Itchmo Forums for Cats & Dogs

Pet Health (not to be substituted for qualified vet advice) => Help With My Sick Pet => Topic started by: catbird on September 21, 2014, 01:20:07 PM



Title: At ER with Linley
Post by: catbird on September 21, 2014, 01:20:07 PM
I am posting from my phone at the vet ER. Linley is in some type of respiratory distress. Please pray. We don't know what is wrong.


Title: Re: At ER with Linley
Post by: catmom5 on September 21, 2014, 01:28:45 PM
Serious prayers for Linley and for you. How frightening!
catmom5


Title: Re: At ER with Linley
Post by: merrihart on September 21, 2014, 02:03:58 PM
OMCat, :(  Many prayers for Linley.  Please keep us posted.


Title: Re: At ER with Linley
Post by: caylee on September 21, 2014, 02:06:31 PM
Sending prayers for poor little Linley. Please keep us updated.

Hugs


Title: Re: At ER with Linley
Post by: Meowli on September 21, 2014, 02:31:31 PM
Sending prayers for Linley, I hope this scary event turns out to be something minor.


Title: Re: At ER with Linley
Post by: NedF on September 21, 2014, 02:58:48 PM
Saying a prayer for Linley. I hope it's just something temporary.

{{hugs}}


Title: Re: At ER with Linley
Post by: catbird on September 21, 2014, 03:16:42 PM
Linley is going to be staying overnight at the vet hospital. His respiratory rate is extremely rapid. On the way to the ER, he started open-mouthed panting. When we got there, he was immediately put in an oxygen cage.

What happened: He has not been quite himself most of the past week. About a week ago, he started having reluctance to go up and down stairs, and was less active than usual. However, he gradually got better through the week, and Friday and Saturday was his normal self. We figured he'd just wrenched a muscle or something, perhaps wrestling with Cara.

However, today he was back "down" and worse, not eating well, not active at all. I made plans to take him to the vet tomorrow. Then mid-afternoon, my daughter took out the vacuum cleaner, and he got scared, as he always does. He started to breathe very rapidly, and at times had a sort of squeaking noise in his throat. Even when the vacuum was put away, he did not get better, just sat in a hunched posture breathing quite rapidly and hard. At that point I decided, "I am not going to wait to take him in tomorrow. He is going to the ER now."

He was oxygenating fine on room air, but they put him in the oxygen cage to see if it would slow his breathing. It didn't. They can't do much more examining (chest x-ray, etc.) until they get his breathing rate down. So they are giving him a sedative.

The good news is that he's alert, although in a state of panic, sitting up, oriented, interactive, etc. The quick exam they were able to do did not reveal any strong wheezing, sounds of fluid in his lungs, etc. although they did hear a heart murmur. When he's calmed down, they will do a chest x-ray and see what that shows. Because respiratory issues can go along with heart problems, he will be transferred to cardiology tomorrow for echo and ECG.

The possibilities at this point are heart problem (he's about 8 with no prior history of anything), asthma attack, or possibly something like a throat or nasal polyp that is restricting his upper airway.

My poor, poor sweet boy.  :'( He has never been sick a day since we've had him.  We are all very upset, especially since we lost Isis on Oct.1 last year and I could just feel the stress building toward that. We also lost Mac at age 16 in 2004 on Sept.23 to a severe heart issue that seemed to come on suddenly, so this is a bad time of year for us.

They will call us in 2-3 hours to let us know the results of the chest x-ray and how he is doing.  While he's there, he will get his first senior blood panel (he's about 8 ) and a general exam, which was going to be done in mid-October anyway.

Please keep those prayers coming! Thank you.


Title: Re: At ER with Linley
Post by: NedF on September 21, 2014, 03:28:33 PM
How scary catbird! I'm so sorry this has happened and he has to stay at the vet. I hope it's just a panic attack or something and not a problem with his heart. I think it is a good sign that he was alert and oriented even with the rapid breathing. I know how scared I was when Smoggy choked on that hairball and then would not stop panting. I hope the vet calls with some good news for you.


Title: Re: At ER with Linley
Post by: Fizzy1 on September 21, 2014, 03:46:13 PM
Oh no, I know how scared you and your family are.  I wonder what in the world is wrong?  Feel better FAST, Linley :-* :-*


Title: Re: At ER with Linley
Post by: JustMe on September 21, 2014, 03:48:17 PM
Oh Catbird.  Poor baby. Keeping you all in my prayers, especially Linley.  Hope it is something they can figure out quickly and get him on the mend.  Asthma? Food reaction?


Title: Re: At ER with Linley
Post by: Spartycats on September 21, 2014, 03:58:37 PM
Lots of prayers coming from here.



Title: Re: At ER with Linley
Post by: caylee on September 21, 2014, 03:59:09 PM
Hoping that lil' baby Linley will be OK in a short time. Hoping that it may be something simple that can be taken care of quickly.

Why do scary things always happen on the weekend?  ???

 :-* for Linley and hugs to you catbird and family.



Title: Re: At ER with Linley
Post by: alek0 on September 21, 2014, 04:03:20 PM
I hope it is something minor that can be solved quickly.


Title: Re: At ER with Linley
Post by: catbird on September 21, 2014, 04:04:54 PM
The news is not good. Linley is in the early stages of heart failure. The x-ray showed some enlargement of his heart, and a little fluid starting in his chest, not much.  :'( :'( :'(

He will get Lasix to draw off the fluid, and a medication to help his heart. Then tomorrow he will be transferred to cardio for ECG, echo, and those results will determine the course of treatment and what medications will be needed long-term.

They said he looks much better overall than the typical heart failure cat, which is in his favor for long-term survival. Of course, they won't know for sure until they get the echo, but she said some cats live many years with the right heart medications.

My poor boy.  :'( He is only 8. He's always been such a big, healthy boy.

My daughter who found him 7 years ago is very upset.

Thank goodness I decided to take him in when I did.  I just keep telling myself that. That's about all I can hold onto right now.


Title: Re: At ER with Linley
Post by: catbird on September 21, 2014, 04:11:59 PM
Please pray especially for my poor DH. He is distraught right now, and has health issues of his own, so this is not good for him at all.


Title: Re: At ER with Linley
Post by: Meowli on September 21, 2014, 04:22:17 PM
Continuing prayers for Linley and you and your family too - good thing you did take him into the ER today. I hope he can stabilize with the right medications.  Heart drugs have come a long way over the years.
Many ((hugs))


Title: Re: At ER with Linley
Post by: merrihart on September 21, 2014, 04:30:39 PM
Oh, how terrifying.  Continued prayers for your big boy.


Title: Re: At ER with Linley
Post by: Fizzy1 on September 21, 2014, 04:32:39 PM
I feel bad for your DH!  I know how distraught YOU are, too, though you have to be the one holding it all together for everyone else.   :'( :'(

Big {{{hugs}}} for all of you.


Title: Re: At ER with Linley
Post by: catbird on September 21, 2014, 04:36:54 PM
It seems so empty without Linley here. He's a quiet guy, but with him at the vet school, I realize what a large presence he has always been. Cara can tell that something is wrong with everyone but of course she doesn't know what to do. I worry about her too, because she is very bonded with Linley and it's likely going to be a difficult night for her; she shares a room with him and will miss him a lot.


Title: Re: At ER with Linley
Post by: Spartycats on September 21, 2014, 04:44:51 PM
Talk to Cara and assure her that he will be home soon, and right now he is in the best possible hands.  I think it will help you and your DH to hear those words out loud, too.

{{{Hugs}}}



Title: Re: At ER with Linley
Post by: caylee on September 21, 2014, 05:02:48 PM
 :'(   :( Oh such sad news to be given. Praying for all involved in your family and at the vet hospital. Homes sure do feel so empty when one of the fur-babies is not there.

Hugs


Title: Re: At ER with Linley
Post by: GKit on September 21, 2014, 05:14:12 PM
I'm so glad you decided to take him right then, catbird. Sending positive vibes and healing energy for Linley that they can get him on the right meds quickly.  It sounds like they are moving right along on the examination and treatment, which is the best thing right now.  It must be quite distressing to have this happen so suddenly -- wish I were there to give you a big supportive hug. We will be thinking of you, family and your furbabies with paws crossed and good wishes.


Title: Re: At ER with Linley
Post by: billyD on September 21, 2014, 05:28:46 PM
Prayers and lots of good vibes for Linley and you and your family.
Wishing for a speedy recovery and that he will be back in his loving home very shortly


Title: Re: At ER with Linley
Post by: catmom5 on September 21, 2014, 06:33:10 PM
Just checking back. Glad you have some answers, but it is tough to hear that kind of news. Angel Jess had restrictive cardiomyopathy and was on medications for a few years before it took him. Glad that you have a vet school where they have the specialists who can do what Linley needs right now. Hope you all can get some sleep tonight. Will continue to send prayers for you. As hard as it is to have him gone, he is where he needs to be right now. Wish I could give you an in person hug.
catmom5


Title: Re: At ER with Linley
Post by: petslave on September 21, 2014, 08:36:15 PM
Oh no, not Linley!  I'm very very sorry to hear he's going through this.  I'm sending prayers that they can get him through this episode and stabilized on meds.  And to all of you waiting and worrying about your dear kitty.


Title: Re: At ER with Linley
Post by: Sandi K on September 21, 2014, 09:11:15 PM
catbird, I wish there was something I could do.  Im so glad Linley is at a good place to give him the help he needs.  I know how worried and stressed you and your family are.  I love little Linley, he is such a special kitty.  I hope with the right meds, he will be with us all for many years to come.  Sending big hugs to you and your family.  Please keep us posted and I know its easier said than done, but try to get some rest. 


Title: Re: At ER with Linley
Post by: ranger on September 22, 2014, 03:47:58 AM
So sorry to hear this,  :-* for Linley  hugs for you and your family catbird. Thinking of you with fingers crossed.


Title: Re: At ER with Linley
Post by: lesliek on September 22, 2014, 04:55:06 AM
Oh no ! I am so happy you took him in & didn't wait for today ! Do you remember my neighbor's cat Gator who got lost for 2 weeks in winter ? He was on meds for CHF for 8 years . He was also HyperT & kidney issues . I will hope for years for all of you with Linley too . Just a warning , getting the dosages of all the drugs right can require tweaking . Sometimes you have several ER trips for oxygen & fluids in the 1st weeks . It might be good to warn DH about that so he doesn't panic if it happens .


Title: Re: At ER with Linley
Post by: catbird on September 22, 2014, 05:29:32 AM
Just got the first call of the day from the cardiologist at the vet school. Linley is looking really good this morning; responded well to the Lasix and the med they gave him to help his heart. He will get his echo later, probably late this morning.  They said he is alert, out of oxygen, breathing well, at the front of the cage and seeking attention, purring the minute they handle him. He will likely be ready for discharge in the late afternoon or early evening after I get off work. On the basis of the blood work and what they see, the cardiologist will be deciding what meds and what doses Linley will need.  They will of course check for hyperT as a possible source of the heart problem (I hope to heaven he doesn't have that!) in the blood work, given he's in the prime age for developing it.

The only thing is, he won't eat for them, not unusual in cats in this kind of situation. That is complicated of course by his extensive allergies; all the super-tasty foods that they would normally use to tempt cats are out of bounds for him.

Sigh, I got a whole 9 months off from giving cat meds; haven't had to do any since Kalahari's UTI last December. The only time I ever tried to give Linley a pill (it was Benadryl when he was having an allergic reaction), I thought he took it but found it spit out in a corner hours later. Please keep up your prayers, and especially that my poor, sensitive boy will take pills.


Title: Re: At ER with Linley
Post by: Spartycats on September 22, 2014, 05:40:12 AM
Thanks for updating us this morning, Catbird.

Keeping Linley and his family in our thoughts today.


Title: Re: At ER with Linley
Post by: Sandi K on September 22, 2014, 06:23:39 AM
It sounds pretty promising that he is doing better today, bless his heart.  I hadnt even thought of hyper-T as a source of the heart issues.  If hyper-T was the cause, depending on his medical situation, cant it be treated with I131?  Please let us know as soon as you can any updates on the lil guy.  {{{{hugs}}}


Title: Re: At ER with Linley
Post by: catbird on September 22, 2014, 08:12:26 AM
Well, he doesn't get to come home tonight after all. :(

His blood work shows he is a bit dehydrated now, and he won’t eat and drink for them. They said he is probably feeling kind of sick now because he hasn’t eaten or drunk, plus has had all that fluid flushed out of him. The cardiologist said it is often a balancing act like this, between getting off the excess fluid in his chest to help him breathe, and keeping him hydrated enough to feel OK. So, he needs to stay another night so that they can get that in balance before discharging him. He's back on his IV.  But they said he is being very good.

They want me to come there with some of his normal food after work and see if I can get him to eat.

He has had the echo, and the cardiologist said his heart looks pretty good, although there are definitely abnormalities. They are calling it "asymetrical hypertrophy" and said that while it is impossible to tell for sure, the most likely cause of this is genetic predisposition, although it could be other things. While his T4 is not back yet, she said his heart does not look like the kind of hypertrophy that comes with hyperT, plus he does not look to her like a hyperT cat overall.

In any case, no matter what the cause, the treatments are pretty much the same. It's just a matter of adjusting dosage to be optimal, and getting him to eat and drink and take pills.


Title: Re: At ER with Linley
Post by: Fizzy1 on September 22, 2014, 08:55:54 AM
It's disappointing that Linley has to stay another night but it's where he needs to be.  Come on Linley, eat so you can come home! 

How is Cara doing?  I bet she wonders where her big brudda is.   :-*


Title: Re: At ER with Linley
Post by: catbird on September 22, 2014, 09:02:12 AM
Cara was really nervous and unsettled this morning. Extra clingy, but extra distractable at the same time. I think she misses him a lot.


Title: Re: At ER with Linley
Post by: NedF on September 22, 2014, 09:11:07 AM
Oh catbird, this is such a shock.  :( I wish I had more to offer than just an internet hug.


Title: Re: At ER with Linley
Post by: Sandi K on September 22, 2014, 10:48:35 AM
Oh shoot, I was hoping he could come home today.  Its so tough on them (and their family) when they have to stay overnight.  Its going to be hard on you to see him there today, catbird, but at the same time it might do him alot of good to see you and get some of his normal food.  Can you take him a shirt or towel or something that has yours or DH's smells on it?  It might help him.  Will be waiting to hear the next update.   


Title: Re: At ER with Linley
Post by: catmom5 on September 22, 2014, 11:04:33 AM
I hope you can get Linley to eat for you. It's so hard when they are ready to come home, except for that!!! I'm not surprised that he's not drinking since he has been having IV fluids.

As far as pilling, I use pill shooters with the medication in gel caps and wish I had discovered those long ago. It would have been so much easier than opening mouths and hoping that the pill got in far enough, not to mention the scraps from those sharp front canines as I pulled my fingers out. Not sure how that would work with Linley, but it might be worth thinking about. I used a pill pocket once for Chantilly - worked beautifully. Then she figured it out, ate the dough and spit out the pill.

Keep us posted as you are able. Continuing prayers coming for you, Linley and the crew.

Hugs
catmom5


Title: Re: At ER with Linley
Post by: GKit on September 22, 2014, 02:13:04 PM
I'm glad they seem to have a handle on it and that Linley is being good for them. Bummer he has to stay another night.  I hope he eats for you when you bring him his normal foods, and I am sure he will happy and reassured to see you. I'm keeping my fingers crossed Linley will like/can have pill pockets.   We got away with those for years, and still occasionally can with Gypsy. Her pills were small, so we'd split the pill pocket and give her a "blank", real pill, "blank", and change it up.  Keeping you all in our thoughts! Extra scritches for "baby" Cara. 


Title: Re: At ER with Linley
Post by: alek0 on September 22, 2014, 02:36:29 PM
I hope Linley will eat, and I second the suggestion of bringing smth which smells of home. For the pills, the trick with works with mine is wrapping the pills with tuna flakes (needs a soft, not too dry kind) and also using some "blanks" (empty bunched up tuna flakes) before and after the pill.


Title: Re: At ER with Linley
Post by: catbird on September 22, 2014, 04:10:03 PM
We visited with Linley for about an hour. We didn't get him to eat, even though we brought different kinds of his foods from home, his own bowl, and treats to kind of "prime the pump." We did, however, get him to drink quite a bit of water, which he hadn't done for them, either. So that was a success. He is definitely interested in the food, orienting to the cans when they were opened and to the bowl, smelled the food repeatedly, and almost ate several times, but is just too nerved up to eat in that environment. We left his food in the refrigerator, and left the bowl in his cage, so maybe when things get quiet later, he might decide to eat a little. They put a towel on the front of his cage with a small opening for monitoring him (he is still in the ICU, because the cardiologist wants him monitored closely, not because of his condition.)  The cardiologist thought maybe with some privacy and quiet, he'd feel more confident about eating. He is, and always has been, a sensitive little guy.

He was very, very glad to see us, purring up a storm and giving lots of kisses and head-bumps. He looks pretty good; I can tell he has lost weight (not surprising, since he didn't eat much yesterday morning at home and hasn't eaten since, plus he's a little dehydrated.) But his eyes are bright, although scared, his coat is soft and shiny, and he's definitely alert and appears pretty comfortable except for his IV, which I can tell he doesn't like.  His breathing is much, much better than yesterday, essentially normal even in a stressful situation for him.

Unless something gets worse, they are going to discharge him tomorrow evening, figuring that he'll eat and drink better at home, and probably recover faster. He will have to go back for follow-up next week. They are proceeding cautiously with the Lasix because of his creatinine being elevated as well as the BUN; they said it could be elevated from dehydration but could also be the beginning of kidney insufficiency, so they can't push as much Lasix at him as they could with another cat with normal lab values. (I didn't get the exact values yet, so I don't know how bad it is, but I do know these vet school vets are extremely conservative about creatinine values, based on my past experiences.)

I think DH and DD benefited from seeing him, because then they could see the reality and not be imagining the worst. I certainly hope everyone here sleeps better tonight! Cara seems to be a little better this evening; maybe she can smell him on us and finds that comforting.


Title: Re: At ER with Linley
Post by: Meowli on September 22, 2014, 04:14:00 PM
Can they give appetite pills to him or would they be bad for his condition? Poor Linley, glad he seems much better, I hope he will start eating soon.


Title: Re: At ER with Linley
Post by: catbird on September 22, 2014, 04:39:14 PM
Meowli, I'm thinking that they don't want to resort to the appetite pills just yet, because those are a kind of stimulant, which I think could put stress on his heart. I don't know that for sure, but that is what I'm guessing.


Title: Re: At ER with Linley
Post by: Fizzy1 on September 22, 2014, 05:13:47 PM
This is a good report!  Well, other than the not eating, but he is a cat, after all :-\.     Heck, if I was in the midst of strangers I wouldn't feel much like eating either.  Awesome that he feels good enough for head bumps!!   :-*

I hope Linley, you, DH, and DD get some sleep tonight.  Sending all good thoughts! :-*


Title: Re: At ER with Linley
Post by: catmom5 on September 22, 2014, 05:37:12 PM
So glad you had a good visit with him. I'm sure you all felt better after seeing that he truly is improving. My guess is that he really will eat better once he's home and settled. Good that he was interested in the food. Keeping you all in my prayers . . .
catmom5


Title: Re: At ER with Linley
Post by: caylee on September 22, 2014, 06:11:45 PM
Thanks catbird, for keeping us updated on Linley. It is so good to read that he is doing as well as he is. Maybe he will eat a little at night when things quiet down.

Keeping everyone in your family in my thoughts.



Title: Re: At ER with Linley
Post by: Sandi K on September 22, 2014, 06:50:20 PM
Awww, my poor sweet boy.  Im not there but I miss him too, catbird.  It sounds like he is doing well, all things considering.  Im so glad he gets to go home tomorrow.  Did you get the T4 test results back yet?


Title: Re: At ER with Linley
Post by: petslave on September 22, 2014, 07:04:19 PM
Good to hear Linley is doing better and may be able to come home tomorrow.  I'm surprised they don't syringe feed him, but maybe they have a reason not to.  Continued prayers and fingers crossed that he keeps improving and they get the meds leveled out!


Title: Re: At ER with Linley
Post by: NedF on September 22, 2014, 09:29:30 PM
I'm glad to hear you had a good visit with Linley and that he is looking good. It sounds like you cheered him up! Hopefully he will eat a little overnight with the towel giving him some privacy. I hope you all get a good nights sleep.


Title: Re: At ER with Linley
Post by: Mandycat on September 22, 2014, 10:17:49 PM
I am so sorry about Linley's problems.  I hope he is feeling well enough to come home in the morning.  Maybe he will eat better there.  However, sometimes an anti-nausea medication can be tried either before trying the appetite stimulants or along with them.  Even with a stimulant, if a cat feels nauseous, it still won't eat.  Hopefully, though, nothing will be needed to get his appetite back.  I would be prepared with a oral syringe that you can use for feeding just in case you might have to try that to spark his appetite.  The clinic should be able to give you one.  You can try finger feeding also. That works for some cats.


Title: Re: At ER with Linley
Post by: August on September 22, 2014, 10:25:38 PM
Oh my goodness what a shock to come and find this thread!  How scared you must have been with the open-mouth panting!  It was so smart not to wait and go to the ER - I know that's such a difficult decision to make.  It's hard to believe that such a young cat would have heart trouble.   :-[  Genetic predisposition... that is just so awful.  And I know how frustrating it is when you want your kitty to eat and yet there are so many off-limit foods.  So stressful.  That's wonderful that he was soooooo happy and purry to see his family, and that made him thirsty enough to drink lots.

I send lots and lots of good wishes and wait to hear good news.  I know Cara will feel so much better once Linley is home.

Fingers crossed that the pilling will be smooth and not an issue!

Eat, Linley!  Hurry home - your family needs you home!


Title: Re: At ER with Linley
Post by: lesliek on September 23, 2014, 04:38:13 AM
I am very glad you were all able to see him ! Sorry Linley had to stay , but better that than coming home & rushing back .You may want to ask about having some anti nausea meds at home , as Mandycat said they don't want to eat when they feel sick .


Title: Re: At ER with Linley
Post by: catbird on September 23, 2014, 09:20:54 AM
He gets to come home this afternoon! He has continued to drink and he did eat a little bit for them overnight. They think he is much more likely to eat and recover at home, based on what they are observing. They do not think he is nauseated; they are not seeing any signs of that. They think he just won't eat because of stress, fatigue, and all he's been through.

His creatinine has improved, although it's still higher than it should be. Because of his age, he had not yet had any blood work to measure creatinine (he was scheduled to have his first senior blood panel in mid-October), so we do not know what his baseline is. He may already have had some underlying kidney insufficiency, or it may be a result of the diuretic medications. That is why they have to proceed slowly with the diuretics to reduce the fluid in his chest, which means that the congestion is not completely resolved as yet. But it is much better than when he went in.

She said he seems to be feeling pretty good, and his breathing is much, much better than when we took him in (although the cardiologist said he will likely never have a completely "normal" breathing rate because of his heart disease.) We are going to have to monitor and record his breathing rate regularly.

He will be discharged on the Lasix and a medication to help his heart pump better, along with (temporarily) a potassium supplement. They think that once he starts eating more normally, his potassium will come back into normal range, but because low potassium can make you feel icky, they want to make sure that is not affecting his appetite. So he is to be supplemented for a little while.

He will have a follow-up appointment next week.

Wish us luck at giving him pills!  Our poor little guy.  Who knew that my rough-and-tumble goofy boy was so fragile?


Title: Re: At ER with Linley
Post by: Spartycats on September 23, 2014, 09:33:27 AM
Yay!! Coming home!!

Wishing Linley the very best, and wishing for you, easy pilling.


Title: Re: At ER with Linley
Post by: JustMe on September 23, 2014, 10:02:29 AM
Ahhhh...Wonderful news!  He will sure be happy to be back home.  {{hugs}}


Title: Re: At ER with Linley
Post by: Meowli on September 23, 2014, 10:05:55 AM
So glad Linley is coming home! I hope he continues to improve and with the meds, is back to feeling his old self in no time! Come on Linley, eat good and take your meds!


Title: Re: At ER with Linley
Post by: merrihart on September 23, 2014, 10:34:52 AM
I'm so glad he's coming home!   :)


Title: Re: At ER with Linley
Post by: NedF on September 23, 2014, 11:09:19 AM
That will be a relief to have him home and I'm sure he will be much happier where he's safe and comfortable. Good luck with the pills! I know you will think of some clever way to get them into him!


Title: Re: At ER with Linley
Post by: Mandycat on September 23, 2014, 01:15:40 PM
I'm so glad that Linley will be coming home.  I hope you can find a easy way to pill him.  However, keep in mind that some of the heart medications are available in the transdermal form if necessary.  Sending good vibes and prayers that he eats when he gets home and makes quick progress getting back to "normal".


Title: Re: At ER with Linley
Post by: Fizzy1 on September 23, 2014, 01:42:43 PM
I can't remember if Linley eats wet food?  When Kozy needed pills I knew there was no way he would let me near him, so I took about 1/4 tsp wet food and rolled his pill in it, making a meatball.  Then I would roll it to him and he thought it was a treat.  Worked every time.  Knock on wood!  Let us know how it goes!


Title: Re: At ER with Linley
Post by: caylee on September 23, 2014, 01:53:14 PM
So glad that you can bring Linley home this afternoon. I know he will much happier at home and he may even eat more.

Hugs


Title: Re: At ER with Linley
Post by: Sandi K on September 23, 2014, 03:08:55 PM
I cant wait til you get him home!  Let us know when he's home and how he and everyone else is doing!  Linley will feel much better when he gets home to his sister Cara.   :-*


Title: Re: At ER with Linley
Post by: lesliek on September 23, 2014, 04:45:23 PM
I hope he is settling in at home as I type this ! We did some of the drugs in pill form , some in compounded liquid & some in transdermal . The chicken & beef flavoring in the compounds smells really awful !


Title: Re: At ER with Linley
Post by: catbird on September 23, 2014, 04:54:49 PM
We have had Linley home for about two hours. He's subdued, and tired, which they told us to expect. They said that based on what he has been through, and the fact that he spent two nights in the hospital, we can expect him to be tired for several days yet.  Overall, he doesn't look bad, and even at the hospital, I could tell that he looked better than yesterday.

I can tell that he is glad to be home. He's extra reactive to any sudden sounds or events like that, but I guess that is to be expected. He is in many ways a very sensitive little guy and always has been. Hopefully as he settles in, that will get back to normal, too.  We are very glad to have him here. It has been a terrible, scary, not-sleeping-at-night experience for everyone.

Within two minutes of getting here, he went to a water bowl and drank more than I have ever seen him drink in his life! He then rested a little, came upstairs and went to the kitchen, and drank more water from the fountain! After that, he sat down in the living room, rested quietly for about 45 min., went downstairs to use the litter box, and then went into his enclosed bed in the laundry room where he sleeps at night. He's there resting now and I expect he is getting some much-needed sleep. We have not seen him eat yet, but hopefully he will later.

One of the things affecting him is that his left foreleg is wrapped in a bandage. There was a problem with his IV yesterday, and he has a couple of little skin staples to close a small area that wouldn't close off. They bandaged that, and wrapped up his whole leg so that he would not be able to get it off. However, like most cats with a bandage on their leg, he feels he's crippled and doesn't want to walk on it much, even though it's unlikely that it hurts very much. He will get the bandage off and the staples out when he goes back for his recheck next week.

Cara totally freaked out when she saw him! As in, hair sticking out! (Both the Manx cats I have had did/do not just fluff out all over like most cats do, but only the hair along their spine and "tail" stands straight up, causing them to look like they have a mohawk. It is very funny-looking.) We think it is the vet smell on him and the bandage that is causing her apprehension. When he was lying down, she did go up and sniff the bandage, and was slightly less apprehensive after that. Phantom and Kalahari looked at him in their usual cynical way, as if to say, "We have seen it all before and nothing much impresses us."

We were very worried about the trip home in the car, based on what happened to him on the way there (that was when he started the open-mouthed panting). We even discussed giving him a mild sedative for the trip with the cardiologist, which she would have done, but in the end we decided not to. He did much better than he did going to the ER, just the meowing he would ordinarily do during a car ride. Since the fluid in his chest is mostly resolved, and he is getting meds to help his heart, his body is better able to deal with stress.

Besides his medications, we are to check his respiratory rate a few times each day when he is asleep, and report immediately if it goes up a lot, as well as reporting the overall numbers when he has his appointment next week. His respiratory rate is still slightly elevated over what they would consider "normal", but they are hoping that as the fluid in his chest is entirely resolved, and the heart meds kick in fully, this may get better too. Or he may just permanently have a slightly faster respiratory rate than normal.

We have to give him his first pills fairly soon; I hate to disturb him from resting, but he has to have them. We need big-time prayers and good vibes for that, for sure!


Title: Re: At ER with Linley
Post by: caylee on September 23, 2014, 05:04:35 PM
 :-* Sounds like he is doing well since being home.  :D I will keep him and the rest of the family in my thoughts.

hugs


Title: Re: At ER with Linley
Post by: Spartycats on September 23, 2014, 05:35:13 PM
Good to hear that Linley is home and the trip home went okay.  Sending good thoughts that the pill-giving will go easily.  And I hope he'll feel like eating soon.


Title: Re: At ER with Linley
Post by: catmom5 on September 23, 2014, 05:52:58 PM
Big time prayers coming from me and my crew . . .
Glad Linley is home and settling in. He probably is exhausted from everything the past couple of days, so this is to be expected.
As far as Cara's reaction, yes it likely is the smell that bothers her. It happens here every time anyone is at the vets for any reason or any length of time. I think they smell not like themselves (to the other cats, at least).
Hope the pilling goes well and he starts eating yet tonight.


Title: Re: At ER with Linley
Post by: catbird on September 23, 2014, 06:27:36 PM
We got the pills in, but it wasn't easy. The 1/2 pill of furosemide is tiny and not too bad, but the pimobendan (apparently off-label for use in cats per my online reading, but vet cardiologist says they have used it with great success in cats with Linley's type of problem) is huge! I had to break the pill in half and give each half separately, and it took about 3 tries for each piece. He spits and chews and whimpers. I gave him a little water chaser by syringe after each one went down. I am going to ask to try liquids because I think he might do better with that and find it less traumatic.

Next week, if all goes well, they plan to add another type of cardio med; don't know yet what they have in mind. Someone please tell me that the pimobendan will not harm him, since it's off-label for cats!

He went to sleep for a little bit here in the living room after pilling, and I took his respirations. They were in the desired range for him at 28, which is good. They want him to be under 40 when at rest, which is higher than normal, but expected for his current condition.  (His respiratory rate was well over 100 when he went in during the crisis on Sunday.)

He hasn't eaten yet from the dry food that's sitting out, and we just offered the wet. He ignored it and walked right past it to his sleeping place. I hope at some point tonight he will eat.  Right now, I think he is just really, really tired. But I wish he would eat! It worries me. He ignored the treats I offered after his meds, too.

I am at the "how can I possibly do this for the rest of his life?" stage. I know I'll get better with practice on him, but it's so hard when we want to avoid stressing him, yet he needs the medications to survive.

I feel so bad, and so helpless.


Title: Re: At ER with Linley
Post by: Fizzy1 on September 23, 2014, 06:55:47 PM

I feel so bad, and so helpless.


That is so completely normal!!  It will get better with time.  It's all still so new, but you have handled things like this before and you will get thru it!  We're here for you.  But I have to admit that I would be a basket case, too. :P

I wish we could wave a wand and make it better. :-* :-*


Title: Re: At ER with Linley
Post by: Spartycats on September 23, 2014, 07:21:32 PM
It's Wedgewood, but at least tells you there are possibilities out there.

http://www.wedgewoodpetrx.com/items/pimobendan-tiny-tabs.html (http://www.wedgewoodpetrx.com/items/pimobendan-tiny-tabs.html)


Tufts advises against compounding to liquid for pimobendan.

http://vet.tufts.edu/heartsmart/management/medication_side_effects.html (http://vet.tufts.edu/heartsmart/management/medication_side_effects.html)



Title: Re: At ER with Linley
Post by: petslave on September 23, 2014, 07:38:14 PM
Good to read that Mr. Linley is back home!  I hope he settles in and is able to eat soon.  Those pills sound daunting, no wonder you feel helpless.  Maybe you can stop giving them after the next recheck when he gets his meds adjusted/changed.


Title: Re: At ER with Linley
Post by: GKit on September 23, 2014, 08:19:06 PM
I so glad Linley is back home and hope he catch up on his sleep. I hope the next cardio med is smaller! Sending you big hugs for having to do the pilling. Huge pills are no fun at all. Sending you lots of good vibes. It may also get easier once he gets his appetite back? Because then the usual inducements of food or treats would work better on him.


Title: Re: At ER with Linley
Post by: NedF on September 23, 2014, 09:54:38 PM
I feel bad that you are feeling helpless catbird.  :( This has all been such an unexpected shock and you are feeling overwhelmed. I think that once you get a routine going and things settle down that you will feel better and more in control.

I hope Linley will eat overnight when things are quiet for him. He probably just needs a little time to settle back in after the stay at the vet and to get used to his new medications. I know you know this, but try not to worry over him too much. When Smoggy had his vomiting/choking a few months ago, I hovered over him too much and that seemed to stress him out more. I had to force myself not to keep checking him every 15 minutes and just let him be.


Title: Re: At ER with Linley
Post by: August on September 24, 2014, 12:13:50 AM
Why do they even make big pills.  And if they're bitter, why don't they just coat them, for crying out loud?  If you break the big pills do you think they would fit with the smaller pill into a big gel capsule?  I found putting everything into a large gel capsule and then slightly wetting the capsule made the thing slip right down the throat (usually  :P  ).

By the way, I have a friend who has a kitty with heart trouble, and she was talking about how she needs to be careful of her flooring, especially in the winter (she now has carpet everywhere).  I don't know how cold your floors might get, but if there are floors that Linley uses often that might get chilly in the winter, you might think to put a throw rug down?

I'm so glad your Linley is home and Cara's reaction was so funny.  I'm sure things will calm down soon for everyone.  Sending lots of good thoughts your ways.


Title: Re: At ER with Linley
Post by: alek0 on September 24, 2014, 12:54:14 AM
Glad to hear that Linley is home. Don;t worry too much about the pills, you will get better with more practice and it will be less stressful.


Title: Re: At ER with Linley
Post by: lesliek on September 24, 2014, 04:25:07 AM
For Remy we did exactly what August suggested . His cardiologist said it was fine to break or cut it & we put it in a large gel cap with his other pills . It took 2 to get them all into , but still easier to swallow than the pills . Gator next door took his the same way & he was on it for about 8 years safely .


Title: Re: At ER with Linley
Post by: catbird on September 24, 2014, 05:27:45 AM
He ate little to nothing overnight. He refused food this morning.  :'( :'(

This morning, the first of the 4 pills (two halves of the pimobendin, tiny little half-pill of the furosemide, and quarter of huge potassium pill, which comes out to be about the size of a normal pill) went down perfectly on the first try. However, the other 3 were a nightmare. He is getting wise to it and trying to lock his jaws, and we had multiple spit-outs of each one. Plus, he is a big cat, and his mouth is quite deep, so it's hard to get the pill back in far enough with your finger. I am afraid I will get bitten by accident, even though he is a very gentle guy and never bites or scratches.

He seemed a little perkier this AM until the pilling, like he had maybe gotten a good night's sleep. Now, he is sitting on the floor, and won't even purr when petted. We've always said Linley has "auto-purr"; you pet him, he purrs. My daughter is devastated that he won't even purr. He is her baby boy.

So, today I am going to pick up Fancy Feast, a couple of assist feeding syringes, a pill shooter, empty capsules, and call to see if any of these meds are reliable in liquid form. That, and work a full day, prepare meals, maintain my household, and take care of my other cats and my family.

He looks so sad and droopy, and is not very active (although I think part of that might be the bandage on his leg; he doesn't like walking with it at all.)

This is so hard.  Sorry to be so whiney, but I am worrying severely about how my family members are having so much trouble with this, as well as about Linley.


Title: Re: At ER with Linley
Post by: catbird on September 24, 2014, 05:46:42 AM
Why do they even make big pills. 

I think the huge one is meant to be a chewable dog pill, since the medication is used off-label for cats. The vet told me it is flavored, and Linley has more or less chewed up the pieces a few times, and doesn't seem to object to the taste too much. I think the other ones must taste nasty, though. I give him a little chaser of a few ml of water after each pill with a small syringe, and he seems to be OK with the water. That's why I'm wondering about liquid meds for him.

These are the same meds that my friend's CJ was on, and that I gave while she was out of town for a period of time. (CJ's heart disease was much, much more severe than Linley's and CJ was also hyperT, we were giving his methimazole transdermally.) I remember that CJ was fair about the other ones, but the potassium he really hated and would spit repeatedly. With him, it was much better when that one in particular was in a gel cap. Linley's potassium was in the low end of normal, but they didn't want it to get any lower, so hence the supplement for 7 days, especially if he is not eating.


Title: Re: At ER with Linley
Post by: catbird on September 24, 2014, 07:16:55 AM
He just threw up a small amount of bile after drinking a little water.  :'( And he's hiding in the coat closet, something he never does. He must not feel good at all. Maybe from not eating?


Title: Re: At ER with Linley
Post by: catmom5 on September 24, 2014, 07:23:50 AM
I don't think you are whiney at all - just on serious overload. I get it, and I'm sure others do, too. Hopefully you will get into a routine and things will settle down. Also hoping that Fancy Feast does the trick. I find a pill shooter and gel caps make all the difference in the world. In fact, I now prefer pills over liquids because they are easier to give.

Prayers and hugs
catmom5


Title: Re: At ER with Linley
Post by: Sandi K on September 24, 2014, 07:29:03 AM
Oh darn, Im so sorry to hear he is hiding.  Maybe its just from all the excitement and change in routine and pills, maybe not trusting people a little for now?  Poor lil guy.  You arent whining at all, catbird!  There is an awful lot to take in right now and its still an adjustment period for everyone.  You are just worried as we all are.  I wish he would eat!  I wonder if they can change out that big pill for something else?  Do any of the meds cause nausea?   {{{{hugs}}}     


Title: Re: At ER with Linley
Post by: catbird on September 24, 2014, 07:46:17 AM
It is possible according to the vet that the furosemide (Lasix) could cause nausea by making him dehydrated. That is why he had to stay an extra night and go back on IVs; he was dehydrated. His creatinine was up after the first emergency administration of Lasix on Sunday, which could make him feel nauseated. They don't know if he has kidney problems or is just extra-sensitive to the effects of the Lasix causing dehydration. His creatinine yesterday morning was trending down, which was good, but was still elevated.

I feel frustrated that I had just called her with an update and then he threw up after that. I don't want to call back right away. She talked about backing down further on the Lasix/furosemide dose if his breathing rate stayed reasonable, when I called about getting the liquid.

There is a long-term possibility of changing out the big pill for a liquid, but it is apparently not as stable, and there are reports of the transdermal form not being reliable. That is actually the easiest one to get down him, strangely.

I am so upset that he threw up, even though it was only a tiny amount. He wasn't eating well on Monday or Tuesday, but did not act nauseated at all.

Could it just be the empty-stomach type of vomit, and once we get some food in, it might stop?

I am in panic mode about the hiding. That is so, so unlike him. :'(  I can't believe that a relatively young cat who two weeks ago appeared active and healthy is in this kind of state. He seems so ill.


Title: Re: At ER with Linley
Post by: Spartycats on September 24, 2014, 08:11:24 AM
Catbird,
I would not hesitate to call them back, and tell them he has vomited a bit and is hiding and doesn't seem well.


Title: Re: At ER with Linley
Post by: Spartycats on September 24, 2014, 08:15:05 AM
Also, did he get the potassium?  Might cause vomiting, on an empty stomach, I think.


Title: Re: At ER with Linley
Post by: Sandi K on September 24, 2014, 08:17:03 AM
I agree with Spartycats, I probably would call the vet and tell them that he threw up a little and is hiding.  This is still a serious situation, he is on new meds that he might not tolerate and there are things that might need to be adjusted, etc.  I think the vet wouldnt be upset that you called, they want to know how he is doing too, so that they can help him.  Did they ever get the T4 results back, if you call, at the same time you could check on the results of that test.      


Title: Re: At ER with Linley
Post by: GKit on September 24, 2014, 09:25:36 AM
I wouldn't hesitate to call them back about the vomiting and hiding, catbird.  It's new information, you are concerned, and there is honestly no way to tell how significant it is without talking to them.  I think it is reasonable to ask them what their expectations are in terms of his eating, and possible things to watch for in terms of adverse reaction to the new meds. 

As others have said, you're not being whiny at all. It's a seriously stressful situation and you've got a ton of things to deal with. If we can help by listening, let us do that. Sending big hugs.


Title: Re: At ER with Linley
Post by: catbird on September 24, 2014, 09:56:35 AM
I have a call in to the vet, but she has not called me back. He came out of closet after about 2 hours, retched, and threw up a little bile again, so that upped the level of urgency for me. After the second vomiting, he then went downstairs to our home office which used to be "his" room. He is resting there at present according to my DH. (I'm at work, and getting all this communicated via email.) It's unlike Linley, because he usually prefers to spend the day upstairs in the living room. I can't remember when he has done anything like that before, unless he's really afraid of something.

Yes, he did get all the meds on an empty stomach about 2 hours before the first vomiting episode. He got the potassium, furosemide, and pimobendan.

I am going to have a serious meltdown soon if things don't get better.


Title: Re: At ER with Linley
Post by: ranger on September 24, 2014, 10:06:26 AM
Sorry to hear Linley is not doing well maybe the meds will need adjusting?  Glad you called back it's scary to have a sick kitty.  Fingers crossed he will adjust and get better.  Is he breathing ok?


Title: Re: At ER with Linley
Post by: catbird on September 24, 2014, 10:32:13 AM
The cardiologist called back. She wants me to bring him in ASAP for blood work, which they can run in-house at the hospital and get the results pretty quickly. I am not able to leave work until a couple of hours from now at the earliest, then I will have to collect him by myself (no one else will be home) and drive out there alone with him.

She is worried about his creatinine going back up and causing the nausea. It was trending back down yesterday, but she is worried that he is going into kidney failure, since the vomiting is something new. She said it could be the meds or the not eating, but the kidney values would be critical and he would need to be re-admitted and put on IVs again to deal with that. So it is important to check that as soon as we can.

So it is going to be another long night, I am afraid.  :'( :'( :'(  I can't believe this is happening.


Title: Re: At ER with Linley
Post by: JustMe on September 24, 2014, 10:39:01 AM
You have to hold it together, Catbird  {{hugs}}  Is there a good friend or co-worker that might be able to accompany you both to vet so you aren't going alone?  How far away is the vet? You know they are well equipped to deal with an episode of acute kidney failure (i.e., acute renal failure), if that is what this turns out to be.  Could just be horrible tasting meds that upset his stomach.  Maybe they let him go home too soon. Wish I could go with you.  I know how scary it is, but it is more scary for Linley, so you need to stay calm.


Title: Re: At ER with Linley
Post by: catbird on September 24, 2014, 11:08:57 AM
Thanks, JustMe. I really need you guys right now, since online is pretty much the only support I'm able to get right at the moment. I am so worried about him.


Title: Re: At ER with Linley
Post by: Fizzy1 on September 24, 2014, 11:15:27 AM
I'm worried sick, too.   :'( :'(  Darn it, I wish I could go with you!  It's going to be okay.  It's going to be okay.  Okay?  Big hugs.


Title: Re: At ER with Linley
Post by: Spartycats on September 24, 2014, 11:26:21 AM
We're all with you, Catbird, at least virtually.  Hoping you can scoot from work soon.
You'll do fine getting him there. 


Title: Re: At ER with Linley
Post by: catmom5 on September 24, 2014, 11:31:59 AM
I am glad to hear you're in touch with your vets. It does sound as if it is a good idea to take him back in. Take a deep breath, do what you have to do and you'll do fine. We're all with you (hope you have an extra-large vehicle  ;) ) and we're here when you need to talk. Keeping you in my prayers that it's nothing more serious.

Remember, when CJ was first diagnosed, it was with acute kidney failure and they were able to pull her through that and have many more years with us. There were times when I thought she looked like she was dying, but she fought through those time. We'll help you and Linley fight through this now!

Hugs
catmom5


Title: Re: At ER with Linley
Post by: caylee on September 24, 2014, 11:55:44 AM
Everything will be OK, catbird. Just take a few deep breaths.

Sending hugs to you and all your family.  :-*







Title: Re: At ER with Linley
Post by: GKit on September 24, 2014, 12:14:25 PM
I'm glad they called back and are taking action.  With the in-house blood test they'll be able to get results quickly and be able to act on them straightaway.  Many hugs and winging positive and healing thoughts your way.


Title: Re: At ER with Linley
Post by: Sandi K on September 24, 2014, 12:22:32 PM
Oh poor catbird and Linley and family!  Please let us know as soon as you can whats going on.  I know its probably not related but elevated T4 can cause vomiting too.  Im assuming they would have told you if it was high by now.  We are here for you!  Major big {{{{hugs}}}

P.S.    Gkit and others, you guys have such great ways of posting and helping people feel better, you are all so well-spoken!  I try but mine never comes across as good as you guys do.  So thankful to have you all here at Itchy to help catbird and others...and me and Sophs too!  


Title: Re: At ER with Linley
Post by: Meowli on September 24, 2014, 12:22:48 PM
Sending continued prayers for Linley and all of you. Maybe they can find answers in this latest round of bloodwork? Could he have ingested something, this all came on so suddenly?? I hope Linley can be stabilized quickly and will feel better, poor baby.
Many ((hugs))


Title: Re: At ER with Linley
Post by: Sandi K on September 24, 2014, 12:38:31 PM
Gosh I hadnt thought of that, Meowli.  Could eating a mouse do anything like this?  Catbird, have your kids been catching any mice lately or anything?  I agree, this all seems so sudden, it makes me wonder too.


Title: Re: At ER with Linley
Post by: ranger on September 24, 2014, 02:10:14 PM
Sending good thoughts to you and Linley Catbird.


Title: Re: At ER with Linley
Post by: catwoods on September 24, 2014, 02:52:17 PM
Oh I am so sorry to hear all of this and I send big hugs and wishes that everything will become better for Linley soon. I know it's terrible for everyone, illness affects an entire family and makes coping especially difficult. I'll keep checking back for any updates, with hopes and wishes in my heart.


Title: Re: At ER with Linley
Post by: catbird on September 24, 2014, 03:38:03 PM
Linley is back in the hospital and the news is not good. He is in acute renal failure now.

His creatinine Monday morning after getting a standard dose of Lasix on Sunday evening to help clear out the congestive heart failure was 3.5.  We have no recent creatinine baseline on him because he is so young; was going to get his first senior panel in a few weeks. A few hours before he was discharged to home (Tuesday evening) creatinine was 3.1 after he had been on some light IV fluids.  Everything was very encouraging. When he went in around 4 this afternoon (Wednesday), creatinine was at 9.0.  :'( :'( :'( :'(

He clearly cannot tolerate the Lasix, and now will need aggressive fluid therapy to save his kidneys. Whether his heart can tolerate this is quite questionable. What he has in his favor is that the other heart med, the pimobendin, seems to be working well for him.

His prognosis at this point is fair to guarded. The odds are not in his favor at all.

Best case scenario, he will be in the hospital at least two days, to get things balanced out.

Worst case, he will go back into heart failure. And there won't be any way to pull him out of it.

The awful part is, if it weren't for the vomiting, no appetite, and weight loss, he looks pretty good. He's alert, breathing well, curious, interactive, and purring again.

 :'( :'( :'( We are devastated.


Title: Re: At ER with Linley
Post by: Meowli on September 24, 2014, 03:42:08 PM
I am so sorry at this latest diagnosis. Sending continued prayers for Linley, you, and your family.
Many ((hugs))


Title: Re: At ER with Linley
Post by: Fizzy1 on September 24, 2014, 03:42:19 PM
I'm going to cry! I'm sorry! I told you it was going to be okay!  :'(

Well, if anyone can help him, your vet school can.  Let's try to stay positive.  He could still surprise us!  Come on Linley :-*



Title: Re: At ER with Linley
Post by: JustMe on September 24, 2014, 03:50:42 PM
I'm so sorry, Catbird.  Poor Linley.  Keeping you all in my prayers.

I did find something interesting and hopeful about pimobendan and kidney failure at Tanya's CRF site. Could be beneficial not only to the heart, but also for kidney values.  

http://www.felinecrf.org/research.htm#pimobendan

http://www.winnfelinefoundation.org/education/cat-health-news-blog/cat-health-news-from-the-winn-feline-foundation/2012/05/02/improving-treatment-of-feline-kidney-disease

"The Winn Feline Foundation reports on a new study to investigate the use of pimobendan to help cats with CKD. The researchers have already found it helpful in previous studies for cats who developed congestive heart failure following intravenous fluids. They found that pimobendan not only helped with the heart problems, but the cats' kidney values also improved. The new study will be researching this further in a larger group of cats. "


Title: Re: At ER with Linley
Post by: catbird on September 24, 2014, 03:52:56 PM
I don't know how I managed to do it, but I got him in the carrier by myself. He is still a huge cat, fought with amazing strength, clearly did not want to go in there, and I got accidentally clawed by his back feet in the struggle. Then, despite stairs in our house and an acutely ailing knee, I got him out to the car. I guess adrenalin works wonders for what a person is able to do.

He was about as usual on the long ride, meowing, but not panting or anything like that.

Thank you everyone for your support and prayers. Please keep them coming. I am so worried about my family members as well as Linley. Everyone is taking this very hard.

For those who haven't had time to read the whole thread, the cardiologists feel that Linley's heart condition is most likely genetically based.  He's so big and hairy, he clearly has some giant breed in his ancestry, and quite a few of those have genetically-predisposed heart problems, sometimes very severe.  It has nothing to do with his diet, environment, or anything that might have happened to him before we rescued him in November 2007.  He just drew the bad cards in the genetic lottery as far as his heart goes, although he certainly got the good ones in terms of his looks and personality.

Life can be so unfair.


Title: Re: At ER with Linley
Post by: catbird on September 24, 2014, 03:56:07 PM


I did find something interesting and hopeful about pimobendan and kidney failure at Tanya's CRF site. Could be beneficial not only to the heart, but also for kidney values.  



Yes. The senior cardiologist told us the same. It is the medication of choice for cats with both kidney and heart problems.


Title: Re: At ER with Linley
Post by: Spartycats on September 24, 2014, 04:00:30 PM
Saying many many prayers for Linley, that they can pull him through this acute episode, and do their best to protect his heart.  He is in the best possible hands.

It's all been so fast, it must seem like a terrible nightmare you wish you would wake up from.

Perhaps Linley drew bad genetic cards, but he drew the best possible cards as far as a loving family.

{{{HUGS}}}





Title: Re: At ER with Linley
Post by: catwoods on September 24, 2014, 04:06:39 PM
I feel so sad . . . I sure hope the vets can help, him, catbird. Hugs, hopes, and prayers. I wish I could help more.


Title: Re: At ER with Linley
Post by: Fizzy1 on September 24, 2014, 04:09:44 PM
Saying many many prayers for Linley, that they can pull him through this acute episode, and do their best to protect his heart.  He is in the best possible hands.

It's all been so fast, it must seem like a terrible nightmare you wish you would wake up from.

Perhaps Linley drew bad genetic cards, but he drew the best possible cards as far as a loving family.

{{{HUGS}}}





Where's that Like button when we need it?


Title: Re: At ER with Linley
Post by: catmom5 on September 24, 2014, 04:10:06 PM
I just don't know what to say. I'm so sorry that you are dealing with so much right now. Prayers that Linley can be treated successfully for both the heart and kidney disease. Prayers for you and your family as you go through these difficult times.
catmom5


Title: Re: At ER with Linley
Post by: catbird on September 24, 2014, 04:22:31 PM
I actually feel kind of numb right now. My husband and daughter are crying. DH just picked up Linley's food bowl from this morning, and broke down sobbing.


Title: Re: At ER with Linley
Post by: GKit on September 24, 2014, 04:25:33 PM
Oh catbird.  I am going to wish very hard for him.   Will they keep you posted? I am going to stick with thinking positive--it's a fine line to walk, but he is really in the best possible place for that to be done successfully.  Many many many hugs.


Title: Re: At ER with Linley
Post by: catbird on September 24, 2014, 04:42:28 PM
We will most likely get a call first thing tomorrow morning with an update.

You all hug your kitties and doggies and bunny rabbits and all your critters close tonight and tell them how much you love them.


Title: Re: At ER with Linley
Post by: Sandi K on September 24, 2014, 04:51:31 PM
Im just speechless.  How did all this happen?  Poor lil guy, come on Linley, pull through this.  Please let us know the minute you hear anything new.  Sending big {{{hugs}}} to you and your family, catbird.


Title: Re: At ER with Linley
Post by: caylee on September 24, 2014, 05:27:26 PM
 :'( I'm so sorry catbird and family that you guys are hurting so much right now. I know that the waiting  and not knowing factor are so terribly hard.  :'(  I wish there was something I could say to ease your pain. It's not easy having a very sick kitty and loving them so dearly at the same time.

I've been following this thread all day while I was at work, but did not dare take the time to type in a comment until I was off work hours. I can read the forum from my hidden tablet in my desk drawer, but typing is just too hard.

Cyber hugs to all of Linley's family.


Title: Re: At ER with Linley
Post by: Fizzy1 on September 24, 2014, 06:02:10 PM
Kozy told me that he will accept my hugs if it helps Linley.  :-* :-*


You all hug your kitties and doggies and bunny rabbits and all your critters close tonight and tell them how much you love them.


Title: Re: At ER with Linley
Post by: merrihart on September 24, 2014, 06:11:31 PM
Praying for Linley and you!


Title: Re: At ER with Linley
Post by: NedF on September 24, 2014, 06:21:24 PM
 :'( :'( I'm so sorry catbird. I am praying the vets will be able to manage the delicate balancing act of saving his kidneys without causing heart failure.

{{{hugs}}} for you and your family.


Title: Re: At ER with Linley
Post by: petslave on September 24, 2014, 08:20:05 PM
Very sad news that his kidneys are in bad shape now.  Please pull through, Linley!  I'm praying for all of you.


Title: Re: At ER with Linley
Post by: Mandycat on September 24, 2014, 09:26:08 PM
I am keeping Linley and all of your family in my prayers.  {{hugs}}   :'(


Title: Re: At ER with Linley
Post by: ranger on September 25, 2014, 04:08:38 AM
I am so sorry how awful for you all  :'( :'( :'( Still hoping and thinking good thoughts and gave my 2 kisses.


Title: Re: At ER with Linley
Post by: lesliek on September 25, 2014, 05:21:56 AM
I am so sorry Linley got worse so quickly ! I know it's hard having him in the hospital , but it is the safest place for him as they try to adjust everything .I am praying for you all and sending positive thoughts  :-* :'(. Hoping to check in later & hear good news .


Title: Re: At ER with Linley
Post by: Sandi K on September 25, 2014, 06:17:54 AM
First thing Im checking this morning is how Linley is doing.  Im sure you guys got little sleep.  You all are in my thoughts.   


Title: Re: At ER with Linley
Post by: Fizzy1 on September 25, 2014, 08:14:14 AM
I can't stop checking in.  Catbird, how are you?  {{{hugs}}}


Title: Re: At ER with Linley
Post by: catbird on September 25, 2014, 09:12:56 AM
I just got a message left from the vet on my work phone. This morning Linley’s creatinine has come down significantly, into the 5s from 9.0; still not in the desired range but very much moving that way. Despite the extra fluid he’s getting for his kidneys, his breathing is good. He appears very comfortable still, is eating and drinking, although not eating a lot. No more nausea or vomiting! He needs to stay at least another day for the fluid therapy to help his kidneys, but they are encouraged by his response now that he is off the Lasix and getting fluids. I think they are now feeding him a renal diet while his kidneys are still recovering. Hope we don't have to continue that very long at home, although I suspect they will recommend it.

They are going to adjust the amount of IV fluids he's getting based on the fact that he's now drinking again.

Our boy may do OK yet!  Please, please keep those prayers and good vibes coming; we all need it.


Title: Re: At ER with Linley
Post by: NedF on September 25, 2014, 09:17:52 AM
I'm so glad to hear the good news! Keep it up Linley!


Title: Re: At ER with Linley
Post by: Fizzy1 on September 25, 2014, 09:18:01 AM
Thataboy Linley!  Phew.  Good thoughts continue!   :-* :-*



Title: Re: At ER with Linley
Post by: Spartycats on September 25, 2014, 09:19:33 AM
So good to hear!!!  Whew.

We've been checking and checking for updates.

Renal diet might make sense for his heart, too - in terms of sodium, etc.  ?


Title: Re: At ER with Linley
Post by: ranger on September 25, 2014, 09:21:18 AM
You bet those good vibes will keep coming.  Come on Linley please get better for your mom. I went and looked at Linley's pictures he looks so sweet.  What is he 8-9 very young.  


Title: Re: At ER with Linley
Post by: catbird on September 25, 2014, 09:40:52 AM
Yeah, he is estimated to be about 8 or 9 now. He is the sweetest big goofy boy in the whole world; a gentle (although sometimes mischievous) giant. He's not the brightest bulb in the box, but he makes up for it with his sweet personality. Cara Manx loves him very much, and he loves her.


Title: Re: At ER with Linley
Post by: merrihart on September 25, 2014, 10:03:37 AM
Still praying for him!  I'm so glad he showing signs of improvement.


Title: Re: At ER with Linley
Post by: GKit on September 25, 2014, 11:14:04 AM
Phew! More good thoughts coming from here too!


Title: Re: At ER with Linley
Post by: catmom5 on September 25, 2014, 11:48:17 AM
Just home from work and wanted to check to see how Linley and his family are doing today. Things sound like they are moving in the right direction. It's good that he's eating some, and that the creatinine is coming down. 5 is way better than 9! And it's good his breathing is still good, too. Sending more positive thoughts and prayers . . .


Title: Re: At ER with Linley
Post by: Sandi K on September 25, 2014, 11:59:39 AM
Oh my, its very encouraging news, I just wish he could come home but I know he is where he needs to be to get help.  Will you get any more updates from the vet today, I hope so.  Let us know the minute you hear anything more!  How is DH and your daughter doing? 


Title: Re: At ER with Linley
Post by: catbird on September 25, 2014, 12:05:06 PM
How is DH and your daughter doing? 

Not sure. I have been at work all day. They were not doing well at all last night and this morning, but that was before we got the more encouraging news.


Title: Re: At ER with Linley
Post by: catwoods on September 25, 2014, 12:25:16 PM
Whew, I've been checking too and this news is encouraging. C'mon Linley! Continued well wishes and hopes going your way.


Title: Re: At ER with Linley
Post by: lesliek on September 25, 2014, 12:30:06 PM
I'm so relieved to see this news ! Very encouraging  :),keep eating and drinking Linley  :-*.


Title: Re: At ER with Linley
Post by: JustMe on September 25, 2014, 01:25:08 PM
Atta boy, Linley!!!!  Happy to hear he is doing better.   :-*


Title: Re: At ER with Linley
Post by: catbird on September 25, 2014, 03:14:59 PM
I just had the evening call from Linley's cardiology resident. Linley continued to do well through the day. He hasn't eaten yet since the amount he ate overnight, but they think part of it is that he gets too distracted in that busy environment, as the times he's eaten for them have always been at night when things are much quieter. He did continue to drink well throughout the day. His breathing rate continued to be good even with the added fluids and without the Lasix.

Since I spoke directly to her this time, I got some more information about his current treatment. One of the things they did last night was to give him an anti-nausea shot. She is going to do that again tonight. She said if needed, they will discharge him with anti-nausea medication for short-term (no specific plan for discharge yet.)

Another thing they did today was to get a urine sample and submit it for culture, just in case an undetected UTI is contributing to the elevated creatinine values. He was not showing definite symptoms that I could see before all this happened, but it is possible that is why he appeared to be feeling kind of punky for several days before the crisis on Sunday. She then added an antibiotic to his IV, to cover til the culture results come back, but will of course discontinue that if the culture is negative.

He gained weight since yesterday, which is a good sign, since it means he's better hydrated. He appears to be adapting and is much less stressed by the environment, isn't trying to hide in the back of the cage all the time (wants to get out of the cage every time they open it), and is bonding with his primary resident and the 4th-year vet student assigned to him, as well as the techs, giving lots of head-bumps, purrs, and nuzzles. So he apparently feels pretty good at this time.

She will call again tomorrow late morning or early afternoon with new lab results.

I am now encouraged that he might make it. The cardiologist said the same; she's encouraged too.  He has a long way to go, but things are looking more favorable.

Thanks again to everyone for your support, prayers, and good wishes. They are making a difference.


Title: Re: At ER with Linley
Post by: caylee on September 25, 2014, 03:39:46 PM
Thanks, catbird, for this encouraging update.  :) I will sleep much better tonight. I was so uptight this morning waiting for your update, and was so relieved to read the good news. I will keep sending good vibes and prayers for Linley.  :-*

Hugs


Title: Re: At ER with Linley
Post by: GKit on September 25, 2014, 03:52:36 PM
I am so very glad Linley ate some, and is giving nuzzles and head bumps! That's very encouraging.  More get well soon wishes coming your way!


Title: Re: At ER with Linley
Post by: catbird on September 25, 2014, 04:21:41 PM
I feel a lot better, and so do my family members, although we are quite tired. We have been running on empty, not sleeping well at night, and stressed out. Tonight was the first night since Sunday that we did not have to go up to the vet school (we could have visited Linley, but decided he was pretty happy and in good hands, so we chose to just take the time and relax a bit.) Tonight I was able to make a decent dinner for the first time since the ER trip! Hopefully everyone, including Linley, will get a good night's rest tonight.


Title: Re: At ER with Linley
Post by: Fizzy1 on September 25, 2014, 05:37:57 PM
I'm really glad you stayed home tonight.  You all need to recharge, he is in good hands.  Depending on the circumstances, I think having a hospitalized pet is more stressful than a hospitalized human.

I am hopeful and sending goofy Linley some cyber head bumps, purrs, and scritches.   :-*  :-*  :-*


Title: Re: At ER with Linley
Post by: Sandi K on September 25, 2014, 06:08:14 PM
The lil guy sounds like he is continuing to do better, I hope he is able to come home tomorrow.  Its good for you guys to get some rest.  Let us know the minute you hear anything! 


Title: Re: At ER with Linley
Post by: petslave on September 25, 2014, 07:14:48 PM
So nice to hear he's improved.  Prayers for him to continue getting better and for him to come home soon!


Title: Re: At ER with Linley
Post by: NedF on September 25, 2014, 08:11:47 PM
This news certainly sounds encouraging! I'm glad you were able to take time out for yourselves and have a more relaxed evening. I hope Linley will eat again overnight. The anti-nausea shot surely made him feel better.


Title: Re: At ER with Linley
Post by: alek0 on September 25, 2014, 08:36:03 PM
Nice to hear that Linley has improved.



Title: Re: At ER with Linley
Post by: Mandycat on September 25, 2014, 08:47:49 PM
Good news that Linley has improved and seems to be feeling better.  It sounds like he is in good hands with his vets and that they know the right things to do for him.  I will continue to keep him in my prayers.  Get some well deserved rest tonight! 



Title: Re: At ER with Linley
Post by: Meowli on September 26, 2014, 02:45:43 AM
Glad that Linley has signs of improvement, continuing prayers for him to keep getting better and to be able to go home soon.


Title: Re: At ER with Linley
Post by: August on September 26, 2014, 03:36:59 AM
Oh my goodness, I just caught up on two days of posts, and what a roller coaster ride, GAHH!!!!  Absolutely unbelievable how up and down and up things can go - at one point I was near tears and then I was perked up and getting excited. 

Catbird, <<<<<<<<<<<<<hugs>>>>>>>>>>>>>>>>>>

Please extend this to your family.  And tell them how many people are sending their very best vibes.  <3


Title: Re: At ER with Linley
Post by: lesliek on September 26, 2014, 04:51:40 AM
Very happy to see he is still improving ! I really think if Linley is doing well & interacting with his Dr's that staying home to take a break is the best thing for all of you . You can all rest & recharge & he won't get upset when you leave . Hoping everyone slept well & today brings more good news  :) :-*.


Title: Re: At ER with Linley
Post by: catbird on September 26, 2014, 05:04:01 AM
I'm actually hoping that they don't discharge him today, unless he's been off IVs and 100% recovered from the acute renal failure. I'd feel more comfortable if they kept him until tomorrow at least, although they may not go along with that. I would like to see him off IVs for 12-24 hours before discharge, to make sure he is eating and drinking, and most importantly, that his creatinine stays down, before they send him home. I realize I will have to pay a lot more for that, tomorrow being Saturday and blood work being about 3 times more expensive, if they do it on Saturday or Sunday.  

While we miss him, it is definitely not in his best interests to come home and then have to endure another terrifying ride back there in difficult circumstances right away if things are not going well. Plus, that would give me a lot more time to make the rounds of a lot of different pet food stores to come up with something he might actually want to eat, pick up a pill gun, etc. I'm prepared with an assist feeding syringe if needed to get him going, but I hope that won't be necessary.  We are going to be short-handed at home for the next 10 days because my at-home daughter (Linley's "mom") has to go and stay at my other daughter's apartment to cat-sit Auri while my older daughter is away on a business trip. So that adds a level of complication, too, because DH can't help real well in pilling Linley.

I am really hoping that the news later today will be good, that he is continuing to recover from the ARF and that his heart stays stable. As August said, it has been a real roller-coaster ride, and it is going to take us all a very long time to get over this, if we ever do.


Title: Re: At ER with Linley
Post by: Spartycats on September 26, 2014, 06:54:00 AM
I'd be sure to express that, Catbird.  They may think you want him home as soon as possible (especially on the weekend), and the vet teaching hospitals are often thinking of the clients and the costs (at least that is the impression I have from ours).


Title: Re: At ER with Linley
Post by: catbird on September 26, 2014, 07:52:40 AM
I just got the morning call from the vet after Linley’s labs. News is again encouraging—his creatinine is down now to 3.8 even though he is getting less aggressive fluid treatment. His heart and respirations continue to be good. However, he still is not eating very much at all. They are going to try an appetite stimulant today (safe for his heart per the senior cardiologist) to see if that will spark his eating.  Cats are cats, and you can never predict what they are going to do. Hopefully it will get him started eating better. She does not feel that he is nauseated at this point, just sort of tired out. (I can relate; up until last night, none of the humans in the family felt much like eating, either.)

He continues to be comfortable, lounging in the middle to front of his cage in a relaxed position. They tried taking the bandage off his leg, but he started licking where he has the skin staples, so they put it back. The staples can come out Monday, so after that he won’t have the bandage any more.

Before I even said anything about his length of stay, the vet stated that she doesn't want to discharge him until he's able to maintain creatinine below 3.0 without IV fluids, and eating reliably. We are on exactly the same page, it appears. So he is going to be there at least another day yet, maybe longer.

We will visit tonight or tomorrow, and I will take along a wide variety of foods he might find tasty, including some dry. At this point it's not what he eats, it's that he eats.

I am very comfortable with his treatment plan.

Thank you all for everything, and please keep those miracle Itchmo prayers and healing thoughts coming!


Title: Re: At ER with Linley
Post by: GKit on September 26, 2014, 08:09:46 AM
Good.  More good and positive vibes that things continue to improve.  :-*, scritches and eating wishes for Linley! 


Title: Re: At ER with Linley
Post by: merrihart on September 26, 2014, 10:41:05 AM
I'm glad it was positive news!  And that you and the vet team are on the same page.


Title: Re: At ER with Linley
Post by: Meowli on September 26, 2014, 12:38:42 PM
Glad Linley's creatinine is better, and that he seems to be more comfortable. Continuing prayers and good thoughts from here!


Title: Re: At ER with Linley
Post by: ranger on September 26, 2014, 12:47:38 PM
That is good news hope he keeps getting better and starts eating more.


Title: Re: At ER with Linley
Post by: catwoods on September 26, 2014, 01:47:58 PM
I'm so glad to hear that Linley is improving! I completely agree that the kitty hospital is the best place for him right now. It's also good for all the human caretakers to get a breather, some time to recover from the whirlwind of concerns and to formulate the plans and means for Linley's care when he is discharged. Continuing hopes and positive thoughts going out for Linley and your entire family!


Title: Re: At ER with Linley
Post by: catbird on September 26, 2014, 01:57:35 PM
The appetite stimulant worked! He ate a good portion of a hypoallergenic chicken pate' this afternoon!

He'll likely be there at least until Monday, with daily labs to check on his kidneys. His heart has remained stable and I hope it will continue to be that way.

Apparently, according to the cardiology resident who usually makes the phone calls, he has completely charmed all the staff there. They love him. (We would have expected no less; he's such a sweetie.) One of the emergency vets is a real cat person, according to the resident, and is on duty this weekend. That emergency vet has reportedly fallen head over heels in love with Linley, so I suspect that if emergency is fairly quiet, Linley may get a lot of extra snuggling and attention this weekend. ;)

I am daring to have hope that he will get through this health crisis and be with us for awhile yet.  He is making steady progress.


Title: Re: At ER with Linley
Post by: catwoods on September 26, 2014, 02:02:25 PM
Continuing happy news is really good to hear!


Title: Re: At ER with Linley
Post by: caylee on September 26, 2014, 03:34:31 PM
"News is again encouraging."

Yay - clap, clap, clap - So glad that Linley continues to improve. Maybe all the staff there will kidnap Linley since they love him so much. ;D Naw they wouldn't dare would they??  ;D

Hoping for a full recovery for our boy Linley.



Title: Re: At ER with Linley
Post by: Sandi K on September 26, 2014, 04:42:56 PM
Hey!  I wanna snuggle with Linley too!   :-*  It sounds like he is in tremendously good hands and getting the help he needs to stabilize.  Im so glad you have access to a cardiologist for him, we dont have anything like that here.  Catbird, I dont know about this stuff but I was wondering if he could have been having renal issues for awhile and that led to the heart problem?  I dont know if it could go in that order?  And if so, would it mean his heart problem would stabilize on its own once the renal issue is in control?  Cats are such experts at hiding problems. 


Title: Re: At ER with Linley
Post by: merrihart on September 26, 2014, 05:02:33 PM
Oh such good news!  Cant blame the vets for falling for your handsome and  harming Linley. :)


Title: Re: At ER with Linley
Post by: catbird on September 26, 2014, 05:32:32 PM
Sandi, they actually think it's the reverse--that the heart problem, by causing insufficient blood flow through the kidneys, may have weakened them over time, so that he did not tolerate the Lasix (diuretic) well and it kicked him into dehydration and acute kidney failure, even though he was getting a lower than average dose. It's impossible to say at this point exactly how compromised his kidneys may be, since he's recovering from the acute episode at this time, but the good news is that the medicine he is getting for his heart can help the kidneys by increasing blood flow. The heart medication may help his heart stabilize somewhat as it helps his heart to function, but he will always need it, however long he may have to live, which I hope and pray will be a good long while.  The heart problem itself is most likely something he was genetically predisposed to, and would have developed at some point no matter what, unfortunately.

Yes, I am becoming more and more grateful that I have a veterinary teaching hospital a half-hour drive away (well, 20 minutes on a really good traffic day). I think that is Linley's best chance at survival. He is getting top-notch care from specialists who know so much about care and treatment. The other good part is that, if it's ever needed heaven forbid, I have access to veterinary specialists in many other areas too. I've used their emergency services before (remember when I had cats getting UTIs on weekends?), but this is the first time I've ever used their specialized medicine services in addition to emergency. (Although I am kind of shocked that the majority of their patients appear to be large-breed dogs, even in the ICU. Not many cats at all, even though they have some feline medicine specialists.)

I'm still scared, and I have moments of worry and sheer panic where I just tremble, but I'm trying to take it one day at a time and hang onto the progress he is making. As the cardiology resident said, "Cats are amazingly tough."  This is by far the scariest cat health issue I've ever faced, and in such a relatively young cat.

C'mon, baby boy, keep on getting better and better. :-*


Title: Re: At ER with Linley
Post by: NedF on September 26, 2014, 05:32:56 PM
I'm so happy to hear Linley is eating! Yay! I agree it's a good idea for him to stay at the hospital until he's fully stabilized. Even though you miss him a lot, it's better to be safe than sorry. It sounds like he's gotten more comfortable staying there so he's not so stressed, and that's good for him. His charming personality has won over everyone there it seems!


Title: Re: At ER with Linley
Post by: catmom5 on September 26, 2014, 05:53:31 PM
I was so happy to hear that Linley is handling the hospitalization so well, and eating. GOOD BOY! You are wise to understand that he needs to be stable before you take him home. He's clearly in good hands. Understand about having a vet teaching hospital close by. MSU has been a blessing with all of the specialists we see. I tease one of the vets (who happens to be a friend) that we are likely buying them an expensive piece of equipment or adding on a wing.

Off topic, but I had a dying squirrel I was able to get into a cat carrier to take to MSU. When the receptionists saw me get out of my car with a cat carrier, they pulled up all of the cats' files and asked who I had with me when I got inside. When I told them it was a squirrel, they laughed.

Hope you all can get some rest and that Linley continues to be a wonderful patient and continues to improve!
catmom5


Title: Re: At ER with Linley
Post by: caylee on September 26, 2014, 06:26:22 PM
Hang in there, catbird. Linley will be home in no time. But I know what you mean about going into panic mode. It's like you wish someone would call just to say he is still doing fine so that the panic would go away. But you still go into panic every time the phone rings. 



Title: Re: At ER with Linley
Post by: August on September 26, 2014, 07:53:06 PM
I'm so very happy to read all this great news!

Your poor daughter - what a time to need to be somewhere else!  She must be a wreck, poor girl!  <<hugs>>

Continue to get better and better, Linley!!


Title: Re: At ER with Linley
Post by: Mandycat on September 26, 2014, 09:26:05 PM
I'm so glad that Linley continues to improve.  He is where he needs to be for now, but will soon be home when he is ready and stable. 


catmom - That was really funny about the squirrel!   :D


Title: Re: At ER with Linley
Post by: Sandi K on September 26, 2014, 10:05:09 PM
catbird, thanks for the explanation of how things work with Linley's condition.  I understand it much better now.  I know how much you miss your boy and I know your worry (and all of ours too) is not over with him.  Im sure you guys are aching to have him home.  Please keep us posted on what you hear.  You and Linley and your family are in our thoughts.   


Title: Re: At ER with Linley
Post by: lesliek on September 27, 2014, 05:24:02 AM
This is very encouraging news ! I know how hard it is to have them away , & the cost of hospitalization isn't low either . But hopefully they will have worked out all the kinks in his med routine , gotten him to keep eating & stabilized the balance between his fluid build up & dehydration . When we tried doing med dosage changes at home , Remy ended up at least at the vets for hours on IV's if not back in the hospital for a few days . You are right about it being easier on them not to be rushing back & forth !
 Sorry it's bad timing without your daughter's help too . Just try to relax while you can & hopefully DH will too .


Title: Re: At ER with Linley
Post by: JustMe on September 27, 2014, 07:24:34 AM
So happy that Linley is coming along well.  Good boy.  I'm actually kind of relieved that he is staying in over the weekend.  Hopefully, they can take his staples/stitches? out and you won't have to bring him back and forth.  {{hugs}}


Title: Re: At ER with Linley
Post by: catbird on September 27, 2014, 08:44:22 AM
More progress today for Linley.  I am grateful!

His creatinine this morning is down to 3.1, which is where he was when he was discharged still on Lasix on Tuesday evening. We know now the Lasix was dehydrating him and elevating creatinine. So they are encouraged that the creatinine could drop further yet, as he remains off the Lasix. He is still receiving some IV fluid support to resolve the remaining effects of the acute renal failure, but these continuing drops show that his kidneys are recovering from that, thankfully. So they are going to continue the current treatment protocol as long as the creatinine is dropping. When it stops dropping, that means his kidneys have recovered as much as they are going to, and at that point they will start withdrawing the IV fluid support.  They are now figuring that before the crisis his creatinine levels probably ran somewhere around 2.5--elevated, some kidney damage due to his heart condition, but not too terrible.

Even though at this point the creatinine level is not likely to be making him nauseous, they are continuing the anti-nausea med for at least another day, because it is not likely to have harmful effects, and it is so, so important now that he continue to eat. He did eat turkey baby food for them this morning, which is good news.  They are trying a variety of foods to keep him interested in eating, now that the appetite stimulant has jump-started him.

They took the staples out of his leg this morning, and tried leaving the bandage off, but he immediately began licking it and they don't want him to do that just yet, so they re-bandaged it. He will need his IV catheter changed out today, so hopefully that will go well. His temp has been on the high end of normal, which she said could be a little inflammation from the skin staples, a little inflammation starting at the IV (which is not unusual), or maybe he does have a low-grade UTI, although the preliminary culture was negative. She is maintaining him on the antibiotic (in his IV to minimize stomach upset as much as possible) until she gets a final negative culture result, but unless he has an active infection, he will not be discharged on an antibiotic, especially since that can affect his appetite.

His heart and breathing remain stable, and he seems comfortable and not particularly stressed; in fact, she said he has begun to appear quite curious about things going on around him. Yes, that's our Inspector Linley, who hangs out in the bay window much of the day, watching cars, people, dog-walkers, etc. go by.  So he is acting more and more like himself.

We were going to visit this afternoon, but then realized it is a home football game day for the university, and as much as we miss him, we don't want to arrive there completely stressed out by gridlock traffic.  :P  That probably would not help him. So we will visit tomorrow when things are calmer.


Title: Re: At ER with Linley
Post by: JoMax on September 27, 2014, 09:57:30 AM
Oh gosh, catbird, I've only just managed to get into the forum again after several days (been getting the Guest denied login error thing), so just caught up on this thread.  Sending you and your sweet Linley my hugs and healing thoughts - it was heart-wrenching reading through what was happening with him esp since the beginning was so close to my recent experience.  But it seems your boy is recovering, esp in sprits and interest in life, so that sounds good.
On worries about having to give lots of pills for ever more, it isn't just you who'll gets used to it, he will too.  My friend's cat (also a long-haired boy) has been on heart meds since March, plus he has 6 lots of eye drops daily (ordinarily they would have removed his eye which gets infections and has galucoma, and recently the addition of herpes, but they don't want to operate due to his heart).  Anyhow, this cat now knows he gets food/treats after any medication and actual comes to find you when it's time for the next.
Take care - I'll be thinking of you.
Many hugs


Title: Re: At ER with Linley
Post by: GKit on September 27, 2014, 12:22:45 PM
Hooray for progress!  Thanks for the update. I am so glad he is acting more himself and send more good wishes for continued improvement and stability. 


Title: Re: At ER with Linley
Post by: Fizzy1 on September 27, 2014, 01:12:03 PM
I'm so encouraged! :)   Yay Linley :-*


Title: Re: At ER with Linley
Post by: caylee on September 27, 2014, 01:45:30 PM
Yay!! for more improvement! Thata Boy, Linley! Keep going in the right direction and you will soon be home.  :D  :-*


Title: Re: At ER with Linley
Post by: August on September 27, 2014, 02:40:27 PM
Yes, this is tremendously good news!  So glad to read it! 


Title: Re: At ER with Linley
Post by: petslave on September 27, 2014, 06:39:25 PM
Excellent!!  Keep it up Linley so you can come home soon!


Title: Re: At ER with Linley
Post by: merrihart on September 28, 2014, 03:25:35 AM
I hope you have a good.visit today and that his numbers are good.


Title: Re: At ER with Linley
Post by: catmom5 on September 28, 2014, 04:13:51 AM
So very happy that Linley is improving every day and adjusting so well to the hospital environment. He will probably become a staff favorite, with lots of people stopping by to visit with him. Hope you have a wonderful visit today.

Thinking of you all . . .
catmom5


Title: Re: At ER with Linley
Post by: catbird on September 28, 2014, 07:40:28 AM
This morning's update call from the cardiology resident made me feel very good:  Linley's creatinine is now down to 2.4!  The top of the "normal" range on their labs is 2.2, so this is extremely encouraging news about his kidneys.

He continues to do well as far as his heart and breathing go; everything is very stable. He ate dry food overnight, although he then would not eat wet food this morning (probably just wasn't hungry, since he's not burning much fuel just sitting around in a cage.)

The plan is now to begin gradually withdrawing the fluid support, (slower drip on his IV, then discontinuing it) since it's clear that his kidneys are now functioning again. His final urine culture result was negative, so they are also going to stop the antibiotic. And today, he won't get an anti-nausea shot (which he usually gets in the late afternoon or evening.) His temperature is now down to middle of normal range for a cat and staying there. So it's unlikely that he has any infection going on.

If everything continues to go well, we could have him home Monday evening or Tuesday.

The vet said he has become the absolute favorite patient in the ICU.  Everyone loves him, interacts with him, and wants to know how he is doing when they come on duty. So I have a feeling our charming boy is getting plenty of TLC. ;)

We'll be going up to visit him this afternoon.  It has been a very long week; it was a week ago today that he went into the ER.


Title: Re: At ER with Linley
Post by: merrihart on September 28, 2014, 07:43:39 AM
Oh, thats great news!


Title: Re: At ER with Linley
Post by: caylee on September 28, 2014, 07:51:12 AM
 ;D So glad that Linley continues to improve!  :-* Thanks for sharing the vets report with us each time.  I'll bet it has been a really long week for all of you! It will be good to have him back home again. I can hardly wait to read that.  :-*

Hugs


Title: Re: At ER with Linley
Post by: Sandi K on September 28, 2014, 10:47:31 AM
Oh those are wonderful creatinine numbers!  Yay!  Let us know how your visit with Linley goes and give him hugs from all of us too!


Title: Re: At ER with Linley
Post by: catwoods on September 28, 2014, 11:30:19 AM
So happy to hear of Linley's continued improvement, catbird! Hopefully visiting with Linley will have a soothing effect on everyone. I know this week must have been so stressful. Sounds like Linley is a real charmer!


Title: Re: At ER with Linley
Post by: catbird on September 28, 2014, 12:38:09 PM
We had a really good visit with Linley! His 4th-year student brought him to a private area for us to spend time together. Linley appeared glad to see us.

He looks wonderful, although skinny. Hopefully we can fix the skinny part in time. He has gained back some weight, according to their records, although he has quite a ways to go. But his eyes were bright, his coat was soft, and he had good muscle tone, despite all he's been through. He did not act sick at all.

His behavior was the most encouraging part. Despite having a bandage wrapped around each front leg (one still healing from the problem with his IV, the other with the IV actually in it), he kept wanting to jump down and explore the room, was looking around with great curiosity and wanting to check things out, and purring up a storm, giving head-bumps and kisses continuously. He was completely himself.

We brought him some food from home, which he was very interested in but didn't eat. He typically eats mostly at night, so not unusual that he wouldn't want it in the afternoon.

Now comes the part of tapering fluids, stopping Cerenia, and stopping antibiotics. Hopefully he'll continue to eat and drink and do well, and we'll hopefully have him home in a couple of days.

Here are some pictures from the visit:

(https://farm4.staticflickr.com/3868/15197428529_bd2c8b7102_n.jpg) (https://flic.kr/p/p9WN2P) (https://flic.kr/p/p9WN2P)

You can't see his face very well in this one (black cat, overhead lighting), but he is showing off his tiger bandage:
(https://farm4.staticflickr.com/3841/15381024211_ba0129b1cf_n.jpg) (https://flic.kr/p/praLCB) (https://flic.kr/p/praLCB)


Title: Re: At ER with Linley
Post by: caylee on September 28, 2014, 12:58:23 PM
Another good report, yay! It was so good to read that your visit with Linley went well and that his actions were so normal at seeing his family.

Keeping him in my prayers and thoughts as they start withdrawing the meds from him. But at least if there is a problem this time around, he can get care right away without having to be taken for a car ride again.


Edited to add:

Oh pictures!! He sure looks good! ;D
    


Title: Re: At ER with Linley
Post by: BW on September 28, 2014, 01:44:18 PM
Oh my goodness Catbird!!  I don't know how but I missed this thread, and did not know all this was going on with Linley!!   Thank the dear Lord that he is improving so much now.  You have been living in an absolute nightmare!!  and you certainly deserve the relief you are getting now with his grat improvement.
 My goodness he is a handsome fellow!!  Gorgeous photos.

You certainly have my prayers that Linley continues to improve even more, you certainly do seem to have a great vet hospital. 
Bless you and bless dear Linley.  Good boy Linley, keep up the good work. 


Title: Re: At ER with Linley
Post by: lesliek on September 28, 2014, 02:02:15 PM
He looks great ! These are very encouraging reports & he will probably have more appetite without the fluids & antibiotics . I hope to read tomorrow that he will be coming home  :) :-*.


Title: Re: At ER with Linley
Post by: catmom5 on September 28, 2014, 02:06:04 PM
He looks so good, catbird. And the numbers support the healing you can see. So very happy that things have progressed so well. I'm sure you're a bit anxious about gradually withdrawing the meds and fluids, but it will be better to know before you get him home.

Relieved hugs . . .
catmom5


Title: Re: At ER with Linley
Post by: Sandi K on September 28, 2014, 02:45:17 PM
He looks really good and really adorable!  What a sweet boy.   Has he been given the heart med the whole time he has been there and how are they getting it in him?  Maybe they have some trick that is working for pilling him?   And Im assuming no more Lasix will be given?  He really does look good, catbird.  I hope he can come home soon. 


Title: Re: At ER with Linley
Post by: catbird on September 28, 2014, 03:15:40 PM
Yes, he has been getting his heart med, but no Lasix. They are just giving him the pills routinely--cats always take pills better for vets and techs than they do for their own families, it seems. But I'm encouraged that the heart med he's on is the one he was actually taking the best; it's a flavored dog chewable. Once we got it into his mouth, it didn't seem to taste too bad to him, fortunately. However, we'll see. Fingers crossed.


Title: Re: At ER with Linley
Post by: ranger on September 28, 2014, 04:10:50 PM
Yeah he looks good! Keep it up Linley.


Title: Re: At ER with Linley
Post by: GKit on September 28, 2014, 04:20:11 PM
Those are really good improvements in his numbers, and he looks very alert.  What a total love bug! That's a very handsome tiger bandage, Linley.   :-*

I am kind of hopeful you will find him easier to pill when the time comes since he should be not so queasy this time around and with luck, more interested in food as an inducement.  I hope you and family get some time to decompress more now that you have seen him being more like himself again and that things continue to go smoothly!


Title: Re: At ER with Linley
Post by: NedF on September 28, 2014, 05:12:23 PM
I am so happy he is doing so well! I'm sure your visit cheered up everyone involved! He is looking really good considering what he's been through. What a sweet brave boy!


Title: Re: At ER with Linley
Post by: petslave on September 28, 2014, 06:10:47 PM
He does look really good, and I'm sure he was very glad to be able to visit with you outside his cage.  I hope all the tapering and weaning goes well and he holds stable. 


Title: Re: At ER with Linley
Post by: Mandycat on September 28, 2014, 10:42:36 PM
What fantastic news on the creatinine results!  I am so happy to hear that he looks good and is improving so much.  Hope is able to come  home sooner rather than later!   :)


Title: Re: At ER with Linley
Post by: Spartycats on September 29, 2014, 04:20:16 AM
He looks good!  And his bandage is very stylish.  :-*

Sending all good thoughts for his continuing recovery.



Title: Re: At ER with Linley
Post by: Fizzy1 on September 29, 2014, 07:09:27 AM
LOL, I'm starting to think they just want to keep him!  He looks good!  It's just so great that his creatinine has come down.  Yay!  Give him some scritches from Kozy and me.   :-* :-*


Title: Re: At ER with Linley
Post by: Meowli on September 29, 2014, 08:04:09 AM
Glad Linley is feeling better! I hope he continues to recover and able to go home soon.


Title: Re: At ER with Linley
Post by: catbird on September 29, 2014, 08:59:26 AM
His creatinine is now stable at the 2.4 level, so this morning they took him off IVs. They want to send him home tonight. I'm scared.


Title: Re: At ER with Linley
Post by: Spartycats on September 29, 2014, 09:10:05 AM
That's a perfectly natural feeling, Catbird.  You'll have time to discuss everything at discharge.
I'm so glad he is coming home.


Title: Re: At ER with Linley
Post by: catbird on September 29, 2014, 09:26:54 AM
I know that he obviously can't live the rest of his life on IVs at the vet hospital, but I'm terrified.  A big reason they want him to come home is they are hoping he will eat better at home. For all we know, his eating could get worse, since he will have to deal with other cats bothering him (I can't imagine that he'll just stroll in and they'll accept him back), more area to move around in, and much less close monitoring. I'm going to more or less demand that they send home the appetite stimulant in case it's needed. And I am worried about his heart, of course. What happens with stairs, walking around, jumping...? What if the other cats harass him and stress him? What if we have to deal with stressing him by taking him back again?

Does anyone know if cardio cats are candidates for small amounts of subQ fluids? I really would not want to do that, not at all, but would like to know the answer.

He did eat some wet food overnight without having gotten the anti-nausea medication, so that is good.  But we don't know how well he is going to drink; it's impossible to gauge that since the IVs have been hydrating him and he had no reason to drink for the past several days. And I'm so worried about how DH and I are going to manage pilling him twice a day with DD gone. I'd ask for liquid or transdermal to try, but I've heard those don't work as well, and I think it is too soon in his recovery to do anything that might compromise the heart meds.

It also means another stressful trip with him through rush-hour traffic, when I want him out of the car ASAP but can't get anywhere fast.  He has to leave the hospital no later than 6pm when he comes home.


Title: Re: At ER with Linley
Post by: Fizzy1 on September 29, 2014, 09:35:17 AM
I'd be terrified, too.  But you'll get through it.  The "what ifs" are just that, they're not "will happens".  Try to be positive!  LOL, listen to me, I'm the biggest worry wart around! ::) ::)

Fingers and paws crossed for a smooth ride home.  :-*


Title: Re: At ER with Linley
Post by: catmom5 on September 29, 2014, 09:45:47 AM
Be sure to share all of these concerns with his vets before you take him home. I'm sure that they will be able to give you some idea of what might be normal, what to be concerned about. I understand how crazy nerve-wracking it is to have a cat with a chronic illness/condition. Given some time at home, I suspect you will get used to that and will respond to him as your Linley, not Linley the cardio cat. I'm always watchful, but I've learned to live with the diagnosis.

Wishing you a good vet visit and peaceful trip home. Mine are alway grateful to be going home, so are never as nervous on the journey home. You may need to keep him separate for a bit until his vet hospital smells go away and he smells like Linley again. I've heard of folks who rub towels on all of them to do the scent swapping. Here, it's just a matter of time, usually.


Title: Re: At ER with Linley
Post by: merrihart on September 29, 2014, 10:38:10 AM
Maybe take a towel that you've rubbed on all the other cats to rub on Linley when you get home?

I hope your car trip is safe and calm. 


Title: Re: At ER with Linley
Post by: ranger on September 29, 2014, 10:46:44 AM
I'd be scared too.  MAKE SURE YOU GET ANSWERS TO ALL YOUR QUESTIONS BEFORE YOU TAKE HIM HOME!  I remember how scared I was after Socks brain surgery and they sent her home the next day.  Will dh be there to look after him during the day?

Good luck that everything will go fine and the other kitties will accept him.


Title: Re: At ER with Linley
Post by: GKit on September 29, 2014, 11:44:57 AM
That's entirely understandable, catbird. I'm quite likely stating the obvious, but the obvious has been known to escape me completely, so  ;)--it may help to write down the list of questions to ask before you go, because talking to the vets at discharge has always scrambled my brain in real time.  Is he still going to be getting potassium supplements with his heart meds? Plus make a list of the things you need to pick up (meds, gel caps, bandages or ?) and check off against it before you leave the parking lot.  What days is the vet you have been working with on duty? Do they mind if you email them if you have more questions? 

Sending lots and lots of calming and supportive vibes and extra good healthy thoughts for Linley. I hope everything settles into a happy and comfortable new normal for you all quickly. I really do hope he will be more amenable to the pilling this time around, and that the pill shooter will make things much easier.


Title: Re: At ER with Linley
Post by: catbird on September 29, 2014, 01:14:24 PM
The cardiologist just called. Linley is being discharged at 5pm our time, which is in about 45min. I got a lot of questions answered on the phone. He will be discharged on the pimobendin only, with the appetite stimulant in the background if needed. They want repeat blood work at my own vet on Thursday, sooner if he seems not right.

Please pray for us all.


Title: Re: At ER with Linley
Post by: BW on September 29, 2014, 02:06:49 PM
Catbird,  you absolutely have my prayers for Linley and you all.  I am so glad he is coming home again.  that will undoubtedly make him feel much better right away.  Bless his heart.


Title: Re: At ER with Linley
Post by: Fizzy1 on September 29, 2014, 02:26:36 PM
Good Luck!   :-*


Title: Re: At ER with Linley
Post by: catbird on September 29, 2014, 04:00:49 PM
He's home! and looking much, much better than he did the first time he was discharged last Tuesday. He's walking cautiously around the house, checking everything out, went and hid under the workbench downstairs for a little bit but came up in a couple of minutes and resumed his patrol. That's in contrast to last time, when he went to his "hidden" bed in the laundry room and didn't come out. It's like he's reacquainting himself with his environment. He's had a big drink from the cat fountain, so it looks like he is going to hydrate himself, so far.

He didn't like the car ride, but didn't freak out completely, either. Despite everything, he seems to have more energy than he did in the days before the ER episode. I guess that means his heart med is working?

He's been squalled at by Phantom a couple of times, and Cara "mohawked" again (she's now watching him from her high perch on the bookcase.) But things are pretty peaceful.

They gave him his med before we left, so at least we don't have that to worry about tonight. We can just let him settle in and relax.

He will need to go there on Thursday for a check of his blood work and a re-check of the place on his leg where he had the IV problem; that is still not healed completely so he's still bandaged. Hopefully on Thursday, he will get that bandage off for good.

Thank you for all your prayers and good vibes, and please keep them coming. I can feel it; I don't feel by far as stressed as I expected to. And I'm sure it helps Linley, as well. He needs all the help he can get.


Title: Re: At ER with Linley
Post by: lesliek on September 29, 2014, 04:05:10 PM
I am so happy he is home & it's going well ! Hopefully the worst is over & now it will just be maintenance  :).


Title: Re: At ER with Linley
Post by: caylee on September 29, 2014, 04:10:47 PM
 ;D  A big hug and  :-* for Linley! So glad he's home and already taken a drink from the fountain.  :D As for the other cats in the family - everything will be back to normal in no time. ;)  Keeping the little/big guy in my thoughts and prayers.

Hugs to all


Title: Re: At ER with Linley
Post by: catmom5 on September 29, 2014, 04:34:02 PM
Very good news, indeed. Enjoy your boy!!!


Title: Re: At ER with Linley
Post by: billyD on September 29, 2014, 05:11:51 PM
Three cheers for Linley
Prayers and lots of good vibes coming your way.



Title: Re: At ER with Linley
Post by: catbird on September 29, 2014, 05:18:22 PM
His respiratory rate is a little bit higher than I would like, but I suppose he hasn't been this active in over a week and is out of condition, and he's still settling in and dealing with the other cat dynamics. He's breathing pretty easily, though, so I'm trying hard not to worry.

What will be, will be, I guess.


Title: Re: At ER with Linley
Post by: Sandi K on September 29, 2014, 07:08:09 PM
So glad he is home, catbird.  I would be worrying too over the next few days, its just normal.  Hopefully he will settle in without any problems.  I bet he's glad to be home, Cara will cozy up to him soon Im sure. 


Title: Re: At ER with Linley
Post by: petslave on September 29, 2014, 07:40:48 PM
Great that he's home and seems to be doing well!  I wonder if confining him to a room by himself would be better.  That might help him settle in and bring his breathing rate back down some.  I hope he continues to do well and can get back to a reasonably normal life soon!


Title: Re: At ER with Linley
Post by: Mandycat on September 29, 2014, 09:05:25 PM
catbird,
I am glad that Linley is home and I hope that he will settle in so that your household can get back to some state of "normal" very quickly.  As for fluids, I do not think that they are given to cats with heart disease.  Once he is eating and drinking normally, he should stay hydrated enough, and too much extra fluid can be a problem that could lead to an episode of CHF.  There is a Yahoo Group for heart kitties if you would care to join to at least ask some questions of others who are dealing with this condition.  The heart kitties we see on the Hyper-t Group seem to do very well once they are regulated on their medications.  Many of them had the heart condition from a younger age, well before ever becoming hyper-t. 

It is perfectly normal for you to be nervous.  I hope you can relax more, though, after he is home a few days and doing well.  Keeping Linley and your whole family in my prayers. 


Title: Re: At ER with Linley
Post by: NedF on September 29, 2014, 10:03:42 PM
I'm happy to hear he is home and doing better than last time. I hope you have a calm and restful night.


Title: Re: At ER with Linley
Post by: August on September 30, 2014, 12:52:58 AM
Cara "mohawked" again

 :D  I love that expression!

I'm so happy to hear that Linley is home and is out and about and checking things out.  Very nice that he had a lot of water and is settling in.

I'll be sending lots of good thoughts your ways, and hope everything remains calm and peaceful.


Title: Re: At ER with Linley
Post by: Spartycats on September 30, 2014, 07:49:00 AM
How did things go for Linley overnight?  How is he doing today?


Title: Re: At ER with Linley
Post by: JustMe on September 30, 2014, 08:06:19 AM
So good to hear that Linely is home.  Continued prayer and positive thoughts for you all, especially Linley.   :-*  {hugs}


Title: Re: At ER with Linley
Post by: catbird on September 30, 2014, 08:34:36 AM
Linley is doing pretty well, thanks for asking. He ate and drank overnight and this morning, not a lot, but did eat and seemed interested. We haven't mastered the technique for pilling him yet, so it was a struggle and he spit it out multiple times, but we did finally get his pill in (we have to break it in two and pill twice because it's so big.) Hopefully this will get easier in time. He's not "perfect", but he is definitely better off than he was in the week or so before the first crisis episode--more active, for sure. He seems to have better tolerance for things like climbing stairs, so I guess that means his heart med is working. He seems stronger overall, definitely stronger than a week ago. I hope he'll start eating more, because he's so, so skinny now; down to 14 lbs as of his discharge yesterday. He lost a lot of weight with this whole illness.

His potassium has been mid-normal range on the daily labs since he's been off Lasix, so we don't have to give him that, and of course the Lasix half-pill itself was discontinued. So it's only his heart pill that we have to give him twice daily, and try to get him to eat more and more. I can't wait until Hound and Gatos rabbit is back in stock (distributor is out until mid-October)--that has been his absolute favorite food for some time, and he always eats it really well. In the meantime, I'm trying to offer him a variety of things that I hope he will find tasty.

We did confine him in a comfy separate room that is familiar to him overnight, to give him a break from the other cats, and are letting him be out and about during the day. He seemed to be settling in when I left for work this AM. DH is home with him for the day. We'll separate him again overnight.

I think he may be doing better than we are in some respects! I woke up many times overnight worrying about him, had a horrible nightmare about him, and I jump every time the phone rings here at work, worrying that DH is calling about something bad.  It's that old "my cat is a time bomb about to explode" feeling. (I'm taking extra Stress Support Formula B vitamins, myself.)

Cara is still not feeling too positive about him; I think part of it is the bandage on his leg. Hopefully the other cats won't bug him very much today.

Please keep all those good thoughts and prayers coming.


Title: Re: At ER with Linley
Post by: merrihart on September 30, 2014, 08:50:07 AM
I'm glad to hear he is settling in.  Oh the pilling!  Bisi has mastered the trick of spitting out pills too.  Makes it challenging.

I guess that feeling of a ticking time bomb will take a little while to subside.  Hopefully it will never happen.


Title: Re: At ER with Linley
Post by: Meowli on September 30, 2014, 08:50:44 AM
Its so good that he is home, and feeling stronger, hope his favorite food comes in soon! Meanwhile, Linley,please eat more!  As for Cara, he probably still has the hospital smell on him, as well as that strange looking bandage, so she will probably be edgy for awhile. Or "mohawking"

I understand that awful "cat time bomb" feeling so very well. Every time they so much as blink the wrong way our fears go on overdrive. Maybe its a form of PTSD..
Many ((hugs))


Title: Re: At ER with Linley
Post by: catbird on September 30, 2014, 09:04:50 AM

I understand that awful "cat time bomb" feeling so very well. Every time they so much as blink the wrong way our fears go on overdrive. Maybe its a form of PTSD..
Many ((hugs))

Thank you for saying that. While it's a feeling I wouldn't wish on anyone, it's good to have support from other people who understand. I do think it is a form of PTSD, sadly.


Title: Re: At ER with Linley
Post by: lesliek on September 30, 2014, 12:32:51 PM
Do you have any taurine or probiotic capsules ? Try cutting it in 1/2 or 1/3's & putting it in the emptied capsule . You should be able to cram all the pieces in if you wiggle them around each other . Only 1 thing to get into him & smooth so easier for him to swallow .


Title: Re: At ER with Linley
Post by: ranger on September 30, 2014, 12:44:03 PM
I understand that feeling too.  Hug him, give him a big  :-*.  Can he eat anything (sorry I can't remember if he on a special diet). Sammy likes the gravy from the new Fancy Feast in a pouch. Does Linley like baby food? I am still giving Mia her meds ground up in that.

Good thoughts will continue from here.


Title: Re: At ER with Linley
Post by: catbird on September 30, 2014, 02:40:04 PM
Do you have any taurine or probiotic capsules ? Try cutting it in 1/2 or 1/3's & putting it in the emptied capsule . You should be able to cram all the pieces in if you wiggle them around each other . Only 1 thing to get into him & smooth so easier for him to swallow .

I have empty gel capsules that I bought from the drugstore to prepare for this, but would like to avoid all that prep if I can get him to take it as is. I'm going to keep trying for awhile. I think it's more that I just don't have a good technique down with him yet. They are all a little different to pill. I do need to pick up some hypoallergenic Pill Pockets; haven't tried that with him yet because of his allergies. Wouldn't it be amazing if he would take pills in those! I've also been a little reluctant because of his eating issues. Although this evening, he did eat his freeze-dried chicken treats eagerly when I came home from work, first time he's taken those in over a week so maybe his appetite is starting to get better. He did eat a fair amount in stages through the day, which is encouraging.

Can he eat anything (sorry I can't remember if he on a special diet). Sammy likes the gravy from the new Fancy Feast in a pouch. Does Linley like baby food? I am still giving Mia her meds ground up in that.

We've been instructed to avoid giving it in food if at all possible, since it's so important that we get him eating better, and don't want to create any aversions or reluctance to eat at this point. However, that was what I ended up having to do to get an antibiotic into Isis at one time--ground it up, mixed it with a food I would never give her ordinarily (FF beef), and syringed it in with an assist-feeding syringe.  Isis was a "terrible tortie" about meds, so I hope it won't come to that with Linley, who is much more easy-going. We see it as a last resort.

They moved his re-check appointment up to tomorrow morning, because the vet who is following the leg wound wants to keep changing the bandage every other day. Wish us luck!


Title: Re: At ER with Linley
Post by: Mandycat on September 30, 2014, 03:38:56 PM
Sometimes using the Pill Pockets rolled in crumbles from the freeze fried chicken treats works really well for some cats, even if they don't like the plain Pill Pockets.  Many people have luck with the gel capsules, though, since they slide down pretty easily and don't have any taste.  Good luck!  I know well the problem of pilling an unwilling cat!   :P


Title: Re: At ER with Linley
Post by: GKit on September 30, 2014, 04:02:24 PM
It is a really bizarre thing with pill pockets and Gypsy's allergies-- looking at the ingredient list you really, really would think she couldn't eat them because there is corn syrup in the chicken and salmon in the salmon flavor, (she is super allergic to corn and fish) but they don't seem to set off her allergies.  Although, we are only using them for a few days in a row, at most. We tried the hypoallergenic when they first came out, but they smelled odd and she wanted no part of them.

Good luck! I am so glad he is doing better. 


Title: Re: At ER with Linley
Post by: Spartycats on September 30, 2014, 04:35:34 PM
My experience on any pill that is given long-term, the cat soon learns to spit out the pill in the Pill Pocket.

I use gel caps for everything - because as Mandycat says - it really goes down easier.  I also use a pill shooter.  I smear a little butter on the gel cap, and put it in the pill shooter.  I offer a little butter from my finger for kitty first, then use the pill gun.  It's a bit messy, but you get the hang of it.  Of course you have to wash out the pill gun in some soapy water - I have a couple of them.



Title: Re: At ER with Linley
Post by: catbird on September 30, 2014, 04:39:06 PM
His appetite may be picking up a bit! (knock on wood)

Since I came home from work about 3 hours ago, I've seen him at the food bowls at least four times, wet and dry. He seems to have gotten a routine down--sleep awhile, get up and stretch, go eat a bit, have a little water, explore for awhile, and then go settle back down.  He doesn't eat a real lot each time, but it is definitely adding up. If he felt sick, I don't think he would keep going back to the food like that.

Also late this afternoon after I came home, he got in his favorite window bed for the first time since he got sick a week ago Sunday. That is where he almost always hangs out, watching the world and napping. After he had a nice nap there, he gave himself a really good bath, which is also encouraging--cats who are feeling very ill typically don't groom like that. He's also been doing some cheek-marking of areas where they all rub to deposit their scent, so I think he is trying to re-establish that he belongs here. I also saw that as an encouraging sign.

Maybe, just maybe, he's going to be OK. I hope and pray so. Mandycat, thank you for that message that most of the heart patient cats you see on the hyperT group do well after getting on meds. I have been so discouraged and afraid that we would lose him.


Title: Re: At ER with Linley
Post by: petslave on September 30, 2014, 05:15:12 PM
That's great that he's eating more!  I'm sure Cara will get used to him again soon.  He still smells like a vet office and has that scary bandage that probably also smells.  Plus he's acting differently.  Might be better that she's afraid of him for awhile since he can't run around and play with her now.

Pilling cats, ugh.  I used to put just a little butter on the pill to make it go down easier and more important, glue it  lightly to my index fingertip.  Other hand across top of face, that index finger tip opening the incisors, with the other finger ready to hook the pill through the side of the mouth and down the throat.  Theoretically the finger between the incisors kept the finger on the side from getting sheared, but it didn't always work...


Title: Re: At ER with Linley
Post by: catmom5 on September 30, 2014, 05:27:30 PM
It does sound as if he's feeling better and better each day. Fingers crossed that the progress continues.
Hugs
catmom5


Title: Re: At ER with Linley
Post by: catbird on September 30, 2014, 05:43:30 PM
Awesome success with pilling tonight! Each piece went in on the first try with no stress or strain whatsoever! No pill gun, no butter, nothing but my bare hands!

I had DH hold him on his lap on the sofa. Linley was quite drowsy at the time, and relaxed, so I think that helped. (We may not always be that lucky.) I problem-solved a good position for in case he struggled (DH has one weak arm), tipped his head back, dropped it in, and it went right down! Same with the second piece. I couldn't believe it! I kept looking at his mouth to make sure he hadn't spit it somehow, and gave him a syringe of water just to make sure it wasn't in there somewhere, but I do believe he took both pieces.

I hope and pray that this will continue! He's awake now, but still relaxed, resp. rate about 26-28, which is very excellent for him.  (The cardiologist says he will likely always have an increased respiratory rate, but it's not of concern for him unless it goes above the mid-40s and stays there, or unless he appears to be straining or panting.)

Keep up those prayers. I can't believe how well this went. :o


Title: Re: At ER with Linley
Post by: caylee on September 30, 2014, 06:09:12 PM
Thanks for keeping us updated on Linley's progress. I'm so happy that he feels so good.

Hugs


Title: Re: At ER with Linley
Post by: GKit on September 30, 2014, 06:26:09 PM
Yay!  :D That's great the pilling went so smoothly.


Title: Re: At ER with Linley
Post by: Mandycat on September 30, 2014, 09:10:53 PM
Excellent job on the pilling tonight!  I hope that Linley turns out to be one of the really cooperative kitties with the pilling. 


Title: Re: At ER with Linley
Post by: ranger on October 01, 2014, 02:42:53 AM
Oh that's great ;D.  Good boy Linley.


Title: Re: At ER with Linley
Post by: lesliek on October 01, 2014, 04:40:56 AM
Yeah ! Good job Catbird !  :)


Title: Re: At ER with Linley
Post by: catbird on October 01, 2014, 05:39:07 AM
Perfect pilling again this AM!  I think I've perfected the technique, and I think as his stress level goes down (more time out of the hospital), he's more willing to be cooperative, too.

He is sitting on my lap purring up a storm right now. :)

Vet re-check visit leaving in about 20 min. Hope it isn't too difficult for him.


Title: Re: At ER with Linley
Post by: Fizzy1 on October 01, 2014, 07:51:33 AM
Yes!  I'm thrilled for you that he's letting you pill him.  What a good kitty.  :-*

Have a good re-check and keep us posted.  :)


Title: Re: At ER with Linley
Post by: catbird on October 01, 2014, 08:56:48 AM
He got through the appointment OK; was not happy about the car ride, nor especially about the zillions of swirling, whining, yelping dogs! that are at the vet school for appointments during normal business hours like today, but no panting or anything. He went to hide in the basement after we got back, but that is normal for him after any vet appointment.

Labs will be back later today; I hope his creatinine has stayed down. He's certainly not nauseated; has been eating and drinking frequently. Not quite back to normal amounts but going in that direction and I think given enough low-stress days, he'll get there.

The cardiologist was pleased with how he looked. :)


Title: Re: At ER with Linley
Post by: Mandycat on October 01, 2014, 11:03:13 AM
Good report on Linley's visit today.  I do hope the labs remain at good levels.


Title: Re: At ER with Linley
Post by: GKit on October 01, 2014, 11:44:16 AM
I'm glad things went smoothly and the cardiologist was pleased with how he looks. Fingers crossed for good lab results.


Title: Re: At ER with Linley
Post by: catmom5 on October 01, 2014, 11:54:00 AM
Big smiles for a wonderful check-up!   :D


Title: Re: At ER with Linley
Post by: caylee on October 01, 2014, 12:05:33 PM
(Clap, Clap, Clap) for a good vet visit today!


Title: Re: At ER with Linley
Post by: catbird on October 01, 2014, 03:25:39 PM
Today's labs are back. His creatinine went back up to 3.1 off the IV fluids for two days, but since he doesn't seem ill at this level, the vet says it's really not a concern. After we get his eating well-established again, I'll probably start mixing a little water in with his wet food to give him a little bit more fluid.  She said they have a hunch his creatinine was somewhere in the mid-2s to 3 anyway before the crisis events.

Unless something changes, he gets to go a whole week without going back to the vet school, yay! He can get a bandage change at my regular vet on Monday, barring anything like it coming off or getting wet before that, and then be seen again at the vet school on Thursday of next week. That is good, because he seems somewhat tired from the vet visit today (has happened to other cats of mine with chronic illness.) Heck, the emotional tension of it made me feel tired, too (to say nothing of shlepping a still-large cat around in a fairly heavy crate.) And the poor guy has only been out of the hospital for two days, after being there a week. But he's been eating, grooming, purring, and so forth, so I'm not concerned.

And he and Cara are beginning to make their peace. They did touch noses when they were close together at snack time today.


Title: Re: At ER with Linley
Post by: caylee on October 01, 2014, 03:55:26 PM
So good to read that Cara and Linley are getting closer again, and that everything is progressing along nicely.  :-*


Title: Re: At ER with Linley
Post by: Sandi K on October 01, 2014, 07:32:26 PM
Oh this is such a good report, Im so happy for you and Linley and your family.  I hope he continues to stabilize and continues to feel better and better and that he and Cara become best buddies once again.   


Title: Re: At ER with Linley
Post by: NedF on October 01, 2014, 07:38:02 PM
I'm glad to hear Linley is doing so well, eating and taking his pills like a champ. I'm sure he and Cara will be best of friends in no time. It's so nice to have good news! I can feel your relief from here!


Title: Re: At ER with Linley
Post by: Fizzy1 on October 02, 2014, 07:00:35 AM
Good news on the labs although I'm sure you'd rather not have the creatinine elevated.  :P  How is he feeling today?   :-*


Title: Re: At ER with Linley
Post by: catbird on October 02, 2014, 09:16:15 AM
How is he feeling today?   :-*

Tired, but drinking, and eating small amounts a couple of times, which adds up.  Took his pills well this morning. He didn't eat real well last night, but I think it was more due to exhaustion than anything. Those trips up to the hospital really seem to take a lot out of him. Purrs when you handle or pet him, which I see as a good sign; that is normal behavior for him.


Title: Re: At ER with Linley
Post by: GKit on October 02, 2014, 10:21:47 AM
 :-* for Linley. It's wonderful he and Cara are bonding again. Hope things settle into a peaceful routine soon for everyone.


Title: Re: At ER with Linley
Post by: catbird on October 02, 2014, 12:39:00 PM
Linley has eaten very little today. His appetite was steadily increasing from Monday night when we brought him home up until the vet appointment yesterday. Since then, he's eaten hardly anything. I am becoming concerned. If I call the vet hospital, they will tell us to bring him in for another creatinine assessment. I don't want to do that, since I think it's the exhaustion from the appointment that is affecting his appetite. He just seems very tired.

Is there any reason not to give him the appetite stimulant to see if I can get him eating again?  I feel that I know my cat better than they do, and I think this is better for his welfare than getting his creatinine measured again.

Do those of you who have experience in managing cats with moderate kidney insufficiency have any ideas?  I am starting to go into panic mode again.


Title: Re: At ER with Linley
Post by: Fizzy1 on October 02, 2014, 12:46:30 PM
They did give it to you so if it were me I would use it.  If it doesn't help by tomorrow, then call them.  Have you tried jumpstarting him by finger feeding? 

Hang in there.  :-*  Hopefully he's just worn out!


Title: Re: At ER with Linley
Post by: Spartycats on October 02, 2014, 01:05:07 PM
Please call them anyway, and discuss this with them.  Tell them your concerns about bringing him in.  Ask if you should give the stimulant. 


Title: Re: At ER with Linley
Post by: catbird on October 02, 2014, 01:51:33 PM
Well, I think we may have averted a vet call. He ate!  Not a huge amount, but it was clear that he was hungry and interested.  And I think I called it right that tiredness was the problem. DH said that Linley slept quite a bit today, although DH was gone in the afternoon for a couple of hours.

I got home from work and Linley immediately stood up and came into the kitchen for his treat, which is normal behavior for him. (My cats are in the habit of receiving a little treat of freeze-dried chicken breast right when I walk in. I use this as a check-in time to see how they are all doing.)

He ate the freeze-dried chicken like he was starving, so I gave him 3-4 times what I would normally offer. I think he would have eaten even more, he was that eager, but I didn't want to get too much into his stomach at once. So then, he went and ate some dry food on his own. Not a huge amount, but some. He then had a big drink of water, and walked around for awhile. He does not act nauseated to me.

Now he's sitting next to me on the couch trying to chew the top of the bandage off his leg. I can just see him saying, "Get this darned thing off of here!" He seems alert, more active than last night for sure, and his breathing is nice and easy and at a good rate.

Phew!


Title: Re: At ER with Linley
Post by: Spartycats on October 02, 2014, 01:57:29 PM
Ok, well I withdraw my advice (gladly).  I was worried.
Why do cats do these things to us??

I'm so glad he seems better and is eating!!!


Title: Re: At ER with Linley
Post by: Fizzy1 on October 02, 2014, 02:06:12 PM
Oh thank goodness!  I was worried, too.  Sparty, you always give good advice.  Please don't ever stop!


Title: Re: At ER with Linley
Post by: catbird on October 02, 2014, 02:12:35 PM
Thanks! I think they just like to keep us guessing! If he'd refused the treat, I would have called for sure.

If all goes well, he won't have any appointments until Monday when he sees my vet for a bandage change. That is a much shorter distance, so less time in the car where he meows and tries to dig his way out of the carrier (expending his energy and tiring himself.) The clinic is also much quieter.

I'm feeling a lot better now. :)  This cat is not acting sick at this time. He's acting like a cat!

BTW I got his exam report from yesterday via email. Although they did not do a chest x-ray at that appointment, the notes said "no evidence of congestion or fluid retention."  :)


Title: Re: At ER with Linley
Post by: catbird on October 02, 2014, 02:21:48 PM
I also got an explanation of why they are keeping his leg bandaged. Ideally, they would have put a couple of skin sutures in to approximate the edges on the place that opened up during the IV catheter change. However, in his condition, they couldn't sedate him to suture him, and glue and staples didn't really do the trick. It's closed and healing up, but they are managing it very conservatively at this time because they don't want him licking it. It has to heal more from the inside out, which it is doing. The notes said that it might heal more slowly because of his heart and kidney issues.


Title: Re: At ER with Linley
Post by: ranger on October 02, 2014, 02:53:55 PM
Aw poor guy, going to the vet is tiring.  I keep checking to see if there's any news on Linley.


Title: Re: At ER with Linley
Post by: Fizzy1 on October 02, 2014, 03:04:34 PM
"He's acting like a cat!"

You can't ask for better than that. :)


Title: Re: At ER with Linley
Post by: catbird on October 02, 2014, 03:26:21 PM
He ate a small amount and drank again! This is the pattern he was into on Monday night and Tuesday; eating small amounts of dry food every hour or so followed by a drink of water from the cat fountain. It adds up.  :)  Kittyboy, please don't give me any more scares like you did today.

Cara also broke down and gave his head a few licks just now. However, when he tried to lick back, she darted away. I guess she's not quite certain yet.


Title: Re: At ER with Linley
Post by: NedF on October 02, 2014, 03:56:29 PM
Sorry to hear about the rollercoaster today but glad he's started eating and drinking again! Hopefully his leg will heal up soon and you'll have one less thing to worry about.


Title: Re: At ER with Linley
Post by: GKit on October 02, 2014, 04:57:14 PM
Phew! I'm glad to hear he's eating an drinking.  That's such a cute story about the head licking with Cara.  :D


Title: Re: At ER with Linley
Post by: merrihart on October 02, 2014, 06:14:03 PM
Oh, I got anxious as at your post and relieved a few posts up.  I hope he continues to eat his mini meals for you.


Title: Re: At ER with Linley
Post by: August on October 02, 2014, 09:30:10 PM
That's cute about the freeze-dried treats when you come home.   :)  A tiny treat before dinner seems to stimulate my guys' appetites, too.

And  :-* to Cara and her cute head licking.

That's great that Linley ate some.  I hope he's able to get some good rest and continues to do better and better.


Title: Re: At ER with Linley
Post by: alek0 on October 02, 2014, 10:31:54 PM
I hope Linley will feel better soon.


Title: Re: At ER with Linley
Post by: catbird on October 03, 2014, 05:31:05 AM
Better eating overnight and this morning, not huge amounts, and only dry food, but still, eating. He seems quite hungry, even mewing and rubbing in the kitchen, but then when I serve up the wet food, he smells it or takes a couple of licks like, "Oh, that. I'm disappointed. I guess I'll go eat dry." He also seems somewhat jumpy/distractable when eating; I'm thinking this may still be the result of hospital stress, since he behaved that way in the hospital, too.

He's always been sort of fussy about his wet foods and kind of like a 4-year-old--goes on "food jags" where he will only eat certain things as far as wet food, then decides he hates the only food he's been willing to eat for months, and starts refusing it. So I guess this weekend I'll be scouring more pet food stores for different things he might eat.

I also think that the formula change in the Cal Nat dry (which, as you remember, made all my cats like it less) is playing into this. After seeing his behavior, I think his appetite is pretty good.

And he's taking his pills very nicely.  :-X


Title: Re: At ER with Linley
Post by: BW on October 03, 2014, 06:15:09 AM
Catbird, Just wrote a longer message and then lost it somehow!!  I keep forgetting to write in my email and then copy it.  So I will just sent my prayers for Linley, and hopes that he continues to eat for you and behave like a cat.  I certainly do understand how you are feeling.    You asked about cats with minimal kidney insufficiency, and at the moment  I only have blackie and she is a kindey failure cat, but her fluids help enormously, and keep her going.  She always feels so much better after them.  I must take her today again in a  little while.
Does Linley require fluids?  You probably mentioned, but I can't recall, not functioning well memory wise lately, either age or stress, don't know, a combination of both probably. 
Again sending prayers that Linley continues to be comfortable and that you can relax.


Title: Re: At ER with Linley
Post by: catbird on October 03, 2014, 08:46:02 AM
BW, I am uncertain whether Linley can take any subQ fluids at all because of his heart problems and the fact that too much fluid could put him back into congestive heart failure. Even if they decide he can, he could certainly only have much smaller amounts than are normally given. (It is a real problem when they have both heart and kidney issues.) Thank you for your thoughts and prayers.


Title: Re: At ER with Linley
Post by: catbird on October 08, 2014, 05:18:24 AM
I have been putting most of Linley's info the past few days on a different thread, but thought I'd update here just for continuity:

The bandage on his leg is discontinued, since we can no longer keep it on him. He tears at it with his teeth until he gets it off, no matter what, and even pulled off some of his fur with the tape yesterday in his desperation. The e-collar drove him bananas when we tried it, so to keep his stress down, we are not using it. The wound is closed, although still healing, so we are going to see what he will do. I see his removing the bandage as a sign that his energy is beginning to return.

This morning he ate what I would consider a normal amount of breakfast for him, for the first time since he got sick! He even walked across the room to clean up some of Kalahari's leftovers, rather than just going with what I put in front of him. So I'm encouraged by that, and I hope it will continue.

ETA: and per reports from DH, he later in the morning cleaned up more leftovers from other cats and awhile later begged for more food! Keep it up, Linley!


Title: Re: At ER with Linley
Post by: NedF on October 08, 2014, 08:04:00 PM
Good boy Linley! I'm happy his appetite has improved!


Title: Re: At ER with Linley
Post by: August on October 08, 2014, 08:17:25 PM
That all sounds like really good news!  Yay!

I think it's good to have taken the tape off, what with him ripping at it.  No sense in his getting all worked up over just a bandage.

Truly fantastic about his eating well and even going for another plate!   :D

Sending lots of good vibes to continue to get better and better!


Title: Re: At ER with Linley
Post by: catmom5 on October 09, 2014, 05:12:36 AM
It does sound as if Linley is getting back to who he is and feeling better. I think you were wise to just let the bandage stay off. Hope that the wound heals without further complications. The other cats best watch their food bowls now - finish what you want because your brother just might do it for you!
Good news, all the way around.  ;)


Title: Re: At ER with Linley
Post by: catbird on October 09, 2014, 07:15:11 AM
Linley had a scheduled re-check with my vet this morning, for labs and another look at the leg wound.  He did pretty well, although he went and hid in the basement the minute he got home, normal for him after a vet appointment. I hope he will get some nice rest and relaxation in his hidey-bed in a quiet area away from everything.

The leg wound is healing very well now and there is no need to re-bandage it per my vet. The unhealed area (where there is granulation tissue) is half the size it was 48 hours ago. The other half is all healed up. Clean, no discharge, no signs of infection. He really doesn't lick much on the wound itself at all; just the area around it. And even that is just when he's grooming, not any obsessive licking or anything like that. He is such a good boy.

Last night he was acting like himself more again, exploring in the entertainment center.  :D  Not for a long time, but his true personality is definitely showing up. I'm not optimistic that we will ever have the "wild man" again, who races across the kitchen with his tail spinning like a helicopter and wrestles with Cara, but it was nice to see him doing more things that are normal for him.

I hope the labs will be good. Fingers crossed. He seems to feel pretty well.


Title: Re: At ER with Linley
Post by: billyD on October 09, 2014, 08:43:33 AM
Good news catbird
Keep it up Linley
More good vibes and prayers that the Lab tests are very good


Title: Re: At ER with Linley
Post by: Fizzy1 on October 09, 2014, 01:37:28 PM
 :-* for Linley!  What a good boy.  When do you get the lab results?


Title: Re: At ER with Linley
Post by: catbird on October 10, 2014, 04:57:27 PM
I got a message left on my home phone by the vet school (to whom my own vet had faxed yesterday's labs). There were no specific lab values stated in the message, but the caller did say they were "very pleased" with Linley's lab results. I wonder if that means his creatinine went down? (I'll call my vet on Monday to get the specifics.)

They want us to continue to monitor his respirations when he is at rest several times per day, and keep encouraging him to eat as much as he will, especially wet food of course. We are to monitor his appetite, and if it drops sharply, or if there is any nausea or vomiting, we are to call right away. But if he shows no signs of problems, he doesn't need to be seen again for 2-3 months! Which makes us all happy.

His leg continues to heal and he's not bothering it; he continues to eat; and he survived the minor trauma of getting his toe stepped on slightly today. It scared him, and he ran away to the basement, so of course we were very worried for a bit, because it was a stress event that sent him into congestive heart failure 3 weeks ago. But he came back up a short time later and has been doing just fine. Both the vet school and my regular vet have assured me that the heart med he is on will help him to cope better with the inevitable stresses that come his way without having problems. We are of course to avoid any unnecessary stress for him (I may not take trick-or-treaters ringing the doorbell this year) but the fact that he is now on medication should make a big difference.

And Cara is back to licking and grooming him regularly, now that all the vet smells and the bandage are gone.  :) :-* :-* And he's sometimes licking her back, the way he always did.

Because I've read that heart patient cats feel cold and seek warmth even more than others (and I've noticed him lying against the heat register more), I have ordered him a bed with a heat-reflecting pat sewn into it, to help him keep warmer this winter. (With rambunctious Cara around, I just don't feel comfortable with the plug-in heated kind.)

I am starting to be able to breathe and sleep again.


Title: Re: At ER with Linley
Post by: petslave on October 10, 2014, 06:28:20 PM
So good that his labs came back great, even if you don't know the specifics.  And it's good that Linley didn't have breathing problems after getting his toe stepped on (& the recent vet visits!).  All very good signs that he's doing well and hopefully on the road to getting back to 'normal'. 


Title: Re: At ER with Linley
Post by: caylee on October 10, 2014, 07:41:04 PM
So good to read that Linley is doing great again!  :) And that you are recovering from all the stress too.  :) Sleep well tonight and wake up rested, catbird.


Title: Re: At ER with Linley
Post by: NedF on October 10, 2014, 09:28:17 PM
Happy to hear Linley's results are good and that he is feeling better! And especially that Cara is back to giving him love. I'm sure that must make him feel better.

I'm glad you're feeling better too! You need some peace and quiet after all of that!


Title: Re: At ER with Linley
Post by: Mandycat on October 10, 2014, 09:42:45 PM
Good to see happy news about Linley.  I know it is hard to grasp right now with everything that has been going on, but Linley should be able to settle into a perfectly normal life with his medication controlling his heart problems.  Relax now and get some rest for yourself. 


Title: Re: At ER with Linley
Post by: August on October 11, 2014, 03:06:15 AM
What a nice report!  Happy! 

I love to hear that he won't have to go back for another 2-3 months!

I totally hear you on the trick-or-treaters.  That can get stressful.  I guess you'll have to buy candy and turn off all the lights and eat the candy yourselves.   :)  At least that's what I would do.


Title: Re: At ER with Linley
Post by: catmom5 on October 11, 2014, 06:07:56 AM
Very relieved to read all of your good news. I know how you feel, because Jess dealt with many of the same issues. After a while, just being observant of him became second nature and there was much time when he was Jess, not Jess with cardiomyopathy. I wonder if feliway in your house might help things stay calm, too. Sounds like everyone is getting back to more "normal" relationships.

Relax, have a peaceful weekend and enjoy the lovely fall weather. You certainly deserve some "down" time.
Hugs
catmom5


Title: Re: At ER with Linley
Post by: catwoods on December 04, 2014, 02:36:51 PM
I was watching even though I haven't been in to post for awhile, and I'm so glad Linley is now home and doing better!