Hi Dr. Magnifico. We took Boogie to VRA in Gaithersburg, MD, a couple weeks ago, hoping to have the Radioactive Iodine Therapy done for his hyperthyroidism, but Dr. Conway said she did not think he was a good candidate for it and was very concerned with his constipation.

She did bloodwork, an ultrasound, chest x-rays and more. We took him there on 4/16 and again on 4/27. I asked her to send all results to you and I hope you have received them by now.
Dr. Conway said he has a tumor or mass on his kidney but no abnormalities found from the chest x-ray.
She quoted me $5,000-$6,000 (gulp) to do the surgery, but I can not remember if she said that was to remove the tumor from the kidney, or remove the entire kidney.
She also mentioned something about his blood being thicker? I really can not remember exactly what she said about that, but it didn’t sound good. It may have something to do with his red blood cell level being high due to the tumor on his kidney.

She said to cut back his methimazole to 1/2 pill every 12 hours. *Dr. Conway told me that his hyperthyroidism is very mild.
She also said raise his dose of cisapride 5 mg/ml from 1 ml every 12 hours to 1 ml every 8 hours (three times a day), and she said to raise his dose of lactulose to 3 ml every 8 hours.
I started all of the above on 4/17.

He has since sprained his leg and is limping. He’s been hiding under the bed more, but not completely. He will still come up on the bed to visit me once or twice a day, but just not as often as he used to, and is still coming up on the bed to sleep with me. I’m not sure if he’s not feeling well because of Dr. Conways findings, because of his sprained leg, or both, the reason he is under the bed more.

Here is the last email I received from Dr. Conways office on 4/29, after his ultrasound on 4/27:

1) His calcium results was fine and within normal limits. Dr. Conway suspects the prior calcium elevated was due to lab error.
2) His thyroid level is good on the lower dose of Methimazole – please continue as directed with this medication.
3) His blood cell count shows his red blood cell level is HIGHER – this is due to the tumor of his kidney. If you are not interested in pursuing surgery for Boogie, Dr. Conway’s recommendation would be an oncology consult to discuss any palliative care options.

Please let me know if you have any questions.
​
Julia Conny, RVT
Internal Medicine Lead Technician
Veterinary Referral Associates
301-926-3300

Dr. Mag, We have been clients of yours for several years, as four of our cats are all seen by you and your wonderful staff. We are begging you on hands and knees to please help our Boogie boy. He is only 12 years old and we are not ready for him to go. Can you please do the removal of the tumor or kidney? We realize it is a very risky surgery, but we would feel better knowing we did something, than not. We know you are a big advocate of doing everything you can to help bring pets back to health, instead of just giving up.
I’m in tears as I write this. Can you please look at all his records you have at your office asap, and also what Dr. Conways office sent you. Please, can you help our baby?

Terri and Steve