Sara & Magnolia
Active Member
WCR: Back to her old self this morning but we still went to the vet. We really liked this vet and decided to continue seeing her.
DENTAL: She does need to have dental done ASAP and with lower BG numbers it's now safe to do it. She has severe gingivitis and tartar buildup. They don't do pre-dental x-rays, so these things are not set in stone, but: She has resorptive lesions on 2 teeth and they will do crown amputations on those. Her back teeth (they both look quite bad) will be cleaned and they will look to the x-rays to determine whether they need to be extracted or not. I asked all of Jill's questions and there are only a couple of variations. They do not give pre-dental antibiotics, they give a shot of penicillin before the surgery and send them home on clavamox unless the infection is very bad and then they use clindamyacin. She said the clindamyacin is hard to administer because it tastes bad and it leads to issues of the cat spitting it out or foaming up in the mouth. They use Isoflurane unless you insist on the Sevo, but Sevo is more expensive. They will give her IV fluids during the procedure and monitor her BP with doppler and also monitor her heart rate. They give buprenex before and after the procedure. The estimate is $480 without the extractions of the 2 back teeth. She said extractions can range $30-150/each. This seems reasonable to me, but I don't have much to base it on.
Any opinions on not giving pre-dental antibiotics?
I scheduled it for March 2, and unless I can get very creative with my schedule next week, that's when it will be. They could also do it on Feb 23rd and I'd like to do it sooner, but the vet said it's a-ok to wait 11 days. She can't eat past midnight or drink past 7am. Since the drop off time is between 7:30 and 8:30am, I'm supposed to bring her insulin with to the vet and they will give it to her at shot time (9:30am), they'll check her BG beforehand and get a +1 before the procedure. She said that unless she is very low, she will get her full dose.
She is 11 lbs. She has gained 1 lb in 43 days! I knew she had gained weight but not that much.
I guess our scale at home is quite inaccurate. Now that she is back to a healthy weight, I will cut back her food.
The vet said the diabetes looks very well controlled and she was quite impressed with my understanding and involvement. I told her all about LL and gave much credit to the lovely folks here!
A side note...she was quick the little diva at the vet. She heard other cats meowing and she started growling. She swiped at the vet, hissed, growled and was completely uncooperative. I had to hold her paws down while the vet examined her. They took her to another room to do the pre-dental bloodwork and we could hear hear SCREAMING. For about 15 minutes. She sounded like a small child. They ended up having to wrap her in blankets and hold her down to get her blood. She's never been so difficult at the vet! We've been home for about 15 minutes and she's fine. She just ate her lunch and she's preening now. I have a feeling she's going to take a loooong nap today.
Yesterday's Condo
Yesterday's Recap:
AMPS 303
+2 311
+11 211
PMPS 169
+2 142
+11 295
DENTAL: She does need to have dental done ASAP and with lower BG numbers it's now safe to do it. She has severe gingivitis and tartar buildup. They don't do pre-dental x-rays, so these things are not set in stone, but: She has resorptive lesions on 2 teeth and they will do crown amputations on those. Her back teeth (they both look quite bad) will be cleaned and they will look to the x-rays to determine whether they need to be extracted or not. I asked all of Jill's questions and there are only a couple of variations. They do not give pre-dental antibiotics, they give a shot of penicillin before the surgery and send them home on clavamox unless the infection is very bad and then they use clindamyacin. She said the clindamyacin is hard to administer because it tastes bad and it leads to issues of the cat spitting it out or foaming up in the mouth. They use Isoflurane unless you insist on the Sevo, but Sevo is more expensive. They will give her IV fluids during the procedure and monitor her BP with doppler and also monitor her heart rate. They give buprenex before and after the procedure. The estimate is $480 without the extractions of the 2 back teeth. She said extractions can range $30-150/each. This seems reasonable to me, but I don't have much to base it on.
Any opinions on not giving pre-dental antibiotics?
I scheduled it for March 2, and unless I can get very creative with my schedule next week, that's when it will be. They could also do it on Feb 23rd and I'd like to do it sooner, but the vet said it's a-ok to wait 11 days. She can't eat past midnight or drink past 7am. Since the drop off time is between 7:30 and 8:30am, I'm supposed to bring her insulin with to the vet and they will give it to her at shot time (9:30am), they'll check her BG beforehand and get a +1 before the procedure. She said that unless she is very low, she will get her full dose.
She is 11 lbs. She has gained 1 lb in 43 days! I knew she had gained weight but not that much.
I guess our scale at home is quite inaccurate. Now that she is back to a healthy weight, I will cut back her food.The vet said the diabetes looks very well controlled and she was quite impressed with my understanding and involvement. I told her all about LL and gave much credit to the lovely folks here!
A side note...she was quick the little diva at the vet. She heard other cats meowing and she started growling. She swiped at the vet, hissed, growled and was completely uncooperative. I had to hold her paws down while the vet examined her. They took her to another room to do the pre-dental bloodwork and we could hear hear SCREAMING. For about 15 minutes. She sounded like a small child. They ended up having to wrap her in blankets and hold her down to get her blood. She's never been so difficult at the vet! We've been home for about 15 minutes and she's fine. She just ate her lunch and she's preening now. I have a feeling she's going to take a loooong nap today.
Yesterday's Condo
Yesterday's Recap:
AMPS 303
+2 311
+11 211
PMPS 169
+2 142
+11 295
