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Have them do a complete blood work panel on him as well as a test for Cushings.
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We went to the vet and the doctor took skin samples (with tape!) to look at what's going on. Tomorrow morning I am bringing Toto in first thing for the blood panel (which requires fasting) so they can test for Cushings. Doc says he will have results by Saturday. After the Cushings test they are going to treat him with a cortisone shot and prescribe an antibiotic regimen.
I will post again in a few days with an update. Hopefully my boy will perk up and start to enjoy the simple pleasures of life again. The doctor is a very smart, kind man and he assured me that Toto isn't ready to go yet. I am cautiously optimistic.