From:
Sukie Crandall
Date: 2005-12-14 16:54:21 UTC
Subject: [ferrethealth] RE: tenn.panel and adrenal
To: merrell.skipper-1@nasa.gov, ferrethealth@smartgroups.com
If her vet usually can not get the adrenals out completely then her
vet for some reason can't or doesn't (by choice) remove them as
cleanly as our most recent two primary vets. Both of them usually
can remove adrenals (including the right) completely. They use a
scalpel rather than the alternative equipment.
Believe me, the risk of going Addisonian, which is fatal if not
caught in time or not responsive to the meds, is not something to
entertain casually. Most do fine on either Percortin and
Prednisolone, or Fludrocort/Florinef and Prednisolone BUT some do not
adjust well to the meds. Also, the meds need adjusting up whenever
the ferret is under a stress, or more active, or heavier in weight.
Steve and i are watching one now who may need a meds increase with
his winter weight and dealing with lower temps.
BTW, whenever we have a ferret up for adrenal surgery we make sure to
have those meds at home as a safety precaution.
We are happy to have both adrenal out when that is needed because
then it is needed, but the ONLY time we have ever had adrenals
removed prophylactically was when we had a ferret with both adrenals
badly inflamed from badly swollen kidneys (which had their problem
due to a bladder malformation and due to cystine stones, the kind
where a high protein diet needs to be avoided as opposed to the more
common struvite stones). In his case the inflammation due to
location and irritation was such that we could not risk possible
secondary prostate problems on top of all the rest he was fighting.
(BTW, after almost not being able to save his kidneys it took him a
year to bounce back to normal weight and then about a half year more
to reach a good activity level, but he succeeded. Our vet says he is
the hardest save he has ever had. He even got to avoid a penile
amputation and rerouting when he was quite close to death by having
repeated removal of urine by needle. This ferret ADORES our vet and
the vet staff he knows. He adores us more, but he is always very
happy to see the people who saved him.)
Most of our ferrets over the last 25 years have NOT gone on to have
the other adrenal become diseased.
We have had one who had an adrenal with a large tumor that never-the-
less did not show up in TN Panel results, and we have had one who had
an imaging artifact which make it appear that both right and left
tumors were present when actually only a right one was there.
-- Sukie (not a vet)
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