Dear Liz, Thank you so much for the input . Once this happened , the vet who was seeing us was removed from the case , and the owner , also a vet took over my dogs care . I did not ask for this , actually I liked the original vet very much . She was young , a very sweet person , and you can tell how much she loves animals . The owner was very vague about my questions which prompted me to research into Cushings , how its diagnosed , what lab results mean , use of Vetroyl , etc. , and led me to believe my dog may have been misdiagnosed . Its my understanding that Cushings is one of the more difficult diseases to diagnose , but, my boy had absolutely no symptoms of Cushings . The ALP was 569 on a routine blood test . With a 13 yr old dog with known pulmonary hypertension , that should have been considered . The LDD test has an average of 50% false positives , and my boy was super stressed . He tried to run away when they called us to go back . Accidents and mistakes can and do happen . I understand that completely. However, I want the truth , my dog got deathly ill , and had to be hospitalized . Can you explain exactly what addisonian crisis is from your professional point of view ? The owner knew he was sick and hospitalized , but, when I asked if my boy even had Cushing's , the owner only said " he didn't know , and the treatment can be worse than the disease ". My boy was not sick, he never had any symptoms. Im just trying to educate myself . If he actually has Cushings , I would not treat him until he is sick and has symptoms , and then I would want information about holistic treatments . He can not tolerate Vetroyl . If he does not have Cushings , I feel I as his pet mom , I have a right to know . I was told that the UCCR ruled out him even having Cushings . The test result was 24 , and the lab form said anything <34 meant it is highly unlikely the dog has Cushings . My boy sees a neurologist on Monday, and I will ask more questions then . After he had the seizures , he was put on Keppra , and I want to find out if the Vetroyl can cause a stroke or what happened , and if not , he can be safely taken off Keppra . He currently takes Keppra, Sednifil and Hydrocodone . Oh, when he was on Vetroyl , it was a 30 mg capsule once daily and he weighs 24 lbs. Lastly , do you know if Vetroyl can cause WBC to elevate ? Prior to starting his WBC was normal , then it elevated and he took several courses of antibiotics . He is fine now . I just dont know or understand much . I thought WBC meant infection but, I have read certain medications can also cause the WBC to elevate . Thank you so much for your time , knowledge and opinion .