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Lahri's ECHO DILEMMA . . . Please help if can.

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  • mary beth fitzpatrick
    Hello, Everybody ! The E-vet has received the cardiology report from Lahri s recent echo. (His regular vet is out of town but will be receiving it, too.
    Message 1 of 4 , Dec 30, 2012
      Hello, Everybody ! The E-vet has received the cardiology report from Lahri's recent echo. (His regular vet is out of town but will be receiving it, too. Also, as there's not cardiologist anywhere near here, had to get the echo done on a computer owned by a vet up here and have it sent to a specialist they use for reading it.)

      The unimaginable has happened, however consistent with way too much of the veterinary care in this area: The vet says she cannot read much of the report. She does state, however, that the report indicates that Lahri does NOT have HCM. He does have "Toxic Cardiomyopathy," though, i.e. "due to excessive thyroid hormone." She said someone would need to call the specialist in order to understand anything more, e.g. whether Lahri needs treatment for the heart or even an adjustment to the Methimazole (1.25 mg evenings and @.6 mg mornings). Lahri's recent T4 was 2.8.

      The vet says she has no time to to make that call herself, citing that she was not getting paid, at which time I said at least three times I would pay her. Then, she explained that she had not time because of moving into a new practice this very week. There's the regular vet who's seen Lahri once, of course, and I'll certainly appeal to her. However, she's still out of town until 1/4 and I need to get on this ASAP because I have to be out of town from 1/6-16 and ABSOLUTELY NEED TO KNOW IF LAHRI NEEDS ANY INTERVENTION.

      I am thinking VERY HARD about appealing to the cardiologist who saw him for several years, hoping she'll be willing even to work from someone else's analysis of the echo (she's 5 hours away).

      I do have numbers I could share if anyone can understand them, but that seems too much to ask of the group.

      If anything helpful occurs to any of you, I'll be super-grateful to hear.

      Thanks to you all.

      mb and lahril

      Am thinking



      [Non-text portions of this message have been removed]
    • Westgold
      Hi -- this is the problem that can come up if you are unable to see a real cardiologist. Regular vets who have taken a class in echos are not trained or
      Message 2 of 4 , Dec 30, 2012
        Hi -- this is the problem that can come up if you are unable to see a real cardiologist. Regular vets who have "taken a class" in echos are not trained or equipped to take a perfect echo, and their equipment is often old and outdated. Even if a cardiologist reads the echo, it may not be clear because of the old equipment or it just being taken by an unskilled person.

        If Lahri's heart is being compromised by the thyroid medicine, then you need to see an endocrinologist about that.

        Your own vet is trying to cover her ass by not talking to you about this --- she does not know the answers, and doesn't want to get into any trouble by trying to talk about something she doesn't know about. This is why we have to use the specialists whenever there are serious problems. Where do you live? Some specialists do consults over the phone or web, etc if you really can't get to one.

        I suggest you post the numbers and your questions on a yahoogroup list called vettalk, there are some vets on there -- but probably not until after the new year. very few people online this week.

        take care -- Michelle & Tigger Too in Toronto

        [Non-text portions of this message have been removed]
      • mary beth fitzpatrick
        Thanks, Michelle ! You bring up some interesting points that help me think more clearly about facts and possibilities. More info I can share: i) The
        Message 3 of 4 , Dec 30, 2012
          Thanks, Michelle !

          You bring up some interesting points that help me think more clearly about facts and possibilities.

          More info I can share:
          i) The cardiologist who read the echo is a Diplomate.
          ii) The practice told me the tech who took the echo is specially trained to do so and only comes to the practice twice a week to do so, and the equipment is new in the last couple years.
          iii) The highly acclaimed diagnosing cardiologist, 5 hours away, prescribed the Methimazole herself, mentioning nothing about needing an endocrinologist, though there is one (maybe two) in her practice.
          iv) Sorry what I wrote did not make this clear. The E-vet was upfront from the start, saying she did not have the expertise to fully understand what the Diplomate was saying, expect for the point about "toxic cardiomopathy" vs. HCM
          v) I'm in Eureka, CA . . . about 60 miles from the Oregon border and 300 from San Francisco.
          vi) I cannot afford to go to Lahri's cardiologist, especially since I've just paid $250 for this echo. I AM going to call her practice tomorrow and try to get help. ALL I want to know is if intervention is necessary at this point and if so, what I need to do about it.

          HUGE THANKS for the vettalk idea! I'll try it.

          mb and lahri
          ----- Original Message -----
          From: Westgold
          To: mary beth fitzpatrick ; feline-heart
          Sent: Sunday, December 30, 2012 12:59 PM
          Subject: Re: [FH] Lahri's ECHO DILEMMA . . . Please help if can.



          Hi -- this is the problem that can come up if you are unable to see a real cardiologist. Regular vets who have "taken a class" in echos are not trained or equipped to take a perfect echo, and their equipment is often old and outdated. Even if a cardiologist reads the echo, it may not be clear because of the old equipment or it just being taken by an unskilled person.

          If Lahri's heart is being compromised by the thyroid medicine, then you need to see an endocrinologist about that.

          Your own vet is trying to cover her ass by not talking to you about this --- she does not know the answers, and doesn't want to get into any trouble by trying to talk about something she doesn't know about. This is why we have to use the specialists whenever there are serious problems. Where do you live? Some specialists do consults over the phone or web, etc if you really can't get to one.

          I suggest you post the numbers and your questions on a yahoogroup list called vettalk, there are some vets on there -- but probably not until after the new year. very few people online this week.

          take care -- Michelle & Tigger Too in Toronto

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





          [Non-text portions of this message have been removed]
        • elfinmyst@aol.com
          Hi Marybeth Cardiomyopathy can be secondary to hyperthyroidism. This is what I assume the diagnosis the cardiologist is making? If the thyroid is treated, then
          Message 4 of 4 , Dec 30, 2012
            Hi Marybeth

            Cardiomyopathy can be secondary to hyperthyroidism. This is what I assume
            the diagnosis the cardiologist is making? If the thyroid is treated, then
            the CM resolves and gets better. Hyperthyroid is too much production from the
            thyroid gland and needs treatment. It is diagnosed by a blood test. There
            are several treatment options, tablets, radiation therapy and surgery to
            remove excess gland.

            Lyn

            _www.myfurkids.co.uk_ (http://www.myfurkids.co.uk/)

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