Max & Lori
Member Since 2021
Max had a visit to IM at NCSU on this past Monday, 12/18/23 for evaluation of CKD, hypertension, etc. Good news is his blood pressure was good considering the stress of the visit. It was 140. I actually loved the clinic. They have a whole section in internal medicine just for cats with the Feliway going, quiet, no barking dogs, cute room with steps going up a wall for cats to climb, clean litter box in there. I had to mention it, it was so nice. We weren't allowed in the last time we were there because of covid so this was my first time seeing it.
The doctor and the student were great as well. The bad news is his labs were not any better. I was hoping the last labs he had were just an acute thing. The doctor was hoping that as well but that isn't the case. She said he looked really good physically. We were not able to get the ultrasound that day because they had a lot of need in the ER requiring the ultrasound slots. The vet did another urine culture. I asked if a UTI could be missed on a urine culture and show up on an ultrasound. She said that was possible, but in Max's case, she doubted it because his WBCs were normal and cats with pyelonephritis usually had significant WBCs. I still want the ultrasound and she's ordered him to have it anyway to evaluate his kidneys further. I'm waiting on a call for the appointment now. The vet changed his blood pressure meds from amlodipine twice daily and enalapril once daily to Telmisartan once daily. She is shipping that to me from NCSU. I'm not sure what milligrams that is, but I'm kind of anxious about the change because he's coming off a lot of BP meds and changing to only one pill daily. I know its a different med, but it took a really long time to get his BP to an acceptable range. I wouldn't think his kidneys could take much more of that. I just worry though. I'm not giving up on Max, even though it feels like a lot of others have. I posted the lab results on his SS @Wendy&Neko if you have any thoughts to offer.
Previous https://www.felinediabetes.com/FDMB...9-2-158-3-5-76-5-69-6-82.284471/#post-3131645
The doctor and the student were great as well. The bad news is his labs were not any better. I was hoping the last labs he had were just an acute thing. The doctor was hoping that as well but that isn't the case. She said he looked really good physically. We were not able to get the ultrasound that day because they had a lot of need in the ER requiring the ultrasound slots. The vet did another urine culture. I asked if a UTI could be missed on a urine culture and show up on an ultrasound. She said that was possible, but in Max's case, she doubted it because his WBCs were normal and cats with pyelonephritis usually had significant WBCs. I still want the ultrasound and she's ordered him to have it anyway to evaluate his kidneys further. I'm waiting on a call for the appointment now. The vet changed his blood pressure meds from amlodipine twice daily and enalapril once daily to Telmisartan once daily. She is shipping that to me from NCSU. I'm not sure what milligrams that is, but I'm kind of anxious about the change because he's coming off a lot of BP meds and changing to only one pill daily. I know its a different med, but it took a really long time to get his BP to an acceptable range. I wouldn't think his kidneys could take much more of that. I just worry though. I'm not giving up on Max, even though it feels like a lot of others have. I posted the lab results on his SS @Wendy&Neko if you have any thoughts to offer.
Previous https://www.felinediabetes.com/FDMB...9-2-158-3-5-76-5-69-6-82.284471/#post-3131645
