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Baldur's heart
Since last I wrote about Baldur a few things have happened. A week after that post we went to Toronto for Pesach and I boarded him at the vet's so they could monitor him. (This is a new service.) While he was there they did another X-ray and reported that the fluid he'd been retaining was nearly gone, so they had me reduce the dosage of the Furosemide (diuretic) and told me to bring him back in a month.
Last week was that visit, and he had a lot of fluid in his abdomen. (Not in his lungs -- just running around in there, um, somewhere.) The vet tried to get a sample with a needle but reached the "feisty" threshold before succeeding, so didn't. She recommended another ultrasound to see if there's been a change in his heart. That was today. She also had me raise the drug dosage (splitting the difference) a few days ago; they recommend checking bloodwork 3-4 days after doing that so we timed it for the ultrasound day. (This drug can rapidly cause kidney damage; that's what they're looking for.)
The ultrasound confirmed that he has congestive heart failure; at the previous ultrasound they used words like "possible" but not this time. His heart hasn't changed much since the last one, which is good; I guess they got a closer look this time. There is also still a fair bit of fluid, though it's down some, so I am to increase the dosage again (back to that original level) and bring him in for a quick blood test Monday morning. We will probably also increase the dosage on the Enalapril (the heart medicine), but my vet understands the value of isolating variables during testing so we'll do that after confirming that the other drug's dose is fine.
She also strongly recommended that I board him with them when I go to Israel this summer. I said my cat-sitter is excellent and diligent, thinking she was worried about him not getting all his meds or something, but she pointed out that if he's there I can authorize them to use their best judgement about any on-the-fly treatments. Good point. Being in a cage, even a nice large one, for a week and a half won't be much fun, but on the other hand he spends most of his time sleeping so maybe he doesn't care?
My vet is unsure about prognosis. We're pretty sure that he won't be going out to celebrate reaching drinking age in two years, but beyond that... At this point we need to get his heart problems under control, which risks kidney problems, which -- if they show up -- we'll need to do something to compensate for, and the dance goes on. I don't know what end-stage heart failure looks like, but I do know what kidney failure looks like and that's not fun, so let's hope he continues to tolerate the heart meds. (Today his BUN was 40, last week 37, normal is up to 36. Erik and Embla stayed around 60 for a year or two before going downhill. So I'm cautiously optimistic about the kidneys.)
His pulse, on the other hand, was 100 both this week and last. Normal for him is 160-200. That's kind of freaky.
On the bright side, a friend gave me some home-grown catnip today for him and I can report that he found his first sample quite satisfactory. :-)
Last week was that visit, and he had a lot of fluid in his abdomen. (Not in his lungs -- just running around in there, um, somewhere.) The vet tried to get a sample with a needle but reached the "feisty" threshold before succeeding, so didn't. She recommended another ultrasound to see if there's been a change in his heart. That was today. She also had me raise the drug dosage (splitting the difference) a few days ago; they recommend checking bloodwork 3-4 days after doing that so we timed it for the ultrasound day. (This drug can rapidly cause kidney damage; that's what they're looking for.)
The ultrasound confirmed that he has congestive heart failure; at the previous ultrasound they used words like "possible" but not this time. His heart hasn't changed much since the last one, which is good; I guess they got a closer look this time. There is also still a fair bit of fluid, though it's down some, so I am to increase the dosage again (back to that original level) and bring him in for a quick blood test Monday morning. We will probably also increase the dosage on the Enalapril (the heart medicine), but my vet understands the value of isolating variables during testing so we'll do that after confirming that the other drug's dose is fine.
She also strongly recommended that I board him with them when I go to Israel this summer. I said my cat-sitter is excellent and diligent, thinking she was worried about him not getting all his meds or something, but she pointed out that if he's there I can authorize them to use their best judgement about any on-the-fly treatments. Good point. Being in a cage, even a nice large one, for a week and a half won't be much fun, but on the other hand he spends most of his time sleeping so maybe he doesn't care?
My vet is unsure about prognosis. We're pretty sure that he won't be going out to celebrate reaching drinking age in two years, but beyond that... At this point we need to get his heart problems under control, which risks kidney problems, which -- if they show up -- we'll need to do something to compensate for, and the dance goes on. I don't know what end-stage heart failure looks like, but I do know what kidney failure looks like and that's not fun, so let's hope he continues to tolerate the heart meds. (Today his BUN was 40, last week 37, normal is up to 36. Erik and Embla stayed around 60 for a year or two before going downhill. So I'm cautiously optimistic about the kidneys.)
His pulse, on the other hand, was 100 both this week and last. Normal for him is 160-200. That's kind of freaky.
On the bright side, a friend gave me some home-grown catnip today for him and I can report that he found his first sample quite satisfactory. :-)
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