Loading ...
Sorry, an error occurred while loading the content.

Nike - Blood Tests

Expand Messages
  • Kevin O'Lone
    I am a little upset with the cardiologist explanation of the blood tests. They explained his BUN was a little elevated. I had to ask what is was because they
    Message 1 of 6 , Nov 16, 2012
    • 0 Attachment
      I am a little upset with the cardiologist explanation of the blood tests. They explained his BUN was a little elevated. I had to ask what is was because they would haven't told me otherwise. It was 37. I know normal is 14 to 34. I forgot to ask what it was originally. I was told to cut his enalapril from a whole pill to 1/2. I told them that I never gave him a whole pill. I misread the instructions. That was my fault. Then I was told they would have to call me back. When they called back I was told they want a retest in 6 weeks.

      We didn't make any changes. The purpose of the retest was not explained.

      In six weeks they will end up changing something and I will have to do another blood tests two weeks after that.

      They aren't happy that I will not follow their recommendations 100%. I know it is my own risk not to do so. I feel like Nike is just a cash cow.

      Do others feel that dealing with heart issues is as frustrating as I do?

      Nike would have been dead years ago if I did exactly what the vets wanted.

      Kevin

      Sent from my iPhone
    • Laurie Stead
      Hi Kevin, You should request copies of all blood tests done to date.  This enables you to walk through it, see changes for yourself and the questions you want
      Message 2 of 6 , Nov 17, 2012
      • 0 Attachment
        Hi Kevin,

        You should request copies of all blood tests done to date.  This enables you to walk through it, see changes for yourself and the questions you want to ask.  The BUN being slightly elevated may be why they want to re-check in 6wks. 

        Once you have the information post the results here for the group. Be sure to include the ranges as each lab differs.  Maybe we can offer some guidance.

        Best,
        Laurie and Boo


        --- On Fri, 11/16/12, Kevin O'Lone <kpolone@...> wrote:

        From: Kevin O'Lone <kpolone@...>
        Subject: [FH] Nike - Blood Tests
        To: "Heart" <feline-heart@yahoogroups.com>
        Date: Friday, November 16, 2012, 6:21 PM
















         









        I am a little upset with the cardiologist explanation of the blood tests. They explained his BUN was a little elevated. I had to ask what is was because they would haven't told me otherwise. It was 37. I know normal is 14 to 34. I forgot to ask what it was originally. I was told to cut his enalapril from a whole pill to 1/2. I told them that I never gave him a whole pill. I misread the instructions. That was my fault. Then I was told they would have to call me back. When they called back I was told they want a retest in 6 weeks.



        We didn't make any changes. The purpose of the retest was not explained.



        In six weeks they will end up changing something and I will have to do another blood tests two weeks after that.



        They aren't happy that I will not follow their recommendations 100%. I know it is my own risk not to do so. I feel like Nike is just a cash cow.



        Do others feel that dealing with heart issues is as frustrating as I do?



        Nike would have been dead years ago if I did exactly what the vets wanted.



        Kevin



        Sent from my iPhone





        _

















        [Non-text portions of this message have been removed]
      • Kevin O'Lone
        Hi Laurie, The lack of details was upsetting. I was frustrated because I had ask for the current level. There should have some reference to the original
        Message 3 of 6 , Nov 17, 2012
        • 0 Attachment
          Hi Laurie,

          The lack of details was upsetting. I was frustrated because I had ask for the current level. There should have some reference to the original value and new value.

          I am going to talk to my normal vet to obtain all of the info. I want to cut down on the enalpril. If 1/2 a pill is causing issue, why aren't we changing? At some point I am just going to do what I think is best.

          Kevin

          Sent from my iPhone

          On Nov 17, 2012, at 10:20 AM, Laurie Stead <kittykatwhiskas@...> wrote:

          > Hi Kevin,
          >
          > You should request copies of all blood tests done to date. This enables you to walk through it, see changes for yourself and the questions you want to ask. The BUN being slightly elevated may be why they want to re-check in 6wks.
          >
          > Once you have the information post the results here for the group. Be sure to include the ranges as each lab differs. Maybe we can offer some guidance.
          >
          > Best,
          > Laurie and Boo
          >
          > --- On Fri, 11/16/12, Kevin O'Lone <kpolone@...> wrote:
          >
          > From: Kevin O'Lone <kpolone@...>
          > Subject: [FH] Nike - Blood Tests
          > To: "Heart" <feline-heart@yahoogroups.com>
          > Date: Friday, November 16, 2012, 6:21 PM
          >
          >
          >
          > I am a little upset with the cardiologist explanation of the blood tests. They explained his BUN was a little elevated. I had to ask what is was because they would haven't told me otherwise. It was 37. I know normal is 14 to 34. I forgot to ask what it was originally. I was told to cut his enalapril from a whole pill to 1/2. I told them that I never gave him a whole pill. I misread the instructions. That was my fault. Then I was told they would have to call me back. When they called back I was told they want a retest in 6 weeks.
          >
          > We didn't make any changes. The purpose of the retest was not explained.
          >
          > In six weeks they will end up changing something and I will have to do another blood tests two weeks after that.
          >
          > They aren't happy that I will not follow their recommendations 100%. I know it is my own risk not to do so. I feel like Nike is just a cash cow.
          >
          > Do others feel that dealing with heart issues is as frustrating as I do?
          >
          > Nike would have been dead years ago if I did exactly what the vets wanted.
          >
          > Kevin
          >
          > Sent from my iPhone
          >
          > _
          >
          > [Non-text portions of this message have been removed]
          >
          >


          [Non-text portions of this message have been removed]
        • joanne marbut
          Enalapril can adversely affect the kidneys-too much to explain here-and you d have to check Drug.com or Wikipedia for full explanations-it s about blood
          Message 4 of 6 , Nov 17, 2012
          • 0 Attachment
            Enalapril can adversely affect the kidneys-too much to explain here-and you'd have to check Drug.com or Wikipedia for full explanations-it's about blood flow. 

            My cat gets one whole pill a day but gets 1/2 in the a.m. and 1/2 at dinner 12 hrs apart. That's what you should have been doing, what they should have told you to do. If you are giving half, are you giving 1/4 a.m. and a 1/4 p.m. or at once? Perhaps you should do a.m. and p.m. so that the kidneys are not taxed at once.

            Enalapril is a complex drug, working to maintain BP now and to prevent issues. The enalapril keeps blood veins opened and helps prevent constriction if the cat has an attack or an issue of loss of blood pressure. By doing so,it also keeps BP down which means the heart isn't working so hard.  

            You should recheck values but there should be changes made such as dosing the med in the a.m. and the p.m.  And try giving more water. The kidneys need it. Put water in the wet food or give by mouth with a syringe or eye dropper. Then, after six weeks of changes you've made and you retest the blood, you'll know if what you've done has affected the BUN level or not or if something else needs to be done to protect the kidneys and prevent renal disease. The BUN isn't horribly elevated but shouldn't keep climbing. And it also matters if the creatinine was normal or not. If both were elevated then there may be a problem. If the BUN is off, it may not be an issue. But do what you can to make changes at home now.  One of my other cats has an elevated BUN and while we'll keep an eye and retest in a few weeks, neither of his vets are concerned.  He has hypercalcemia so goes to a specialist from time to time. 

            Managing the cat's HCM is a necessity and yes, an expensive one but only you know what your budget can allow. So, if you can't get tests every two weeks or so after each change, that's understandable.  Vets know what they learn in school and stick to the old knowledge that's not always practical, real world experience.  

            Good luck!

            [Non-text portions of this message have been removed]
          • mmayer11@aol.com
            This is very good advice, Joanne. I would only caution moderation with regard to syringing water, since too much can also cause fluid retention which then
            Message 5 of 6 , Nov 17, 2012
            • 0 Attachment
              This is very good advice, Joanne. I would only caution moderation with regard to syringing water, since too much can also cause fluid retention which then might require lasix. And would bring on a whole set of other problems.



              Marianna




              -----Original Message-----
              From: joanne marbut <jomarbut@...>
              To: feline-heart <feline-heart@yahoogroups.com>
              Sent: Sat, Nov 17, 2012 12:22 pm
              Subject: Re: [FH] Nike - Blood Tests





              Enalapril can adversely affect the kidneys-too much to explain here-and you'd have to check Drug.com or Wikipedia for full explanations-it's about blood flow.

              My cat gets one whole pill a day but gets 1/2 in the a.m. and 1/2 at dinner 12 hrs apart. That's what you should have been doing, what they should have told you to do. If you are giving half, are you giving 1/4 a.m. and a 1/4 p.m. or at once? Perhaps you should do a.m. and p.m. so that the kidneys are not taxed at once.

              Enalapril is a complex drug, working to maintain BP now and to prevent issues. The enalapril keeps blood veins opened and helps prevent constriction if the cat has an attack or an issue of loss of blood pressure. By doing so,it also keeps BP down which means the heart isn't working so hard.

              You should recheck values but there should be changes made such as dosing the med in the a.m. and the p.m. And try giving more water. The kidneys need it. Put water in the wet food or give by mouth with a syringe or eye dropper. Then, after six weeks of changes you've made and you retest the blood, you'll know if what you've done has affected the BUN level or not or if something else needs to be done to protect the kidneys and prevent renal disease. The BUN isn't horribly elevated but shouldn't keep climbing. And it also matters if the creatinine was normal or not. If both were elevated then there may be a problem. If the BUN is off, it may not be an issue. But do what you can to make changes at home now. One of my other cats has an elevated BUN and while we'll keep an eye and retest in a few weeks, neither of his vets are concerned. He has hypercalcemia so goes to a specialist from time to time.

              Managing the cat's HCM is a necessity and yes, an expensive one but only you know what your budget can allow. So, if you can't get tests every two weeks or so after each change, that's understandable. Vets know what they learn in school and stick to the old knowledge that's not always practical, real world experience.

              Good luck!

              [Non-text portions of this message have been removed]









              [Non-text portions of this message have been removed]
            • kpolone@aol.com
              Hi Joanne and Marianna, I am combining my response to both emails. Nike is on lasix. I do not add any extra water to his food. Nike gets exclusively Nature s
              Message 6 of 6 , Nov 18, 2012
              • 0 Attachment
                Hi Joanne and Marianna,

                I am combining my response to both emails.

                Nike is on lasix. I do not add any extra water to his food. Nike gets exclusively Nature's Variety Instinct canned. Some have complained about all of the liquid in the can but that works for me since I pour it on his food. Nike had issues with Struvite Crystals and has been crystal free since I started doing this. I think he gets enough liquid based on adding the extra liquid to his meals and since he does not eat any dry food.

                Nike does not have HCM. I can re-post all of his issues if needed. They are extensive. The cardiologist even said to me that he has not seen many hearts like Nike's.

                His BUN was slightly high and this Creatinine was normal. I don't know all of the figures because the cardiologist office did not give them to me. I am calling my vet's office on Monday to get them. I am giving Nike 1./2 a pill of enalpril 1x a day. He was supposed to be getting 1 pill 1x a day but as I wrote before I was not doing that. I really like the idea of split the 1/2 a pill to 1/4 2x daily. I am going to ask my vet what see thinks. At this point I am not too happy with the cardiologist office. What you wrote really made sense to me.

                Kevin






                -----Original Message-----
                From: joanne marbut <jomarbut@...>
                To: feline-heart <feline-heart@yahoogroups.com>
                Sent: Sat, Nov 17, 2012 12:22 pm
                Subject: Re: [FH] Nike - Blood Tests





                Enalapril can adversely affect the kidneys-too much to explain here-and you'd have to check Drug.com or Wikipedia for full explanations-it's about blood flow.

                My cat gets one whole pill a day but gets 1/2 in the a.m. and 1/2 at dinner 12 hrs apart. That's what you should have been doing, what they should have told you to do. If you are giving half, are you giving 1/4 a.m. and a 1/4 p.m. or at once? Perhaps you should do a.m. and p.m. so that the kidneys are not taxed at once.

                Enalapril is a complex drug, working to maintain BP now and to prevent issues. The enalapril keeps blood veins opened and helps prevent constriction if the cat has an attack or an issue of loss of blood pressure. By doing so,it also keeps BP down which means the heart isn't working so hard.

                You should recheck values but there should be changes made such as dosing the med in the a.m. and the p.m. And try giving more water. The kidneys need it. Put water in the wet food or give by mouth with a syringe or eye dropper. Then, after six weeks of changes you've made and you retest the blood, you'll know if what you've done has affected the BUN level or not or if something else needs to be done to protect the kidneys and prevent renal disease. The BUN isn't horribly elevated but shouldn't keep climbing. And it also matters if the creatinine was normal or not. If both were elevated then there may be a problem. If the BUN is off, it may not be an issue. But do what you can to make changes at home now. One of my other cats has an elevated BUN and while we'll keep an eye and retest in a few weeks, neither of his vets are concerned. He has hypercalcemia so goes to a specialist from time to time.

                Managing the cat's HCM is a necessity and yes, an expensive one but only you know what your budget can allow. So, if you can't get tests every two weeks or so after each change, that's understandable. Vets know what they learn in school and stick to the old knowledge that's not always practical, real world experience.

                Good luck!

                [Non-text portions of this message have been removed]









                [Non-text portions of this message have been removed]
              Your message has been successfully submitted and would be delivered to recipients shortly.