scott@vtx-cpd.com

Replying to Dan T. 03/09/2024 - 17:06

Welcome Dan!

Thank you again for working with us on this brilliant course!

Hope you are having a great week.

Scott 🙂

Replying to Dan T. 03/09/2024 - 17:24

Hi Dan,

Thanks for your thoughtful response. Core values can be a powerful tool for both individuals and organizations, even though they can sometimes feel hard to define or align perfectly within a team. I love how you highlighted the challenge of balancing personal values with organizational ones. When those values are communicated clearly, even if not perfectly aligned, they can still provide that crucial reference point for decision-making and a sense of belonging.

I’m also curious to hear how others have approached identifying and integrating their own values into their work.

Best,
Scott

Replying to Inge B. 02/09/2024 - 11:54

Thank you for your brilliant contribution.

We appreciate you!

Scott 🙂

Replying to Jack Pye 02/09/2024 - 08:50

Thank you for being awesome!

Scott 🙂

Replying to Natalie Niven 20/08/2024 - 22:11

Hello Natalie!

Thank you for your response. You are absolutely correct! I’ll share a bit about what we did next.

The abnormalities found during the cat’s physical examination and the results of his LDDST support a diagnosis of Cushing’s syndrome due to a pituitary cause. The presence of a 12mm diameter bilateral adrenalectomy, as documented on abdominal ultrasound, strongly suggests pituitary-dependent hyperadrenocorticism. Although the absence of a visible pituitary mass does not rule out a pituitary adenoma, documentation of an appropriately elevated endogenous ACTH would be preferable before considering surgical management. After discussing all available treatment options (including medical management with trilostane, radiation therapy, hypophysectomy surgery, and bilateral adrenalectomy), the owner is currently considering proceeding with hypophysectomy surgery. We have advised starting insulin treatment for Norman’s diabetes mellitus (suspected to be secondary to insulin resistance resulting from his hyperadrenocorticism). Additionally, we have recommended initiating oral trilostane treatment for the cat to try to stabilize his hyperadrenocorticism and diabetes mellitus as much as possible before hypophysectomy surgery.

This is only the second cat I have ever seen with Cushing’s. Cool case!

Scott 🙂