MITZI update!!!

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Mara and Mitzi

Member Since 2014
Alright, so sorry I dropped off the Earth but the vet I saw last week had me believing that Mitzi was on her death bed and had days, if that. So I didn't sleep for 3 days straight as I stared at her and bawled my eyes out. Anyways, I'm going to update you all by days cos it seems like it might be easier that way. And I want to personally thank you all for your love, thoughts, prayers, kindness, and help through this all. I've been on Facebook some and Donna and Marje have both told me about everyone wondering about my baby and that I'm thankful for. You have no idea.

So as you all know, last Thursday (2/27) I took Mitzi to the vet for acting weird, etc. Her appt was at 250pm and I didn't end up getting home till after 8pm. I received nothing but bad news. I went in there with a list to have her checked for a uti, acromegaly, iaa, cushing's, etc and they wouldn't do any of it because she's old and not gonna recover anyways so it wouldn't matter. Remember, these are NOT my words. The vet came in and I asked if she had ketones in her pee and she said no and I was smiling ear to ear cos that made me happy. But, that turned to tears in seconds as she told me Mitzi is in grave danger and needs to be hospitalized immediately to even have a chance. She needed to stay there till Monday and be on IV fluids, antibiotics, etc and I obviously agreed to it cos she's my world. My life. And being diagnosed with stage 4 kidney failure, pancreatitis, a heart murmur (unidentified), anemia (non-regenerative), hypercalcemia, leukocytosis, gingivitis, and dental calculi I had no choice but to admit her. Obviously. Especially with her diabetes being OUT OF CONTROL to top it all off. And with her about to turn 17 this May, she needs all the help she can get cos her age doesn't help matters either. I admitted her, but only after laying down a minimum payment of $800 for her to even be seen/treated. Wasn't thrilled about that cos I'm a jobless full-time college student and now my bank account is drained and I have nothing. I'm not complaining cos I'd literally sell my organs on the black market for Mitzi I'm just saying my luck is **** and this would all happen to me. Just not fair. Not even a little bit.

Friday:
Didn't sleep. Been up since Wednesday. Went to school only cos I didn't want to bawl all day in my bed alone and being around friends/classmates would make things a little easier I thought. Ended up leaving my 2nd class towards the end cos I couldn't focus on anything and was just staring at my phone. Headed to my car and called the vet as soon as I got in it. Autumn, the vet, told me that Mitzi wasn't making any progress and that she needed to be put down. Water works immediately. You can only imagine. I told them not to touch her and that I'd be there within an hour or so to pick her up cos "I wanted to spend one more night with her." I had no intentions on putting her down cos I knew/know it's not her time and I just told them that so they wouldn't do anything. I'm sure they wouldn't do anything but I'm not very trusting so I was trying to be on the safe side. You never know, honestly. Better safe than sorry. I had my friend Tiffiny pick me up from my house to drive me across town to the vet cos I was in no state to drive myself. When we got there they took Tiff and I to a room and then brought me Mitzi. Autumn, the vet told me she needed to be put out of her misery because she was suffering and with her age, there would be no recovery or progress made. When I asked her how she knew Mitzi was in stage 4 kidney failure, she legit looked at me and told me, "Well, I spose I went to school to be a vet for 8 years and I think I'd know." I've never been SO PISSED OFF in my whole entire life. Tiff and I looked at each other and couldn't even believe what we just heard. Aren't vets spose to be empathetic when someone is receiving HORRIBLE news and is bawling their eyes out all while holding their baby?! My normal self would've said something smart to that but the ***** wasn't worth my time so **** her. I also asked her a bunch of questions like if she could please give Mitzi an xray to check for cancer masses or to see if she had heart failure too cos her wbc is/was sky high. She told me there was no point and that she'd be seeing me tomorrow to put Mitzi down. Tiff and I then left pissed off, sad, broken, shocked and so much more. I had no intentions on bringing her back Saturday to put her down. I was actually still irate that they wouldn't keep her the whole weekend with IV fluids and antibiotics cos no ****ing **** most patients aren't going to make progress in one night. Why the hell couldn't she stay all weekend?! I'm the one paying for it so why can't she stay there?! They just said there was no point. Assholes. Tiff and I then got home with Mitzi and put her down on the floor and guess what...she went right to her water fountain and was banging her head on it, which she always does when she's happy, and then drank some water and headed to her favorite spot in the bathroom to take a nap. I brought her food to which she gobbled up, which kinda surprised me considering the vets told me she wasn't eating. Maybe they didn't even feed her?! Wouldn't put it past them when they gave up on her so fast. Anyways, Mitzi was headed to the bathroom and guess what was on her leg...a ****ing catheter. THEY DIDN'T TAKE IT OUT SO I COULD BRING HER IN SATURDAY AND PUT HER DOWN. IT'D BE EASIER FOR THEM NOT TO HAVE TO FIND A VEIN AGAIN. Can you even believe it?! I had called them to ask about it and that's what they said to me. ****ing bastards. Makes me sick. The night went on with me bawling and not wanting to leave Mitzi's side. Still couldn't sleep a minute. Who could?!

Saturday:
Bring Mitzi to the vet and tell them I'm NOT putting her down and that I want pain meds, antibiotics, and sub q fluids to administer to her myself. They agreed as they were gonna or my vet back home was gonna give me everything I wanted cos she actually cares about Mitzi, not money. Plus, I'm a demanding person and they really would've been sorry to not give me what I wanted...not even kidding. Anyways, they took her catheter out, gave me buprenorphine for pain, baytril, and sub q fluids. Was told to give her 300 ml of fluids twice a day. So I did as was told. Called my vet back in my home town once Mitzi and I were back home and comfortable and my vet couldn't believe how they treated me and Mitzi. She wasn't thrilled to say the least. And she said I made the right decision cos from the sounds of it Mitzi was doing alright and not ready. She said I'd know cos I'd be able to see it in her eyes when it's time and I agree with that. Mitzi is bright, alert and responsive...all of which was written on Mitzi's paperwork so why the **** would they put a bright, alert, and responsive cat down is what I wanna know?! Just cause her numbers are bad? Makes a lot of sense. NOT. Vet Autumn wasn't happy when I asked her if she'd put her gramma down if her gramma had all this. She said it wasn't the same...is to me. Mitzi continued to eat throughout the night, go potty and seemed well.

Sunday:
Mitzi wouldn't eat breakfast but after I force fed her she wanted food. I spose because the pain meds were making her have an upset tummy and who wants to eat when they feel sick?! She started having explosive diarrhea but the vet told me not to worry cos Mitzi only eats wet food, and with all this going on her poop is bound to be runny.

Present: (Today)
Mitzi's still having explosive diarrhea but I talked to a new vet (Emily) today and she said not to worry too much cos Mitzi isn't getting solid food and all this medicine can make that happen too. I asked her a million questions and she answered them very kindly. I told her I was worried about Mitzi having fluid build up/retention cos last night she started breathing with her mouth open when we were cuddling and she was purring like a freight train. Emily said to keep an eye out and if it happens again to call and that we could prolly do an xray or see if she has fluid build up that needed to be removed. I told her I was concerned she was getting 300 ml (150 ml at a time) twice a day and she couldn't believe how much she was getting and said to drop it to 200 ml (100 ml at a time) twice a day since Mitzi was so dehydrated and anemic. She said to keep an eye out for her breathing and we'll start with that to see how it works. I'm still not sure I want to give her that much as she has a heat murmur and had stressed breathing so I was thinking about 75 ml twice a day?! Many of the crf people on facebook told me to lower it as well and couldn't believe how much Mitzi was getting cos it would make a heart problem worse. So I think I'm going to lower it to 75 just to be safe...idk?! Mitzi is eating well and going potty well. I mix her food with baby rice cereal and quite a bit of water and that helps a little with loose stool. Been doin it for years and the vet Emily said it was ok to do and that it's help so I'm gonna stick to doing that. Mitzi is actually gonna get a bath here pretty soon. She hasn't groomed herself since her diabetes diagnosis almost 2 years ago so her cleanliness is up to me. LOL. And her butt is stinky right now from the diarrhea so it needs to be done. Mitzi just sits in the tub and doesn't care so it lasts 5-10 minutes tops. And I'm only washing the bottom half of her so it will be quicker than normal. And don't worry, she sits there and lets me blow dry her so she won't get cold or sick from it. She's legit the most tolerant babe you'll ever come across. Ask anyone.

So, what do you all think? About everything? Marje and I talked a bit today and we both think she's in stage 3 kidney failure with her numbers and not 4.
Also, Mitzi's insulin dosage was lowered to 5 units twice a day (it was 7 twice a day) but her numbers are still high so I made it 5.5 twice a day cos 5 was doing nothing. I will check her numbers tonight. Haven't been keeping up with the SS the last week or so cos of everything going on and they told me to focus on the worse stuff first...obviously.
I also have Mitzi on turkey and giblets pate special diet cos Donna told me it was the best for her cos it's low in phosphorous and carbs which is important for her kidneys and diabetes. The vets wanted me to feed her royal canin renal diet but that stuff is SO high in carbs that it wouldn't be helping the diabetes, which needs to be controlled better, too.

I think this is all I've got for now. Sorry I wrote a novel. I'll be better about posting on here cos I know that you all care and want to know what's going on so you can help me. I appreciate that, too! So thanks again!
And please, give me any and all advice that you have. I take it all in. Every last bit of it.

Much love.
 

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That is a novel. :)

But, thanks for the update. I hope the heavy breathing stops with the lessening of the fluids.

I'm just going to give you some :YMHUG: :YMHUG: :YMHUG: for caring so much, as we do.
I wish you the Best Of Luck with Mitzi, and I hope she continues to do better.
 
Thanks for the update...........know it's a difficult time and you're doing the best for Mitzi..........our thoughts are with you and sending you some of Davidson's healing powers your way....... :YMHUG:
 
you and Mitzi have sure been through a lot this week, mara. she's lucky to have you on her side!

There are a couple of things that jumped out at me. One is the volume of fluids. I gave punkin 150u 3x a week and he didn't have heart problems. I'd like to see some others weigh in about the volume of fluids. Perhaps she has some kind of special circumstance that requires more, i don't know.

the other thing is about the rice cereal - rice has carbs in it, but i don't know how much. I would be suspicious of it. Would you look at your box of rice cereal and see what the carb count is? It may be increasing her BG's if there are very many carbs in it.

I didn't look at her spreadsheet since you said it wasn't up to date, but i'll mention that in an emergency, that's the first place we look and you don't want it to be out of date then.

Same thing with the 911 - if you use it now for an update, no one will know if you're really having an emergency. Would you take it off for now - but if she's in an emergency situation, like low numbers (under 50), go ahead and pop it up so you'll get eyes on it!

For the diarrhea, probiotics can help. If you have Fortiflora (can buy it off of Amazon or from a vet) you can give a packet a day and that will help to fight the diarrhea. It's caused because the antibiotics are killing off the good bacteria as well as the bad. There are a couple of people probiotics you can give her that might help - plain unsweetened yogurt, if she'll eat it. I gave punkin Accuflora (people probiotic) just because that's what i had and it seemed to help. You do want to try to get the diarrhea under control - it will contribute to her being dehydrated and weaken her if it goes on too long. I gave punkin that same food when he started having compromised kidneys - i agree that's a good choice.

I hope some of this helps! we're sending our best to Mitzi! :YMHUG:
 
I have fortiflora so i'll be sure to put it on her food. And she loves yogurt so I can do that too! Her fluids are now 75 ml twice a day so hopefully that'll help the diarrhea too. Thanks for all your well wishes, everyone. Definitely need them!
 
I'm so sorry that the vet you saw had about as much empathy as a tree stump. I'm always suspicious of just how smart someone is when they say something like, "Well, I spose I went to school to be a vet for 8 years and I think I'd know." (And just to be clear, vet school is 4 years and most residencies are 3 years so did she flunk a year of vet school?)

You have done a great job with Mitzi. If you want to try a stronger probiotic, ReNew Ultimate is a good one. You can find it at most Whole Foods or GNC stores. Rather than adding rice to her food, squash baby food has fiber in it and may also help.
 
Oh Mara I sure am gad you are Mitzi's Mom!

That Vet is a sad excuse for a Doctor. I sure hope you have a good new vet.

I don't have medical advice but I do send healing vines to you both and I hope you get more rest this week.
 
Mara

I know you have your hands full; I gave you a lot of info about CKD. As Julie said, if you have any time at all to update her SS, we can help you here with the insulin dose.

Here is a Primer on Pancreatitis which discusses current treatments.

I tried to magnify the bloodwork, but I can't see it. I'd love to know what her potassium and calcium are.

You are in the right place for help with her diabetes :-D
 
I'm the lucky one to have Mitzi! I posted the bloodwork on Facebook too. Couldn't figure out how to resize the photo and I can't view it on here either. But I did email you the bloodwork, Marje so let me know if ya got it and what ya think!

I gave Mitzi about 75 ml of fluids this morning. She ate a lot and seems rather happy...and I think the fact that I bathed her stinky buns last night has helped her attitude. She smells like a beauty queen and I think anyone feels better when they're clean. She's such a good girl! Always just lays down when I blow dry her. Gosh, she's the GREATEST!
 
Great news!!!

I'm working today so I'll have to get back to you later on the bloodwork.

If you could help us out please, we like to do one condo/thread per cat per day so they don't get really long. If it's possible to please open a new topic today, link this one, and then in the subject line you would put:

3/7 Mitzi AMPS XXX

where XXX is her pre shot number. Whenever you test, you would add that to the subject line of the first post of the day in that thread regardless of how many posts come after it. That allows those of us monitoring numbers to see what Mitzi is doing. k

Thank yoU!
 
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