12.09 Nelli AMBG 293 PMPS 226

http://www.felinediabetes.com/FDMB/threads/12-07-nelli-amps-256-3-25-123-6-140.207630/#post-2301016

 

Looks like Nelli didn't like not getting her shot Her depot needs topped off, I think you'll get her back on track soon. I despise those pinks, Taco likes throwing them at me too. If you look at his SS, he threw them at me with his reduction he had earned a couple times, I hope he's done with them for a while Sensitive kitties driving their Mommas crazy

 

Don't be discouraged by the pink. Nelli will get back on track.

 

Those pinks are not permanent or a failure. It indicates an adjustment and Nelli will get back to whete it's best for her. This is a journey, for sure.

 

Failed reductions stink, and the NS sure didn't help, but Nelli will be back in green before you know it. Bailey's reduction failed as well so I'm in the same boat.
Good luck with your dosecrease.

 

I did not shoot this morning and this is why...
Nelli doesn’t feel good. I SO hesitate to take her to ER.

She wants to eat... I went straight for the Farmina Digestion kibble again (her fave) maybe ate only six to eight and then stopped. Clearly her belly somewhere is not right.​

She ate breakfast fine yesterday... I flew out the door very early for work. Didn’t return until almost three. Nelli was enjoying the outdoors while I was gone... or was she?

Yesterday:
PM snack-Fed her some more breakfast food (Darwin turkey). She approached it, turned then walked away.
One hour late- tested, shot and fed. BG was 352, UP ALMOST 175 points? Blues in AM, pink at PM, 13 hours later. Shot just as she started to to eat dinner- only ate a tablespoon or so.
Disappeared somewhere outside last night way past bed time still no Nelli. Finally found her hunkered down hiding deep in the ferns and brought in for bed.
Nelli is not feeling good.
Back inside... Within 15 minutes, she got up from where she was sleeping, ferociously gagging to throw up... and did. 3-4 kibbles- not much in her stomach. Walked a couple feet away ferociously gagged again, spit up less than T of fluid. This all was repeated a third time with only stomach foam (1-2 t.) coming out.
We both slept a few hows.

Today:
Nelli always comes in to bedroom and lets me know it’s time to wake- get up.
Not this morning. I woke up very late, 7:30 and went to Nelli.
Some is WRONG with Nelli. Wouldn’t eat, therefore NS.

I know she doesn’t feel good when her coat is like it is (see pic) and when she tucks her legs under.
Does anyone have any (experience) thoughts for me and Nelli?

 

I'm sorry Nelli is not feeling well. I wonder if she ate something outside that is causing her tummy to be upset. It sounds like she may be nauseous if she is acting like she wants to eat and then turning away. If that doesn't clear up, she won't be able to eat. You don't want this to go on too long with her not eating or she could develop fatty liver disease. You may want to get her into the vet today. You also have to be careful about DKA with her being diabetic. This is caused by not eating + no insulin + infection. Sending prayers.

 

Thanks Carla. Now I’ve been allowed to crack, have a melt down... think clearly now, if that makes any sense. Thanks for checking with us.
She’s very still as though if she moves around that will be uncomfortable.
I truly can’t imagine Nelli getting into any poison. There are no chemicals, toxins or pesticides anywhere in her life inside and outside?
I am worried and confused.
I will take to to ER.

 

Sending prayers and hugs for you and Nelli

 

Prayers for you and Nelli

Please keep us updated

 

I will Paul. I'm so worried.
Driving to ER now...

 

I'm so sorry about Nelli not feeling well, I hope it's something simple to make her feel better. Sometimes their fur gets like that from dehydration. Let us know what you find out, hope all turns out well

 

Thanks Rosie.

 

@carfurby, ok.
At vet. I dont bring Nelli in until they are ready to see us so we are outside in car.
I will be good to let everyone know what's happening

 

Sending prayers.

 

Oh Krystina! I am so sorry that Nelli isn't feeling good. That meatloaf position she was in indicates she is in pain. I hope you get some answers and please keep up updated.

 

Yes EYE know. Seemingly NOT the”Vet n residency”.
This has been a complete, useless interruption in both Nelli and my life today.
Discust.
We’ll be home in about an hour. I’ll send synopsis later.
Thanks for your interest and concern about Nelli

 

Hugs, Krystina. I hope you were sent home with something for nausea and pain.........

 

Sorry took so long. Came home - fed Nelli chopped up raw chicken thigh (which she did eat ), portioned out over 45 minutes or so. Put some raw thighs in pot of simmering water on stove, lied down thinking about what has gone on today- fell sound asleep.
Nelli is now napping. Kept food down.

 

Edited 5:10p EST:

Synopsis:
Don’t know what is wrong with Nelli. Vital and bloodwork all “good”.-
“ER is limited as to what it can do... I can take X-rays, not ultrasounds (had ultrasound on 11/07/18)or echocardiogram. You’d have to see the Internal medicine Dr.... here on a weekday. Asked if I would like Rx for appetite stimulant- anti anti-vomit drug? I told her no. I want to know what is wrong with Nelli. I want to treat symptoms of a diagnosis, I do not want to mask (supress(?) a “symptom” of something. I need to know why -Nelli has stopped eating (all of a sudden?), is lethargic (all of a sudden), coat looking as though it does (see pic above)... all of a sudden and I’ll use @Bobbie And Bubba description meatloaf potion.
Am I making any sense? Logicical reasoning?
Please stand up to me with your opinion, any whicoh way.
I’d appreciate all disagreements and agreements
I am winging this only through gut feelings. I wish I did have the correct answer. I wish I was a Vet *If I was, I’d be the best, highly regarded, the best FD vet in the country. Period.
Thanks again. You all who are interested and care about Nelli are invaluable to me. I love you all. It often sucks to be alone and I’m not because you.
Muah,

 

Has started going through her chomp, chomp-chomp rapidly to one side of mouth, antics lately. Every time she eats although only briefly this afternoon eating the raw chicken?
Nelli clearly has some gastrointestinal issue going on.
Now... what next? I have grown more and more careful, apprehensive too, loading Nelli up and carting her off to some Vet, some where.
Is it true the next best exploratory route is an ultrasound? If so, is it best to see an internal medicine vet- I’m wondering. Would a PCare Vet be just as capable of reading ultrasound- I’m wondering.

 

Although you’ll see, nothing of much concern,I will Post Nelli Labs now. I have two to post, 11/07 and today so plz give me 20-30 minutes, thanks

 

Did they look at her teeth?

 

Yes, Vet did say her gums looked good- were pink. She had complete exam and cleaning back in October .

Side note: my little punky wunkies, buddy has all of her teeth - Vet amazed

 

Did they test for the pancreatitis? If it's pancreatitis, there is usually vomiting and some diarrhea and appetite drops from being in pain. If she were mine, I would want the appy stimulate but only if an anti-nausea is given first as you don't want her appy to be stimulated if she is nauseous. She needs to eat so she doesn't develop liver issues.

My practice sends out for US as they are limited in what they can do there and want a specialist that does US and reads them all day, everyday to preform them.

Oh, Krystina, I feel your pain with not knowing the best route to go. Could they give you ANY explanation as to what could possibly be going on??

 

NONE. It was terrible to put Nelli through... for what?
A waste of my necessary, precious time today.
A complete waste of $388

 

Before this started.......how was she, pooping? Eating okay?

 

Did they preform the test for Pancreatitis?

 

She ate 3 hours ago- whole cut up fresh raw chicken thigh and (fresh raw) chicken hear.

 

@Bobbie And Bubba she ate fine early yesterday. I saw her do a nice poop outside in late afternoon yesterday.

 

What is test abrv. For Pancreatitis?

 

I hope she is feeling better soon, poor thing.

 

Oh...... Krystina is the Snap something or other......I hope some others weigh in that know. I know that @Marje and Gracie knows what it is.

 

this one? http://www.idexx.nl/smallanimal/reference-laboratories/testmenu/innovative-tests/spec-fpl.html

 

Yes, SpecfPL is the one for pancreatitis. The SnapfPL is just a yes/no, and is often done in house. The SpecfPL is more comprehensive. For an overall view of her GI function, there is the Texas A&M GI Panel that includes SpecfPL, cobalamin, folate and TLI. As for an ultrasound, I would always prefer someone skilled in analyzing ultrasound results. I have heard too many cases of inconclusive results by a regular vet so the person had to go get it redone by someone who knows. In my vet clinic, a ultrasound specialist vet travels to the clinic, so that might be an option for you.

I am glad to hear she is eating a little something now. The antivomiting drug the vet mentioned today is likely Cerenia, which also is an antinausea and has some anti inflammatory properties so might have been a good one to get.

As for insulin, and if it happens again, you are always good to give a half dose. Not all the insulin injected goes to combat carbs in the system. Cats undergoing anesthesia who cannot eat are OK to get half a dose. Besides which, Nelli was high and no insulin might actually make her feel even worse since she's been spending time in much better numbers lately.

 

Thanks Wendy! I will capture the SpecfPL for future reference.

 

I have had too many turns with Kitty to the vets, without them figuring out what is wrong. It is frustrating for sure. I am sorry you are going through that I would definitely accept the anti nausia and apetite stimulant (if the anti nausia is working). A cat that doesn't want to eat can end up getting a lot more issues than it had in the first place.

 

I'm sorry the vet visit was so bad and not helpful. That is so frustrating. I'm glad Nelli is eating something for you. I hope she gets over this soon. Sending prayers.

 

@Bronx's dad thank you, yes- bingo!
@Wendy&Neko -
It was mentioned to me today by the Vet tech one of the possibilities could be pancreatitis. I asked how that is diagnosed. Was told through bloodwork being done today.

Don’t see on blood work up panel that was done today so I called to ask. Tech I spoke with (continued) mumble swerving, zigzag around my simple specific question; ended up being told that I need to come back and see their internal medicine doctor that is the only doctor that conducts test! Then as a slight? contradiction told me this test had to be sent out! Another mumble swerve in accuracy I believe since the copies of lab work I have were done through IDEXX portal.
So, OK got it… was not done. Asked if they still had Nelli‘s blood because I was not going to load her up and bring her back to have this done or, as an alternative suggestion by them, have it done at primary care Vet !
She told me that there wasn’t blood put in a “correct” vile for this test that the additive for this test was not put into any vial -
OMG, I am upset at minimum; enraged.
Veterinary medicine today for the most part is not concerned as much about the animal as they are the coins. What if someone had an animal and they couldn’t afford to keep paying bounce from one Specialist to another (when in fact wasn’t necessary), what in the hell would that person‘s do? How would their little animal end up?

 

Thanks Wendy, I sincerely appreciate this knowledge .
I didn’t know this... now I do .

 

I agree

You can go either with a specfPL or an ultrasound. IMHO, the U/S is better because the specfPL can be elevated if there is any inflammation of liver, intestines, gallbladder, etc. The U/S will tell which organ, if any, is actually affected.

Sending many vines for Nelli.

 

Yup, it’s true

 

Super disheartening and frustrating. Our Cookie. Tiny's civve, has gone through these same symptoms, had U/S and all sorts of specific bloodwork and ALL tests were inconclusive. So, then, WHAT'S WRONG?! ...no idea. She's been on Cerenia and Metronidazole since May. She's doing ok, but now has some skin condition on her (chubby + cute) belly since the U/S. WTH!!!

My question is why are so many kitties having this similar problem...intestinal?, pancreatitis?, whatever it is, WHY? This s an important question to have answered. I've used Pepcid, Cerenia and Metronidazole consistently or months to manage whatever this is. We all need answers for our cats so we can help them.

I am SO sorry that sweet Nelli is struggling; it's heartbreaking to NOT be able to help them. Hang in there. ❤❤

 

Made decision not to have/pay for a “anti-nausea injection, SQF” (whatever “SQF” is). A gut decision.
As the appointment evolved I became less confident in motive to help Nelli.
Anti-nausea injection was recommended at end of appointment...
Started smelling let’s start collecting coins now
@Wendy&Neko I was not confound by my suspicions. I’ve been bamboozeled one tooo many times by Blue Pearl ER.
My gut feeling worked. No more vomiting since episode last night .
Nelli is still not feeling like Nelli. All I could get her to eat this afternoon, tonight was raw chicken thighs and breast. But she did eat... her BG is coming down?
I pray she has a good night sleep and when she wakes is feeling better . If not, I will schedule U/S, make sure a traveling one (which I’ve had experience there is in my neck of the woods), in morning.
Thanks again for your input and interest in Nelli.

 

@Marje and Gracie thank you... thanks a million (as usual) for your IMHO, words of wisdom
By the way... what post # are you referring to here “I agree ?”

 

@Wendy&Neko
”” are you responding to post 39?
Thanks-

 

Wendy’s...41.

 

Ok.

 

Yes! What an experience.

 

I am just seeing all this as I was sick, I hope she is doing ok now sending prayers and vines