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Author Topic: Ranger is having a relapse of his IC- kb2zct- Oct. 2006  (Read 1289 times)

galensgranny

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Re: Ranger is having a relapse of his IC- kb2zct- Oct. 2006
« Reply #10 on: June 22, 2007, 12:19:17 PM »

kb2zct
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 Posted: Wed 24 January 08:00 am    Post subject:     

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While I was at the vet’s office for Mr. Pippin’s annual physical, Dr Kate and I discussed Ranger’s continual treatment for his IC. We’re going to change his treatment plan by giving him 100 ml sub-q fluids once a week.

My continual research indicated that extra fluid intake often has a positive impact on cats with IC. I’m not exactly sure why, but it does. So, fluids he will get.

Now, the only problem is that I cannot give Ranger fluids by myself. His administration of fluids will be a two person job. Evan, on the other hand, tends to sleep through most of the fluid process.

Jane is usually over on Monday nights, so I think we will schedule Ranger’s fluids for that night.

Mark
 
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animalangel1
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 Posted: Wed 24 January 11:04 am    Post subject:     

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I think fluids might help with Ranger in that they will help "flush" his system. In that respect it sounds like a pretty good plan. Will Ranger and Evan be able to use the same fluids????

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kb2zct
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 Posted: Wed 24 January 11:21 am    Post subject:     

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Michelle;

I buy my fluids by the case - so Ranger and Evan have their own bags, lines, etc.

I store their bags in different locations, so I will never get them mixed up.

Mark
 
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animalangel1
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 Posted: Wed 24 January 11:32 am    Post subject:     

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Ah.... I was wondering if that was what you were doing. If you ever have to go away again and have someone else do the fluids, it might be prudent to write their names on the bags with a Sharpie. Just for "added insurance" so nothing gets mixed up.

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kb2zct
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 Posted: Wed 24 January 12:13 pm    Post subject:     

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Another quick Ranger note…..

I just got off the phone with Dave from the Pharmacy. He said that he could compound the amitriptyline.

This is good news. The amitriptyline has a very bitter taste, and Ranger foams at the mouth when I give him the pill. This morning, he was making vomiting sounds after I gave him the pill.

Assuming the pharmacy can cover up the taste of the medicine, I will be happy to have a food supplement to give him instead of the pill.

The only drawback is the extra cost. A months worth of compounded medicine may cost between $25-$30. The pill version may cost only $10. However, the reduced stress in the little ones is worth the extra money.

Mark
 
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kb2zct
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 Posted: Thu 25 January 08:01 am    Post subject: Ranger and Fluids......     

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Ranger and fluids – what a nightmare!

As you can tell, the attempt to give Ranger fluids did not go well. The little guy almost bit me last night – and that is not characteristic of Ranger’s behavior.

Ranger was not very happy with the first try. I think we managed to uncap the needle before he got away. For the second try, we wrapped him in a towel, and he fought his way out of that. On the third try, we managed to actually do the stick, only to see ranger transform himself into real life version of the old Bugs Bunny Tasmanian Devil! Needless to say, he escaped before we could start the fluid flow.

Another friend was helping me last night. I think I will wait until Monday for Jane to come over. One of her official duties is “Nail Trimmer to the Kitties”, which she manages to do without too much (human) blood and gore being spattered everywhere. I think I’ll let her wrap up Ranger and see if we can do the stick then.

I have good news from the prescription front. Ranger’s compounded amitriptyline will be ready on Saturday morning. Gracie and I go into town on Saturday mornings for her puppy play time, so I can pick it up then.

I tried using the gel caps last night, but that did not work well. As soon as the caplet got well, it stuck to my fingers. There must be a trick to administering them, possibly wetting them first. I’ll hold off on any further experimentation with them, since I will have the compounded medicine in two days.

Mark
 
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animalangel1
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 Posted: Thu 25 January 11:10 am    Post subject:     

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Poor Ranger.....Sounds like both of you had quite a stressful time. I'm glad the Amitriptaline was able to be compounded for you. Can't wait to see how well administering that will go. I hope it's something he'll like and take well for you. A also hope you will have better luck administering the fluids to Ranger with Jane on Monday too.

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Maria
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 Posted: Fri 26 January 08:23 am    Post subject:     

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Poor little Ranger. I'm so sorry he's having such difficulty. I can imagine how you feel too. It really upsets me when I have to do things to Jeremy or Molly medication wise when it hurts them. I dread doing it, too. You're really very good at it Mark. I don't envy all that you're going through right now. Thankfully you have good support. I hope Ranger does better this coming week.

Maria
 
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kb2zct
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 Posted: Fri 26 January 10:02 am    Post subject:     

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Given the stress on Ranger for the pills (most of which is from the bitterness), I've stopped the medicine until I get the compound on Saturday.

When Ranger starts to run away from me all the time, that's bad. So, we can wait 36 hours for the compounded medicine.

Mark
 
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animalangel1
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 Posted: Fri 26 January 03:11 pm    Post subject:     

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It won't "hurt him" to wait for 36 hours with no medication? Aren't you afraid of a relapse???

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Re: Ranger is having a relapse of his IC- kb2zct- Oct. 2006
« Reply #11 on: June 22, 2007, 12:20:00 PM »

kb2zct
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 Posted: Fri 26 January 04:49 pm    Post subject:     

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Michelle:

The pharmacy will have Ranger's prescription done in an hour. I'll pick it up and will be able to give it to him tonight.

He will have missed only last night and this morning's pill.

Mark
 
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animalangel1
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 Posted: Sat 27 January 07:40 am    Post subject:     

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Oh.... I guess I misunderstood. Whew! I was pretty worried for a minute there (for Rangers sake)! I sure hope he'll like the compounded stuff for you (and for him).

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kb2zct
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 Posted: Mon 29 January 12:48 pm    Post subject:     

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Guys:

I'm not having any luck with Ranger's new medicine. He will not eat any food into which I have put the compounded liquid.

I don't know if it is his cold, or if it is the medicine. For how, I'm still pilling him.

Tonight, we're going to try to give him some fluids. That will be lots of fun!. Jane will be over to help me wrap him.

Mark
 
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animalangel1
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 Posted: Tue 30 January 04:42 pm    Post subject:     

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How did the fluids with Ranger go last night Mark? I hope it went well for you (and for Jane and for Ranger).

I'm sorry that Ranger doesn't seem to like his new compounded medicine. What flavor did you end up getting? Tuna?

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kb2zct
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 Posted: Tue 30 January 09:47 pm    Post subject:     

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Quote:
How did the fluids with Ranger go last night Mark? I hope it went well for you (and for Jane and for Ranger). 



Michelle:

It went reasonably well. Everyone is alive!

Actually, Ranger was in the cat bed. We simply trapped him in there and gave him the fluids. Ranger was not annoyed by the stick, but rather by the flow of the fluids. We managed to get 100 ml in him.

Quote:
I'm sorry that Ranger doesn't seem to like his new compounded medicine. What flavor did you end up getting? Tuna?


The prescription is tuna flavored. However, no one is eating wet food (other than Evan). I blame the kitty cold – it seems to have impacted everyone’s appetite. I’ll give it another week and try again. If it does not work then, I’ll see if we can come up with a better formulation for him

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Galensgranny
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 Posted: Tue 30 January 11:30 pm    Post subject:     

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I'm sorry the compounded medication is not a hit, but you may be right that it is due to the cold virus interferring with the appetite. I hope it works out soon.

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kb2zct
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 Posted: Fri 02 February 09:04 am    Post subject:     

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Guys:

Ranger is over his kitty cold now. He is eating wet food again, provided I do not put the compounded amitriptyline into it.

I’m going to assume that he can taste or smell the medicine in the liquid. I’m going to call the pharmacy today and see if they have a plan “B” compound to try.

Mark
 
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animalangel1
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 Posted: Fri 02 February 09:06 am    Post subject:     

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How about a chicken or turkey flavor???? I think that might be good.

Anything chicken in this house is a HUGE hit!!!

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Galensgranny
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 Posted: Fri 02 February 10:37 pm    Post subject:     

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kb2zct wrote:
Guys:

Ranger is over his kitty cold now. He is eating wet food again, provided I do not put the compounded amitriptyline into it.

I’m going to assume that he can taste or smell the medicine in the liquid. I’m going to call the pharmacy today and see if they have a plan “B” compound to try.

Mark


Can you just squirt it in his mouth?

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kb2zct
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 Posted: Sat 03 February 03:07 pm    Post subject:     

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Margaret:

I had not thought of that one. I'll give it a try and see how it goes.

Mark
 
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Re: Ranger is having a relapse of his IC- kb2zct- Oct. 2006
« Reply #12 on: June 22, 2007, 12:20:42 PM »

kb2zct
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 Posted: Sat 03 February 06:28 pm    Post subject:     

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Margaret:

I tried squeezing the liquid directly into Ranger's mouth. It worked as well as pilling, but not any better.

I still want to see if the pharmacy can come up with a way to mix it into his food. I would prefer not having to have a twice a day pilling or squirting fight to get him to take his medicine.

Mark
 
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Maria
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 Posted: Sun 04 February 05:21 pm    Post subject:     

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Mark,

I'm just catching up on all the forum activities - and finally got a chance to sit down at the computer.

I'm glad Ranger is eating wet food again. I hope he's feeling better too. It would be so good if the pharmacy would be able to put something together for you that Ranger likes - or at least would tolerate.

Maria
 
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kb2zct
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 Posted: Sun 04 February 06:59 pm    Post subject:     

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Guys:

I guess I will hae to correct my earlier statement - the liquid medicine is working better than the pills.

It is easier to get the liquid medicine down throat than the pills. I've found several pills around the house, so I know that he has been spitting the pills up.

Mark
 
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Galensgranny
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 Posted: Sun 04 February 08:51 pm    Post subject:     

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kb2zct wrote:
Guys:

I guess I will hae to correct my earlier statement - the liquid medicine is working better than the pills.

It is easier to get the liquid medicine down throat than the pills. I've found several pills around the house, so I know that he has been spitting the pills up.

Mark


I'm glad that the liquid meds are working out.

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kb2zct
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 Posted: Fri 09 February 06:19 pm    Post subject:     

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To: Sparky, Jeremy and Galen:

From: Mr. Pippin the Monster

Subject: Strange Daddy


Sparky, Jeremy and Galen:

My daddy just did a very strange thing. I want to know if your mommies and daddies do strange things like this, too.

Daddy watched Ranger go potty in the box. Daddy said he was trying to watch Ranger go for a long time in the box, ever since Ranger started to get his med-a-sin treats.

Daddy even stopped talking onto the ring-ie thing when he saw Ranger go potty. When Ranger finished going potty, daddy was yelling and shouting cause he was so happy cause Ranger did a good potty, daddy said.

I did not think Ranger did a good potty cause Ranger did not burry it. He left a very big wet spot in the box and did not cover it up.

Why is daddy so happy ‘cause Ranger did not burry it? I thought good kitties always buried it when they did it.

Do you think daddy will be happy if I don’t burry it when I leave big wet spots in the box? What do your mommies and daddies do when you leave wet spots in the box? Do they get happy or do they yell at you for not covering it?

Just trying to figure out how I can cause more problems for daddy.

Mr. Pippin the Monster
 
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animalangel1
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 Posted: Sat 10 February 09:22 am    Post subject:     

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Hi Mr. Pippin the monster.... My name is Peaches. Sparky is my brother. When I goes potty I doesn't cover it up neither. I like mommy to see that it was me. Everybody else covers up their potty. Mommy don't get mad or yell or nothin. She just gets excited. Daddy thinks mommy is funny cause she says "I see poopies!" and then she gets the poopies out. I think mommy likes us to go potty. She gets up to watch us all sometimes and says "Good Muffin" or "Good boy Milo" or somethin like that. I think mommy is funny. I think she watches us go potty cause I had that bad fection in my bladder and kidneys a long timed ago. She don't want me (or any of us) to get sick again. It hurted pretty bad and took a long, long, long times to go away. I had lots of those med-a-cin treats and they were not that good.

Peaches

Edited to add: hey Mr. Pippin kitty!!! I did finded something to do that my mommy don't like! She was brushing out the dawg and I likes to roll and lay in the pile of fur she makes with the dawg hairs on the floor when she cleans her brush. Mommy don't like that very much. She don't like it even more when I starts to eat the fur. You can try that if you wants to make your daddy mad when he's brushing that Gracie dawg at your house.

Mommy yelled at me cause I was gettin hairs all over me but I had to meow to her that I am a kitty and I'em SUPPOSED to have hairs on me! Silly mommy, huh?

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Galensgranny
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 Posted: Sat 10 February 10:42 am    Post subject:     

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I don't cover urine very often. I quit covering a long time ago. My grammy kept watching me go, and then leaning down to see how much I went. Then, she would call out in public to Grampy about what I did!   It made me a little nervous and embarrassed, so I just left the box and let her look as long as she wanted, trying to pretend it wasn't me she was talking about. The cats next door can hear everything, you know. 

Now, I don't see any point in covering the wet. Seamus and Minerva always cover my wet spots before they use the box anyway. Plus, I see Grammy scooping out all the lumps in the litter boxes, so I leave it to her.

I do always cover my stinkies, though. I don't want to smell them any longer than necessary! And I would die of embarrassment if she took to yelling out to Grampy about what my stinkies look like, for all the world to hear!

Galen

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kb2zct
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 Posted: Sat 10 February 10:47 am    Post subject:     

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Guys:

The good news is that Ranger is able to urinate freely!

Mark
 
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animalangel1
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 Posted: Sat 10 February 10:52 am    Post subject:     

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Oh..... guess I missed that!! Sorry Mark! I got so excited reading the kitty net that I forgot there was a reason behind it!

WOOHOO RANGER!!!!  YOU GO KITTY!!!!   

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Galensgranny
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 Posted: Sat 10 February 10:56 am    Post subject:     

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kb2zct wrote:
Guys:

The good news is that Ranger is able to urinate freely!

Mark


That is totally awesome!   

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Re: Ranger is having a relapse of his IC- kb2zct- Oct. 2006
« Reply #13 on: June 22, 2007, 12:21:47 PM »

Maria
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 Posted: Sat 10 February 02:01 pm    Post subject:     

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Congratulations Ranger! Way to go boy!

Mark - that's absolutely wonderful.

Maria
 
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Ec[lips]e
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 Posted: Tue 13 February 10:02 pm    Post subject:     

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I know I'm a bit tardy in response here, but I still wanted to say yay for Ranger! I hope everything is still going smoothly

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valpofan98
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 Posted: Thu 15 February 12:34 am    Post subject:     

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kb2zct wrote:
Guys:

The good news is that Ranger is able to urinate freely!

Mark


CONGRATULATIONS to you and Ranger!

Kirsten

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kb2zct
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 Posted: Fri 16 February 09:59 am    Post subject:     

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Guys:

I never quite knew how much the whole vet practice was working for Ranger's recovery until last night.

I stopped off at the vet to get a heartworm prevention pill for Gracie. I asked the receptionist is Dr Kate had gotten my phone message from last week that Ranger was doing much better.

She told me that everyone did, because it was posted on their employee bulletin board!

Mark
 
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Galensgranny
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 Posted: Fri 16 February 11:17 am    Post subject:     

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kb2zct wrote:
Guys:

I never quite knew how much the whole vet practice was working for Ranger's recovery until last night.

I stopped off at the vet to get a heartworm prevention pill for Gracie. I asked the receptionist is Dr Kate had gotten my phone message from last week that Ranger was doing much better.

She told me that everyone did, because it was posted on their employee bulletin board!

Mark


That is something!

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animalangel1
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 Posted: Sat 17 February 08:06 am    Post subject:     

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That's pretty cool Mark.

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Maria
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 Posted: Sun 18 February 03:34 pm    Post subject:     

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Mark,

It sounds like you have wonderful care from your vets and the techs. You are really lucky. I still haven't quite figured out my group yet. They don't seem too interested, although they have pretty much taken good care of Jeremy - to a point.

Thanks for sharing the good news. You have a lot of concerns with all of your kitties (and of course Gracie), so I'm really glad you know you can depend on your vet.

Maria
 
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kb2zct
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 Posted: Tue 20 February 07:50 am    Post subject:     

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Guys:


Over the last week or so, it has appeared that Ranger was having a setback in dealing with his bladder / FLUTD condition. He has been spending more time in the litter box and the urine output has been decreasing. I had begun to wonder if the medicine had stopped working.

Well, I discovered the problem today. Ranger, the little stinker, has been spitting out his liquid medicine. Instead of swallowing the medicine, he holds it in his mouth until I let him go. He then lets the medicine run out of his mouth.

So, for the past week or more, he has not been getting his full dosage.

Is there anyway I can encourage him to swallow as soon as I put the medicine in his mouth. Simply getting the medicine in his mouth has started to become a challenge, as he will “duck and bob” his head like a boxer. His rapid head movements make it hard for me to get the dropper in his mouth and to squeeze the medicine into it.

I think I will call the pharmacy again and see if there are other flavoring options. I also think I will give Dr Froster and Smith an e-mail and see what other delivery options they have.

Mark
 
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animalangel1
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 Posted: Tue 20 February 07:57 am    Post subject:     

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Oh my goodness Mark, he IS a little stinker!!! I can't believe how smart he is!!! The only thing I could suggest is to hang onto him longer and LOOK into his mouth to be sure he swallowed the meds before you let him go. Also, maybe squirting it way back in the throat would force him to swallow it rather than hold it in his mouth.

It's very good that you discovered this problem and it seems like (all things considered) it's an easy fix. No vet required and no trying new things to see what works and what doesn't and all that...... good luck Mark. He's a bright one for sure!!! All YOU have to do is outsmart him. I have faith that somehow you will manage......

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kb2zct
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 Posted: Tue 20 February 09:07 am    Post subject:     

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Michelle:

In a battle of smarts between me and my cats.... There is five of them, all thinking of new ways to do things and / or get into trouble. I've already lost that battle!

I put in a phone call to the pharmacy that compounds Ranger's medicine. They are going to work up plan "B" for Ranger's medicine.

I also sent an e-mail to Dr Froster and Smith, just to see what types of other delivery methods might be available.

We'll see how that goes.

Mark
 
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Re: Ranger is having a relapse of his IC- kb2zct- Oct. 2006
« Reply #14 on: June 22, 2007, 12:23:16 PM »

animalangel1
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 Posted: Tue 20 February 09:17 am    Post subject:     

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Now Mark!!!!  You can't REALLY think the five cats can outsmart a human as smart as yourself, can you????  I mean, ok, maybe for a while but you DO catch on and that's the important thing, right???? I have complete faith in you Mark.... no matter WHAT tricks those kitties might try to pull on you. Just keep repeating "I AM the superior being, I AM the superior being".....   

I hope the pharmacy will come up with something you can use....or that Dr.s Foster and Smith will have something that will work. Good luck with both (and with those sneaky cats!).

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Maria
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 Posted: Tue 20 February 11:18 am    Post subject:     

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Mark,

I'm sorry Ranger has outsmarted you!  You do a great job - and always get the ultimate victory - so be encouraged!

Mark, you might want to try this: after squirting the med into Ranger's mouth, hold his head up and gently rub/pat his throat as this should make him swallow. I know it worked with Jeremy at some point. I tried it and could see him swallowing.

Maria
 
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Galensgranny
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 Posted: Tue 20 February 02:30 pm    Post subject:     

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kb2zct wrote:
Guys:
Well, I discovered the problem today. Ranger, the little stinker, has been spitting out his liquid medicine. Instead of swallowing the medicine, he holds it in his mouth until I let him go. He then lets the medicine run out of his mouth.

So, for the past week or more, he has not been getting his full dosage.

Is there anyway I can encourage him to swallow as soon as I put the medicine in his mouth. Simply getting the medicine in his mouth has started to become a challenge, as he will “duck and bob” his head like a boxer. His rapid head movements make it hard for me to get the dropper in his mouth and to squeeze the medicine into it.


Mark


 Oh my, such a smart, sneaky cat! He is like Jolie, who would cooperate so nicely with getting a pill shoved in her mouth, but then as she sauntered off, would turn her head and spit it out. So then, we were sure to follow the pill with a squirt of water to engage a swallow reflex. Next, we opened her mouth to look to see if the pill was still there. Only then did we release her.

But, your problem is a bit different, since you are starting with a liquid. Maybe try following with a small squirt of plain water. Maybe start with a small squirt of plain water as well, to wet the throat and get the swallow action started.

Though, those rapid head movements would make things tricky. Sumner is so squirmy. When I am alone, I put him on the bed and lie over his body, then shove the meds in very quickly, before he really knows what is happening. But he needs a pill rarely, for a once-in-a-while URI that happens even two or so years.

How about try blowing a quick puff of air in his face after putting the meds in his mouth? That might startle him a bit and make him swallow, forgetting he was trying not to swallow.

Here are some videos on giving cats medicine. But they probably didn't have a cat like Ranger to deal with.

http://www.felinevideos.vet.cornell.edu/pill_or_capsule/index.shtml

http://www.felinevideos.vet.cornell.edu/liquid_medications/index.shtml

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kb2zct
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 Posted: Tue 20 February 03:13 pm    Post subject:     

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Dr Foster and Smith responded to my e-mail....

Quote:

Thank you for your interest in Drs. Foster & Smith Pharmacy. We can in fact compound the Amitriptyline into an animelt for your cat. 


The price they quoted is three times higher than my local pharmacy's price. I guess the extra cost is for the special animelt.

If I fail to get the liquids in him, and if the local pharmacy cannot develop a flavor he likes, I have a "treat" like delivery mechanism available.

Mark
 
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kb2zct
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 Posted: Tue 20 February 09:00 pm    Post subject:     

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The pharmacy called back this evening. They are going to work up a chicken flavored batch of medicine. They are going to try a oil base this time.

They are only going to make a few day's supply of the new batch. If it does not work, we'll try another flavor.

Mark
 
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Galensgranny
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 Posted: Tue 20 February 10:57 pm    Post subject:     

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Hmmm. I didn't know they could make a "melt" delivery of medications, but I have seen they have that for some sort of cold medication for children, so the knowledge of how to do that is known.

I hope Ranger likes the new chicken flavor!

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kb2zct
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 Posted: Fri 23 February 08:14 am    Post subject:     

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I picked up Ranger’s new, chicken flavored, amitriptyline last night and used it this morning. The new formulation was not a success.

I tried to add the medicine to Ranger’s wet food. He could smell that something was up right away and walked away from the food two times. Each time I put the plate back in front of him.

On the third presentation, he ate a little of the food around where the medicine as, but not where I had mixed the medicine into the food. Think, “nibbling around the edges”. In any event, he could not have eaten more than ¼ -1/2 teaspoon of food.

So, it was back to injecting the liquid into his mouth. I managed to get him to swallow it today. I find that if I inject the medicine further back into his mouth, he is forced to swallow it. This worries me, because I do not want the medicine to go down the wrong “pipe”!

I did discuss with the vet the possibility of using a “melt in your mouth” delivery system. They can compound it, but may not have a product small enough for a cat.

Strange as this sounds – it is easier to give Ranger a sub-q injection than it is to give him his oral medication!

Mark
 
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animalangel1
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 Posted: Fri 23 February 12:30 pm    Post subject:     

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I'm sorry you are having so much trouble giving Ranger his medicine.... it seems to me that the amitriptyline has quite a distinctive smell to it that you are not aware of since he can find ways to eat around it and avoid it so well. I've always put liquid meds farther back in the throat with no problems... I think the idea of it going down the wrong "pipe" only happens if you tip the head back and I don't beleive you are doing this. I think as long as his head is in the normal position it should not be a problem. You should ask the vet to be sure though, of course.

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kb2zct
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 Posted: Fri 02 March 08:42 pm    Post subject:     

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Just a short update on Ranger’s IC / FUS/ FLUTD…..

As I mentioned in my last post, the chicken flavored formulation has not worked out. If I mix the new formulation into his food, Ranger will refuse to eat it. With that being said, it is back to syringing the medicine into him.

I am getting better at this. The most important trick is to syringe the medicine deep into his mouth. The further back it is, the harder it is for him to spit it out and the faster he must swallow it.

I’ve also found the perfect “swallow reflex point”. Stroking this point (on his neck) causes him to swallow.

As I have been able to get more medicine into him, his condition has been showing greater improvement. Just this evening, I watched him leave a very large, wet spot in the litter box. It was the size of what the other cats “deposit”. He does not do it as fast (it takes him about 4 times longer to go the bathroom, but this is tremendous improvement.

Mark
 
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animalangel1
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 Posted: Sat 03 March 10:11 am    Post subject:     

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Oh that is EXCELLENT news Mark!!! I'm so happy for you! I'm glad you are getting the knack of the medicine and getting him to swallow, too. I knew you could do it!! KUDOS!

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Re: Ranger is having a relapse of his IC- kb2zct- Oct. 2006
« Reply #15 on: June 22, 2007, 12:23:53 PM »

Galensgranny
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 Posted: Sun 04 March 12:55 am    Post subject:     

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Yay, Mark! So good you found a way to get the medicine into Ranger.

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Ec[lips]e
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 Posted: Mon 05 March 09:47 pm    Post subject:     

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I'm also glad to hear you're making improvements on the medicine giving, and just as happy to hear it's showing positive results in Ranger's litterbox!

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Maria
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 Posted: Wed 07 March 05:58 pm    Post subject:     

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Mark,

I'm glad to hear you've resolved the medication problem. Poor Ranger. I guess once he gets used to the "routine" it might seem like normal to him.

Hang in there, Mark! I hope Ranger continues to improve.

Maria
 
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