androstenedione, estradiol etc). Your baby can actually have a *normal* ACTH and LDDS -- and *STILL* have Atypical Cushings (caused by intermediate steroids, not cortisol steroid) - but you will never, ever be able to know unless the blood is sent to U of Tenn bc your vet can only test for cortisol - and that's all. Also: "Dr. Jack Oliver, the former Director of the Clinical Endocrinology Service at the University of Tennessee Veterinary Medical College, developed the adrenal panel as another screening test for hyperadrenocorticism however this test evaluates 6 adrenal steroids versus just 1 as in the ACTH stimulation test and dexamethasone suppression test."
__________________ ~ A friend told me I was delusional. I nearly fell off my unicorn. ~ °¨¨¨°ºOº°¨¨¨° Ann | Pfeiffer | Marcel Verdel Purcell | Wylie | Artie °¨¨¨°ºOº°¨¨¨° |
06-04-2018, 09:50 AM | #36 | |
Yorkie mom of 4 Donating YT Member Join Date: Feb 2008 Location: LaPlata, Md
Posts: 23,247
| Quote:
__________________ Taylor My babies Joey, Penny ,Ollie & Dixie Callie Mae, you will forever be in my heart! | |
06-19-2018, 03:22 AM | #37 |
Resident Yorkie Nut Donating YT 20K Club Member Join Date: Sep 2006 Location: Texas
Posts: 27,450
| I had not seen this thread until today. I hate to throw something else into the mix, but has your vet not felt that the urine should be rechecked regarding the increased protein in his urine? I didn't see any mention of blood work...has it been done? If he didn't have a UTI then he should not have protein in his urine. PLN (protein losing nephropathy) is kidney disease, but is much different than the kidney disease many people think of when initially diagnosed. The increased B/P could also be related to that. Cushings is hard to diagnose....I just wonder why the focus is on that since he doesn't have a lot of other symptoms. Did his blood work suggest it?? IE: elevated glucose and/or liver enzymes .. usually ALP I would definitely be asking the vet about PLN! If he has it, he needs to be on medication or it will get worse much faster!
__________________ Last edited by ladyjane; 06-19-2018 at 03:26 AM. |
06-20-2018, 04:49 AM | #38 | |
Furbutts = LOVE Donating Member Moderator | Quote:
Anytime there is protein in the urine but no UTI, a UPC test should be done to look for PLN. Linda as you know, my foster German Shepherd Tucker died bc of PLN. Horrible disease, and often not really treatable if it's been undiagnosed for some time. Sadly, the vet she's using does not seem to be a skilled diagnostician at all. He hadn't even *heard* of U of Tennessee and Jack Oliver !!! And he's trying to Dx CUSHINGS, of all things, for petes sake - and the fact he doesn't even know what he's doing with the testing (never hearing of U of Tenn!) is just plain scary.
__________________ ~ A friend told me I was delusional. I nearly fell off my unicorn. ~ °¨¨¨°ºOº°¨¨¨° Ann | Pfeiffer | Marcel Verdel Purcell | Wylie | Artie °¨¨¨°ºOº°¨¨¨° | |
06-20-2018, 05:04 AM | #39 | |
Resident Yorkie Nut Donating YT 20K Club Member Join Date: Sep 2006 Location: Texas
Posts: 27,450
| Quote:
That is often the problem with PLN...if people don't do routine tests on their pups and only rely on symptoms of illness to take a pup to the vet, it can be deadly. PLN is sneaky and if there are symptoms, it is usually too late. As for vets and UT I have to say there are quite a few who don't know about Tobias either. Or Willard at A&M. Hard to understand, but it does happen if they don't stay up to date on the latest vet news. Happens in any profession as you know.
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06-20-2018, 05:29 AM | #40 | |
Resident Yorkie Nut Donating YT 20K Club Member Join Date: Sep 2006 Location: Texas
Posts: 27,450
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