47602Re: [FH] My Bob, a 15 year old CRF kitty -- diagnosed with HCM today
- Mar 26, 2013My sympathies out to you to get such a diagnosis.
I am new to heart problems myself with my somewhat newly diagnosed BoBo (HCM).
My vet said out of a scale from 1-5 with 5 being the absolute worst, BoBo's ultrasound was a 3.5. I told her I liked that number better than a 4 or a 5.
We have had to juggle different meds. He is on pimobendan (vetmedin), furosemide and enalapril. I can say with this current combination (12.5mg furosemid 2x daily, 1.25mg of enalapril 1x a day, and 1.25mg of vetmedin 2x a day) he is doing super awesome. He is back to his bossy, assholish self (he is not an angel at home when he is completely healthy) and even comes up stairs to say hello to me.
The drugs have been WELL worth it and his improvement has been night and day.
On Mar 26, 2013, at 9:33 PM, Karen <krprice@...> wrote:
> I don't know what to do right now. I'm spinning in circles, looking for the slightest bit of hope to cling to.
> My boy, my Bob, the four-legged love of my life was having trouble breathing on Sunday, and we took him to the emergency vet, where they did an x-ray, showing that he had so much fluid his heart and lungs were pushed back as far as they could go. The doctor estimated that he was only using about 20% of his lungs, poor boy. They drained as much as they could, which turned out to be 350ml of chylious fluid, and there was quite a bit she said she didn't want to risk going after while he was in crisis. As you can imagine, having that much fluid removed made him feel worlds better. But the vet wasn't very hopeful for his long-term prognosis, although she recommended that we have an ultrasound performed to see what we are dealing with.
> We did that today, having been referred to a cardiologist. She came back into the room and was quite visibly upset at what she'd found. Her words were "severe dilated cardiomyopathy," and "atrial fibrillation," although I have to be honest and say that I didn't hear much of what she said because I was having a mild fainting spell myself (it happens sometimes).
> She said she could make out a moderate-to-severe amount of fluid as well, although how much of that was left by the previous doctor, and how much was new is unknown. She came up with a list of very aggressive treatment options. We opted to have them drain him again, and took home some pimobendan and a very small dose of furosemide, but wanted to hold off on any of the other medicines until we had a chance to get our minds together. We don't want any heroics at the cost of Bob's comfort.
> Bob was diagnosed with CRF last April, but one whose numbers have come down dramatically under treatment by a holistic vet in the area (azodyl, rehmannia, epakitin, renovast, and sub-Q fluids). His initial diagnosis was from a local vet who was quite brusque and unwilling to consider even azodyl as it was "scientifically unproven." I fired him, partly for that, and partly because he also wouldn't even consider letting us do sub-Q at home, saving Bob unnecessarily stressful trips to his office where they left him in a cold room and then dropped loud metal objects outside, making even this generally cool dude very upset.
> When I found Bob's current vet, I was nearly out of hope and she calmed me down and then got to work helping Bob, using chinese herbs and other things. Since then, Bob's weight has remained the same, but his creatinine and BUN have come down dramatically. So much so, she says that if he'd presented with his current levels but otherwise healthy, she'd just monitor him.
> Anyway... I know this is a long post. I don't know exactly what kind of question to ask or what answer to hope for. I guess I just want some reassurance that we're doing the right thing, and possibly some ideas of other things to try.
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