6/22 Pudge AMPS

tysm.. ❤️‍🩹 vet told us tho not to come in. @Staci & Ivy @Karolina & Nestle @Connie & Moonie 😕

the office just called back.. they say we dont need to come in; vet looked at the report… and that theres nothing medically they can do for us to come in.. and so what they have to offer is to start that Varenzin Ca1…… which ive heard isnt great for diabetic cats, and kidney board said it wasnt great either.. and its oral. hes on enough oral meds. ☹️
they dont have the injections..

sigh. once things get “complicated”.. they dont want your case anymore. they shove you off!!! 😑😑😑 this is the second time this has happened w a primary…

ANYWAY…. we could go get the Darbopoetin today.. cant find Epogen, unless maybe i order it.. idk. have someone write me a script???

i guess we’ll go back to the vet we saw over the weekend.. (?)

what do we do? is there anything to help him feel better now? :/ ..transfusion?.. yikes..
 
tysm.. ❤️‍🩹 vet told us tho not to come in. @Staci & Ivy @Karolina & Nestle @Connie & Moonie 😕

the office just called back.. they say we dont need to come in; vet looked at the report… and that theres nothing medically they can do for us to come in.. and so what they have to offer is to start that Varenzin Ca1…… which ive heard isnt great for diabetic cats, and kidney board said it wasnt great either.. and its oral. hes on enough oral meds. ☹️
they dont have the injections..

sigh. once things get “complicated”.. they dont want your case anymore. they shove you off!!! 😑😑😑 this is the second time this has happened w a primary…

ANYWAY…. we could go get the Darbopoetin today.. cant find Epogen, unless maybe i order it.. idk. have someone write me a script???

i guess we’ll go back to the vet we saw over the weekend.. (?)

what do we do? is there anything to help him feel better now? :/ ..transfusion?.. yikes..
I'm so sorry Yasmin - hopefully others who are more experienced can offer advice, but I just wanted to say that you and Pudge are always in my thoughts and prayers, and I hope everything is ok.
 
tysm.. ❤️‍🩹 vet told us tho not to come in. @Staci & Ivy @Karolina & Nestle @Connie & Moonie 😕

the office just called back.. they say we dont need to come in; vet looked at the report… and that theres nothing medically they can do for us to come in.. and so what they have to offer is to start that Varenzin Ca1…… which ive heard isnt great for diabetic cats, and kidney board said it wasnt great either.. and its oral. hes on enough oral meds. ☹️
they dont have the injections..

sigh. once things get “complicated”.. they dont want your case anymore. they shove you off!!! 😑😑😑 this is the second time this has happened w a primary…

ANYWAY…. we could go get the Darbopoetin today.. cant find Epogen, unless maybe i order it.. idk. have someone write me a script???

i guess we’ll go back to the vet we saw over the weekend.. (?)

what do we do? is there anything to help him feel better now? :/ ..transfusion?.. yikes..
I’m so sorry. The only thing that can help get the creatinine down is hospitalization on IV fluids but that doesn’t deal with the more immediate issue of the anemia. I can’t believe there is no one there who will give him Epogen.

Is there a different ER you can take him to if you call and they have Epogen or can do a transfusion? A university veterinary clinic maybe?
 
So sorry they turned you away, that's awful :( All you want to do is help Pudge. I hope you can find somewhere that will help you do that 🫂
 
I’m so sorry. The only thing that can help get the creatinine down is hospitalization on IV fluids but that doesn’t deal with the more immediate issue of the anemia. I can’t believe there is no one there who will give him Epogen.

Is there a different ER you can take him to if you call and they have Epogen or can do a transfusion? A university veterinary clinic maybe?
they dont have it.. ☹️ i was thinking of just getting a script and buying it and having them (the new vet i guess?) help me give it to him/dose him.. (?) if they’ll write it for me..

GoodRX has a coupon. cause Epogen is faster. then we can go to Darbopeotein.. considering how bubba does. 🥺❤️‍🩹 Or just start him on Darnopoetin which they actually have at this
Moment?? Idk.
 
Only you can make a decision but I will encourage you to make one immediately. Going back & forth is delaying treatment.

Your regular vet wouldn’t even dis us with you the options & that she would give him the Epogen? I am shocked at a vet you have a relationship with just telling you not to bring him in.
 
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Only you can make a decision but I will encourage you ti make one immediately. Going back & forth is delaying treatment.

Your regular vet wouldn’t even dis us with you the options & that she would give him the Epogen? I am shocked at a vet you have a relationship with just telling you not to bring him in.
yeah!! when the values went horribly up last time all they did was email.. EMAIL.. the not so great news.. and then today wouldnt even have us come in. Even had some tech call me. A tech! 😤 they dont have Epogen or Darbo, theyre general they said….. and they wouldnt write me a script. we’ve been treated like garbage by vets………

And i know! im trying to think whats best to do.. im thinking to run him in and talk to the doctor again.. idk. but this one was saying to just end things.. wasnt into ESAs at all.. 😓
 
do i go to the hospital.. get him a transfusion?.. or go to the primary?.. get him his Darbopoetin or a script for Epogen?.. im lost. :/
 
UPDATE:

everything went so nicely.. i like this doctor so much.

helped us do everything and was more than for it; nothing to lose honestly.. and we got his Darbopoetin. showed me how to dose etc but hes got to have his PCV (same as hematocrit; tells how his level is..) checked tho each time prior to the next dose.. to know where its at.. so ill just have them give it to him when we’re there maybe? like why not? unless i can bring in a sample somehow.. 🤔

he’s also gained weight 😭 so his dose had to get adjusted frm the one i had.. and we were told the bebe doesnt look like his bloodwork 🥹.. ok to go off how hes feeling.. (@Suzanne & Darcy ❤️‍🔥.. u mentioned this too..) he’ll get a dose once a week.. see how he does.

we need to do an iron supplement or shot but they didnt have shot so doc suggested a multi w iron, but it has corn syrup in it.. this one:

Pet-Tinic

im trying to read the kidney board suggestions.. cuz he needs it asap. 😕 helps the meds work.

now we home. ✨ he’s having a hard time eating tho today.. but i keep trying to get food in. his syringe was uneven trash (happens.. the way theyre made, the plungers can be crooked.. and that affects the dose if you ask me! esp at smaller units.. idk..) so his numbers a bit higher today; might be why.. idk. or just everything. eh. 😮‍💨❤️‍🩹
 
I’m glad he’s got what you wanted him to have and you saw a vet you like. That’s encouraging.

I hope his PCV/HCT starts to come up and his P down. And he eats.
its what we had available.. and on a time crunch. me too.. hoping its within time. ✨ i hear Epogen really isnt great.. but it can be faster. idk. I hear Darbo can be pretty fast too..

we need iron tho. where can i get some? im lost what to go with..

me too; going to keep trying.. my big thing is his trouble eating today. i really hope so too.. 🫠
 
its what we had available.. and on a time crunch. me too.. hoping its within time. ✨ i hear Epogen really isnt great.. but it can be faster. idk. I hear Darbo can be pretty fast too..

we need iron tho. where can i get some? im lost what to go with..

me too; going to keep trying.. my big thing is his trouble eating today. i really hope so too.. 🫠
It’s best to look on Tanya’s or ask the group. I never had to use it.
 
im trying to read the kidney board suggestions.. cuz he needs it asap. 😕 helps the meds work.
We do the iron shots. If his iron levels are low he won’t be able to respond to the Darbo as well. This happened with Grace too. Her iron stores were depleted. Yes. You do have to check the Packed Cell Volume to see the response to the Darbo shot. If the PCV goes too high then you wait until it drops down a bit before giving another Darbo injection.
 
Oh by the way. The WalMart Specialty Pharmacy is the cheapest place I have found to buy Darbepoetin. It is $219 per vial and they will sell you one vial instead of making you buy a whole box of vials like a lot of people do. I think you got a donated vial of Darbo for now, right?
 
We do the iron shots. If his iron levels are low he won’t be able to respond to the Darbo as well. This happened with Grace too. Her iron stores were depleted. Yes. You do have to check the Packed Cell Volume to see the response to the Darbo shot. If the PCV goes too high then you wait until it drops down a bit before giving another Darbo injection.
🫶🏼.. i was hoping so buf this office didnt have iron shot; suggested supplement.. he also has lost a bit of muscle.. does that matter?.. 🥺.. but i preder the shot too. BUT thats only if hes low?.. Tanya site said to give that anyway.. idk??

maybe will call around and see whose willing to.. (?) (the iron dextran)

We checked his PCV, still where it was. 🫠💜.. we’re very glad too.. tho i hope its within time.. i feel guilty i didnt notice sooner. but i just thought it was the phosphorus.. and we just did bloodwork.. i asked if his drop was sudden/fast and this vet said yes.. 🥲

Oh by the way. The WalMart Specialty Pharmacy is the cheapest place I have found to buy Darbepoetin. It is $219 per vial and they will sell you one vial instead of making you buy a whole box of vials like a lot of people do. I think you got a donated vial of Darbo for now, right?
tysm for this 💜🫶🏼 will certainly keep this in mind.. yes indeed.. did. ❤️‍🩹.. keeping in fridge.. is there a number u call or locations?
 
🫶🏼.. i was hoping so buf this office didnt have iron shot; suggested supplement.. he also has lost a bit of muscle.. does that matter?.. 🥺.. but i preder the shot too. BUT thats only if hes low?.. Tanya site said to give that anyway.. idk??

maybe will call around and see whose willing to.. (?) (the iron dextran)

We checked his PCV, still where it was. 🫠💜.. we’re very glad too.. tho i hope its within time.. i feel guilty i didnt notice sooner. but i just thought it was the phosphorus.. and we just did bloodwork.. i asked if his drop was sudden/fast and this vet said yes.. 🥲


tysm for this 💜🫶🏼 will certainly keep this in mind.. yes indeed.. did. ❤️‍🩹.. keeping in fridge.. is there a number u call or locations?
I will PM you the phone number and information
 
but i just thought it was the phosphorus.. and we just did bloodwork.. i asked if his drop was sudden/fast and this vet said yes.. 🥲
Your vet wouldn’t do the bloodwork when you wanted it. It’s not your fault.

Make sure they don’t draw too much or too frequent blood from him when he is in this anemic state. That can make the anemia worse. Just checking the PCV should not require a large blood sample.
 
i was hoping so buf this office didnt have iron shot; suggested supplement.. he also has lost a bit of muscle.. does that matter?.. 🥺.. but i preder the shot too. BUT thats only if hes low?.. Tanya site said to give that anyway.. idk??
I think that at least for now it would be okay to go ahead with an iron injection if you can find a vet who has it on hand and is willing.

I have found that those liquid supplements all seem to have corn syrup in them. It’s probably to cover up the taste of the iron.
 
I’m glad things are going better. Can you please start a new condo? We are happy to help where we can on other illnesses but our focus here is also diabetes 😊😊😊. Thank you and if you link this condo, we can go back and read about any history on CKD.
 
I will PM you the phone number and information
tysm Suzanne!!!!!! ❤️‍🔥❤️‍🩹❤️‍🔥❤️‍🔥❤️‍🩹.. we appreciate it a lot..
Your vet wouldn’t do the bloodwork when you wanted it. It’s not your fault.

Make sure they don’t draw too much or too frequent blood from him when he is in this anemic state. That can make the anemia worse. Just checking the PCV should not require a large blood sample.
no….. she wouldnt. smh.. ty for saying….. ❤️‍🩹 still hard on myself tho.. like shoulda gone elsewhere.. but they creeped me out about too much blood w the anemia on a full panel and THEY were the only ones ive found doing partial panels (like hes had a few renal panels done.. just renal.. also gave some other values..) right exactly.. ugh.

for the PCV yesterday they had me prick his ear and took it from there.. 😀 they didnt expect such a flow tho and scrambled when it poured out.. my cat needs his blood Suzanne…. geez. 😝😩
I think that at least for now it would be okay to go ahead with an iron injection if you can find a vet who has it on hand and is willing.

I have found that those liquid supplements all seem to have corn syrup in them. It’s probably to cover up the taste of the iron.
found a place close by who said they’d help! yay.. just hoping he has enough muscle?….. if not, will just give him this one somehow as best as i can.. what think?? i found this!

Taily Iron Supplement

no sugars really.. 😗😀💜 i think Stevia ok for kitties? reviews good..
 
tysm Suzanne!!!!!! ❤️‍🔥❤️‍🩹❤️‍🔥❤️‍🔥❤️‍🩹.. we appreciate it a lot..

no….. she wouldnt. smh.. ty for saying….. ❤️‍🩹 still hard on myself tho.. like shoulda gone elsewhere.. but they creeped me out about too much blood w the anemia on a full panel and THEY were the only ones ive found doing partial panels (like hes had a few renal panels done.. just renal.. also gave some other values..) right exactly.. ugh.

for the PCV yesterday they had me prick his ear and took it from there.. 😀 they didnt expect such a flow tho and scrambled when it poured out.. my cat needs his blood Suzanne…. geez. 😝😩

found a place close by who said they’d help! yay.. just hoping he has enough muscle?….. if not, will just give him this one somehow as best as i can.. what think?? i found this!

Taily Iron Supplement

no sugars really.. 😗😀💜 i think Stevia ok for kitties? reviews good..
Glad you found that one. I was also looking for you and found that same one. I wasn’t sure about the Stevia
 
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