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Thursday, December 19, 2019

V-E-T Visit

IZA:  Well, I had my followup visit to the vet for more tests.  It wasnt as annoying as last week, but they still held me down and squeezed my leg and stabbed me to get some pee.  I would have provided some gladly if asked (all over the table ).
But they didnt do much else, which was good.  And as usual, they talked to Dad about me as if I wasn't there.  I suppose that didnt matter, since I didnt unnerstand ANNYTHING they were talking about.  So I'll turn it over to Dad to explain...

TBT:  Well, as the vet warned me, things looked worse than last weak, mostly because some medications mask other problems.  She has a follow-up visit in 2 weeks.

1.  Iza's blood pressure remains high.  It seems to be around 210/120 even when she was less stressed that after all the tests last week.  So she will be taking 1/4 of a 2.5 mg Amlodipine tablet for 2 weeks to see how that affects her numbers.  The vet told me she expects that to be increased, but wants to start at the lowest level.

A slightly funny story about that pill.  The vet said she thought it was a small triangular pill (she seldom actually SEES pills), and dividing it into 1/4s wouldn't be easy.  I'm good at geometry, but fortunately, it's round and I have a pill-splitter.  And fortunately, it is a cheap med.  $9 for 10 pills (40 doses).  The vet expects that Iza will need a 1/2 pill after the new tests.

2.  The vet gave my a prescription for Welactin Omega 3 for felines last time to assist kidney function last time.  It's not actually a "prescription".   The pharmacist at Walmart said they didn't carry that stuff.  Well, I had really looked at the "prescription".  When I did, I went to Chewy.com and ordered a bottle of the "liquid-to-add-to-food" and was happy to see it wasn't expensive.  But when it arrived (with the usual food order), the measuring scoop was missing.  I called the company and they said they would send a scoop.  It is only 1.25 ml which is about 1/4 teaspoon.  Man, that is SMALL!  At least I can just add that to her wet food.

Turned out I HAVE a 1/4 teaspoon stashed away in the kitchen.  AND I have the scoop.  It not only came out of the box but ALSO got into one of the canned food cases.  So I'll have three...

3.  Her thyroid numbers have improved "slightly".  That pretty much means she will be getting the ear gel Methimazole 2x a day for the rest of her life (she's 10.5).  She tolerates it best when I apply it when she is eating.  She tries to fold her ears back, but almost nothing can stop Iza from eating.

4.  The vet says she expects that Iza will have to go on a low-protein diet, but that depends on adjusted meds over a few months.

5.  I will get urinalysis results in a week.  I guess it is about kidney function, but in all the discussion, it wasn't clear.

6.  The vet seems oddly unconcerned about the fact that Iza drinks a LOT of water.  Maybe that is assumed with kidney problems or isn't actually a problem, but to me that suggests diabetes.  Well, I'm not the vet, and this vet (team of 2 actually) seems to know what they are doing.

I joked to the vet that Iza probably needs her own Little Medicine Cabinet and credit card.  To my surprise, she looked at me sadly and said her dog has both.

 -------------

So in summary, Iza has high blood pressure, kidney problems, thyroid problems, and new tests in 2 weeks and 4 weeks after that may unmask further problems (her kidney numbers will probably be worse after the thyroid and blood pressure meds improve those problems.

Speaking of unmasking, allow me to express some personal thoughts.  When I was young and stupid, I didn't know about all these kinds of problems.  I thought cats only sufferred from bad diets, parasites, or things that vaccines prevented.  Like non-human animals very born healthy and stayed that way until "natural causes" ended their lives.  Skeeter was the first one who had obvious problems in his last (of 16 years) and thought that was rare.

But I think back on cats-who-came-before.  Maybe Mischief who died at 10 (1973-1983) could have lived more years if I had understood more about cat health.  And there were others before her.  Or maybe vets didn't know so much back then (and I won't blame them).  Knowledge of animals increases, and we learn as we go through life...

So, it is going to be a change for me to be giving Iza Omega 3 liquid supplements in her food every day, a bit of a pill orally, and ear gel 2x a day for years.  I'll do that.  It won't be easy, as I'm not used to having to do anything like that regularly (for myself or cats).

On we go, into the future...




18 comments:

Summer at sparklecat.com said...

I'm sending Iza lots of purrs for her ailments. Yes, poor kidney function can cause cats to drink a LOT of water! Binga sure did, and her kidneys weren't even bad enough to need sub-q fluids at home. And in the end, that wasn't even the cause of her dying. Yes, it can be a sign of diabetes, but there are tests that rule that out.

Mickey's Musings said...

We also send purrs.We used many of those drugs on our JJ.
He was so laid back and never minded.
Purrs,Georgia and Julie

Catscue Cat Mom said...

You are a good Dad, Iza and all the kitties are lucky to have you taking care of them. We're sending purrs and prayers and POTP for beautiful Iza - hang in there.

Brian said...

We are all sending purrs and prayers to you dear Iza, take your meds like a good girl.

The Island Cats said...

Cats with kidney issues can drink a lot of water, but that's actually not a bad thing. It keeps them hydrated and helps to flush the toxins out of the kidneys. We're sending many purrs to Iza and hope the meds keep her feeling good for a long time.

Zoolatry said...

Iza ... stay well, stay healthy ... like TBT we don't know much about kitty health (never having had to learn, both Maggy and Zoey always being healthy thankfully) ... and even now Dougie Dog stays in good health. So we've been blessed in that way. Though we read (without understanding) about pet friends and some of the complex treatments they must have ... so Good Luck to Mr TBT
as he takes care of you, which we know he will.

Andrea and the Celestial Kitties said...

Sending our purrs than all the new meds help and her numbers and such all improve!

The Indulged Furries said...

Lots of issues to manage, but it sound like you and the vet team are handling it well. I'm glad the ear gel is working for you. We tried it on Raven and it irritated her ears so much we couldn't use it. We ended up having her treated with radioiodine. Luckily, she did not have any kidney health issues, so the radio-iodine was an option for us (didn't unmask or worsen any kidney issues). We have the pet medicine cabinet and credit card too. :-)

pilch92 said...

I made a lot of mistakes over the years too. I hope Iza's bp improves on the low dose. I would definitely push to get subq fluids for her now, it will only help.

Memories of Eric and Flynn said...

You will get into your routine giving regular medication at various times of the day. Flynn disliked being pilled and would try and hide from me, but once I sat him on the bed, did the evil deed and kissed him on the top of his head, all was forgiven.
I am sending my best wishes for Iza and for you.

catladymac said...

Iza drinking water is hopefully saving you & Iza from having to give & be given sub-Q fluids. Purrayers that you & Iza can settle into a workable routine.

The J-Cats said...

Furrst of all, Iza, you are a furry special kitty. We know it's a drag to be carted off to the v-e-t every couple of weeks but your Daddy loves you and wants to keep you as healthy as possible, so you be a good girl and let him and the v-e-t do what needs to be done to find out how best to do that. For Our part, we send you pawsitive vibes, healing purrs and POTP.
And whenever you feel like it, feel free to teleport over for a visit and We will take you for a spin on one of Our Magical Flying Carpets.
Pawpats and kitty kisses,
Trixie, Caspurr and Shimshi.

Melissa, Mudpie and Angel Truffles (Mochas, Mysteries and Meows) said...

Dealing with these things is a lot of work and dedication but you get used to it quickly. As others have said, kidney issues definitely cause kitties to drink a lot of water, and thyroid issues do as well. Regular blood work would show diabetes, if present.

The Whiskeratti said...

I would say that cat medical research has definitely picked up over the last few years, so they can offer more options for parents. I'm sorry she has to go through so much, but will pray that this will be successful in managing her conditions. They really are just like humans, suffer many of the same ailments.

Ivan and Izzy from WMD said...

We'll purr for Iza. Our mom knows how difficult it can be to manage meds with a cat when you're by yourself, so she'll purr for you, too.

Megan said...

It seems remarkable that this pair of vets has been able to diagnose and treat various ailments when you had been asking your previous vet for advice for several years. I've never owned a cat that needed regular medication, but I know someone who did and it does just become part of a standard routine, so I'm optimistic that both you and Iza will get used to it and not take much notice of it after a little while.

As for improvements in knowledge .. no doubt there has been that, but I suspect that another significant factor is that these days many pet owners are willing to cover the costs of having their pet's ailments investigated and then treated, whereas perhaps in the past the more widespread attitude was that this wasn't the kind of thing that people spent money on.

Megan
Sydney, Australia

Timmy Tomcat said...

We send our purrs and prayers dear Iza. We think Dad will be taking very good care of you and no worries about things as our Buddy Budd has been on thyroid pills for 3 years and does well with them and will turn 20 next month. Have a Great Day!
Timmy and Family

The Swiss Cats said...

We're sending Iza lots of purrs. We know you're a pawsome cat dad and you'll take very good care of her. Purrs