10/29 Doodle's cardiology report (3ps = HI)

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Michelle and Doodle

Member Since 2009
Doodle had his cardiology appt. yesterday but we weren't able to see the internal med vet due to an emergency.
I tried to record the sounds he's making but I kept getting more background noise than his actual breathing. (That was an excellent idea Sienne! - though I'm not surprised since you always have good ideas!!)
Anyway, she said that his murmur wasn't as bad as my vet had thought - which is good I guess. (?)
I have a report for anyone who's interested but without having to wade through it all, the diagnosis was:
1. Asymmetric septal hypertrophy (Hypertrophic cardiomyopathy)
and 2. Inspiratory wheezes - likely secondary to lower airway disease.

She wasn't able to determine if the HCM is secondary to his hypertension, hyperthyroidism (for which we know he is grey zone) or if it's idiopathic.
Basically though, the cause is less important than what to do...So we are to continue the same meds... but reduce his sub-q fluids to 50ml a day and hope that is sufficient to help with his renal disease while not throwing him into congestive heart failure. And just monitor him.
As far as the airway disease, the report I got says "rule out asthma vs. emphysema vs. bronchitis" -- I'm not sure why she couldn't say which one. (?) Perhaps it's not easy to tell. (?) She did give me a script for an emergency albuterol inhaler and an Aerokat. She said she was just not comfortable adding another med that might make his diabetes more difficult to manage because that would ultimately effect his kidneys - but that obviously if his breathing became any more of an issue, we'd have no choice. -- But for now she doesn't want to treat unless it gets worse due to the fact that the meds would be either steroids or something cleared through the kidneys.

She very compassionately told me that it was only a matter of time until we wouldn't be able to balance all of this... and that I needed to keep his quality of life in mind.
He now has diabetes, kidney disease, an adrenal disorder, heart disease, lower airway disease and is questionably hyperthyroid. :(
I'm of course very sad... but still hopeful that we have more good days ahead.

(click to see the love of my life)
 
Re: 10/29 Doodle's cardiology report

Beautiful Doodle....such a handsome boy!!! I tried clicking but the link didn't work??
You two are facing so many challenges...sending healing vines to Doodle and strength to you sweetie....
Hugs to you and your boy today Michelle... :YMHUG: :YMHUG:
 
Re: 10/29 Doodle's cardiology report

Michelle - Here's hoping nothing gets any worse, no additional treatment is required, and of course, to much much more quality time together for you and Doodle. :YMHUG:
 
Re: 10/29 Doodle's cardiology report

((((Michelle)))) Sending healing prayers and vines to Doodle and comfort to you, Michelle. I hope you have many more days, weeks, and months with Doodle.
 
Re: 10/29 Doodle's cardiology report

I think I fixed the link Pat (thanks)

I just got his Free T4 results in - I'm not exactly sure what they mean but I think it's the high end of normal which still suggests there is a problem.
However the cardiologist said in her report that "treating hyperthyroidism would be difficult given the degree of renal disease that he has" and she said she "would be hesitant to even try" because she felt that "his kidneys will kill him faster than his heart at this point"

So I suppose this doesn't really change anything.
 
Re: 10/29 Doodle's cardiology report

Was waiting for a Doodlebug report. Thanks Michelle. Hugs to you and Doodle.

How was the drive with Brielle?
 
Re: 10/29 Doodle's cardiology report

Brielle was on her best behaviour. I was so relieved...
She was quiet and actually trying to comfort Doodle. I think she has started to somewhat understand when I explain to her that he's sick. :(
She was a bit upset when they took him out of the room - she didn't like that they "took him away" and kept saying "he wants mommy"
But we talked to her, and she was fine with the idea that she could draw him some pictures to see after his appt.
I was really proud of her.

here they are together

 
Re: 10/29 Doodle's cardiology report

Michelle and Doodle said:
I think I fixed the link Pat (thanks)

I just got his Free T4 results in - I'm not exactly sure what they mean but I think it's the high end of normal which still suggests there is a problem.
However the cardiologist said in her report that "treating hyperthyroidism would be difficult given the degree of renal disease that he has" and she said she "would be hesitant to even try" because she felt that "his kidneys will kill him faster than his heart at this point"

So I suppose this doesn't really change anything.

As I told you last night, I just found out that Jackson has the very beginning signs of kidney disease and he is hyper-t as well. Because his t4 came back in the VERY normal range on the dose of tapezole he has been on, my vet is having me cut it in half to see if we can stave off any further damage to his kidneys for the time being.
Unfortunately, it seems as if all of these meds effect other organs and tapezole directly affects the kidneys. If Doodle's results are in the high normal range...holding off on the Tap was probably a very good idea.

No, it probably doesn't change anything, but doesn't make it worse either if you want to look at it that way......

(((((Michelle)))))) :YMHUG:
 
Re: 10/29 Doodle's cardiology report

Brielle is very cute! Glad it went well.

My daughter Maya, who is 6, took her pink doctor's kit with her once when we took the cats to the vet. She is fascinated by what they do.
She sometimes tries to do check-ups on them at home but it does not always work so well :roll:
 
Re: 10/29 Doodle's cardiology report

Doodle is so very handsome and Brielle...just adorable!!

(((Michelle))) it might be that time is limited, but he's still with you now. Do what you always have for that sweet Doodlebug! We are here for you :YMHUG: :YMHUG:
 
Re: 10/29 Doodle's cardiology report

Michelle and Doodle said:
He now has diabetes, kidney disease, an adrenal disorder, heart disease, lower airway disease and is questionably hyperthyroid. :(

But he also has an awesome mommy who is helping him have a great life. He looks really good, Michelle, so despite everything he looks like he is feeling fine. He looks so happy in that picture with Brielle. :smile:
 
Re: 10/29 Doodle's cardiology report

He sure does look handsome & what a beautiful daughter!! You have given him your all & still are--He has a life filled with love--There aint nothing better!
Sending Healing vines & loving wishes for Doodle and his family to enjoy each other! I just know Doodle will have much more quality time with you--Giant Hugs!!
 
Re: 10/29 Doodle's cardiology report

((((((HUGS))))) to you and to Doodle hoping he has many many good days ahead for you and love the pic of him and Brielle priceless

sending healing vines his way cat_pet_icon
 
Re: 10/29 Doodle's cardiology report

Hi Michelle

Sounds like you got some answers as to the heart murmur. Has anyone done chest x-rays?

Michelle and Doodle said:
Anyway, she said that his murmur wasn't as bad as my vet had thought - which is good I guess. (?)

The heart murmur can vary in intensity (based on how fast the heart is going). Heart murmurs are basically caused by turbulence, and for some types of heart disease, the murmur will worsen if the heart is faster.

I have a report for anyone who's interested but without having to wade through it all, the diagnosis was:
1. Asymmetric septal hypertrophy (Hypertrophic cardiomyopathy)
and 2. Inspiratory wheezes - likely secondary to lower airway disease.

This sounds like a for-owners report but I'll still be nitpicky. He has "left ventricular hypertrophy" ... we don't know if he has HCM, HCM is idiopathic and is not caused by hypertension or hyperthyroidism. Just saying.

Basically though, the cause is less important than what to do...So we are to continue the same meds... but reduce his sub-q fluids to 50ml a day and hope that is sufficient to help with his renal disease while not throwing him into congestive heart failure. And just monitor him.

Do you have any of the numbers from his echo report? A cat can have HCM/LVH and not be at great risk for heart failure. Basically, the heart compensates for the abnormality for as long as it can, and then gets overwhelmed. The disease is staged by what changes there are been inside the heart (specifically the left atrium); if the heart stays normal in size, you can surmise that it is compensating well.



As far as the airway disease, the report I got says "rule out asthma vs. emphysema vs. bronchitis" -- I'm not sure why she couldn't say which one.

He has symptoms of general lower airway disease but you need more diagnostics before pinning it down.

He now has diabetes, kidney disease, an adrenal disorder, heart disease, lower airway disease and is questionably hyperthyroid. :(

I will also respond to your PM, but to get one thing out of the way publicly, thryoid meds (methimazole/Tapazole) do NOT damage the kidneys. Kidney function appears to worsen after treatment because the hyperthyroidism causes increased blood flow to the kidneys ... this increased blood flow masks the extent of renal disease because the kidneys are getting a more vigorous "washing" -- does that make sense? So just for the record, methimazole is not a kidney-killer.

Ok I'll respond to your other questions by PM a little later ok?

I love the pic of your two 'kids' :-) What a great shot.
Jess
 
Re: 10/29 Doodle's cardiology report

Aww Michelle. I'm sending you many warm thoughts as you cherish these days with Doodle. You are such a good mommy to him as well as to your other furry family members. Doodle is as beautiful as ever. I love the photo of him lying on the white sheets... he really blends in!

And your sweetheart daughter Brielle is just so lovely. It was so dear that she understood about Doodle and cares so much about him. Save those drawings she made for Doodle, they might help comfort you later.

((((Michelle)))))
 
Re: 10/29 Doodle's cardiology report

(( Michelle )) The picture of the two of them is so precious. I'm glad things aren't as bad as you feared, though it is tough having another worry. Your baby boy still looks happy and regal, I hope you have many, many good days ahead.
 
Re: 10/29 Doodle's cardiology report

(((Michelle)))

I'm glad Jess is helping you. You are dealing with such complex issues, and you are doing a fantastic job. Brielle is such a sweetheart. Sending snowflakes for lots more quality time with Doodle.
 
Re: 10/29 Doodle's cardiology report

I'm really sorry to mislead anyone... the pictures of Doodle and Doodle and Brielle are from a few months ago.
Unfortunately he doesn't really look that healthy anymore. :(
He's lost a little over a pound and had some muscle wasteing, etc...
I'll take some more recent ones, I just prefer thinking he looks like he does in those pictures.

His BG is HI tonight and I'm a bit freaked out. I don't think he's had a reading like that in about 2 years.
He's wheezing and hiding and feel so bad for him.

Jess, As always, thank you - thank you!
I tried to send you a copy of his report - hopefully I did it right.
And yes he did have x-rays - I'll try sending those as well.

Interesting about the HCM (she was probably just using that term because she knew I was familiar with it)
And I think I understand what you mean about the tap.
I'm grateful for the info and help.
 
Re: 10/29 Doodle's cardiology report

sending healing vines for the doodlebug, and long time together vines for both of you...

celi & binks
 
(((Michelle))))

You know... Doodle doesn't know what any of that fancy medical terminology is... he's the same cat he was before the dx.

When Cosmo developed ascites, the vet told me "I'm so sorry" and I started bawling b/c I thought it meant THE END. Maybe it was the start of the end, but we still had a good 8-9 months together. I'm hoping for at least that for you and Doodle. I love Danger, I do, but I miss my Cosmo every single day. I know that you're going to do whatever is necessary to make sure Doodle enjoys every single moment he has left and that you'll cherish them all.

Hugs for you Michelle and many scritches for Doodle.
 
Re: 10/29 Doodle's cardiology report

Michelle and Doodle said:
He's wheezing and hiding and feel so bad for him.

I would get him the albuterol tomorrow morning, then, and google Aerokat and see if you can buy one locally, or else order one as soon as you can. The albuterol may be able to stop the wheezing and help him feel better. You also might want to order Flovent/flixotide online ( I use 4cornerspharmacy.com) right away, as you may end up using it ... it is about $80-$100 cheaper than at the drug store, but it takes two weeks or so to arrive from overseas. It is an inhaled steroid ... there are a bunch of asthma threads, plus fritzthebrave.com for more info on lower airway disease in cats.
 
Sending many healing thoughts and prayers your way - hopes for many really good days together - a much longer time. The pictures are absolutely gorgeous - he's so handsome and Brielle is beautiful. What great pictures.

Emmy & Dude (& Mittsi too)
 
awww, michelle. i can't give you advice, but i sure can send healing vines, snowflakes, and positive thoughts to doodle.
you're in my thoughts and prayers...

(((hugs)))
 
(((((Michelle & Doodle))))) Thinking of you tonight and sending prayers and many snowflakes. Love your pictures of Brielle and your handsome boy
:YMHUG: :YMHUG: :YMHUG:

Ella
 
Michelle... Sending many healing thoughts and prayers your way…. Nice pictures of Doodle and Brielle….
 
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