8/13 Binx AMPS 308, +4 295 - labs back and really bad 😞

[Briana + Binx]

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I just got a call from the vet with Binx labs and they’re really bad… his kidney values have increased 3 fold. His creatinine is 679 (apologies I don’t have capacity to do the conversion right now, if there is one).

I’m just sitting in a stairwell at work completely distraught. I need to look into options and outcomes but the vet told me from their perspective there’s two:
- Hospitalize to try to bring his numbers down, an ultrasound to see what might be happening, and then aggressive treatment moving forward. They said this may only help him feel better for a short time, before needing to do it again.
- Start planning for goodbye

When I’ve calmed down, I’ll look into everything more. I will do the forms that I’ve seen shared here about knowing when it’s time.

Give your babies extra love and hugs today

 

[Tim & Pookey]

Briana, I'm so sorry to read this update. That's a pretty sudden increase in creatinine from where he was at in July. I'm still learning but from some of the reading I've done for the kidney board, if there's something acute going on like an infection or urinary issue, numbers can look really bad really fast, but can improve with treatment.

 

[Staci & Ivy]

((((((Briana))))) I am sending you many, many hugs and so much love and prayers for sweet Binx
As Tim mentioned, hoping there is something else causing those elevated numbers that he can overcome this.
I know how hard that blow was to receive from the vet, I am so sorry you had to get that call while at work.

Praying for you and Binx

 

[Briana + Binx]

Briana, I'm so sorry to read this update. That's a pretty sudden increase in creatinine from where he was at in July. I'm still learning but from some of the reading I've done for the kidney board, if there's something acute going on like an infection or urinary issue, numbers can look really bad really fast, but can improve with treatment.

Thanks, Tim That's very good info. The first thing I started reading was this page on AKD and ACKD. It looks like Binx falls under Stage 4 of 5, for AKD and from what I'm seeing, likely days or a week of hospitalization/fluid therapy and then I read cats in later stages "may die within 5 to 10 days despite appropriate conventional management" - I would be devastated if Binx spent his last days hospitalized. And the hospitalization with his FD, hyper-t. I know they'd manage his conditions, but it makes it all so much more complicated. Just getting my thoughts out, but I appreciate the support and knowledge. I'm sure you've been in deep with the kidney board.

 

[Briana + Binx]

((((((Briana))))) I am sending you many, many hugs and so much love and prayers for sweet Binx
As Tim mentioned, hoping there is something else causing those elevated numbers that he can overcome this.
I know how hard that blow was to receive from the vet, I am so sorry you had to get that call while at work.

Praying for you and Binx

Thanks, Staci

 

[Briana + Binx]

Another thing I'll add: his t4 has improved, so a part of me wonders if this is also contributing to the worse kidney values... but wouldn't be that much.

 

[JoM]

Oh my gosh Briana, Im so sorry. I do agree with Tim tho that it could be something acute like a kidney infection. Those are unfortunately really hard to treat and usually take many rounds of antibiotics. If all this has come on quite suddenly, you do have a chance tho with treatment that he could come back down to reasonable numbers and give you a little more time.

 

[JoM]

Another thing I'll add: his t4 has improved, so a part of me wonders if this is also contributing to the worse kidney values... but wouldn't be that much.

The T4 will go down when the Creatinine goes up, so its a false reading unfortunately.

 

[Wendy&Neko]

Any chance he was dehydrated when his blood was taken? That can also increase numbers. But I'd definitely investigate the kidney infection possibility. That does seem like quite a jump. Neko's were going up in her last year, but not that fast. My treatment of her kidneys was limited because her heart wouldn't let her have subq fluids.

 

[Karolina & Nestle]

Oh Briana I'm so sorry to read this update.
I don't have any advice just wanted you to know me and my boys are thinking of you snd sweet Binx. I'm sure you'll make the right decision no matter what it is. Also sending vines in the meantime
️️️️️️️️️

 

[Briana + Binx]

Oh my gosh Briana, Im so sorry. I do agree with Tim tho that it could be something acute like a kidney infection. Those are unfortunately really hard to treat and usually take many rounds of antibiotics. If all this has come on quite suddenly, you do have a chance tho with treatment that he could come back down to reasonable numbers and give you a little more time.

The T4 will go down when the Creatinine goes up, so its a false reading unfortunately.

Any chance he was dehydrated when his blood was taken? That can also increase numbers. But I'd definitely investigate the kidney infection possibility. That does seem like quite a jump. Neko's were going up in her last year, but not that fast. My treatment of her kidneys was limited because her heart wouldn't let her have subq fluids.

Thank you, Jo and Wendy I'm going to call the vet about an infection now, because yesterday before I took him to the vet (around 5pm) he wasn't really drinking and had barely used the litter box. So also to your point Wendy, he was definitely dehydrated.

 

[Briana + Binx]

Oh Briana I'm so sorry to read this update.
I don't have any advice just wanted you to know me and my boys are thinking of you snd sweet Binx. I'm sure you'll make the right decision no matter what it is. Also sending vines in the meantime
️️️️️️️️️

Thanks, Karolina

 

[Sara & Khloe]

Sending hugs and lots and lots of vines and good luck

 

[Briana + Binx]

Sending hugs and lots and lots of vines and good luck

Thank you, Sara

 

[Elaine and Ember]

Big hugs. I hope it's dehydration and that you're able to treat whatever is going on. Poor Binx and poor you. It's so hard. Fingers crossed and sending healing vines.

 

[Briana + Binx]

Big hugs. I hope it's dehydration and that you're able to treat whatever is going on. Poor Binx and poor you. It's so hard. Fingers crossed and sending healing vines.

Thanks, Elaine I hope so too

 

[Seth&Bell]

Sending love, Briana. I'm so sorry to hear this and I am thinking of you and Binx

 

[Briana + Binx]

Sending love, Briana. I'm so sorry to hear this and I am thinking of you and Binx

Thanks so much, Seth

 

[Mary & Jude]

Briana and sweet Binx!! You're both in my thoughts...

 

[Elizabeth & Mister]

Oh Briana my heart breaks for you and sweet Binx. You will both be in my continued prayers. Binx’s life is full of LOVE, hold him close. ((Hugs))

 

[Marje and Gracie]

I’m so sorry Briana. I have seen cats with his level of creatinine respond well for a long time. But very concerning is his phosphorus and potassium are way too high. The potassium level is one that needs to be addressed immediately with your vet.

I hope your vet can address the labs and help his numbers improve.

 

[Briana + Binx]

Briana and sweet Binx!! You're both in my thoughts...

Oh Briana my heart breaks for you and sweet Binx. You will both be in my continued prayers. Binx’s life is full of LOVE, hold him close. ((Hugs))

I’m so sorry Briana. I have seen cats with his level of creatinine respond well for a long time. But very concerning is his phosphorus and potassium are way too high. The potassium level is one that needs to be addressed immediately with your vet.

I hope your vet can address the labs and help his numbers improve.

Thank you all so much

Marje, thank you for flagging the potassium - as I start to read, there's of course some very useful information. Especially with potassium levels related to heart function, which will be important as we consider options/fluids.

 

[Marje and Gracie]

Thank you all so much

Marje, thank you for flagging the potassium - as I start to read, there's of course some very useful information. Especially with potassium levels related to heart function, which will be important as we consider options/fluids.

With CKD, I find it’s really important to stay on top of phosphorus, anemia, hydration, potassium, calcium. Other things can develop but alot is gained by keeping those numbers under control.

Please keep us posted.

 

[Clarice & Mami Cat]

Briana, I am sending you a big hug, along with lots of wisdom and serenity to deal with everything that is needed.

If he was dehydrated, would it be possible to repeat the lab work after he is properly hydrated? This is what I recently had to do with Mami Cat, to see what changed or not after proper rehydration.

 

[Briana + Binx]

Briana, I am sending you a big hug, along with lots of wisdom and serenity to deal with everything that is needed.

If he was dehydrated, would it be possible to repeat the lab work after he is properly hydrated? This is what I recently had to do with Mami Cat, to see what changed or not after proper rehydration.

Thanks, Clarice I'm wondering the same. We have Binx on sub-q fluids now and will recheck his values this upcoming week. Hoping for the best.