7/11 Mr Kitty AMPS 66, E Vet til tomorrow

FrostD

FrostD

Member Since 2020
Yesterday

Sigh. He barely ate anything overnight, guessing he still just wants MC and from the look of it that might have been ok. Also have some heavy breathing, I'm not sure if because I startled him, but I'll keep an eye on him.

Vet insisted on doing EOD with cabergoline, so skipped it today. I dislike all these changing variables, but at the end of the day the vet is the one writing the script and he's humored me thus far.

I probably technically shouldn't have shot the 2u because it's under reduction threshold, but I'm trying to get something consistent and couldn't stall.
 
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You did the right thing by shooting 2 units if Mr. Kitty's not eating. You still have the depot from the higher doses to contend with. Hope he feels better soon. :bighug:
 
Still has labored breathing and not eating much. Going to check ketones, and probably head to emergency vet.
 
Very severe pleural effusion possible CHF. DH is heading up here, realistically I think the compassionate thing to do is it him to sleep :(
 
FrostD said:
Very severe pleural effusion possible CHF.
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Do they have a cardio vet on staff? Neko had pleural effusion and CHF - she got over it. Hers was caused by giving fluids for her kidneys. She also had myocarditis she recovered from. The cardio vet prescribed meds that really helped her and gave me 7 more months with her. But each cat is so different. Thinking of you as you guys make your decision.
 
Wendy&Neko said:
Do they have a cardio vet on staff? Neko had pleural effusion and CHF - she got over it. Hers was caused by giving fluids for her kidneys. She also had myocarditis she recovered from. The cardio vet prescribed meds that really helped her and gave me 7 more months with her. But each cat is so different. Thinking of you as you guys make your decision.
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I'm not sure. She couldn't hear his heart through the fluid (I put x rays in SS), she was leaning more towards cancer since his heart has been fine at recent checkups. I didn't give him fluids but I did syringe a fair amount of water earlier this week? I do wonder about the cab timing.

We decided to do a chest tap and cytology, they'll keep him overnight. I told them 0.5U because I don't know this place well and hope that would safe (better than skipping i thought...even with low ketones this morning, this is a lot on him plus recent crazy reductions). Unfortunately we also agree this is the last big thing we can do for him.
 
There's apparently a rare tie between Cabergoline and pleural effusion in humans. This is a rabbit hole I should not go down right now
 
:bighug::bighug::bighug:
CHF/pleural effusion is unfortunately fairly common in feline acromegaly, and often quite sudden, even in absence of fluids. The chest tap will make him feel more comfortable.
 
Oh, Melissa. :(

Been MIA due to Life Stuff™, and I'm sorry to read about this.

Praying real hard to the Patron Saint of Spicy Kitties for a miracle for your fluffy monstrosity.

Hugs.
 
mosi_yazhi said:
Oh, Melissa. :(

Been MIA due to Life Stuff™, and I'm sorry to read about this.

Praying real hard to the Patron Saint of Spicy Kitties for a miracle for your fluffy monstrosity.

Hugs.
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He must have heard you!

They pulled about 1/2 liter of a thick milky fluid out, he's breathing much better, they're hoping to to take him off oxygen tonight and we can pick him up in the morning.

"You know it's funny. He was so lethargic before and now he's...pretty darn feisty to put it nicely" :cool:

They ran some blood work and heart appears to be ok. Cardiologist is in Tuesday if we wanted anything further. So now it's looking like either cancer or infection, they started abx just in case. Won't have cytology and culture back for a few days
 
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FrostD said:
He must have heard you!

They pulled about 1/2 liter of a thick milky fluid out, he's breathing much better, they're hoping to to take him off oxygen tonight and we can pick him up in the morning.

"You know it's funny. He was so lethargic before and now he's...pretty darn feisty to put it nicely" :cool:
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This is the BEST NEWS I have heard all day. Go Mr. Kitty!
 
PerfumedCatMom said:
This is the BEST NEWS I have heard all day. Go Mr. Kitty!
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Thank you!

So I could use your help...it's looking like it might be chylothorax. In which case we'd try to manage with rutin and a low fat diet, surgery or continual chest taps are just out of the question for us. Problem is it has to be less than 6% fat DMB, and a commercial cat food for that really doesn't seem to exist. So I'd be looking at raw.

Thankfully I had been stalking your post on Think Tank. I don't have any completers but will order asap. Looking at EZComplete (because I'm on time crunch and need fastest easiest solution)...do you think that with lean proteins will meet the 6% requirement? Not long term, the hope is that it resolves within a month.
 
FrostD said:
He must have heard you!

They pulled about 1/2 liter of a thick milky fluid out, he's breathing much better, they're hoping to to take him off oxygen tonight and we can pick him up in the morning.

"You know it's funny. He was so lethargic before and now he's...pretty darn feisty to put it nicely" :cool:

They ran some blood work and heart appears to be ok. Cardiologist is in Tuesday if we wanted anything further. So now it's looking like either cancer or infection, they started abx just in case. Won't have cytology and culture back for a few days
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I will pray for Mr. Kitty.
 
Oh Melissa, I am so sorry to read all this but so relieved to get to the most recent post in the thread and see the treatment has made Mr Kitty feel feel better and spicier! Glad you followed your instincts and took him into the ER (and of course he followed the cat rule of being the most severely ill at the weekend). I hope he, and you, have a good relaxing night's sleep so you can attack the rest of the week. :bighug:
 
FrostD said:
Thank you!

So I could use your help...it's looking like it might be chylothorax. In which case we'd try to manage with rutin and a low fat diet, surgery or continual chest taps are just out of the question for us. Problem is it has to be less than 6% fat DMB, and a commercial cat food for that really doesn't seem to exist. So I'd be looking at raw.

Thankfully I had been stalking your post on Think Tank. I don't have any completers but will order asap. Looking at EZComplete (because I'm on time crunch and need fastest easiest solution)...do you think that with lean proteins will meet the 6% requirement? Not long term, the hope is that it resolves within a month.
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I would stick to ground chicken breast and turkey breast, and maybe add cooked egg whites for additional no fat, low phosphorus protein. Where do you plan to source the meats? If you're going to supermarket, it will say on the label what the fat percentage is, but it's based on calories, not DMB. The only raw pet meat purveyor I know who sells boneless ground meat who does nutritional analysis is Hare Today, and a quick scan through their files shows that the lowest fat meat they have is venison and it's 9.16% fat DMB.

Hope this helps you in some way. Did Mr. Kitty's vet have any suggestions?
 
PerfumedCatMom said:
I would stick to ground chicken breast and turkey breast, and maybe add cooked egg whites for additional no fat, low phosphorus protein. Where do you plan to source the meats? If you're going to supermarket, it will say on the label what the fat percentage is, but it's based on calories, not DMB. The only raw pet meat purveyor I know who sells boneless ground meat who does nutritional analysis is Hare Today, and a quick scan through their files shows that the lowest fat meat they have is venison and it's 9.16% fat DMB.

Hope this helps you in some way. Did Mr. Kitty's vet have any suggestions?
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Short term it has to be supermarket. I'm beginning to wonder if the article really did mean DMB. Everything else just generically says "low fat".

I'll call regular vet tomorrow...not a huge fan of the vet we had today. Different vet will hopefully discharge him tomorrow, so I'll see what she says too.
 
FrostD said:
Short term it has to be supermarket. I'm beginning to wonder if the article really did mean DMB. Everything else just generically says "low fat".

I'll call regular vet tomorrow...not a huge fan of the vet we had today. Different vet will hopefully discharge him tomorrow, so I'll see what she says too.
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Another meat option if you're buying from the supermarket would be pork chops or pork loin with all of the fat trimmed off. You can mince it or throw it in a food processor to chop it up small for him to eat. Good luck with it all, Melissa. :bighug:
 
PerfumedCatMom said:
Another meat option if you're buying from the supermarket would be pork chops or pork loin with all of the fat trimmed off. You can mince it or throw it in a food processor to chop it up small for him to eat. Good luck with it all, Melissa. :bighug:
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Thank you so much, I really appreciate it. Long day...as if I didn't have enough diseases to learn here's one more.

I feel like an eternity ago I saw Ruby possible UTI (this morning maybe?) - I hope that gets cleared up quickly for her!
 
FrostD said:
Thank you so much, I really appreciate it. Long day...as if I didn't have enough diseases to learn here's one more.

I feel like an eternity ago I saw Ruby possible UTI (this morning maybe?) - I hope that gets cleared up quickly for her!
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Thanks, Melissa. I've gotten some D-mannose in her, so hopefully that will start working its magic. :)
 
@Wendy&Neko I plan to start transitioning to raw tomorrow when he gets home. As much as I hate throwing another variable in the mix, if it is chylothorax, then time is of the essence so fluid doesn't build back up/cause scarring/more irritation to organs. The way I see it, no harm in getting a head start (and a better diet) while we wait for results.

I'll see where he's at tomorrow when he comes home, but with a transition to raw and all this recent craziness...I'm leaning towards hold 0.5-1U while transitioning? A bit amusing, it's like starting all over again for the 15th time.

I'm also wracking my brain - perhaps is this fluid why his BG crashed, not the cab? Biologically I'm not sure it makes sense, but this all started after his 2nd dose of cab. Or potentially weird side effect of cab and I should pause it for a little?
 
Melissa I'm so glad Mr Kitty is feeling better, praying for the best.
Come on Mr Kitty we are all rooting for you .
Try and get a good nights sleep Melissa ♥:bighug::bighug::bighug:
 
Oooh! Im glad he looks like he might pull through! Go, Mr. Kitty, go!!!! Will keep my fingers crossed he keeps trending upward in recovery.

If you're trying to get the lowest fat food possible, I would consider buying the lowest fat meat you can find... and then actually cooking it by boiling to render out any extra fat, and then manually rinsing with more water? Just my two cents, obviously! Even when I boil chicken breasts for food I'm cooking for myself, there's always that oil slick that rises to the top of the pot, and I've seen people rinsing their cooked meats when they're looking to dehydrate it for camping trips. And the EZ Complete can be made with cooked meats!

(They just FINALLY freaking restocked that, too, so this was 'lucky' timewise. I feel like I was stalking FoodFurLife for ages.)
 
Cabergoline is supposed to be tapered if you go off it. I'd stick with EOD for now. But ask the vet tomorrow if it's possible there's a connection. Reading the possible causes of chylothorax, I can't think of what the connection could be, but I don't have the background to figure that one out.

Today's numbers still have influence of the 4 and 5.5 unit depot. I don't think I'd go too low with the dose. See where he is when he comes home. His depot should be smaller by then.
 
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