Jodey&Eddie&Blue
Very Active Member
Hello,
this was the 24th
https://felinediabetes.com/FDMB/threads/05-23-24-eddie-not-mia.290385/#post-3181960
It's all over the place. They also seem to be all over the place with giving him insulin. Like 4u on the 24th, 8u on the 25th and 6u today (26th)
Now this morning, the 26th, they gave him 6 units. They are basing dose on preshot numbers it seems and because they are a 24hr clinic the vets keep changing.
@Wendy&Neko given all that, would appreciate some guidance re: tonight's dose as I'm bringing him home.
MAY 25TH I just spoke with a vet who was reading out the ultrasound report about various "thickenings" showing in areas of Eddie's GI. They say either IBD or lymphoma and she says surgery to determine which it is. I will not put Eddie through that.
I was freaking out because the voice on the phone was just reading the report, which I'm including here. Clearly, there is no way to determine whether IBD of lymphoma unless there are samples taken in surgery. So, no.
I contacted the IM vet who was great. He said we will take things one step at a time. Eddie will get the echo on Tuesday (hopefully. If you can believe it, there's only one vet who does it at the clinic, part-time). If the echo shows Eddie can have dental surgery, I will bring him to the coast on June 4th (dental June 5th).
The IM vet has recommended--and I agree--that we will increase Eddie's Prednisolone now (currently he's been getting a low dose for his weight 1.25mg/once daily). We will increase to BiD. IM vet says if IBD, this will certainly help and even if lymphoma (hopefully, SCL), it will be included. I wrote to him yesterday regardingprednisolone dose if IBD or even if SCL. "I read this about SCL on the Cornell University College of Veterinary Medicine: “Cats with this disease can be effectively treated at home with a combination of a steroid (prednisolone) and an oral chemotherapy drug (chlorambucil, and over 90% achieve remission of their clinical signs.”
The IM vet mentioned that Eddie is already on Prednisolone but I pointed out that he is on 1.25mg/once daily, which he has been on for nearly 4 years. He was prescribed that dose when he weighed much, much less than his current weight (about 10kg). He has lost some weight this past while and I would attribute it to his not eating well for weeks. In any case, he does still weigh slightly over 10kg. My question is this: does it make sense to increase his Prednisolone given his current weight?
The IM vet wrote that he agrees and so that's what we'll be doing. It seems everything hinges on the echo results and if Eddie can get the dental done. I don't know what to do if he can't because he must eat.
MAY 26th:
I'm picking him up around noon today. I managed to get his Levothroxine compounded so the only pill-form medication he will have to take is the Prednisolone and it's tiny. The clinic has him on Gabapentin not Buprenorphine as they said the bupe affects appetite whereas Gabapentin does not. I don't know if this is accurate or it's just one of the many vet opinions that often determine protocol.
Max is doing better. Putting a little weight on his leg. It feels like I'm running a vet clinic here at home.
I'll post more as the day unfolds.
this was the 24th
https://felinediabetes.com/FDMB/threads/05-23-24-eddie-not-mia.290385/#post-3181960
It's all over the place. They also seem to be all over the place with giving him insulin. Like 4u on the 24th, 8u on the 25th and 6u today (26th)
Now this morning, the 26th, they gave him 6 units. They are basing dose on preshot numbers it seems and because they are a 24hr clinic the vets keep changing.
@Wendy&Neko given all that, would appreciate some guidance re: tonight's dose as I'm bringing him home.
MAY 25TH I just spoke with a vet who was reading out the ultrasound report about various "thickenings" showing in areas of Eddie's GI. They say either IBD or lymphoma and she says surgery to determine which it is. I will not put Eddie through that.
I was freaking out because the voice on the phone was just reading the report, which I'm including here. Clearly, there is no way to determine whether IBD of lymphoma unless there are samples taken in surgery. So, no.
I contacted the IM vet who was great. He said we will take things one step at a time. Eddie will get the echo on Tuesday (hopefully. If you can believe it, there's only one vet who does it at the clinic, part-time). If the echo shows Eddie can have dental surgery, I will bring him to the coast on June 4th (dental June 5th).
The IM vet has recommended--and I agree--that we will increase Eddie's Prednisolone now (currently he's been getting a low dose for his weight 1.25mg/once daily). We will increase to BiD. IM vet says if IBD, this will certainly help and even if lymphoma (hopefully, SCL), it will be included. I wrote to him yesterday regardingprednisolone dose if IBD or even if SCL. "I read this about SCL on the Cornell University College of Veterinary Medicine: “Cats with this disease can be effectively treated at home with a combination of a steroid (prednisolone) and an oral chemotherapy drug (chlorambucil, and over 90% achieve remission of their clinical signs.”
The IM vet mentioned that Eddie is already on Prednisolone but I pointed out that he is on 1.25mg/once daily, which he has been on for nearly 4 years. He was prescribed that dose when he weighed much, much less than his current weight (about 10kg). He has lost some weight this past while and I would attribute it to his not eating well for weeks. In any case, he does still weigh slightly over 10kg. My question is this: does it make sense to increase his Prednisolone given his current weight?
The IM vet wrote that he agrees and so that's what we'll be doing. It seems everything hinges on the echo results and if Eddie can get the dental done. I don't know what to do if he can't because he must eat.
MAY 26th:
I'm picking him up around noon today. I managed to get his Levothroxine compounded so the only pill-form medication he will have to take is the Prednisolone and it's tiny. The clinic has him on Gabapentin not Buprenorphine as they said the bupe affects appetite whereas Gabapentin does not. I don't know if this is accurate or it's just one of the many vet opinions that often determine protocol.
Max is doing better. Putting a little weight on his leg. It feels like I'm running a vet clinic here at home.
I'll post more as the day unfolds.
Like with Neko, with have to go with best guess. First wait for the cardio vet's take on the echo to see if he can increase pred or has to go the budesonide route.