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Lumi's Episode

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  • Lisa
    Hi there, I m a relatively new member to this group. The light of my life, Lumi, had a stroke late last year and we ve been giving the blood thinner
    Message 1 of 8 , Jan 15, 2013
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      Hi there,

      I'm a relatively new member to this group. The light of my life, Lumi, had a stroke late last year and we've been giving the blood thinner Clopidogrel since that time. You guys have already given me some good tips for things to think about and questions to ask.

      This morning, Lumi had a follow-up visit for a full blood panel. He seemed fine after the visit, but had an episode when we got home. He flopped on his side with labored breathing and groans. His mouth was open and his tongue was out. The worst lasted only about 15 seconds (I'm guessing). But his breathing still seemed difficult so we went straight back to the vet hospital.

      They put him on oxygen and he's there now. They'll be doing x-rays, looking for fluid and other answers + giving new meds and watching how he responds. I'm hoping to pick him up this evening (they're open 24/7).

      The doctor used the term "heart failure" but I was in shock and not sure what exactly that means. They did rule out a stroke because his paw temps were normal.

      Think good thoughts for Lumi!
    • Carol
      hi Lisa, This past year our Misty has had a a few episodes where she d just fall over, not be able to use her legs, breathing through her mouth. They have
      Message 2 of 8 , Jan 15, 2013
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        hi Lisa,

        This past year our Misty has had a a few episodes where she'd just fall over, not be able to use her legs, breathing through her mouth. They have never been able to figure out what these episodes are.

        We had Misty on Plavix, but while on it she had 4 of these things, so we switched her to the supplement Nattokinase. Since being on the Natto, in a year she's had a few episodes, but none as bad as the first ones. She's still with us and has good and bad days, but for the most part is stable and doing okay.

        What happened to Lumi sounds to me like it could be a heart related thing or maybe a seizure of some kind. If Lumi was having a heart failure episode, then there would be fluid in the lungs and that would show up on an xray. They would give him a diuretic to help get rid of the fluid, probably Lasix. Sometimes they will draw the fluid out with a needle, depending on how bad it is.

        Remembering back with our angel Snowball... one time she had an episode much like this and it was a seizure brought on by a drug interaction. She was taking her thyroid meds (Tapazole/Methimazole) and we gave her an appetite stimulant (Mirtazapine) and the combination of those two caused her to have a seizure. You can't give Mirtazapine if the cat is on Tapazole/Methimazole, because the thyroid meds inhibit the liver's ability to metabolize and eliminate the Mirtazapine from the body, so the Mirtazapine keeps accumulating and causes a toxic reaction, which in this case is a seizure. Just wanted to throw that out there too in case Lumi is on any of those drugs.

        Have you had any news since this morning?

        Yahoo is down for a few hours tonight, so hopefully more folks will respond later or tomorrow.

        I'll keep Lumi in my prayers.

        Carol


















        -----Original Message-----
        From: Lisa <liesca@...>
        To: feline-heart <feline-heart@yahoogroups.com>
        Sent: Tue, Jan 15, 2013 1:24 pm
        Subject: [FH] Lumi's Episode





        Hi there,

        I'm a relatively new member to this group. The light of my life, Lumi, had a stroke late last year and we've been giving the blood thinner Clopidogrel since that time. You guys have already given me some good tips for things to think about and questions to ask.

        This morning, Lumi had a follow-up visit for a full blood panel. He seemed fine after the visit, but had an episode when we got home. He flopped on his side with labored breathing and groans. His mouth was open and his tongue was out. The worst lasted only about 15 seconds (I'm guessing). But his breathing still seemed difficult so we went straight back to the vet hospital.

        They put him on oxygen and he's there now. They'll be doing x-rays, looking for fluid and other answers + giving new meds and watching how he responds. I'm hoping to pick him up this evening (they're open 24/7).

        The doctor used the term "heart failure" but I was in shock and not sure what exactly that means. They did rule out a stroke because his paw temps were normal.

        Think good thoughts for Lumi!






        [Non-text portions of this message have been removed]
      • Lisa
        Thanks for the replies. Lumi is still at the hospital this morning. We re hoping he ll come home in the afternoon. The doctor gets in a little later and will
        Message 3 of 8 , Jan 16, 2013
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          Thanks for the replies. Lumi is still at the hospital this morning. We're hoping he'll come home in the afternoon. The doctor gets in a little later and will call with an update.

          But we did chat with the doctor twice yesterday. They took an x-ray and found fluid in his lungs. They have him on oxygen and are injecting him with Lasix (which we'll continue at home in addition to the Plavix/generic).

          It'll be interesting to see how Lumi's breathing rate changes after this hospitalization. Recently, I'd been counting his breaths to figure out what's normal for him and was horrified to discover (twice) numbers around 40/min. I consider myself an attentive guardian but nothing else seemed unusual: his sleeping positions, activity levels, or appetite. I'd wanted to ask the doctor before having his blood drawn yesterday, but a vet tech whisked him away and I never saw a doctor during that appointment.

          Later, the doctor said they would have drawn blood anyway. But I'm still left wondering about the stress of the whole morning and what part that played in the incident.
        • Laurie Stead
          Hi Lisa, I am so glad Lumi is doing alright.  Heart failure is very scary.  I am curious if they mentioned having done an ultrasound?  Is there a
          Message 4 of 8 , Jan 16, 2013
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            Hi Lisa,

            I am so glad Lumi is doing alright.  Heart failure is very scary.  I am curious if they mentioned having done an ultrasound?  Is there a cardiologist on staff?  It is important once Lumi is stabilized to have this test done so you know how best to treat the disease.

            As far as the respiratory rate, be sure you are taking it while Lumi is at rest, not in a deep sleep.  A resting respiratory rate of 40+ is always an emergency.  You will have lasix on hand now, so if it got bad you could give Lumi another dose and then quickly get him to the ER.  I am sure the hospital will review this with you. 

            Heart Disease normally goes undetected until there is a real emergency so don't second guess yourself and look back.  Focus now on how to best help Lumi and know that you have been given a gift in that he is still with you.  So many don't get that chance.  As scary as it all is, know that Lumi can live well with the disease.  Personally my baby girl went into heart failure Nov 2011 and happily she has been symptom free for over a year.  The meds worked!! 

            Hope Lumi is able to go home soon :-)

            Laurie and Boo


            --- On Wed, 1/16/13, Lisa <liesca@...> wrote:

            From: Lisa <liesca@...>
            Subject: Re: [FH] Lumi's Episode
            To: feline-heart@yahoogroups.com
            Date: Wednesday, January 16, 2013, 1:49 PM
















             









            Thanks for the replies. Lumi is still at the hospital this morning. We're hoping he'll come home in the afternoon. The doctor gets in a little later and will call with an update.



            But we did chat with the doctor twice yesterday. They took an x-ray and found fluid in his lungs. They have him on oxygen and are injecting him with Lasix (which we'll continue at home in addition to the Plavix/generic).



            It'll be interesting to see how Lumi's breathing rate changes after this hospitalization. Recently, I'd been counting his breaths to figure out what's normal for him and was horrified to discover (twice) numbers around 40/min. I consider myself an attentive guardian but nothing else seemed unusual: his sleeping positions, activity levels, or appetite. I'd wanted to ask the doctor before having his blood drawn yesterday, but a vet tech whisked him away and I never saw a doctor during that appointment.



            Later, the doctor said they would have drawn blood anyway. But I'm still left wondering about the stress of the whole morning and what part that played in the incident.

















            [Non-text portions of this message have been removed]
          • Lisa
            Carol, I m curious about Misty s episodes when she d fall over and breath through her mouth. Did you rush to ER every time? Or did you learn it was something
            Message 5 of 8 , Jan 17, 2013
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              Carol, I'm curious about Misty's episodes when she'd fall over and breath through her mouth. Did you rush to ER every time? Or did you learn it was something that would pass? Even after the worst of Lumi's incident was over, he still had labored breathing -- which was why I decided to take him back to the hospital. But, nearly $2K later, I wonder what to do if it happens again.

              In retrospect, I think Lumi had fluid in his lungs for awhile but we didn't realize it. I didn't start monitoring his breathing right away because I thought it was a long-term thing... and he'd had two vet appointments where they'd monitored his breaths with no concerns. Yesterday, after coming home from the hospital, I counted 27/minute.

              Yes, Laurie, we've had an ultrasound, ECG, blood panel, urinalysis + culture, and x-rays with a specialist. (Am I forgetting anything? LOL.) The doctor predicted Lumi would have one year of "quality life" ahead of him but, thanks to this group, I know better than to believe them. We're going to beat that! Lumi is strong!
            • Carol
              The first two times it happened, we did rush her to the vet. After that, when they happened, we just waited them out. Her s turned out to not be fluid in her
              Message 6 of 8 , Jan 17, 2013
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                The first two times it happened, we did rush her to the vet. After that, when they happened, we just waited them out. Her's turned out to not be fluid in her lungs...but what we think were little mini strokes. We still don't know what they are when they happen, which is very scarey and frustrating because we don't know if we're treating her properly.

                Carol
















                -----Original Message-----
                From: Lisa <liesca@...>
                To: feline-heart <feline-heart@yahoogroups.com>
                Sent: Thu, Jan 17, 2013 9:40 am
                Subject: [FH] Re: Lumi's Episode





                Carol, I'm curious about Misty's episodes when she'd fall over and breath through her mouth. Did you rush to ER every time? Or did you learn it was something that would pass?






                [Non-text portions of this message have been removed]
              • Laurie Stead
                What was the diagnosis from the ultrasound? Did a cardiologist review it?  Laurie ... From: Lisa Subject: [FH] Re: Lumi s Episode To:
                Message 7 of 8 , Jan 17, 2013
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                  What was the diagnosis from the ultrasound? Did a cardiologist review it? 

                  Laurie


                  --- On Thu, 1/17/13, Lisa <liesca@...> wrote:

                  From: Lisa <liesca@...>
                  Subject: [FH] Re: Lumi's Episode
                  To: feline-heart@yahoogroups.com
                  Date: Thursday, January 17, 2013, 12:40 PM
















                   









                  Carol, I'm curious about Misty's episodes when she'd fall over and breath through her mouth. Did you rush to ER every time? Or did you learn it was something that would pass? Even after the worst of Lumi's incident was over, he still had labored breathing -- which was why I decided to take him back to the hospital. But, nearly $2K later, I wonder what to do if it happens again.



                  In retrospect, I think Lumi had fluid in his lungs for awhile but we didn't realize it. I didn't start monitoring his breathing right away because I thought it was a long-term thing... and he'd had two vet appointments where they'd monitored his breaths with no concerns. Yesterday, after coming home from the hospital, I counted 27/minute.



                  Yes, Laurie, we've had an ultrasound, ECG, blood panel, urinalysis + culture, and x-rays with a specialist. (Am I forgetting anything? LOL.) The doctor predicted Lumi would have one year of "quality life" ahead of him but, thanks to this group, I know better than to believe them. We're going to beat that! Lumi is strong!








































                  [Non-text portions of this message have been removed]
                • Lisa
                  Hi Laurie, I have quite a few notes from the cardiologist about the condition of Lumi s heart. In November, after he threw a blood clot, he was said to have
                  Message 8 of 8 , Jan 18, 2013
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                    Hi Laurie,

                    I have quite a few notes from the cardiologist about the condition of Lumi's heart.

                    In November, after he threw a blood clot, he was said to have evidence of severe hypertrophic cardiomyopathy. I'm not sure what the important points are from the ultrasound, but basically the left side of his heart is out of whack (severely enlarged atrium, ventricular chamber mildly enlarged, other stuff) but the right side is "unremarkable."

                    I can type out all findings if you're interested.

                    Lumi was said to be at risk for more clots and for congestive heart failure (fluid in the lungs). The fluid happened sooner than we anticipated.

                    He's on Plavix (continuing) and Lasix (new). We'll add Benazepril in a week or so, after we're sure there are no effects from these two.

                    We're still playing with the method of giving medications. He will eat them crushed in his food (the Plavix is a compounded treat to mask bitterness) -- but I'm leaning towards gel caps because I don't want to create an eating disorder. He does sometimes sense there's something strange in his food.

                    Wonder if we used a small amount of baby food or smellier stuff (like Fancy Feast) with his meds, first, and then switched to his usual canned... if that would be preferable?
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