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Author Topic: Evan update- kb2zct, Aug. 2006  (Read 4158 times)

galensgranny

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Evan update- kb2zct, Aug. 2006
« on: June 22, 2007, 02:23:09 PM »

[copied from old forum]

kb2zct
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 Posted: Thu 31 August 08:32 am    Post subject:     

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Evan update:

Things seem to be doing quite well now for Mr. Evan.

I’m feeding him wet food three times a day now: in the morning, when I get home from work, and just before bed. In the morning he gets a 2.5 on jar of stage one baby food. For the evening and night feedings, I mix up half a jar of baby food with ¼ can of cat food. This mixture seems to be working pretty well, as he is eating all of this mixture.

In addition to the wet, Evan is eating about 1/6 of a cup of Precise dry (I leave the dry out during the day and overnight when Evan is in his room). So, Evan is finally eating some cat food along with the baby food. I think, this coming weekend, I will start to mix wet cat food into the morning meal.

Wellness is now the food of choice for Evan. He will eat the Wellness turkey, provided it is mixed with turkey baby food. Yesterday, I tried mixing some beef baby food with the Wellness beef and chicken. No go, Evan would not touch it. In fact, none of the kitties would eat the Wellness beef and chicken. Missy, being a good puppy, took care of that for me.

I have some chicken baby food that I will mix up with the Wellness chicken. I know that mixing chicken baby food with the Wellness chicken and herring works, too.

I have not weighed Evan this week – but I think I can feel the difference in him. He is plumper, and the condition of his coat is still improving.

Mark
 
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rubygirl1968
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 Posted: Thu 31 August 09:14 am    Post subject:     

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Yay! I'm glad Evan is eating again and is feeling plumper. 

I'd be happy to some more plumpness his way if there was a way to transfer it.

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animalangel1
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 Posted: Thu 31 August 02:16 pm    Post subject:     

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I'm glad that Evan is eating so well.... you must be relieved to be getting some cat food into him. Such a roller coaster with him though!!!!!

For anyone interested, I am going to continue my discussion of three cats throwing up in a new thread. It is going to be called "Milo's vet visit" and it will be listed under the Misc. Cat Topics. Don't want to keep hijacking this one from Mark.

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Galensgranny
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 Posted: Thu 31 August 03:25 pm    Post subject:     

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Mark, I am glad Evan is over that bad spell and doing well now. You're doing great with finding what he likes to eat.

I moved this thread into the "health" folder, to better allow others to find posts on cat health matters.

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kb2zct
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 Posted: Thu 31 August 08:00 pm    Post subject:     

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Guys:

It's time to do the happy dance. Evan's unofficial weight is now 7 pounds 7 1/2 ounces. This is up a half a pound in the past three weeks. The last weight at the vet's office was 6 lbs 15 oz.

So, guys, go and splurge on the happy emoticons!

Mark
 
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Galensgranny
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 Posted: Fri 01 September 02:31 am    Post subject:     

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kb2zct wrote:
Guys:

It's time to do the happy dance. Evan's unofficial weight is now 7 pounds 7 1/2 ounces. This is up a half a pound in the past three weeks. The last weight at the vet's office was 6 lbs 15 oz.

So, guys, go and splurge on the happy emoticons!

Mark


Woo hoo!   

Gaining the weight makes all the difference. Once Galen got close to his normal 10 pounds, he was pretty much seeming like a well cat.

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animalangel1
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 Posted: Fri 01 September 03:11 pm    Post subject:     

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Those are for Evan....these are for you, Mark!!!                   
                     

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minzismom
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 Posted: Sat 02 September 05:30 am    Post subject:     

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Now THAT is a happy dance.

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animalangel1
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 Posted: Sun 03 September 08:36 am    Post subject:     

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Well, I was ONLY doing what Mark "told me" to do.... 

I had to edit it like a hundred times to get each different smilie on a different line.... nothing like being anal, huh????

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kb2zct
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 Posted: Mon 04 September 06:46 pm    Post subject:     

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Some more good news about Evan today…. He ate straight up cat food for the first time in three weeks.

I have been slowly increasing the proportion of cat food in his mix (stage one baby food / Wellness wet cat food). I started out at 100% baby food, then 50% baby food, and finally something close to 2/3 cat food and 1/3 baby food. Evan has been eating all of the above combinations with great gusto.

Today, I decided to open up a can of Wellness chicken and herring. Evan came up with the other four cats for dinner (which he normally does not do). So, I gave him ¼ of the can of Wellness. He ate that, and another ¼ can when he finished the first serving.

So, it looks as if he is going to be eating well. I will have to see if I can move him to 100% cat food all the time and keep the baby food in reserve the next time he goes off of his feed.

His renewed appetite, along with the increase in the tapazole have reversed the weight loss and have allowed him to put some weight back on. I also found that I had to really mash the cat food into a paste for Evan to eat it. Often, I have to mash the food several times on the plate to flatten and spread it out. If I don’t, Evan will lick the food up into a ball and stop eating it.

Mark
 
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Re: Evan update- kb2zct, Aug. 2006
« Reply #1 on: June 22, 2007, 02:23:39 PM »

Maria
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 Posted: Tue 05 September 03:56 pm    Post subject:     

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Wow Mark! I'm sure happy to hear about Evan's improvements. It sounds like he is really doing well right now. That's exciting news. You must be so happy.......

I'll keep praying that he continues to improve.

Maria
 
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kb2zct
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 Posted: Wed 06 September 10:25 am    Post subject:     

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Guys:

There is a radioiodine treatment center in Albany. I just e-mailed them with some very basic information about Evan (his estimated age, his tapazole prescription and the amount of fluids I am doing a day for him) and asked if he would qualify for the radioiodine treatment.

I'll let you know if I hear anything. The local vet did not think he woudl qualify, but, it does not hurt to ask the experts.

Mark
 
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animalangel1
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 Posted: Wed 06 September 11:01 am    Post subject:     

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Good luck with that Mark....don't forget - if Evan does qualify and I'm not working on the day you will take him, I can meet you there for moral support.

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kb2zct
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 Posted: Thu 07 September 08:22 am    Post subject:     

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Here is the response I received from the clinic about the possibility of treating Evan with radioactive iodine.

Mark


Quote:
Thank you for your interest in ********. Unfortunately CFR is a contraindication for the I-131 treatment.

Hyperthyroidism is actually beneficial to CFR because the blood flow is increased through the kidneys, but unfortunately it is not good for the rest of their organ functions. When cat's that have CFR have the I-131 treatment the T4 level falls to a normal level, blood flow returns to normal and the kidney values increase as a result.

Usually cats with CFR are maintained on medication, because the dosage can be adjusted accordingly depending upon the degree of CFR. It's a balancing act between two diseases. Trying to manage both for the well being of the kitty. 
 
 
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animalangel1
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 Posted: Thu 07 September 01:43 pm    Post subject:     

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That's quite an interesting little piece of information there, isn't it???? I guess that lets Evan out.... sorry about that but on the other paw, he might be better off as they say. Oh well, at least you asked the experts and now have your answer.... can't dispute that at all. It's good that you were able to contact them for their input.

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Galensgranny
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 Posted: Thu 07 September 07:46 pm    Post subject:     

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Mark, one cat of Franny's, About.com cats Guide, had the radioactive iodine treatment, but it made him hypothyroid. That doesn't happen to all cats, but just to let you know so you aren't so disappointed that Evan doesn't qualify.

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kb2zct
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 Posted: Fri 08 September 05:26 pm    Post subject:     

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Margaret:

I am somewhat disappointed that Evan does not qualify for the radioactive iodine treatment. Anytime med are involved, I’m concerned about the drug’s side effects. And, Evan’s current dosage of 7.5 mg/day is somewhat large, from the little I have been able to learn from the yahoo group on hyper-t cats.

However, I understand the need to balance the two problems against each other. So, even with the possible side effects, I understand the need to “keep all the tools in the tool box”.

On a more weighty note, Evan’s is now at 7 lbs 14.5 oz. This is 15.5 oz improvement. I think that 9 lbs is a good weight for him, but I will confirm that with the vet when I take in Little Bit for his annual and Missy for her follow up appointment(s) next week.

Evan has started to eat several varieties of wet cat food without having baby food mixed into it. He will eat Wellness Chicken and Herring, Friskies Chicken and Tuna, and the Precise Ocean Whitefish. Of the three varieties, I like the Precise better, because it has such a smooth consistence, it is much easier for him to eat. Strangely, Evan will not eat the Precise turkey, even when I mix baby food into it. He is also eating about 1/6th of a cup of dry Precise a day, too.

And, believe it or not, the local compounding pharmacist just called to ask how Evan was doing. This little guy has people all over the place pulling for him! With Evan eating so well the past three weeks, I have not had to give him any of the appetite enhancer or tagamet!

Mark
 
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animalangel1
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 Posted: Fri 08 September 06:30 pm    Post subject:     

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Mark, I knew you would be disappointed over Evan's not being eligible for the radio active iodine treatment but you must remember: Sometimes God's greatest gifts are unanswered prayers. If he were to be given the treatment, you might not have him as long as you will without him having it.

He seems to be rallying with the way things are right now....best not to rock the boat. I'm sorry. I know you had hope that it would help him. I want him to get "better" too.... I remember that when my sister had that radio active iodine treatment.....it was no walk in the park by any means. She was quite sick from it for several days.... for Evan, that could be a very bad setback.

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Maria
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 Posted: Fri 08 September 10:38 pm    Post subject:     

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Mark,
I'm sorry for your disappointment about Evan not being eligible for the treatment. However, it is probably for his own good. I will continue to pray for him, that his health will improve without it.

I hope everything else is okay.

Maria
 
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kb2zct
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 Posted: Mon 11 September 09:56 pm    Post subject:     

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As I was carrying Evan to his room a few minutes ago, I noticed that there was quite a bit of litter stuck in between the pads of his paws. Does anyone have any idea how I can remove the litter?

For his CFR, Evan receives 150ml of sub-q fluid a day. Naturally, what goes in must come out, so his litter box is usually wet. The various litters that I have tried ( Arm and Hammer, Swheat Scoop, Tidy Cat Small Spaces) just do not seem to absorb the urine output fast enough. Hence, Evan is walking on wet litter, which sticks in his paw pads.

Evan does not try to remove the litter himself. The litter sticks around his hair, and trying to pull the litter off would be rather painful (not to mention, provide an opening for an infection to infiltrate).

So, any idea or suggestion would be appreciated.

Mark
 
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Re: Evan update- kb2zct, Aug. 2006
« Reply #2 on: June 22, 2007, 02:24:05 PM »

animalangel1
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 Posted: Mon 11 September 10:13 pm    Post subject:     

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Mark, could you maybe get the litter off with a wet paper towel??? Kind of "soak the litter" between his toes for a bit to "loosen it" and then try to gently pull it off???? If he's really tolerant, maybe you could stick his toes right under the faucet..... just put something over the drain to catch the pebbles.

Maybe you should try a new litter like the pine stuff.... I use it here and it just turns to sawdust when wet - very easy to clean up and it won't stick to the toes like that....flushable, too. Of course, with him urinating so much, you'd probably go through quite a bit of it..... or, maybe you could teach him to use the toilet like other cats have done. That would save a bundle on litter no matter what type you buy!

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kb2zct
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 Posted: Tue 12 September 11:10 am    Post subject:     

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Michelle:

The real problem is that Evan always uses the same spot in the box for his business. When I clean it out, one half of it is wet the other half is dry.

I wonder if I change the box to a bigger model (yes, more litter to buy), if that will help. I was thinking of one of those big dome models with the attached walkway. The marketing information claimed that the walkway cleans the litter off of the cat's paws.

I'll see how the wet towel works with him. I'm sure he will not like it at all.

On to another subject with Evan - very shortly, I will have to come up with a heated bed for him. The last two nights have been so cold that I have started the wood stove. With the door closed during the day or night, Evan's room does not get much heat. It was a bit chilly tonight. I will have to move that up to a very high priority.

And, finally, some bad news - I found a pet food retailer in Burlington that was listed on the Precise website. I called to confirm, but the store has not carried precise for two or three years now. I guess I will have to reorder from Petfooddirect.

Mark
 
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animalangel1
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 Posted: Tue 12 September 11:25 am    Post subject:     

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Mark, maybe a bigger litter box is a good idea but here's a CHEAPER idea.... why not go to WalMart (or someplace similar) and buy one of those long plastic storage bins and cut an entrance into THAT for Evan.... just leave the lid off. You'd have very high sides and it would be "long" - I have several (storing clothes in them) in the basement.....they are clear and 13 x 31 at the base. You'd just have to "shave" the new entrance way out after you cut it so it's smooth though - maybe even put something around it like some kind of rubber thingee like is used for around windows and doors..... or duct tape. Comes in pretty colors now (and camoflage) I hear....   

Oh.... and I've got a fire going right now in the fireplace, had one last night, the night before, etc..... It's only 64 inside the house right now at 12:29. I even have a space heater going in the computer room.....

Yes, you need to get Evan something warm to lay on/in. I can imagine how cold it is where you are if it's this cold here.....

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sumner
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 Posted: Tue 12 September 05:18 pm    Post subject:     

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Mark,

As re: Michelle's suggestion, we have done that in the past. I cut the side of the container way down to make a "door". I think I used the spiral saw - or you could use a dremel if you have one. Anyway, the suggestion I was going to make is that if you decide to do this, get some sandpaper, if needed, and sand the new opening down real good. It takes off the sharp edges and you don't have the "unsightly" duct tape showing. As if duct tape, mankind's second greatest invention, could really look unsightly.

Jim

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animalangel1
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 Posted: Tue 12 September 06:06 pm    Post subject:     

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Quote:
As if duct tape, mankind's second greatest invention, could really look unsightly.
 


HAHAHAHAHAHA!!! That's what I was thinking when I mentioned the duct tape.... but sanding it down was where I was trying to go with it - or the rubber stuff, can't even think of what they call it - but something smooth so as not to catch alot of cat hair or scratch the babies as they go in and out.

I'm sure that Mark gets the idea behind it....hehehe....

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kb2zct
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 Posted: Wed 13 September 10:40 am    Post subject: Evan and the heating pad:     

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As a temporary measure, I worked up a warming spot for Evan using a heating pad and a towel.

Simply put, I put the towel on top of the bed, the pad, laid out flat on top of the towel, and folded the rest of the towel over the pad. I set the pad on low.

This morning, I found Evan comfortably resting on the towel. To the touch, the pad was barely warm, almost to the point you could not feel the heat. He found it, however, without any problem.

This evening I think I will head into town and check out the local PetSmart. While I wanted to do this earlier, a week ago I pulled something in my left knee. The previous weekend, I was not able to even get out of bed, the pain and loss of mobility was so bad. I can almost walk normally now, so I should try to get this done before it gets much colder.

I also have to go and get some more litter. Running out of litter with 5 cats could be a major mistake. As it is, Evan goes through almost 40 lbs of litter himself a week!

I have not been able to find the Tidy Cat Small Spaces litter in the 27lb tubs at PetSmart. I wonder if Wal-Mart carries it? Does anyone know?

Mark
 
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animalangel1
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 Posted: Wed 13 September 11:11 am    Post subject:     

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Mark, why not try going to Tidy Cats website (if I do it here from work I'll have to log off this forum... don't quite know why I can't open another window...) and see if they have a place where you can look for a certain product and then insert your zip code for "the nearest retailer"? Worth a shot....

Or, maybe you can order it through Petsmart or that other store you frequent for cat supplies.

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kb2zct
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 Posted: Wed 13 September 11:37 am    Post subject:     

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Michelle:

Quote:
Mark, why not try going to Tidy Cats website (if I do it here from work I'll have to log off this forum... don't quite know why I can't open another window...) and see if they have a place where you can look for a certain product and then insert your zip code for "the nearest retailer"? Worth a shot.... 


I just visited the Tidy Cat website. They do not have a zip code locator. The sites said that the major pet stores carried Tidy Cat litter and, if you were having a problem finding the litter you wanted, talk to the store manager.

There was an interesting “litter selection” program. I ran through it and I was told the Tidy Cat Crystals was my best selection.

Interesting.

Mark
 
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animalangel1
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 Posted: Wed 13 September 06:04 pm    Post subject:     

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Have you tried the crystals Mark???? I've always been curious to know how they work but since my four are fine with the pine stuff and it's a tremendously easy clean up for me, I don't want to try to switch. I'm still curious about it though. Are you going to try it?

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 Posted: Thu 14 September 09:20 am    Post subject:     

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Mark, maybe Evan does not need 150ml of fluids a day anymore, if he is urinating that much. I'd reduce the amount. Too much fluids is not good as it puts more stress on the kidneys to filter out all the fluid. I'd drop down to 100 a day and then see how that works out.

We only give Galen 25ml once a week now! He started way back at 300ml 3 times a week. But, his recent bloodwork shows that the 25ml once a week is all he needs now. Maybe not even any fluids would be fine, but we want to keep him used to getting them, as at some point, he will need more.

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Re: Evan update- kb2zct, Aug. 2006
« Reply #3 on: June 22, 2007, 02:24:28 PM »

kb2zct
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 Posted: Thu 14 September 09:44 am    Post subject:     

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Michelle:

No, I have not tried the crystals. It may be woth an try in one of the litter boxes.

However, I think the crystals are non-clumping. It could get quite expensive with 5 boxes.

Mark
 
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kb2zct
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 Posted: Thu 14 September 09:44 am    Post subject:     

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Quote:
Mark, maybe Evan does not need 150ml of fluids a day anymore, if he is urinating that much. I'd reduce the amount. Too much fluids is not good as it puts more stress on the kidneys to filter out all the fluid. I'd drop down to 100 a day and then see how that works out.


Margaret:

Trying to balance both CFR and Hyper-T is very difficult. It does not help that Evan seriously stresses out at the vet’s office, so much so that they are very frightened to do the blood work. Dr Cathy told me right out that they are worried that he will have a stroke or heart attack during the procedure. Dr Kate (who has been doing most of Evan’s work the past few months) does not seem to worry as much about that as Dr Cathy.

When I came back from Scotland, Evan’s Tapazole was upped from 5.0mg/day to 7.5mg/day. When Evan was first diagnosed with hyper-T, his initial dose was 10.0mg/day.

With the initial 10mg/day dosage, Evan’s CFR reared its ugly head. The dosage was dropped to 5.0 to help him deal with the CFT. However, given that Evan continued to loose weight with a 5.0mg/day dosage; I think it was too low.

During the period of the 5.0mg/day dosage, I found that Evan tended to do better with 150 ml of fluid. I went a week or two at 100, per the vet’s instructions, but he had more vomiting problems. That was attributed to the higher level of “toxins” in his system. The vet said to go back up to the higher levels.

With the Tapazole at 7.5mg/day (for the past month), Evan has put on weight. He is, however, sleeping more. For whatever reason (baby food mixed into cat food, I’m feeding him, I’m home, higher Tapazole levels, etc.) his weight loss has been reversed. But, the higher Tapazole levels do something to the kidneys (reduce blood flow?) that would cause a CFR toxin buildup, which require more fluids to flush out (I think this is right).

However, with all this said, I think it is time to have another set of blood work done on Evan to see how we stand in the blood chemistry department. It would be better to know than to guess, and we may want to change the level of fluids or Tapazole, given the dramatic improvement in his condition.

I’ll have a talk with the vet’s tonight and see about setting up another appointment

Mark
 
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kb2zct
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 Posted: Thu 14 September 06:46 pm    Post subject:     

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Evan goes in for follow-up blood work in two weeks.

Dr Kate wants to wait another two week – making it 6 weeks from when we increased the tapazole levels. We’re going to do a full workup this time – both thyroid and CFR panel.

Evan’s last blood test was not too bad

Bun was 45mg/dl. The reference range is 16-36
Is Crea was 2.8mg/dl. The reference range is 0.8-2.4

I do not have the full history here with me (it is at my office), but it is much better than the last test I had, dated 5/2 when Bun was 84mg/dl and CREA was 9.6. The new numbers were significant improvements.

But, I think she will be happiest about his improved weight!

Mark
 
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Galensgranny
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 Posted: Fri 15 September 08:20 am    Post subject:     

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Mark, Evans last kidney values pretty good. Fabulous they went down so much from the previous time. They really won't ever go to normal. Pretty much for cats with CRF, hovering just over normal seems the best most get to. T

Galen's BUN was 46, and his creatinine 3.1 this last bloodwork the other day.

Quote:
I went a week or two at 100, per the vet’s instructions, but he had more vomiting problems. That was attributed to the higher level of “toxins” in his system. The vet said to go back up to the higher levels. 


Oh, yes, he probably did need the 150 every day then. But maybe you can do every other day at 150, and 100 the other days and see how that is. How long does it take for him to get a big fluid bump? Galen is getting that now on only 25 mL's a day. We pretty much go by how big his bump gets to decide when to stop. Actually Galen decides when we have to stop, as his skin is getting too stretched because no more water will fit in.

Trying to balance the Hyperthyroidism and the CRF is a difficult challenge.

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kb2zct
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 Posted: Fri 15 September 08:38 am    Post subject:     

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Margaret:

I give Evan his fluids in the early evening, say 6-7 pm or so, depending on when Caitlyn come over.

His fluid hump is adsorbed in a few hours. It is pretty much gone by the time I go to bed. With Evan’s weight gain, the hump is becoming more noticeable. When Evan was down to just 7 lbs, I could not even see a hump after the fluids.

Evan also drinks about 8 ounces or so of water a day from his bowl. That is in addition to the 150ML of fluids he receives sub-q. One day a week Evan only receives 150ml – usually when we come to the end of the bag. The bag gives me 6 days at 150ml and one day at 100ml.

I am just as concerned with the rapid weight gain as I am with the rapid weight loss. I figure that Evan is eating between 270-300 calories a day, depending on how much dry food he actually eats. I feed Evan his cat food / baby food mixture 3 times a day and leave a little dry out for him overnight and during the day when I am in the office. Otherwise, Evan is out with the rest of the cats in the house.

Evan’s wet food is one 5.5oz can of Wellness turkey mixed with one 2.5 oz jar of Beechnut stage one turkey. I make the mix up in the morning and divide it into three portions. When Evan is at a good weight, I’ll divide the mix into four portions; This will bring his calorie count down closer to 200 per day.

Mark
 
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 Posted: Sat 16 September 09:36 pm    Post subject:     

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Quote:
you need to get Evan something warm to lay on/in. I can imagine how cold it is where you are if it's this cold here.....


My leg was finally well enough for me to go out shopping today. It was a big day for kitty litter – I got 120lbs of it at Wal-Mart (which has the best deal on Tidy Cat for Small Spaces). I actually ran out of Tidy Cat SS and had to use some left over Arm and Hammer in Evan’s litter box…

Wal-Mart had a good deal on the TCSS – it was only 8.97 for the 20# tub. No one carries the 27#tub – I asked.

I found a heated pad for Evan at PetSmart. The store does not have them on the shelves yet, but a sales person (who might have been a manager) found two for me. I picked the “Termo Kitty Mat”. It is a small heating pad that goes in a lambswool cover. It only uses 6 watts of electricity (about as much as my compact fluorescent light bulbs). This replaces the heating pad and towel I has set up for Evan as a temporary measure.

Evan sees to like it – he was lying on top of it earlier this evening.

Evan’s weight is up to 8lbs 3 oz. It looks as if he is gaining about 4 ounces a week. Very soon I will have to cut down on his food intake to prevent him from becoming overweight.

Evan had several small mats in his fur by his legs and tail. Over the past few days I have been carefully cutting out the mats. Fortunately, the mat only goes part of the way through the coat. – so I have not had to cut close to his skin. Evan did not react well when I tried to work the mats out using a dematter.

Mark
 
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kb2zct
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 Posted: Sat 16 September 11:27 pm    Post subject: Ordering more fluids for Evan     

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Earlier this evening, Evan finished off this week’s bag of fluids. I did a quick inventory and discovered that I only have three more bags remaining out of the case I ordered in the beginning of the summer.

Honestly, eleven weeks ago, when I ordered the case, I really did not expect that Evan would use all the fluids. I did not expect him to be here this long. This is a good surprise.

This will be one internet purchase that I will not regret.

Mark
 
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animalangel1
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 Posted: Sun 17 September 05:12 pm    Post subject:     

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I'm glad you finally were able to get out to the store for the litter and a heat mat for Evan... I'm sure he'll appreciate it later this week (beginning Monday night I think it is) when the temps start to dive bomb. I've already had the outside mat for Sam and Al plugged in on the colder nights over the last 203 weeks..... I unplug it when it's "Warm" outside....

I am SO HAPPY to hear that Evan is doing so well too.... guess you'll have to order more fluid for him pretty soon too, huh???? Best purchase you ever made, I'm sure.

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 Posted: Mon 18 September 02:28 pm    Post subject:     

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That would be something if Evan got overweight! I'm so glad he is gaining weight. But most of all, I am so glad he has recovered from his crisis where he seemed to be not long left in this world.

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kb2zct
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 Posted: Thu 21 September 08:03 pm    Post subject:     

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Just a quick note on Evan's weight: His current weight is 8 lbs, 0 oz.

Last week, when I weighted Evan, I did it just before bed. That was a few hours after I gave him his fluids. That messed up the reading.

Today, I did a before and after fluid reading. The before reading was 8 lbs. The “after the fluid” reading was 8 lbs 5 oz.

I did not realize how much in fluids Evan is receiving. 150 ml is just over 5 ounces (5.07 ounces). That is almost 2/3 of a cup. That is quite a bit of fluid to be giving the little guy each day.

I hope the next blood test results will let me lower the amount of fluids.

I am a little disappointed by the weight. I thought Evan was still gaining weight, but it looks as if the weight gain has stopped. Just for once, with this little guy, I wish I could get a feeling of permanence with his medical condition. Something nice and stable, that I could maintain for a while.

I must be taking on cat characteristics, because it seems as if I don’t like change anymore.

Mark
 
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Re: Evan update- kb2zct, Aug. 2006
« Reply #4 on: June 22, 2007, 02:24:53 PM »

kb2zct
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 Posted: Fri 22 September 08:53 am    Post subject:     

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Quote:
Evan’s last blood test was not too bad

Bun was 45mg/dl. The reference range is 16-36
Is Crea was 2.8mg/dl. The reference range is 0.8-2.4 


Margaret:

Here is the history of Evan's Bun and Crea readings

3/18 (when he was diagnosed with hyper-T)
Bun: 30
Crea 1.7


5/2 (when he was diagnosed with CRF)
Bun 84
Crea 9.8

5/18: Two weeks into the fluid treatment
Bun 76
Crea 5.6

And, in August, while I was in Scotland
Bun 45
Crea 2.8

The reference ranges are as follows

Bun 16-36
Crea .8-2.4


Mark
 
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animalangel1
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 Posted: Fri 22 September 05:08 pm    Post subject:     

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Quote:
Just for once, with this little guy, I wish I could get a feeling of permanence with his medical condition. Something nice and stable, that I could maintain for a while. 


I wish this for you (and Evan) with all my heart Mark.... I can imagine how frustrating it all is.....

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Maria
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 Posted: Sat 23 September 06:20 pm    Post subject:     

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Mark,
I'm trying to catch up reading the posts. I've been able to lurk 2-3 times in the past week, but not post.

I have gotten very few notifications of new posts, but it's been that way for a while.

It sounds like Evan is doing much better lately from the posts I've read and I certainly hope he will continue to improve.

Maria
 
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Galensgranny
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 Posted: Sat 23 September 11:02 pm    Post subject:     

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Well, Mark, one can see how the fluids do make a difference!

Quote:
Just for once, with this little guy, I wish I could get a feeling of permanence with his medical condition. Something nice and stable, that I could maintain for a while. 


I hope that happens soon. It has finally with Galen, after about a year. Part of that may be all those months of his NOT eating the foods on the high end of the phosphorus percents. Innova Evo was BAD for a cat with CRF, having the highest amount of phosphorus and also way, way high on protein.

But also, as I have already said in another post, his nephrons must finally have enlargened to help compensate for the ones that went bad. That has to be it, since we are hardly giving any fluids now.

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kb2zct
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 Posted: Thu 28 September 02:04 pm    Post subject:     

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OK gusy - wish us luck.

Evan and I are heading out to the vet for a follow-up exam and bloodwork. We want to see how the increase in tapazole has impacted his thryoid s and his kidney values.

And, somehow, I still have to get into town to get Ranger's medicine and coordinate a follow-up trip to the vet for Missy.

Mark
 
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animalangel1
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 Posted: Thu 28 September 03:06 pm    Post subject:     

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Well, good luck!!! Hope this helps!!!

                                             

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kb2zct
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 Posted: Thu 28 September 06:19 pm    Post subject:     

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Hi Michelle:

Thanks. It did!

Evan did well at his appointment. The first comment I had was how much better he looked from the last time they saw him.

Officially, his weight was 7 lbs, 12 oz. That is up 11 oz. from his last visit. His weight was a bit higher earlier in the week. Evan was a bit off his food this week with a hairball. He coughed it up yesterday (I hope he got all of it up), and starting last night he has been eating much better.

I have to wait and see how the blood tests turn out. I think we will see improvement in the thyroid levels, but I am concerned about the kidney values. I hope the increased tapazole has not made the kidney values worse.

Mark
 
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kb2zct
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 Posted: Thu 28 September 07:06 pm    Post subject:     

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Well, Evan’s blood test results were NOT good.

Evan’s thyroid levels are still off the scale (greater than 7). I don’t know what the reference range is.

Bun is 63 – that is an increase from 45. The reference range is 16-36

Crea is 4.2 – that is an increase from 2.8. The reference rage is .8-2.4

Phosphorus was also high. I think it was 9 something. The previous result was 6.4. The reference range is 3.1 – 7.5.

The vet’s are going to do a major re-think about Evan’s meds. They want to add a phosphorus binder and move to an oral tapazole application. The oral tapazole tends to work better than the topical application. There are liquid versions that I can mix up with his food instead of giving via a pill (as Evan is not a good pill taking kitty).

Now, with all this bad news, the Dr Cathy (she did the tests today) tells me that Evan’s clinical presentation is much better than the last time (really, the last three or four times). Even with that said Evan’s metabolism is still geared up way too high.

The results explain why Evan has stopped gaining weight, and started to loose weight so quickly with the hairball.

And, my fear is that, as we up the tapazole to fix the hyper-t, we’re going to make the CFR much worse.

I was expecting the kidney values to go down some, as I thought we had the hyper-t under much better control. It looks as if the only thing going right is that Evan is eating a very high calorie diet. This is just about the worst news possible – CFR worsening and the hyper-t out of control. I don’t know if the fluids can be increased. At some point, the extra stress the fluids put on the heart, lungs and body will cause a heart attack or stroke (if the high blood pressure from the hyper-t does not do it)

The little guy is curled up here right next to the computer.

I don’t think I can type any more tonight

Mark
 
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Maria
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 Posted: Thu 28 September 07:32 pm    Post subject:     

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Dear Mark,

I feel so badly for you. It looked like Evan was going to be the bright light in your series of vet visits lately, and it turned out the opposite.

I know this is heartbreaking for you, Mark. I'm so sorry to hear Evan is doing so poorly. It is unbelievable that he looks so good at the same time.

Please remember that we're all here for you. I will increase my prayers for you and Evan - and Missy and Ranger......and for all of your intentions.

God bless you, Mark.

Maria
 
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 Posted: Thu 28 September 10:21 pm    Post subject:     

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Mark, I'm sorry the lab work did not give good results. It is good though, that Evan’s clinical presentation is much better than the last time.

I hope the meds can be adjusted to get things at ok levels.

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Re: Evan update- kb2zct, Aug. 2006
« Reply #5 on: June 22, 2007, 02:25:32 PM »

animalangel1
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 Posted: Fri 29 September 03:28 pm    Post subject:     

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Oh dear Mark, I am so disappointed in how things are turning out for you with Evan.... you must be devestated. But it is good that he presented well.... you are doing something right or that wouldn't have been the case. You are doing all you can do...

When with the vets get back to you with the new treatment plan for Evan? Did they say?

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kb2zct
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 Posted: Fri 29 September 04:49 pm    Post subject:     

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Quote:
When with the vets get back to you with the new treatment plan for Evan? Did they say?


Hi Michelle:

During the end of Missy’s vet visit today, we talked about the long-range plan for Evan. Here is what we’re going to do.

We’re going to switch Evan to an oral tapazole medicine. There are conflicting reports on the effectiveness of the topical application (some reports say topical is better, others say topical is not as effective as oral). We’re going to keep it at the same dosage, 7.5mg per day. After a month, we will do another set of blood work for Evan and re-evaluate his condition.

The compound pharmacy is already working on the medicine for me. It should be ready tomorrow. Since Evan is eating the Wellness Turkey mixed with Beechnut Turkey and Broth baby food, the pharmacist will make it in a poultry flavor.

The concern for Evan is that, as we decrease the thyroid level, the kidney values worsen. We were hoping for a situation where the thyroid levels were close to normal, so that we could back off on the thyroid medicine, if necessary, to help the kidneys.

Dr Kate and I spent some time talking about the prognosis. She feels that, if necessary, Evan would be able to tolerate 200 ml of fluid per day. At that level, she would want me to give the fluids to him twice a day, 100 ml at a time. So, we do have some fall back room.

It’s pretty clear to me that we’re not going to get Evan’s thyroid level very close to normal. We’re going to get it someplace “better” than where it is today.

The amazing thing is that the little guy looks and acts so much better. More on that in my post to Maria.

Mark.
 
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 Posted: Fri 29 September 04:59 pm    Post subject:     

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Dear Maria:

Thank you very much for your concern and your prayers.

I have to admit, I was very disappointed with the blood test results. It actually put me into quite a down mood last night.

But, as I prayed about it last night, I came to realize that I am seeing, touching and living through one of those little miracles. I mean, there is no rational explanation why Evan, with his thyroid levels off the chart, should be recovering. He is gaining weight. He is getting more active. He is most certainly becoming more loving.

So, instead of being down and depressed about the results, I’m giving thanks for the little miracle right here in my house.

Evan is one of God’s extra special gifts.

Mark
 
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 Posted: Fri 29 September 05:12 pm    Post subject:     

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Mark,

I'm happy to hear that the vet is working so hard with you to do the best for Evan. It sounds like he may be stable enough to make the changes and come out on top.

I too was wondering about the good things that are happening to Evan when the blood tests, etc. seem to have declined. I agree with your conclusions, that God is blessing Evan - and of course, you.

I'm glad you're feeling better today. It's so important when there is so much that could be overwhelming to think positive and keep your own spirit alive! I believe Evan and the rest of your little family also know when you're not yourself.

I also think that Evan has a great will to survive and is a fighter (just like his Daddy!).

I will continue to pray and to hope that Evan and Ranger and Missy will all do so much better in the days to come.

Maria
 
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kb2zct
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 Posted: Fri 29 September 05:16 pm    Post subject:     

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Quote:
I hope the meds can be adjusted to get things at ok levels.


Hi Margaret:

Well, we have a plan. We'll just have to see how it goes.

Mark
 
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 Posted: Sun 01 October 04:42 am    Post subject:     

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It sounds like a WONDERFUL plan that you and the doc have for Evan. Realistic, too. It is amazing that he seems to be doing so well with the issues he is having.... I can't figure that out, but like you, I believe it must be a miracle. I sure hope it all works out the way you and the doc are hoping for.

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Galensgranny
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 Posted: Sun 01 October 08:25 pm    Post subject:     

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It's good there are still other things to try. Maybe oral tapezole will work better. I can see how it would.

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 Posted: Tue 03 October 10:09 pm    Post subject:     

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Quote:

But, as I prayed about it last night, I came to realize that I am seeing, touching and living through one of those little miracles. I mean, there is no rational explanation why Evan, with his thyroid levels off the chart, should be recovering. He is gaining weight. He is getting more active. He is most certainly becoming more loving.

So, instead of being down and depressed about the results, I’m giving thanks for the little miracle right here in my house.

Evan is one of God’s extra special gifts


That's inspiring--it is amazing that despite his difficulties he is doing well in some ways. I will send prayers that the new plan works well.

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kb2zct
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 Posted: Thu 05 October 09:17 am    Post subject:     

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Evan started his new Tapazole prescription last night.

The new prescription is for 8.0mg/day. The old strength was 7.5mg/day. The medicine is now in a chicken flavored base. The old prescription was for a topical ointment.

I may have to re-think how I feed Evan with the new prescription. I had been mixing one jar of turkey baby food with one can of Wellness wet turkey, splitting the mixture up into thirds, and feeding Evan in the morning, when I come home from work, and when I go to bed. While Evan usually does a good job on his food, sometimes he will not eat all of it. I can’t depend on Evan to eat all the food and get all of the medicine in him. I could give Evan two servings at meals. An appetizer with the medicine in it, and an entrée without the “special flavoring”

The new prescription calls for the medicine to be administered 12 hours apart. Splitting up the meals into thirds (8 hours apart) will not work. I should ask the vet is the timing is all that important. The pharmacist was saying something along the lines of the medicine has such a long half life that I could administer the day’s total dose at one time without any problems.

I thought of adding “snacks” at medicine time. But, once Evan eats, he does not want to eat again until the next scheduled meal.

Last nigh Evan was not eating well. I don’t know if it was the medicine or general pickiness. I saw a little “spit up” with a good deal of hair in it, so he may have another hairball. He may not like the taste of the medicine and I may have to figure out a way to trick him into eating it like mixing it with 100% baby food. My only fear with that is Evan may stop eating the mixture I put together for him and only want baby food. Even though he did not eat all that well, I think Evan consumed most of the medicine.

Mark
 
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kb2zct
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 Posted: Sun 08 October 04:31 pm    Post subject:     

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It will be somewhat of a challenge to make sure Evan is getting all of his oral tapazole. I think he can tell the difference in his wet food when I mix the medicine into it. And, just to make things worse, as the tapazole is absorbed, his appetite should decrease. Two factors may come into play: A) he simply will not be as hungry as his metabolism is reduced and B) the reduction in metabolism may increase the kidney values, leading to some nausea.

Already, Evan is not eating his food with as much gusto as before. Yesterday afternoon I fed him a jar of baby food without mixing it into the cat food - because he had not eaten much in the morning. He had no problem eating the entire jar of baby food!

I have found a few tricks to help. First, give Evan two servings. I give him an initial small helping with his medicine mixed in and then a second helping after he finished the first.

Second, Evan eats more if I stay with him. Strange as this sounds, it is true. Not only does he eat more on his own, but once he walks away from the table (as it were), I stir up the remaining food and represent it to him. Usually, he will eat more.

Another day, another challenge.

Mark
 
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Re: Evan update- kb2zct, Aug. 2006
« Reply #6 on: June 22, 2007, 02:26:00 PM »

Maria
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 Posted: Sun 08 October 04:47 pm    Post subject:     

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Evan's situation sure is complicated. He is very blessed to have you, Mark! 

Maria
 
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animalangel1
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 Posted: Mon 09 October 08:25 am    Post subject:     

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I think Evan will eat more in your presence because he feels comfortable with you. It could also be that with him being alone in his room all day long, he needs the comfort of knowing someone is with him for a while. Maybe he's a social kitty who gets lonely by himself.

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kb2zct
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 Posted: Tue 10 October 09:39 am    Post subject:     

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As you know, I’m now mixing Evan’s thyroid medicine into his food. Over the weekend, I have been experimenting with ways to make sure Evan gets all of his medicine, since he does not always eat all of his food (and I have to make sure that no one else eats Evan’s leftovers).

It looks as if the best option is to mix the medicine with a ½ teaspoon of baby food. I give this food to Evan first, and then follow it up with his regular food (2/3 wet Wellness, 1/3 baby food). That seems to work the best.

Evan is still a little off of his food. It is something I have been expecting – as the thyroid medicine increases, I may have additional problems with the little guy’s kidneys, and hence, his eating.

Evan surprised me by eating some Petguard Organic Chicken wet food last night. The local mom and pop food store received some samples, and I have been trying them on the cats. This particular brand – organic – is frightfully expensive (at $1.75 for a 5.5 ounce can). The food received 4 our of 5 meows at my house – Dusty did not care for it, but she is very finicky.

Margaret – I wrote two short reviews of the Petguard foods I have tried. If this is something you would like to put on the forum or on your website, please let me know and I will forward the reviews to you.

Also, Caitlyn, the 12 year old girl who comes over to help me with Evan’s fluids wants to start bringing her 8 year old sister over to learn the process. Both of the girls love cats, but, since their father is allergic, they cannot have one. Caitlyn wants her sister to be able to help out is she is not able to be there. The girls are from a really nice family.


Last edited by kb2zct on Tue 10 October 02:10 pm; edited 1 time in total
 
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Galensgranny
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 Posted: Tue 10 October 01:03 pm    Post subject:     

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Wow, Mark, a 12 year helping with the fluids! Maybe she will study to be a vet!

Quote:
Margaret – I wrote two short reviews of the Petguard foods I have tried. If this is something you would like to put on the forum or on your website, please let me know and I will forward the reviews to you. 


Sure, send them.

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kb2zct
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 Posted: Tue 10 October 01:08 pm    Post subject:     

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Quote:
Wow, Mark, a 12 year helping with the fluids! Maybe she will study to be a vet!


Margaret:

That is what she wants to do.

I'll send the reviews along this evening - assuming I don't have an old person moment and forget.

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 Posted: Wed 11 October 11:01 am    Post subject:     

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They are called "Senior Moments" Mark. I know, I have them all the time!!!

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kb2zct
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 Posted: Thu 12 October 11:59 am    Post subject:     

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Evan is a little off of his feed of late.

Before we changed the tapazole from topical to oral, Evan would finish a can of cat food mixed into a jar of baby food in 24 hours (three meals). Now, it’s taking him almost a day and a half to eat the same amount of food.

I don’t know if the tapazole is more effective, so he does not need to eat as much, or if the tapazole is increasing the kidney values, so he does not feel like eating.

When I get worried, like yesterday, I simply feed him a meal of baby food. He has no problem in eating a whole jar of baby food in one sitting.

For his lunch today (I’m at home, under the weather) Evan ate about ¼ can of Petguard Chicken and Wheat Germ. As is usual with foods around my house, the boys ate it and Dusty turned her nose up on it (at least she sniffed it a few times).

I’ll weigh Evan tonight, just before we give him is fluids and see where he stands. Last week, according to my scale, he was 7 lbs, 15 oz.

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 Posted: Thu 12 October 03:09 pm    Post subject:     

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Sorry to hear you are under the weather Mark. Hope you'll be back up and about in no time. As for Evan, is he a small cat in general or is he a "big cat" and just really skinny? My Peaches weighs 8 lbs and she's a dainty little thing but it's an excellent weight for her. (For some reason I keep thinking Evan is/was a big cat like Muffin (13 lbs) or Milo (16 lbs) as of today's weigh in at the vet's.)

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kb2zct
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 Posted: Thu 12 October 03:52 pm    Post subject:     

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Michelle:

Evan was a large cat. He weighed 13 lbs about a year ago. Now, we're lucky if he is pushing 8 lbs.

In fact, his current weight is 7 lbs, 15 oz. He is the same weight today as he was last week.

I'm also convinced that he has gone completely deaf. He is always suprised when I walk up behind him, even if I am talking to him.

I don't now if the deafness is a byproduct of his old age or a result of the hyper-t. The high blood pressure from the Hyper-t caused damage to the organs, which is what caused the kidney problems.

Ayway, the wireless theromo sensors I ordered from Amazon, through Margaret's link, have arrived. I'll be able to moniter the temps in his room all the time now.

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 Posted: Thu 12 October 04:16 pm    Post subject:     

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Mark,
I'm sorry to hear you're under the weather. Also, it doesn't sound like Evan isn't doing any better to say the least. It has to be very stressful for you Mark, especially given all the problems you've been having with Ranger, and even Missy.

Thanks for giving the updates......and I'll pray that you'll feel better soon too.

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Re: Evan update- kb2zct, Aug. 2006
« Reply #7 on: June 22, 2007, 02:26:31 PM »

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 Posted: Fri 13 October 06:39 am    Post subject:     

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Wow!!!! That weight loss is shocking then. Since Muffin weighs 13 lbs now, I can't imagine what she would look like at less than 8 lbs!!!! My goodness..... It sounds like the poor thing might also be deaf then too since he is always surprised when you approach him from behind. Can he still see ok? I would imagine that his eye sight might become affected as well in time. That poor little guy.....

It's good that you have the new space heater for his room - is it hooked up yet? I don't know about you, but it's Friday morning here and it was so cold this morning that I had to turn the heat up more than usual. There was very heavy frost everywhere and the water I have out for the birds, chipmunks and squirrels was frozen solid. Our bedrooms were chilly and you could feel the cold coming in the windows (which were not installed correctly). I imagine Evan's room was quite chilly.... but then, you probably still have the heating pad hooked up and turned on for him. With so little body fat, (well, none actually) the poor little guy must get very cold very quickly.

My goodness.... I'll keep him in my prayers.

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kb2zct
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 Posted: Fri 13 October 07:43 am    Post subject:     

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Michelle:

Yes, the weight loss in Evan is very dramatic. I now have a scale so I can monitor his weight (as well as the other cats too).

His pre-diagnosis weight loss was from 13 lbs to 9.5 or something like that. During treatment he went down to a low of 6 lbs, 15 ounces. That was when I came back from Scotland in the middle of August. His weight is now around the 8 lb range. Last night, he was 7 lbs 15 ounces. As long as it is steady at that range, I’m fine.

His eyesight seems to be good, except for the very close vision. For example, when he is drinking from a bowl, I don’t think he can focus on the water. Once at the water bowl, he will very slowly lower his nose until it hits the water. He then backs off just a bit and drinks.

I have not yet been able to set up the space heater. So, for the last few nights, I have run the regular furnace. The space heater is only needed when the wood stove is on and the door to his room is closed – as the regular furnace keeps his room nice and warm. I have to go out and buy a drill bit set to finish the job.

I think there are some before and after pictures of Evan in the picture section. I posted a picture in August of Evan coming out of his room for the first time. You can compare that to a picture of Evan and Ranger on the couch together. Quite a difference!

If you are ever planning on buying a scale, spend a little more money and get a digital scale. At first, I got a regular spring pet scale. It was useless – I could not get an accurate weight on an inanimate object, much less a moving cat. The digital scales work much better.

Mark
 
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kb2zct
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 Posted: Fri 13 October 07:46 am    Post subject:     

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Maria:

Actually, Evan is pretty stable right now. As long as I can keep his weight at around 8 lbs, I'n not too worried.

When Evan is not all that interested in eating, I have a fall back plan: a jar of baby food. Even when he was pretty out of it when I came back from Scotland, he ate the baby food.

Missy is the big problem today. Her "lumps" have returned, and there are new "spots" forming. She finished her anntibiotics on Tuesday. I have an appointment set up for Tueaday (earliest I could get).

Mark
 
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 Posted: Fri 13 October 10:57 am    Post subject:     

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Quote:
Missy is the big problem today. Her "lumps" have returned, and there are new "spots" forming. She finished her anntibiotics on Tuesday. I have an appointment set up for Tueaday (earliest I could get).


Yikes! Another weekend, Mark, and you have more concerns. Thank goodness your outlook is positive. I think I'd be a basket case by now if I were in your shoes.

I mentioned this once before, Mark, but here goes again. With humans, and I would assume it's the same for cats/dogs, there are times when infections and/or allergic reactions have to be treated with antibiotics for an extended period of time to really clean out the system from remnants and anything that might be dormant.

My friend Judy kept getting one sinus infection after the other, antibiotics every month or so.....for quite a while. She was referred to an allergy specialist (forgot the official title). Anyway, I was shocked when he put her on antibiotics for a few months - twice a day. I was actually worried that he made a mistake. Well, it turns out that after she was finished with the antibiotics, it was over a year before she had another sinus infection. It may have even been 2 years. Now she very seldom gets them.

At any rate, I'll keep praying for your little ones. And of course, I include you!

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 Posted: Fri 13 October 04:18 pm    Post subject:     

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I must have missed those photos you posted of Evan and Ranger a while back.... I do not recall them but I will look for them. I would be interested to see the difference.

Also, I do recall that you bought a scale..... can you tell me what brand it is and where you got it? I've been considering getting one only because it's so far to drive to weigh them at the vets and it's stressful for the cats (they "sing" to me all the way there..... all 45 minutes of the trip). And every time I take Milo, he throws up in the same geographic area on the way to town. I always have to pull over and clean up the mess.... but I feel bad for him putting him through that. I can deal with the mess without a problem - I am more concerned about upsetting his tummy like that but I can't help it.

I'm sorry to hear that Missy's lumps are coming back.... 

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 Posted: Thu 19 October 07:59 am    Post subject:     

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Quote:
can you tell me what brand it is and where you got it? I've been considering getting one only because it's so far to drive to weigh them at the vets and it's stressful for the cats (they "sing" to me all the way there..... all 45 minutes of the trip). And every time I take Milo, he throws up in the same geographic area on the way to town. I always have to pull over and clean up the mess.... but I feel bad for him putting him through that. I can deal with the mess without a problem - I am more concerned about upsetting his tummy like that but I can't help it. 


Michelle:

I'm sorry I forgot about this. I purchased the following scale: Health o Meter HDC100-01 "Grow with Me" Teddy Bear Scale for Babies and Toddlers at Amazon. The link is as follows (click on the words):
Health o Meter HDC100-01 "Grow with Me" Teddy Bear Scale for Babies and Toddlers 

It works well, and it is a very good deal. It was only $15 more than a the spring scale, which did not work for  .

Remember, if you want this one, go to Amazon through Margaret's links and also select the super saver shipping. [Edit by Margaret: I made the link above be one of my links]

Mark
 
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kb2zct
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 Posted: Thu 19 October 08:04 am    Post subject:     

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I should let everyone know that Evan’s appetite has stabilized again. He is not eating as much as he did two or three weeks ago, but he has started to eat reliably again over the past two days.

He may have been tired of a turkey diet. I switched to chicken for a few days and he was very happy. Yesterday and today, he was happy to eat turkey again. I have not had to resort to 100% baby food for a few days now.

He is also eating about ¼ cut of Eagle Pack Holistic Select dry overnight / during the day when he is in his safe room. I free feed dry to him in there.

The change in eating could be from several things. It could be a lower caloric requirement, assuming the oral tapazole is working better. It could be he is not a hungry because he is eating a high quality dry food for part of the day.

Or, it could be from several dozen other reasons. He is a cat, after all.

Mark
 
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 Posted: Thu 19 October 09:03 am    Post subject:     

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Mark, if there's ever any food I can send you that you can't get, just let me know. I know how worrisome it is when they won't eat.

I am glad that his appetite has stabilized, though. Now we just need to fatten him up.

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 Posted: Thu 19 October 09:06 am    Post subject:     

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Wow, that is a really nice scale Mark. I will certainly add that to my "list" of things I want to buy when we get the rest of our bills a bit more under control with my new job at Target starting next Tuesday. I think having a scale around for them would be a good idea anyway and I like the features of that one.

I will also certainly go through Margaret's link to amazon to get it when I do. Since I found out she gets a commission, it's on my mind constantly. I've been really good that way all my life - when I commit something to memory - it stays there forever. (Unlike some things that escape my mind before they even have a chance to lite in my head! )

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 Posted: Thu 19 October 10:19 am    Post subject:     

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kb2zct wrote:
I should let everyone know that Evan’s appetite has stabilized again. He is not eating as much as he did two or three weeks ago, but he has started to eat reliably again over the past two days.

He may have been tired of a turkey diet. I switched to chicken for a few days and he was very happy. Yesterday and today, he was happy to eat turkey again. I have not had to resort to 100% baby food for a few days now.

He is also eating about ¼ cut of Eagle Pack Holistic Select dry overnight / during the day when he is in his safe room. I free feed dry to him in there.

The change in eating could be from several things. It could be a lower caloric requirement, assuming the oral tapazole is working better. It could be he is not a hungry because he is eating a high quality dry food for part of the day.

Or, it could be from several dozen other reasons. He is a cat, after all.

Mark


I am so glad to hear Evan's eating is stabalized! 

Cats do get bored with the same thing all the time, so some variety is good. Of course, sometimes, they want to stick with one thing for a very long time, making you think they don't like the other brand or flavor. Then all of sudden, they decide they want and like that other option  .

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Re: Evan update- kb2zct, Aug. 2006
« Reply #8 on: June 22, 2007, 02:27:55 PM »

Galensgranny
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 Posted: Thu 19 October 10:36 am    Post subject:     

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I split the original thread and made this new "part 2" since the original thread was rather long.

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kb2zct
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 Posted: Thu 19 October 08:26 pm    Post subject:     

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Michelle:

Michelle:

Here is a picture of Evan (and Ranger) before Evan lost all his weight.



As you can see, he is a good sized cat.

Here he was in the beginning of the summer. His weight then is about 1lb more than it is now.



Mark

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Maria
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 Posted: Fri 20 October 08:21 am    Post subject:     

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Wow! There is quite a difference. He looks so much smaller. He has such a beautiful sweet face.

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 Posted: Fri 20 October 08:32 am    Post subject:     

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Mark, I think I've told you this before, but Missy's gorgeous! 

And Evan, while he does look much smaller, still looks good! His fur looks nice and soft and he has some spunk in those eyes. 

He's just a handsome guy - every time I see a picture of him, I just want to pick him and smoosh him. Give him some scritches for me!

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 Posted: Sat 21 October 08:28 am    Post subject:     

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Stephanie said EXACTLY what went through my mind when I saw the FANTASTIC picture of Ranger and Evan - I wanted to smoosh them both!!!! I guess they are both pretty good sized kittys. They do look like they are doing pretty well.... Ranger looks exceptional (I love his fur!!!) and Evan looks rather well for all the problems he is having. You must be doing something right.

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kb2zct
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 Posted: Sat 21 October 08:36 am    Post subject:     

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Michelle:

Ranger is still a pretty good sized kitty. Evan, on the other hand, is only about 60% of the cat that he used to be. Now, he is the smallest of my cats.

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 Posted: Fri 27 October 07:35 pm    Post subject:     

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I think Evan’s kidney values are going up.

Evan has started to hide under my bed again. I’ve been letting him out at night the past few days and things seemed to be doing well. He was staying out in the great room most of the time.

The past two days, however, he has been staying in his room. Tonight, after dinner, I found him hiding under my bed. I had to move the bed to get to him – which is something I am not to do with my bursitis. But, I had to get to him.

When I did get to him, I noticed that his breath was bad. Again, that is what was happened when we discovered the CRF. So, tomorrow, when I talk to the vet, I’ll mention that and see is I should increase his fluids.

On the good news size, Evan’s weight is now 8 lbs, 4 oz. That is good.

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Maria
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 Posted: Fri 27 October 07:44 pm    Post subject:     

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Quote:
On the good news size, Evan’s weight is now 8 lbs, 4 oz. That is good. 


Now that is good news. Glad there is some good news here!

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 Posted: Sat 28 October 02:33 am    Post subject:     

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Yes, that bad breath does indicate the kidney values are going up. 

But, the increase in fluids can take care of that.

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 Posted: Sat 28 October 07:58 am    Post subject:     

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HI Margaret:

I'm expecting an increase in the kidney values on the next blood test - as well as a drop in thyroid values.

These three symptoms tell me that the thyroid values are down and the kidney values are up:

A. Evan has gained a little bit of weight - about 1/4 pound, while still eating less.

B. Evan is hiding under my bed. He only did that when he was not feeling well.

C. The bad breath: It comes and goes.

Now, all three of the symptoms could have other causes. Evan is eating 1/4 of cup of Eagle Pack Holistic Select a day right now. I free feed him the dry each day while he is in his safe room. He is doing a pretty good job going through it right now.

I have been leaving Evan's room open over night. Evan simply could want to be near me and under the bed is the safest place. If he were to climb up on the bed, he would have to contend with Missy and Pippin

C. The bad breath could be from gingivitis or other dental conditions.

In any event, I am mentally preparing myself to start giving Evan fluids twice a day (100 ml each time). According to Dr Kate, that would be the next step.

Mark
 
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Re: Evan update- kb2zct, Aug. 2006
« Reply #9 on: June 22, 2007, 02:28:37 PM »

kb2zct
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 Posted: Sat 28 October 07:20 pm    Post subject:     

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Tonight I gave Evan 200 ml of fluid. It appears that he is dealing with it well.

Absent hearing back from the vets, I think this is the best thing to do. I'll keep on giving him the higher amounts this weekend. I hope to get a consult with them on Monday or Tuesday and discss it with them.

The vets may want to move up Evan's next blood test. It was to be scheduled 6 weeks after we changed the tapazole prescription. However, it may be moved up.


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 Posted: Sun 29 October 07:03 am    Post subject:     

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I'm glad Evan's weight is good too (all things considered)!!!

I'm also glad to hear that the increased amount of fluid you gave him was tolerated well... that poor boy. I feel so bad for him and for you. I'm a bit disconcerted that the vets office didn't call you back before the weekend though.... hopefully you'll hear first thing Monday morning. I wish you (and Evan) all the luck in the world.

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 Posted: Sun 29 October 03:54 pm    Post subject:     

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Giving the higher fluid amount this weekend likely is the best thing to do.

Maybe having him stay at the vet hospital to get IV fluids for a day or two would help, to get him back to good shape.

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 Posted: Mon 30 October 11:29 am    Post subject:     

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Evan may be constipated. I have not seen a bowl movement from him (or one that I can trace to him) for the past two or three days.

I just called the vet’s office. If Evan does not have a movement today, I’m going to drop him off tomorrow (Tuesday) morning. The office simply asked that I call in advance to let them know that I am taking him in.

No word on Missy’s lab results yet. Tonight she finishes her last antibiotic tablet.

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 Posted: Mon 30 October 11:59 am    Post subject:     

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Oh no... more problems with Evan!!! I hope he is pooping and you just aren't aware that it's him. I'd hate to think he's got a blockage or something on top of everything else. With all the fluids you've been giving him you would think his system would be flushing out... I hope he poops soon!!!!

It's still "early" in the day on Monday - maybe you'll get a call this afternoon with Missy's results. Boy, they sure are taking their sweet time over there at Cornell, aren't they?  If I were your vet I'd be calling over there to ask what the hold up is.

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 Posted: Mon 30 October 12:35 pm    Post subject:     

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Mark,

I'm sorry that Evan is still having some problems. It's good that he gained some weight, though.

I will keeping hoping - and praying - that you hear from the vet about Missy today.........

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 Posted: Wed 01 November 10:14 am    Post subject:     

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Quote:
Oh no... more problems with Evan!!! I hope he is pooping and you just aren't aware that it's him. I'd hate to think he's got a blockage or something on top of everything else. With all the fluids you've been giving him you would think his system would be flushing out... I hope he poops soon!!!! 


Michelle:

I know I forgot something... I found evidence of Evan's "poop" in the litter box. He did not need to go to the vets for that.

I think I will schedule his next blood test while he is boarded with them over the Thanksgiving holiday.

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 Posted: Wed 01 November 10:26 am    Post subject:     

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OH good!!!! You don't need any more problems...that's for sure!

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 Posted: Wed 01 November 10:38 am    Post subject:     

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Funny - being happy to see poop in the litter box......
 
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animalangel1
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Joined: 19 Nov 2005
Posts: 2232
Location: Upstate Eastern New York
 Posted: Wed 01 November 12:14 pm    Post subject:     

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I'm ALWAYS happy to see poop in the litter box. Neil thinks I'm really strange. Every morning I go straight to the boxes and look - and then I say "Oooohhh!! I see poopies!" and then start to scoop away. I know it's important for them to poop and it gives me a chance to see if there is anything "amiss" on that end (so to speak). Then it's just a matter of trying to figure out who's poop is who's.

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