09/20 J.D. PMPS 441, +3 204, +4 119

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Dyana

Dyana

Member Since 2009
Yesterday's Condo

Last Night:
332 PMPS
370 +4.25

No poos in over 24 hours.

J.D. slept with me all night and I got some purrs before I fell asleep. I woke up at 4:00am and gave him the Flagyl. At 4:45am I heard him heaving or trying to throw up bile, but I'm not sure he actually threw up anything (I couldn't find anything) or if he threw up the pills or not. I gave him his Pepcid.
Because I don't think J.D. got up in the night to eat, his tummy was empty in the morning, which is when he tends to throw up bile. If I continue to give him the Flagyl at 4:00am, I wonder if I can give him some Pepcid at the same time. Does anyone know?

At 6:00am, I gave him his shot and he picked at his food, so I gave him his Denamarin and Ondansetron and Cyproheptadine. At 6:20am he ate almost 1/2 can of FF (which is two of his regular Breffis portions) with FortiFlora on top.

I am concerned because the last time J.D. had a Spec fPL he was fasted first, and the other new vet kept insisiting that J.D. needed to be fasted for 12 hours before the Cobalamin / Folate test. I mentioned the fasting for the tests to the Doctor we saw yesterday and she said at least we'll get a number. Well that Cobalamin test isn't cheap. I hope it tells her something. Actually, I hope his Cobalamin has come down to more normal numbers, even if he did eat all day long yesterday up until the time we went to the vet..

At +1.75, J.D. ate some more food.

I'm not sure if I should give him some bupe or not. He is a little quiet, but acting pretty normal.

I'm going btb and hoping to get some more snuggles and purrs.
 
Re: 09/20 J.D. AMPS 393

Come on down JD. I just caught up on your vet visit. :YMHUG: When Tarragon has had the Spec fPL test done it took a couple of days I think. Tarragon takes flagyl and pepcid every day for his IBD. I give pepcid about 1/2 hour before food and his flagyl with his meal. I've never asked if he could take them both together. I know that the pepcid is given 1/2 hour to an hour before a meal so that it coats the tummy. After googling it, it looks like you can give at the same time since flagyl can be given with food or without. I'm glad you got some Ondansetron as well. That really has helped T in the past when he has had pancreatitis. Have a wonderful day Dyana!
 
Re: 09/20 J.D. AMPS 393, +4 208

Thanks Melissa.

I can give him his Pepcid and Flagyl at PMPS. That's when I get home from work, so won't know if his tummy is empty or not. Then give him some more food with some probiotics at +2 before going to bed.

In the mornings, I can give him his Flagyl at 4:00am, Pepcid at 5:00am, and then shot and food with probiotics at AMPS.
 
Re: 09/20 J.D. AMPS 393, +4 208

Hi Dyana,
I'm sorry J.D. isn't feeling well....
Sending tons of feel better vines....
 
Re: 09/20 J.D. AMPS 393, +4 208

Still waiting patiently or a call from the vet.. UG!

We went for a little walk, and J.D. did a big poo, finally, out under a tree. It was mostly formed and a little bit of wet at the end.
I weighed him before the poo and he was up to an even 12 pounds (he was 11lbs 13oz last night). I bet after that poo, he's back to last night's weight.
I wonder if the vet is waiting for all of the results to come back before she calls. I hate the waiting.

OT: I found a mat on Ginger's back. Ginger has never had a mat before. She has never needed brushing before. For a long haired cat, I have been (or was) fortunate.
 
Re: 09/20 J.D. AMPS 393, +4 208, +6.25 147 Test Results

I called the vet and got most of the test results.
We are still waiting on the Cobalamin test.
His stool sample was negative (good).
His Spec fPL was 46.8 (not good)
His blood work sounds okay. All I got from the vet was his BG was 183 (238 on my meter), BUN 55, Creatinine 2.0, and Phosphorus was fine and Biocarbonate was fine. I'm going to go pick up a copy of the results now along with some bupe.
 
Re: 09/20 J.D. AMPS 393, +4 208, +6.25 147 Test Results

Wow. I don't understand specFPL numbers. Ozy had a 19.5, which the vet said was high. What will you do about his high result?
 
Re: 09/20 J.D. AMPS 393, +4 208, +6.25 147 Test Results

I gave J.D. his buprenex at 2:30pm. And then the kitties got a treat of Great Choice Poached Trout Nummy!

Dr. C. says I can give the bupe every 8 hours until Monday (J.D. will go to work with me on Sunday), and then next week while I'm at work, I can give it every 12 hours. She says to do a retest in 2 to 3 weeks. I asked her about fasting for his next test, and she said that we should test like to like and not fast him next time either. I'm not totally sure I agree with that.

I am also to restart the cyanocobalamin again. Once a week for 4 weeks and then every other week. I have to wonder if stopping the cyanocobalamin injections in early August because of the high cobalamin test, didn't cause this flare up.

J.D. gave himself a good face washing because of the poached trout treat, and is outside on the deck.

I will update his spreadsheet with his latest test results as soon as I have time, hopefully tonight. She even did a T4.

Out of range was:
BUN 55 - range 15 - 34 mg/dL
Glucose 183 - range 70 - 150 mg/dL
Monocytes 5.5 - range 1 - 4 %
Spec fPL 46.8 - range 0 - 3.5 ug/L
 
Re: 09/20 J.D. AMPS 393, +4 208, +6.25 147 Test Results

donaleen and Ozy said:
Wow. I don't understand specFPL numbers. Ozy had a 19.5, which the vet said was high. What will you do about his high result?
Click to expand...
The last time he had pancreatitis in March of 2012 he was 7.4 and retested at 6.5 in April.
I am going to support him, and get his numbers down. There is no cure for pancreatitis, just support.
 
Re: 09/20 J.D. PMPS 441

I gave J.D. some R at PMPS.
I was hoping to get some support regarding the high Spec fPL. I tried posting on the Feline Pancreatitis Support Group but get no replies over there.

J.D. is eating his 1st Dinner and doesn't seemed zoned out by the bupe at all.

Tomorrow I start the cyanocobalamin injections again. Once a week for 4 weeks and then every other week,
even though he tested high for cobalamin in August. This is so confusing.

I'm happy he's acting pretty normal and that I had these couple days off.
 
Re: 09/20 J.D. PMPS 441

This sounds really trying. You're very patient, and I guess that's the way you have to be to be helpful.
Best wishes to you and J.D. We're wrestling with panc over here too.
 
Re: 09/20 J.D. PMPS 441

Sending prayers for J.D. I hope you can get things under control soon and make him feel better.
 
Re: 09/20 J.D. PMPS 441

I was re-visiting tanya's website for treatment ideas and if there were any references for a spec fpl that high.
I did see the fluids mentioned.
I'm glad you have some days off too... so you can help J.D. feel better.
Prayers and Hugs.
 
Re: 09/20 J.D. PMPS 441, +3 204

I don't have any p-titus experience, but want to send healing vines along to J.D. It sounds like he is feeling better tonight....now surf safe, J.D.!!
 
Re: 09/20 J.D. PMPS 441, +3 204

Dyana

Remember on the specfPL that JD was not fasted and that will most definitely affect the results. Before Gracie was ever dx with FD, they did a specfPL and didn't tell me to fast her (she did not have any symptoms; she had just been on steroids and they wanted a baseline). It was sky high. The radiologist U/S her even though she thought it was a waste a time because all the vets agreed it was a nonfasted test result.

The other thing is that once you get over the limit of what actually is pancreatitis, higher isn't worse. If Ozy had a 19 and JD had a 46 (let's say JD had been fasted), it doesn't mean JDs pancreatitis is any worse than Ozy's. In fact, Ozy could be worse. It's not that kind of test.

When you say the phosphorus was fine, what was it exactly?
 
dian and wheezer said:
test again in a half hour or hour to see if it is slowing down. if not give more
Click to expand...
He was 119 at +4, so I have him his bupe and HC. He is a happy dude.

Marje and Gracie said:
When you say the phosphorus was fine, what was it exactly?
Click to expand...
His phosphorus is 4.5 (range is 3.0 - 7.0 mg/dL)

11/25/11 was 4.3
02/11/12 was 3.7
03/20/12 was 4.3
06/01/12 was 4.7
10/15/12 was 4.3
01/21/13 was 3.8
03/22/13 was 4.3
07/08/13 was 3.6
09/19/13 was 4.5
 
i didn't completely fast punkin for the test, only about 7 hrs, but i figured some fasting was better than none. i fed him as usual at 10am until his appt, which i made as late as possible for that very reason - about 5pm. if JD does have pancreatitis, you want sub-q fluids too. punkin had 150ml every other day.

i'd probably give him the bupe regardless of what he seems like that day, because the pancreatitis is painful. just use it for a little while to get him over the worst of it.

the vit B12 really helped him too - we gave him either 20 or 30u in the insulin syringe of the vit B12. my understanding is the excess is peed out also. started at once a week for several weeks, then once every 2 weeks, then we stayed with once a month. i found the diagnosis of pancreatitis on 8/11/12 on punkin's ss. you can see the meds in the right hand column.

https://docs.google.com/spreadsheet...EtGQ0NfTkFneU9USmg0RXh6MjNQMEE&hl=en_US#gid=6

:YMHUG:
 
Re: 09/20 J.D. PMPS 441, +3 204

Marje and Gracie said:
The other thing is that once you get over the limit of what actually is pancreatitis, higher isn't worse. If Ozy had a 19 and JD had a 46 (let's say JD had been fasted), it doesn't mean JDs pancreatitis is any worse than Ozy's. In fact, Ozy could be worse. It's not that kind of test.
Click to expand...

This makes a lot of sense to me because there is no difference in Lucy's demeanor whether her Spec fPL is 13 or 35 or >50, except when she's having a flareup.
I guess high is high.....
 
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