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Pascal update

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  • e_m_sullivan
    Have just come back from having transferred Pascal to the specialist vet hospital, and have got the feedback - as well as I can remember it. Amazing hospital
    Message 1 of 5 , Jun 3, 2005
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      Have just come back from having transferred Pascal to the specialist
      vet hospital, and have got the feedback - as well as I can remember
      it. Amazing hospital in terms of facilities, and vet a pure
      cardiologist specialist (best in Europe I was told).

      Anyway - had every test and scan possible done (will recoup my 12
      years of pet insurance payments easily - as already over $2000). Vet
      told me to still be hopeful about recovery of function to the leg,
      not too late, and he says the blood does have other routes which do
      click in.

      Then the bad, but not really unexpected news, in that his heart is
      pretty bad. Heart very enlarged, with large right atria, and
      clear "smoking ?" showing blood cell aggregation. Ventricles not
      relaxing properly. Congestion (swollen vein ?) to liver side
      (unusual, is usually on the other side which are the lungs
      apparently) - slightly better than lung side. Biochem ok except for
      high urea (which I guess is just dehydration as have had this
      before). Have not got thyroid test back yet, but unlikely to be
      problem he says.

      Has prescribed Fragrin ? to reduce risk of clotting. Periactin which
      stimulates appetite and also has side effect of increasing blood
      flow to the leg. Also Ventredin ? this is not licensed on cats yet,
      but he is experimenting as it both helps the ventricles close and
      seems to really help break the embolism down as a side effect -
      problem is that is a very large capsule (has trouble getting down
      dogs even).

      He said that I should not be too hopeful, basically his heart is
      pretty wrecked. If the leg does not recover then that would probably
      be too tough for him to take with it in current condition. If it
      does then drugs and care could keep him in a good quality life for
      some period, but not likely to be that long. He says make decision a
      day at a time, as long as Pas is ok, we can see how it works out.

      Thanks again - I will update again so future posters see the full
      story !
    • Belinda Sauro
      I ll be thinking positive and praying to good results for Pascal, sure hope the meds do make him feel better and help his heart function OK. Come on Pascal,
      Message 2 of 5 , Jun 3, 2005
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        I'll be thinking positive and praying to good results for Pascal,
        sure hope the meds do make him feel better and help his heart function
        OK. Come on Pascal, you've got 6 furkids thinking positive and praying
        here (and one furmom :)

        --
        Belinda
        Happiness is being owned by cats ...

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      • Susan
        ... Vet ... Right, collateral circulation can develop. ... The smoke is visible stasis of the blood in the atrium. In most of our HCM cats it is the left
        Message 3 of 5 , Jun 3, 2005
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          --- e_m_sullivan <e_m_sullivan@...> wrote:
          Vet
          > told me to still be hopeful about recovery of
          > function to the leg,
          > not too late, and he says the blood does have other
          > routes which do
          > click in.

          Right, collateral circulation can develop.
          >
          > Then the bad, but not really unexpected news, in
          > that his heart is
          > pretty bad. Heart very enlarged, with large right
          > atria, and
          > clear "smoking ?" showing blood cell aggregation.

          The smoke is visible stasis of the blood in the
          atrium.

          In most of our HCM cats it is the left ventricle/left
          atria that are thickened and enlarged. Left LV & LA
          abnormalities results in lung symptoms of congestive
          heart failure resulting in pulmonary edema or pleural
          effusion. The right sided involvement is a less bad
          situation in the fact that right sided heart failure
          causes edema rather than lung issues. Also the left
          side is the oxygen side, the right side is bringing
          the deoxygenated blood back.

          > Ventricles not
          > relaxing properly. Congestion (swollen vein ?) to
          > liver side
          > (unusual, is usually on the other side which are the
          > lungs
          > apparently) - slightly better than lung side.


          > Biochem ok except for
          > high urea (which I guess is just dehydration as have
          > had this
          > before). Have not got thyroid test back yet, but
          > unlikely to be
          > problem he says.

          If it is hyperT and that should have been ruled out by
          the DVM then it is potentially reversible.
          >
          > Has prescribed Fragrin ? to reduce risk of clotting.
          > Periactin which
          > stimulates appetite and also has side effect of
          > increasing blood
          > flow to the leg. Also Ventredin ? this is not
          > licensed on cats yet,
          > but he is experimenting as it both helps the
          > ventricles close and
          > seems to really help break the embolism down as a
          > side effect -
          > problem is that is a very large capsule (has trouble
          > getting down
          > dogs even).
          >
          > He said that I should not be too hopeful, basically
          > his heart is
          > pretty wrecked. If the leg does not recover then
          > that would probably
          > be too tough for him to take with it in current
          > condition. If it
          > does then drugs and care could keep him in a good
          > quality life for
          > some period, but not likely to be that long. He says
          > make decision a
          > day at a time, as long as Pas is ok, we can see how
          > it works out.
          >
          > Thanks again - I will update again so future posters
          > see the full
          > story !
          >
          >
          >
          >


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        • mae liu
          Pascal and Elaine, All our good thoughts are going your way. Pascal, you can do it : ) xoxo mae, placido and nicky ... Discover Yahoo! Find restaurants,
          Message 4 of 5 , Jun 3, 2005
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            Pascal and Elaine,

            All our good thoughts are going your way. Pascal, you can do it : )

            xoxo
            mae, placido and nicky



            ---------------------------------
            Discover Yahoo!
            Find restaurants, movies, travel & more fun for the weekend. Check it out!

            [Non-text portions of this message have been removed]
          • Lynn
            Hi Elaine, Just wanted to add my best wishes for Pascal s recovery. Teegan and I are sending good thoughts and prayers your way. I m always amazed by a cat s
            Message 5 of 5 , Jun 4, 2005
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              Hi Elaine,

              Just wanted to add my best wishes for Pascal's recovery.
              Teegan and I are sending good thoughts and prayers your way.
              I'm always amazed by a cat's ability to overcome incredible odds,
              or at least keep them at bay for a lot longer than I ever imagined.
              I've learned more from them about inner strength, perserverence
              and adjustments to limitations than from any human I know.
              Teegan, his siblings and I are rooting for you and Pascal !

              Big hugs to you and Pascal ~ Hang in there! :-)

              Lynn & Teegy
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