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-----------------------------------------------------------------------------------------------------------------------------Below this line, is copy of communications with our veterinarian...
Per instructions from the ER Veterinarian visit on Dec 31, 2025, we took Beau to get his urine checked to our vet on Jan 9th. A simple urine sample, and when I made the appt I asked if they could get his sample, because I could not and look at his ear because he has been flapping them a lot. He gave ear meds, checked urine and the charge was 265.00.
I received the below text, Jan 15. a review of the urine test.
Sandra and Robert, Beau's urinalysis has been returned and reviewed and, we've got two issues that are a bit perplexing. Firstly, he has some bacteria in his urine -- they are clearly present but one might argue that their numbers are low. And, low numbers in urine samples -- especially those collected by natural voiding -- may only represent contamination. My question to you: is Beau having any sort of urinary issues? If not, I might recommend that we do nothing and reassess his urine (again) in 2-4 weeks. If so, I'll need to dispense additional antibiotics -- different of course. The second concern pertains to his urine's concentration: it's extremely thin and that is not a normal process. Thin urine suggests something is affecting him or his body or his kidneys. At the ER, his urine was thinner; but, now, it's thin. My second question to you: is Beau drinking a lot of water? Let me know the answer to those two questions and I'll give you my perception of the situation. The bigger question in my mind: does any of this have anything to do why Beau suddenly has an interest in eating fecal material? Again, let me know; thank you, Dr. Doyens
I answered that he does drink a lot of water, and no problems urinating.
On Jan 22, 2025, I received the email below one week after the text. I even called twice.
Sandra and Robert,
I've been ruminating on the issues and signs that we've gathered form Beau over the past few months and I've concluded that he may, in fact, have atypical Cushings disease. The increased water consumption and increased appetite -- inclusive of fecal material — are classic for such (as they are for normal Cushings). But, if one has "normal" Cushings, there are several indicators in one's blood that reveal such; and we've not seen those. So, he's likely not "normal" Cushings (although, one doesn't know until one tests and proves such). And, if he has atypical Cushings, then, that's an easy fix using a couple of natural products — simple, safe and economical.
My recommendation for Beau is as follows: 1) set up date and time to pursue testing for Cushings disease. When it comes back: 1) if positive, we treat for Cushings. 2) if negative, we treat for atypical Cushing.
Let me know your thoughts.
Sandra,I have ordered the necessary products to begin treating Beau for atypical Cushings. The products used are natural remedies that can have a profound impact on the symptoms we've seen with Beau.They are safe, simple and relatively economical. I'll let you know when they arrive and we can get the ball rolling.Hope that helps.Dr. Doyens
Sent: Saturday, February 8, 2025 1:02 PM
To: David Doyens, DVM <manateevetclinic@live.com>
Subject: Re: Beau
Vets Answer | Tue, Feb 11, 8:38 PM (18 hours ago) | ![]() ![]() ![]() | |
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Dr. Doyens
22 comments:
You are so wise to know how to find these natural treatments! I totally agree with you. If we had a pet, this is what we would do. Beau, you are looking straight at the camera!!! Mama must have slipped some LSD in your egg!
Hari OM
POTP x 87 is all yours from me Beau boy!!!
Mum S - you are doing the best for Beau whilst remaining sensible. Wise indeed. YAM xx
Never a dog owner myself, I'm skipping trying to understand every detail but I know you love your Beau and I hope the treatment you've chosen will prove to have positive effect, without need for further more complicated tests. ♥
It sounds like you have done your research and have a good plan for Beau's care. I like your response in the one email when you wrote "What may be relatively affordable to you might not be to us". That is so true. They will often say things like that but their idea of affordable are way different than our.
I would agree with you in not ordering the test. Not only are the test expensive, but like you stated, the meds can sometimes cause more issues which results in Beau not having the quality of life you want for him. The meds might help with the Cushing disease but what about the other problems it creates.
As always sending lots and lots of POTP to you, Bob and Beau.
I am a believer in quality of life. Madi's vet always went with less invasive treatments with the understanding that he was always available for consultations and as needed changes. We managed her level 3 Kidney disease for 3 years with SUB q's and a compounded medicine that was odorless and added to her food. No poking pills down her throat or trying to hid them in pill pockets....SHE ALWAYS found them
Hugs Cecilia
Hello Sandra :)
You are doing what i would have done, and giving Beau quality of life. Asking the right questions and doing research is the way to go and you are treating beau with loving care.
All the best for all three of you.
Our pretty Valentine!
Beau's so funny with his tongue stickin' out!
I'm 100% in agreement about the quality of life v. quantity. Our neighbor confided in me recently that they've spent almost $18,000 on their big boy (sheepdog). He's had like 3 colonoscopies and one resection, poor guy.
Still lifting prayers -- for all 3 of you.
PS - We tried the pasta last night -- the girls love it!
We did the Cushing's tests with Millie because she was drinking/peeing more and more hungry, and they were very expensive. She tested negative so we aren't treating her. We were also concerned that it could be early stage kidney failure so we changed her diet to a more kidney supportive one and her kidney values were better. Our vet never said anything about the posibility of atypical Cushings and those natural products so that might be something for us to ask about in the future. Currently she is doing well and we think she isn't drinking as much as she had been.
Silly blogger gobbled up my comment -- but I'm still lifting prayers for all 3 of you. ('Should have written when I first saw this at o-dark thirty, fearing the storm was going to pick up our house and fly away.)
BTW, Macie and Grace love the elbow pasta.
So many things to consider. Beau is fortunate to have such caring parents and a vet who seems to be very concerned for his well being as well as for your peace of mind. Praying the natural items do the trick and help him to get things back in balance. It sounds like it is working. Thinking of YOU today too, Sandra, and praying for your comfort and peace. (((hugs)))
I do know exactly how it feels to be in your shoes. I think however, you have made the right decision. Keep him comfortable. It is so expensive to take care of sick dogs. He is so cute. Loves you so much. It is hard for us all to grow old isn't it?
We are sending you all POTP. We completely understand and respect your choice for quality of life. As you know, we are making some choices about that ourselves. We have opted for the expensive seizure drugs (the pain meds are less than her Librela shot) because this is what works best for all of us, at this time. We may make different choices as we go on. Lee and Phod's Lady - who gets it!
I pray that the natural items are working for Beau. Those are interesting messages from the vet. I love the photos of yourself.
I think with the natural meds that you are going to give Beau the best life. That's the way we should all live..doing the best we can and to the best of our ability.
Sue
The Vets seem to dance around everything, maybe he has this, maybe he doesn't. I know you will always figure out the best way to help sweet Beau!
Like Ann said, I am glad you told her that. Holistic medicine is getting a lot of traction. Sending hugs and prayers.
Prayers and much love to you all. It's smart to write it all down here so it will be easy for you to find in the future! ❤️
Lots of prayers and POTP to sweet Beau, and of course his Mama! I am impressed with the path you are taking, and I hope Beau starts to feel better soon!
This is Kaitlin
What hard choices to make. I'm with you in not getting the tests. When my Maxie (mini-schnauzer) was diagnosed with Cushings Dr. Flanders didn't mention any alternatives. Not that I remember, anyway. It was so awful to Maxie and for me. I still can't think about her too much or I'll start crying again. We were so close. That was very, very hard. I know whatever you chose will be the best decision for you and Beau.
Sending prayers my friend.
Blessings. ✨
Sending well wishes to the pup. Here's the natural stuff working for you guys. I get that for sure. We do some of that here with Bug and back when Wiggy was alive, her too. Sending huggs.
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