Well, Blue and I got to West Coast Veterinary Services at 9:00 and met with Dr. Angleica Bebel, who said, "call me Angie". She was great: a good listener and took seriously any concerns I had regarding Blue, insulin and anesthesia.
On physical exam, she wrote: "On presentation, Blue was bright, alert and responsive. ..." Besides noting his weight, his hydration "normal with pink and moist MM and a CRT of <2 seconds. His pulse was synchronous and his HR 140 BPM" (pretty good for being in stressful conditions). Chest auscultation did not appreciate any abnormalities such as a heart murmur and no arrhythmia. His respiratory rate was 20 BPM [again, pretty good for being taken in the back room after travel and being in a hotel]. Palpation of the abdomen did not reveal any pain or obvious organomegaly. The left mandibular nodes were not enlarged. The rest of the lymph nodes within normal limits."
BUT Periodontal disease Grade 4: remaining 12 teeth [Blue has had teeth removed once years ago) had changes associated with advanced periodontal disease (bone loss, gum recess, tooth resorption and mobility). Lower jaw had signs of marked inflammation and swelling of the jaw bone (!) secondary to this inflammation".
The bottom line: all 12 teeth removed, including a fractured canine and root remnant.
So, now Blue hasn't
any teeth. I asked. if his tongue would stick out and she said thanks to the acromegaly his lower jaw has increased in size and will hold his tongue in and it has. The swelling has already gone down. I have to say he looks fabulous!~

I can't believe how he could have been such a sweet cat all of this time with that dreadful situation. I'm kind of annoyed at the vet who looked into his mouth and said while he had dental problems, he would probably just experience resorption so it wouldn't be necessary to risk surgery. Let us say, WRONG. He really must have been in pain. Currently he's taking (a couple days) Buprenorphine and antibiotics. He will need a check up to ensure no premature opening of sutures.
Again, I cannot emphasize how good he looks. Eating and kittyboxing all good. He's just such a great guy. Insert BIG HEART here.
I was able to pick him up at 3:30 yesterday and get out of Dodge before the traffic backed up in its usual Lower Mainland way. Blue slept for a few hours and then I pulled over to check him and he wanted some food!! So, I gave him a couple teaspoons and off we went again. Once at home, it was, OK, I'd like dinner now. He's amazing.
Thank you for all the support!!




