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Old 04-09-2019, 03:50 AM   #41 (permalink)
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Got it, Rose, I see the Fluticasone now.

I hope I didn't play judge, jury and executioner with the neurologist. Do they tell you what you want to hear? I hope not. It's not cast in stone, however.

He seemed to know whereof he spoke, and agreed that the intubation could be a problem with an MRI. And thereof an operation, which when asked if I would operate on Ricky, I said no.

He said the problem appears to be in his neck, and instructed me to try the prednisone again, that a 5 mg pill shouldn't affect the Cushing's (?). Is this at my behest?

I will be sitting down with the vet to go over all this. Also, the neurologist wants to know how Ricky is in a week, so I can go over everything again.

Oh, and he is already better with the prednisone.
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Old 04-09-2019, 06:08 AM   #42 (permalink)
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I'm so glad to hear Ricky is feeling better.
How much of a run of prednisone did he prescribe? Is he given 5mg a day for several days?
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Old 04-09-2019, 07:32 PM   #43 (permalink)
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Good to hear you might be getting some help, and that Ricky's been cleared to go with the prednisone for a bit. Does the neuro doc think it's something that might just improve with time?

I wouldn't worry that he was just going along with you. Naturally, he'd want to go for best possible outcome, but that has to include being able to get there. If an MRI and surgery aren't options then he'll look at other ways to diagnose and/or treat to manage the symptoms.

I'd expect the neuro doc to send reports to your vet, so maybe they can coordinate treatment and get more relief for Ricky.

Keep us in the loop, please. Tell Ricky that a lot of folks are hoping he'll continue to feel better.
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Old 04-10-2019, 12:17 PM   #44 (permalink)
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jcris, 1 pill for 4 days, thereafter reducing the dosage.

We didn't get that far, Rose. He said to check back after he is done with the regimen of prednisone.

Thank you for your good thoughts.
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Old 04-15-2019, 02:00 AM   #45 (permalink)
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So. I can't believe this as I type it, it appears to come out of left field. It couldn't have of course, I guess this has been brewing.

The latest, in his report to the vet, is that he determined Ricky has facial paralysis, due to his not blinking on prompting. Looking it up, it would explain the open mouth licking, if I am reading correctly, due to tongue paralysis?

All of this due to (?) a cervical tumor or a ruptured disc.

I spoke to his vet and doesn't think Ricky would survive an operation. He is prescribing Gabapentin to manage the pain, along with the prednisone.

What all has been your experience? Given that he has trachea problems and Cushing's, would I be prudent in letting him go through an MRI and an operation? Is it normal to operate on 14 year old dogs with all his problems?

I don't want to sentence him to death by not doing anything, but I don't want to make the rest of his life worse. Thank you.
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Old 04-15-2019, 04:05 AM   #46 (permalink)
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Well I am not in your shoes so I can only say what I would probably do. I do have a 16 year old chihuahua). I would give him palliative care, I think the costs are also a consideration on a aging pup, at least for me, I'd have to consider this. I would keep him comfortable and let him just live out and enjoy his remaining years. I'm sorry, its so Not easy.
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Old 04-15-2019, 09:31 AM   #47 (permalink)
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Thank you Mufar.

I'm considering an MRI, only if they can assure me it won't worsen his collapsing trachea. I would like an answer, at least, as to his multiple and sudden symptoms.
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Old 04-15-2019, 09:46 AM   #48 (permalink)
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joedesimone, I can't answer your question about the MRI.

In situations like this I like to ask my vet "will it make a significant difference in treatment - a difference that you can see". While knowing the cause can be very reassuring, it often doesn't change what medications and other treatment are used.
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Old 04-15-2019, 01:58 PM   #49 (permalink)
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True, Skylar. Thanks.
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Old 04-15-2019, 05:31 PM   #50 (permalink)
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Is it tomorrow you're to check in w/the neuro doc?
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