Re: New here with HCM diagnosis
- Hi Shannon,
With all of that change in the household,
that could be part of the reason why
Spice stopped eating. Some cats
do better with change and transient
situations than others do.
> The first vet was so horrible... he didI am glad that you found a new vet! That
> not even listen to her heart..and this is not the
> first time that they have
> been " poke with a finger here is some medicine now
doesn't sound like a particularly thorough
exam. All vets I have worked with listen
to the heart, lungs and abdomen, then
do some poking.
>She was neverI don't know what you are feeding Spice and the
> dehydrated and she did not stop drinking water till
> about the same time that i
> noticed her not eating.
other kitties, but you might be surprised at
how quickly a cat can become dehydrated once
they stop eating or drinking. But, what really
made me think Spice was dehydrated was that
you mentioned that after the first vet
prescribed meds, that when you started feeding
her, she threw up daily. For my cats, they
throw up more liquid than they take in which
leads to a net loss of liquid and dehydration.
There was a large amount of
> stress in the house over theI
> previous 2 months.
> in November I dog sat for
> 4 additional dogs, in early December I again dog sat
> for a dog that seemd to
> stress he a lot. I have told all that I will no
> longer dog sit for them.
> too am leaning more toward the fatty liver than theI don't think the meds are hurting too much, so I
> heart condition but this
> vet seemed so good and I am afraid to stop the meds
> in case they are
want to stop the meds until someone did a
thorough cardiac exam.
I have an inheritance coming in the next
> couple of weeks that will allowI would opt for a veterinary cardiologist rather than
> me to take her to a cat specialist that I found in
> Austin ( abuot 20 miles
> from me) She specializes in only cats and has a cat
> hospital here.
a cat specialist if one is available. The cat
may see more cases of feline heart problems compared
to a regular vet, but it is unlikely that the feline
specialist is a cardiologist. It is possible that the
clinic works with a cardiologist, I would ask about
that before making the appointment.
My regular vet was a 30-40 minute drive from my
apartment. When things got rough with my kitty,
I took her to a specialty clinic that was 40-60
minutes away and switched vets to one that was
only a 10 min drive. I would be more concerned
right now with getting a proper diagnosis than
how far the clinic was.
>Will itFor an ultrasound of the heart (echocardiogram)
> hurt her to take them and is there anything I can
> watch for that would
> indicate that they are hurting her?
there is very little that is done. I always helped
hold my cat still during her exams, but some
practices don't allow owners to be with their
animals. The doctor put a gel on my kitty's
chest and then used the ultrasound probe
to image the heart which appeared on a computer
screen. They didn't need to shave her or
sedate her. My cat's cardiologist wanted to
see my cat's heart work normally - so she
didn't use any sedation on my cat. It takes
about 5-10 minutes for the echo and another
5 min or so for the exam. The doctor might
also want to take an x-ray of the chest which
can take another 10 minutes or so. For me
the ultrasound and exam cost around $300
and the x-rays (for 2 views) another $150.
Then the clinic that allowed the cardiologist
to come started charging me another $100
"use" fee, so I switched to a clinic that
didn't charge this fee. (The cardiologist
had a mobile ultrasound and traveled
from clinic to clinic - she didn't have
her own office).
>If you cannotI think that because your 5 year old kitty
> diagnose with just the bloodwork,
> how would this vet have come up with this?
has a murmur, he is guessing that it
HCM is the most likely cause.
If he did not do an x-ray, he wouldn't know whether
or not the heart is enlarged, which only happens
over time. A cat can have heart disease
with a heart that looks normal on radiographs.
When he listened to her heart, he probably listened
to her lungs and he might have heard crackles or
congestion in the lungs. This would suggest
that the heart wasn't pumping well enough to
prevent fluid from backing up into the lungs.
X-rays would show evidence of fluid as well. For
my cat, her lungs usually sounded clear, but on
X-ray, there was often a small amount of fluid
Another cause of heart murmurs is hyperthyroidism,
and the bloodwork should have ruled that out, and
hyperT is rare in cats as young as Spice.
So, by detecting the heart murmur, listening to
the lungs for abnormal sounds and ruling out
hyperthyroidism, the vet is making he best
guess that Spice has HCM.
> sorry to seem so full ofThis is completely normal and not something
> need and questions,
that you should feel you need to apologize
>I just want to make sure I amI understand. We are or have been in that
> doing the right thing and not
> hurting her further in my quest for help.
>You're welcome. I hope that some of the
> thank you so much for your time and assistance.
info you find here is useful.
If you have the time and presence of mind, these links
might be useful for you.
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