05/28 Eddie AMPS 326 PMPS 335 + echo results

You sure they did the right cat? It says 9.7 lbs. :p All in all, not a bad report with some good guidelines for anaeshesia.

Moderate HCM - not surprising given acro. Neko had that for several years with no issues, until her heart got worse.

"Recommend avoidance of systemic corticosteroids due to the potential of steroid associated congestive heart failure" - sounds like budesonide in his future. You can get it compounded as a flavoured liquid - which was easier for me to give, and to change dose.

I did think that his BP was a little high on the first page, but that can also be high due to stress. Has he previously had his BP tested around that range? Note: Neko once tested over 220 at the vet, but 145 at the dental vet at a much calmer environment. Might want to get the dental vet to test again for you to confirm he needs supplementation.
 
Wendy&Neko said:
You sure they did the right cat? It says 9.7 lbs. :p All in all, not a bad report with some good guidelines for anaeshesia.

Moderate HCM - not surprising given acro. Neko had that for several years with no issues, until her heart got worse.

"Recommend avoidance of systemic corticosteroids due to the potential of steroid associated congestive heart failure" - sounds like budesonide in his future. You can get it compounded as a flavoured liquid - which was easier for me to give, and to change dose.

I did think that his BP was a little high on the first page, but that can also be high due to stress. Has he previously had his BP tested around that range? Note: Neko once tested over 220 at the vet, but 145 at the dental vet at a much calmer environment. Might want to get the dental vet to test again for you to confirm he needs supplementation.
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Yes, I told them about the # vs kg. They said he had lost a little weight! :cat::D

I agree the report looks pretty good. The thing about the avoidance of corticosteroids: really good to see that in black and white and that they mention budesonide. What I'll need to know is does the Budesonide replace Prednisolone, which he's been on since his hypophysectomy in 2020, or is it to supplement the Pred? I'll have to figure this out because before this test, the IM vet and I were arranging for Eddie's Prednisolone to be compounded...

As for his BP, Eddie had been in clinic for a few days by then and safe to say after having a NG tube inserted, an ultrasound and then an echo, he was probably on high alert.

So, now waiting to hear from West Coast Veterinary Dental by Thursday, apparently, to let me know if/when/how we will proceed.

I should also reiterate that Eddie is eating the slurry I'm making for him. He has a special way of having a meal so all one needs is a little patience to see him through.

I got a little house from Amazon for Eddie. He loves it. I've told him that when he's in the little house, there will be nothing invasive with the exception of insulin, which he doesn't really mind. In fact, it's being contained in the house that seems to help him feel safe to eat (in his special way).
 
I'm glad the echo results were pretty good. I hope the dental gets scheduled soon. I'm glad Eddie likes his little house and feels safe in it and is eating for you. Sending prayers. :bighug::bighug::bighug::bighug::bighug::bighug::bighug:
 
Glad to see that you’re finally getting some solid data and info that allows you to plan. I really hope the dental work gives you results. Fighting the eating battle is exhausting, fristrating, and mentally draining. You know Eddie isn’t trying to be difficult but that doesn’t make it any less stressful. I’m guessing watching him struggle makes it even more heart wrenching. :bighug:

It’s also good to hear that you have a new “safe house” for Eddie. I swear with cats and medical issues it’s always about tweaking. And tinkering. Sounds like you’ve become very adept at that. Good for you. :cat:
 
Budesonide is locally acting on the GI system primarily. I don't know all the details about why kitties who have had a hypophysectomy needs steroid, but I suspect it for more than the GI system. Meaning I think he'll need to continue the tiny pred dose plus have budesonide for his GI inflammation. The IM vet should be able to explain what the pred is doing for him.
 
JL and Chip said:
Glad to see that you’re finally getting some solid data and info that allows you to plan. I really hope the dental work gives you results. Fighting the eating battle is exhausting, fristrating, and mentally draining. You know Eddie isn’t trying to be difficult but that doesn’t make it any less stressful. I’m guessing watching him struggle makes it even more heart wrenching. :bighug:

It’s also good to hear that you have a new “safe house” for Eddie. I swear with cats and medical issues it’s always about tweaking. And tinkering. Sounds like you’ve become very adept at that. Good for you. :cat:
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JL, you are so right: exhausting, frustrating, draining and I do know Eddie isn't trying to be difficult. It's such a one day--or rather one meal--at a time.

The safe house is so great. What he wants is to be in it while I hold the dish up for him. Tonight (May 29th, I'll post more) he ate like a boss. Perhaps it was the two tablets of Odansetron he got this afternoon, too. I'm looking into compounding of that.

Really, like I victorious this evening and so, so, so happy that he was eating. :cat:
 
Wendy&Neko said:
Budesonide is locally acting on the GI system primarily. I don't know all the details about why kitties who have had a hypophysectomy needs steroid, but I suspect it for more than the GI system. Meaning I think he'll need to continue the tiny pred dose plus have budesonide for his GI inflammation. The IM vet should be able to explain what the pred is doing for him.
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Yes, about the Pred, they told me at WSU following removal of pituitary that Pred was for life. But I will definitely see about the budesonide alongside. Phew, not for the faint of heart any of this.
 
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