4/30 Silver in the hospital

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That is a 319 at the vet clinic. I hope those AB's work quickly to get that infection under control. He wasn't given any AB's to go home with was he?


To me any one with an FD kitty should have some cerenia on tap....up and down BG's can be make you feel icky.

The dental was a good idea...he had an issue...you addressed it...unfortunately it got infected...not sure why but there it is. Maybe your vet should of sent some proactive AB home since there was issues with his BG's as he acknowledges (forget the DKA). That is all hindsight.

As it is now, let the vet know he is on 10.5 units a day so that is not the issue and he needs to dig into his medical books for other answers. Others, I think you know the drill. Hydration, high calorie food and keep giving him insulin.


Juliet, please take a moment and catch your breath. If you are home go grab a cup of tea.
Thanks I will try and see if he will give me Cerenia. I think they dont like seeing me coming as I argue with the vet. There are four at this practice so the one I am seeing today is. Or the one who did the dental. Iokw the dental one better. I said no to metacam and the orher antibiotic that stays in your system (begins with C) so they likely thought I meant no to any antibiotic. They have prescribed clavaseptin 62.5mg.

@Gill & George there is nothing I did to cause this and nothing I could have done to prevent it and nothing more I could have done and didn't.

@Mandy & Rex out if my bedfwr I'm afraid. My card is maxed out after the dental.
 
When Merry had his dental the vet put him on antibiotics as a precaution, simply because he's diabetic & they are more prone to infections. That's also why she put him on Doxy when he had that bad URI I posted about recently. Diabetics are so much more prone to infections than civvies.


He could develop UTI symptoms, for example, and no bacteria grows in the urine culture (which doesn’t mean no infection is possible), so vet says no antibiotics. (Real example, this happened exactly to Asia a couple weeks ago). If you know he is ketone prone and this happens, or say he has ketones the same time as the UTI symptoms, you know that you need to be heard by your vet that your concern of infection outweighs the lack of concrete proof of bacteria and you make a strong case to get the antibiotics (and hope you are successful in your efforts). DKA is a worse risk than unnecessary antibiotics.

This is so true & what I replied with in another thread a couple weeks ago as well because I've experienced this numerous times with my own cats & dogs where urinalysis & culture are negative for bacteria but they have symptoms so I request a broad spectrum abx anyway and voila, the symptoms go away. I don't trust cultures at all anymore, I've experienced this so often. I still do cultures because it's part of the process but when they come back negative & my furbaby has symptoms, they go on abx anyway. I mentioned before that I did not do that with Beau recently and he almost died, went into kidney failure, and even though culture was still negative at that time (and twice before with two different vets who ignored his symptoms because of negative cultures) the ER vet put him on abx & it saved his life and cost me a small fortune that I'm still trying to pay off and all because I didn't request abx sooner as I usually do, so it's my fault.

I also have a cabinet full of meds for my furbabies & my first aid kit ready just in case. It never fails, if one is going to get sick it will happen on a Sunday or a holiday so I have meds on hand so I can give them asap, at the same time my vet is always just a call away & she guides me as well if needed & I always let her know what I'm giving in case she needs to see them when she's open. Just yesterday my cat, Oreo, who has some serious health issues, had a lot of pain in his abdomen & would not eat. I had Buprenorphine on hand as well as anti nausea meds, appetite stimulants & a fresh bag of Sub-q fluids, so I was prepared to deal with the crisis. I treated him as if he had pancreatitis (he has history of that & other serious things that can cause these symptoms), gave Bupe for pain, the anti nausea med since he was refusing food & he had Sub-q fluids as well. I know Oreo & if I don't get ahead of these episodes when they happen he'll be hospitalized & could die but thankfully I always have supplies/meds on hand & this morning he's feeling good again.

Anyway, that's how I do things so I can try to keep on top of things since I have a house full of seniors (3 who are 16 yrs) & other special needs kitties. It saves me money in the long run & helps them over come bad episodes quickly since I don't have to wait for a vet. It's never a bad idea to have extra meds & supplies on hand.

I know this is very stressful for you & for Silver and I hope things get straightened out for him soon. You're doing everything you can for him. Hang in there! Hugs to you!
 
When Merry had his dental the vet put him on antibiotics as a precaution, simply because he's diabetic & they are more prone to infections. That's also why she put him on Doxy when he had that bad URI I posted about recently. Diabetics are so much more prone to infections than civvies.




This is so true & what I replied with in another thread a couple weeks ago as well because I've experienced this numerous times with my own cats & dogs where urinalysis & culture are negative for bacteria but they have symptoms so I request a broad spectrum abx anyway and voila, the symptoms go away. I don't trust cultures at all anymore, I've experienced this so often. I still do cultures because it's part of the process but when they come back negative & my furbaby has symptoms, they go on abx anyway. I mentioned before that I did not do that with Beau recently and he almost died, went into kidney failure, and even though culture was still negative at that time (and twice before with two different vets who ignored his symptoms because of negative cultures) the ER vet put him on abx & it saved his life and cost me a small fortune that I'm still trying to pay off and all because I didn't request abx sooner as I usually do, so it's my fault.

I also have a cabinet full of meds for my furbabies & my first aid kit ready just in case. It never fails, if one is going to get sick it will happen on a Sunday or a holiday so I have meds on hand so I can give them asap, at the same time my vet is always just a call away & she guides me as well if needed & I always let her know what I'm giving in case she needs to see them when she's open. Just yesterday my cat, Oreo, who has some serious health issues, had a lot of pain in his abdomen & would not eat. I had Buprenorphine on hand as well as anti nausea meds, appetite stimulants & a fresh bag of Sub-q fluids, so I was prepared to deal with the crisis. I treated him as if he had pancreatitis (he has history of that & other serious things that can cause these symptoms), gave Bupe for pain, the anti nausea med since he was refusing food & he had Sub-q fluids as well. I know Oreo & if I don't get ahead of these episodes when they happen he'll be hospitalized & could die but thankfully I always have supplies/meds on hand & this morning he's feeling good again.

Anyway, that's how I do things so I can try to keep on top of things since I have a house full of seniors (3 who are 16 yrs) & other special needs kitties. It saves me money in the long run & helps them over come bad episodes quickly since I don't have to wait for a vet. It's never a bad idea to have extra meds & supplies on hand.

I know this is very stressful for you & for Silver and I hope things get straightened out for him soon. You're doing everything you can for him. Hang in there! Hugs to you!
Thanks. I don't know how willing the vet is to give me a supply of meds as a "just in case". I have two pills left of the appetite stimulant and four vials of the bupe left and I'm being prescribed another bag of fluids and the AB.
 

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That works...whatch ya knitting?
The vet gave the insulin before he ate. Said he needs to bring the numbers down and when they are down he might feel better enough to eat. Does that make sense? It's the lack of eating that worries me. I don't want to take him home if he hasn't eaten.

He also wants me to bring in more insulin for tonight if he isn't coming home. But they close and leave at 7pm and that's too soon for more insulin if he got his regular dose at 10am. With his high numbers will he be safe. No one to check on him overnight.
 
The vet gave the insulin before he ate. Said he needs to bring the numbers down and when they are down he might feel better enough to eat. Does that make sense? It's the lack of eating that worries me. I don't want to take him home if he hasn't eaten.

I am sure he feels yucky. Ever had a sugar high? You eat 3 cookies (ok maybe six - all right the whole box but man those girl scout cookies are good) and at first you feel great and you are running around...then it like...my tummy hurts....too much sugar....then you get the fall.....now you feel queasy and don't want to eat anything for a bit.

I think that is what it feels like for our kitties sometimes as we try to push them to lower and more even numbers.


Then I could be totally wrong.

Silver is so high and at a vet clinic...the vet may be taking a calculated risk to get the numbers in a better range. I don't think that is his whole problem though. I wonder why he is so against the cerenia. It couldn't harm Silver and if anything it might help. There is another one as well...can't remember the name. You are lucky in that Silver does have a good appy most times.
 
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I am sure he feels yucky. Ever had a sugar high? You eat 3 cookies (ok maybe six - all right the whole box but man those girl scout cookies are good) and at first you feel great and you are running around...then it like...my tummy hurts....too much sugar....then you get the fall.....now you feel queasy and don't want to eat anything for a bit.

I think that is what it feels like for our kitties sometimes as we try to push them to lower and more even numbers.


Then I could be totally wrong.

Silver is so high and at a vet clinic...the vet may be taking a calculated risk to get the numbers in a better range. I don't think that is his whole problem though. I wonder why he is so against the cerenia. It couldn't harm Silver and if anything it might help. There is another one as well...can't remember the name. You are lucky in that Silver does has a good appy most times.
I'll ask re the Cerenia when I go back. He wasn't anti it's use. He just isn't focused that way. He wants to do his treatment plan without my suggestions which I do understand as he is the vet with the training. Even if I don't quite agree. He knows I'm on the forum and said sometimes it's too much information. I don't agree but in a way I do. I am overwhelmed with all the information coming at me.
 
He also wants me to bring in more insulin for tonight if he isn't coming home. But they close and leave at 7pm and that's too soon for more insulin if he got his regular dose at 10am. With his high numbers will he be safe. No one to check on him overnight.

Maybe you can bring him home for the night & then bring him back in the morning before you go to work? That way you can give his next dose at the right time & try to get him to eat. I would be worried about him being along from 7pm until morning. That's a long time, especially for a diabetic. Personally, I never leave anyone at the vet if it isn't staffed 24/7, but that's me.

Clavaseptin is the right abx for dental issues, so that's a good one for Silver right now :)
 
I'll ask re the Cerenia when I go back. He wasn't anti it's use. He just isn't focused that way. He wants to do his treatment plan without my suggestions which I do understand as he is the vet with the training. Even if I don't quite agree. He knows I'm on the forum and said sometimes it's too much information. I don't agree but in a way I do. I am overwhelmed with all the information coming at me.

I know you are overwhelmed. :bighug: Since you took the day off and there’s nothing to really be done until Silver comes home, try to rest up and unplug and shake off some of the stress. All this info will be here later when you need and can process it. When you are at that point, maybe make a list of the things you think are important to discuss with the vet before he is discharged, then a list of things you want to have/do/try when Silver is back home with you. It may help organize the things you feel are important and how to proceed from there.
 
Thanks. I don't know how willing the vet is to give me a supply of meds as a "just in case". I have two pills left of the appetite stimulant and four vials of the bupe left and I'm being prescribed another bag of fluids and the AB.

A lot of mine are left over from other times but I do always ask for extra. My vet just ordered me a new bottle of Bupe this morning actually so I can have it on hand since she knows that Oreo can go either way at any given time and then I also have it if any of the others ever need it. I find most vets will rx what I ask for but I try to work with the same vets as often as possible so they also know me & my furbabies & they know I'm a pain in the ass, LOL!
 
I'll ask re the Cerenia when I go back. He wasn't anti it's use. He just isn't focused that way. He wants to do his treatment plan without my suggestions which I do understand as he is the vet with the training. Even if I don't quite agree. He knows I'm on the forum and said sometimes it's too much information. I don't agree but in a way I do. I am overwhelmed with all the information coming at me.

Doesn't hurt to ask about Cerenia and even ondansetron. Cerenia has more uses and effects than just anti-vomiting and not all vets know about that. It does have anti-inflammatory and some analgesic effects, so it might help Silver even if he's not nauseous.

I'm sure the vet wants to do his plan without your suggestions, but that's not really how its supposed to work! You're the owner, you're paying the bill, and no one knows Silver better than you, so you do have some say! Hopefully, he will be willing to work with you as a team and take your suggestions into account.

Take care of yourself! Many vines for you and Silver.
 
I'll ask re the Cerenia when I go back. He wasn't anti it's use. He just isn't focused that way. He wants to do his treatment plan without my suggestions which I do understand as he is the vet with the training. Even if I don't quite agree. He knows I'm on the forum and said sometimes it's too much information. I don't agree but in a way I do. I am overwhelmed with all the information coming at me.

I get that...I can tell when you are overwhelmed. Sometimes it is hard to just blank out all the info until you in the right head space to sort it all out. And to make it tougher...all of us are different and ECID. Which makes it great that all that information is there but....overwhelming.

That all said...you know your cat best...and you are there to help the vet come to conclusions. The vet isn't in a vacuum...you are one of his best resources about Silver. So if you say he seems nauseous then the vet should take that into account.

If this was me...I would make sure I came home with some type of anti nausea meds, the anti biotics, fluids (in case you need more) and if he isn't eating at all...maybe a appy stim.
 
Would a feeder like the SureFeed microchip/tag pet feeder be helpful in letting Silver eat when he needs to eat, yet keeps Sasha away? I know it's pricey, but I'm sure we could help in some way! :bighug:
(I haven't finished reading the whole thread yet butttt)
The microchip feeders are a godsend. I use one for my civvie to ensure she gets enough since Gordy is a food hog.
Yes they are pricey, and worth every penny.
If you think something like this would, please let us know. Maybe we can help figure something out.
You're doing everything you can.
Vines to Silver :bighug::bighug::bighug:
(Ok, back to reading.)
 
(I haven't finished reading the whole thread yet butttt)
The microchip feeders are a godsend. I use one for my civvie to ensure she gets enough since Gordy is a food hog.
Yes they are pricey, and worth every penny.
If you think something like this would, please let us know. Maybe we can help figure something out.
You're doing everything you can.
Vines to Silver :bighug::bighug::bighug:
(Ok, back to reading.)
It's not in my budget. I am all tapped out.

@LuanneP I can't drop him off in the morning without taking another day off work. I am on the 6:03 train. Vet opens at 8. Either I take him home to stay or he stays in the hospital.
 
I get that...I can tell when you are overwhelmed. Sometimes it is hard to just blank out all the info until you in the right head space to sort it all out. And to make it tougher...all of us are different and ECID. Which makes it great that all that information is there but....overwhelming.

That all said...you know your cat best...and you are there to help the vet come to conclusions. The vet isn't in a vacuum...you are one of his best resources about Silver. So if you say he seems nauseous then the vet should take that into account.

If this was me...I would make sure I came home with some type of anti nausea meds, the anti biotics, fluids (in case you need more) and if he isn't eating at all...maybe a appy stim.
Ok. I will do what I can. I have appetite stimulant left and I have already been told I'll get fluids and AB. I will ask about the Cerenia. That's all I can do for now.
 
Note just received from vet:

Hi,
This is blood panel.
The BG is hi.
The problem I need to correct is low Na and Low K (more importantly). The best way is through IV fluids. I will hook Silver to IV today.

I will call later this afternoon. This means I should keep Sliver on the fluids even overnight in hospital. I will talk to you about it.

3DC0B4E3-6E1D-4F60-9BA9-6C554F1F388A.png
 
Doesn't hurt to ask about Cerenia and even ondansetron. Cerenia has more uses and effects than just anti-vomiting and not all vets know about that. It does have anti-inflammatory and some analgesic effects, so it might help Silver even if he's not nauseous.

I'm sure the vet wants to do his plan without your suggestions, but that's not really how its supposed to work! You're the owner, you're paying the bill, and no one knows Silver better than you, so you do have some say! Hopefully, he will be willing to work with you as a team and take your suggestions into account.

Take care of yourself! Many vines for you and Silver.
Janine, your input as a vet counts for a lot. :)
 
Second note from vet:

I am “absorbing “ some expense cause I want to get Him back to a better state of health.
I was worried about kidney function which seems fine.
The ketones and low potassium should be correctable. It may take a few days, but we should get there.
Can you drop off the bottle of lantus insulin you are using for later tonight?
Leave me the bottle for tomorrow am as well.
 
Can someone comment on the vet's note and lab results?
The Na is only slightly low, so I wouldn't be so worried about that - any fluid therapy/rehydration should correct that. The low K is more worrisome, and best corrected with IV fluids rather than SQ.

Having said that, I almost never hospitalize sick pets overnight anymore (used to years ago when I practiced in a the rural area where the closest 24-hr hospital was 4 hrs away). I recommend transfer to the 24 hour hospital, or if that's not an option, cap the IV and have the owners take home where at least someone can monitor. Then bring back in the morning to re-assess and hook back up to IV if needed.
 
The Na is only slightly low, so I wouldn't be so worried about that - any fluid therapy/rehydration should correct that. The low K is more worrisome, and best corrected with IV fluids rather than SQ.

Having said that, I almost never hospitalize sick pets overnight anymore (used to years ago when I practiced in a the rural area where the closest 24-hr hospital was 4 hrs away). I recommend transfer to the 24 hour hospital, or if that's not an option, cap the IV and have the owners take home where at least someone can monitor. Then bring back in the morning to re-assess and hook back up to IV if needed.
The problem with that is that I can't ferry from 24hr vet to regular vet in the morning as I need to be on the train to work by 6am. I already pulled a sick day for today. Can't do another one.
 
Okay. I've decided I like this vet now. He just called me. He's doing all he can. Silver vomited today and he gave him Cerenia so maybe I misheard when he said no. He's taking him home with him for the night so he can monitor him rather than leaving him alone at the clinic so I am pleased about that.
 
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Very glad to hear, sounds like he's doing his best. Perhaps you can relax a little, and get some much needed rest. Treat yourself well.
 
Okay. I've decided I like this vet now. He just called me. He's doing all he can. Silver vomited today and he gave him Cerenia so maybe I misheard when he said no. He's taking him home with him for the night so he can monitor him rather than leaving him alone at the clinic so I am pleased about that.
That is great news I was worried about him being on his own.

BTW Juliet, I wasn't blaming you for anything in my earlier comment.
 
Something to ask vet about. I remember reading an article and I will try to find it, that said diabetic cats so receive a longer than normal course of antibiotics. I asked my vet about it and he agreed. Olive has not needed abs yet. With Smokey he never got abs less than 14 days. It wouldn't hurt to ask.
 
Something to ask vet about. I remember reading an article and I will try to find it, that said diabetic cats so receive a longer than normal course of antibiotics. I asked my vet about it and he agreed. Olive has not needed abs yet. With Smokey he never got abs less than 14 days. It wouldn't hurt to ask.
Please. I've had enough for today. I'm leaving the vet to do what he thinks is best. I've interfered and questioned him all I'm going to.
 
I need to sign off for a few hours. I am physically and emotionally exhausted.

:kiss: Juliet.

No idea of the time there . It is 9.30am Tuesday here.

Yup. It is not always good to have a thousand voices in your ear when under duress. It is all meant well with lots of care but at this time is adding to the stress when all you need are hugs.

In any case I doubt your overheated brain-box is able to take in all the suggestions and thoughts right now so leave them here. They will be there for you to read after you have rested & slept. You actually need to keep yourself and your mind clear for just dealing with the hospital/vet situation . Also for ensuring your place of work understands what this means to you. He is all your family.

I want you to get off this board Juliet. Snuggle with Sasha. Eat. Put your feet up. Whatever soothes.

Sometimes in life when things are very tough , some hours of quiet and calm are the best thing for a person. To let the mind rest & recharge.

Big hugs Juliet.
You're doing great under very difficult circumstances.
 
:kiss: Juliet.

No idea of the time there . It is 9.30am Tuesday here.

Yup. It is not always good to have a thousand voices in your ear when under duress. It is all meant well with lots of care but at this time is adding to the stress when all you need are hugs.

In any case I doubt your overheated brain-box is able to take in all the suggestions and thoughts right now so leave them here. They will be there for you to read after you have rested & slept. You actually need to keep yourself and your mind clear for just dealing with the hospital/vet situation . Also for ensuring your place of work understands what this means to you. He is all your family.

I want you to get off this board Juliet. Snuggle with Sasha. Eat. Put your feet up. Whatever soothes.

Sometimes in life when things are very tough , some hours of quiet and calm are the best thing for a person. To let the mind rest & recharge.

Big hugs Juliet.
You're doing great under very difficult circumstances.
Thanks loads. It's Monday early evening here and I'm planning a very early night so I'm functional for work tomorrow.
 
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