porchat
Member Since 2022
Hi all,
I made a post last week about my cat Freckles: https://www.felinediabetes.com/FDMB...is-and-hepatic-lipadosis.270099/#post-3012587
Unfortunately, it ended with me putting her to sleep. I have some questions about why it ended that way.
I know none of you will have any answers, I am just curious what you all think and if any of you had a situation similar to this. Her final week is at the bottom.
my questions are:
Have any of you dealt with refeeding syndrome and how was it managed?
Have any of you dealt with pancreatitis and Fatty liver and how was it treated?
Was this a “too many cooks in the kitchen” type of situation? She had a different vet every day/night shift and only saw the internist twice.
Basically, I feel extremely guilty and angry and so sad it turned out this way. She was my best friend. Did I put her in the wrong hands? Did I not ask enough questions ? She was my first pet and I feel like I failed her.
Whatever insight you have or anything is appreciated. I want to make the right choices the next time I have a pet in crisis.
Freckles final week:
Freckles went to the vet on Friday 10/21 for eating less than usual (but still eating). Blood work was fine, vet gave me Metronidazole and Mirataz.
That weekend- slightly eating but no improvements.
Monday(10/24) - she didn’t eat at all so I took her to the ER. They said it was Pancreatitis and “Probably” DKA. Did an ultrasound, confirmed Pancreatitis but everything else looked fine. The liver was a slight worry because she wasn’t eating.
Monday night to Wednesday (10/26)- was at that hospital treating her electrolytes, trying to get her bg at a normal level and trying to feed her. Ate slightly except on Wednesday at 1pm ate enthusiastically.
Wednesday 2:30pm- transferred to different hospital with internal medicine because they couldn’t get her electrolytes to stabilize and wanted a second opinion. Imo- she looked a little sick but had energy and didn’t look that skinny
Wednesday 9/10pm - Front desk lady brought her to me in about 2 min. She was either in a cage doing nothing or in her carrier still. She looked extremely skinny, much more sick than when I brought her in. I created a fuss and the front desk lady said the night vet was trying to avoid Refeeding syndrome which is why he didn’t feed her. Why she wasn’t getting fluids or electrolytes or anything is beyond me.
Thursday 9am- I get a call from the internal medicine vet. She asks me when the last time she was fed. I told her what I knew from the previous night. She tells me she’s not sure why he did that and she needs to fix her fatty liver and wants to put a feeding tube her in her but she never had dka. She says nothing about the pancreatitis. She says her electrolytes are off because of lack of food. I agree to the feeding tube.
Thursday 12pm - Operation. Woke up from anesthesia quickly.
Thursday 4:30pm- I pick her up. She has some energy to move around the room but looks out of it. Her eye is bleeding and they are unsure why and don’t see any cuts. They give me instructions of
Increase food intake 25% everyday. Feed 3 times a day of hills a/d slurry. 5ml of water before and after each feeding
-half a pill of cerenia before meal
-mirataz on ear before meal
-increase units of lantus each day until it’s at 3 units.
- scan freestyle libre and upload data.
Thursday(7pm) - at home. She eats one nugget of food and drinks water and pees immediately after. No poop this entire week. She sits in the loaf but perched on paws position. She is staring at nothing. Call vet - they say it’s probably the anesthesia.
Thursday(9/10pm) - back to the first ER(it’s closer to me. the internal medicine one is an hour away) she has low blood pressure and is cold (98 degrees). They give her a bolis(sp?), feed her +insulin and gabapentin. Her temp is still low (around 99) but blood pressure is back up to around 100 something. She looks miserable, skinny, and won’t close her eyes or change sitting positions.
Friday(9am)- she looks about the same as yesterday. Her Bg is around 350. Still won’t close her eyes. Can move but barely and is wheezing. Fed her +insulin
Friday(1pm)- call the internal medicine vet. Tell her about how she is and they schedule an 4pm appointment. She won’t move now.
Friday(3:00pm) - driving to the hospital. Her breathing/wheezing is increasingly more noticeable. Can barely lift her head. Laying in positions I’ve never seen before. And she is more yellow than before. But not a bright yellow.
Friday (4:30pm) - they say her liver is worse, her electrolytes dropped and they aren’t sure why. They suspect Refeeding syndrome but aren’t sure. They don’t know why her liver got worse even with food. They said her feeding tube was still in place and didn’t know what the wheezing was from. They don’t know why she won’t close her eyes. They say it’s okay to stop. that I’ve done more than most pet owners. They say with all the money in the world they aren’t sure if they can save her.
Friday (5:00pm) - They set her down on her favorite chair that I brought. She is breathing with her mouth wide open now. She extremely uncomfortable and moving in ways I haven’t seen before. I sing her the song I made up for her when I first got her. Her eyes finally close.
I made a post last week about my cat Freckles: https://www.felinediabetes.com/FDMB...is-and-hepatic-lipadosis.270099/#post-3012587
Unfortunately, it ended with me putting her to sleep. I have some questions about why it ended that way.
I know none of you will have any answers, I am just curious what you all think and if any of you had a situation similar to this. Her final week is at the bottom.
my questions are:
Have any of you dealt with refeeding syndrome and how was it managed?
Have any of you dealt with pancreatitis and Fatty liver and how was it treated?
Was this a “too many cooks in the kitchen” type of situation? She had a different vet every day/night shift and only saw the internist twice.
Basically, I feel extremely guilty and angry and so sad it turned out this way. She was my best friend. Did I put her in the wrong hands? Did I not ask enough questions ? She was my first pet and I feel like I failed her.
Whatever insight you have or anything is appreciated. I want to make the right choices the next time I have a pet in crisis.
Freckles final week:
Freckles went to the vet on Friday 10/21 for eating less than usual (but still eating). Blood work was fine, vet gave me Metronidazole and Mirataz.
That weekend- slightly eating but no improvements.
Monday(10/24) - she didn’t eat at all so I took her to the ER. They said it was Pancreatitis and “Probably” DKA. Did an ultrasound, confirmed Pancreatitis but everything else looked fine. The liver was a slight worry because she wasn’t eating.
Monday night to Wednesday (10/26)- was at that hospital treating her electrolytes, trying to get her bg at a normal level and trying to feed her. Ate slightly except on Wednesday at 1pm ate enthusiastically.
Wednesday 2:30pm- transferred to different hospital with internal medicine because they couldn’t get her electrolytes to stabilize and wanted a second opinion. Imo- she looked a little sick but had energy and didn’t look that skinny
Wednesday 9/10pm - Front desk lady brought her to me in about 2 min. She was either in a cage doing nothing or in her carrier still. She looked extremely skinny, much more sick than when I brought her in. I created a fuss and the front desk lady said the night vet was trying to avoid Refeeding syndrome which is why he didn’t feed her. Why she wasn’t getting fluids or electrolytes or anything is beyond me.
Thursday 9am- I get a call from the internal medicine vet. She asks me when the last time she was fed. I told her what I knew from the previous night. She tells me she’s not sure why he did that and she needs to fix her fatty liver and wants to put a feeding tube her in her but she never had dka. She says nothing about the pancreatitis. She says her electrolytes are off because of lack of food. I agree to the feeding tube.
Thursday 12pm - Operation. Woke up from anesthesia quickly.
Thursday 4:30pm- I pick her up. She has some energy to move around the room but looks out of it. Her eye is bleeding and they are unsure why and don’t see any cuts. They give me instructions of
Increase food intake 25% everyday. Feed 3 times a day of hills a/d slurry. 5ml of water before and after each feeding
-half a pill of cerenia before meal
-mirataz on ear before meal
-increase units of lantus each day until it’s at 3 units.
- scan freestyle libre and upload data.
Thursday(7pm) - at home. She eats one nugget of food and drinks water and pees immediately after. No poop this entire week. She sits in the loaf but perched on paws position. She is staring at nothing. Call vet - they say it’s probably the anesthesia.
Thursday(9/10pm) - back to the first ER(it’s closer to me. the internal medicine one is an hour away) she has low blood pressure and is cold (98 degrees). They give her a bolis(sp?), feed her +insulin and gabapentin. Her temp is still low (around 99) but blood pressure is back up to around 100 something. She looks miserable, skinny, and won’t close her eyes or change sitting positions.
Friday(9am)- she looks about the same as yesterday. Her Bg is around 350. Still won’t close her eyes. Can move but barely and is wheezing. Fed her +insulin
Friday(1pm)- call the internal medicine vet. Tell her about how she is and they schedule an 4pm appointment. She won’t move now.
Friday(3:00pm) - driving to the hospital. Her breathing/wheezing is increasingly more noticeable. Can barely lift her head. Laying in positions I’ve never seen before. And she is more yellow than before. But not a bright yellow.
Friday (4:30pm) - they say her liver is worse, her electrolytes dropped and they aren’t sure why. They suspect Refeeding syndrome but aren’t sure. They don’t know why her liver got worse even with food. They said her feeding tube was still in place and didn’t know what the wheezing was from. They don’t know why she won’t close her eyes. They say it’s okay to stop. that I’ve done more than most pet owners. They say with all the money in the world they aren’t sure if they can save her.
Friday (5:00pm) - They set her down on her favorite chair that I brought. She is breathing with her mouth wide open now. She extremely uncomfortable and moving in ways I haven’t seen before. I sing her the song I made up for her when I first got her. Her eyes finally close.
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