? Saoirse - PRAYERS PLEASE: *HUGE* Anti-jinx - UPDATE MON 06:00: Eating, Pooped, UTI, BG Crazy on i/d

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Maybe you've got excellent critical thinking skills ... ;)
I do prefer to think of it that way myself ;)

Neither do I, April. And for good reason.
I have my reasons - not just me, but other members of my family too. So now I question everything. They hate it, but at least I know I'm better informed than just taking their word for things.

They are withholding ALL insulin treatment.
How is it that everyone here knows that it's even more important to give insulin when there's an infection and your vet doesn't? Kind of proves the point about trust don't you think! :mad: Much as I know how much you need the rest, I hope they can let Saoirse come home to you soon - the stress from knowing she isn't getting her insulin must be almost as bad as the lack of sleep from handling it all yourself. :bighug:

Continued prayers for Saoirse to recover quickly so she can be home with you. And hugs for you. :bighug: :bighug: :bighug: :bighug: :bighug:
 
I'm so sorry the vet isn't helping like you'd hoped, Mogs. I was really hoping that this would be the break you and Saoirse so desperately need to get you both feeling better. :bighug::bighug::bighug::bighug::bighug:
 
I'm so sorry to hear you now have another worry to contend with. I'm with everyone else with the trust issues. I don't trust human or pet doctors and always question them relentlessly when I don't think things are being handled appropriately. I agree that their reasoning on this seems to be totally crazy. I would insist that at least a token dose be given knowing you have enough data to support Saoirse is not going to go hypo. I would also make it clear to them that you'll hold them just as responsible if her ketone level were to increase. Is it possible that they don't have enough staff/are too busy to ensure they can test Saoirse mid cycle? If so, could you visit (we know you are visiting!) and test her then? :bighug::bighug::bighug::bighug::bighug::bighug::bighug:
 
I'm so sorry the vet isn't helping like you'd hoped, Mogs.
It's not as much help as I had hoped for, April, but it is definitely helping and I'm extremely grateful for what support they are providing; just wish it extended to insulin treatment. The nurse on duty yesterday morning was there again today when I visited and she said that I didn't look as bad today after having some bit of respite care for Saoirse. To give them credit, they do recognise the toll the last few weeks have taken on me and that, for Saoirse's sake, it is vital that I get some respite. Just wish they'd trust me on her insulin treatment the way the staff at the referral hospital did: it made such a difference to have my knowledge and experience respected and my input sought; and it got the right result for Saoirse - my sole objective.

Is it possible that they don't have enough staff/are too busy to ensure they can test Saoirse mid cycle? If so, could you visit (we know you are visiting!) and test her then?
They have the cover to test, they're just reluctant to give her the insulin. If she were being treated with Caninsulin then their reservations would be more reasonable. I don't think they fully understand how Lantus works. I don't think they have any other clients who monitor their diabetics the way I do Saoirse. I can't breach their knowledge gap. :(

My going in to test is a good idea in principle, but the stress of leaving the house, etc., would be counterproductive since it would undo the benefit of getting some sleep in a less stressful situation while I know that Saoirse is at least getting support with eating. Thankfully she's back on the low carb now instead of the Hill's i/d (25% !!! :nailbiting:). Will post a summary update shortly.


Mogs
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PLEASE feel free to come here and cry on our shoulders!! We're here for you!!
Thank you, Rachel, for sticking with us through all of this. :bighug: When I read your message yesterday I took you at your word - sat in front of the PC and bawled my eyes out. I'm very grateful not to be going through this all alone.

How is Tigress?


Mogs
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It's not as much help as I had hoped for, April, but it is definitely helping and I'm extremely grateful for what support they are providing; just wish it extended to insulin treatment. The nurse on duty yesterday morning was there again today when I visited and she said that I didn't look as bad today after having some bit of respite care for Saoirse. To give them credit, they do recognise the toll the last few weeks have taken on me and that, for Saoirse's sake, it is vital that I get some respite. Just wish they'd trust me on her insulin treatment the way the staff at the referral hospital did: it made such a difference to have my knowledge and experience respected and my input sought; and it got the right result for Saoirse - my sole objective.
I'm glad it is helping, even if it isn't as much as we'd all hoped. And it is good that they understand just how difficult things have been for you and are trying...though it would be so much better if they could just trust you on the insulin. After all - you're the one who sees Saoirse's reaction to insulin every day...your knowledge of the situation is always going to be better than theirs.
 
Oh..almost forgot...with Saoirse..does she have a drain in her eye? You never mentioned this..a drain can be really important because it will drain out the evil gunk and disallow an abcess to build up and fester.

No drain. None mentioned either. Don't know whether our own vet got to speak to the opthalmologist today.

I am so thankful that your mainstay vet is so compassionate. It sounds like the hospital staff are quite attached to her.
I am thankful, too, Jeanne. While I disagree with some of the treatment decisions they make at times they score very, very highly when it comes to genuine caring and concern for their patients - and that goes for the vets and nurses alike.

BTW, what is your civvie cat's name? ... She'll simply go off her feed ... Is she willing to play with you a bit? [ ... ] seeing her relaxed and happy will be a tonic for your sorely stressed body, too.
My civvie's name is Lúnasa, which is Irish for August - her birth month. She is also variously known as 'The Noodle', Noodlebug, cheeky mare, and minx. (There are others but they're not fit for polite company ... :oops:)

The Cerenia and B12 she got last week got her over the nausea hump and thankfully her appetite is back to full strength, but it has been a bit of a battle to get her to eat the Hill's i/d pouches to help her tum settle before returning to her regular grub. The diarrhoea has eased up big time (anti-jinx, anti-jinx) which I'm relieved about. I wish I could play with her a bit but I really don't have the energy for it. :( As for the effect it would have on her mama to see her doing better, the following was a bit of a tonic:

25157269645_a2920df9a4_z.jpg



She is such a tart! :rolleyes:


Mogs
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Update: Monday Evening - GMT 23:30
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Hi everyone,

Thank you for continuing to send Saoirse your healing thoughts and prayers. They are really helping her (and her mama) and I am beyond grateful to you all.

:bighug::bighug::bighug::bighug::bighug::bighug:

I visited Saoirse at the vets today. She was cranky and hissy as I went in but the nurse said she's been like that all day. Much more importantly, Saoirse was holding her head up OK again, no drooling, no sagging and though she was being a crosspatch she looked very much improved over the desperate state she was in yesterday morning. Her eye was clear (knife in my heart saying that in the singular ... :( ) and her overall responses to her environment were normal. It was such a relief to see Saoirse not out of the woods but much, much better than Sunday morning (not difficult) and, for all my whingeing above about Saoirse not getting any insulin at the moment, I am extremely grateful to the vets and the nurses for all they have done to help my girl in the past day and a half. Saoirse looks like a different, much more stable cat today (anti-jinx, anti-jinx).

Saoirse's not one bit pleased about being on a drip again (the IV can sting according to one of the vet nurses at the referral hospital last week) but it has helped her so much. (@jayla-n-Drevon - I can't thank you enough for the times when you have posted about how fluids can be such a great help to poorly cats - your words were running through my mind all yesterday morning when I was getting Saoirse to the vets and I was very grateful to have them to hang onto. :bighug:)

Saoirse's eye area is swollen and I'm a little worried that it looks a little yellowish but that might be due to the light in the hospital ward. (ETA: The vet said it is better today than it was yesterday afternoon - less reddening.)

Saoirse grumbled at me a bit when I first opened up the cubicle but then she nuzzled my outstretched fingers and asked me for some fuss. I gave her some gentle chin scritches and she nuzzled into them - and then she started to purr! With the fussing she relaxed a bit, stretched out her free paw to me and gave a couple of her typical near-silent miaows. I'm so relieved she doesn't hate me and that I can do some small thing to comfort her just a little bit. How I wish I could take her pain and distress onto myself and see her relaxed and comfortable again.

Thankfully Saoirse is back on her Sheba food (1.6% carbs) cf. the Hill's i/d pouches of yesterday (25% - not great but it got her eating again). I brought in some more pouches for her, plus some psyllium husk because her stools were a bit hard yesterday. The nurse said that the crumbled freeze-dried chicken I left with them to sprinkle onto Saoirse's food was a great help to tempt her to eat for them. Saoirse has been eating fairly steadily but my poor girl's face and collar were manky from her trying to eat with the collar in place. I gently cleaned her little face and chin, and I gave the collar a good scrub for her.

While I was there Saoirse let me know she wanted some food. I moved the dish over to her and she began to eat. Alas, in the same way as she was at home last week, she started to grumble as she was eating. I have suspected that it is hurting her to eat. I mentioned this to the nurse and she told me that during the vet's detailed examination she discovered that the roof of Saoirse's mouth is quite red so it must be related to the surgery. I feel so sorry for my little one; I just want to see her well. The only upside of this news is that it wasn't me inadvertently winding her up and making her cross when I was trying to help her eat last week. I need to hang onto any positives I can get right now because I feel like I've been screwing so many things up for her. :( After the discomfort of trying to eat my little darling retreated to her litter box for comfort. I wish I could just will her better.

I am going to visit Saoirse again tomorrow afternoon. I would be very grateful if you would keep praying and sending healing thoughts for Saoirse; she has a way to go yet.

Sending :bighug: for all the beans and scritches for all the kitties.


Mogs
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Are you planning to bring Sa0irse home soon?
I'm hoping they will keep her in until Wednesday evening, Linda. That way I could sleep during the day and therefore be in a bit better position to restart Saoirse on an evening dose of insulin and monitor her response during the night (she runs lower on the PM cycle).


Mogs
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(There are others but they're not fit for polite company ... :oops:)
LOLs, Mogs. Speaking for just myself, of course... company, definitely... polite, I sometimes have to work hard at it. Hugs, my friend. And thank you for the wonderful job of keeping us informed on Saoirse. So glad she's seeing some improvement, today. Focus on that. Okay, here are lots more huggies and prayers for you and Saoirse... and Lúnasa, too. She's a beauty! Love the pic! It looks like she's enjoying a pretty good life. Blessings and take good care.
 
Glad some improvement has been seen. Lunasa looks quite content. Do you adapt the hammock to hang over the radiator yourself? Very clever. Hope she is home soon.
 
You sound a little more settled having seen Saoirse and having her receptive to your scritches and love. You haven't screwed anything up Mogs and Saoirse is one very very lucky kitty to have you! You have stayed on top of everything, advocated for her and run yourself down caring for her. She doing better and once you get a little more rested, things will look brighter all round. Continuing to send healing vines, vibes and thoughts and some virtual kitty kisses from my furry crew to help heal Saoirse! Unlimited hugs for you too....:bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug:
 
Hugs first, Mogs :).... :bighug::bighug::bighug::bighug:... Now.....STOP IT! :eek: PLEASE do not blame yourself for any discomfort you think you've given your kitty! You haven't done one thing wrong that I can see!

Saoirse sounds like she's getting better. She's well enough to be crabby instead of apathetic. Her mouth is probably reddened because of the tube that would be in her throat..as the vet worked, pressure was applied from above, and bruised her palate. That's a really sensitive area. Just run your tongue over the roof of your own mouth. On us, that's the spot that will give you ice cream headaches if you eat anything cold..it can give a bad case of the creepy shivvers if it's even a tiny bit irritated. I am amazed that cats supposedly manage to 'crush' hard food against it..psst...I think otherwise..they pretty much just gulp hard food down.

Lunasa is GORGEOUS! I love Torties! Bright, too..just look at that 'tude. o_O "Say WHAT? You lookin at ME?"

That's a really neat suspended hammock. It looks like it's made special for that radiator, because the fabric protects her from getting cooked. Having a bed hung on a giant metal hot water bottle has to be every cat's dream of heaven. We only have forced air heat for our house. Gizmo plasters himself against the grate like a giant dust-bunny. When Dottie feels good, they fight over that spot...but it can't feel as good as a radiator..forced air is too dry.

Hey, by any chance, did you do the framed etching of the cat in the tree? The picture I see sitting on the floor at the end of the hall? It's a really nice piece! Perfect for the home of a dedicated CatNanny.

:rolleyes: I sure hope you get Saoirse back on Wednesday. But you make sure you're well enough, ok? We don't want you slipsliding back into an exhausted puddle. Take tomorrow to really rest up, ok?

MORE HUGS!:bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug:
 
No drain. None mentioned either. Don't know whether our own vet got to speak to the opthalmologist today.


I am thankful, too, Jeanne. While I disagree with some of the treatment decisions they make at times they score very, very highly when it comes to genuine caring and concern for their patients - and that goes for the vets and nurses alike.


My civvie's name is Lúnasa, which is Irish for August - her birth month. She is also variously known as 'The Noodle', Noodlebug, cheeky mare, and minx. (There are others but they're not fit for polite company ... :oops:)

The Cerenia and B12 she got last week got her over the nausea hump and thankfully her appetite is back to full strength, but it has been a bit of a battle to get her to eat the Hill's i/d pouches to help her tum settle before returning to her regular grub. The diarrhoea has eased up big time (anti-jinx, anti-jinx) which I'm relieved about. I wish I could play with her a bit but I really don't have the energy for it. :( As for the effect it would have on her mama to see her doing better, the following was a bit of a tonic:

25157269645_a2920df9a4_z.jpg



She is such a tart! :rolleyes:


Mogs
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That is one SASSY face! I love her!
 
... polite, I sometimes have to work hard at it.
You and me both, Carol. ;)

Thank you for the hugs and prayers, my dear friend. :bighug: Means so much.

Lúnasa, too. She's a beauty! Love the pic! It looks like she's enjoying a pretty good life.

I only recently acquired the radiator hammock for her and she took to it straight away. Normally she lies in it in a curled up foetal position, but I was really chuffed to find her kicked back and so content-looking. I only bought the hammock for her a few weeks ago. Like @Jeanne & Dottie's little ones, the Noodle is a heat junkie and she just lurves her new hangout. I'm so glad I got her something that makes her so happy. :)


Mogs
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Do you adapt the hammock to hang over the radiator yourself?
Bought the hammock from Zooplus:

http://www.zooplus.co.uk/shop/cats/cat_beds_baskets/heater_seats/137923

I was just flicking through the pics sent in by customers who had bought the hammock for their cats. There are some real gems, including this rather novel use of the hammock to create a kitty penthouse!


b400.jpg



Must try this out for Lúnasa in the summer. :cool:

It is well worth clicking through the gallery of customer photos - mucho cuteness you will find there, plus this cheeky interloper ...


b400.jpg



Droolers ... :rolleyes:



Mogs
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Restful, rejuvenating vines for you, and boatloads of speedy get well vines for Saoirse. Hope this is nothing more than a small hiccup on the road to recovery!
 
From another thread:

Mogs: 150 is for human meter. When they are sick, you want to use food to increase the #'s so you can get enough insulin to keep the ketones away. You don't want to be having to go into the 50-70 and reducing insulin if you can avoid doing that. Are they testing for ketones while she is in the hospital?
Hi again, Meya.

I handed in Saoirse's ketone meter to the vets so that they could monitor her more easily. They've only given me one BBK test result thus far (0.3) and they got a urine sample on Sunday which was also negative for ketones (but positive for glycosuria and white cells). I don't know whether they've done any further tests since. Saoirse's mouth is sore and it hurts her to eat so she's not getting as much grub as she needs. At home her BBKs were 0.7 the day after she got back from the referral hospital and after she ate frell-all the previous night. Thankfully they went down a couple of points after I got her to eat that evening. She was running running between 0.3-0.6mmol/L at home - the higher readings coinciding with her struggling to eat at times.

I have told our vets in the strongest terms how concerned I am about DKA risk but they are focusing on hypo risk. In addition to her current eating discomfort (she's only managing to get down about half to two-thirds of her daily caloric needs) Saoirse has possibly two infectious processes going on (surgery site and UTI). I'm very angry that they are withholding insulin; she's been above the renal threshold since Sunday but they won't even give her a token dose. I think this is a mistake. I can't convince them of how important it is for Saoirse to receive some insulin. They are focusing exclusively on treating the infection and hydrating her. I don't think they properly understand the action of Lantus and yet again they are ignoring the data supporting the safety of giving Saoirse a tiny dose to tamp down the numbers. At home I was giving her a 'mid-line zero' daytime microdose (so exhausted I could not give her a PM dose because if she were to run low I could not guarantee being able to keep going to steer the curve should the need arise). The lowest the microdose took Saoirse was 7.1 from a preshot in low double figures (Alphatrak). I've provided this data to our vets but it didn't do any good. When I wanted Saoirse to go back on Lantus last year they said that they would only prescribe insulin for her if she was above the renal threshold. Now she's well and truly meeting that criterion but still they won't give insulin to her. In addition to the worry over ketones, glycosuria is not going to help with the UTI and Saoirse has stage II kidney insufficiency.

The staff at the referral hospital were brilliant about managing Saoirse's insulin needs while she was with them. They sought - and valued - my input on her dosing every day and checked her BG every 4 -6 hours. I wish our own vets would do the same now. I'm at a loss over what to do about this situation.

FYI I did buy some Royal Canin calorie-dense convalescence support food for Saoirse in an effort to get more calories into her on a smaller amount of food but it made her a little queasy and therefore was a non-starter. The chronic pancreatitis leaves Saoirse with very little in the way of food options. :(



Mogs
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Good morning Mogs!

Hey, we're here for you when you need to cry. I've found that sometimes a good, long cry (followed by a cup of tea and some sleep) makes me feel so much better. I've had several good crys over Tigress lately and felt better after I let my feelings out.

I'm so grateful to hear that Saoirse is doing better. I know you wanted her better right away, but you've got to focus on the good points. She is getting better. And you've done everything you could do. Quite frankly, I would have done everything exactly the same as you did if it was one of my babies. Just know that all of us here know that you've done everything you can...and still are. Saoirse knows that too.

Thank you for asking about Tigress! I think she is doing all right. We're still on antibiotics...but I am hoping they're almost gone. It's a liquid, which I hate. I'm keeping a close eye on her, but she seems okay. Of course, the weekends are still tough as I follow her all around hoping she is okay. I'm just glad on the days I get up and find that she is okay!

Still sending tons of :bighug: and healing thoughts!
 
I'm very sorry that they aren't taking your concerns seriously. They may not have a lot of experience treating complications of diabetes, so they might not have the same fear of DKA as we here all do. As long as your cat remains above the renal threshold, she's more at risk for complications in general, including DKA. I assume that they are giving SubQ fluids? This will mitigate some of the risk of DKA from dehydration. As far as food goes, make sure they are giving an anti-nausea daily (not just with "symptoms"). If more ketones do develop, and she is still not eating ask about the possibility of a dextrose IV and insulin (This is what we do for humans, not sure if it's standard care with vets). This will raise the BS and allow them to give insulin.
 
Mogs, I'm curious about something. I've looked through your posts but can't seem to find if your vet is a 24-hour facility. It's probably mentioned somewhere, but I've missed it. Am assuming they are, so I don't quite understand their withholding insulin. If they closed up shop for the night and weren't there to monitor, I could understand. That's the case with Hannah's vet... no one there at night.
 
Hi, Mogs, I'm so happy to hear that Saoirse is doing better, if a bit grumbly! Sometimes grumbly is good - she's sitting up and taking notice enough to decide there's something to grumble about! :D I am still baffled that they won't administer any insulin, though, especially with all the information and hands-on knowledge you've given them.

I'm also relieved to hear that you are finally getting some much-needed rest! You've burned that candle at both ends for far too long, you need a fresh start with a new candle, my friend. How is the chest cold coming along? I hope it's on it's way out and you are feeling better.

Lúnasa is adorable, such a cutie! Is she related to Saoirse?

Sending prayers and healing vines for all of you, hugs for you and soft chin scritches for Saoirse - scritchies for Lúnasa, too, don't want her to feel left out! :cat:

Lucy :bighug::bighug::bighug::bighug::bighug::bighug::bighug:
 
I am just now seeing this! I am just horrified that the hospital is withholding insulin from her with a possible infection! Plead with them to at least give her 1/2 her dose! Mogs, sending lots of hugs and healing vines to you both! :bighug::bighug::bighug:
 
I love it when they lay all spread out like that. If you pet Gizmo on his tummy while he's all spread-eagled, he'll smooth his furry belly with his paws, showing off all his glorious fur.
 
Update: Monday Evening - GMT 23:30
-----------------------------------------------

Hi everyone,

Thank you for continuing to send Saoirse your healing thoughts and prayers. They are really helping her (and her mama) and I am beyond grateful to you all.

:bighug::bighug::bighug::bighug::bighug::bighug:

I visited Saoirse at the vets today. She was cranky and hissy as I went in but the nurse said she's been like that all day. Much more importantly, Saoirse was holding her head up OK again, no drooling, no sagging and though she was being a crosspatch she looked very much improved over the desperate state she was in yesterday morning. Her eye was clear (knife in my heart saying that in the singular ... :( ) and her overall responses to her environment were normal. It was such a relief to see Saoirse not out of the woods but much, much better than Sunday morning (not difficult) and, for all my whingeing above about Saoirse not getting any insulin at the moment, I am extremely grateful to the vets and the nurses for all they have done to help my girl in the past day and a half. Saoirse looks like a different, much more stable cat today (anti-jinx, anti-jinx).

Saoirse's not one bit pleased about being on a drip again (the IV can sting according to one of the vet nurses at the referral hospital last week) but it has helped her so much. (@jayla-n-Drevon - I can't thank you enough for the times when you have posted about how fluids can be such a great help to poorly cats - your words were running through my mind all yesterday morning when I was getting Saoirse to the vets and I was very grateful to have them to hang onto. :bighug:)

Saoirse's eye area is swollen and I'm a little worried that it looks a little yellowish but that might be due to the light in the hospital ward. (ETA: The vet said it is better today than it was yesterday afternoon - less reddening.)

Saoirse grumbled at me a bit when I first opened up the cubicle but then she nuzzled my outstretched fingers and asked me for some fuss. I gave her some gentle chin scritches and she nuzzled into them - and then she started to purr! With the fussing she relaxed a bit, stretched out her free paw to me and gave a couple of her typical near-silent miaows. I'm so relieved she doesn't hate me and that I can do some small thing to comfort her just a little bit. How I wish I could take her pain and distress onto myself and see her relaxed and comfortable again.

Thankfully Saoirse is back on her Sheba food (1.6% carbs) cf. the Hill's i/d pouches of yesterday (25% - not great but it got her eating again). I brought in some more pouches for her, plus some psyllium husk because her stools were a bit hard yesterday. The nurse said that the crumbled freeze-dried chicken I left with them to sprinkle onto Saoirse's food was a great help to tempt her to eat for them. Saoirse has been eating fairly steadily but my poor girl's face and collar were manky from her trying to eat with the collar in place. I gently cleaned her little face and chin, and I gave the collar a good scrub for her.

While I was there Saoirse let me know she wanted some food. I moved the dish over to her and she began to eat. Alas, in the same way as she was at home last week, she started to grumble as she was eating. I have suspected that it is hurting her to eat. I mentioned this to the nurse and she told me that during the vet's detailed examination she discovered that the roof of Saoirse's mouth is quite red so it must be related to the surgery. I feel so sorry for my little one; I just want to see her well. The only upside of this news is that it wasn't me inadvertently winding her up and making her cross when I was trying to help her eat last week. I need to hang onto any positives I can get right now because I feel like I've been screwing so many things up for her. :( After the discomfort of trying to eat my little darling retreated to her litter box for comfort. I wish I could just will her better.

I am going to visit Saoirse again tomorrow afternoon. I would be very grateful if you would keep praying and sending healing thoughts for Saoirse; she has a way to go yet.

Sending :bighug: for all the beans and scritches for all the kitties.


Mogs
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Mogs..
I am so glad the fluids helped--it is funny because I often read something randomly or intensely and it never fails something I saw gives me something to hold on to-
I am sorry that your baby is not getting insulin right now but it sounds like she is heading in the right direction :)
Is there something they can do for the roof of her mouth??
 
Between sleeping tablet doses so please excuse brief update.

First up, yet again I am blown away by and so grateful for all of you sending us your continuing prayers, healing thoughts, information and suggestions, plus general support. Thank you all from the heart for all you are doing to help me and my girl get through this difficult time. I will never forget this to all of you. I'm so grateful to every single one of you.

:bighug::bighug::bighug::bighug::bighug::bighug:


Visited Saoirse - very glad to see me. More up and about today. Wants to eat but having difficulty. She got some insulin today! Our main vet was overseeing her care today and she got a quarter unit of Lantus and it brought her BG back under renal threshold. They're not confident of being able to monitor her adequately overnight so she may not get insulin again till tomorrow.

Saoirse's mouth is 100% sore when she tries to eat. She retreated to the litter box after attempting to eat while I was there. Asked vet to reinstate the same bupe regimen she was on at discharge from referral hospital.

Saoirse had worked her IV drip free, so they left her 'as is' to see how she would fare without it.

She was standing up and walking around more, 'speaking' to me and she revelled in all the scritches everyone has sent her.

Saoirse didn't eat much during day. Checked with vet and, despite my requests for continuous nausea treatment, they had not given Cerenia this a.m. since she had been eating ... yesterday. ( :banghead: ) I don't think they realise exactly how necessary it can be for some pancreatitis kitties to receive daily anti-nausea treatment; doubly so when antibiotics are in the mix.

Spoke to main vet today - he authorised the 0.25IU dose of Lantus this am. I asked him to give Saoirse Cerenia tonight and to also give her a B12 injection plus another dose of Cerenia prior to discharge. Yep: Saoirse will be home tomorrow evening if everything goes OK tomorrow.

Tip: if your kitty has special food/med needs keep on top of the vet team looking after your kitty to ensure that what you've requested treatment-wise actually gets delivered. Don't assume it's all being done.

Histopathology results in for eye: Will write more tomorrow but wanted to share that there was no evidence of cancer in the tissue, just inflammation.

Saoirse's eye area looks bruised today. She still loves me (the relief!).

Blessings & scritches


Mogs
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Between sleeping tablet doses so please excuse brief update.

First up, yet again I am blown away by and so grateful for all of you sending us your continuing prayers, healing thoughts, information and suggestions, plus general support. Thank you all from the heart for all you are doing to help me and my girl get through this difficult time. I will never forget this to all of you. I'm so grateful to every single one of you.

:bighug::bighug::bighug::bighug::bighug::bighug:


Visited Saoirse - very glad to see me. More up and about today. Wants to eat but having difficulty. She got some insulin today! Our main vet was overseeing her care today and she got a quarter unit of Lantus and it brought her BG back under renal threshold. They're not confident of being able to monitor her adequately overnight so she may not get insulin again till tomorrow.

Saoirse's mouth is 100% sore when she tries to eat. She retreated to the litter box after attempting to eat while I was there. Asked vet to reinstate the same bupe regimen she was on at discharge from referral hospital.

Saoirse had worked her IV drip free, so they left her 'as is' to see how she would fare without it.

She was standing up and walking around more, 'speaking' to me and she revelled in all the scritches everyone has sent her.

Didn't eat much during day. Checked with vet and they had not given Cerenia this am since she had been eating. I don't think they realise exactly how beneficial continuous anti-nausea treatment is to a cat with the likes of pancreatitis. Spoke to main vet today - he authorised the 0.25IU dose of Lantus this am. He will give Saoirse Cerenia tonight and will also give her B12 and another dose of Cerenia - prior to discharge. Yep: Saoirse will be home tomorrow evening if everything goes OK tomorrow.

Tip: if your kitty has special food/med needs keep on top of the vet team looking after your kitty to ensure that what you've requested treatment-wise actually gets delivered. Don't assume it's all being done.

Histopathology results in for eye: Will write more tomorrow but wanted to share that there was no evidence of cancer in the tissue, just inflammation.

Saoirse's eye area looks bruised today. She still loves me (the relief!).

Blessings & scritches


Mogs
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Oh I am so happy Mogs!!
She is getting insulin and she is bright.... way to go!!
So glad you got to see her. I just wish they had something to heal her mouth....I agree to keep her on the nausea meds-
great job Mogs!!!
xoxo big hugs :bighug::bighug:
 
Mogs, Saoirse will always love you, you are her beloved Mama Bean! I'm glad that she seems a little brighter, and that she is finally getting some insulin!
What a relief for you, that the report on her eye indicates only inflammation. I feel so sorry for her, that her mouth is so sore, poor sweetheart. I hope the pain meds help.

I pray you can get lots of sleep and rest so you're good to go when Saoirse comes home tomorrow! Please give her some gentle scritchies from me. :) She will have a very large, online "Welcome Home!" contingent here on FDMB! Hugs and healing vines to you and Saoirse, Mogs. Sleep well!

Lucy :bighug::bighug::bighug::bighug::bighug::bighug::bighug:
 
Mogs, I'm so glad that Saoirse got some insulin! I know that's a relief.

Know that we are sending continuous healing vines, love, and scritches!
 
Eep! Of COURSE Saorise loves you, silly Moglet;) You're her mum, after all!:)

So she's coming home tomorrow? AWESOME! I sure hope you will be getting a good night's sleep, becauseI know you'll stay up with her the first 24 hours she's home:p I bet your other kitty will be glad to see her, too. The more the merrier!

Here's a few Welcome Home hugs to get you all started: :bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug:

...more where that came from....Yay! She's coming HOME!
 
BG 16.7 (Alphatrak) this morning. Latest blood beta-ketone test 0.2 (best level since she was discharged from specialist hospital). Saoirse was given 0.25IU Lantus at 10am this morning. I've asked them to do a mid-cycle (if she'll let them - they are not flavour of the month with her at the moment).

Vet will dispense higher dose of bupe for her (0.33ml - 10lb cat) to help with the eating discomfort and inflammation stress effects. He will also give her a dose of Cerenia prior to discharge. I asked about potential dehydration issues and he is happy to do a house call for sub-q fluids and more anti-biotics as needed. To pinch @granadilla's mantra: one foot; one paw.

Off for a few more Ambien-fuelled Zzzzzzzs ...

Hope that you, your loved ones, and your precious little furbabies will have a good day. I wish healing for all beans and kitties who need it.

:bighug::bighug::bighug::bighug::bighug::bighug:


Mogs
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So happy to hear that Saoirse is finally getting some insulin and that she is up and moving about and receptive to your administrations of the best medicine.....love! You get lots of rest 'cause soon your family will be under one roof again and start to regain some normalcy. This has been a very difficult time for you both but you have weathered the storm. The power of true love! Another supply of hugs, scritches and healing thoughts and prayers is on its way!:bighug::bighug::bighug::bighug::bighug::bighug:
 
Hi Mogs - so happy you will soon be able to bring Saoirse home!! She'll mend quickly under mama's care. Do you know what is causing the problem on the roof in her mouth? Hugs and love to you both!!
 
BG 16.7 (Alphatrak) this morning. Latest blood beta-ketone test 0.2 (best level since she was discharged from specialist hospital). Saoirse was given 0.25IU Lantus at 10am this morning. I've asked them to do a mid-cycle (if she'll let them - they are not flavour of the month with her at the moment).

Vet will dispense higher dose of bupe for her (0.33ml - 10lb cat) to help with the eating discomfort and inflammation stress effects. He will also give her a dose of Cerenia prior to discharge. I asked about potential dehydration issues and he is happy to do a house call for sub-q fluids and more anti-biotics as needed. To pinch @granadilla's mantra: one foot; one paw.

Off for a few more Ambien-fuelled Zzzzzzzs ...

Hope that you, your loved ones, and your precious little furbabies will have a good day. I wish healing for all beans and kitties who need it.

:bighug::bighug::bighug::bighug::bighug::bighug:


Mogs
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I have insomnia as well--ambien does not work for me :(
 
All wonderful news, Mogs! Welcome home, sweet girl! :cat: I SO hope everything will continue to improve for both Saoirse and you. (((Hugs))) and prayers,

Lucy

(Ooops - almost forgot the scritchies! Gentle critches to Saoirse!) :bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug:
 
I'm very sorry that they aren't taking your concerns seriously. They may not have a lot of experience treating complications of diabetes, so they might not have the same fear of DKA as we here all do. As long as your cat remains above the renal threshold, she's more at risk for complications in general, including DKA. I assume that they are giving SubQ fluids? This will mitigate some of the risk of DKA from dehydration. As far as food goes, make sure they are giving an anti-nausea daily (not just with "symptoms"). If more ketones do develop, and she is still not eating ask about the possibility of a dextrose IV and insulin (This is what we do for humans, not sure if it's standard care with vets). This will raise the BS and allow them to give insulin.

Hi Meya,

They had Saoirse on IV fluids from Sunday morning until yesterday afternoon when she managed to free herself from the drip. She seemed fed up with the hospital, frustrated about being sore when trying to eat, but wanted very much to interact with me yesterday. I think it helped that they finally gave her a 0.25IU dose of Lantus yesterday morning (brought her down into the 12s on Alphatrak). She was back in the 16s this morning so I am assuming that they skipped her dose last night, but they did give another 0.25IU at 10am this morning. All going well I will be able to give her another dose tonight and stay up to monitor her now that I've managed to drug myself to some sort of sleep for the past couple of days. Not ideal, but any port in a storm. At least my legs aren't quite as wobbly as they were.

I'm glad you prompted me about the anti-nausea meds, Meya. When Saoirse was admitted on Sunday morning I brought in her ondansetron (which she needs daily - it's the cornerstone of her pancreatitis management regimen) but I specifically asked them to ensure she would be given a daily dose of Cerenia instead since the injectable would be easier on Saoirse from an administration perspective. When I was in with her yesterday afternoon she moved to her food dish and wanted to eat but after a few mouthfuls she was both sore from the inflamed tissues and she then did some 'nausea yawns'. Your comment popped into my head straight away and I asked the nurse whether Saoirse had received her Cerenia. I was told she had but then she said that it had been put on her food (?). I think maybe she thought I'd asked her about psyllium. :confused: The nurse said they didn't think Saoirse was nauseated. How did they reach this conclusion? Because she hadn't vomited. :banghead: :rolleyes:

Shortly after I got home Saoirse's main vet called and I double-checked about the Cerenia: she had not received any since the morning of the day before! :banghead: As mentioned in my earlier post above, I asked the vet to give Saoirse her Cerenia yestereve, also B12, and to give her another dose of Cerenia prior to her discharge this evening and he agreed to do so. (I can take over at home thereafter with her regular ondansetron in her grub.) The vet also agreed to up Saoirse's pain med Rx to the same dose she was on at the hospital (0.33ml bupe q8). They hadn't done another ketone test ( :banghead: ) so I asked (very, very nicely!) if it would be at all possible to take another BBK reading. They took her readings this morning: BG 16.7 Alphatrak; BBK 0.2mmol/L - the lowest ß-ketone reading since she was discharged from the hospital after her surgery. Now to keep it that way.

I'm concerned about Saoirse's current physical difficulty with eating: in addition to not getting enough calories she's also not taking in enough water (won't drink plain water at all since the switch to wet food). I'm going to try adding a little extra water to Saoirse's meals once she gets home (can't add too much or she won't eat the food). I have also spoken with the vet about the possibility of Saoirse getting some sub-q fluids to tide her over the weekend if she continues to have difficulty taking in enough fluids under her own steam in the next day or two. He has agreed to this. Needless to say I'll be carrying out even closer secondary monitoring of Saoirse's fluid input and urine output until she is well able to eat normally again.

Thank you, Meya, for all the pointers and also for your advice on what to ask for in terms of IV treatment should ever the need arise again. I was most unhappy about Saoirse being over renal threshold and getting no insulin whatsoever for over 48 hours. Thank you, also, for everything you do here to educate members - especially about DKA and its prevention. I am trying to put into practice all that I have learned from you and I'm beyond grateful to you for putting me in a position where I know what to look out for and what help I need to ask for in order to help my girl.


Mogs
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