6/28 Neko AMPS 418 +3 330 +11 144 PMPS 187 back w results

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Wendy&Neko

Wendy&Neko

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Yesterday
6/27 Recap:
AMPS 276 +7 156 +9 131
PMPS 149 +5 220

I really HATE steroids! :mad: :mad: Neko's budesonide was three hours later yesterday, because she cheeked it and got rid of the gel cap when I wasn't looking. So it wasn't until I found it on the floor 3 hours later that it went down. As a result, the BG increasing effects were later and look where we are this morning. :arghh: On the up side, excellent appy this morning. :rolleyes: And we still had our purr and chat at test time.

Today is a repeat visit with the IM vet and a mini U/S (one organ, the bowel) and echo. When I booked they didn't say anything about fasting her, but no late breakfast today just in case. One of my main goals with today's visit is to see if we can play around with the steroid dosing to even out the BG.
Hugs out to Red today in the loss of her sweet Rover. :rb_icon:
 
Miss Neko...that is a very sneaky trick with that gel cap:eek: Tons of good vetty vines for your girl and sure hope there is another alternative to the budesonide.
 
And now we wait. :nailbiting::nailbiting: After the initial consult, Neko went into the back for b/w, urinalysis, mini U/S and echo recheck. We did talk about tapering down the budesonide, which probably means a compounded liquid. Speaking of which, I forgot to give it today before we left, so it'll be late again today. :banghead::banghead: Fortunately I am only 10 minutes away if the traffic is good. There may be a change in the Leukeran too, but change in meds depends on what they find today. Dr. M the IM vet is most worried about her heart. Her heart rate was slow today. I don't have the last report in front of me so don't know if that is slower than before. She also lost about a poundbof weight.:( Due to her poor BG control or progression of the lymphoma, who knows. I guess I can give her more fuds. I like her at this weight for the sake of her arthritis, I think it's a good weight for her. But it's a lot in two weeks. On the positive side, her BP was mid 140's, same as two years ago.

One humourous note, vetty asked how she is for cysto for drawing urine. I told her she's had it done lots, but I had seen her vet go into the room with a towel and once a muzzle. I did not tell him she peed on vetty's shoes and pants last time. :p
 
hoo... i didn't see the news yet about Rover.....i'll go find that one....


Prayers for it's just another day for Neko.... and her values/labs will all look good next time around.....
 
Anne & Zener GA said:
How good is their scale?
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We've been in the same exam room all three visits, same scale. Second visit showed no weight change. I didn't see the brand name, but it looked like your standard baby/pet scale. When I picked up the carrier today, it felt a bit lighter. I'll probably check on my own scale tonight.
 
Prayers and vines that Neko's BW comes back improved. HA!!! HA!!! Neko Peed on the vetty shoes. They probably deserved it.
 
Oh that little sneak with her gel cap. Hope you get a good test results back. So, you didn't tell the vet about the pee on the pants.......I 'm starting to see where Neko gets her sneakiness from, LOL
 
We're back! Traffic going there was crazy but less than 10 minutes to go back home.

OK, quick summary: quite a bit of improvement in the heart, moderate improvement in the gut, some kidney values steady, some improved, but urine protein creatinine much worse. The latter (loss of protein) may be why the weight loss.

They weren't able to do the cystostentisis - Neko peed it all out on the table. :p That's my girl!

More in the next post.
 
Bobbie And Bubba said:
You are so bad!! tee hee.
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She went through a lot today. Bloodwork, they did shave her peach fuzz :(, ultrasound of bowels and an echo (different team). I guess she just lost it.

Heart summary: "Resolved LV hypertrophy and improved left atrial dimention. There is now only mild left atrial enlargement. The heart rate is unchanged. There is no visible cavitary effusion at this time. Overall, market improvement suggesting that a component of fluid overload was present. A reversible myocarditis is a resonable explanation for cases of reversible concentric hypertrophy." In other words, the thickness of both sides of her heart reduced, not something that happens with HCM by itself, so something else likely causing the heart wall thinkness. We don't know what for sure. No fluids found! The only negative is that her block has not yet resolved, but it may in time. We continue the same meds and recheck in two months. The heart was what was the area of most concern going in.

IBD/Lymphoma summary: The small intestinal wall thickness has reduced about a third. Vetty was hoping for more, but it is some improvement. Still no signs of lymph node imvolvement. They are pretty sure it's lymphoma and not IBD, or it would have resolved more. Life span for small cell lymphoma is pretty decent. Her pancreas remains mildly increased in thickness. The pancreas is compatible with chronic active/inactive pancreatitis (not uncommon for SCL kitties), but as a side note, also for acrocats.

Kidneys: I got the blood work back. Different labs with slightly different reference ranges so it'll take me a while to fill that on her SS. Some changes on the hematology, but consistent with budesonide, nothing alarming, and one good thing - her hematocrit improved. Chemistry was a surprise. her phosphorus dropped a lot! Down to 1.4 from 1.9 last time. Calcium is mid range normal (was high). Creatinine a tiny bit higher, but vet called it steady as not much change. Her Urine SG improved too. The only down side was the urine protein creatine ratio which was a lot worse. Normal is less than 0.5, hers was 8.27, up from 1.0. :arghh: So, a change to her benazapril, which will mean a follow up bloodwork next week. Poor pumpkin.

Overall, vetty was pleased at her general improvement. We discussed some med tweaks. She'll probably go to compounded liquid budesonide, so we can lower the dose. He thinks we overdose cats and there is room to move the dose down. Yeah! We had a long discussion about Leukeran. I still want to go pulsed dosing but he wants to move slow on changes. He thinks we will at some point move to pulsed, but with all her complications, we move one thing at a time. First will be the benazapril, then the budesonide. Next recheck in two months.

I forgot to give her the gel cap before we left for vetty. Today budesonide was 5 hours later than normal. :oops: Only one Vetmedin today, can't fit the other one in time.
 
rhiannon and shadow (GA) said:
ai yai yai...... @Marje and Gracie .... what say you?
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Neko's had proteinuria for a year and a half now. It's a common issue with acrocats. However, you do want to get the proteinuria under control as much as you can, as it can cause the kidneys to deteriorate faster. This was a sudden change as she had her UPCR done mid April. She has been humming along between 0.5 and 1.0 for over a year.

She's back in the solarium.:)
 
Wendy&Neko said:
She'll probably go to compounded liquid budesonide, so we can lower the dose.
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Why does it have to be liquid? I have things compounded in smaller doses in capsules all the time. Just curious.

Yay for the improvement on the heart! That's wonderful news, and I'm sure a big relief. Yay also on the improvement in the intestine. It's so nice to see good results from your efforts, isn't it?

My cats get ultrasounds all the time without fasting. I rarely know, when I take them to the oncologist, whether they're going to do one or not, and they never ask when kitty ate last.

Wendy&Neko said:
Neko peed it all out on the table. :p That's my girl!
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Heh heh! You are incorrigible, Neko. You, too, Wendy! :rolleyes:;)
 
Tricia Cinco(GA) & Harvey said:
Why does it have to be liquid? I have things compounded in smaller doses in capsules all the time. Just curious.
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I could have gone with capsules too, but this way I have more control over the dose. I can change the dose without getting a new prescription. And more important - way easier to give to Neko! And without the budesonide pill, the rest of her meds might fit in a #5 instead of a #4 gel cap. I might even be able to sneak it into food.
 
All in all, this sounds like a good report. I hope the protein issue will get resolved.
Good girl, Neko! You showed them a thing or two. Enjoy a nice nap in the solarium now.

Hugs and scritches,
Wendy, you must be exhausted from this suspenseful day. Have a good row tomorrow.

Ella & Rusty
 
Wendy&Neko said:
Neko peed it all out on the table. :p
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Atta girl!!!

What a long day for Neko.
And you. :bighug::bighug::bighug:

But I'm so happy to see so many positive results.
Super yay for the heart and intestinal wall improvements.
Reduced by third, that's huge!
Go, Neko! Good girl, Neko!

I hope you both get good rest tonight.
 
It's so nice to see a good vetty report!!

I'm sure you're pretty pleased with the progress she's made!!

Hope the new meds work out and you can get her BG to at least even out some so you don't see those wild swings.

Wendy&Neko said:
Neko peed it all out on the table. :p That's my girl!
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Good girl Neko...you show them who's boss!!

Have a great visit with Julie tomorrow!!
 
Wendy&Neko said:
hey weren't able to do the cystostentisis - Neko peed it all out on the table. :p That's my girl!
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That's the way to register your protest Neko, there's only so much poking a kitty will put up with.

Overall the report seems positive, Neko is a very lucky kitty to have a bean that is capable of managing and juggling all her needs:bighug::bighug::bighug:
 
Great to hear a good vetty report, poor Neko (and you) went through so much but at least she got her revenge big time. Have a great time with Julie.
 
wow, quite the day for you yesterday... and Neko! All in all, it is a good vetty report. with signs of improvement. Good girl Neko!

Hugs to you Wendy. it's alot to deal with, you handle it well. Enjoy the row today
 
I a, so happy to hear this repeat and so much positive improvement. I know the P:C isn't what you wants to see but hopefully a new treatment can bring it down. I hope you will be able to take a breath and enjoy Julie's visit today.

:bighug::bighug::bighug::bighug:
 
Great to see a good vet report... and nice work, Neko, for telling the vet how you really feel. ;)

...have a nice visit with Julie!
 
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