? 5/12 Asia AMPS 264, +2/R4 209 High Blood Pressure Questions before vet visit

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Gosh, how frustrating! So this is "boss vet" at your usual practice?

Could you try a consult over the phone with our old vet? You could email all lab an relevant information, let him look over it and then phone to discuss.??

I was going to suggest this. You have so much data, you observe well. It should be possible.

If her BP is low that's already one thing off the table.

Where I'm at:

- something related to her liver thingies, micro-stones, or something
- ataxia due to sharp pain
- micro-thrombi (source would be either heart or tumors...)

I'd get an opinion from the anesthesiologist about whether the sedation would "kill her". I'm assuming the US is still on the table, I do think it might give you more info to go on.
 
Just a thought on the travellling, not even sure if this is helpful at vthis stage, you know bfg is not a fan either. Do you take her in we can carrier in the car? Dr M suggested I put him in a larger cage. I have a large dog crate so I put Georges bed and litter tray in there, and put him in the back of the car back seats down so he could see what was going on. That was much less taumatic for george, I wish I'd been doing it for years.

I am so sorry for your experience at the vets.:bighug::bighug::bighug:

Could you try a consult over the phone with our old vet? You could email all lab an relevant information, let him look over it and then phone to discuss.??

Thanks Gill. :bighug: Sending more vines for George! :bighug::bighug::bighug:

Asia used to travel really well and enjoyed cat rides, she went on vacation with us every year and sometimes came along to run errands. I think about the time she lost her hearing it became difficult for her, probably some equilibrium thing. She now gets car sick, I didn’t have Cerenia before, I think that stops her from getting sick, but it doesn’t take care of the stress element or whatever else is happening in her body aside from the nausea. I’ve always brought her carrier for when we exit the car, but she has free roam of the SUV with a litter box she can access. She finds a place to sit and just hangs out. The last time she travelled was right before the Christmas Eve where the UTI happened. My old vet said though there’s not an official reason for it, she’s seen stress cause UTIs before.

I could do a phone consult with her, and that’s exactly what I did when Asia was diagnosed with diabetes and I did not like that first vet that diagnosed her and was skeptical of being asked to shoot blind and all that. I wasn’t sure if it was fair to do this whole diabetes thing to Asia at her age and if there would be any quality of life for her with diabetes (this was before I found FDMB). She told me absolutely, if I could regulate the diabetes, she had excellent quality of life potential with it. The problem is she hasn’t actually seen Asia since 2016 and she is a mobile vet, so with complex things that can’t be managed at home, she had a network of small animal hospitals that she referred out to for things like surgery and more sophisticated diagnostic tests.

I’m certain what’s going on with Asia at the moment is out of her wheelhouse, she would have referred me to an IM and she would just be the keeper of the information and oversee the case from the standpoint of doing occasional blood labs and speaking with her colleagues. Is she the most amazing and knowledgeable vet there ever was, no, but what she has in spades is that she knows her patients as she sees them in their home environment and not just stressed out at the vet and she knows when something is beyond her capabilities and has a highly qualified network of other vets she works with to take it from there.

Knowing Asia as well as the other vets she would send me to, she would be an intermediary and I’m hoping (but not positive) that alone would avoid me situations such as yesterday’s. So I already know she would tell me to do pretty much exactly what I’m doing, but I don’t have the benefit of seeing people she has a working relationship with. The guy she referred me to with Asia’s resorptive disease was like a rock star oral surgeon that was even called in to treat large cats at the National Zoo. Not someone you could just walk in and get an appointment with. Asia was seen immediately and had her surgery that same day. I don’t recall anyone saying “you’ll kill her,” she was 13 and we all considered her “old” at that time, to boot she was very, very sick, on death’s door and worse off then than anything she’s been through this past year. It was a no brainer, if the surgery didn’t kill her, the teeth would as they were already doing.
 
I was going to suggest something similar... Stacy, I don't know if they offer this in your area, but in OK and AR we have mobile vets that will come to your home. Many of them have a veritable traveling clinic they bring along. I have never used one, but can see the appeal. I would assume they do not have the full extent of equipment, but at least enough to get the job done and help you find the next path. Perhaps an IM? I am just guessing with this one... But, I agree. I do not see the sense in hauling her back and forth like that. I hope you find the answers you need very, very soon... :bighug::bighug:

I had one at first, he came every week to do her acupuncture and he referred me to the first vet that diagnosed her with diabetes (I was really underwhelmed with that practice to put it nicely). I think they are only as good as the people they know when it comes to these situations. I have looked for other mobile vets but they seemed like dog vets more than cat vets and it’s never done well by Asia to go a dog vet, to the point you made before. Surprisingly, there aren’t many mobile vets here. I guess that could have something to do with the fact that in 5 minutes I could get to 5 different brick and mortar vet clinics.
 
Gosh, how frustrating! So this is "boss vet" at your usual practice?

I was going to suggest this. You have so much data, you observe well. It should be possible.

If her BP is low that's already one thing off the table.

Where I'm at:

- something related to her liver thingies, micro-stones, or something
- ataxia due to sharp pain
- micro-thrombi (source would be either heart or tumors...)

I'd get an opinion from the anesthesiologist about whether the sedation would "kill her". I'm assuming the US is still on the table, I do think it might give you more info to go on.

I’m going to consult with the specialty clinic about the dental if it’s possible, but it may not be. You can go there for an emergency, but for anything else, you must be referred by your vet. It was a clear cut emergency with her teeth last time, it may be this time too, but I’ve been hard pressed to convince my current vet teeth can cause systemic problems, she thinks infections stay localized in the mouth, so I doubt I’d get a referral from her for that. I do think the u/s would give some more info, plenty of things don’t show up on the X-ray. There could be something obvious and untreatable and as sad as that would be, at least it would give an answer to the problem.
 
One other thought is that Cornell's feline center has a phone consult service. At this point, being really upfront about Asia's quality of life and your not wanting to use her age as an excuse for vets to stop thinking about appropriate treatment, may be something to state -- especially since you've been running into the bad attitude on a routine basis.

 
One other thought is that Cornell's feline center has a phone consult service. At this point, being really upfront about Asia's quality of life and your not wanting to use her age as an excuse for vets to stop thinking about appropriate treatment, may be something to state -- especially since you've been running into the bad attitude on a routine basis.

Thanks, Sienne. I’ve never heard of that, what do they do? Can they refer me to appropriate vets or try to come up with some hypothesis based on Asia’s tests and history file?
 
:bighug::bighug::bighug::bighug::bighug:Love light and healing You are such a wonderful bean Asia is very lucky to have you I had many people tell me to put Amethyst down I was always mortified! You know your little girl better,than anyone(even vets!) yourself
 
:bighug::bighug::bighug::bighug::bighug:Love light and healing You are such a wonderful bean Asia is very lucky to have you I had many people tell me to put Amethyst down I was always mortified! You know your little girl better,than anyone(even vets!) yourself

That is crazy, Pamela! :bighug::bighug::bighug: I don’t even know Amethyst but it’s plain to see she has a lot of joie de vivre and she’s responding extremely well to cabergoline. I hope they are eating crow now!

I don’t even understand, I think a huge complaint of vets is seeing caregivers that aren’t able (or willing) to have the X-ray or ultrasound, or they get a diagnosis and decide better to put them down than to go through the trouble. Or even put them down because they are trouble even though disease free. I’m sure there are far more of them than people who will go the extra mile to keep their animals healthy.
 
I think you are partially right about some pet owners just being "checked out" or not interested in helping their pets. There are also some owners who just can't afford xrays or ultrasound because the owners are on a fixed income or jobless. We have see that on the forum here.
 
I think you are partially right about some pet owners just being "checked out" or not interested in helping their pets. There are also some owners who just can't afford xrays or ultrasound because the owners are on a fixed income or jobless. We have see that on the forum here.

Of course, that’s what I said. Aren’t able (financially) or willing (can afford it but don’t want to). My point is, for a couple reasons, animals can be sick or need testing and more of them don’t get it than do. It’s a common complaint of vets to treat animals and have to stop short because of limitations to pursue diagnostics.

It’s also a fact that there are people with means, with little means, a fixed income, rich, in between or are jobless and go the extra mile to help their animals. I just say the category above makes up the majority.
 
I believe they ask for copies of her records (labs, etc.) if you can get them. They will then essentially brainstorm what may be going on. I don't know if they will make a recommendation to a vet, but you can ask. Here's the info for their consultation service.

Thank you, I found it earlier, it looks like a great resource and I will see what they say. :bighug:
 
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