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Fw: [FH] Question medicate or not?

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  • Kristen G
    I am so sorry -- I just realized this message was supposed to be sent to the group. I have been away from e-mail for a while. I hope that you will write back
    Message 1 of 1 , Jun 22, 2010
      I am so sorry -- I just realized this message was supposed to be sent to the group. I have been away from e-mail for a while.

      I hope that you will write back and let us know how Satori is feeling now. My understanding is that you need an x-ray to show fluid in the lungs, an ultrasound will not show that. I don't know about Atenolol because Duffer has never been on this medicine. Maybe others can share the dosage for their cats.

      How is Satori now?

      Kristen



      ----- Forwarded Message ----
      From: mickthecat <mickthecat@...>
      To: Kristen G <apacheadd@...>
      Sent: Tue, June 15, 2010 6:54:08 PM
      Subject: Re: [FH] Question medicate or not?

      Hi all: I am starting Satori back on the Atenolol but am a bit frustrated b/c the vet has prescribed 6.25 once a day instead of twice. That has never been his dosage it has always been that amt twice a day. And she only gave me 20 pills. He had his teeth cleaned today and is wobbly and very hyper and upset. He is panting right now with his mouth wide open which scares me a bit. He has been panting some (but not with his mouth this wide) when he gets excited and I had a vet tell me that was normal. But I have also had a vet tell me that was a sign of heart issues. But the echo would've showed if there was lung issues or fluid and that is what would cause the panting right? Anyway,I let him go where he wanted to to which was the kitchen and he is breathing hard now but not p[anting. Still I gave him his first 1/4 tab Atenolol. My vet thinks it is basically stupid to put him back on meds as "it only matters what the echo shows now which is that
      the disease is mild. The history doesn't matter". I feel like I am in the twilight zone. Why on earth would the history not matter. She is not as dismissive as the cardiologist and did agree to put him back on the meds but now this is the wrong dosage.

      Then as I was packing him up to go home the tech said that it was recommended that he go on the prescription dental diet. I just said no, he is on a raw diet because of his IBD (which obviously they forgot abut). This vet pushes prescription food (Royal Canine which is really expensive) to the point where all 6 cats would be on a version. Unbelievable, this is first dental, no extractions and he is 8, why would he need a dental diet?

      Anyway, rant aside she is better than many vets you just really need to be a good advocate for your pet I guess.

      Isn't twice a day standard at this dosage?

      --- In feline-heart@yahoogroups.com, Kristen G <apacheadd@...> wrote:
      >
      > I don't know if this helps, but my Duffer has been on Enalapril for 1.5 years since the diagnosis of HCM and CHF. She was much sicker than Satori. The Enalapril has actually improved her heart measurements -- and, yes, my specialist does attribute the improvements to the enalapril. Her atrial enlargement has reduced on the meds. If I were you, I would suggest to the team (vet/cardio) that you TRY going back on the meds for 6 months, do another ultrasound, and SEE what happens. If they agree that the meds are not going to HURT, then why not try it to see if it will help. I know that my specialist probably will never consider removing Duffer's enalapril and I wouldn't want to either! It has kept her stable so far (fingers crossed). I would want to try it and see if it helps. Duffer goes for an ultrasound every 6 months.
      >
      > Best to you --
      > Kristen
      >
      >
      >
      >
      > ________________________________
      > From: mick the cat <mickthecat@...>
      > To: feline-heart@yahoogroups.com
      > Sent: Sun, June 6, 2010 1:03:04 AM
      > Subject: [FH] Question medicate or not?
      >
      > Â
      > My cat Satori was diagnosed with HCM at a year old. He had a 4/6 murmur, mild hypertrophy and mild atrial enlargement. He was on Atenolol for 5 years and all of the hypertrophy and his murmur went away. The cardiologist said there was no longer any sign of heart disease and to take him off the meds. As he is a big cat he didn't think that he still had a very mild enlargement of the atrium was a real indicator of anything to worry about. I did take him off the meds and now 2 years later his murmur is back at 2/6 and he just had an echo and his atrial enlargement while still mild, has increased. There are also some issues on the Doppler that weren't there before. No hypertrophy at all now though.
      >
      > However, the cardiologist says all of this is very mild and meds are not indicated (he is the same cardiologist who told me to take him off meds two years ago). He was dismissive of the idea that the Atenolol actually reversed the disease process, said there is no evidence that can happen. I know it is unusual but the echos over the years clearly show a progressive slow shrinking of the enlargement of the atrium and a slow improvement of the hypertrophy while he was on the meds. And now that he has been off he has a murmur again and enlargement.
      >
      > My vet wants to follow what the cardiologist says. I can understand this recommendation if you look at the cat in isolation as it is mild but neither will listen to me about how the meds seemed to be helping, historically. The cardiologist even said it doesnt' matter what happened in the past only what is current. One of his previous cardiologists also said that the meds seemed to be curing the disease even though they aren't supposed to
      >
      > Am I crazy for wanting to put him back on the Atenolol? Both vets act like I am. The cardiologist said most people don't WANT to medicate their animal and he would never medicate the cat if it was his based on the echos. My vet said she would write the prescription if I insisted.
      >
      > What should I do?
      >
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      > [Non-text portions of this message have been removed]
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