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aweitzm1 11-17-2020 06:27 AM

Nervous for Thumper
 
Updating every one on Thumper's condition. I wrote previous posts about Thumper having Kidney Disease and working with his Vet to get him on the right medication.

We did another UPC Ratio test and UA after him being on new meds for a month. Unfortunately the UPC test came back even higher than last month from 2.7 to 3.2. The meds were suppose to at least keep him stable if not lowering the Protein in his urine.

Her recommendation is to take him to an Internal Specialist as his condition is out of her expertise to treat. I completely agree with her on him seeing a specialist now. The treatment above was with her already consulting a Specialist over the phone.

She said he may need a renal biopsy, which according to her is dangerous because of all the blood vessels surrounding the kidney.

I am extremely nervous for him as he is still so young (9 years old) to be having such issues.

Luckily I was able to get him an appointment for this Monday with an Attending Physician at the local hospital. (There was a cancellation in his schedule)

I was offered to see a Resident at the hospital as they usually have better availability. I have never needed to see a Specialist before does anyone have recommendations between seeing an Attending vs. Resident. I know the Resident is still in training and would definitely prefer an Attending but if it meant waiting weeks for an appointment to open up I would probably go with the resident.

Honestly, I just want to get answers about next steps so I can prepare going forward. I know logically on Monday I still won't have an exact answer but maybe we can determine scheduling diagnostic tests to get the correct answers.

ladyjane 11-17-2020 07:34 PM

I have had a couple of pups with PLN. They did not have a renal biopsy.

I would probably wait to see the specialist as long as his blood pressure is stable...but you should ask your vet what she thinks about waiting.

I hope the specialist can help. When my Olivia was diagnosed years ago I asked how long she might have (I was terrified) and I was told maybe a year..... she lived a few years after. Let me see if I can find the thread about her.

ladyjane 11-17-2020 07:36 PM

Here is the thread when Olivia was first diagnosed:

https://www.yorkietalk.com/forums/si...phropathy.html

matese 11-17-2020 07:41 PM

I cannot offer any suggestions on medical condition as none of my babies went through this. I am keeping Thumper and you in my thoughts and prayers :love:

aweitzm1 11-18-2020 07:16 AM

Thanks all for the kind words.

I am talking to the specialist on Monday and will see what they advise on a course of treatment. I just have to be patient and wait to see what they say.

ladyjane 11-18-2020 07:32 AM

Quote:

Originally Posted by aweitzm1 (Post 4818456)
Thanks all for the kind words.

I am talking to the specialist on Monday and will see what they advise on a course of treatment. I just have to be patient and wait to see what they say.

Please let us know how it goes!

aweitzm1 11-18-2020 07:33 AM

Quote:

Originally Posted by ladyjane (Post 4818458)
Please let us know how it goes!

Will do

aweitzm1 11-23-2020 03:21 PM

Update after specialist appt
 
Update on Thumper

I saw thee Specialist today for Thumper. Very happy I did as he feels this is all related to his Cushing's Disease based on physical symptoms. He said it can be Kidney related but more likely Cushing's related and until we get the Cushing's under control will not know next steps.

The biggest issue why I went was because of the protein in the urine. Dr said that can be due to High Blood Pressure and Cushing both of which Thumper has.

They did an ultra sound ACTH test and full blood work panel today at the appointment. ACTH was normal but higher than the doctor would like. Blood work normal and BP was high.

The Vet's recommendation is to adjust meds and repeat ACTH in two weeks and then again see doctor in a month to repeat tests a second time.

Before Thumper was on 10 mgs once a day of Veteroyl and the vet feels Thumper should be on it 2x a day as the medication starts wears off after about 4 hours. Along with increasing his BP meds he feels this should show improvement.

He wants me to follow up directly with him as he feels going through my regular vet to get the tests done can lead to miscommunication. I agree at this time to transfer care to him at least until Thumper is stabilized then we can re-visit my regular vet taking over care and consulting with him on an as needed basis.

Once my regular vet gets the medical notes from the hospital I will speak with her just to get her thoughts on the recommendations.

His fee for seeing him is $200 a visit without any tests done so I don't want this to be indefinite as the cost per visit is extremely high.

I still have some unanswered questions just on next steps as it was a lot of info thrown at me at once so I have to call them again tomorrow or send an email with them. I am waiting on an email for the correct medication dosages and will follow up once I receive it.

Thank you all for those that were thinking of Thumper. I feel confident that at the moment this is not life threatening and I have an idea of where wee are going with treatment.

ladyjane 11-23-2020 03:54 PM

So happy to hear that you had a good visit with the specialist!

Maybe the follow up visits won't be that high. Usually the first visit is anywhere from $150 - $200 .. I have found the follow ups to be a bit less.

I would stay there, too!

Hope all goes well with Thumper! Thank you for updating!

matese 11-23-2020 04:32 PM

Sounds like there is light at the end of the tunnel. I know you must have some piece of mind if only a little bit. Holding Thumper and you in my thoughts and prayers. It's so stressful when our babies are ill (((hugs))) :love:

gemy 11-24-2020 02:59 AM

Oh just read your thread. I can only offer sympathy and support an ear willing to listen.

Have a good day


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