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Brianna, the genetically compromised kitty

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  • Cheryl Miller
    Hi all. I have a cat which suffers from endocrine and cardiology problems. We spent Wednesday, Jan. 7 at the Kansas State Vet Med facility. Her history: Her
    Message 1 of 4 , Jan 11, 2004
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      Hi all. I have a cat which suffers from endocrine and cardiology problems.
      We spent Wednesday, Jan. 7 at the Kansas State Vet Med facility.

      Her history: Her hyperthyroidism (2001) caused her CHF--enlarged right
      atrium and right venticle with tricuspid valve insufficiency--(2004). Her
      pancreatitis (2002) caused her diabetes (2003). The radioactive iodine
      treatment for hyperthyroidism (2001) caused her HYPOthyroidism (2004).
      She's also allergic to most laundry detergents.

      Brianna, for lack of a better term, is uptight. She's never like to be
      handled very much and hates to go to the vet. In fact, she has to be
      sedated before the vet can do anything with her. Now that we know she has
      CHF, sedation and anethesia are serious issues.

      The K-State vets aspirated the fluid from her lungs, took x-rays of her
      chest and abdomen, did an ultrasound of her heart, and did a partial
      echocardiogram (she kept growling and they couldn't get a good reading on
      her!). The also did a full blood panel, cytology of the chest fluid and a
      fructosamine test. Her panel showed she was now hypothyroid, the cytology
      confirmed CHF, and I'll find out about the fructosamine tomorrow. They
      aren't sure what's causing the hind leg weakness, but we know it's not
      arthritis (her regular vet x-rayed her hips last week).

      So far I've been able to crush up her pills and put them in her canned food.
      She doesn't miss that canned stuff for anything! I can't pill her (which
      is no surprise given her personality) so I am hopeful the food spiking can
      continue. She gets 3.5 u of Novolin 70/30 2x daily, and I give her her shot
      while she eats her soft food.

      Since she's been to K-State, she does seem more comfortable and is laying on
      her side more. She's started some grooming attempts, but doesn't do a lot.
      I try to keep her comfortable and try to limit the amount of stress in her
      life. In addition to the medical care, love and attention, I don't know if
      there's much else I can do.

      Any words of wisdom are much appreciated!




      Cheryl


      avian67226@...
      Wichita, Kansas

      Keep cats indoors!

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    • brinkett
      ... not ... One possibility is the diabetes if it s not well regulated. The fructosamine test will suggest or rule out this possibility. Sarah.
      Message 2 of 4 , Jan 11, 2004
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        > They
        > aren't sure what's causing the hind leg weakness, but we know it's
        not
        > arthritis (her regular vet x-rayed her hips last week).

        One possibility is the diabetes if it's not well regulated. The
        fructosamine test will suggest or rule out this possibility.

        Sarah.
      • Cheryl Miller
        Brianna was seen by a cardiologist when we were at K-State. I think the weakness may be diabetic neuropathy but we ll have a better idea after the
        Message 3 of 4 , Jan 12, 2004
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          Brianna was seen by a cardiologist when we were at K-State. I think the
          weakness may be diabetic neuropathy but we'll have a better idea after the
          fructosamine test comes back today.

          She is now on Lasix, Enalapril and a thyroid supplement. I am concerned
          about the Enalapril b/c I understand it can add glucose to the cat's system.
          I'll bring this up when I talk with the vets again today.



          Cheryl

          Cheryl K. Miller
          avian67226@...
          Wichita, Kansas

          Keep cats indoors!





          ----Original Message Follows----
          From: "turkishangoraathumanesociety"
          <turkishangoraathumanesociety@...>
          To: "Cheryl Miller" <avian67226@...>
          Subject: Re: Brianna, the genetically compromised kitty
          Date: Mon, 12 Jan 2004 03:38:26 -0000

          Hi Cheryl... So sorry that you and Brianna are going through this. I
          know how stressful it can be. Are the vets you are seeing at KSU
          Cardiologists? If not I would have them get a consult with one (if
          you are not able to immed see one) as soon as poss. Have they
          mentioned any concerns about the hind leg problems being a clot?
          That is one of the only signs (if any) you get when that happens. I
          hope that is not the case with Brianna, but I know that my vet said
          if that happens they would have to give her Heparin right away.
          Also, what kind of sedative are they using with her? Please be sure
          to have them put "No KETAMINE EVER" in red on top of her file. That
          sedative, (that so many vets say is the safest), is the cause of many
          a heart failure, especially so in heart patients,...but then again
          that could be anyone, because we had no idea that at 1 1/2 yrs old
          Lillie had an underlying heart problem. Ketamine brought it right out
          in the form of serious heart failure & pulmonary edema, and it has
          been a nightmare from that point. Speaking of fluid...Do they have
          Brianna on Lasix? That is the most important med to solve the fluid
          problems..Lillie was treated with that not only in the specialty
          hospital, but will be on it probably indefinitely. She was on 1/2
          tablet every day, but it just got switched to 1/2 tablet every other
          day. She was on Cardizem for the heart, but the Cardiologist is now
          phasing her onto Atenolol once, then eventually twice a day, and has
          added Enalapril as well (one a day). We see a big Cardiologist about
          3 hours away, and Lillie's "REGULAR vet" is now an Internal Med
          Specialist (which sound like a good idea for Brianna to have, with
          all the other issues the poor sweetie has). Prices vary place to
          place, but I am in Ohio, and the Specialists only charge about $10
          more per office visit then the general vets. Hope she will be okay!

          --- In feline-heart@yahoogroups.com, "Cheryl Miller"
          <avian67226@h...> wrote:
          > Hi all. I have a cat which suffers from endocrine and cardiology
          problems.
          > We spent Wednesday, Jan. 7 at the Kansas State Vet Med facility.
          >
          > Her history: Her hyperthyroidism (2001) caused her CHF--enlarged
          right
          > atrium and right venticle with tricuspid valve insufficiency--
          (2004). Her
          > pancreatitis (2002) caused her diabetes (2003). The radioactive
          iodine
          > treatment for hyperthyroidism (2001) caused her HYPOthyroidism
          (2004).
          > She's also allergic to most laundry detergents.
          >
          > Brianna, for lack of a better term, is uptight. She's never like
          to be
          > handled very much and hates to go to the vet. In fact, she has to
          be
          > sedated before the vet can do anything with her. Now that we know
          she has
          > CHF, sedation and anethesia are serious issues.
          >
          > The K-State vets aspirated the fluid from her lungs, took x-rays of
          her
          > chest and abdomen, did an ultrasound of her heart, and did a
          partial
          > echocardiogram (she kept growling and they couldn't get a good
          reading on
          > her!). The also did a full blood panel, cytology of the chest
          fluid and a
          > fructosamine test. Her panel showed she was now hypothyroid, the
          cytology
          > confirmed CHF, and I'll find out about the fructosamine tomorrow.
          They
          > aren't sure what's causing the hind leg weakness, but we know it's
          not
          > arthritis (her regular vet x-rayed her hips last week).
          >
          > So far I've been able to crush up her pills and put them in her
          canned food.
          > She doesn't miss that canned stuff for anything! I can't pill
          her (which
          > is no surprise given her personality) so I am hopeful the food
          spiking can
          > continue. She gets 3.5 u of Novolin 70/30 2x daily, and I give her
          her shot
          > while she eats her soft food.
          >
          > Since she's been to K-State, she does seem more comfortable and is
          laying on
          > her side more. She's started some grooming attempts, but doesn't
          do a lot.
          > I try to keep her comfortable and try to limit the amount of stress
          in her
          > life. In addition to the medical care, love and attention, I don't
          know if
          > there's much else I can do.
          >
          > Any words of wisdom are much appreciated!
          >
          >
          >
          >
          > Cheryl
          >
          >
          > avian67226@h...
          > Wichita, Kansas
          >
          > Keep cats indoors!
          >
          > _________________________________________________________________
          > Get a FREE online virus check for your PC here, from McAfee.
          > http://clinic.mcafee.com/clinic/ibuy/campaign.asp?cid=3963

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        • kmyelshin
          ... concerned ... system. ... My Pele is a borderline diabetic -- no insulin therapy, just a carefully controlled diet which seems to be working -- with RCM
          Message 4 of 4 , Jan 12, 2004
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            > She is now on Lasix, Enalapril and a thyroid supplement. I am
            concerned
            > about the Enalapril b/c I understand it can add glucose to the cat's
            system.
            > I'll bring this up when I talk with the vets again today.
            >


            My Pele is a borderline diabetic -- no insulin therapy, just a
            carefully controlled diet which seems to be working -- with RCM and
            possibly other endocrine problems (Cushings), so I'm dealing with some
            of the same issues as you are. Pele is on Lasix twice a day,
            Enalapril daily, Digoxin every other day, and an aspirin every three
            days. So far she hasn't had any glucose elevations or renal problems
            because of the heart medications. The really odd part is that her
            diabetes seemed to go away after starting Lasix. I don't quite
            understand it, but the proof is in the glucose numbers (and the
            significantly drier litterbox) so I'm not complaining.

            She can also be a difficult patient; I spike her food with meds
            because pilling her usually results in bloodshed and horrible stress
            on both sides of the situation. I've noticed that the meds seem to be
            best absorbed into her system when administered with a low/no fiber
            food, like fish.

            Kathy
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