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Misdiagnosed

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  • Danielle
    I am ready to vomit....I am so mad! I lost my Sphynx last Saturday night due to HCM. Bombay had IBS and food allergies, was only 7 yrs old and the love of our
    Message 1 of 16 , Jul 25, 2009
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      I am ready to vomit....I am so mad!
      I lost my Sphynx last Saturday night due to HCM. Bombay had IBS and food allergies, was only 7 yrs old and the love of our families lives!

      Over a week ago we went to vet and she diagnosed my kitty with Feline Asthma after radiographs and gave him a Depo-Medrol injection. She explained that this breed of cat can have these issues due to the allergies and the constant inflammation. Six days later he was in congestive heart failure with pulmonary edema, unable to breathe. I took him to another vet as the regular vet was out of town and the vet she referred me to was also out of the office on Friday. So Saturday morning he got a Lasix injection that seemed to help, a full blood panel and strict instructions NOT to give him the prednisone if he had trouble breathing but rather a trip to the ER vet.

      He got his lasix and benazepril that evening but later saturday night he was open mouth breathing and then jumped on my lap and urinated. I was scared and felt like he was dying. I rushed him to ER and they put him in O2 chamber, but it did not help. They took radiographs and he said my cat was in congestive heart failure. I had to make the horrible choice. I worked as a vet tech for years and knew what the probabilities were in this situation, the pain/discomfort and no cure. We weren't going to be able to fix this. After, the vet told me I made the right choice as all the fluid was pouring out of his lungs and even foaming at his mouth. It didn't make me feel better, I would rather have Bombay back.

      So after the devestation, and doing some research I find that giving my cat the steroid was the worse thing possible. The vet is still out of town and I can't even discuss it with her. But what's the point? I won't get my cat back. He was so young.

      My vet did mention his heart looked a little large and we should maybe see a cardiologist. Why then did she give the pred to my cat?

      Both other vets knew right away what was going on? Is this an easy mistake to happen? Should I be understanding that mistakes happen and we are all human? Or should I express my anger with her screw up?

      With great sadness, Danielle
    • m3cflvi
      Danielle First let me express my sympathy in your loss. Having lost April to HCM I understand your pain. Rest assured we are in your thoughts and prayers. As
      Message 2 of 16 , Jul 25, 2009
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        Danielle

        First let me express my sympathy in your loss. Having lost April to HCM I understand your pain. Rest assured we are in your thoughts and prayers.

        As far as the situation with the vet, let me give you my 2 cents. Years ago, I adopted a fragile alley cat my the name of Munchkin. I took him to the vet and he prescribed some flea powder. Well the poor thing was weak to begin with. And sadly the flea powder made him have a bad reaction and die only 2 days after we adopted him. Based on my research, the vet should have known this was a risk for the cat.

        Instead of getting mad at the vet, I would do something even better, report them. See my thinking is that the vet has a moral responsibilty and should provide your pet with the best care. They have the license. If you just get mad nothing will ever happen. They will make the same error again. Its time that a vet who makes a bad decision is called out for it. On the other hand there are good vets. As an example, I took my cat Chelsea to the vet today. She spent nearly 30 minutes describing the various treatment options for her cough. Even telling me that we might choose an in the ear treatment for taking her medicine. But she descrived the risks and benefits. I am constantly amazed at their compassion and deep knowledge at this clinic. The point is some vets are better than others. A mistake is unacceptable.

        Check this web site if you live in US and want to report the vet:

        http://www.vetabusenetwork.com/filecomplaint.htm

        Take care

        Joe

        --- In feline-heart@yahoogroups.com, "Danielle" <doggie_poopie@...> wrote:
        >
        > I am ready to vomit....I am so mad!
        > I lost my Sphynx last Saturday night due to HCM. Bombay had IBS and food allergies, was only 7 yrs old and the love of our families lives!
        >
        > Over a week ago we went to vet and she diagnosed my kitty with Feline Asthma after radiographs and gave him a Depo-Medrol injection. She explained that this breed of cat can have these issues due to the allergies and the constant inflammation. Six days later he was in congestive heart failure with pulmonary edema, unable to breathe. I took him to another vet as the regular vet was out of town and the vet she referred me to was also out of the office on Friday. So Saturday morning he got a Lasix injection that seemed to help, a full blood panel and strict instructions NOT to give him the prednisone if he had trouble breathing but rather a trip to the ER vet.
        >
        > He got his lasix and benazepril that evening but later saturday night he was open mouth breathing and then jumped on my lap and urinated. I was scared and felt like he was dying. I rushed him to ER and they put him in O2 chamber, but it did not help. They took radiographs and he said my cat was in congestive heart failure. I had to make the horrible choice. I worked as a vet tech for years and knew what the probabilities were in this situation, the pain/discomfort and no cure. We weren't going to be able to fix this. After, the vet told me I made the right choice as all the fluid was pouring out of his lungs and even foaming at his mouth. It didn't make me feel better, I would rather have Bombay back.
        >
        > So after the devestation, and doing some research I find that giving my cat the steroid was the worse thing possible. The vet is still out of town and I can't even discuss it with her. But what's the point? I won't get my cat back. He was so young.
        >
        > My vet did mention his heart looked a little large and we should maybe see a cardiologist. Why then did she give the pred to my cat?
        >
        > Both other vets knew right away what was going on? Is this an easy mistake to happen? Should I be understanding that mistakes happen and we are all human? Or should I express my anger with her screw up?
        >
        > With great sadness, Danielle
        >
      • Jean
        Danielle, I m so sorry for your loss. It sounds like a horrible ordeal, and like there was so much fluid at the end that you didn t have much of a choice - my
        Message 3 of 16 , Jul 25, 2009
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          Danielle, I'm so sorry for your loss. It sounds like a horrible ordeal, and
          like there was so much fluid at the end that you didn't have much of a
          choice - my boy was diagnosed with severe restrictive cardiomyopathy (a
          different type than HCM, but he may have originally had asymptomatic HCM
          that developed into RCM at end-stage) when he went into CHF, and it was an
          emergency situation with the O2 chamber, injection lasix, nitroglycerin,
          etc, but he didn't have nearly the amount of fluid that it sounds like poor
          Bombay had. The steroid injections are long-lasting (about a month? At least
          the one injection my non-heart kitty received for skin allergies, when she
          was going at herself so much that it was worth the one-time risk to try to
          get her to heal up.), and without the ability to "stop" the steroid it
          sounds like the lasix wasn't able to counteract the side effects. I'm just
          so sorry that happened.

          I know that steroids are used to help asthma (my heart kitty's always had
          mild symptoms but never needed treatment, so what I know is just from what
          others here have mentioned), but I have no idea if the injection is standard
          for initial treatment - it's more common to try to get allergies in general
          under control (why my other kitty had one shot while we waited for the novel
          protein diet to take effect, if it was going to), so that may be why the vet
          tried it for Bombay - it sounds like she thought that his allergies were
          exacerbating the asthma, so that could have been behind her thinking. But I
          can't imagine why any vet would suggest a cardiologist due to an enlarged
          heart AND give steroids. It would have been a different thing if his heart
          hadn't looked large on x-ray - you can't conclusively diagnose heart disease
          based on x-ray (even with my cat's hugely enlarged heart, they still
          couldn't say what type or that it wasn't heartworms without doing the
          echocardiogram), and at points it really is subjective with whether or not a
          heart conclusively looks a bit large or normal on x-ray. It's that she
          suspected he may have heart problems AND gave the steroid that's the big
          issue, to me; you shouldn't even give oral steroids with suspicion of heart
          disease unless absolutely necessary, but at least you can discontinue those
          promptly if problems arise - you don't have that option with the injection,
          but it is more convenient for owners to not have to give meds regularly at
          home. And I think that while it's standard that steroids should never be
          given when heart problems are suspected/known, it DOES happen - I believe it
          just happened with another new diagnosis/heart kitty on this list within the
          past week, steroids given despite the prescribing vet also wanting to check
          for heart problems. I would certainly at least inform the vet, in hopes of
          it not happening to another kitty under their care, and whether or not to
          take it further (if they have a supervisor or are part of a practice, etc)
          is another thought. It may not make you feel better, and certainly won't
          bring poor Bombay back, but if you're inclined to tell the vet what happened
          and ask questions it may help them to never make the same mistake with
          another animal. Whether or not it's a mistake large enough to be classified
          as malpractice I have no idea (or what the standards are in veterinary care)
          - I would actually be curious as to whether or not a second vet saw any
          congestive heart failure in the initial x-rays, rather than symptoms of
          asthma. (It may very well have been asthma along with the enlarged heart
          that the vet saw, but if it WAS diagnosable CHF rather than asthma that
          would be an entirely inexcusable misdiagnosis and treatment.) While I would
          hope that most vets would be as on the ball as the second two were, it
          probably was a far easier diagnosis at that point with acute CHF, let alone
          in combination with a recent steroid injection. I want to say that it's
          lucky they were more on-the-ball and gave Bombay a chance, but that *should*
          be the norm. Unfortunately many vets (and human doctors) think that steroids
          are so benign, but they aren't - they're great for a lot of things, and can
          be life-saving, but they aren't at all risk-free.

          I'm so, so sorry about how things happened - it's bad enough when we can't
          save or help our kitties, but it's even worse when the crisis was brought
          about by treatment that probably shouldn't have happened. Sometimes there's
          no way to know that steroids are contraindicated for a particular pet,
          though ideally vets still explain the risks and benefits (I don't think this
          happens enough), but I think the big thing here is that the same vet had
          mentioned an enlarged heart and suggested a cardiologist - that makes it a
          much bigger mistake, and I think she should have known better. Mistakes DO
          happen, and we can't always know how a medication will affect our kitties
          (or us) - meds always have risks - but if she had suspicions about his heart
          I think that should have ruled out a steroid, let alone a long-acting one.

          Please remind yourself that YOU did everything you could, and were with
          Bombay and he knew how loved he was.

          Jean


          [Non-text portions of this message have been removed]
        • Westgold
          DEAR FRIENDS ---- PLEASE never forget this -- NEVER let your vet give steroids to your heart kitty!!! Make it very clear that steroids are never to be given
          Message 4 of 16 , Jul 25, 2009
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            DEAR FRIENDS ---- PLEASE never forget this -- NEVER let your vet give steroids to your heart kitty!!! Make it very clear that steroids are never to be given without direct instructions by a cardiologist familiar with your kitty's condition. There have been so many cases of this exact thing happening recently to the poor kitties on this list. The vets think it's asthma, and give steroids without even looking any further. Now maybe your kitty does have asthma, but you better go see an asthma specialist and the cardiologist before you start any treatments. PLEASE don't let this happen anymore to the precious kitties on this list!!!

            take care -- Michelle & Tigger Too in Toronto




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          • m3cflvi
            Before my vet prescribed steroids to Chelsea, she made sure she had no issues with her heart and told me what you said. Chelsea is not a heart kitty but it
            Message 5 of 16 , Jul 25, 2009
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              Before my vet prescribed steroids to Chelsea, she made sure she had no issues with her heart and told me what you said. Chelsea is not a heart kitty but it seems that if the cat has some issues then it can be dangerous.

              --- In feline-heart@yahoogroups.com, "Westgold" <westgold@...> wrote:
              >
              > DEAR FRIENDS ---- PLEASE never forget this -- NEVER let your vet give steroids to your heart kitty!!! Make it very clear that steroids are never to be given without direct instructions by a cardiologist familiar with your kitty's condition. There have been so many cases of this exact thing happening recently to the poor kitties on this list. The vets think it's asthma, and give steroids without even looking any further. Now maybe your kitty does have asthma, but you better go see an asthma specialist and the cardiologist before you start any treatments. PLEASE don't let this happen anymore to the precious kitties on this list!!!
              >
              > take care -- Michelle & Tigger Too in Toronto
              >
              >
              >
              >
              > ------------------------------------------------------------------------------
              >
              >
              >
              > No virus found in this incoming message.
              > Checked by AVG - www.avg.com
              > Version: 8.5.392 / Virus Database: 270.13.29/2261 - Release Date: 07/25/09 05:58:00
              >
              >
              > [Non-text portions of this message have been removed]
              >
            • Judi Levens
              Dear Danielle; I am so sorry for yr loss of Bombay. My cat went into CHF from prednisone adminstered for asthma, we didn t know he had heart disease. He
              Message 6 of 16 , Jul 25, 2009
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                Dear Danielle; I am so sorry for yr loss of Bombay. My cat went into CHF from prednisone adminstered for asthma, we didn't know he had heart disease. He survived but it was touch and go...there is a lag of information to the vets about what is being learned about heart disease.NO STEROIDS FOR HEART KITTIES...Judi andMax



                To: feline-heart@yahoogroups.com
                From: doggie_poopie@...
                Date: Sat, 25 Jul 2009 22:50:38 +0000
                Subject: [FH] Misdiagnosed





                I am ready to vomit....I am so mad!
                I lost my Sphynx last Saturday night due to HCM. Bombay had IBS and food allergies, was only 7 yrs old and the love of our families lives!

                Over a week ago we went to vet and she diagnosed my kitty with Feline Asthma after radiographs and gave him a Depo-Medrol injection. She explained that this breed of cat can have these issues due to the allergies and the constant inflammation. Six days later he was in congestive heart failure with pulmonary edema, unable to breathe. I took him to another vet as the regular vet was out of town and the vet she referred me to was also out of the office on Friday. So Saturday morning he got a Lasix injection that seemed to help, a full blood panel and strict instructions NOT to give him the prednisone if he had trouble breathing but rather a trip to the ER vet.

                He got his lasix and benazepril that evening but later saturday night he was open mouth breathing and then jumped on my lap and urinated. I was scared and felt like he was dying. I rushed him to ER and they put him in O2 chamber, but it did not help. They took radiographs and he said my cat was in congestive heart failure. I had to make the horrible choice. I worked as a vet tech for years and knew what the probabilities were in this situation, the pain/discomfort and no cure. We weren't going to be able to fix this. After, the vet told me I made the right choice as all the fluid was pouring out of his lungs and even foaming at his mouth. It didn't make me feel better, I would rather have Bombay back.

                So after the devestation, and doing some research I find that giving my cat the steroid was the worse thing possible. The vet is still out of town and I can't even discuss it with her. But what's the point? I won't get my cat back. He was so young.

                My vet did mention his heart looked a little large and we should maybe see a cardiologist. Why then did she give the pred to my cat?

                Both other vets knew right away what was going on? Is this an easy mistake to happen? Should I be understanding that mistakes happen and we are all human? Or should I express my anger with her screw up?

                With great sadness, Danielle











                [Non-text portions of this message have been removed]
              • Judi Levens
                My cat had slight heart disease also, and the same response to steroids...we were VERY lucky he was able to make it through the CHF...the good news is he s
                Message 7 of 16 , Jul 26, 2009
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                  My cat had slight heart disease also, and the same response to steroids...we were VERY lucky he was able to make it through the CHF...the good news is he's done quite well since...Judi and Max







                  > Date: Sun, 26 Jul 2009 18:01:18 +0000
                  > From: ildikojuhasz@...
                  > To: casaobelisco@...
                  > Subject: Re: [FH] Misdiagnosed
                  >
                  > Dear Danielle;
                  >
                  > I am so so sorry for your loss and will keep your precious Bombay in my thoughts an prayers. I just had a similar episode with my Carmen (only 5 years old) who had a very very slight heart murmur that hasn't deteriorated since 2007, as I have it checked every year. I just moved to a new place and she became nervous and managed to scratch a nasty open wound into her neck. She got topical cream from the vet first which didnt work and then she got oral steroids, just the minimal amount 1x per day. Three days later she had trouble breathing and was in heart failure. Even the cardiologist at the emergency clinic is stumped as her heart disease shown on the newly repeated echo is not severe enough to warrant the pulmonary edema she experienced. I had to leave her there for three nights in the O2 tank and shes on Lasix now for one month. She almost didn't make it, and have to take her back today for one week checkup. Its so strange that this seems to be a recurring issue yet there is nothing conclusive out there to warn people steroids are very serious and not to be taken lightly.
                  >
                  > Ildiko
                  >
                  > --- In feline-heart@yahoogroups.com, Judi Levens <casaobelisco@...> wrote:
                  > >
                  > >
                  > > Dear Danielle; I am so sorry for yr loss of Bombay. My cat went into CHF from prednisone adminstered for asthma, we didn't know he had heart disease. He survived but it was touch and go...there is a lag of information to the vets about what is being learned about heart disease.NO STEROIDS FOR HEART KITTIES...Judi andMax
                  > >
                  > >
                  > >
                  > > To: feline-heart@yahoogroups.com
                  > > From: doggie_poopie@...
                  > > Date: Sat, 25 Jul 2009 22:50:38 +0000
                  > > Subject: [FH] Misdiagnosed
                  > >
                  > >
                  > >
                  > >
                  > >
                  > > I am ready to vomit....I am so mad!
                  > > I lost my Sphynx last Saturday night due to HCM. Bombay had IBS and food allergies, was only 7 yrs old and the love of our families lives!
                  > >
                  > > Over a week ago we went to vet and she diagnosed my kitty with Feline Asthma after radiographs and gave him a Depo-Medrol injection. She explained that this breed of cat can have these issues due to the allergies and the constant inflammation. Six days later he was in congestive heart failure with pulmonary edema, unable to breathe. I took him to another vet as the regular vet was out of town and the vet she referred me to was also out of the office on Friday. So Saturday morning he got a Lasix injection that seemed to help, a full blood panel and strict instructions NOT to give him the prednisone if he had trouble breathing but rather a trip to the ER vet.
                  > >
                  > > He got his lasix and benazepril that evening but later saturday night he was open mouth breathing and then jumped on my lap and urinated. I was scared and felt like he was dying. I rushed him to ER and they put him in O2 chamber, but it did not help. They took radiographs and he said my cat was in congestive heart failure. I had to make the horrible choice. I worked as a vet tech for years and knew what the probabilities were in this situation, the pain/discomfort and no cure. We weren't going to be able to fix this. After, the vet told me I made the right choice as all the fluid was pouring out of his lungs and even foaming at his mouth. It didn't make me feel better, I would rather have Bombay back.
                  > >
                  > > So after the devestation, and doing some research I find that giving my cat the steroid was the worse thing possible. The vet is still out of town and I can't even discuss it with her. But what's the point? I won't get my cat back. He was so young.
                  > >
                  > > My vet did mention his heart looked a little large and we should maybe see a cardiologist. Why then did she give the pred to my cat?
                  > >
                  > > Both other vets knew right away what was going on? Is this an easy mistake to happen? Should I be understanding that mistakes happen and we are all human? Or should I express my anger with her screw up?
                  > >
                  > > With great sadness, Danielle
                  > >
                  > >
                  > >
                  > >
                  > >
                  > >
                  > >
                  > >
                  > >
                  > >
                  > >
                  > > [Non-text portions of this message have been removed]
                  > >
                  >
                  >


                  [Non-text portions of this message have been removed]
                • moonpye
                  Dear Danielle, I am so sorry to read this about your Bombay, our thoughts and hearts are with you.. From my personal experience some vets do not know that
                  Message 8 of 16 , Jul 26, 2009
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                    Dear Danielle,

                    I am so sorry to read this about your Bombay, our thoughts and hearts are
                    with you..

                    From my personal experience some vets do not know that steroids should not
                    be given to heart kitties..

                    In 2007 I refused a Depo steroid shot for Skylar who has severe IBD. He had
                    mild HCM and was on Atenolol at that time and under a cardiologists care.
                    The vets including vet owner knew this as they referred him to cardio..

                    Yet, when he saw one of the vets for his diarrhea she said she was going to
                    go get a shot for him. I said a shot of what?... and she said Depo. I
                    immediately refused it and said steroids can not be given to heart
                    kitties. They had never heard of that and quite honestly I know they didn't
                    believe me. So from then on, I carried a PDF on steroids inducing
                    congestive heart failure with me every time, every visit..

                    I thank the wonderful members here - Janie who wrote messages about Depo
                    shots from her own experience and her heart kitty, and Nala who had written
                    often "Steroids are a no-no for heart kitties" and who posted the PDFon CHF
                    and steroids. I memorized these posts about Depo and steroids,.even tho I
                    had no reason to ever think he would ever need steroids. If not for Janie
                    and Nala....Skylar would have absolutely without a doubt had the Depo shot,
                    I wouldn't have thought twice about it and I wouldn't have known any better,
                    I wouldn't have even asked what the shot was, I would have just said okay..

                    Now Skylar's HCM has progressed to Severe RCM with high risk for CHF/clots
                    and his new cardiologist put no steroids, nsaids or metacam ever in his
                    file, no anesthesia too. I still think about that Depo shot and what may
                    have happened and this is why I thank Janie and Nala all the time and tell
                    this story. If it wasn't for them...who knows what...

                    There seem to be many vets who are unaware of the risks of steroids for
                    heart kitties.
                    And who diagnose asthma instead of CHF congestive heart failure and give
                    steroids.


                    Here is the PDF that I carried with me for anyone who would like to have it:

                    http://www.jarvm.com/articles/Vol2Iss3/TOBIASJARVMVol2No304.pdf




                    Again, I'm so sorry Danielle...


                    Peace and Hugs,
                    Candace with Cinnamon and Skylar









                    On Sat, Jul 25, 2009 at 6:50 PM, Danielle <doggie_poopie@...> wrote:

                    > I am ready to vomit....I am so mad!
                    > I lost my Sphynx last Saturday night due to HCM. Bombay had IBS and food
                    > allergies, was only 7 yrs old and the love of our families lives!
                    >
                    > Over a week ago we went to vet and she diagnosed my kitty with Feline
                    > Asthma after radiographs and gave him a Depo-Medrol injection. She
                    > explained that this breed of cat can have these issues due to the allergies
                    > and the constant inflammation. Six days later he was in congestive heart
                    > failure with pulmonary edema, unable to breathe. I took him to another vet
                    > as the regular vet was out of town and the vet she referred me to was also
                    > out of the office on Friday. So Saturday morning he got a Lasix injection
                    > that seemed to help, a full blood panel and strict instructions NOT to give
                    > him the prednisone if he had trouble breathing but rather a trip to the ER
                    > vet.
                    >
                    > He got his lasix and benazepril that evening but later saturday night he
                    > was open mouth breathing and then jumped on my lap and urinated. I was
                    > scared and felt like he was dying. I rushed him to ER and they put him in O2
                    > chamber, but it did not help. They took radiographs and he said my cat was
                    > in congestive heart failure. I had to make the horrible choice. I worked
                    > as a vet tech for years and knew what the probabilities were in this
                    > situation, the pain/discomfort and no cure. We weren't going to be able to
                    > fix this. After, the vet told me I made the right choice as all the fluid
                    > was pouring out of his lungs and even foaming at his mouth. It didn't make
                    > me feel better, I would rather have Bombay back.
                    >
                    > So after the devestation, and doing some research I find that giving my cat
                    > the steroid was the worse thing possible. The vet is still out of town and
                    > I can't even discuss it with her. But what's the point? I won't get my cat
                    > back. He was so young.
                    >
                    > My vet did mention his heart looked a little large and we should maybe see
                    > a cardiologist. Why then did she give the pred to my cat?
                    >
                    > Both other vets knew right away what was going on? Is this an easy mistake
                    > to happen? Should I be understanding that mistakes happen and we are all
                    > human? Or should I express my anger with her screw up?
                    >
                    > With great sadness, Danielle
                    >
                    >
                    >
                    >
                    >


                    [Non-text portions of this message have been removed]
                  • Patricia Crawford
                    Just to add my two cents of experience: after her pancreatitis/triaditis diagnosis, my cat was given prednisilone, and within two weeks went into early heart
                    Message 9 of 16 , Jul 26, 2009
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                      Just to add my two cents of experience: after her pancreatitis/triaditis diagnosis, my cat was given prednisilone, and within two weeks went into early heart failure (fluid overload (thank god this was discovered after a bi-weekly ultrasound)). Lasix has stabilized that, but there is new and permanent damage to her heart that is likely caused by the pred.

                      Her heart condition (stage 6) and heart disease were known about. I was told that pred would make it impossible to definitively diagnose GI lymphoma once started, but the risk of heart failure was not mentioned to me. If I had known, I could have questioned its use. I feel heartsick that she has come of the ICU with problems she did not go in with (including endocarditis), and her heart is now the most serious issue (over probable GI lymphoma, pancreatitis/IBD, CRF).
                      Pat

                      ----- Original Message -----
                      From: moonpye <moonpye@...>
                      Date: Sunday, July 26, 2009 2:40 pm
                      Subject: Re: [FH] Misdiagnosed
                      To: Danielle <doggie_poopie@...>
                      Cc: heart <feline-heart@yahoogroups.com>

                      > Dear Danielle,
                      >
                      > I am so sorry to read this about your Bombay, our thoughts and
                      > hearts are
                      > with you..
                      >
                      > From my personal experience some vets do not know that steroids
                      > should not
                      > be given to heart kitties..
                      >
                      > In 2007 I refused a Depo steroid shot for Skylar who has severe
                      > IBD. He had
                      > mild HCM and was on Atenolol at that time and under a
                      > cardiologists care.
                      > The vets including vet owner knew this as they referred him to
                      > cardio..
                      > Yet, when he saw one of the vets for his diarrhea she said she
                      > was going to
                      > go get a shot for him. I said a shot of what?... and she
                      > said Depo. I
                      > immediately refused it and said steroids can not be given to heart
                      > kitties. They had never heard of that and quite honestly I
                      > know they didn't
                      > believe me. So from then on, I carried a PDF on steroids
                      > inducingcongestive heart failure with me every time, every visit..
                      >
                      > I thank the wonderful members here - Janie who wrote messages
                      > about Depo
                      > shots from her own experience and her heart kitty, and Nala who
                      > had written
                      > often "Steroids are a no-no for heart kitties" and who posted
                      > the PDFon CHF
                      > and steroids. I memorized these posts about Depo and
                      > steroids,.even tho I
                      > had no reason to ever think he would ever need steroids.
                      > If not for Janie
                      > and Nala....Skylar would have absolutely without a doubt had the
                      > Depo shot,
                      > I wouldn't have thought twice about it and I wouldn't have known
                      > any better,
                      > I wouldn't have even asked what the shot was, I would have just
                      > said okay..
                      >
                      > Now Skylar's HCM has progressed to Severe RCM with high risk for
                      > CHF/clotsand his new cardiologist put no steroids, nsaids or
                      > metacam ever in his
                      > file, no anesthesia too. I still think about that Depo
                      > shot and what may
                      > have happened and this is why I thank Janie and Nala all the
                      > time and tell
                      > this story. If it wasn't for them...who knows what...
                      >
                      > There seem to be many vets who are unaware of the risks of
                      > steroids for
                      > heart kitties.
                      > And who diagnose asthma instead of CHF congestive heart failure
                      > and give
                      > steroids.
                      >
                      >
                      > Here is the PDF that I carried with me for anyone who would like
                      > to have it:
                      >
                      > http://www.jarvm.com/articles/Vol2Iss3/TOBIASJARVMVol2No304.pdf
                      >
                      >
                      >
                      >
                      > Again, I'm so sorry Danielle...
                      >
                      >
                      > Peace and Hugs,
                      > Candace with Cinnamon and Skylar
                      >
                      >
                      >
                      >
                      >
                      >
                      >
                      >
                      >
                      > On Sat, Jul 25, 2009 at 6:50 PM, Danielle
                      > <doggie_poopie@...> wrote:
                      >
                      > > I am ready to vomit....I am so mad!
                      > > I lost my Sphynx last Saturday night due to HCM. Bombay had
                      > IBS and food
                      > > allergies, was only 7 yrs old and the love of our families lives!
                      > >
                      > > Over a week ago we went to vet and she diagnosed my kitty with
                      > Feline> Asthma after radiographs and gave him a Depo-Medrol
                      > injection. She
                      > > explained that this breed of cat can have these issues due to
                      > the allergies
                      > > and the constant inflammation. Six days later he was in
                      > congestive heart
                      > > failure with pulmonary edema, unable to breathe. I took
                      > him to another vet
                      > > as the regular vet was out of town and the vet she referred me
                      > to was also
                      > > out of the office on Friday. So Saturday morning he got
                      > a Lasix injection
                      > > that seemed to help, a full blood panel and strict
                      > instructions NOT to give
                      > > him the prednisone if he had trouble breathing but rather a
                      > trip to the ER
                      > > vet.
                      > >
                      > > He got his lasix and benazepril that evening but later
                      > saturday night he
                      > > was open mouth breathing and then jumped on my lap and
                      > urinated. I was
                      > > scared and felt like he was dying. I rushed him to ER and they
                      > put him in O2
                      > > chamber, but it did not help. They took radiographs and he
                      > said my cat was
                      > > in congestive heart failure. I had to make the horrible
                      > choice. I worked
                      > > as a vet tech for years and knew what the probabilities were
                      > in this
                      > > situation, the pain/discomfort and no cure. We weren't
                      > going to be able to
                      > > fix this. After, the vet told me I made the right choice
                      > as all the fluid
                      > > was pouring out of his lungs and even foaming at his
                      > mouth. It didn't make
                      > > me feel better, I would rather have Bombay back.
                      > >
                      > > So after the devestation, and doing some research I find that
                      > giving my cat
                      > > the steroid was the worse thing possible. The vet is
                      > still out of town and
                      > > I can't even discuss it with her. But what's the
                      > point? I won't get my cat
                      > > back. He was so young.
                      > >
                      > > My vet did mention his heart looked a little large and we
                      > should maybe see
                      > > a cardiologist. Why then did she give the pred to my cat?
                      > >
                      > > Both other vets knew right away what was going on? Is
                      > this an easy mistake
                      > > to happen? Should I be understanding that mistakes
                      > happen and we are all
                      > > human? Or should I express my anger with her screw up?
                      > >
                      > > With great sadness, Danielle
                      > >
                      > >
                      > >
                      > >
                      > >
                      >
                      >
                      > [Non-text portions of this message have been removed]
                      >
                      >


                      [Non-text portions of this message have been removed]
                    • lorkatz2004
                      ... Candice thank you so much for this information. So many vets think I am nuts when I say that also about steroids and heart failure. I sure wish I had
                      Message 10 of 16 , Jul 27, 2009
                      • 0 Attachment
                        ---
                        Candice

                        thank you so much for this information. So many vets think I am nuts when I say that also about steroids and heart failure. I sure wish I had that information for Basil.....

                        Thanks for posting this...........
                        Cathy






                        In feline-heart@yahoogroups.com, Patricia Crawford <pwcrawford@...> wrote:
                        >
                        > Just to add my two cents of experience: after her pancreatitis/triaditis diagnosis, my cat was given prednisilone, and within two weeks went into early heart failure (fluid overload (thank god this was discovered after a bi-weekly ultrasound)). Lasix has stabilized that, but there is new and permanent damage to her heart that is likely caused by the pred.
                        >
                        > Her heart condition (stage 6) and heart disease were known about. I was told that pred would make it impossible to definitively diagnose GI lymphoma once started, but the risk of heart failure was not mentioned to me. If I had known, I could have questioned its use. I feel heartsick that she has come of the ICU with problems she did not go in with (including endocarditis), and her heart is now the most serious issue (over probable GI lymphoma, pancreatitis/IBD, CRF).
                        > Pat
                        >
                        > ----- Original Message -----
                        > From: moonpye <moonpye@...>
                        > Date: Sunday, July 26, 2009 2:40 pm
                        > Subject: Re: [FH] Misdiagnosed
                        > To: Danielle <doggie_poopie@...>
                        > Cc: heart <feline-heart@yahoogroups.com>
                        >
                        > > Dear Danielle,
                        > >
                        > > I am so sorry to read this about your Bombay, our thoughts and
                        > > hearts are
                        > > with you..
                        > >
                        > > From my personal experience some vets do not know that steroids
                        > > should not
                        > > be given to heart kitties..
                        > >
                        > > In 2007 I refused a Depo steroid shot for Skylar who has severe
                        > > IBD. He had
                        > > mild HCM and was on Atenolol at that time and under a
                        > > cardiologists care.
                        > > The vets including vet owner knew this as they referred him to
                        > > cardio..
                        > > Yet, when he saw one of the vets for his diarrhea she said she
                        > > was going to
                        > > go get a shot for him. I said a shot of what?... and she
                        > > said Depo. I
                        > > immediately refused it and said steroids can not be given to heart
                        > > kitties. They had never heard of that and quite honestly I
                        > > know they didn't
                        > > believe me. So from then on, I carried a PDF on steroids
                        > > inducingcongestive heart failure with me every time, every visit..
                        > >
                        > > I thank the wonderful members here - Janie who wrote messages
                        > > about Depo
                        > > shots from her own experience and her heart kitty, and Nala who
                        > > had written
                        > > often "Steroids are a no-no for heart kitties" and who posted
                        > > the PDFon CHF
                        > > and steroids. I memorized these posts about Depo and
                        > > steroids,.even tho I
                        > > had no reason to ever think he would ever need steroids.
                        > > If not for Janie
                        > > and Nala....Skylar would have absolutely without a doubt had the
                        > > Depo shot,
                        > > I wouldn't have thought twice about it and I wouldn't have known
                        > > any better,
                        > > I wouldn't have even asked what the shot was, I would have just
                        > > said okay..
                        > >
                        > > Now Skylar's HCM has progressed to Severe RCM with high risk for
                        > > CHF/clotsand his new cardiologist put no steroids, nsaids or
                        > > metacam ever in his
                        > > file, no anesthesia too. I still think about that Depo
                        > > shot and what may
                        > > have happened and this is why I thank Janie and Nala all the
                        > > time and tell
                        > > this story. If it wasn't for them...who knows what...
                        > >
                        > > There seem to be many vets who are unaware of the risks of
                        > > steroids for
                        > > heart kitties.
                        > > And who diagnose asthma instead of CHF congestive heart failure
                        > > and give
                        > > steroids.
                        > >
                        > >
                        > > Here is the PDF that I carried with me for anyone who would like
                        > > to have it:
                        > >
                        > > http://www.jarvm.com/articles/Vol2Iss3/TOBIASJARVMVol2No304.pdf
                        > >
                        > >
                        > >
                        > >
                        > > Again, I'm so sorry Danielle...
                        > >
                        > >
                        > > Peace and Hugs,
                        > > Candace with Cinnamon and Skylar
                        > >
                        > >
                        > >
                        > >
                        > >
                        > >
                        > >
                        > >
                        > >
                        > > On Sat, Jul 25, 2009 at 6:50 PM, Danielle
                        > > <doggie_poopie@...> wrote:
                        > >
                        > > > I am ready to vomit....I am so mad!
                        > > > I lost my Sphynx last Saturday night due to HCM. Bombay had
                        > > IBS and food
                        > > > allergies, was only 7 yrs old and the love of our families lives!
                        > > >
                        > > > Over a week ago we went to vet and she diagnosed my kitty with
                        > > Feline> Asthma after radiographs and gave him a Depo-Medrol
                        > > injection. She
                        > > > explained that this breed of cat can have these issues due to
                        > > the allergies
                        > > > and the constant inflammation. Six days later he was in
                        > > congestive heart
                        > > > failure with pulmonary edema, unable to breathe. I took
                        > > him to another vet
                        > > > as the regular vet was out of town and the vet she referred me
                        > > to was also
                        > > > out of the office on Friday. So Saturday morning he got
                        > > a Lasix injection
                        > > > that seemed to help, a full blood panel and strict
                        > > instructions NOT to give
                        > > > him the prednisone if he had trouble breathing but rather a
                        > > trip to the ER
                        > > > vet.
                        > > >
                        > > > He got his lasix and benazepril that evening but later
                        > > saturday night he
                        > > > was open mouth breathing and then jumped on my lap and
                        > > urinated. I was
                        > > > scared and felt like he was dying. I rushed him to ER and they
                        > > put him in O2
                        > > > chamber, but it did not help. They took radiographs and he
                        > > said my cat was
                        > > > in congestive heart failure. I had to make the horrible
                        > > choice. I worked
                        > > > as a vet tech for years and knew what the probabilities were
                        > > in this
                        > > > situation, the pain/discomfort and no cure. We weren't
                        > > going to be able to
                        > > > fix this. After, the vet told me I made the right choice
                        > > as all the fluid
                        > > > was pouring out of his lungs and even foaming at his
                        > > mouth. It didn't make
                        > > > me feel better, I would rather have Bombay back.
                        > > >
                        > > > So after the devestation, and doing some research I find that
                        > > giving my cat
                        > > > the steroid was the worse thing possible. The vet is
                        > > still out of town and
                        > > > I can't even discuss it with her. But what's the
                        > > point? I won't get my cat
                        > > > back. He was so young.
                        > > >
                        > > > My vet did mention his heart looked a little large and we
                        > > should maybe see
                        > > > a cardiologist. Why then did she give the pred to my cat?
                        > > >
                        > > > Both other vets knew right away what was going on? Is
                        > > this an easy mistake
                        > > > to happen? Should I be understanding that mistakes
                        > > happen and we are all
                        > > > human? Or should I express my anger with her screw up?
                        > > >
                        > > > With great sadness, Danielle
                        > > >
                        > > >
                        > > >
                        > > >
                        > > >
                        > >
                        > >
                        > > [Non-text portions of this message have been removed]
                        > >
                        > >
                        >
                        >
                        > [Non-text portions of this message have been removed]
                        >
                      • jintzr
                        I am so deeply sorry for your loss. I know how hard this must be for you. My cardiologist told me that a lot of vets just aren t aware of the potential fatal
                        Message 11 of 16 , Jul 27, 2009
                        • 0 Attachment
                          I am so deeply sorry for your loss. I know how hard this must be for you. My cardiologist told me that a lot of vets just aren't aware of the potential fatal issues it could cause. There are so many stories like this. So the more we get the word out, the better. There are some wonderful pet loss websites out there that can help you through your grief. You are going to need a lot of support, after experiencing such a terrible loss.

                          Hugs,
                          Donna



                          --- In feline-heart@yahoogroups.com, "Danielle" <doggie_poopie@...> wrote:
                          >
                          > I am ready to vomit....I am so mad!
                          > I lost my Sphynx last Saturday night due to HCM. Bombay had IBS and food allergies, was only 7 yrs old and the love of our families lives!
                          >
                          > Over a week ago we went to vet and she diagnosed my kitty with Feline Asthma after radiographs and gave him a Depo-Medrol injection. She explained that this breed of cat can have these issues due to the allergies and the constant inflammation. Six days later he was in congestive heart failure with pulmonary edema, unable to breathe. I took him to another vet as the regular vet was out of town and the vet she referred me to was also out of the office on Friday. So Saturday morning he got a Lasix injection that seemed to help, a full blood panel and strict instructions NOT to give him the prednisone if he had trouble breathing but rather a trip to the ER vet.
                          >
                          > He got his lasix and benazepril that evening but later saturday night he was open mouth breathing and then jumped on my lap and urinated. I was scared and felt like he was dying. I rushed him to ER and they put him in O2 chamber, but it did not help. They took radiographs and he said my cat was in congestive heart failure. I had to make the horrible choice. I worked as a vet tech for years and knew what the probabilities were in this situation, the pain/discomfort and no cure. We weren't going to be able to fix this. After, the vet told me I made the right choice as all the fluid was pouring out of his lungs and even foaming at his mouth. It didn't make me feel better, I would rather have Bombay back.
                          >
                          > So after the devestation, and doing some research I find that giving my cat the steroid was the worse thing possible. The vet is still out of town and I can't even discuss it with her. But what's the point? I won't get my cat back. He was so young.
                          >
                          > My vet did mention his heart looked a little large and we should maybe see a cardiologist. Why then did she give the pred to my cat?
                          >
                          > Both other vets knew right away what was going on? Is this an easy mistake to happen? Should I be understanding that mistakes happen and we are all human? Or should I express my anger with her screw up?
                          >
                          > With great sadness, Danielle
                          >
                        • Judi Levens
                          One other thing Danielle...athma and CHF aparently look very much alike...that was part of the problem with my Max...the dx was asthma. The emergency vet had
                          Message 12 of 16 , Jul 27, 2009
                          • 0 Attachment
                            One other thing Danielle...athma and CHF aparently look very much alike...that was part of the problem with my Max...the dx was asthma. The emergency vet had an asthmatic cat and she couldn't tell the difference, so it is a mistake that can happen. Luckily we were able to save Max, but I am so sorry for your loss of Bombay...hugs to you and deepest sympathy...Judi and Max

                            PS: please don't second guess because it really won't help...sadly, it was time for Bombay to go








                            To: feline-heart@yahoogroups.com
                            From: jintzr@...
                            Date: Mon, 27 Jul 2009 18:31:00 +0000
                            Subject: [FH] Re: Misdiagnosed





                            I am so deeply sorry for your loss. I know how hard this must be for you. My cardiologist told me that a lot of vets just aren't aware of the potential fatal issues it could cause. There are so many stories like this. So the more we get the word out, the better. There are some wonderful pet loss websites out there that can help you through your grief. You are going to need a lot of support, after experiencing such a terrible loss.

                            Hugs,
                            Donna

                            --- In feline-heart@yahoogroups.com, "Danielle" <doggie_poopie@...> wrote:
                            >
                            > I am ready to vomit....I am so mad!
                            > I lost my Sphynx last Saturday night due to HCM. Bombay had IBS and food allergies, was only 7 yrs old and the love of our families lives!
                            >
                            > Over a week ago we went to vet and she diagnosed my kitty with Feline Asthma after radiographs and gave him a Depo-Medrol injection. She explained that this breed of cat can have these issues due to the allergies and the constant inflammation. Six days later he was in congestive heart failure with pulmonary edema, unable to breathe. I took him to another vet as the regular vet was out of town and the vet she referred me to was also out of the office on Friday. So Saturday morning he got a Lasix injection that seemed to help, a full blood panel and strict instructions NOT to give him the prednisone if he had trouble breathing but rather a trip to the ER vet.
                            >
                            > He got his lasix and benazepril that evening but later saturday night he was open mouth breathing and then jumped on my lap and urinated. I was scared and felt like he was dying. I rushed him to ER and they put him in O2 chamber, but it did not help. They took radiographs and he said my cat was in congestive heart failure. I had to make the horrible choice. I worked as a vet tech for years and knew what the probabilities were in this situation, the pain/discomfort and no cure. We weren't going to be able to fix this. After, the vet told me I made the right choice as all the fluid was pouring out of his lungs and even foaming at his mouth. It didn't make me feel better, I would rather have Bombay back.
                            >
                            > So after the devestation, and doing some research I find that giving my cat the steroid was the worse thing possible. The vet is still out of town and I can't even discuss it with her. But what's the point? I won't get my cat back. He was so young.
                            >
                            > My vet did mention his heart looked a little large and we should maybe see a cardiologist. Why then did she give the pred to my cat?
                            >
                            > Both other vets knew right away what was going on? Is this an easy mistake to happen? Should I be understanding that mistakes happen and we are all human? Or should I express my anger with her screw up?
                            >
                            > With great sadness, Danielle
                            >










                            [Non-text portions of this message have been removed]
                          • MekaNoel@aol.com
                            Danielle, I m so sorry to hear about your Bombay. That s a similar thing that happened to my Nikko. My regular vet thought it was asthma because he has a short
                            Message 13 of 16 , Jul 27, 2009
                            • 0 Attachment
                              Danielle,

                              I'm so sorry to hear about your Bombay.

                              That's a similar thing that happened to my Nikko. My regular vet thought it was asthma because he has a short face and he was wheezing but he did not take an X-ray. He did give him a steroid injection but I don't know what it was. It lasts for about 3 weeks.

                              My vet is very good and is careful about steroids because Nikko has HCM. He usually checks with Nikko's cardiologist. Nikko has been on prednisone 2.5 mg for quite some time and never had problems. But I do think this injection did not help his heart. First he got the injection, then he upped the prednisone to 5 mg and then I gave Nikko 125 ml's of fluids instead of 100.??Poor Nikko was very bad when I took him in. My regular vet didn't know until he took an X-ray. He gave him sub q lasix and sent us to the cardiologist. I grabbed an 02 tank from my work and rushed him down there.

                              Now he is home and doing better but he spent 3 days getting IV lasix and in 40% 02 cage.

                              Linda and Nikko, missing Meka


                              [Non-text portions of this message have been removed]
                            • katy4282003
                              i am sorry for my delay in responding. you have been in my thoughts. someone mentioned that CHF and asthma can look alike. i have heard this too but there is a
                              Message 14 of 16 , Aug 3 1:41 PM
                              • 0 Attachment
                                i am sorry for my delay in responding. you have been in my thoughts. someone mentioned that CHF and asthma can look alike. i have heard this too but there is a difference- asthma attacks kind of wax and wane. CHF is a constant coughing. regardless if a cat came in with any heart enlargement the first course of action should have been an echo. besides there are much safer alternatives to asthma than oral or injectable steroids- inhaled medicine (flovent, proair) administered thru a tube like object with a mask (aerokat).

                                here is a little background on my sphynx, belle. belle was diagnosed with HCM in september of 2004. this was after her regular vet noticed a murmur that wasnt there a few month before. belle was about 16 months. she was given atenolol. in early october 2005 belle started coughing. it reminded me of a hairball cough without any hair. i rushed her to the vet who found nothing. still i took her to her cardiologist for another echo just to be sure she wasnt in CHF (she had an echo 1 month before). echo was fine no changes. they switched her heart med to diltiazem as atenolol can cause bronchial spasms. the med change had no effect and made her murmur return and gave her horrible stomach issues. eventually she went to a internist and had a lavage done (anyone who reads this and is told this is something they want to do say NO. i wish i would have known how aggressive it was before or i would have refused it. she had an asthma attack during the procedure and her oxygen dropped and she had to be bagged). the procedure was aborted early but the vet said she knew what an asthma attack looked like. i had already researched and knew that i didnt want any oral or injectable steroids and had heard about inhaled medicine. the vet was pleased that i knew this and was glad i was on board to use it (it is much more expensive but worth it and fairly new to be used with animals). the flovent worked very well- its been 3.5 years since she started using it. it took belle about 7 days to see improvement but she rarely ever has an asthma attack now (maybe 2-3 in all these years)

                                HCM is not all that rare as cat illness goes. i do not personally understand why the vet didnt make that connection. in fact of all the people i know with a sphynx (i belong to a sphynx yahoo group), bombay is the first i have heard to have an asthma diagnosis (besides belle) but not the first to have HCM (in fact there is an ongoing research looking for the genetic link of HCM in the sphynx breed). the vet jumping to asthma instead of HCM because of the breed is wrong, asthma is not noted in this breed but HCM is documented- not to the point of main coons for example but sphynx havent been around as long as the main coon either (like 100 years less). i guess what im trying to say is if your going to talk like you know a breed you should know it especially a vet. you have every right to be angry.

                                i am so sorry for your loss.

                                >^..^<
                                katy & belle






                                > So after the devestation, and doing some research I find that giving my cat the steroid was the worse thing possible. The vet is still out of town and I can't even discuss it with her. But what's the point? I won't get my cat back. He was so young.
                                >
                                > My vet did mention his heart looked a little large and we should maybe see a cardiologist. Why then did she give the pred to my cat?
                                >
                                > Both other vets knew right away what was going on? Is this an easy mistake to happen? Should I be understanding that mistakes happen and we are all human? Or should I express my anger with her screw up?
                                >
                                > With great sadness, Danielle
                                >
                              • katy4282003
                                i meant to say that CHF is a more constant breathing issues (coughing, shortness of breath for example) and asthma attacks last however long (seconds in belles
                                Message 15 of 16 , Aug 3 2:03 PM
                                • 0 Attachment
                                  i meant to say that CHF is a more constant breathing issues (coughing, shortness of breath for example) and asthma attacks last however long (seconds in belles case) and then the cat is completely normal. sorry. i meant to do a better proof read before i sent it.
                                  >^..^<
                                  katy & belle



                                  --- In feline-heart@yahoogroups.com, "katy4282003" <katy_van@...> wrote:
                                  >
                                  > i am sorry for my delay in responding. you have been in my thoughts. someone mentioned that CHF and asthma can look alike. i have heard this too but there is a difference- asthma attacks kind of wax and wane. CHF is a constant coughing. regardless
                                • m3cflvi
                                  Hi First I am so sorry for your loss. It is especially hard with a misdiagnosis. Regarding the Prednisolo dosage. My cat Chelsea recently began coughing a lot
                                  Message 16 of 16 , Aug 3 2:11 PM
                                  • 0 Attachment
                                    Hi

                                    First I am so sorry for your loss. It is especially hard with a misdiagnosis.

                                    Regarding the Prednisolo dosage. My cat Chelsea recently began coughing a lot and after a series of tests, the vet decided to put her on it. She receives 1 ML a day. I am a bit surprised that some vets are prescribing a higher dosage..such as 2.5. Note she is NOT an HCM cat.

                                    Before prescribing this medicine, the vet made sure that her heart as ok. She then X-rayed her to determine if she had a hairball. She didnt. During the visit, the vet then asked be to describe the nature of the cough. I found out that vomiting is different than a cough. To make sure it was a cough, the vet had me video tape the coughing episode to confirm it. We did confirm it was a cough.

                                    I also am surprised the vet initially didnt decide to do a test on her to see how her lungs were. My vet recommended such a test after learning it wasnt from a hairball. Basically the cats lungs are analyzed to see the problem and it costs about $700. I dont recall the name of it. We cannot afford the test, but it is good the vet recommended it in the first place. When your cat began to cough the vet should have recommended the test and the other steps I mentioned above. Chelsea's cough is much better as a result. By giving the test, the vet would have been able to narrow the reason for the cough.. That is ..is it asthma, or HCM. All these steps performed by my vet seem to go well beyond what these other vets did.

                                    This really makes me sad since some vets seem to do a better job of attempting to diagnose a problem.

                                    --- In feline-heart@yahoogroups.com, "katy4282003" <katy_van@...> wrote:
                                    >
                                    > i am sorry for my delay in responding. you have been in my thoughts. someone mentioned that CHF and asthma can look alike. i have heard this too but there is a difference- asthma attacks kind of wax and wane. CHF is a constant coughing. regardless if a cat came in with any heart enlargement the first course of action should have been an echo. besides there are much safer alternatives to asthma than oral or injectable steroids- inhaled medicine (flovent, proair) administered thru a tube like object with a mask (aerokat).
                                    >
                                    > here is a little background on my sphynx, belle. belle was diagnosed with HCM in september of 2004. this was after her regular vet noticed a murmur that wasnt there a few month before. belle was about 16 months. she was given atenolol. in early october 2005 belle started coughing. it reminded me of a hairball cough without any hair. i rushed her to the vet who found nothing. still i took her to her cardiologist for another echo just to be sure she wasnt in CHF (she had an echo 1 month before). echo was fine no changes. they switched her heart med to diltiazem as atenolol can cause bronchial spasms. the med change had no effect and made her murmur return and gave her horrible stomach issues. eventually she went to a internist and had a lavage done (anyone who reads this and is told this is something they want to do say NO. i wish i would have known how aggressive it was before or i would have refused it. she had an asthma attack during the procedure and her oxygen dropped and she had to be bagged). the procedure was aborted early but the vet said she knew what an asthma attack looked like. i had already researched and knew that i didnt want any oral or injectable steroids and had heard about inhaled medicine. the vet was pleased that i knew this and was glad i was on board to use it (it is much more expensive but worth it and fairly new to be used with animals). the flovent worked very well- its been 3.5 years since she started using it. it took belle about 7 days to see improvement but she rarely ever has an asthma attack now (maybe 2-3 in all these years)
                                    >
                                    > HCM is not all that rare as cat illness goes. i do not personally understand why the vet didnt make that connection. in fact of all the people i know with a sphynx (i belong to a sphynx yahoo group), bombay is the first i have heard to have an asthma diagnosis (besides belle) but not the first to have HCM (in fact there is an ongoing research looking for the genetic link of HCM in the sphynx breed). the vet jumping to asthma instead of HCM because of the breed is wrong, asthma is not noted in this breed but HCM is documented- not to the point of main coons for example but sphynx havent been around as long as the main coon either (like 100 years less). i guess what im trying to say is if your going to talk like you know a breed you should know it especially a vet. you have every right to be angry.
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                                    > i am so sorry for your loss.
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                                    > >^..^<
                                    > katy & belle
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                                    > > So after the devestation, and doing some research I find that giving my cat the steroid was the worse thing possible. The vet is still out of town and I can't even discuss it with her. But what's the point? I won't get my cat back. He was so young.
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                                    > > My vet did mention his heart looked a little large and we should maybe see a cardiologist. Why then did she give the pred to my cat?
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                                    > > Both other vets knew right away what was going on? Is this an easy mistake to happen? Should I be understanding that mistakes happen and we are all human? Or should I express my anger with her screw up?
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                                    > > With great sadness, Danielle
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