4/2 Silver AMPS 220 PMPS 223

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Doodles & Karen said:
When was his last vet check up?
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It was a vet screw up that caused him to lose his remission and this particular vet has no clue Silver is back on insulin so I'm not taking him back in a hurry. All the vets Silver has seen have messed him up. I think it's been firmly established that vets know nothing about FD so I'm not taking him.
 
Tracey&Jones said:
He just isn't budging is he?

I hope he comes down for you soon.
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At least his PMPS are still yellow. But like I said a few times he was better on 3.25u and I am regretting increasing him. On 3.25 we had blue AMPS and PMPS and the odd green thrown in.
 
Juliet said:
At least his PMPS are still yellow. But like I said a few times he was better on 3.25u and I am regretting increasing him. On 3.25 we had blue AMPS and PMPS and the odd green thrown in.
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I wish I could advise you. You have some very experienced eyes watching and advising.
 
Catching up on Silver's condo. If you wanted to play around with in between doses, the calipers are such a big help, once you get over the hump of figuring them out. I too was a bit confused at first. I tried, I failed, I put it away for another day and then Ella stopped by my condo and posted this comment I dug up to share with you. Somehow between backing away when I was frustrated and reading her simple explanation a short time later, it connected the dots for me, maybe this will help you too.

Ella & Rusty & Stu(GA) said:
If you learn to use the calipers you can forget about the lines on the syringe and simply measure from the disc/ring. To get the proper dose measured on the calipers, find one of your "perfect" syringes (zero line matches up with the disc/ring) and draw up your dose. Then hold up the calipers to the syringe and move the gage to match the dose 1.75. Tighten the knob on the calipers so that the arms are locked. Write down the number (in mm) on the calipers display. that's all there is to it. Leave the calipers set and locked. When you draw up your next dose measure it from the disc/ring. I always make sure to turn on the calipers for a minute before I use them, just to make sure that they are still set for my dose (sometimes they might get knocked around)
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Also, never give up hope for a remission. It seems like a long shot for Asia too, but just knowing that it is possible lifts me up and pushes me forward. I think Silver has decent odds for remission given it was steroid induced that knocked him out. So what if it takes him a little longer the second time, cats aren't known for doing things when we want them to, probably just to troll us for their own amusement. ;)
 
Stacy & Asia said:
Catching up on Silver's condo. If you wanted to play around with in between doses, the calipers are such a big help, once you get over the hump of figuring them out. I too was a bit confused at first. I tried, I failed, I put it away for another day and then Ella stopped by my condo and posted this comment I dug up to share with you. Somehow between backing away when I was frustrated and reading her simple explanation a short time later, it connected the dots for me, maybe this will help you too.



Also, never give up hope for a remission. It seems like a long shot for Asia too, but just knowing that it is possible lifts me up and pushes me forward. I think Silver has decent odds for remission given it was steroid induced that knocked him out. So what if it takes him a little longer the second time, cats aren't known for doing things when we want them to, probably just to troll us for their own amusement. ;)
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Thanks. Nice to see you in Silver's condo again.
I've had a couple people try and explain the calipers to me and its like a foreign language. I don't understand a word so I'll have to eyeball it. I'd heard in between dosesnot a good idea in a few condos tho? I don't know why I'm suddenly seeing a lot more yellows when I increased to 4u but the 3.25 and 3.5 weren't getting him consistently in green. It's a mystery.
 
Tracey&Jones said:
If they could just tell us what is going on right?
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I wish. He's much thinner now and I want him regulated so he'll put on a few pounds. I don't want to take him to vet because I've lost all faith in them. They made so many stupid mistakes. Not even remembering why they prescribed steroids. Not recalling h was a diabetic. It's the third vet practice near me I've been to and each know nothing about FD.
 
Juliet said:
Thanks. Nice to see you in Silver's condo again.
I've had a couple people try and explain the calipers to me and its like a foreign language. I don't understand a word so I'll have to eyeball it. I'd heard in between dosesnot a good idea in a few condos tho? I don't know why I'm suddenly seeing a lot more yellows when I increased to 4u but the 3.25 and 3.5 weren't getting him consistently in green. It's a mystery.
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It's just a ruler with a digital screen that tells you exactly what the measurement is. Try visualizing it as a ruler, a tape measure or whatever, ignore all the writing and scale on it, all you care about is the digital number that is displayed when you move the arms to bracket the thing you need to measure.

Anyhow, in between doses are discouraged in general because for the majority of cats they are not necessary and when people with an in the majority cat play with incremental doses, they often don't work. Every time you modify something, it adds a level of complexity that you should only keep if there is a solid benefit to it, SLGS and TR work as written for the majority of cats. I don't know if an incremental dose will help Silver or not, but you won't know until you try, if it doesn't work, just toss it out and go up or down to a .25 dose and keep on with SLGS in those increments.

Vets have to know and be skilled at a vast amount of things. There is so much depth of FD knowledge here because, for the most part, this board is all about FD. In a lifetime of practicing veterinary medicine a single vet could only hope to see and treat the tiniest percentage of cats that show up here in droves. It's so important to find a vet you can trust and work with. I know it's hard, I went through 3 myself. It's not very realistic to look for one that understands FD in the depth you find here.

A great vet is one who will listen, partner and work with you to help Silver. Think of all the future diabetic cats that will come to your vet's practice after you that can benefit from that. We all need our vets for a lot more than diabetes, and even if you consider their FD advice worthless, it's okay, that doesn't mean they aren't skilled in many other areas that will help Silver live a long and healthy life.

You've obviously dealt with your share of doctors, so I'm sure this isn't news to you. I learned (the hard way, of course) when my daughter was born that I have to be my own (and my kids) advocate when it comes to medical issues. I have a responsibility to invest time in learning things about conditions and proposed treatment plans and not just assume a doctor is all knowing and will get it right every time, because they aren't and they can't (even though most of them try very, very hard). It's a tough job and a heavy burden to bare to know that when you make an error someone could be injured or even die. I'm so thankful there are people up to the task of doing those jobs that aren't so forgiving of the minor errors we all make in our day to day lives.

We as patients have valuable information about ourselves (and our cats) that help doctors with diagnosing and treating health issues. I would love it if before every visit my vet reviewed my charts and remembered every little detail about my cat, but come on, it's a big ask, especially for a busy practice that you may only visit once a year. You bet I don't assume they remember she is diabetic and I will remind them, if they suggest a medicine I double check is it safe for diabetics, are there contradictions to CKD, or what have you. Like the saying goes around here, it's your cat and you hold the syringe, for ourselves and for our cats, it's ulltimately our responsiblity to make sure things are done right to the best of our ability.
 
Stacy & Asia said:
It's just a ruler with a digital screen that tells you exactly what the measurement is. Try visualizing it as a ruler, a tape measure or whatever, ignore all the writing and scale on it, all you care about is the digital number that is displayed when you move the arms to bracket the thing you need to measure.

Anyhow, in between doses are discouraged in general because for the majority of cats they are not necessary and when people with an in the majority cat play with incremental doses, they often don't work. Every time you modify something, it adds a level of complexity that you should only keep if there is a solid benefit to it, SLGS and TR work as written for the majority of cats. I don't know if an incremental dose will help Silver or not, but you won't know until you try, if it doesn't work, just toss it out and go up or down to a .25 dose and keep on with SLGS in those increments.

Vets have to know and be skilled at a vast amount of things. There is so much depth of FD knowledge here because, for the most part, this board is all about FD. In a lifetime of practicing veterinary medicine a single vet could only hope to see and treat the tiniest percentage of cats that show up here in droves. It's so important to find a vet you can trust and work with. I know it's hard, I went through 3 myself. It's not very realistic to look for one that understands FD in the depth you find here.

A great vet is one who will listen, partner and work with you to help Silver. Think of all the future diabetic cats that will come to your vet's practice after you that can benefit from that. We all need our vets for a lot more than diabetes, and even if you consider their FD advice worthless, it's okay, that doesn't mean they aren't skilled in many other areas that will help Silver live a long and healthy life.

You've obviously dealt with your share of doctors, so I'm sure this isn't news to you. I learned (the hard way, of course) when my daughter was born that I have to be my own (and my kids) advocate when it comes to medical issues. I have a responsibility to invest time in learning things about conditions and proposed treatment plans and not just assume a doctor is all knowing and will get it right every time, because they aren't and they can't (even though most of them try very, very hard). It's a tough job and a heavy burden to bare to know that when you make an error someone could be injured or even die. I'm so thankful there are people up to the task of doing those jobs that aren't so forgiving of the minor errors we all make in our day to day lives.

We as patients have valuable information about ourselves (and our cats) that help doctors with diagnosing and treating health issues. I would love it if before every visit my vet reviewed my charts and remembered every little detail about my cat, but come on, it's a big ask, especially for a busy practice that you may only visit once a year. You bet I don't assume they remember she is diabetic and I will remind them, if they suggest a medicine I double check is it safe for diabetics, are there contradictions to CKD, or what have you. Like the saying goes around here, it's your cat and you hold the syringe, for ourselves and for our cats, it's ulltimately our responsiblity to make sure things are done right to the best of our ability.
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Unfortunately there is no other vet close to me. I have no choices. And I expect any vet or doctor worth anything to read the file of their patient before seeing them. Basic common sense in my opinion.
 
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