2/28 Trixie AMBG 154 "+3.5" 87 - Labs Tab updated

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Amy&TrixieCat

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Yesterday

It's an OK day so far here...fairly happy appy and snuggles and some feistiness.

As I mentioned in Trix's condo last night, her BW results came back yesterday, but we are still waiting on the urine culture to see if we managed to get rid of the enterrococous.

I do have her lab tabs somewhat updated, although I am missing a report from mid-fall - I'll have to dig through e-mails for that at some point. Yesterday's BW results did push her out of Stage 4 CKD and back down to the very top edge of Stage 3 CKD, which I suppose is good...I guess I was hoping for more, but that's probably unrealistic. The numbers scare me, but I will eventually get back into the frame of mind that they are numbers and she is a cat who seems to feel good despite the numbers...it will just take a few days.

In the meantime, my anxiety is most definitely through the roof - partly because of the numbers, partly because it was the weekend after her urine/blood draw in January when she got so sick, and we had similar timing last year, too, when she got REALLY sick. So I am incredibly on edge this weekend. I feel like she could be off a little last night and today, but I don't know if that's really the case, or if it's my mind playing tricks on me, or if she is responding to my extreme anxiety.

I do have a few more questions for the vet about some of the values in her current report. Some of the things that are now elevated (amylase, lipase, etc) were also elevated last year when she had the p-titis. The vet did talk about those on the phone with me last night, but it was a ton of information, my brain wasn't working quite right, and I didn't have the actual labs in front of me last night. So I want to ask her about those values again, since they were high last year, then corrected themselves somehow.

She's not positive Trix has a stone; it's just a possible theory to explain some of this stuff. I don't think we'll do the U/S, because it won't really change how we can address things, and it will probably just compound my stress levels....

I also remembered this morning that the vet tech said they did have a little trouble getting urine the other day, and had to call in vetty to do it. I wonder if that's why there's blood in the urine...the needle stick is always a possibility, but if they had a hard time, I imagine it could magnify the possibility of the needle stick.

So right now, I'm just nervous and distracted as can be....but I have to work today. Have a great day, L&LL!

Amy
 
Yesterday


I do have a few more questions for the vet about some of the values in her current report. Some of the things that are now elevated (amylase, lipase, etc) were also elevated last year when she had the p-titis. The vet did talk about those on the phone with me last night, but it was a ton of information, my brain wasn't working quite right, and I didn't have the actual labs in front of me last night. So I want to ask her about those values again, since they were high last year, then corrected themselves somehow.

She's not positive Trix has a stone; it's just a possible theory to explain some of this stuff. I don't think we'll do the U/S, because it won't really change how we can address things, and it will probably just compound my stress levels....

I also remembered this morning that the vet tech said they did have a little trouble getting urine the other day, and had to call in vetty to do it. I wonder if that's why there's blood in the urine...the needle stick is always a possibility, but if they had a hard time, I imagine it could magnify the possibility of the needle stick.

So right now, I'm just nervous and distracted as can be....but I have to work today. Have a great day, L&LL!

Amy
Hi. I haven't looked at the labs yet but did want to tell you that amylase and lipase are not indicators of pancreatitis in cats like they can be with dogs so put that one right out of your head, okay? It's been my experience that kidney disease either stays about the same, which is GREAT, or advances. It can't get better unless it was brought on by infection or some other medical problem like stones. Your better numbers are more than likely because the infection is gone, another really good thing. The blood was more than likely from the stick to get the urine. That has happened with Max. I'll have a look at the rest and see if anything jumps out at me.

Anti-stress vines for you. Have a great weekend.
 
(((Amy))), Wait until you talk to the vet! I'm sorry I can't be of help with Trixie's lab results, but you are right when you say that you really have to take into consideration how Trix is feeling and behaving, not just the values. Put last year out of your thoughts. It is now this year! Onward and forward! Blood in the urine is relatively common after cystocentesis, as I understand it.

So hang in there. Trixie will be OK.

Hugs and scritches,

Ella & Rusty
 
Thanks, guys....you're helping calm me down a bit. I know, I'm really bad about comparing past experience to current experiences - like the last time she had a blood/urine draw compared to this time. I have a history behind that, but I'll refrain from rambling about that right now....

I did have a long talk with the vet last night....she likes to share a lot of info with me, because she knows how I am. However, even for me, it can get overwhelming, especially when I don't have the data in front of me. So I'll call her again for some more info, just because I need some clarification....

My nerves are just terrible any more...getting worse and worse as I get older!
 
Thanks, guys....you're helping calm me down a bit. I know, I'm really bad about comparing past experience to current experiences - like the last time she had a blood/urine draw compared to this time. I have a history behind that, but I'll refrain from rambling about that right now....

I did have a long talk with the vet last night....she likes to share a lot of info with me, because she knows how I am. However, even for me, it can get overwhelming, especially when I don't have the data in front of me. So I'll call her again for some more info, just because I need some clarification....

My nerves are just terrible any more...getting worse and worse as I get older!

I hate it when my vet calls and I don't have a copy of old labs to look at so I can ask intelligent questions. If I miss his call I usually have to wait until the next day to speak with him as he often calls after his last patient. Even then he usually won't mention something that I see once the labs are sent to me driving me crazy again. Last time Max had high triglycerides and cholesterol for the first time. I found out that is quite common if fed a high protein diet and not tested on at least a 12 hour+ fast which of course won't be done. I know you don't fast either so that also explains a higher BUN as well. Let us know what your vet says when you get to talk to her.:bighug:
 
Yep, a non-fasting test....she had eaten probably about an hour before the blood draw. We've never fasted, either, but I honestly can't remember what the time frame was in relation to eating and blood draw was.

I'll chill in a day or two...it's just seeing the reminder of the numbers on paper that freaks me out. Once I'm away from it for a while and just see HER, I'll be OK.

Haven't called the vet's office yet...I'm at work, and should get myself actually working :rolleyes:.....but it does help that I co-own the place.
 
I can't give you any info on the labs, I have a hard time interpreting my own, let own Skooters :P

It is so very hard not to concentrate on the numbers, because that is what is always forefront in our minds and really can't be disputed. But I am sure in a couple of days, it will get easier as you will see how she is doing vs what the numbers say :)

Hope you have a great day at work....I brought work home this weekend, blah, got through a chunk of it
 
It is difficult trying not to focus so much on all the numbers and you have dealt with a lot so that makes it harder. I know just the waiting and then deciphering the lab values can be nerve wrecking. I think the improvement on the kidney values is a good thing. Going in the right direction. Also, Trixie is doing well in terms of outward signs so that counts for a lot as well.

Sending prayers for Trixie and you.
 
Quick....I really have to get some work done!

Spoke with vetty again....long story short, we are going to run the Zeniquin for a longer course to see if that clears things up any further. The thing that stood out to ME was how quickly she responded to the Zeniquin when she was sick back in January AND that her kidney values did come down some, even though she didn't have elevated WBC, so I wonder if she had a longer course if it would bring her kidney values back down closer to where they were.

I'm also going to start Azodyl....have to order it.

Overall, vetty was very happy with how Trixie looked when she saw her last week....she said she looked much better than she did before.

DH just said Trix ate well at 11, but only so-so at 1:00.....that's a bit unusual and has my radar on alert, for the above reasons....
 
Amy, calming vines aplenty on their way.

All sorts of spunk and appy vines to Trixie, an abundance of you-don't-need-them-but-here-they-are vines!

Marilyn and Polly
 
That's good news that the vet thought she looked better. I know it's easy to get overwhelmed with all the numbers and worry, but try to focus on she's feeling good. :bighug::bighug::bighug:
 
Amy, I know exactly how you feel about worrying that something is going to happen again at the same time as last year. I do that all the time with Simon. It is so unhealthy to do it, but it is hard not to do it! Staying positive is key but with our kitties, things can turn so suddenly, so we are always seem to be on edge, wanting to fix things before they get too bad. Especially pancreatitis! I'm glad the vet was able to do the urine sample. I had Missy at the vet today and the vet tech and the vet couldn't get a sample because her tummy is too big. How embarrassing! Now I have to collect it myself at home.

I'm glad Trixie's kidney values are slightly better although sometimes giving fluids before the test can lower the values a little (at least that is what I think I remember from reading stuff). Not sure. I might be totally wrong. Simon always has extremely high amylase and the vet never worries too much about it.

Sending lots of positive vines to you. Stop worrying! I will also try to follow my own advice. :)
 
Yeah, I know how unhealthy my worrying is, but I can't help it...and I hate that I can't help it because I know that it doesn't do anyone any good to worry so much!

Trix hadn't had fluids before the blood draw - in fact, she was in for the draw at the time we usually do the fluids, so it had been 24 hours since her last fluids.
 
Hi Amy,
Sending you lots of love and hugs!!!

"Worrying" is our radar. It has its benefits. Keeps us tuned in to whats happening with our kitters. Keeps us alert. That's good!! When you begin to get a better understanding and feel for what is happening with Trixie your worry will dial down natually.

It's OK to worry. Your worry will change when it needs to. Please "allow" yourself some time to worry a bit. It's OK and so normal. Don't deny it or fight it. Give it some space.

You are doing such a great job staying on top of Trixie's health issues and she is so fortunate to have such a great mom.

Trixie has such a loving, caring and compassionate Mom!!! That is the most important piece.

Hugs,
Tena
 
Hi Amy :coffee::)

I think it is awesome that Trixie kidney values have stabilized, improved some. One can never cure it, but it can stabilize. This is great! You truly have done sow ell with her. I too believe that the blood int he urine is due to the needle draw. It happened with Mannie too. Mannie was a big guy, draws with him were difficult, for that reason, we sometimes got blood trace in the draws. I think it is great that she feels good, and is busy just being Trixie. very cool!

Hope your day has been a good one. :joyful:
 
Yeah, I know how unhealthy my worrying is, but I can't help it...and I hate that I can't help it because I know that it doesn't do anyone any good to worry so much!

I HATE this vicious cycle as I fall victim to it ALL THE TIME. It is sooooooooooo difficult not to worry, and all I do is tie myself up in knots and make myself sick. But it is the nature of being a good mommabean.....I just I wish I could find a better balance of it all :rolleyes:

Glad to hear vetty I pleased with her, that is always a good sign!!
 
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