3/24 Max AMPS 313 +3 397 +5 366 +7 354 PMPS 317 +2.5 191 +3.5 142 +4 105 +7 97

[Max & Lori]

Apparently that was a big bounce that Max had last night. BG still up this morning. Max is S/P SRT 23 wks ago. He is scheduled at NCSU later in May for a 6 month follow up echo and cardiology consult (soonest appointment I could get). He also is due for a repeat T-4 in April (due every 3 months). I’m not sure if it’s just a T-4 we need or if we need a metabolic panel to check kidneys, liver etc. He had all of that in January with pretty good results. Those are posted on his SS.

 

[Christie & Maverick]

I would think since there weren't any results from the blood panel on January 17th that were out of normal ranges that you wouldn't need another round of tests yet? I'd think rechecking at 6 months would be fine. Since they're watching the T4 I'd ask about getting a free T4 by equilibrium analysis (fT4EqD) as well.

Bummer about the bounce, I'm sure Max will get back to business in no time

 

[Christie & Maverick]

@Suzanne & Darcy may have some thoughts on this as well.

 

[Max & Lori]

I would think since there weren't any results from the blood panel on January 17th that were out of normal ranges that you wouldn't need another round of tests yet? I'd think rechecking at 6 months would be fine. Since they're watching the T4 I'd ask about getting a free T4 by equilibrium analysis (fT4EqD) as well.

Bummer about the bounce, I'm sure Max will get back to business in no time

Okay thanks so much Christie! I will do that. I didn’t even know about the fT4EqD. So far his thyroid is fine, but because he had SRT they are monitoring every 3 months because of the risk of getting hypothyroidism after SRT. I’m just getting the lab tests from his local vet instead of NCSU but I will definitely ask about it next month. I would think every 6 months would be fine for the other tests also, but just wasn’t sure. I know… I hate bouncing especially daytime bouncing.

 

[Christie & Maverick]

Interesting, I just learned something new . I have been watching Maverick's T4 but because of HyperT - I didn't know that you may have lower thyroid function post SRT. Isn't it amazing all the things we become familiar with?

Daytime bounces should not be discounted! More time for you to take some time to relax, maybe read a book, run errands worry-free...

 

[Suzanne & Darcy]

Unless you see changes in his drinking of water, I probably would extend out the time between the CBC/CHEM panel. Was he in the "grey zone for older/symptomatic cats?" (you'll see it on the notes of his labs after the T4.)

On the other hand, if you already have to take him to get his thyroid checked, then maybe in order to minimize trips to the vet you will want to go ahead and add on the other standard tests. Your call really, unless the vet gives you a compelling rationale one way or the other.

I just had a the special thyroid testing done on my Ginger, it included the Free T4 by equilibrium analysis (fT4EqD). I had to specially request that my vet do it. They've been content to just keep testing her T4.. and she's only in the grey zone -- but to me she is showing signs of being hyperthyroid so I am pursuing it full force. I should get the results back soon. I may have to admit defeat, for the time being but I will continue to try to find out what is wrong with her. A mild HCM would not be the cause constant hunger and restlessness, etc. and other things have been ruled out (kidneys, major organs, etc. ultrasounds (both heard and abdominal have been done). Sorry to digress onto Ginger.

 

[Max & Lori]

Interesting, I just learned something new . I have been watching Maverick's T4 but because of HyperT - I didn't know that you may have lower thyroid function post SRT. Isn't it amazing all the things we become familiar with?

Daytime bounces should not be discounted! More time for you to take some time to relax, maybe read a book, run errands worry-free...

Daytime bouncing- true that! Max just seems to want to clear the bounce at night and I’m not a fan of PJ parties lol.

Yes, I have learned so much about veterinary stuff here! Some of it is similar to human medicine (I am a nurse) but a lot of it is way different! As far as FD and acromegaly, I would be lost if I hadn’t learned so much here, as well as a wonderful radiologist at NC State, Dr. Nolan.
The tumor that causes acromegaly is located on the pituitary gland, which controls the endocrine system including the thyroid. The SRT targets the tumor on the pituitary, so the thyroid levels can be affected causing the hypothyroidism. Humans can have acromegaly as well although I’ve never taken care of a patient with acro. Also diabetes in humans seems much easier to manage than feline diabetes in my experience. This has been a roller coaster for sure and honestly neither I nor my vet would have gotten this far with Max without FDMB. My vet thinks it’s a valuable resource for me. We are learning all of the time, I know I am from you guys! Thank you.

 

[Wendy&Neko]

As someone who had a cat that had SRT, I can share my experiences. I was told to check the thyroid every 3 months. As long as it's still well in the normal range, which he was in January, I don't see a reason for more thyroid testing. As Lori said, what can happen after SRT is not hyperthyroid, but rather hypothyroid. This happens more commonly in cats post radiation therapy treatment for hyperthyroidism, though in my time here I've seen a couple cases of it post SRT. Treatment is simple, just a pill a day. I continued to get regular blood testing every 6 months, more often if other things were showing up and we were tweaking meds to improve the bloods. Max's kidney numbers and USG look pretty good from January.

The link to yesterday's hijinks: https://felinediabetes.com/FDMB/thr...5-189-6-113-7-82-8-83-10-137-pmps-420.261058/

 

[Max & Lori]

As someone who had a cat that had SRT, I can share my experiences. I was told to check the thyroid every 3 months. As long as it's still well in the normal range, which he was in January, I don't see a reason for more thyroid testing. As Lori said, what can happen after SRT is not hyperthyroid, but rather hypothyroid. This happens more commonly in cats post radiation therapy treatment for hyperthyroidism, though in my time here I've seen a couple cases of it post SRT. Treatment is simple, just a pill a day. I continued to get regular blood testing every 6 months, more often if other things were showing up and we were tweaking meds to improve the bloods. Max's kidney numbers and USG look pretty good from January.

The link to yesterday's hijinks: https://felinediabetes.com/FDMB/thr...5-189-6-113-7-82-8-83-10-137-pmps-420.261058/

Thank you Wendy…I most definitely, always appreciate your input about your experiences with Neko. I’ve used them as a guide in caring for my Max. It helps me to know what to ask about at the vet’s office also.

 

[carfurby (GA)]

I hope Max comes back down soon.

 

[Max & Lori]

Max vomited about 15 minutes before PMPS, brownish looking. To make it worse, he vomited on his favorite toy, his crinkly mat, then laid down on it and got it all over him. The last time he ate before vomiting, was at AMPS +7 a tbsp of LC. After he ate @PMPS, I gave him a Cerenia tablet.

 

[Max & Lori]

Still seems finicky about eating, but no more vomiting. He had a normal BM. He's had the Cerenia already@ PMPS. I just gave his usual Zofran and Budesonide. He ate a little bit of MC (Proplan). He didn't want any of his usual LC foods. Also had a big dive. I really need to sleep tonight because I have an early morning appointment I need to go to. I am hoping he will just surf and not keep diving tonight. I’m sure we’ll see the bounce again sometime soon.