Hello from Fred! Dental tomorrow

Purrberry

Member Since 2020
It has been a long while since I've posted, but we have been trucking along, here. Fred's spreadsheet remains as colorful as ever. ;-)

Around the end of June, I noticed that Fred seemed to have lost some weight. So I weighed him, and sure enough, he'd lost nearly a pound. I know if cats are not well controlled they can continue to lose, but he had been pretty stable for quite some time. My suspicion then went to his teeth, for he had started to not be enthusiastic about his dry food. (which normally he loves) I had actually brought this up with my vet last December and was kind of poo-pooed. She didn't feel his teeth were an issue. I should have listened to my instincts.

Fast forward to late July, and I could tell his teeth, mainly his lower canines, were bothering him. When we test, Fred hops up on the sink counter, drinks from the faucet, and I do his ear. But he had become very hesitant to put his mouth in the water. His low consumption of his dry food was continuing. (which also wreaked havoc with his dosing at times...couldn't trust him to eat) As we were down the shore for the summer, I took him to a local vet there, and she immediately saw he has a FORL on his lower left canine. (His upper canines were removed about 5 years ago-he is sadly prone to FORLS) My guess his the right canine will show resorption as well, and I anticipate issues with other teeth. I weighed him today, and he's lost yet another 7 oz. :-((

So, we are back home and scheduled for a dental tomorrow with his regular vet. And I. Am. Terrified. First and foremost of the actual surgery/anesthesia. I had a long convo with my vet about the whole process, but one never knows.

They first told me full dose at night, then no food after midnight. No insulin the morning of, as he will be dropped off before his AM shot. I explained that Fred is prone to incredible dives, even with food, so then she suggested a "lighter" dose in the PM. I have stressed and stressed how volatile his numbers can be, and they tell me they'll be monitoring him, but....*sigh*. The worry.

Then there's the recovery. He will NOT eat at the clinic, that's a certain. I'm instructing no Convenia, no Metacam, and to use his ondansetron injection for nausea instead of Cerenia, as it makes him inappetent. Hopefully Bupe for pain.

I know dentals can really help with regulation if trouble in the mouth has contributed to his crazy numbers. I can only hope that's true in this case. Interestingly enough, I gave him 100mg of Gabapentin yesterday for our car ride home from the shore. Since then, he's been RAVENOUS. Wondering if that also killed some pain in his mouth??

Sorry for the novel...Hope all are well, and we'd appreciate any good thoughts coming our way!
 
That wasn’t a novel but rather very informative. I hope I have learned to trust my gut more as well as my vet is great but my worries have been proven right in hindsight a couple of times. You are doing everything right pre dental. It does sound like the gabapentin helped with pain and it will be interesting to see what happens after the dental with his bg. Sending vines for a successful dental and quick recovery.
 
Sounds like the dental is exactly what Fred needs. I hope the vet is going to do dental x-rays to make sure all issues are dealt with. So many times there are issues below the gum line that can't be seen by visual inspection. Had that happen with Neko, even the dental specialist didn't see issues until after x-rays.

Fred hasn't done much on this dose so far, and the depot of the 3.25 units should be drained by now. He should be OK and not diving tonight or tomorrow. I once asked a vet what I should do if Neko dove after the food cutoff, and she said to feed as needed and let them know. Neko's dental vet was OK with her eating until 6AM. Just to be sure, I gave a helping of MC just before the food cutoff.

Paws crossed you see flatter numbers after the dental.
 
I was told no food after midnight so I fed and dosed tge night before but skipped in the morning.
 
Sounds like the dental is exactly what Fred needs
Oh boy...I am praying so.

I hope the vet is going to do dental x-rays to make sure all issues are dealt with.
Yes, they do do them.

I once asked a vet what I should do if Neko dove after the food cut off, and she said to feed as needed and let them know.
I was wondering about this very thing...of course, his immediate safety trumps all. I wish my vet would accept a later cut-off time for food, especially since more and more vets are coming round to this thinking, and I also don't know when in the day he will go in. But they are rather stringent about it. At first, they even told me the "standard" instructions of "no water after midnight". It was only after I kicked up a fuss about leaving a diabetic without water that they (front desk) realized they needed to adjust the pre-op procedures. Frustrating.

Paws crossed you see flatter numbers after the dental
Thank you! I just want him to be safe and get through this!
 
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