16133Re: [FH] Wow--real info. Need help deciphering.
- Apr 5, 2004you could notice b/c the thrombus will cause a decreased blood flow to
the limb. you will see cyanotic (blue from low oxygen) nail beds if
there is a clot. which pain killers were being used?
dvm in 2005
p.s. 3 hours from the mountains and 2 hours from the beach is perfect for
On Mon, 5 Apr 2004 06:54:44 -0400, "Susan Aufieri"
> Oh great. So if she throws a clot, I wouldn't notice that it's not her--
> neuropathy (assuming the thiamine doesn't help).
> I started her on the heart meds Saturday. Forgot to ask the vet if her
> pain killer would cause problems so she hasn't had any since Friday
> night. HUGE difference in her. Not eating much (I know, get her to
> eat), and doing the feline equivalent of swearing when she walks. I
> hope the thiamine works...
> ps: too bad. NC is nice, but NH is nicer. Best state to live for 2004
> On Apr 4, 2004, at 2:46 PM, William Draper wrote:
> > LAE = left atrial enlargement. this is a sequela from the left
> > ventricular
> > HCM. this enlargement can also cause thrombi to form, as it creates
> > turbulence in the blood.
> > bill
> > dvm in 2005
> > ----- Original Message -----
> > From: "Susan Aufieri" <susanaufieri@...>
> > To: "William Draper" <wedraper@...>
> > Sent: Sunday, April 04, 2004 1:58 PM
> > Subject: Re: [FH] Wow--real info. Need help deciphering.
> > Pretty certain the hind limbs' weakness isn't the thrombus. She's
> > walked oddly for eons, never been a graceful kitty. :-) It is most
> > definitely neuropathy, it's gotten worse over the years. Though I did
> > bring up the fact that I'd read it can be associated with HCM, though
> > not often (I think I saw that on VIN).
> > What is an LAE? I guess it's all the abbreviations that confuse me. My
> > mom has heart issues, but it's the plumbing parts, not the heart
> > itself. So I know nothing about these things...
> > thanks!
> > Susan and lil Miss Queen Abby
> > On Apr 4, 2004, at 8:59 AM, William Draper wrote:
> >> i'll see what i can do:
> >> - heart rate of 200 is the upper end of normal for a cat (mildly
> >> stressed)
> >> - your cat has a grade 3 out of 6 heart murmur
> >> - judging by the ultrasound and doppler report, i think your cat has a
> >> mitral valve insufficiency
> >> - that assessment and recommendation are standard for feline HCM
> >> - the thiamine is going to be for the hind limb weakness (she seems to
> >> think it's a neuropathy)
> >> - the hind limb weakness may be from a saddle thrombus
> >> bill
> >> dvm in 2005
> >> ----- Original Message -----
> >> From: Susan Aufieri
> >> To: firstname.lastname@example.org
> >> Sent: Friday, April 02, 2004 7:14 PM
> >> Subject: [FH] Wow--real info. Need help deciphering.
> >> Abby had an appointment today with the people down the street. The new
> >> owner of the clinic is certified in ultrasound and is also a
> >> cardiology
> >> doc. She's also done emergency med.
> >> The doc looked at her xrays from her first visit. Thought her liver
> >> looked small for her size. I thought, ut oh, *another* issue? Then we
> >> started the ultra sound. First was the heart ultrasound, more on the
> >> rest of the ultra sound later.
> >> I need a bit of clarification and some help on deciphering this. I
> >> sort
> >> of understand this, since my Mom has heart problems for almost 25
> >> years. But this is kind of new territory in that Mom's problem is
> >> plumbing, Abby's is enlargement.
> >> Straight from the sheet (forgive typos, I'm trying to read marginal
> >> handwriting):
> >> Auscultation:
> >> HR 200, sinus grd 3/6 w apical systolic murmur. Eupreic (?). Femorals
> >> s/s (or is it 5/5?). Plump cardiac silohuette, lungs & vasculatory wm
> >> (? I'm not quite sure if it's com, rm, rom or mm)
> >> Gait weak in hind end, almost plantar on hocks.
> >> ECG: N/A
> >> Echocardiogram:
> >> LA/AO = mild to moderate LAE (I think it's LAE)
> >> LV= septum normal, LV posterior wall mild to moderately hypertrophied,
> >> LV (can't read the rest, looks like lumen mm)
> >> Systolic function = good
> >> RA & RV = wm
> >> LVOT & RVOT = wm
> >> Doppler = mr 3+ posterior jet
> >> Assessment/recommendation:
> >> Asymetrical HCM with moderate LAE and tachycardia.
> >> 1. Free t4 at this time
> >> 2. Add enalapril 1.25 mg POSID now
> >> 3. In 7 days add atenolol 12.5 mg POSID
> >> 3. Decrease Lasic to 12.5 mg SID 7 days after atenolol starts
> >> (these steps are to make sure we can figure out what caused what if
> >> something happens).
> >> 4. CBC profile, Urinary analysis in 4 to 6 weeks
> >> 5. Echo repeat in 6 months
> >> 6. For neuropathy, thiamine start 100 mg 1M initial dose, 100 mg SQ 1D
> >> x 10 D, then weekly
> >> I really, really think that this Vet is on the ball. She agreed with
> >> me
> >> that the "IBD" was more syndrome than disease and due to the
> >> antibiotics. She gave me a "huh" stare when I told her about her
> >> former
> >> vet wanting to do endoscopy. This is more of a let's try simple things
> >> first, natural things first (like the thiamine shots), work our way up
> >> to invasive stuff if we have to.
> >> After the echo, she roamed Abby's abdominal cavity to look at her
> >> liver, gall bladder, pancreas (scarring) and to find fluid. There was
> >> no extra fluid. She's got kind of a witty personality. As she roaming
> >> with the ultrasound she says, "See that cauliflower? That's Abby's
> >> tummy. She needs food, it's empty." "See that rope? Intestines." "See
> >> that blob? That's fat and the thing being squished is her liver, which
> >> is normal. See this blob move by? All these blobs were fat! She
> >> couldn't see any irritations anywhere. Of course, we can't see inside
> >> her intestines, but she's not inclined to think it's IBD. I told her
> >> how I ditched the Purina EN, the OvaBan (she refuses to prescribe it
> >> to
> >> kitties, and if she does it's for no more than 14 days and ONLY as an
> >> appetite stimulant), ditched the grains (she says "makes cats fat"),
> >> and got her on some high quality food (The Wellness). I told her about
> >> her fur growing back after I ditched the grains. Didn't really seem
> >> to
> >> surprise her, she said something to the effect of "grains bad". ;-) I
> >> also told her about Abby's diarrhea fiasco (owner induced w/new brand
> >> of catfood at 100% strength. doh!) and how the Phytomucil stopped it
> >> dead in it's tracks. She was impressed. I think she stored that one
> >> away.
> >> So, it was probably THE most informative vet visit I've ever taken an
> >> animal to. Abby also put on 2/10's of a pound from last Friday.
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