12/8 Trixie PMPS 144 +2 134 +4 74 Mario Labs

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Amy&TrixieCat

Member Since 2011
Yesterday

Very nice starte for Trix! I just need her to surf it out now, because I have to head to work right after +4.

Just talked to the doc about Trixie's and Mario's BW. All looks great with Trix.

Mario...bunch of stuff, of course. We need to double his tapazole, which doesn't surprise me - I've been suspcious that his thyroid wasn't well regulated again. I apologize because I don't have the labs in front of me, and I don't remember all the numbers she tossed my way, and my head is swimming at the moment.

He has two liver enzymes that are elevated now, so we'll start doubling the denosyl, too. He has very high white blood cells (two kinds, can't remember which), which she does NOT think is related to his dental disease. She thinks they indicate some sort of inflammation or infection in his gut. Of course there are several routes we can go. First option is to recheck his CBC when he's done with his clindamyacin, which we'll do. But, of course, the clindamaycin isn't the greatest for intestinal sorts of infections, if that's what's going on. If he still shows high, we can do another round of ABs geared more towards gut-oriented infections. She's interested in doing either an x-ray or an ultrasound to give us the best idea of what's going on...she's concered about it being either an infection or cancer.

So, of course, this means he needs to go back for a CBC check when he's done with his current ABs, back again 2 weeks later for a T4 check, and back again for another check if he does need another round of ABs.

This is really surreal to me, because he is the happiest and seemingly healthiest he as been all year...I was really struggling with getting him to eat enough back in the summer, and he wasn't interested in being social at all. He does not have any symptoms or signs of any sort of illness. He's eating well, he's using the LB fine, no vomitting, he's social and friendly and outgoing and playful. So, of course now he's got several more rounds of vet stuff to go through. My gut is telling me to take the least stressful route for him, so I'm pretty sure we won't be doing the ultrasound unless I really, really feel it's necessary. When my vet does US, he would have to be there at 8:00am, and hang out in a cage indefinitely. The tech doesn't arrive on site until anywhere between 12:00pm and 5:00pm. I'm really afraid of what that will do to him. I don't want him to be sick, but I don't want to mess with his QOL by subjecting him to repeated stress, either. This sucks.

ETA: She did mention that the liver values could be related to the unregulated thyroid, or it could be primary liver disease. I'm still trying to wrap my head around this info.

Gotta get ready for work....have a great day, everyone!

Amy
 
Re: 12/8 Trixie AMPS 114 +2.25 79 - BW back

Great news on Trixie and beautiful numbers!

So sorry about Mario. Poor guy has so much going on. I completely understand what you are thinking with the US though. Is it worth the stress to put him through it? What would they do differently if they knew? You need to go with your gut on this one, especially for his QOL. Hugs to you Amy! You have had such a rough year and it hasn't seemed to let up.

:YMHUG: :YMHUG: :YMHUG:
 
Re: 12/8 Trixie AMPS 114 +2.25 79 - BW back

Amy --

Is there any chance there's a specialty referral center anywhere near your? My sister needed to have a cardiac workup for her cat. They could have done this at her vet's office in much the same way you describe -- a traveling tech comes in every so often to do the US, the cat is there all day, etc. She asked the vet's office if there was somewhere she could take her cat where they could schedule and do the procedure at that time to minimize the stress on her cat. They gave her the names of 2 clinics in her area. The one she used did a cardiac US with her in the room with her cat. It was a much better outcome both for her cat and for her.
 
Re: 12/8 Trixie AMPS 114 +2.25 79 - BW back

Both liver enzymes elevated? Any weight loss? Glad you are starting the denosyl.

Sending hugs.
 
Re: 12/8 Trixie AMPS 114 +2.25 79 - BW back

Great news (and AMPS) for Miss Trixie. But all that stuff about Mario does suck! I hope the liver issue is really the unregulated thyroid and that the gut question clears with the current abs, or on it's own. I'm glad your vet is being so thorough, but I hope some of these areas of concern are precautionary rather than real.
 
Re: 12/8 Trixie AMPS 114 +2.25 79 +4 69 - BW back

Karrie - I'm pretty sure she said both enzymes. I need to call her and have her fax the labs to me. We started the denosyl a couple months ago, but we do have to quarter it to get it in him; I'm sure that reduces it's efficacy, so we'll start giving it to him twice a day. He did lose a little weight, but his thyroid values are also high right now, too.

Sienne - Gread idea. I know there's a specialty clinic close by, but I don't know what their US procedure is, but I will definitely dig into that.

My head is spinning at the moment....it's just one thing after another. I'm totally thrown, in particular, by the WBC thing. He's just so happy and basically non-symptomatic. The only "symptoms" he has of anything not being 100% right completely jive with is thyroid issues.

My vet is very thorough, and that's a good thing...
 
Re: 12/8 Trixie AMPS 114 +2.25 79 +4 69 - BW back

Great news on Trixie! Sorry about the news on Mario. Is he hyper T?

Awesome numbers for Trixie today too. She's finally green! :mrgreen:
 
Re: 12/8 Trixie AMPS 114 +2.25 79 +4 69 - BW back

Yes, Mario is HyperT...he's been on transdermal Tap since January. By the summer, his thyroid was well regulated, but now it's not regulated anymore, so we need to increase is Tap. I was suspicious of that particular issue, so it wasn't a big surprise for me...
 
Re: 12/8 Trixie AMPS 114 +2.25 79 +4 69 - BW back

Trixie is doing great...Sorry about Mario's issues..We all face these decisions some time in the lives of our babies--I would do the least invasive--I also had to have my Copper(GA) have a echocardiogram, so we asked the vet if he could be the first appt & if we could wait for him & theya greed so he didnt have to be there so long alone..
Prayers for Mario to keep feeling good, & for you to do what you feel you should..Hugs & lub from us!
 
Re: 12/8 Trixie AMPS 114 +2.25 79 +4 69 Mario Labs

These are the (out of range) numbers I've got for Mario:

ALT: 522 (10-100 U/L)
Amylase: 2349 (100-1200 U/L)
WBC: 32.8 (3.5-16.0)
RBC: 10.47 5.92-9.93)
MCV: 36 (37-61)
Platelet Count: 139 (200-500) [Reflects the min number do to platelet clumping]
Neutrophils: 20992 (2500-8500)
Lymphocytes: 10168 (1200-8000)
Monocytes: 984 (0-600)
T4: 6.3 (0.8-4.0)

Also, his phosphorus is 4.9...I know that can be a key value with kidney issues, but I can't remember what is truly considered "high", other than the range provided in the report isn't really accurate since it includes kittens. From what I can tell, his other kidney values are smack dab in the middle of normal...I don't know why he's been referred to as having kidney issues in the past...just noticed that one.

At this point, most of it is really Greek to me...

I also asked about referring me to a US such that he could be in and out, rather than languish in a cage all day. They can refer me to a clinic, or call me when their US tech is on the way, and I can meet them there. EVen though that means I'd be sitting around waiting for the call, I'd do that in a heartbeat, rather than let him be cooped up and stressed out all day. For now, one day at a time...

Thanks for any thoughts - and for just letting me ramble on.

Back to work...will try to sneak a few condos in here and there througout the day.

ETA: Also, he's on adequan for his arthritis. Any thoughts as to whether that could be a contributing factor to some of these values? I completely forgot to ask my vet that one, but I'll toss it at her shortly...
 
I'm so glad Trixie is keeping her nose clean so you only have to worry about Mario. She's such a good girl!!! I sure hope Mario's numbers improve, too. You take such good care of your babies and I know the worry can be much worse than the reality. I'll pray that it ends up being just a little bit of nothing!!
 
Nice for Trixie!! Go green!

I know you must be worried about Mario, although it sounds like he feels pretty good. That is the most important thing is how he is acting. If you want any info on kidney issues, I know Marje and Claudia are experts with all that so you may want to PM one of them. My Cleo has CRF, but I am still trying to learn all about it so I am still a semi-newbie.

Big hugs to Trixie and Mario tonight (and you, too!)
 
aw, sorry to hear mario needs more help! poor guy! very nice of trixie, however, to have such good numbers for you while you're taking care of mario and going to work.

hugs from me and punkin!
 
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