Everyone, you are very kind to me in reference to the recent passing of Bear, and I appreciate it. Thank you so much. I have one question. It is hard for me to not feel that there were not warning signs that could have made me get her to the vet quicker. I am reevaluating everything I have done with her care. It is a terrible feeling.
Can I ask your opinion on something?
On 4/29/10, she had a dental extraction and blood work. She was taken to the ER vet on 5/27/10 with blood sugar through the roof and DKA. (The timing of the dental work in reference ER visit is coincidental to me). She crossed over the rainbow bridge on 5/29/10---vet said she was in renal failure.
On 4/29/10 during the dental work, these numbers were flagged: AMY (1433), BUN (34), TP (9.0) and GLU of 408, fructosomine in the 200s. Everything else was normal, including CREA which was 1.3 (it was in the 7s in her final hours). The vet, who is not the ER vet but was my regular vet, said she seemed dehydrated but pretty much dismissed the numbers as nothing to be of concern. She said because of the fructosomine reading that we needed to increase the insulin by one unit. Bear always urinated/vomited/defecated in the car on the way to the vet, so there was a stress element in the equation whenever she had bloodwork, and I know that can impact numbers. That is why the GLU of 408 was not a huge red flag. I'm pretty sure this bloodwork was taken before the surgery or anesthesia. Question: Should there have been exploration on those numbers? Do you think these were warning signs? It sounded like the numbers are not always dispositive of CRF without considering other factors... I just wonder if my vet should have explored this issue at that time. Thank you!
Cami
Can I ask your opinion on something?
On 4/29/10, she had a dental extraction and blood work. She was taken to the ER vet on 5/27/10 with blood sugar through the roof and DKA. (The timing of the dental work in reference ER visit is coincidental to me). She crossed over the rainbow bridge on 5/29/10---vet said she was in renal failure.
On 4/29/10 during the dental work, these numbers were flagged: AMY (1433), BUN (34), TP (9.0) and GLU of 408, fructosomine in the 200s. Everything else was normal, including CREA which was 1.3 (it was in the 7s in her final hours). The vet, who is not the ER vet but was my regular vet, said she seemed dehydrated but pretty much dismissed the numbers as nothing to be of concern. She said because of the fructosomine reading that we needed to increase the insulin by one unit. Bear always urinated/vomited/defecated in the car on the way to the vet, so there was a stress element in the equation whenever she had bloodwork, and I know that can impact numbers. That is why the GLU of 408 was not a huge red flag. I'm pretty sure this bloodwork was taken before the surgery or anesthesia. Question: Should there have been exploration on those numbers? Do you think these were warning signs? It sounded like the numbers are not always dispositive of CRF without considering other factors... I just wonder if my vet should have explored this issue at that time. Thank you!
Cami
