7th-Feb: Tyler - Update . Will come home this evening.

Discussion in 'Lantus / Levemir / Biosimilars' started by PussCatPrince - GA, Feb 6, 2018.

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  1. PussCatPrince - GA

    PussCatPrince - GA Well-Known Member

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    Wednesday 7th Feb.
    Morning everyone & thank you all for staying with us through this episode.

    Yes. The title is correct. Tyler can come home. I could collect him this morning but was offered to have a vet appt/consultation so took that . I will bring Ty home late this afternoon.
    The vet rotation is back to the original vet from Friday.

    As you all know the original issues for last Friday's vet appt was ongoing soft stools and diarrhea + the worsening mobility, the dragging really of his right leg which let him down. By that I mean that he was still up for walking but his gait was incredibly unstable.
    Instead on that Fri morning he actually refused to eat ( a first) and his BG was 3.1. I took him early .
    A test was positive for pancreatitis which may have been slowly building for some time. If you look at his SS his BG levels had been dropping for some days which is not uncommon in some cats if an issue is rumbling away. Had his BG suddenly rocketed that would have given much more of an alert.

    Ty has been very dosy the past two days which concerned us. This morning I learnt , via the telephone call, he has been on an opiod mediation for pain. They reduced the dose. He brightened up. He will come home with that I think.

    His BG for them, the vets, this morning had risen again to over 17.0/306. I was expecting a higher number TBH as I didn't believe a spontaneous remission could have occured.
    They wish to start him back onto 1 unit Lanctus twice daily.

    Because of the BG levels they have experienced , the vets do not think there is a real liver issue which is good news, so there will not be a bile-acid test.

    For some reason today's vet seemed to think that Tyler had just stopped walking over the end of last week. This is not the case at all however his mobility and ability to control his limbs had continued to worsen. He was still moving himself around up until I took him to the vet. I am not sure why they don't understand this.

    As of this morning and until we see the vet , their considered opinion again is that this is arthritis despite that no pain meds to date have improved the gait or mobility.
    The only thing I saw that helped a bit was the B12 tablets helped him away from the absolute planter gait.

    They wish to start him back on the metacam. Hence my thread into the main feline health forum re studies on this med.

    There was a mention of B12 injections. I think he has had this but I am not sure, nor if this is the case if that will continue or if this will mean vet visits . I do realise people on here adminster themselves but this is NZ & I didn't hear the suggestion that I continue and do this at home for Ty.

    So where do Ty and I currently stand or perhaps that should be sit? Right back where we were before the pancreatitis manifest itself ingloriously and Ty decided not to eat at all that Friday morning.
    He is eating ,weeing, pooping - soft or otherwise - and doing his wobbly walks and then flopping down against anything to prop him. That is where we were before all of this .
    This is far better though than what we thought we might be facing .
     
    Last edited: Feb 6, 2018
  2. PussCatPrince - GA

    PussCatPrince - GA Well-Known Member

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    This was Ty yesterday afternoon. Incredibly sleepy but so lovely.

    Pic_0206_356 - Copy.jpg
     
  3. Myagi (GA) and Heidi

    Myagi (GA) and Heidi Well-Known Member

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    Welcome home Ty!!!! Oh M, I'm sorry there wasn't a more positive outcome with solutions or treatments. But your baby is coming home with you and that may help him a bit instead! All the love we can muster :bighug::bighug::bighug::bighug:
     
  4. Tracey&Jones (GA)

    Tracey&Jones (GA) Well-Known Member

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    Dec 12, 2016
    I was thinking about you and Tyler this morning.

    I give Jones B12 shots but is not the methylcobalamin type. I just use the insulin syringe to give 0.25ml dose once a month. No different then the insulin shot just a way bigger dose!

    I am glad he gets to come home.

    I wish you had a better answer on the mobility issues. That seems like a pretty quick onset of wobblies for arthritis though.

    I used metcam as 3 doses over 3 days for Jones for a jump that ended up in a sprained leg. I am not sure I would use it long term.


    Chin rubs for Tyler and hugs for you.
     
    Last edited: Feb 6, 2018
  5. Myagi (GA) and Heidi

    Myagi (GA) and Heidi Well-Known Member

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    Lovely, yes he is. Has he gained weight? He looks healthier. Scritches and bumps.
     
  6. Amy&TrixieCat

    Amy&TrixieCat Well-Known Member

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    I'm glad your sweet boy is coming home...prayers for healing....
     
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  7. PussCatPrince - GA

    PussCatPrince - GA Well-Known Member

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    Exactly @Tracey&Jones . No denying that arthritis will play a part but his mobility does not at all display as arthritis to me. Not sure why they are stuck on this.
    He displays weakness not stiffness. Both cause pain.

    I know & I tend to agree. Had I seen this do something for Ty when we were using it months ago I might have felt differently.
     
  8. Tracey&Jones (GA)

    Tracey&Jones (GA) Well-Known Member

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    Could the weakness come from the low numbers perchance? I guess it is hard to gauge while he was in the ER once his numbers improved.
     
  9. Stacy & Asia

    Stacy & Asia Well-Known Member

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    Oct 2, 2017
    What a sweet ginger boy! I’m so glad he is able to come home with you! All the vines to you for good appy, no diarrhea, and more stable mobility! :bighug::bighug::bighug::bighug:
     
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  10. Alicia & Maggie (GA)

    Alicia & Maggie (GA) Well-Known Member

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    So happy for you and Ty to be reunited at home! Sending vines for Ty to eat, to gain strength, and to be done with diarrhea. :bighug:
     
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  11. Juliet

    Juliet Guest

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    So glad he is coming home. And what a gorgeous wee boy! So sweet.

    I had Silver on B12 tablets for a while. Vet kept insisting he had some kind of neuropathy and b12 wouldn’t help but he was right as rain in a few weeks. At his worst he couldn’t stand up to eat and I had to prop up his bowl so he could eat lying down. It’s worth a try. The vet eventually gave me b12 liquid but it was cyanocobalamin and at the time, on here, they said that kind was no good for cats.

    I hope he gets sorted soon. :bighug::bighug:
     
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  12. Carol in Chicago

    Carol in Chicago Member

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    Apr 5, 2017
    Wonderful news. Congrats! There are multiple forms of vitamin B. It depends why they want him to have it which form you should give. In the most basic terms, if it is for his digestive system injection. If it is for his mobility oral would be better. Need to know more about why they want him to have this to know which form will help the most. In the US, either form can be given at home.

    My Rosie has had both and continues to take oral B12 daily for mobility (methylcobalamin).
     
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  13. Chubba (GA)

    Chubba (GA) Well-Known Member

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    So glad he is coming home. Sending more healing vines and prayers. :bighug:
     
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  14. Kris & Teasel

    Kris & Teasel Well-Known Member

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    I'm very glad you'll have your sweet kitty at home with you soon. :bighug::bighug:
     
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  15. Sharon14

    Sharon14 Well-Known Member

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    So glad he’s coming home! :bighug: For you, and [​IMG] For sweet Tyler
     
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  16. Mandy & Rex (GA)

    Mandy & Rex (GA) Well-Known Member

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  17. Dyana

    Dyana Well-Known Member

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    Welcome Home, Ty!
    I hope he feels so much better being home.
    Sending feel better and eat lots of food vines to Ty.
     
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  18. carfurby (GA)

    carfurby (GA) Well-Known Member

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    I'm glad Ty is coming home. I'm sure you'll both feel better having him home. Sending prayers for healing. :bighug::bighug::bighug:
     
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  19. PussCatPrince - GA

    PussCatPrince - GA Well-Known Member

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    We don't think so. I just wrote out a timeline ready for seeing the vet. His gait has been worsening since the end of October. Before that Ty simply had the older cat thing of being a wee bit more careful. No wobbles or planter gait.

    Phil says any more days in there and they would have completed the poodle cut on Ty.
     
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  20. Tracey&Jones (GA)

    Tracey&Jones (GA) Well-Known Member

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    Dec 12, 2016
    I noticed the bare belly. So want to rub my hands on it and jiggle it around but I didn't want to embarrass Tyler.


    I hope you get that gait issue figured out. No back issues?
     
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  21. PussCatPrince - GA

    PussCatPrince - GA Well-Known Member

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    :eek: Noes. He is a stately elderly gent . No noticing the trousers and shirt have parted.

    Me too. Me too. I don't feel it is a back issue. I think it is a rear right back leg issue , possibly from a strain / injury alongside a general over weakness on the back legs.
     
  22. HWright

    HWright Well-Known Member

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    Jun 19, 2016
    Hoping you and Tyler had good night and that he is feeling better each day. Love your description of him as “stately elderly gent.”
     
  23. Stacy & Asia

    Stacy & Asia Well-Known Member

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    Oct 2, 2017
    Maybe the new do will keep him cool. :cool: Asia seems pleased with her baldy tum and the extra attention it gets her. My youngest feels the need to give her raspberries, I’m not sure she’s impressed.

    Hope you can figure out his leg issues and it improves each day. Extra love for you and Ty. So glad he’s home with you! :bighug:
     
  24. Squalliesmom

    Squalliesmom Well-Known Member

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    Jun 26, 2015
    So glad Tyler is home again! :bighug:
    Did the vet check his potassium levels? Low potassium can result in weak/wobbly legs remiscent of arthritis or diabetic neuropathy.
     
  25. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Jun 15, 2015
    Wonderful news that your boy is coming home!!
     
  26. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Senior Member Moderator

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    Dec 28, 2009
    There is a significant issue with Metacam. It carried a black box warning from the FDA regarding its causing acute renal failure in cats. A black box warning is as significant as it gets short of the FDA pulling a drug off of the market. This warning was supported by the manufacturer and has been in place since 2010. Your vet should be well aware of the problem. If your vet insists over your objections, I'd ask if their malpractice is up to date. FWIW, my vet will not prescribe Metacam or any other nonsteroidal anti-inflammatory drug other than a one time only use.
     
  27. PussCatPrince - GA

    PussCatPrince - GA Well-Known Member

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    Nov 25, 2017
    Thanks. I think maybe you meant to post this into my Metacam discussion and enquiry thread .
    I am not in the USA. I'm in semi rural New Zealand. The clinic is an NZ Accredited international teaching hospital .
     
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