Sad to hear Fizzy's numbers were high, but good that the vet ran the tests and found out before dental work.  I hope the food changes help bring those down.  Were sub-q fluids recommended at this time?

I sure hope that the food will improve Fizzy's numbers.

I would think it's possible the dental disease is affecting the renal values.  I've read of a possible correlation.  COQ10 seems to have a place in treating periodontal disease.  Perhaps you could discuss with your vet if Fizzy could take this, until she is ready for the dental?  Good luck with the food!  (I've had good luck with the Kaffe/Cato recipes here.  There are also ones from Strombeck and Pitcairn).

"Recent research indicates that there may be a link between poor dental hygiene and other diseases. The majority of cats have some degree of periodontal disease. Untreated periodontal disease in humans seems to affect the heart, whereas in cats it seems to affect the kidneys. This happens because the toxins caused by infected teeth and gums enter the cat's bloodstream and are filtered by the kidneys; the cat's body tries to build antibodies which may be left behind in the kidneys and which may eventually cause damage."  http://www.felinecrf.org/related_diseases.htm#dental_importance


 

 

I have an elderly cat with elevated kidney levels and she can't have the IV anesthesia either.  However, my vet did say if we get to the point where they have to extract a tooth or something that they could simply gas her down without the IV anesthesia and do some dental work.  I don't know if this would be an option for your cat or not, but it may be worth asking the vet about it.

On another note, when I lived in San Francisco I used a mobile vet and it was a really good experience for my cats.  The vet came right up to my apartment and was able to do everything right there.  A lot less stress for the cats.  My only suggestion would be perhaps confining them in a small room right before the vet is due to arrive.  I had to fish one cat out from under the bed!

Thanks for the ideas!  I think I will call the vet about the CoQ10.  I already have the Biotene, I just never remember to use it    I better dig it out of the drawer.

I started her on the canned Royal Canin Modified (used to be IVD?).  She really seems to like it, and it was the least objectionable to me of the Rx foods I brought home.  Since we are trying to get the numbers down fast, I don't think now is the time for me to attempt homecooking   And I really don't know if I want to.  But I have planned to check out Kaffe's recipes. 

The anesthesia was to be gas, not IV, but the vet still didn't want to risk it.  She did some hand scaling and found 3 more bad teeth under the tartar. 

When we re-test in a month, I'm going to have her do the thyroid panel too.  Fizzy's T4 was 2.9 in April, 2.8-5.8 is gray zone for her age.
But she doesn't exhibit any symptoms other than increased thirst.

I just took a glance at the felinecrf.org site...Wow, there's a lot to read there!  Guess I know what I'll be doing for the next couple of days

ETA:  Mods, do you want to break this thread up?  It's not about the new vet anymore   I don't know if it should be in the crf section, or ?

Sorry to hear that Fizzy's levels are up.  I agree with the concept that dental disease affects many body systems.  I saw improvements in both Kalahari's heart murmur and her renal-related values (which were not above normal, but did go down a little) after she had dental work at the age of 8 1/2.

Sending hopes that the diet will improve things and Fizzy can have her dental.

Fizzy,
     Be sure to have a Free T4 done as well as the T4 when you do it.  When an older cat is in the gray zone, it is the Free T4 that helps with the diagnosis.  Untreated Hyper-T has an effect on the kidneys as well, so you want to be sure that you are not dealing with both problems.  Have the vet check her heart carefully also for increased heart rate and/or murmurs or gallop rhythm.  These are all unseen symptoms of Hyper-T that can sneak up on you.  Any weight loss recently?  I'm not saying that she is Hyper-T, but it is such a common problem in older cats that it has to be considered. 
     I'm glad she likes the food you are trying.  It is so hard when they need to have a specific therapeutic food and they don't want to eat it.  I have been lucky with Mandy liking the c/d so far.  Just keep praying she doesn't get bored with it. 
     I hope that getting the dental problems under control as best you can will also help with the kidneys.