44214Re: [FH] At the crossroads, need advice
- Feb 6, 2012Dear Diane,
Sorry if someone has already mentioned this but the only way I know to get
the peace of mind you need right now is to go ahead and take your peanut to
the cardiologist asap. The drive will be hard on your peanut, but at this
point it seems important, especially since your cat might have the chance
to get the health issues causing the cardio problem under control. on a
personal level it also seems like you need to do this to take care of your
own anxiety about this situation.
If you can't go the 4 hours, then you just cant, and no one is going to
criticize you for that - nor is anyone going to criticize you for
euthanizing your sweetie if you determine that to be the best thing in his
interest. But if this is just a matter of needing someone to give you then
support you need to go take that drive, then you've got it here.
There are two issues here. First, without the cardio's input, the best
you or anyone can do to tell you how to go is guess - including your vet
who is not equipped to handle cardio issues. A regular vet is going to
recommend euthanasia because they are at the limit of what they can analyze
in your kitty -- so given that that may be the best that they can offer.
Second, there is something very positive about your situation that you
might not be aware of. This is that you have an identifiable underlying
cause rfor the heart trouble: hyperthyroidism and hypertension. Unlike
most of us on this list, who have cats with heart conditions with no
identifiable cause, kitties who have problems causing the cardiomyopathy
have the possibility of halting or really slowing down the heart disease by
addressing these underlying issues. Im no vet but from what I've
researched it seems that both of which can be addressed with medication. It
might be hard to address with contraindicated renal issues, but there is a
chance, and you have one solution available to you.
Not everyone has the time to make huge trip like this, so obviously you may
be limited. Whatever you decide you are obviously a very loving cat owner,
so I know you will figure out the best for your peanut.
Good luck to you all!
On Fri, Feb 3, 2012 at 1:41 PM, DH <dianelharrell@...> wrote:
> Dear group,
> My Peanut was diagnosed with kidney disease, hyperthyroidism, and
> hypertension 4 years ago. She is now 19-years-old, and was getting sub-q
> fluids every other day (in addition to her methimazole, amolodipine,
> phosphorus binder and more).
> Six days ago, she was put on Lasix, 12.5 mg BID, due to pleural and
> abdominal fluid build up. At that time, judging by xrays, the doc said the
> fluid was not in her lungs, but there is obviously some heart condition at
> play. Her BUN and Creatinine were high at that time (BUN 85, Creatinine
> 5.8), but I had stopped her sub-q's four days previously, suspecting fluid
> build-up. Her temperature was sub-normal at 98-something.
> Today, after restarting sub-q's six days ago(now 100 ml on a daily basis)
> and adding the Lasix, her pleural effusion is worse, and the doc says he
> now sees fluid in the lungs. Her temperature has dropped to 96-something.
> He rechecked her kidney values (BUN 68 and Creatinine 5.6)and does not feel
> there would be any benefit in doing a thoracocentesis to remove fluids or
> putting her on enalapril for her heart, based on the kidneys and low body
> temp. He says these are signs of the body shutting down, and recommends
> Unfortunately, the only feline cardiologist is 4 hours away.
> I don't want to put her through unnecessary and/or painful procedures if
> there is no hope, but how do I know? Is it worth the risk and cost of
> draining the fluids to give her a chance to 'start over' with the
> enalapril? If I lower her LRS or stop them completely in order to help her
> body 'dry out', is there a chance she can recover from likely higher kidney
> numbers? At 19 years of age, should I just say "it's time" and give up? Her
> heart may be failing, but mine is breaking.
> Please, any advice or suggestions are needed.
> Diane and Peanut
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