Riley's Going to a Specialist

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Boxer_21

Boxer Insane
This is an update to: Thread #1 and Thread #2

It seems as though every time we get his urinary incontinencet under control it ends up acting up once again. This past bout started on 10/25/08 when he peed on his peed during the day. I didn't call the vet right away because I wanted to see if this would be just a fluke thing. I decided to monitor him to see when/if he had another accident.

Come 11/6 (a Thursday) he peed twice on his bed, peed like you wouldn't believe outside throughout the rest of the night, and then he even leaked a little bit on the floor while he was still awake. I was going away that weekend so I couldn't bring him to the vets right away. So, this time I tried something different. My vet has tried everything that she knows of (urinalysis, urine cultures, bloodwork, X-Rays, etc) to figure out what's wrong with Riley. Unfortunately, he's obviously still not fixed. Or at least now there are other issues going on with him. So what I ended up doing was I wrote up a very lengthy email with as much detail as possible and I emailed about 40-50 veterinarians throughout the US and Canada. I started it off saying that I wasn't a current patient of theirs and that I understood if they could not spend time answering my email. I also told them that I understood they couldn't give me specific advice without examining him and seeing his records, but that any input or suggestions would be welcomed. When I came back home on Monday I was surprised to see that I had gotten about 30 responses back with very helpful info. Among the suggestions were that he be tested for Addison's Disease, Cushings Disease, Diabetes, Thyroid Disease, having an ultrasound done on his bladder, and seeking the help of an internal medicine specialist.

I did some research on internal specialists and I found one in Boston, MA that sounds very promising. They obviously want me to bring Riley in for a consultation so they can examine him and look over his records. The Dr. said that they typically start out with the basic bloodtests and work their way up to the more rare and expensive tests just in case the answer can be found early on. They're also willing to discuss the financial situations of their patients because they know it can be costly and a lot of people plain out can't afford it as one lump sum. I was very glad to hear that because I've been feeling very anxious over how much further these tests will put me into debt. I can only imagine what all of this will cost. So, this Monday I'll be calling our regular vet to fill her in and to ask for a referral to go the specialist.

I'm very eager to get this started because I want answers, but at the same time I'm terrified at what these answers will be. He'll be 7 in March so I know that he's getting up there. I know this is probably over reacting, but I know that he won't be with me forever. I know that dreaded day is coming faster than I want it to. I've been thinking about that a lot lately especially with his health issue and the fact that he's turning gray. It really scares the crap out of me. Riley is the first dog that I've had that was truly mine. He's 100% my responsibility and he's a mama's boy 100%. I don't know what I'm going to do without him when that day comes...
 

ELubas

Boxer Insane
I hope you and Riley get some answers and will say a prayer that it is something managable, as so many things are. Thinking good thoughts for you and your boy, and sending gentle boxer wiggles from my guy, who is also a big ol' Mama's boy. And stay in today enjoying your guy and try not to look too far ahead-think like a dog-only the moment you are in matters :)
 

boxmom

Boxer Insane
Good luck with the specialist. I know what you mean about freaking out a little when the hit a certain age. When my boy Blake turned 8, I just never let him get older. I just kept saying he was 8. I never really thought about it, just starting doing it. He passed at 11 angelicon. My Lucy turned 8 a couple of months ago, and I'm keeping her at 8 as well. You just have to do whatever it takes not to think too much about it and like ELubas said, enjoy the moment.
 

joeys mom

Boxer Insane
I wish you the best with the specialist! I know how you feel, Joey is my first baby that is 100% mine! Sending Wiggles, Lovins and Hugs from me and Joey. Keep us posted!
 

DyckDogs

Boxer Insane
Hope the specialist can provided some answers on what is going on with your Riley.
It is so frustrating when you know something is wrong, but the vet cannot pin point the problem.
I am going to send some vibes out to your specialist that they find the answers early on in the tests so that you don't have to wait too long or spend too much.
And of course, healing vibes out to your Riley.
Keep us posted.
 

Holden's Mom

Boxer Insane
Mandy, I am sorry to hear that you have been unable to resolve the incontinence issue with your Riley. It just stinks when you know something is wrong, and the vet can't give an answer. Seeing a specialist is a good idea at this point. Is there a school of vet medicine in your state? If so, you could go there with a referall from your vet. Wherever you do go, take a copy of all recent tests, bloodwork and Xrays with you. Saves time and money when dealing with specialists.

Does Riley have any other symptoms besides the peeing? Is he drinking a lot more? Always hungry? Is his coat thinning? These are a few of the symptoms of Cushing's disease.It is a disease of middle aged and older dogs, all breeds. It is difficult to diagnose, but treatable, though I had no good fortune treating my Pete. It is a cruel disease that can mask other health problems. I believe this to be true in Pete's case. Here is a link to a very good site and forums to learn more: http://www.caninecushings.net/?

Please give your boy a hug from me. He is such a great looking boy and I want him to be well. And keep us posted.

Pam
 

Boxer_21

Boxer Insane
Thanks everyone. I will be calling our vet tomorrow to get the referral and to find out about getting copies of his records. This may sound stupid, but I feel kind of guilty doing it. My family has been using this same vet since we got our poodle (who passed in 2002) since I was 6 years old. I have all the faith in the world in them, but at the same time I know they can't possible know it all and have all of the answers. I think they've tried all they could, but there's something with Riley that they just don't understand. A second opinion is definitely necessary.

Pam, Riley's drinking a lot more lately and his appetite is as strong as it always has been. He's always been very food driven, but I haven't noticed it any stronger. His fur isn't thinning although he sheds like crazy when he's nervous. You could make a new dog out of the fur he loses when we go to the vet's. :(

The majority of emails that I got back from the vets that I emailed claim that it's most likely NOT Cushing's because we've been dealing with this for a few years now and because of his age. They claim Cushing's is more commonly seen in older dogs. They did however suggest testing for it just to make sure that it can be ruled out 100%.

I'll try to post an update tomorrow night after I discuss this with my vet. Thanks for the vibes everyone. It's really appreciated!
 

Holden's Mom

Boxer Insane
Mandy, do not feel guilty about taking Riley to a specialist and away from your regular vet. The IMS needs to work with your regular vet. Once a diagnoss is determined by the IMS, it makes sense to do follow up testing at your regular vet's office. Basics like bloodwork, Xrays are much easier on both you and Riley and your wallet at a regular vet's office. This will be especailly true if you use a small animal clinic at a vet school, though should be common with any specialist.

Pam
 

Gruntsmom

Boxer Insane
Dear Mandy, I am keeping you and Riley in my thoughts and prayers, sending lots of healing and hopeful vibes and also hugs. I empathize with your worry and sad thoughts you've had and continue to have with Riley, and agree with Elubas living in the moment with your boy is all that really matters. Hope your consultation with the IMS will shed a brighter light on Riley's issues.
 

Boxer_21

Boxer Insane
Well, December 13th is the day that we'll go meet Riley's new vet - the specialist! It'll be a little over an hour travel time, but our normal vet is between 30-45 minutes so it's not a huge difference. The major difference for Riley is going to be that this new vet is a man. Riley's very cautious and shy around men he doesn't know. I'm hoping my being there will help ease him into things.

My current vet was concerned and disappointed that Riley's having accidents again, but she agreed that seeing a specialist is probably a good idea at this point. She was supposed to be sending copies of Riley's records to the specialist this week to give him plenty of time to look it all over.

So, now we're just watching and waiting. I've started a log to keep track of his accidents, size of accidents, time of accidents, etc. and other odd behaviors that I've noticed so I can bring that when we go as well. Any other suggestions on what I can do to prepare for this appointment is welcome. I'm already nervous about it so I'm sure I'll probably overlook something.
 
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