cellio: (kitties)
Monica ([personal profile] cellio) wrote2009-11-08 04:14 pm

cats: life is never boring :-)

My vet suspected from his weight loss and high heart rate that Baldur was joining the hyperthyroid club (the other cats have it; why should he feel left out?). While the relevant measure is technically within normal range (T4 of 3.9; normal caps at 4), it's been going up and he has other symptoms, so she's inclined to treat and I don't disagree. I have the relevant drug on hand (the pharmacy long ago switched the text on the label to "use as directed" :-) ), so that's easy.

The vet was concerned about my giving him pills. At the office all the cats needed a de-worming pill (because one had evidence of a problem), and he fought it pretty hard. (And due to his size he needed two pills.) I was afraid he was going to bite someone. But I told her I wasn't worried so long as I could mix the medicine into food as I do for Erik. Baldur never met food he didn't like. :-) (Well, once. Iams, years ago.) As predicted, I had no trouble at all giving him his first dose this morning.

Erik's results were pretty much what we expected. His bilirubin is high (and high for him); my vet speculates that this could be related to the suspected gallstone he has. Dealing with it would require surgery which is risky (especially for him); she is waiting for a call back from a specialist on whether other factors could be causing that. So long as he's eating and eliminating normally, and not turning oranger than usual, we're just monitoring for now.

And then there's Embla. Embla, my "basically no problems (now)" cat... apparently has kidney disease. There have been absolutely no symptoms, like litterbox problems; my vet said the first sign is usually in the bloodwork and you don't even get that until it's fairly far along. Whee. So there are two toxins, "BUN" (?) and creatinine, that the kidneys are supposed to filter out, and she has high levels of those so the kidneys aren't performing up to spec. The good news is that this can often be controlled by diet, so I'll be picking up some prescription food for her. (They'll give me samples of all the options first so we can find out which ones she'll eat before I buy big bags of the stuff.) My vet said there will be no harm (other than expense) in the other cats eating this too.

The less-good news is that I am to start giving Embla subcutaneous fluids to help flush things out. Embla is less skittish than she used to be and I can even hold her for short periods, but holding her to stick needles in her will be new.

There is the remote possibility that this could be caused by an infection; we'll get a urine sample to test. But my vet seems doubtful, particularly as (she says) weight loss is consistent with kidney problems. (I'm not sure why that should be and didn't ask.)

Meanwhile, all the cats seem basically happy and comfortable (aside from Erik's problems), so it sure doesn't seem like things are about to go pear-shaped or the like. This is why we do routine maintenance -- so we can catch these things as early as possible. I'd rather catch them than not, but I'd be thrilled if there were fewer things there to be caught. :-)

[identity profile] sue-n-julia.livejournal.com 2009-11-09 02:17 am (UTC)(link)
You also might try giving her a treat of wet kidney-cat food while she gets the subcutaneous fluids (also, gently squeeze the bag to help it go in a little faster. Another tip: always(!) use a fresh needle; if you re-use the needle (which the vet said some people do and we tried), over time the tip will clog.

Also, depending on the cat, you might find she responds better to the needle down the side instead of over the back better.

S

[identity profile] sue-n-julia.livejournal.com 2009-11-09 04:47 am (UTC)(link)
Some vets say you can re-use the needle a time or two, but we found they tend to get clogged.

On the flank isn't much different than on the back and provides a change if her skin doesn't seal quickly (we had a friend's cat with this problem -- the next dose of fluids would come out the unhealed hole). Just move down the side, pull the flap of skin and insert needle. This can be a little more painful than the scruff (more nerves and tissue), but can prevent other problems.

S

[identity profile] mrpeck.livejournal.com 2009-11-09 11:41 pm (UTC)(link)
Over time (I think it took a couple of years or so) the skin on the back of the neck gets thicker and it hurts more to insert the needle there. My vet said that basically anywhere you can pull up some skin is fine.

[identity profile] mrpeck.livejournal.com 2009-11-10 04:12 am (UTC)(link)
I'm sure you'd notice if it became a problem (although one boarding vet I used didn't so Sinbad had some sores). The needle gets harder to insert.