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Old 05-21-2011, 07:11 AM   #19
Wylie's Mom
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Location: Phoenix, AZ
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Originally Posted by luv_my_yorkies View Post
Wylie'sMom...I really appreciate the information you provided and am happy to have such a knowledgeable person to turn to if he does, indeed, get the diagnosis of Cushing's...either typical or atypical.

The only test my vet has done was a Bile Acid test for liver function after her finding what she felt was an enlarged liver for his size. On tuesday we get an ultrasound and will go from there. However, if the radiologist does suspect Cushing's, Hubby and I have decided to search for a vet that is much more familiar with the disease. I really didn't feel comfortable about the way she casually mentioned he may have it, and then I learned the potential severity of the disease through my own online research. Also, I found that they got the results of the bile acid test this morning, but I have to wait until the doctor is in on tuesday for her to read them to me. I may be overracting, but this is a scary time for me, and I am thankful for all the support here!
I def agree on going to a specialist. Usually, you'd go see an Internist for Cushings diagnosis. On that yahoo group, there is a list of Vets whose practice includes Cushings.

Just fyi, the adrenals can look completely normal on ultrasound, and yet still have Cushings (either adrenal based or pituitary). So, this is why an ACTH or LDDS is so important, even if an ultrasound is normal.

Just to back up a bit, before any of the above tests...most vets (if they even suspect Cushings) will do a Urine Cortisol-Creatinine Ratio Test -- as this test is cheapest (relatively, in Cushings), simplest, and points to whether or not further testing for Cushings is even needed.

I know, so confusing!

Is your vet open today? You could always stop by and say you need a copy of your pet's records ....just sayin'.
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