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RE:(Oreo/2nd opinion CRF & hypertrophic cardiomyopathy since 6wks old)

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  • Susan
    Hi , I posted this on the CRF board as well, but would anyone to chime in on advice or ? I wasn t happy with the 1st specialist & wanted to MAKE SURE I was
    Message 1 of 3 , Feb 9, 2012
      Hi ,
      I posted this on the CRF board as well, but would anyone to chime in on advice or ? I wasn't happy with the 1st specialist & wanted to MAKE SURE I was doing everything I could to prolong his days & keep them of good quality.

      OK, so this new vet, I really like her. She was more in tune to MY WANTS/NEEDS (
      what I was looking for ) in a visit. We clicked right away. Oreo had a much
      better experience during that visit than the last & it didn't drain him quite as
      much.
      Well, it was 6 days after the last visit & here are his numbers:

      phos 7.42 / was 5.1 (3.4-8.5)
      C02 24.6 mm (no values given)
      bicarbonate 16.2 mm (no values were given)
      pot 3.9 / was 4.4 (3,7-5.8)
      bun 46 / was 38 (10-30)
      creat 3.8 / was 4.0 (0.3-2.1)
      blood pressure was 140 (110-130) but said it was elevated due to vet visit
      BTW- am I heading towards a phosphorus binder with his phos numbers ? I didn't
      ask that.

      Tests that have NOT been performed by the "other" specialist, that she did, but
      takes 5-7 days for results are :

      Parathyroid hormone
      TL1, PL1, B12, folate

      She is ADDING Enalapril to his daily routine. said it would help take the
      pressure OFF his kidneys. I'll be researching this board on the use of that.

      In her thought of thoughts, she confirmed what I thought (but we're waiting on
      the last bit of pending tests results 1st) is that she doubts there's and
      infection still and that in 2.5 weeks she "suspects" that we will be
      discontinuing antibiotics and continuing care for "CRF". But, there's an off
      chance for a deep seated tissue kidney infection. Also checking for protein in
      the urine, next trip.
      She also said there's a "slight chance" this could one of those "pending
      results" tests above (which I'm still reading up on)come back positive, she said
      thats a GOOD THING & can be treated and would slow the progression of the crf. I
      think , it was the pyelectasia? But I could be wrong on what she said.

      She reccommended doing a biopsy of the kidneys, but thats evasive & she didn't
      know if she would even do it at this point if this were her cat. And for sure
      NOT to do it until he has been OFF the antibiotics for at least a week as to NOT
      get a false negative.

      OK, I didn't care for her answer on the obvious question we all want the answer
      too, life expectancy...
      She said a few months to a year with these numbers. But, he might be one of the
      ones who lives "out of the box" as she says.
      Any words of encouragement?
      I will be following up with THIS VET in 2.5 weeks for a repeat blood word &
      urinalysis

      thank you for all your input.
      canned food suggestions aside from Hills k/d & Feline advantage ?
    • acrocat@rocketmail.com
      Hi Susan Does your kitty have congestive heart failure as well? The only thing that sticks out to me about your post is the use of enalapril for renal disease.
      Message 2 of 3 , Feb 9, 2012
        Hi Susan

        Does your kitty have congestive heart failure as well? The only thing that sticks out to me about your post is the use of enalapril for renal disease. It should be used (IMO of course! but research agrees with me!) for cats and dogs with renal disease that causes protein loss (glomerulonephritis, usually). Cats rarely get this type of renal disease. Enalapril decreases renal perfusion (blood flow through the kidneys) so it's helpful if you have the type of renal disease that causes you to blow protein out, but it is not helpful for other types because the kidneys are getting a little less perfused. Does that make sense? In other words, the risk of using enalapril/benazepril with kidney disease should be outweighed by a positive benefit.

        Adriann
      • Susan
        No- CHF, that has been mentioned. they state after the echo-& I routinely got those througout his 15 years, that his heart has remained unchainged , but
        Message 3 of 3 , Feb 9, 2012
          No- CHF, that has been mentioned. they "state" after the echo-& I routinely got those througout his 15 years, that his heart has remained "unchainged", but that there is "suspect" of normal progression within a year out, thats what the ekg report states.

          OK, so if I understand you correctly, if there's NO PROTEIN in the urine, there you don't think we need to use it, but if there IS protein in the urine, then it's good to add to ghis daily meds. ?

          If thats the case, we aren't doing a repeat urinalysis for another 2.5 weeks. I can call her back & ask EXACTLY the reason we are using it, other than what she said that it "helps" to reduce the pressure on the kidneys...Again, "I" took the drug for MY blood pressure, lol, but other than that, Im glad you responded because I am a trying to stick by the rule that "less is more" on the medications end...I want to keep him off as many meds or lowest dosages possible for now...
          Thanks

          --- In feline-heart@yahoogroups.com, "acrocat@..." <acrocat@...> wrote:
          >
          > Hi Susan
          >
          > Does your kitty have congestive heart failure as well? The only thing that sticks out to me about your post is the use of enalapril for renal disease. It should be used (IMO of course! but research agrees with me!) for cats and dogs with renal disease that causes protein loss (glomerulonephritis, usually). Cats rarely get this type of renal disease. Enalapril decreases renal perfusion (blood flow through the kidneys) so it's helpful if you have the type of renal disease that causes you to blow protein out, but it is not helpful for other types because the kidneys are getting a little less perfused. Does that make sense? In other words, the risk of using enalapril/benazepril with kidney disease should be outweighed by a positive benefit.
          >
          > Adriann
          >
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