Jodey&Eddie&Blue
Member Since 2021
Hello, here is yesterday:
https://felinediabetes.com/FDMB/threads/07-07-eddie-amps-256-5-320-8-335-pmps-358-8-5-320.279295/
As for getting a pulse regime in place, here's the most recent exchange with Vet #1 (who was the emergency vet who then referred Eddie to the dental specialist so now considers herself out of the picture):
Hi Jodey, the reason I am not comfortable prescribing antibiotics is because they will not clear any underlying infection unless the affected teeth are removed, and they may in fact cause harm by selecting for resistance and/or causing GI upset. If the specialist recommends a pulse just prior to his anesthetic then this may be appropriate, but it would be best requested through your family veterinarian. You are welcome to seek a second opinion from Dr. G or your family veterinarian, who are more familiar with Eddie's case.
On Fri, Jul 7, 2023 at 4:42 AM Castricano, Jodey <removed email address for privacy> wrote:
Hello Dr. H,
I’m going to try once more to make the case for the pulse regime of antibiotics for Eddie prior to being able to take him to a dental specialist. As I said previous, “Thanks for getting back to me. The reason I asked is because Eddie’s dental condition is very poor and while we are waiting on imaging and appointment, the pulse antibiotic therapy might address chronic infection (which affects the BG/insulin regime) in the time we have to wait for dental treatment while things are being arranged…”
The fact that his BG is remains very high (in the 300s) suggests to me that inflammation is at work and he’s not really “doing well” as you say below. I would appreciate having him put on an antibiotic if only to see if inflammation is adversely affecting his blood glucose. He is currently on 11u Levemir, up from when he was at Fairfield.
July 8th: the question of who is the most "familiar" with Eddie's "case" is a bit disingenuous since those most familiar are not regular vets and he has a long history at this emergency vet. Oh, well. Next.
https://felinediabetes.com/FDMB/threads/07-07-eddie-amps-256-5-320-8-335-pmps-358-8-5-320.279295/
As for getting a pulse regime in place, here's the most recent exchange with Vet #1 (who was the emergency vet who then referred Eddie to the dental specialist so now considers herself out of the picture):
Hi Jodey, the reason I am not comfortable prescribing antibiotics is because they will not clear any underlying infection unless the affected teeth are removed, and they may in fact cause harm by selecting for resistance and/or causing GI upset. If the specialist recommends a pulse just prior to his anesthetic then this may be appropriate, but it would be best requested through your family veterinarian. You are welcome to seek a second opinion from Dr. G or your family veterinarian, who are more familiar with Eddie's case.
On Fri, Jul 7, 2023 at 4:42 AM Castricano, Jodey <removed email address for privacy> wrote:
Hello Dr. H,
I’m going to try once more to make the case for the pulse regime of antibiotics for Eddie prior to being able to take him to a dental specialist. As I said previous, “Thanks for getting back to me. The reason I asked is because Eddie’s dental condition is very poor and while we are waiting on imaging and appointment, the pulse antibiotic therapy might address chronic infection (which affects the BG/insulin regime) in the time we have to wait for dental treatment while things are being arranged…”
The fact that his BG is remains very high (in the 300s) suggests to me that inflammation is at work and he’s not really “doing well” as you say below. I would appreciate having him put on an antibiotic if only to see if inflammation is adversely affecting his blood glucose. He is currently on 11u Levemir, up from when he was at Fairfield.
July 8th: the question of who is the most "familiar" with Eddie's "case" is a bit disingenuous since those most familiar are not regular vets and he has a long history at this emergency vet. Oh, well. Next.
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