8/2 Copernicus PMPS= 750 +10=364 (kidney advice)

[Krista & Copernicus]

PP

He was taken off fast acting some time yesterday afternoon.

They gave him 15 units last night and 14 units this morning. The night shift vet was very brief as she was rounding to the day time vet and wouldn't answer a lot of questions.

We have a more urgent issue. By the vet school not feeding him and allowing his BG to shoot up to 700-750, can that, did that cause permanent kidney damage?? I am asking to join the Tanya's CKD group too.

His creatnine has never been over 3. More like 2.5 was his new normal. After 48 hours on fluids, his creatinine is now 4.74 and his BUN is 3.71. His kidneys are worse in just this 48 hours.

 

[Staci & Ivy]

PP

He was taken off fast acting some time yesterday afternoon.

First, I do not know the dose they gave him. I will find out in a couple hours. The night shift vet was very brief as she was rounding to the day time vet and wouldn't answer a lot of questions.

We have a more urgent issue. By the vet school not feeding him and allowing his BG to shoot up to 700-750, can that, did that cause permanent kidney damage??

His creatnine has never been over 3. More like 2.5 was his new normal. After 48 hours on fluids, his creatinine is now 4.74 and his BUN is 3.71. His kidneys are worse in just this 48 hours.

Sending many prayers Krista
Poor baby. He needs a break already

I don’t understand why they don’t feed him
I really hope they can correct what’s going on

 

[Karolina & Nestle]

Sending vines.
Poor buddy has been through so much. And you as well. Please take a moment for yourself to recharge.
️️️️️️️️

 

[Wendy&Neko]

One cycle or two of high numbers does not cause kidney damage. I asked Neko's IM vet about high numbers and he said that temporary high numbers are fine, you just don't want to be in prolonged high numbers. He could have been quite dehydrated, which will temporarily increase the kidney values.

Could you put the doses given him last night and today in the spreadsheet? 15 units is too much insulin, as he's shown already. And they scolded you about giving too much insulin. . Did you ever find out how much fast acting insulin he was given?

 

[Krista & Copernicus]

I have no control and I can't get answers. The vet school is now consulting directly to the new ER and no one will listen to me.i think they did 14 and 14 and it's still too much because he went low again in the 60s. He has to be given dextrose. The ER doc also thinks its too much but the vet school said he need to stay on a dose for at least 5 days.i said I wanted a dose increase and they won't do it. I am so confused as so what is going on and why I have no say. Does this not happen to anyone else when their cats are in the hospital? They take over and change stuff and do what they want? They also decreased his feedings to every 6 hours when I was feeding him every 3.

 

[Krista & Copernicus]

One cycle or two of high numbers does not cause kidney damage. I asked Neko's IM vet about high numbers and he said that temporary high numbers are fine, you just don't want to be in prolonged high numbers. He could have been quite dehydrated, which will temporarily increase the kidney values.

Could you put the doses given him last night and today in the spreadsheet? 15 units is too much insulin, as he's shown already. And they scolded you about giving too much insulin. . Did you ever find out how much fast acting insulin he was given?

Wendy, I'm at the point where I'm looking up the laws in terms of vet hospitals and keeping pets. His pre-shot was only 138 this morning and they still injected him with 13 units. They said if he doesn't go hypo only then will discharge him. Well of course he will go hypo. He needs a bigger dose reduction still. What would you have done with this AMPS? They don't understand acromegaly as not just diabetics. And this is a rural community hospital. I just wanted him treated for dehydration and discharged. They are also telling me they are having issues with their lab machines so I don't know what his true kidney values are.

 

[Krista & Copernicus]

One cycle or two of high numbers does not cause kidney damage. I asked Neko's IM vet about high numbers and he said that temporary high numbers are fine, you just don't want to be in prolonged high numbers. He could have been quite dehydrated, which will temporarily increase the kidney values.

Could you put the doses given him last night and today in the spreadsheet? 15 units is too much insulin, as he's shown already. And they scolded you about giving too much insulin. . Did you ever find out how much fast acting insulin he was given?

His pre-shot was only 138 this morning and they still injected him with 13 units. They said if he doesn't go hypo only then will discharge him. Well of course he will go hypo. He needs a bigger dose reduction still. What would you have done with this AMPS? They don't understand acromegaly as not just diabetics. And this is a rural community hospital. I just wanted him treated for dehydration and discharged. They are also telling me they are having issues with their lab machines so I don't know what his true kidney values are.

 

[Staci & Ivy]

His pre-shot was only 138 this morning and they still injected him with 13 units. They said if he doesn't go hypo only then will discharge him. Well of course he will go hypo. He needs a bigger dose reduction still. What would you have done with this AMPS? They don't understand acromegaly as not just diabetics. And this is a rural community hospital. I just wanted him treated for dehydration and discharged. They are also telling me they are having issues with their lab machines so I don't know what his true kidney values are.

OMG, this is so upsetting. I am sorry Krista.
Sending many prayers to you and Copernicus

 

[Marje and Gracie]

His pre-shot was only 138 this morning and they still injected him with 13 units. They said if he doesn't go hypo only then will discharge him. Well of course he will go hypo. He needs a bigger dose reduction still. What would you have done with this AMPS? They don't understand acromegaly as not just diabetics. And this is a rural community hospital. I just wanted him treated for dehydration and discharged. They are also telling me they are having issues with their lab machines so I don't know what his true kidney values are.

You have the ability to remove him from the hospital any time you want. He is your cat and they legally have to release him on your order to do so.

When my Gracie was in the hospital, I told them I would come, bring her insulin, and administer it. They were not, under any terms, to give her insulin. They did exactly as I instructed. If they tell you it’s their way or no way, take him out. I can’t tell that anything they have done has helped him. And it’s just running up your bill and keeping him away from home. You took him in for passing blood clots this time and not for diabetes management.

 

[Wendy&Neko]

He is your cat, you should be able to take him home. But I don't know your state laws. I also agree that they aren't giving you any good reason they should be keeping him. If their lab machines are having problems, they can always send results to an external lab. That's not a reason to keep him.

Like Marje, when Neko was in hospital, I was the one who gave insulin. A couple times I skipped because she was too low given how much she was eating and the amount of monitoring.

 

[Krista & Copernicus]

You have the ability to remove him from the hospital any time you want. He is your cat and they legally have to release him on your order to do so.

When my Gracie was in the hospital, I told them I would come, bring her insulin, and administer it. They were not, under any terms, to give her insulin. They did exactly as I instructed. If they tell you it’s their way or no way, take him out. I can’t tell that anything they have done has helped him. And it’s just running up your bill and keeping him away from home. You took him in for passing blood clots this time and not for diabetes management.

In our state, they can refuse to release an animal if they feel they are not stable. There are only 3 IM doctors and ERs on my area. Most of the time they are full and refuse intakes. I have yet to find one that gives me any autonomy to administer anything to him like you have described and experienced. They say they can't for legal reasons. I sent an email saying the same thing that I want to take him home to mange his diabetes.

 

[Marje and Gracie]

In our state, they can refuse to release an animal if they feel they are not stable. There are only 3 IM doctors and ERs on my area. Most of the time they are full and refuse intakes. I have yet to find one that gives me any autonomy to administer anything to him like you have described and experienced. They say they can't for legal reasons. I sent an email saying the same thing that I want to take him home to mange his diabetes.

Someone is feeding you a line. There are no states where a vet can refuse to release your cat unless (1) they can prove animal abuse or (2) the bill has not been paid.

There is absolutely no way I would accept this situation. I would show up with the carrier, make sure the bill is paid, get the manager and tell them to release your cat or you will gladly make public through every source of media that they are holding your cat against your wishes.

So you burn one bridge by making that clinic mad. But he is your cat.

 

[Krista & Copernicus]

He is your cat, you should be able to take him home. But I don't know your state laws. I also agree that they aren't giving you any good reason they should be keeping him. If their lab machines are having problems, they can always send results to an external lab. That's not a reason to keep him.

Like Marje, when Neko was in hospital, I was the one who gave insulin. A couple times I skipped because she was too low given how much she was eating and the amount of monitoring.

That's another thing, they reduced his meals to every 6 hours. I feed him every 3. They said that's why he's not regulated. I don't want to have to go through all this every time he goes to the hospital for AKI and UTI. Ugh.

 

[Wendy&Neko]

UTI is simple. They take blood and urine from him, and hand him back to you. Absolutely no reason for him to stay any longer for a UTI.

Sounds like many reasons Copernicus does better at home. There is absolutely no reason they need to hold him to get him regulated. Especially when it sounds like you do a much better job. As long as the blood clot issue is resolved or can be monitored at home, he is ready to be released.