7/27 Ruby AMPS 152/+3 148/+6 222/PMPS 166

Katherine&Ruby

Katherine&Ruby

Member Since 2020
Yesterday!

Stealing some time here away to post. Ruby’s floating in mid 100s today so that is good. Wrote to Ruby’s oncologist to ask about managing her insulin vis a vis the pred, and she said to try half her current dose of pred twice a day and not to change the dose of insulin until we see the effect. I agreed and will start this tomorrow.

@Wendy&Neko @Tomlin I asked about studies regarding cats with SCL on pred alone. She said succinctly that there are none. I still trust her judgment as long as Ruby continues to respond well.
 
Nice on pred reduction, hope it works out all fine :bighug: and hopefully Ruby’s pancreas will show the same good work it was showing before the pred
 
Hi Katherine, to me, maybe most important, is that you trust Ruby’s Oncologist and her plan of care. Nice beautiful blues today. I saw she pooped the other day, hmm….wasn’t that the day Dolly sent her tummy/pooping prayers? Good luck with the pred reduction. :bighug:
 
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PerfumedCatMom said:
I asked about studies regarding cats with SCL on pred alone. She said succinctly that there are none. I still trust her judgment as long as Ruby continues to respond well.
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I trust her judgement as well :). Thank you for sharing any insight you get from her :bighug:.I would love to know what the thought leaders were seeing/hearing/experiencing, or questioning aka the basis for the change in treatment. Clearly, what they have learned and continue to learn is influencing the change in thinking regarding how to start & then proceed with cases like Ruby’s. I also wonder how much the lack of PKD Re: Chlorambucil in cats and the fact that at times it sounds like it’s use may have in fact muddied the waters regarding symptoms—were they ongoing issues from the illness vs side effect from the drug—played a part in putting the brakes on automatically using it with these cases. I’m sure the new studies investigating the PKD will be helpful for when it is necessary to add the drug to treatment regimens for some cats.

In the meantime, all the best with the Pred reduction. May Ruby continue to feel well and not miss a beat :bighug:! I will be sending thoughts and prayers that all continues to go smoothly. You both deserve a break after all you have been through in recent months.
 
Sounds like the oncologist is using Ruby as part of her experiment. Sorry, but I tend to be one go likes evidence based treatments instead of winging it.

It will be interesting to try the pred experiment, though I thought you liked that it kept her higher during the day when you are at work. You wouldn’t be the first to give it in the AM for that reason.
 
Tomlin said:
ongoing issues from the illness vs side effect from the drug—played a part in putting the brakes on automatically using it with these cases
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Yes, I follow her logic well. What she also said was that very few cats actually die from SCL, so there is no point in muddying the waters as you say so that it's harder to tell what is the illness and what is the treatment.

Wendy&Neko said:
Sounds like the oncologist is using Ruby as part of her experiment.
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I know you mean well, Wendy, but I'm not sure this is a fair statement. Clinical experience also counts for something. This vet has probably treated hundreds of cats with SCL. I won't discount her on the job experience and undocumented conversations with her peers who are at the top of their game.

Wendy&Neko said:
I thought you liked that it kept her higher during the day when you are at work.
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Regarding the pred dosage, I want to do what's best for Ruby. When I thought we were relegated to once a day dosage, I chose the daytime. Now that we can try twice a day dosing, I want to see if we can even out her BGs a little more. As of today, DBF might only be out of the house one day a week, so it's worth it to me to try this for now.
 
Hi Katherine, good luck with giving Ruby half of the 5 mg of pred in the AM and PM
Do I have that correct?
You never know unless you try it.
I hope you all have a good night. Give Ruby kisses from me and Tyler ♥:bighug::bighug::bighug:
 
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