I came home to find Ming had puked about 9 times from what I found. Twice it was food and the rest just white foam. I suspect the first time was in front of the litter box as usual. You know, I always have this SENSE that something’s wrong with him. I felt it when I walked through the door. Or maybe it’s just because he didn’t come running down to greet me like usual. But he was at the top of the stairs, on his side, and didn’t come down even when I called his name. He did eventually walk slowly down and I called him to eat. But he didn’t want to eat. Not even his beloved Fancy Feast. And that’s when I noticed the puke/spots of reflux. I gave him bupe and cerenia. Although the cerenia was unfortunately crushed up in the package so I mushed what was left in a small piece of food and shoved it down his throat. I don’t think all of it went in but some, I guess. He had a BG of 22.1. I decided to give him a 4.6 u dose instead of 4.8 u. Even though he didn’t eat. And now I’m sorta of regretting it because what if he gets hypo?!!! And he won’t eat?! Did I make a mistake? Should I have shot less? Or not at all? I thought maybe the bupe + cerenia + lowered BG might make him feel better and = to him eating and getting back to normal. I wonder if it’s a pancreatitis flare up or if it’s the low-ish cycle he had last night plus the bouncing before and after. I texted my coworker/vet and she said I can bring him in tomorrow. His BG at +1 was 21.6. Right now, he’s loafed with his head in his water - something he does when he feels super bad. What do you guys think? What should I do if he still doesn’t eat tomorrow? Should I still dose? Arrghhhh!!!! My biggest anxiety is seeing or hearing Ming puke and not eat and get another flare up. I’m always on edge when it comes to that. The following is upsetting and involves a cat death but I’m really thankful for this forum and feel safe talking about it here with fellow cat lovers. But please don’t read if cat deaths upset you: I also had a really unfortunate day yesterday. I witnessed my first emergency at work. A client came in for an exam to see if her cat should get her heart murmur checked out. The cat went into cardiac arrest and we all tried to revive her. Did the whole shebang: CPR, all those meds to revive the heart, and intubation. I was holding the kitty’s head and helping with intubation and holding for the tech to put in a catheter so they can administer meds right into the vein. Her tongue was completely blue. I wasn’t thinking too much. Just going through the motions. But one of the vets (there were 3 vets, 2 techs, and 2 assistants all working on this cat) said “She just came in for a routine exam!!??” And the receptionist who called the emergency asked if she was alive and the vet said, “Barely.” And I just suddenly start bawling. One of the vets told me it’s okay and said they would take over. And I just left to go cry in the back. I think they did resusitate her in some way but it wouldn’t have saved her and would have only prolonged her dying. The owner came in and I saw her face and it was heart breaking. They euthanized her in the end. One of the techs later told me maybe the cat was too stressed at the vet and drew a clot or had a heart attack since she already had a murmur. And that this was inevitable since she was 15 and had this murmur for so long and it was not treated beforehand. Everyone said it’s okay and it’s understandable since it was my very first emergency. They said this type of thing doesn’t happen at the clinic very often and it’s usually animals who clearly will die (like pets hit by a car) or who are high risk patients in surgery that this happens to. Anyway, thank you for reading my post and taking the time to process and also answer my questions from earlier. Again, I am so happy to have found you all.