12/1 Blue amps 139

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Ask them to order the Spec fPL anyway? (That's what I do with my vets.) It's not an unreasonable request given that Blue got a confirmed diagnosis of pancreatitis not long ago. As you can see from the TAMU link, they recommend regular repeat testing as well as further investigation for negative/grey zone results.

Sometimes the severity of symptoms does not correlate with the magnitude of the Spec fPL test result. (@tiffmaxee - Did I see you make a similar observation at some time in the past?)


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(((Patty and Bluebird)))

:bighug::bighug::bighug:

I agree with Elise's recommendation about seeking an urgent referral to a really good specialist.


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They have a mobile Ultrasound specialist that comes out to them and will do the ultasound, biopsy and a report. As for surgery, I will have to see first what we're dealing with.
They have operated on many of my animals. Do you really think I need a specialist? What kind?

Also, they want him to only eat 2 meals a day. His stomach is full of food and his colon is packed (weird because I took him in for diarrhea on Saturday). I think the safest thing to do is drop his dose so I don't have to feed small meals. Could you guys advise on this?

I have pain meds, something for constipation and he'll still be on the antibiotic. She also said to continue the Gabapentin. Poor Bluebird. Oh, they did an ultrasound for free and shaved his belly. She couldn't see the x-ray well enough to figure out what we were dealing with.

I know I'm all over the place. Lack of sleep. I'm trying to stay positive and hoping the mass is not cancerous and operable.
 
The metronizadole likely caused constipation. I wonder if the stool is appearing to be a mass. I would want a diplomat in internal medicine at a specialty hospital to do all of this. I think I told you a traveling vet did an ultrasound for Max and based upon that exploratory surgery was recommended. This was at a cat practice. I went back to my internist for another opinion. He had his board certified radiologist do another ultrasound. Max never had surgery. He never had cancer or even IBD. I’m not saying that will be the same for Blue. I don’t like that you were given the liquid metronadozole for such a long time. I don’t want to upset you but using a specialist would not cost much more I believe. You can’t just send the CD for a second opinion either. I know because I asked my vet before spending the money for a second ultrasound in days. Part of doing it is looking while is is happening. I’m so glad I did a repeat.
 
tiffmaxee said:
The metronizadole likely caused constipation. I wonder if the stool is appearing to be a mass. I would want a diplomat in internal medicine at a specialty hospital to do all of this. I think I told you a traveling vet did an ultrasound for Max and based upon that exploratory surgery was recommended. This was at a cat practice. I went back to my internist for another opinion. He had his board certified radiologist do another ultrasound. Max never had surgery. He never had cancer or even IBD. I’m not saying that will be the same for Blue. I don’t like that you were given the liquid metronadozole for such a long time. I don’t want to upset you but using a specialist would not cost much more I believe. You can’t just send the CD for a second opinion either. I know because I asked my vet before spending the money for a second ultrasound in days. Part of doing it is looking while is is happening. I’m so glad I did a repeat.
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The mobile ultrasound is board certified and not just a vet. UGA is up the road and depending on the outcome
I can request to go there. I saw the x-rays and it's not stool. The ultrasound she did showed an enlarged spleen and that's why she did the free ultrasound. I'll do some research and also ask more questions. I am so tired I can't think straight. What do you think about a dose? She thinks the mass is probably using the nutrients from his food and that's why he's not regulating. I'm really overwhelmed.
 
He IS regulating. In fact he’s well controlled now so this confuses me. The person us a board certified radiologist and not someone who only does ultrasounds? My first one was done by a traveling vet that only did ultrasounds. One if my friends had him do one too and it was wrong. If a board certified radiologist then fine.
 
When my mom had a blockage that required surgery, she had had a bowel movement so it never occurred to us that she had blocked. The blockage was farther down. It is very painful.
 
tiffmaxee said:
He IS regulating. In fact he’s well controlled now so this confuses me. The person us a board certified radiologist and not someone who only does ultrasounds? My first one was done by a traveling vet that only did ultrasounds. One if my friends had him do one too and it was wrong. If a board certified radiologist then fine.
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I am going to make sure. She said this was the case, but looking online I see a lot of vets have state of the art mobile ultrasounds and they are vets. You are correct, but I'll ask that question.

The issue is his digestive system and they don't want him to eat small meals. I indicated I was keeping his blood sugar level with feeding. For now, they'd rather I not do this. I agree he's starting to regulate but I do have to feed him. I don't want to stress his system more, at least until things start moving.
 
tiffmaxee said:
When my mom had a blockage that required surgery, she had had a bowel movement so it never occurred to us that she had blocked. The blockage was farther down. It is very painful.
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OMG I can't imagine. Sounds painful.

I'm going to talk with them tomorrow and get more information. She said she saw a mass and it was on his enlarged spleen. I'll go to UGA vet school website and check it out.
 
If it was my cat, I'd seek a second opinion from a specialist. Our main vet is quite good with ultrasounds and I trust him with them but when he found something unusual when performing a scan of Saoirse's liver, he immediately recommended that I let him refer her to a specialist at one of the country's leading vet schools for additional scans and diagnostics.


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I checked out UGA vet school and because of Covid they have limited their availability. Blue Pearl the ER hospital has specialists so I'll check them as well.
 
Critter Mom said:
If it was my cat, I'd seek a second opinion from a specialist. Our main vet is quite good with ultrasounds and I trust him with them but when he found something unusual when performing a scan of Saoirse's liver, he immediately recommended that I let him refer her to a specialist at one of the country's leading vet schools for additional scans and diagnostics.


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My internist has done an ultrasound on my cats but he knows when he wants a good radiologist too.
 
Patty and Blue said:
I checked out UGA vet school and because of Covid they have limited their availability. Blue Pearl the ER hospital has specialists so I'll check them as well.
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UGA has an ER. When Tiffany was diagnosed with lymphoma, I couldn’t get an appointment quickly with the oncologist so I went to the ER and got in that way. I was very naive back then but my sister’s friend pushed me.
 
Patty and Blue said:
I checked out UGA vet school and because of Covid they have limited their availability.
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I had a look at the site and all I could find was this on their covid info page:

Our Veterinary Teaching Hospital and Community Practice Clinic are dedicated to providing excellent healthcare to the animals in our region. To ensure continued medical service and the safety of our staff and clients, we are requiring face coverings and limiting the number of people within our facilities by instituting a patient curbside drop-off service. Your pet will still receive the same excellent care and have access to all of our specialty services. Please bring a face covering to use while interacting with our staff during the drop-off/pick-up process and have a cell phone available so we can reach you to discuss your pet’s medical history and treatment plan and provide any necessary updates.

[Emphasis mine]

Here's the link:

https://vet.uga.edu/covid-19-info/

My reading of the above is that they're limiting access of pet owners to their facilities (curbside drop-offs) but patient admission and treatment is still going ahead as normal. They look to have terrific facilities and services - more than any general practice vet could ever hope to offer (expected with a state-of-the-art teaching hospital, of course).

Did you find additional info somewhere else on the site, Patty?


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tiffmaxee said:
Since you dint want to have to keep feeding him I think I would give him ,25 @Critter Mom What do you think?
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I think the dose reduction is wise, although Blue might need a fair amount of monitoring because of the size of the depot. I'd love to see Patty get some bit of badly needed rest tonight. Tomorrow's going to be a heavy-duty day.

Any suggestions on what Patty might be best feeding Blue tonight, Elise?

(Patty, did the vet make any recommendations about food today, ref. the constipation?)


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When I clicked on the internal medicine link they don't have the people to take patients now. Also, you have to be referred by a vet for consultation.

I will definitely ask tomorrow about sending us there. Blue Pearl also has specialists but I haven't got that far to see where they're located. They have several ERs around the city.
 
Critter Mom said:
I think the dose reduction is wise, although Blue might need a fair amount of monitoring because of the size of the depot. I'd love to see Patty get some bit of badly needed rest tonight. Tomorrow's going to be a heavy-duty day.

Any suggestions on what Patty might be best feeding Blue tonight, Elise?

(Patty, did the vet make any recommendations about food today, ref. the constipation?)


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She didn't but I let her know she prescribed HC food. I have some medicine for him so his system starts moving properly. I already gave him a pain med but she gave me 3 pills...what???
 
tiffmaxee said:
UGA has an ER. When Tiffany was diagnosed with lymphoma, I couldn’t get an appointment quickly with the oncologist so I went to the ER and got in that way. I was very naive back then but my sister’s friend pushed me.
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I'll see what I can find out tomorrow. Maybe some sleep will help. I'm working on 3 hours today and it's not my preferred attitude. :)
 
I also looked at the UGA website and it says some services require referral. There’s a number to call. I would let them know you don’t have confidence and what you have been through. Ask about going through the ER if you can’t get an appointment on your own. Cry if you have to. I’m not above begging for help.
 
Patty and Blue said:
The pain med is Onsior and the other med is metoclopramide for constipation.
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Onsior is a non-steroidal anti-inflammatory drug (NSAID - generic name 'robenacoxib'), bit like ibuprofen for humans.

Thought the other one might be metoclopramide. It's a prokinetic med, speeds up gastric emptying and helps gut motility.


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Critter Mom said:
Onsior is a non-steroidal anti-inflammatory drug (NSAID), bit like ibuprofen for humans.

Thought the other one might have been metoclopramide. It's a prokinetic med, speeds up gastric emptying and helps gut motility.


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It is. He got slowed down by metronadozole. Unfortunately with all those cats she didn’t know if he was plugged up. Your vet should have warned you.
 
When you post the result, can you let us know how long before the test you gave Blue his evening feed so we can get an idea of whether there's any food influence in the result.


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