Pita's Dosing Party: 14

Discussion in 'Prozinc / PZI' started by Caitlin M, Jun 9, 2018.

  1. Caitlin M

    Caitlin M Well-Known Member

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    Happy Saturday! We got a lovely 101 AMPS and gave the usual 2.3 u. I plan to test him throughout the day, so we'll see where he goes!
     
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  2. Djamila

    Djamila Well-Known Member

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    Way to be brave, Caitlin! And that looks like a lovely flat cycle today from Pita. Hope you're both enjoying your Saturday!
     
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  3. Caitlin M

    Caitlin M Well-Known Member

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    127 PMPS :joyful:
     
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  4. Caitlin M

    Caitlin M Well-Known Member

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    Pretty consistent numbers the past couple days. Wish he had gone a bit lower mid-cycle, but that's just me being greedy! He and Brat were up and causing a huge ruckus around 4:30 this morning. Not sure if that's what resulted in a higher AMPS. Matt actually tested twice and that was the median. Shot 2.4 units and looking forward to seeing what we get as the day goes. 109 @ +4 though, so that's better!
     
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  5. Caitlin M

    Caitlin M Well-Known Member

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    83 @ +6
     
  6. Caitlin M

    Caitlin M Well-Known Member

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    199 PMPS
    shot 2.4
    159 @ +2.25
     
  7. Caitlin M

    Caitlin M Well-Known Member

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    Feb 10, 2017
    146 AMPS
    shot 2.4
    127 @ +3
    :smuggrin:
     
  8. Rachel

    Rachel Well-Known Member

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    Nice!!!
     
  9. Djamila

    Djamila Well-Known Member

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    Pita's spreadsheet is the strangest thing! He just keeps cycling down in dose, and then back up in dose, and then back down and then....

    I've spent way way way too much time studying spreadsheets on here and honestly, I've never seen anything quite like it. He is a unique little guy! And you (and now Matt too) do such a fantastic job staying on top of it and making the changes that need to be made right away. You really take amazing care of Pita! If you change your mind about acting, you should go to vet school!
     
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  10. Caitlin M

    Caitlin M Well-Known Member

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    Oh Djamila, thank you I needed that! I was just about to post 'Well, back up we go...'! I don't understand it! I try to remind myself that in all reality none of us have pribaprofully acclimated yet (less than a year) as far as things in our bodies that we don't understand. I may be wrong, but I know my body is still getting used to it. We use the humidifier every day and I just started the fish oil a couple days ago, so I'm hoping that will help their skin also. I'm planning lots of testing today- maybe he's going lower later in the cycle? Or he's just being strange and will come back down soon. We shall see o_O
     
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  11. Caitlin M

    Caitlin M Well-Known Member

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    Hello all! So we've been having some nice, consistent numbers the past few days. I've discovered also that he seems to be the lowest at +7 lately. Tricky tricky! I'm wondering though if I should try 2.5 this weekend to see if we can get some nice greens again. Not sure if I'm just being picky in wanting him to go a little lower. Please send thoughts!
     
  12. Djamila

    Djamila Well-Known Member

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    This might not matter since you got an 88 last night, but with Sam, if I have two cycles in a row without a green, and no known cause for it, I do an increase. And my preference is that his greens are under 80, although that doesn't always work. This week I'd be thrilled to see any green (he's running really high right now and my work schedule kept me from testing much). So all that to say no, I don't think you're being too picky. Your mid-cycles (114 and 118) aren't bad at all, and if you're busy or just want to not worry about him for a couple of days, it's fine to leave him there, but there's nothing wrong with bringing him down a bit more if you're around and don't mind.

    As for adjusting to the climate in LA, it took me a couple of years, I think. It's really dry down there (and this is coming from someone who spent many years living on the edge of the Sahara Desert!)
     
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  13. Rachel

    Rachel Well-Known Member

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    You lived on the edge of the Sahara??? Okay, you've got to tell us what that was like!!!
     
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  14. Caitlin M

    Caitlin M Well-Known Member

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    Thank you for that reassurance! I think we'll increase a smidge and try the 2.5 units tonight. I really like that thought process of what you do regarding no midcycle greens! Oh gosh, yeah I try to remind myself to stop expecting everything/one to be adjusted because it just hasn't been that long. So thank you for that as well :cool:

    I second that!!
     
  15. Djamila

    Djamila Well-Known Member

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    I don't want to hijack Caitlin's thread so I'll keep it short :): I grew up in a few different places, but spent a number of years in Morocco which is the northwestern part of the Sahara - and it's also right by the Atlantic and Mediterranean, so even though you're right by the desert, it can still be rather humid (which is why LA felt so dry to me). If you ever get a chance to go visit, it's really an extraordinary landscape!
     
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  16. Caitlin M

    Caitlin M Well-Known Member

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    I swear the strips are good, but Pita had the same number three times yesterday! Anywho, he woke me up at 2am with a +6 of 67. 218 AMPS so I'm actually giving 2.4 units this morning. May be wrong, but it seems a bit bouncy to me. So we'll see!
     
  17. Caitlin M

    Caitlin M Well-Known Member

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    I havent shot yet but now I'm wondering if I should stay at the 2.5 since he just hit a nice green. Errrr. I'll stick with my gut of 2.4 and readjust as necessary.
     
  18. Caitlin M

    Caitlin M Well-Known Member

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    198 PMPS. Pita woke me up a bit before his midnight snack and I ignored him (timed feeder). I heard it unlock and he went and ate. Few minutes later he was back meowing at me. I got up and there was still a lot of food left. Began testing and he didn't want to sit like he normally does. Well, I told him that he woke me up so I was poking him! @+3.75 he was at 46. Fed him 1 Tbsp gravy food and I plan to wake Matt up to test him next so I can try to sleep before early work. Needless to say, whatever his AMPS is, I'm going down to 2.3 units.
     
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  19. Caitlin M

    Caitlin M Well-Known Member

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    I'm still awake, but Matt just tested and got 69 @ +4.75- so an hour after the gravy food. I'm heading back to bed.
     
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  20. Djamila

    Djamila Well-Known Member

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    :coffee::coffee::coffee:

    Sounds like a rough night! Hope you aren’t too tired today!
     
  21. Caitlin M

    Caitlin M Well-Known Member

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    I'm so puzzled! Pita has had nice AMPS numbers on the 2.3 units but then has over 200 PMPS numbers. Which is strange to me because he relaxes all day and then is super active at night lately. Anywho, I decided to see if giving 2.4 this am would give us a lower PMPS. So far, his midday numbers have been meh (to me). I told Matt to most likely stick with the 2.4 again tonight so I guess we'll see what we get later. It's just weird and I'm a bit stumped on where to go from here o_O
     
  22. Djamila

    Djamila Well-Known Member

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    Huh. that is tricky. it kind of looks like that lime green the other night might have just been an anomaly. I suppose it's also possible that he's going low later in the cycle at night, and the daytime higher numbers are like a mini-bounce? I think I'd stick with the 2.4u as you said, and if it's too much you'll likely see another lime green soon enough.
     
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  23. Caitlin M

    Caitlin M Well-Known Member

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    Feb 10, 2017
    Not too sure where to go from here but I'm guessing it's to keep increasing dose! Gah, Pita.
     
  24. Djamila

    Djamila Well-Known Member

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    :bighug:
    Yup. Up. Gently though since he was at 63 a couple of nights ago. Maybe a little more during the AM cycle, but leave the PM cycle?

    Sam is heading up too. I swear we share a cat.
     
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  25. Rachel

    Rachel Well-Known Member

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    Ahhh Pita...definitely up. Pita and Sam are dose twins for sure!
     
  26. Caitlin M

    Caitlin M Well-Known Member

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    Aaaah what is happening?!! We tried the 2.6 this am and I was planning to give 2.5 this evening but now I'm not sure I shouldn't stick with the 2.6 again...? 215 AMPS, 200 @ +5.25
     
  27. Rachel

    Rachel Well-Known Member

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    Ack!!! See what happens, but I think I'd be tempted to do the 2.6 again tonight.
     
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  28. Djamila

    Djamila Well-Known Member

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    Wow, Pita, what gives? Any chance it was a fur shot this morning?
     
  29. Caitlin M

    Caitlin M Well-Known Member

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    Nope :(
    182 PMPS so I will do the 2.6 again. Might as well
     
  30. Caitlin M

    Caitlin M Well-Known Member

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    Matt and I were just talking. We went for a walk today and I was so hot and exhausted at the end that I got home and collapsed. We don't have AC and even though our apartment actually stays pretty cool during the day, I'm curious if the weather is affecting him at all. Literally nothing about his behavior has changed or is different. There may not be an answer regardless and I may never know even if there is an answer!
     
  31. Caitlin M

    Caitlin M Well-Known Member

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    I can't win! 137 AMPS, shot 2.6 Then 83 @ +3, 39 @ +5. Just gave him 1 tsp gravy food and will retest soon. It's like 2.5 wasn't enough and now 2.6 is too much?! Maybe it should be 150 and above give him 2.6, below 150 give 2.5? I just don't know :confused:
     
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  32. Caitlin M

    Caitlin M Well-Known Member

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    54 @ +5.5
    Did not give anymore gravy food and will test at +6 to see where he is without food.
     
  33. Caitlin M

    Caitlin M Well-Known Member

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    49 @ +6. Gave another 1 tsp gravy food and have to run out. I'll test again when home but figure it's nearing the end of it's cycle.
     
  34. Rachel

    Rachel Well-Known Member

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    I actually like this plan, Caitlin. Maybe tweaking the dose a bit like this will help keep things in better, but safe, numbers?
     
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  35. Caitlin M

    Caitlin M Well-Known Member

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    Feb 10, 2017
    78 @ +8
    I'm working tonight so Mattel be test/dosing. I'm a bit concerned he may have a green or very low blue PMPS and I'm not sure if 2.5 would be too much. Thoughts? I know it's hard when I don't have a real number.
     
  36. Caitlin M

    Caitlin M Well-Known Member

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    139 PMPS
    May still be too much but I stuck with what I said above with numbers/dosing and gave 2.5
     
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  37. Rachel

    Rachel Well-Known Member

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    Sorry Caitlin, I was wiped out last night! And it looks like my advice of 2.5 was too much!
     
  38. Caitlin M

    Caitlin M Well-Known Member

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    Not a problem! Yeah, another reduction evidently! I'm thinking along the same lines and maybe giving 2.3 for 150+ and 2.2 for 150-
    I feel like even the 2.4 might be too much since he hit lime green for basically 24 hours. Well, not the whole time but you get the idea!
     
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  39. Caitlin M

    Caitlin M Well-Known Member

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    @Rachel @Djamila @Kris & Teasel

    I don't want to make a new 911 post but I need guidance!
    151 AMPS, shot 2.3 as planned for above 150.
    Just tested @ +3.75 and he's at 30. Mind you, before this he was playing with us then curled up on the bed. I just fed 1 tsp of FF Gravy food and will retest in 15 minutes. I'm doing my best to remain calm, in just nervous that he's gone so low lately that he'll eventually go hypo.
    ** How in the world do I get him up higher when it's only +4?!**
     
  40. Caitlin M

    Caitlin M Well-Known Member

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    41 @ +4. Gave another 1 tsp gravy food. Will retest in another 15 and give more food as necessary. Once he's above 50, I'll retest 30 minutes after since we're not even at nadir yet.

    My hypo kit is out and ready but zero symptoms right now. I reread all the info and have been monitoring closely.
     
  41. Djamila

    Djamila Well-Known Member

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    Well, that’s an exciting Saturday morning! You’re doing great, and Pita is going to be fine.
     
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  42. Djamila

    Djamila Well-Known Member

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    You already know this, but it’s going to be a long day of feeding and testing for you guys! When do you think he typically hits nadir these days?
     
  43. Caitlin M

    Caitlin M Well-Known Member

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    49 @ +4.25, fed another tsp gravy food.

    Hah, yes it will be! It looks to be around +5 or +6 lately.
     
  44. Caitlin M

    Caitlin M Well-Known Member

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    51 @ +4.5
    No food given, will test again at +5 and go from there!
     
  45. Caitlin M

    Caitlin M Well-Known Member

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    Also, thinking maybe 2.0 units for PS of 250+ and 1.9 units of 149-
     
  46. Caitlin M

    Caitlin M Well-Known Member

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    61 @ +5
     
  47. Djamila

    Djamila Well-Known Member

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    Yes, I think a larger reduction like that is a good idea. You can always bring it back up later.
     
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  48. Rachel

    Rachel Well-Known Member

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    WOW Pita! Slow down! :) I mean, it's great that you're responding to the insulin, but geez!

    You're doing great Caitlin. Pita is going to be JUST FINE...you're at +5, he's in good numbers. I don't think I'd go any higher than 2 units tonight either. I'm thinking the lime greens of late may have made him a little extra sensitive. I like your plan above (I know I know...I said that before! But this is a big reduction and I think that's just a good plan right now).
     
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  49. Caitlin M

    Caitlin M Well-Known Member

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    83 @ +6
    :facepalm:
    Thank you SO MUCH for the support and encouragement. I'll see what PMPS brings and will stick with the new dosing. Meanwhile, he's now relaxing in a box in front of the window.
     
  50. Caitlin M

    Caitlin M Well-Known Member

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    175 PMPS, shot 2.0 and will test before bed!
     
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  51. Caitlin M

    Caitlin M Well-Known Member

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    This may be my tired brain making a horrible choice- tested at +4 and he was at 55. I am exhausted so I decided that he will most likely still go lower, and fed 1 Tbsp gravy food to try to get him up and stable a bit. I'm praying that if he does go lower and need me, he'll wake me up to test, but as if right now I'm going back to bed. I may also do another tiny reduction in the am, assuming that he would probably have hit another lime green this evening (150+=1.9u, 149-=2.8u)
     
  52. Kris & Teasel

    Kris & Teasel Well-Known Member

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    I'm following this but don't have much to add. I agree that the many lime greens will have made him extra sensitive to insulin. I'm usually more cautious and prefer to reduce by a larger amount - usually more than necessary - and then take it back up slowly instead of shaving off the minimal amount. I hope the drama eases off ... o_O
     
  53. Caitlin M

    Caitlin M Well-Known Member

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    Thanks Kris. I wholeheartedly agree since we woke up with a 254 AMPS :( I'm going to just shoot 1 unit this entire day I think regardless of PMPS also. How slowly do you usually go to dose back up as necessary?

    I feel so sad- he can't feel too good from all of this happening.
     
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  54. Kris & Teasel

    Kris & Teasel Well-Known Member

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    My approach (with ProZinc) would be to give the lower dose about 3 cycles, evaluate and then increase by 0.2 u, wait three cycles again, try another 0.2 u if needed, etc. I like to keep the same dose a couple of cycles to reduce the volatility that frequent changes can cause in some cats.
     
  55. Djamila

    Djamila Well-Known Member

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    Even on that one unit, he's had a pretty good cycle. I'm sorry things have been so rough lately, Caitlin. :bighug:
     
  56. Caitlin M

    Caitlin M Well-Known Member

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    179 PMPS last night. Didn't get woken up at all, so no tests after that. 197 AMPS, giving 1 unit and will test some during the day. Once I increase dose again I'm going to do it by 0.1 units at a time!
     
  57. Rachel

    Rachel Well-Known Member

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    I think that’s good. Pita clearly wants to be picky about dosing!
     
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  58. Caitlin M

    Caitlin M Well-Known Member

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    Stupid question...3 cycles is a day and a half right? Not a full three days (6 cycles?) I can never remember for some reason! Want to be prepared for Matt tonight.
     
    Last edited: Jul 2, 2018
  59. Djamila

    Djamila Well-Known Member

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    Ugh, Sorry no one was around. Yes, three cycles is a day and a half. Each shot starts a new cycle. So you can think of it as three shots and then on the 4th shot, you can change the dose. That being said, Pita is a long term-er, so the rules are a little more flexible. You can change faster or slower depending on what you think is best for him.
     
  60. Rachel

    Rachel Well-Known Member

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    Somehow or other I completely missed this post, Caitlin! I have no idea how I did that....
     
  61. Caitlin M

    Caitlin M Well-Known Member

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    Hello all!

    Its been a crazy past few days with some human health stuff and then the heatwave in LA. On Friday it reached 117 degrees. We do not have access, only a ceiling fan and tower fan. We noticed the cats were definitely breathing heavier and laying in different/cooler spots. We spent the next couple hours soaking towels and laying them on top of the boys. We even brought them out to the car with the AC on. It was about 107 degrees yesterday so we got another fan which is awesome and did the towels and monitoring again. Cooler today (97ish) and the same precautions. Both boys have been eating at breakfast, snack and dinner with no heat exhaustion symptoms. Just the slight panting and faster breathing- granted I've been on high alert since their both older and I'm paranoid. Today they've both been a bit more perky and receptive so that's also good. Anywho, I haven't been doing any midday testing because I haven't wanted to heat up his ears more than the PS times. May be silly but just a precaution on my end. Even with the heat his numbers have actually been pretty good! I'm planning to try for midday tests tomorrow as we're looking at low 90's.
     
  62. Rachel

    Rachel Well-Known Member

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    Oh man! I hope the heat breaks for you guys soon.
     
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  63. Djamila

    Djamila Well-Known Member

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    Oh wow does that sound miserable. I wonder if something like this would help: cooling pad

    Also, I've found that with Sam on warm days I don't need to warm his ear since the weather has already taken care of it. You might be able to get a test without adding any extra heat.
     
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  64. Caitlin M

    Caitlin M Well-Known Member

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    Well, the heat is a bit better and boys boys have been more active/back to normal with their habits. It was so sad just seeing them lay there all day to stay cool. Djamila I love that pad! Although I have a feeling we would buy it and then they wouldn't lay on it! But I'm totally keeping it in mind.
     
  65. Djamila

    Djamila Well-Known Member

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    Are both of your boys domestic short hairs? Long haired cats sometimes get shaved for warm weather. Might work. o_O If I every had Sam shaved he would murder me in my sleep, but who knows? Maybe Pita would like it? :eek:
     
  66. Caitlin M

    Caitlin M Well-Known Member

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    They're both short hairs yes! And I would be murdered as well :p
     
  67. Caitlin M

    Caitlin M Well-Known Member

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    Well, it has been a rough past couple days. Heat wave ended, boys back to normal behaviors! I called a vet to make an appointment for Pitas skin that was supposed to be tomorrow. However, out of the blue his breathing started increasing and he was panting on and off. He was taking between 80-90 breaths a minute compared to a normal range of low 30's. We went to an emergency vet who rushed him back, put him on oxygen and stabilized him. They discussed possible issues with his heart and lungs so they did x-rays and blood work. All of that came back normal so we were grateful for that! The vet discussed the possibility of early signs of pneumonia that they maybe just couldn't see yet. We were given a ten day supply if Clavamox antibiotics and need to watch him for 48 hours. So far so good today. His breathing is back to normal and he's lounging around the apartment. He wouldn't eat dinner last night (which he also needs for the meds) so I gave him some gravy food. He ate, we shot and dealt with pilling him. AMPS was 95 today and I NS because he didn't eat again and truthfully I'd rather see what's he doing on his own. I'll be testinf him when I'm home in about an hour and hope he'll eat normal dinner tonight. Of course the vet was all confused and a bit judgy about me using a human meter and was horrified when I mentioned he had been in remission when he was between '50-120' without insulin. Her response was 'hes gone down to 50?' Which also reminded me that she had no idea how to read a human meter compared to the AT. Whatever. It was more if a history of his diagnosis before they did the x-rays and blood work so I'm brushing it off. I rescheduled his appointment from tomorrow to the following Sunday because he needs a follow up after his ten days of antibiotics so they can do that check as well as skin. I haven't been to this vet before but they have fantastic Yelp reviews and the receptionist I spoke with both times have been lovely. I did mention wanting to speak with someone regarding his diabetes and finding someone who could support my way of things, so I'll see what happens when I'm there. I'll plan to just bring my questions and if the vet I meet with isn't compatible either request them to be looked at by another vet or I'll have to call around again and find someone. Unfortunately I'm more concerned about the breathing episode and making sure that's all set, but I am hoping someone at this new practice will be able to understand and support my way of things. So yes, that's the update. I'm thinking that if he's at a higher PMPS to shoot the 1.6 we had just started- thoughts?
     
  68. Djamila

    Djamila Well-Known Member

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    Oh Catilin! I'm so sorry to hear Pita's having a rough go. Yes, I think assuming his PMPS numbers support it, I'd go with 1.6u again.

    Was the breathing episode before or after the heat broke? Any chance he was suffering a little heat stroke/overheating? I hope it turns out to be nothing, or that the antibiotics take care of whatever it was!
     
  69. Djamila

    Djamila Well-Known Member

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    How’s Pita doing?
     
  70. Caitlin M

    Caitlin M Well-Known Member

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    Oh gosh I just realized I never responded to your last comment! Apologies. He's doing much better and is back to his normal self (knock on wood). They both are thankfully and even though it's been high 80's the apartment has been pretty cool. We've found an evaporative cooler to buy so I'm saving up money for that.
    I dropped the ball with asking for liquid antibiotics and he is hands down the worst cat to try to pill I've ever had in my life. So of course his pills are between the size of a dime and nickel and pilling wasn't happening. When I called to get liquid it would've been another $100 and of we couldn't return/refund the pills. I had asked to be emailed the script so I could order it online but that never came through. We've been crushing up the pill and putting it into some gravy food for am and pm. Not ideal but he needs to take them so I'm trying not to stress about it too much. :facepalm:

    How are you and Sam, Djamila?!
     
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  71. Djamila

    Djamila Well-Known Member

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    Oh my gosh those pills sound gigantic! I agree, if the gravy works, do what you have to do to get it done. Pita has been diabetic long enough that being off program for a few days shouldn't be a big deal. You'll get him back on track as soon as the ab is done. It seems like if there is a liquid or injectable option for any med, that should be offered first for cats. I don't know that any cat is really good about taking pills, and some of them are downright impossible to pill.

    Sam is doing okay. He had a dental cleaning this week and is taking his time to shake off the blahs from being under anesthesia. He's been sleeping a ton, and wants me to pick him up and carry him around which is really out of character for him. The vet/vet techs tested his BG SIX times in five hours which was ridiculous, plus they bruised the heck out of his little ears. They look awful. I've been mama-mad ever since I got him home. I really want to go down there and teach them how to do a BG test, because there is no reason why his ears should look like this. I mean, he was half sedated and burrito-ed. He couldn't possibly have been fighting them.

    Anyway....his teeth look shiny and clean, and he doesn't seem to be having any pain, so overall he's fine and the bruises will heal. It wasn't my usual vet that did the cleaning because I'm moving and needed to get it done before the move. Lesson learned. I'll either be looking for a vet closer to my house, or making sure that he only sees the usual vet from now on.

    Sorry for rambling! I'm so glad to hear that Pita is feeling better and that the weather is giving you guys a break for a little while. Hopefully you'll be able to get the cooler before the next heat wave hits!
     
  72. Caitlin M

    Caitlin M Well-Known Member

    Joined:
    Feb 10, 2017
    Oh my gosh Djamila I'm so sorry to hear that! I'd be one seriously angry mama also. Ramble away, always. That's half of why I'm here as well :p
     
    Djamila likes this.

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