2/28 Yum Kidney Failure/Seizure/HOME

Discussion in 'Lantus / Basaglar (glargine) and Levemir (detemir)' started by MJW, Feb 28, 2018.

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  1. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Well-Known Member

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    One of my civvies (George) had a couple of seizures. He was an elderly can't and while it freaked me out, the vet wasn't overly concerned. You may want to ask the vet if they checked Yum's electrolytes. I'd also ask if this could be a side effect from the Convenia.

    Reading through all the posts, my thoughts were the same as Stacy's -- it could be a kidney or or urinary track infection. You'r vet needs to do some continuing ed on the subject! I'm glad they have it diagnosed. I'm also glad you got Yum started on S. Boulardi.
     
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  2. Tracey&Jones

    Tracey&Jones Well-Known Member

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    Sending more vines that she continues to improve.

    Jones had a seizure that they thought was a stroke. It happened once last summer. Nothing since. Nobody seemed too concerned. His BP was fine.
     
    Last edited: Mar 6, 2018
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  3. LuvinThisPig

    LuvinThisPig Well-Known Member

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    :bighug::bighug:More prayers for Yum!! :bighug::bighug:
     
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  4. Sean & Rufus

    Sean & Rufus Well-Known Member

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    Oh, Yum! Gotta keep things interesting! Stop playing around and get better soon!
     
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  5. Ter and Sally

    Ter and Sally Member

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    Sometimes a seizure can be an isolated incident. It didn't last long? Prayers as always.
     
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  6. Bronx's dad

    Bronx's dad Well-Known Member

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    More healing vines for Yum :bighug:
     
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  7. Myagi (GA) and Heidi

    Myagi (GA) and Heidi Well-Known Member

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  8. Wendy&Neko

    Wendy&Neko Well-Known Member

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    Paul @Bronx's dad once posted this quote from Chris at RVC

    The main possible side effects of cabergoline are gastrointestinal (diarrhea, vomiting or reduced appetite), other side effects include increased insulin sensitivity and risk of low blood glucose if insulin is given without appropriate monitoring, ,mild sedation, and rare cases of excitability, fine muscle tremors and seizures have been reported, abortion in pregnant cats and dogs (the drug should not be handled by pregnant women), very rare cases of allergic reactions have occurred, such as swelling of the face or limbs, skin reddening and itching.

    Neruological symptoms aren't that common, but the tumour can press against the brain. I've seen reference to mobility issues (walking in circles) or eye tremors. Also possible TIA or stoke.

    Many get better vines on their way. :bighug::bighug:
     
  9. Alicia & Maggie (GA)

    Alicia & Maggie (GA) Well-Known Member

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    Sending prayers and vines for you and Yum. :bighug:
     
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  10. Marje and Gracie

    Marje and Gracie Well-Known Member

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    I just heard about Yum. Sending her tons of vines and many hugs for you.:bighug::bighug::bighug::bighug::bighug:
     
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  11. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    I'm so sorry you and Yum are going through so much, but it sounds like she's getting good care (with your being on top of things) and she's a fighter.
    This really helped change my tears to happy ones. You tell 'em, Yum!
     
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  12. Lesliejm

    Lesliejm Member

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    Prayers!:bighug:
     
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  13. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Oh my! I am just catching up and I am so sorry to hear that Yum has been in the hospital. And so sorry abut the seizure and I pray it is an isolated event and not to return.

    Sending lots of vines to you and Yum :bighug::bighug::bighug::bighug::bighug::bighug:
     
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  14. suki & crystal (GA)

    suki & crystal (GA) Well-Known Member

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    Sending many vines and prayers for a speedy recovery from the current crisis for your sweet Yum :bighug::bighug::bighug:
     
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  15. Stacy & Asia

    Stacy & Asia Well-Known Member

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    Happy Birthday, Yum!!! :cat::cat::cat:

    I hope today is a great day and Yum gets to come home. :bighug:
     
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  16. Judy and Boomer

    Judy and Boomer Well-Known Member

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    Sending lots of vines for Yum!
     
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  17. Ter and Sally

    Ter and Sally Member

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    Happy birthday Yum!
     
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  18. LeeAnn (Lannie)& Freckles

    LeeAnn (Lannie)& Freckles Member

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    I'm just catching up here. I hope all is going well with Yum and that it can be a very happy birthday!
     
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  19. MJW

    MJW Well-Known Member

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    She had her birthday in the hospital. :(
    They say she can come home tomorrow.
    Her creatinine was down to 2.8 this morning. They are weaning her off the fluids as her RBC and hematocrit are dropping.
    They let her BG fall into the 30's this afternoon on a half a unit of Lantus. Not good. They gave her food then dextrose. She was acting normally.
    I can't wait to get her home.
     
  20. Stacy & Asia

    Stacy & Asia Well-Known Member

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    Thanks for the update, been thinking of Yum. So sorry she doesn't get to come home for her birthday. :( You'll just have to celebrate one day later. 2.8? Wow! :woot: That's amazing. Yikes on the 30s! Happy to hear she is acting normal. Did they give her a different antibiotic besides the convenia? I saw on your SS she had a normal poo last night, that's great news too! :bighug::bighug::bighug:
     
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  21. MJW

    MJW Well-Known Member

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    I think she is on Baytril and maybe amphocycline. (Two on top of the convenia, but I haven't clearly understood the names. I don't think her urine culture has come back yet with sensitivity results.)
    I've asked twice today for them to call the prescriptions into the compounding pharmacy so I can give them to her tomorrow as liquids. They haven't done it yet.
    The pharmacy lectured me the last time I requested overnight delivery.
    I assume I will also have to give her subq's for a few days.
    I so want her home.
     
  22. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    I'm so happy to read of the improvement. That's a great birthday, as far as I'm concerned, and you can celebrate together tomorrow.
     
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  23. Teresa & Buddy

    Teresa & Buddy Well-Known Member

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    So happy to hear Yum is well enough to come home. I think we all know that awful feeling when our fur babies are sick and I think we all relive that feeling of dread when another Kitty is ill. Prayers and healing vines for Yum.
     
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  24. Ter and Sally

    Ter and Sally Member

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    She can't wait to get home either! Good luck tomorrow. You can get her back home and back on track.
     
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  25. Wendy&Neko

    Wendy&Neko Well-Known Member

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    We are looking forward to tomorrow too. :bighug::bighug: Give her a big ole kiss from me.
     
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  26. carfurby

    carfurby Well-Known Member

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    :bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug:
     
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  27. Ella & Rusty & Stu(GA)

    Ella & Rusty & Stu(GA) Well-Known Member

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    Jan 11, 2010
    When Yum comes home tomorrow she will have a wonderful, if somewhat late, birthday. Happy Birthday, Yum! Sending lots of vines for a healthy new year ahead.

    Yo Yum, Happy Birthday! I bakes you a cimmamum birthday cake with catmint icing.
    ~ Chef Rusty
     
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  28. Bronx's dad

    Bronx's dad Well-Known Member

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    Yum is coming home tomorrow :):bighug::)
     
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  29. HWright

    HWright Well-Known Member

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    ❤️:bighug:❤️ For Yum’s recovery and coming home tomorrow. Happy Birthday, sweet Yum, and with lots of high fives with your bean’s update that you’ll be back home tomorrow. Sending heaps of feel better head bumps and scritches from the gang here.❤️:bighug:❤️
     
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  30. Sean & Rufus

    Sean & Rufus Well-Known Member

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    Almost forgot! Happy Happy Birthday, Yum! So happy you get to go home tomorrow! :)
     
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  31. Kathy and TiTi

    Kathy and TiTi Well-Known Member

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    Feb 12, 2016
    Happy 16th Birthday, Yum! And what a present - An almost clean bill of health. Whew.
    What a reunion you'll have, Stacy. :cat:
     
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  32. Beth 73

    Beth 73 Well-Known Member

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    You made my day with this homecoming news :bighug: Can’t help but believe home and momma will be the magic missing part to her full healing :bighug::bighug::bighug::bighug:
     
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  33. AZJenks

    AZJenks Well-Known Member

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    There's no better birthday present than getting sprung from the hospital to go home. Happy Birthday Yum! Wishing you continued improvement and good health. Feel better soon!
     
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  34. MJW

    MJW Well-Known Member

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    Her BG dropped into the 30's yesterday because they gave her 5 units of Lantus instead of 0.5 units!!!! The truth comes out.
    With the reduction in IV fluids, her creatinine has bounced up to 3.2 from 2.8.
    Her HCT has dropped to 19%.
    I think I am going to bring her home at noon. They have to drop the IV fluids down further because they are contributing to her anemia.
    I will give her subQ fluids at home.
    Obviously I will do a better job than them at the BG control.
    I will retest her blood day after tomorrow, unless she looks unstable.
    I need to give her hugs and kisses.
     
  35. Beth 73

    Beth 73 Well-Known Member

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    Oh my gosh :eek: The insulin screw up is unbelievable . Glad she is coming home :bighug:
     
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  36. Stacy & Asia

    Stacy & Asia Well-Known Member

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    Are you kidding me?! :mad: How on earth do they make a mistake like that in critical care? I'm glad she's coming home today because you can keep her safe! Do they know what is causing the anemia (CKD?) or what kind it is? What are you supposed to do about that?
     
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  37. Tracey&Jones

    Tracey&Jones Well-Known Member

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    Dec 12, 2016
    Holy crap! Now I know why my IM insisted on no insulin for the 3 days Jones was in the ER.

    I am so glad that Yum was not permanently harmed by that act of negligence. Happy to hear she gets to come home today and can't wait for updates.
     
    Last edited: Mar 6, 2018
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  38. MJW

    MJW Well-Known Member

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    And critical care denied getting her urine culture report from my local vet.
    But I just called them: they got it Saturday and sent it on to critical care.
    Nothing grew in the culture, but my local vet definitely saw bacteria in the sample. Maybe the bacteria died in transport.
    Yum has had other negative growth cultures when bacteria were seen in the sample.
    Her ultrasound does show possible blockage in a ureter. Critical care mentioned that but did not elaborate; my local vet just read the report to me.
    Geez.
    Cabergoline can cause fibrosis in the urinary tract. She has only been on it for a month.
    So she is coming home, and her creatinine level is no longer 6, but I have no firm answers; her HCT is worse, she has had an insulin overdose, and a seizure or stroke.
    I don't think they believe she is stable enough for another ultrasound, but they didn't say that. Over the weekend I mainly spoke to an intern vet at critical care.
    I am worried. My girl deserves a break. I am pretty sure she really does have an infection; the blockage could be due to swelling/inflammation.
    I will request copies of all blood work and ultrasound reports.
    They aren't going to charge me for the dextrose. Ha.
     
  39. Beth 73

    Beth 73 Well-Known Member

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    :eek::eek::eek::eek:... I’m without words !!!! Really believe coming home will be just the tonic for her improvement :bighug::bighug::bighug: More prayers for you and Sweet Yum :bighug::bighug:
     
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  40. Chubba (GA)

    Chubba (GA) Well-Known Member

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    Wow ... what more can I even say. Glad she is coming home. Sending more healing vines for Yum. :bighug:
     
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  41. Stephanie & Quintus

    Stephanie & Quintus Well-Known Member

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    Dec 9, 2017
    Gosh, just caught up with all this, glad she is coming home! And yeah, those situations where we're SO happy there is an infection... isn't it weird?

    Sending lots of vines.
     
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  42. Red & Rover (GA)

    Red & Rover (GA) Well-Known Member

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    Enjoy your little one being home. Vines that the antibiotics kick in quickly.
     
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  43. MyTitan (GA)

    MyTitan (GA) Well-Known Member

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    So glad Yum is coming home. :bighug:
     
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  44. Amy&TrixieCat

    Amy&TrixieCat Well-Known Member

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    Oh my goodness....many prayers for Yum. I hope she is home by now....
     
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  45. MJW

    MJW Well-Known Member

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    Mar 29, 2017
    Yum is HOME. We are both over the moon happy. She is full of purrs and energy, bossing me around as usual.

    She is on:
    100ml a day of subQ fluids.
    30mg of amoxicillin every 12 hours (hmmm, google says it is hard on kidneys)
    20mg of enrofloxacin every 24 hours

    They don't want me to feed her raw until she is off antibiotics.
    They have her on Purina ProPlan EN gastroenteric, which is 17% carbs and 278mg phosphorus per 100 kcal.
    I think I will cook her Radcat raw chicken to make it not raw and try that instead.

    I think she is bouncing from her Monday morning Lantus overdose plus high carb diet. I might skip her insulin tonight and figure out what is going on.

    Thank you everyone for caring and advising.
     
  46. Alicia & Maggie (GA)

    Alicia & Maggie (GA) Well-Known Member

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    So glad she's home!! Hope those antibiotics help her feel better very quickly. I know your love and attention will be a big help to her. :D Tons of healing vines your way.
     
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  47. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Wonderful news about Yum being home and feeling well enough to boss your around! Continued vines being sent. :bighug::bighug::bighug::bighug:
     
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  48. Stacy & Asia

    Stacy & Asia Well-Known Member

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    Happy dance, Yum is home! :woot: Happy belated birthday sweet Yum! :cat: :bighug::bighug::bighug:

    The antibiotics, in this case, do more good than harm. None of it is great for the kidneys, but the infection is worse for the kidneys. In instances like these, I look the other way, don't read the package insert and just grin and bear it, it's not like you have a plethora of alternatives. :facepalm:
     
  49. HWright

    HWright Well-Known Member

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    The civie clowder and I are doing happy dance that your Yum is now home! What relief you both must feel after all you both have been through. I hope that Yum feels better each day, and that you both can catch up on much needed restorative rest (yay for cat naps for people, too!).

    Hope the antibiotics help. I hate to ask, you both have been through so much: are you doing probiotics especially during the three antibiotics period?

    Sending heaps of vines and happy to be home scritches for your Yum.
    Sina
     
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  50. Pamela & Amethyst

    Pamela & Amethyst Well-Known Member

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  51. rhiannon and shadow (GA)

    rhiannon and shadow (GA) Well-Known Member

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    Happy Dance that she is home.
    I am wondering if her "seizure" wasn't caused by them overdosing her insulin. They could have done it more than once and if they weren't testing her bg like you would....
    Cats can have seizures when their numbers are super low.

    I'm just glad you have her back where she belongs....
     
  52. Ter and Sally

    Ter and Sally Member

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    Jan 9, 2018
    I was wondering also about the seizure/insulin dose .God bless you both!!! I have worked in vet med for 24 years and even in critical care you have to be vigilant. For every on the ball incredible person you wouldn't believe the crack ups. Just like human med too, these people are just often overworked. Even when the staff knows you are in the field it still doesn't protect you. But still!!!! Good to hear that she's perky at home. Kiss kiss kiss!!!!! Heal, heal and heal. Good girl Yum, we love you!!!!
     
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  53. Teresa & Buddy

    Teresa & Buddy Well-Known Member

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    What wonderful news !!!!
     
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  54. carfurby

    carfurby Well-Known Member

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    I'm so glad Yum is home. That will help her feel better. Sending more prayers.
     
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  55. jayla-n-Drevon

    jayla-n-Drevon Well-Known Member

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  56. Elizabeth B

    Elizabeth B Member

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    Jul 30, 2017
    Oh dear, I’m so so sorry. I’m sure glad Yum is home and back by your side. Here’s to the fullest recovery possible.
     
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  57. Beth 73

    Beth 73 Well-Known Member

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    Yeah Yum :bighug::woot::bighug::woot: Yeah home :bighug::woot::bighug::woot::bighug::bighug::bighug::bighug::bighug:
     
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  58. Kathy and TiTi

    Kathy and TiTi Well-Known Member

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    I am so happy for you and Yum! Welcome home Darlin'
     
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  59. Kathy and TiTi

    Kathy and TiTi Well-Known Member

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    Agreed! And might I add that without those anti-biotics, she might 've had no kidneys. Not functional ones anyway.
     
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  60. Dimmu & KL

    Dimmu & KL Member

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    Great great news! Welcome home, sweet Yum!
     
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  61. LizzieInTexas

    LizzieInTexas Well-Known Member

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    Jul 25, 2016
    So very happy she is home. I know what that does for both your hearts :):bighug:
     
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  62. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Well-Known Member

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    Like everyone, I'm very glad Yum is home.

    You might want to consider speaking with the practice manager or someone who's in charge at the vet hospital. If this were a human medication error, it would be malpractice with lots of hospital attorneys making all sorts of accommodations. (I would assume there is a big bill for Yum's care. They should do more than not charge you for dextrose.) I'd also let your regular vet know about the medication error.

     
  63. Kris & Teasel

    Kris & Teasel Well-Known Member

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    I hope your kitty continues to improve at home. :bighug:
     
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  64. MJW

    MJW Well-Known Member

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    Mar 29, 2017
    Started them back up yesterday.
     
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  65. Wendy&Neko

    Wendy&Neko Well-Known Member

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    Feb 28, 2012
    So glad to hear Yum is home. She must be so much happier. :bighug::bighug:

    The overdose is crazy making. :mad: So glad I went in to give Neko her shots when she was in critical care.
     
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  66. MJW

    MJW Well-Known Member

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    Mar 29, 2017
    Wow. They let you go in to do that? I took in pumpkin puree and S. boulardii but I don't think they administered them. Somehow I don't think they would have let me do the insulin tests or shots. But I guess I should have asked. Next time, although I hope there isn't a next time.
    They had her antibiotics compounded for me as liquids. I just tried giving her the enrofloxacin and she foamed at the mouth something awful. It must be really bitter. I don't see it sold in liquid form. It's not going to work.
    I see amoxicillin is sold as drops AND it can be mixed with food. I hope we have better luck with that this evening. I would hate for her to miss all her antibiotics today.
    There are so many details which need close attention.
    Yum is eating like a pig and happy, at least until the foaming mouth incident.
     
  67. Bronx's dad

    Bronx's dad Well-Known Member

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    Nov 30, 2016
    Great to hear Yum is eating well & happy :)
     
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  68. Wendy&Neko

    Wendy&Neko Well-Known Member

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    Feb 28, 2012
    I didn't ask, I told them I was doing it.:p They were OK with that.

    Sorry about the yucky AB. Can you pill Yum? If so, maybe get to empty gel caps to hide the taste.
     
  69. Kathy and TiTi

    Kathy and TiTi Well-Known Member

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