? 4/10 Silver AMPS 209 PMPS 239 +2=292 +4=286 Ketones 3.5!

[Juliet]

http://www.felinediabetes.com/FDMB/...279-4-311-9-239-pmps-268.193878/#post-2168313

He came and woke me this morning so that's good. Two lots of poo in the floor beside the litter tray. Don't know which cat but I guess him given all the extra runny food he had yesterday.

I've put down one full cat of fat that he is is eating now and when I walk out the door in half an hour I will put down another can. Likely he will eat it right away instead of saving it for later. Hope that won't make him sick but it's the only way to give him more food. I will try the popsicles tonight.

Don't really want to go to work and leave him not he does seem his perky self again. Culture results came back but the emergency vet sent them to my regular vet and I need to call them today. Ketone meter arriving today and I will test him tonight.

 

[carfurby (GA)]

That's a good sign that he woke you up. I'm glad he is eating for you. It's hard to go to work when you want to stay home and keep an eye on the kitties. I'm sure he'll be fine today. Sending prayers.

 

[Sienne and Gabby (GA)]

I've put down one full cat of fat...

I suspect you meant "one full can of food" but it gave me a chuckle -- which is not a bad way to start the morning.

I'm glad to see that Silver is getting back to his normal behaviors.

 

[Juliet]

I suspect you meant "one full can of food" but it gave me a chuckle -- which is not a bad way to start the morning.

I'm glad to see that Silver is getting back to his normal behaviors.

Oops yes I meant FF but I wrote it early before my coffee. He's very thin. Need to get some weight back on him. I can't seem to find the Recovery food in the stores. Is it only available through the vet?

 

[Kris & Teasel]

Let us know later today how you and he made it through the day. Sometimes you just have to trust that it’ll be OK.

 

[Juliet]

Let us know later today how you and he made it through the day. Sometimes you just have to trust that it’ll be OK.

I'll post when I get back from work. I'll need to give him his fluids again. @Marje and Gracie i watched your video. Very helpful. I did something wrong the first time and it was leaking on him. Think I forgot to close the thing at the needle. Would that do it? I know I didn't push right through the skin and out the other side. I hated doing it. Four more times to finish the bag.

 

[Bobbie And Bubba]

I am glad that Silver is home and eating.

 

[Juliet]

I am glad that Silver is home and eating.

Thanks. He crept onto my pillow this morning at 5am and purred. Nice way to wake up.

 

[Bellasmom]

So,glad,he’s,feeling much better and you are getting rest

 

[Stacy & Asia]

Oops yes I meant FF but I wrote it early before my coffee. He's very thin. Need to get some weight back on him. I can't seem to find the Recovery food in the stores. Is it only available through the vet?

Recovery is probably a prescription food, which is one you'd have to buy from your vet or get a prescription to order it online.

With the fluids, yes, you'd have to close the line (push the little wheel towards the needle to clamp it shut), you must have done when you stopped giving him fluids or else it would just keep spraying around everywhere. Once you get the needle under his skin, you push the wheel back away from the needle to unclamp it.

I'm glad he woke you up and is eating enthusiastically. I hope your work day flys by fast so you can be home with him.

The cat popsicles should certainly slow him down. Question, you said Silver will get to the food before Sasha most times? If you had a timed feeder for during the day, do you think you'd try it out? You could set it to open automatically when you are home so you could see if he gets there first. I'm lucky in some ways, as Toki doesn't like Asia's food, so I don't have to worry about that bit.

 

[Juliet]

Recovery is probably a prescription food, which is one you'd have to buy from your vet or get a prescription to order it online.

With the fluids, yes, you'd have to close the line (push the little wheel towards the needle to clamp it shut), you must have done when you stopped giving him fluids or else it would just keep spraying around everywhere. Once you get the needle under his skin, you push the wheel back away from the needle to unclamp it.

I'm glad he woke you up and is eating enthusiastically. I hope your work day flys by fast so you can be home with him.

The cat popsicles should certainly slow him down. Question, you said Silver will get to the food before Sasha most times? If you had a timed feeder for during the day, do you think you'd try it out? You could set it to open automatically when you are home so you could see if he gets there first. I'm lucky in some ways, as Toki doesn't like Asia's food, so I don't have to worry about that bit.

I looked into times feedersbit they're very expensive here. When I put the food down both cars were sleeping on my bed so didn't see me creep down with it. I think he'll get it first. I think he ate too much yesterday tho given the fact I had two large dumps of poo on the floor to clean up this morning. Usually him that uses the puppy pads. This morning he missed.

 

[Stacy & Asia]

I looked into times feedersbit they're very expensive here. When I put the food down both cars were sleeping on my bed so didn't see me creep down with it. I think he'll get it first. I think he ate too much yesterday tho given the fact I had two large dumps of poo on the floor to clean up this morning. Usually him that uses the puppy pads. This morning he missed.

It's good that he's eating that much, more in, more out. Hope the ketone meter says negative!

 

[Juliet]

It's good that he's eating that much, more in, more out. Hope the ketone meter says negative!

Just spoke to regular vet. Not a nice man. Talks over me. Doesn't listen. Anyway. I pushed him to get some info. Urine culture came back clear. No bacteria. So ketones should go now he is eating per vet. True? Or not?

Tried to ask re dental. Guy is thick. Talks and talks but doesn't answer my questions. Anyways. Turns out he has to be regulated before I bring him for dental and they say they will need to run blood panel first. He just had a blood panel done. I feel they want to make as much money out of you as possible and don't care if the treatment is not needed so I am going to have to be firm I guess. What if the need for a dental is preventing regulation? Now his numbers today are back to what they were before the keytones BUT realistically those yellows are higher per lab readings. I really do wish Freestyle meters would read closer to the lab but not at the higher numbers they don't. A yellow is a lab pink.
Going to let him recover and think about a dental in the next couple months. I have no more available vacation days so there poses another problem but perhaps a sickie will have to be in order for dental day.

 

[Olive & Paula]

Nice start this morning. Kitty doesn't need to be regulated first, actually the dental might help regulate if there are dental issues. Blood work is usually done immediately (hours) prior to dental. It's good to make sure liver and kidneys are in normal limits. Xrays before and after are also suggested (although mine only does after).

 

[Stacy & Asia]

Just spoke to regular vet. Not a nice man. Talks over me. Doesn't listen. Anyway. I pushed him to get some info. Urine culture came back clear. No bacteria. So ketones should go now he is eating per vet. True? Or not?

Tried to ask re dental. Guy is thick. Talks and talks but doesn't answer my questions. Anyways. Turns out he has to be regulated before I bring him for dental and they say they will need to run blood panel first. He just had a blood panel done. I feel they want to make as much money out of you as possible and don't care if the treatment is not needed so I am going to have to be firm I guess. What if the need for a dental is preventing regulation? Now his numbers today are back to what they were before the keytones BUT realistically those yellows are higher per lab readings. I really do wish Freestyle meters would read closer to the lab but not at the higher numbers they don't. A yellow is a lab pink.
Going to let him recover and think about a dental in the next couple months. I have no more available vacation days so there poses another problem but perhaps a sickie will have to be in order for dental day.

That is so frustrating! And I agree, I've heard lots of vets suggesting they need to be regulated before dental but I think it's more often the other way around, I just don't think they know enough about diabetes to realize that. The labs you just got should be good enough for a dental if you were going to do it soon. If not, they have to repeat it for safety of the anesthesia.

There are no other vets in the area you could use? This guy doesn't sound like a good fit, he should answer your questions at the very least. Can the ER vet recommend some place for a dental if you call and ask? I would always get an X-ray pre dental. They will know if something is happening below the gum line that way, and it's the only way they would know for sure. Some do post dental too to make sure they got all the bits out, but it would depend how complicated the extractions are (if there are extractions). If I had to pick just one, it would be the pre dental X-ray. Sick day sounds like a plan, unless you luck out and find a practice that works on Saturdays.

I'm glad the culture was unremarkable. That's one less complication to worry about (antibiotics and side effects).

 

[Juliet]

Nice start this morning. Kitty doesn't need to be regulated first, actually the dental might help regulate if there are dental issues. Blood work is usually done immediately (hours) prior to dental. It's good to make sure liver and kidneys are in normal limits. Xrays before and after are also suggested (although mine only does after).

Vet won't do the dental until he is regulated. Unfortunately it's only vet close to me. I just did blood work. If I have to do it again then I can't afford it. Blood work alone is $240 not counting X-rays and dental.

 

[Tanya and Ducia]

I pushed him to get some info. Urine culture came back clear. No bacteria. So ketones should go now he is eating per vet. True? Or not?

Good morning,
certainly if there is no infection it is great! ALL 3 components are to be present - not enough eating+not enough insulin+ infection for ketone bodies presence to become DKA. If is out of the picture the chances for it to become DKA are lessened. Eating+drinking is key IMHO. Good news!!
Needing dental is notorious to prevent remission but I think your vet meant that Silver is to be stabilized or leveled at somewhat lower numbers before dental procedure - regulated better than now but not necessarily only Green numbers in his BG.
I might be wrong but that was impression. DUcia needs dental too, I think, but it is not happening this year .

 

[Juliet]

That is so frustrating! And I agree, I've heard lots of vets suggesting they need to be regulated before dental but I think it's more often the other way around, I just don't think they know enough about diabetes to realize that. The labs you just got should be good enough for a dental if you were going to do it soon. If not, they have to repeat it for safety of the anesthesia.

There are no other vets in the area you could use? This guy doesn't sound like a good fit, he should answer your questions at the very least. Can the ER vet recommend some place for a dental if you call and ask? I would always get an X-ray pre dental. They will know if something is happening below the gum line that way, and it's the only way they would know for sure. Some do post dental too to make sure they got all the bits out, but it would depend how complicated the extractions are (if there are extractions). If I had to pick just one, it would be the pre dental X-ray. Sick day sounds like a plan, unless you luck out and find a practice that works on Saturdays.

I'm glad the culture was unremarkable. That's one less complication to worry about (antibiotics and side effects).

The only other vet close to me was worse!

 

[Juliet]

Good morning,
certainly if there is no infection it is great! ALL 3 components are to be present - not enough eating+not enough insulin+ infection for ketone bodies presence to become DKA. If is out of the picture the chances for it to become DKA are lessened. Eating+drinking is key IMHO. Good news!!
Needing dental is notorious to prevent remission but I think your vet meant that Silver is to be stabilized or leveled at somewhat lower numbers before dental procedure - regulated better than now but not necessarily only Green numbers in his BG.
I might be wrong but that was impression. DUcia needs dental too, I think, but it is not happening this year .

So sounds like he didn't have DKA then? He has no infection.

 

[Tanya and Ducia]

So sounds like he didn't have DKA then? He has no infection.

Your vet should tell you exactly what his Dx was - I do not think Silver had real DKA, thanks heaven, but I am no vet.
If you can obtain a copy of his ER file you'll know exactly where he is - Ducia's file contained wonderful Dr notes, clinical signs observation and electrolyte's level and urine tests. Very informative.
What was the level of ketones when you took him home?
Negative or Trace?
SQF should help flashing it all out. And eating well is a huge help.

 

[Noah & me (GA)]

Talks over me

My least favorite human, CONDESCENDING!!! Next time any doctor says "It's doctor actually" just respond with "Your last name is Actually? Is that Slavic?"
See Juliet, you and Silver made it through the weekend and at least no UTI.

 

[Stacy & Asia]

The only other vet close to me was worse!

Any of these options you haven't tried?

Snelgrove Vet Services
The cat hospital
Kennedy rd vet hospital
Heart lake vet hospital
Fletcher's creek animal hospital
Dixie road pet clinic
North town vet hospital
Brisdale animal hospital
Brampton vet hospital

 

[Sienne and Gabby (GA)]

Since you liked one of the ER vets, would it be possible to call the clinic and find out if that vet is only at the emergency clinic or if he has a practice elsewhere? A couple of other thoughts:

• The American Veterinary Dental College has a searchable directory and it includes Canada. There may be a dental specialist in your area.
• Antibiotics may be indicated if Silver is having dental issues. The inflammation or infection can have an effect on regulation.
• Post on the Health board asking about both vets in your general area and/or veterinary dental specialists. It's a good way to get recommendations even if it means a bit longer of a distance.

Unless there is something specific that your vet requires as pre-dental lab work, you should not have to have to do labs over. That's ridiculous. The lab work should be good for at least 2 mos. If your vet wants to be sure that Silver is out of the woods regarding the DKA, that's a different issue. I would not rush to have a dental procedure done this soon after an episode of DKA. A surgical procedure is a source of stress and you want to have Silver back to normal before planning anything that's even remotely stressful.

So sounds like he didn't have DKA then? He has no infection.

The diagnosis of DKA does not depend on whether or not there's an infection. Infection or inflammation is just one risk factor (and from what you're saying, Silver's teeth may be a source of inflammation.) The diagnosis is based on the lab work -- are the electrolytes causing an imbalance and whether ketone bodies are present. In Silver's case, you know that potassium levels were off and ketones were present so, he did have an episode of DKA.

 

[Tanya and Ducia]

The diagnosis of DKA does not depend on whether or not there's an infection. Infection or inflammation is just one risk factor (and from what you're saying, Silver's teeth may be a source of inflammation.) The diagnosis is based on the lab work -- are the electrolytes causing an imbalance and whether ketone bodies are present. In Silver's case, you know that potassium levels were off and ketones were present so, he did have an episode of DKA.

Thanks for clarifying.
I thought that an infection must be Dx AND treated w/ AB to make it DKA. If the ER vet did not Rx any AB, I thought, I was not full DKA.

 

[Sean & Rufus]

What if the need for a dental is preventing regulation

That's why Rufus had to go to a dental specialist. 2 or 3 times the cost, but much more staff on board for the procedure. Dedicated people there to help if anything goes wrong during the procedure.

 

[Sean & Rufus]

Kitty doesn't need to be regulated first

My vet wouldn't do dental until rufus was regulated, that's why we had to go to a specialsist.

 

[Tracey&Jones (GA)]

Wow, lots of info coming your way today. I am glad he is back to eating and is handling the fluids ok. I have a CKD kitty...man she is a 6lb alligator. Takes two of us to give the fluids to her.

My clinic requires blood work in the previous 3 months for a surgery. Not sure if your clinic is the same...but if the dental was done within that time frame you should be able to use the panel from the ER clinic. You can phone and ask for a copy just in case. My clinic knows just to email the results to me now. I ask every time.

I hate those type of people that talk at you vs. to you.

For the dental...if you had a vet well versed in FD, I am sure that they will know that the dental issues will most likely prevent regulation.

You have time while Silver recovers from this episode to research in your area for a better vet. Can you go slightly outside your area?

 

[Juliet]

Your vet should tell you exactly what his Dx was - I do not think Silver had real DKA, thanks heaven, but I am no vet.
If you can obtain a copy of his ER file you'll know exactly where he is - Ducia's file contained wonderful Dr notes, clinical signs observation and electrolyte's level and urine tests. Very informative.
What was the level of ketones when you took him home?
Negative or Trace?
SQF should help flashing it all out. And eating well is a huge help.

Vet is absolutely an idiot. Could not answer my questions and knew nothing about Silver. He initially thought he was talking about Sasha. Trouble with me having gone to the emergency vet is that now they handed the file over to regular vet who hasn't seen Silver. Just reads off the file in complete ignorance. I knew what was in the filemore than him and I don't even have a copy. I will testfkr keytones myself. Seems I have to do everything myself. Hate vets. Only one I liked was the emergency vet who I can't have as my regular vet

 

[Juliet]

Any of these options you haven't tried?

Snelgrove Vet Services
The cat hospital
Kennedy rd vet hospital
Heart lake vet hospital
Fletcher's creek animal hospital
Dixie road pet clinic
North town vet hospital
Brisdale animal hospital
Brampton vet hospital

Kennedy Road is close to me. I do not have the energy or finances to shop around. If silvervis in trouble I will take to emergency vet I liked. They open when the other vets close.

 

[Juliet]

Wow, lots of info coming your way today. I am glad he is back to eating and is handling the fluids ok. I have a CKD kitty...man she is a 6lb alligator. Takes two of us to give the fluids to her.

My clinic requires blood work in the previous 3 months for a surgery. Not sure if your clinic is the same...but if the dental was done within that time frame you should be able to use the panel from the ER clinic. You can phone and ask for a copy just in case. My clinic knows just to email the results to me now. I ask every time.

I hate those type of people that talk at you vs. to you.

For the dental...if you had a vet well versed in FD, I am sure that they will know that the dental issues will most likely prevent regulation.

You have time while Silver recovers from this episode to research in your area for a better vet. Can you go slightly outside your area?

I need to go to a vet five mins drive from the house. I'm a new driver. Don't go far at all and having a yelling cat in the car is unsafe for me. Must be close by.

Thanks for all the tips everyone. Right now both Silver and I need to recover from this weekend. I am at work but suffering physically from it all.

If I can afford it and that's a BIG if I will try and get him scheduled for a dental in a month. Within the 3 mths time frame of his labs. It would be better for me if it's just X-rays and dental. New blood work and the cost stacks up.

On my second large coffee trying to get through the day.

 

[Tanya and Ducia]

I will testfkr keytones myself. Seems I have to do everything myself. Hate vets. Only one I liked was the emergency vet who I can't have as my regular vet

A few ppl on this Forum can tell you that I was saying the exact same things one year ago, .
The only sensible and caring vet I have met was too, an ER one, a young fellow working nights mostly.
It is not a bad thing to learn a lot for yourself - gives you some degree of control and definitely saves tons of money.

Testing for ketones won't be too much trouble very quickly and it will give you piece of mind, priceless.

Focus on much better Silver is doing now!

 

[Juliet]

A few ppl on this Forum can tell you that I was saying the exact same things one year ago, .
The only sensible and caring vet I have met was too, an ER one, a young fellow working nights mostly.
It is not a bad thing to learn a lot for yourself - gives you some degree of control and definitely saves tons of money.

Testing for ketones won't be too much trouble very quickly and it will give you piece of mind, priceless.

Focus on much better Silver is doing now!

Actually both vets were quite impressed with what I knew and what I was doing re testing. All of which I learned here.

 

[Stacy & Asia]

Kennedy Road is close to me. I do not have the energy or finances to shop around. If silvervis in trouble I will take to emergency vet I liked. They open when the other vets close.

Vet won't do the dental until he is regulated. Unfortunately it's only vet close to me.

I gave you those suggestions as places to get a dental, not for emergency services. It should not cost any money to call and inquire about the cost of a dental and if they can use his labs from hospital, find out what their window is before labs need to be repeated.

I second Sienne's thinking re: teeth and antibiotics. That could be the source of what's going on since UTI culture was negative. Maybe a call to the ER to inquire about antibiotics for his teeth until you can set up a dental.

 

[Juliet]

I gave you those suggestions as places to get a dental, not for emergency services. It should not cost any money to call and inquire about the cost of a dental and if they can use his labs from hospital, find out what their window is before labs need to be repeated.

I second Sienne's thinking re: teeth and antibiotics. That could be the source of what's going on since UTI culture was negative. Maybe a call to the ER to inquire about antibiotics for his teeth until you can set up a dental.

See my comment to Tracey. I can't drive far. I am a new driver. I only drive five to ten mins away from my house. Ever.

I will do a dental when I have the money. I do not have it now. I do not have contact with the ER unless it is an emergency. He does not need antibiotics. Both vets said so.

Vet did not say teeth were the issue.
Okay. Need to sign off. I am at work.

 

[Juliet]

Last thing before I sign off. Is this correct for cats?

 

[Marje and Gracie]

I'll post when I get back from work. I'll need to give him his fluids again. @Marje and Gracie i watched your video. Very helpful. I did something wrong the first time and it was leaking on him. Think I forgot to close the thing at the needle. Would that do it? I know I didn't push right through the skin and out the other side. I hated doing it. Four more times to finish the bag.

It’s very possible you didn’t get the needle inserted far enough in since you are certainyou didn’t push through to the other side.

I’m glad it helped you. Give yourself a pat on the back. It’s challenging and scary st first especially by yourself. You’ll get better at it. Let me know if you have any other questions. Best to PM me as you did earlier today as I’m not on the board every day.

Vines for your sweet boy.

 

[Christie & Maverick]

Last thing before I sign off. Is this correct for cats?View attachment 35308 View attachment 35307

Hi Juliet, glad to see things are better with Silver. I wouldn't follow that...Per attached link: http://www.felinediabetes.com/FDMB/...oacidosis-dka-and-blood-ketone-meters.135952/

It shows some of the latest published research/studies for cats, you are looking for ketones of 2.4-2.55 or higher on a blood ketone meter. Less than that, I believe you just need to watch to make sure the readings don't continue to increase.

 

[Kathy and TiTi]

Oops yes I meant FF but I wrote it early before my coffee. He's very thin. Need to get some weight back on him. I can't seem to find the Recovery food in the stores. Is it only available through the vet?

Yes

 

[Juliet]

Okay just had an interesting call with the vet receptionist. More helpful than the vet. Got a dental quote for the basics and also asked her to read me his ER file over the phone. This got me a little worried. From what she read in the file the last time they tested his keytones was Sunday morning and it said +3!!! Surely that is bad and I should not have been sent home with him???

This is the dental quote - is this reasonable?

Blood work - full geriatric panel - $170
X-rays and cleaning with no extractions involved $500
Extractions - $170 per 15 mins of time.

I have booked him in for a free exam and estimate for this Saturday. Can't hurt to get that done.

Then if he is stronger and recovered from the DKA episode (and the notes confirmed he did have DKA) then I will take him in a month for his dental. I want to be sure he is fully recover d before I do anything else.

Does this sound like a good plan? @Tracey&Jones @carfurby @Stacy & Asia @Sienne and Gabby (GA) @Marje and Gracie

 

[Beenie (GA)]

Glad there isn’t a UTI. Sorry you’re not happy with your local vet. Maybe things will change and he can work with you.
One day at a time. It’ll all sort itself out Juliet

I just saw your post on dental costs. Glad you can bring Silver in to get a better idea of price. I honestly can’t remember what my civvies dental cost was maybe I erased it from my brain

Please do take care of yourself and rest up

 

[Juliet]

Glad there isn’t a UTI. Sorry you’re not happy with your local vet. Maybe things will change and he can work with you.
One day at a time. It’ll all sort itself out Juliet

I just saw your post on dental costs. Glad you can bring Silver in to get a better idea of price. I honestly can’t remember what my civvies dental cost was maybe I erased it from my brain

Please do take care of yourself and rest up

Thanks. I'll take care of me once Silver safe. My baby is too thin.

 

[Marje and Gracie]

Okay just had an interesting call with the vet receptionist. More helpful than the vet. Got a dental quote for the basics and also asked her to read me his ER file over the phone. This got me a little worried. From what she read in the file the last time they tested his keytones was Sunday morning and it said +3!!! Surely that is bad and I should not have been sent home with him???

This is the dental quote - is this reasonable?

Blood work - full geriatric panel - $170
X-rays and cleaning with no extractions involved $500
Extractions - $170 per 15 mins of time.

I have booked him in for a free exam and estimate for this Saturday. Can't hurt to get that done.

Then if he is stronger and recovered from the DKA episode (and the notes confirmed he did have DKA) then I will take him in a month for his dental. I want to be sure he is fully recover d before I do anything else.

Does this sound like a good plan? @Tracey&Jones @carfurby @Stacy & Asia @Sienne and Gabby (GA) @Marje and Gracie

That’s looks reasonable to me. The last dental I had for civvie Tobey was last Nov and it was $1600 with no extractions and that didn’t include labs which we had already done. Granted $600 was for the anesthesiologist we have to use due to his heart.

IMHO, soon as he’s been stable with negative ketones a few weeks, irs eating well, and has put on weight, then it’s a good time to discuss with your vet getting him in for the dental. I wonder if they should consider antibiotics u til then if they feel he has an infection. I’m glad you’ve got a blood ketone meter. It seems odd to me that they were not checking his ketones daily and they released him without a ketone reading. Perhaps they were just seeing his electrolytes were back in balance and thought he’d do better at home. He can have ketones and not DKA but 3+ on the ketones would certainly concern me. I’d ask to see what his labs looked like when they released him.

 

[Juliet]

That’s looks reasonable to me. The last dental I had for civvie Tobey was last Nov and it was $1600 with no extractions and that didn’t include labs which we had already done. Granted $600 was for the anesthesiologist we have to use due to his heart.

IMHO, soon as he’s been stable with negative ketones a few weeks, irs eating well, and has put on weight, then it’s a good time to discuss with your vet getting him in for the dental. I wonder if they should consider antibiotics u til then if they feel he has an infection. I’m glad you’ve got a blood ketone meter. It seems odd to me that they were not checking his ketones daily and they released him without a ketone reading. Perhaps they were just seeing his electrolytes were back in balance and thought he’d do better at home. He can have ketones and not DKA but 3+ on the ketones would certainly concern me. I’d ask to see what his labs looked like when they released him.

The difficulty I have is that the vet who did the treatment is the emergency vet who has now handed off to regular vet who is thick and can't seem to read a file. The receptionist read the file to me and they were testing ketones daily and they were 3+ on Sunday morning. I took him home Sunday night and they had no retested. I will test tonight. Pray it's zero.

I am going to stop by the regular vet on my way home and get some more Recovery food (how much should I feed at each sitting). I will see if the receptionist will give me copies of his file and notes and I'll post here.

 

[Tracey&Jones (GA)]

My civvie was just done - dental, x-rays, and 3 extractions - $1200 with pain meds and metacam to come home with. Which would be in-line with your quote if 3 extractions are needed (hopefully none are needed)/

Don't use the metacam - ask for the alternative. The last thing Silver needs is an upset stomach and diarrhea. Canada does have a metacam that is formulated at such a strength for use for cats...but it is a 50/50 proposition if your cat will react to it. If he gets extractions make sure he gets a liquid meds for the pain.


I would not expect a +3 for keytones and sent home. I realize they are an after hours vet but I would of thought they would suggest a transfer to another 24 hour facility.


.

 

[Shawna & Davidson (GA)]

Too bad your vet won't do the dental, most likely there won't be a regulation with the DX as the dental is causing the BG's to be higher. I was happy my vet did Davidson's dental knowing his diabetes was back.. Hopefully you can find a vet that is open to your needs.

 

[Amanda & Shmee]

I am happy to hear your update that Silver is feeling more perky

 

[Juliet]

Too bad your vet won't do the dental, most likely there won't be a regulation with the DX as the dental is causing the BG's to be higher. I was happy my vet did Davidson's dental knowing his diabetes was back.. Hopefully you can find a vet that is open to your needs.

Well we don't know if the teeth had any thing to do with the DKA. I am just being preemtive and ruling it out.

Just had a crappy call with the vet. Talk about thick. First he calls me as his receptionist said I wanted a call. Clearly he had not read the file. He said he had ketones levels of 4 and a hospital stay was recommended. Duh. I told him to hang up and call me back when he's rhome as the WHOLE file. He's k St been released from hospital. And we pay these guys thousands of bucks. Seriously.

So. 15 mins later he calls me back. Says they didn't re-check the ketones. When I know they did. He told me to call the emergency vet for those results. I told him I did and they said to call him!

So I said I was coming in tonight anf I wanted a copy of the whole file. Now he's acting weird saying he needs to check their policy on that. Scared I'm going to move vets. Tempted as I am!

Rant over.

 

[Juliet]

My civvie was just done - dental, x-rays, and 3 extractions - $1200 with pain meds and metacam to come home with. Which would be in-line with your quote if 3 extractions are needed (hopefully none are needed)/

Don't use the metacam - ask for the alternative. The last thing Silver needs is an upset stomach and diarrhea. Canada does have a metacam that is formulated at such a strength for use for cats...but it is a 50/50 proposition if your cat will react to it. If he gets extractions make sure he gets a liquid meds for the pain.


I would not expect a +3 for keytones and sent home. I realize they are an after hours vet but I would of thought they would suggest a transfer to another 24 hour facility.


.

Unfortunately Silver won't take liquid meds. I always have to ask for them in pill form.

After my rant above - vet called me again and told me NOT to check for ketones and focus only on the BG. Right. Will ignore that piece of advice. You'd think they'd be happy I was taking precautionary measures to keep him safe. I'm glad I can ignore him.

I really liked the emergency vet and asked him about hospital transfer but he said the fact Silver was eating and no longer dehydrated he was happy for me to take him home.

 

[Tracey&Jones (GA)]

You'd think they'd be happy I was taking precautionary measures to keep him safe. I'm glad I can ignore him.

I don't know what to say about this guy. I think watching for keytone's is imperative after an episode like this. It allows you to know if what you are doing is working - food, hydration, insulin....I have a word in my head but I will keep it to myself.

Keep doing what you are doing. You received your keytone meter right? Can't remember if it was today or tomorrow.


Too bad on the pills...I found it easier to get into the cheek pocket and squirt vs trying to open up a sore mouth with sutures in it.

 

[Juliet]

I don't know what to say about this guy. I think watching for keytone's is imperative after an episode like this. It allows you to know if what you are doing is working - food, hydration, insulin....I have a word in my head but I will keep it to myself.

Keep doing what you are doing. You received your keytone meter right? Can't remember if it was today or tomorrow.


Too bad on the pills...I found it easier to get into the cheek pocket and squirt vs trying to open up a sore mouth with sutures in it.

I'm on the train heading home but yes. On checking the tracking - package containing the ketone meter and strips was delivered. I don't have to open his mouth for the pills. He takes them in his food as if it were candy.

Question - will he still eat if his mouth is sore? If he won't eat then we are right back where we landed up on Friday. DKA.

I still don't know the cause of the DKA. No UTI. Vet didn't say it was teeth. I am just getting them done to be sure.