GA Mister in critical condition, congestive heart failure

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@Wendy&NekoThe below info was in the visit summary.

Arterial Thromboembolism (ATE):
Arterial thromboembolism is a devastating complication of heart disease in cats. The underlying cause is associated with heart disease, which induces blood stasis and results in thrombus formation. Blood stasis, along with damaged endothelium and a hypercoagulable state, causes clot formation in the left atrium. Portions of the thrombus can break off and mobilize to distant sites, with the most common site being where the aorta (major artery in the body) splits to send branches to the hind limbs. Lack of blood flow leads to the development of clinical signs, including pain, inability to use one or both hind limbs, and cold extremities.
Although treatment can be attempted, both the short- and long-term prognosis is generally poor. The standard treatment to prevent clot formation is with antithrombotic medications, such as Plavix (clopidogrel) or aspirin.

IIRC, and it's hard to do that now because of sleep deprevation, but he has clots but they're not lodged in anything.
I saw where it said there was thrombogenic material in there, but they didn’t use the words “formed thrombi” which is what I always see on Ginger’s ultrasound report (no formed thrombi) but she always has spontaneous echocardiographic contrast SEC which they describe as smoke, which puts her at an elevated risk for thrombi. She’s actually recently been put on a second blood thinner (Xarelto) in addition to the Clopidogrel because of her severe risk. Based on this study https://journals.sagepub.com/doi/10...=ori:rid:crossref.org&rfr_dat=cr_pub 0pubmed
 
I was able to get Mister on Vetmedin last night at 3am CT.

He is not looking good guys. He's basically not able to stand at all now. Even just him picking a position to lay in is hard now. ER doc recommended euthanasia.
 
Ginger has been put on it three times a day now (every 8 hours).

I am terribly sad about Mister. I am more sorry than I know how to express right now. This all happened so suddenly.
 
doc recommended euthanasia
It's not the same thing but Noah had an enlarged heart, so big it had torn through the cardiac sac. No one knew how he could even be alive but he kept on going for another four years. It wasn't love, medications or some miracle, we just got lucky.
I've been through "the time has come" scenario too many times and I'm not trying to sound negative but these things are often just out of our hands. It's very sad MisterBillie is only 10 years old. The weekend is coming, promise yourself you won't get stuck in some awful emergency clinic on a Sunday morning. I've been their and they're the worst.
 
I have in-home euthanasia scheduled in an hour and 10 minutes.

- I love you as much as life itself.
- I am so sorry we didn't notice this sooner. You knew: The head bumps, the nose boops, and the loud purring. I see it now.
- You were the best friend I've ever had. We are a bonded pair. Wherever I went, you went. You made life so much better. You are one of the smartest creatures I've ever witnessed in my lifetime. The levels of joy and content you achieved whenever we would go for walks outside is something I hope to achieve someday.
- I'm afraid this is goodbye for now. Someday we will meet again. It would appear it's time for you to shadow me now. Have fun up there, keep that orange cat behavior in control, don't zoom too hard. Keep a good lookout. This is temporary: Wherever you go, I will find you again and we will reunite again.
- I will let this be a life lesson: Life is fragile & temporary, and I'll do everything I can to make sure the same thing doesn't happen to me. Keep me accountable Mister.
- Say Hi to Miley & Falley, and other fallen loved ones & heroes.
- Godspeed, Mister. May you zoom on in the afterlife. I will love you eternally. We will never forget you.
 
My sweet baby is now in heaven.

I am absolutely devastated.

Thank you to everybody on these boards who has helped throughout the last couple years. Special shoutout to @FrostD , you were critical in triaging his HST along with many of the other people in this thread.

Godspeed, Mister. I will love you forever and always, I will never forget you.
 
Tears on my keyboard. :( I am so sorry for you. :bighug::bighug::bighug: You did everything you could.

Take care of yourself now, you must be exhausted.

Fly free Billie.cat_wings>o
I am completely exhausted. An hour ago, I was watching some random YouTube video on my computer desk, where mister always came up behind and would boop me with his nose or make an activation noise and settle in at his cat bed underneath my desk, or he sits to the opposite side on the carpet, and I swear I just heard him meow not an hour ago. I rewound the video six times trying to find the timestamp that sounded like a meow and I couldn't.

I just now laid down in my bed. I will try to get some rest, but it's just heartbreaking seeing the right side of the bed be empty where mister would usually lie every night.

Everybody that has furbabies, please hug them for me and spoil them this weekend.
 
I am completely exhausted. An hour ago, I was watching some random YouTube video on my computer desk, where mister always came up behind and would boop me with his nose or make an activation noise and settle in at his cat bed underneath my desk, or he sits to the opposite side on the carpet, and I swear I just heard him meow not an hour ago. I rewound the video six times trying to find the timestamp that sounded like a meow and I couldn't.

I just now laid down in my bed. I will try to get some rest, but it's just heartbreaking seeing the right side of the bed be empty where mister would usually lie every night.

Everybody that has furbabies, please hug them for me and spoil them this weekend.
Oh we will. I keep thinking of you and Mister. This is devastating for you. What a vacuum in your life— an empty place. I will probably be in the same place (again) with grief before too long.
 
I know it doesn't help much to say we know how you feel but we actually do, that's why people are replying here and not just skipping to the next thread. It's exactly as Rover's mom just said; every memory is a gift, every space you shared is special, every meow and every purr you hear for the next while will take you right back to this day.
This is when you turn off the phone, call in sick for Monday, eat something bad for you and just let the laundry pile up. Mister has a spot already saved for him in the tall grass across the bridge where so many of us have lost our friends. The physical pain is gone and for that and the life you gave him Mister is thankful. :bighug:
 
Just seeing this , I'm so sorry it was Mister's time to say goodbye.
Fly high sweet boy, you will be missed but never forgotten .
I know you must be chasing butterflies now with the rest of the kitties.
Keep visiting your Dad ok .:rb_icon:cat_wings>o
 
I am so very sorry for your loss. The quote that's in my signature offered me some solace when Gabby crossed the Bridge:
"Cats never completely leave you. They side step time, shrug off death - come at the call of memory their beauty undiminished, their touch as gentle, their love perpetual."
 
I am so sorry :bighug: You were tenacious in managing his FD, getting him the diagnoses he needed, getting him in for SRT, as well as managing the CHF. And in the end, you made the same decision I would have :bighug:

(Also sorry I wasn't around, but Suzanne and Wendy are much more well-versed in heart troubles). I'm glad I was able to help early on, at least in some small way.

I know the early stages of grief are incredibly painful, wishing you moments of peace and grace.
 
@FrostD Mister and I owe you A LOT for what you did. Your were instrumental in conquering his HST and giving him 1-2 years more of quality life before the CHF popped up.

Thank you for the fast knowledge transfer and quick replies. You were more helpful than an actual Vet.
 
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