08/05 J.D. PMPS 270 - Discharge Paperwork

Status
Not open for further replies.
Dyana

Dyana

Very Active Member
Yesterday's Condo

Last Night:
315 PMPS
244 +2.5
218 +4
209 +6

J.D. got his meds, and 2 and 1/2 walks, and syringed his food. I actually had time to take a quick shower, do some dishes, do a half a load of laundry and re-arrange the roses my DBF brought me.

I will provide a link to J.D.'s Dispatch Paperwork tonight.

Thank you everyone for your thoughts yesterday. I will have to reread them tonight, when I have a little more time.


Sending vines to all who need them.
 
Re: 08/05 J.D. AMPS 588

You have accomplished a lot and it is not even 8 am. That's great that J.D. does his walks.
 
Re: 08/05 J.D. AMPS 588

I just caught up on your condo yesterday. I agree that the vet is not the best specimen of human being. :lol: Tarragon has IBD and it is controlled with flagyl. He is also on prednisolone for his asthma (but it also helps with the IBD). The steroids were the only thing that would keep his asthma away. We had to adjust his insulin accordingly but he is doing very well on it. ((((Dyana))))
 
Re: 08/05 J.D. AMPS 588

I will be able to link the Discharge Papers I think this evening. The IM vet did pretty good at remembering everything I said, but he did mention in there that J.D. is on Metronidazole (Flagyl). I told him that he's gets Flagyl as needed (for diarrhea) and usually only one to four doses. It works really quick and stops him up after one little 50mg dose.

I forgot about mentioning Flagyl to J.D.'s regular vet when she called.

This is what I discussed with her:

98.9 Temperature
Check once a week at random times, like Tuesday night, and the next week Friday morning, and another week Sunday at noon.
When do I worry? Worry if 98 or below. He needs to be seen within 12 hours if he goes below 98.

Baytril
Should I stop the Baytril (since his WBC is back to normal)? She said to go back to 4 weeks off and then 2 weeks on. .........I wonder if I should try Flagyl 4 weeks off 2 weeks on, instead? Should I ask her?

Meds for IBD
My thoughts were to first try Pepcid, and second try SEB or Carafate (Carafate is what she has mentioned to me before (and she doesn't know about Slippery Elm Bark), or third try Budesonide.
She said
NO Steroids! She said he may not even have IBD, that he just may be getting older. The plan is to try Pepcid, and if he is not eating better and feeling better to then try the Carafate (or SEB). Steroids will kill him. ETA: I don't think she was referring to Budesonide, as I didn't even mention it. I think she was referring to the steriods listed in his discharge papers.

Next Test
2 months. Want to do Blood Pressure and CBC and Temperature, and maybe a fasted Cobalamin (call Dr. Charlie 2 days before the test is scheduled, to go over what tests we think he needs and whether to fast him or not (he can go in for the fasted test in the morning, and then be seen by the vet in the afternoon))
 
Re: 08/05 J.D. AMPS 588

Carafate is for the low red blood count and possible bleed which I thought you said was improving? It is also used "I think" for gi to coat the stomach but it is a bear to give at least for me and needs to be separated from all meds like pepcid or slippery elm. Usually that means l hour before or 2 hours after. When I was teaching I had a hard time figuring out how to give it to Tiffany and you have an awfully busy schedule as well. I left at 7:30 and got home between 4 and 4:30 and I think you are gone even longer. Good luck figuring all this out.
 
Re: 08/05 J.D. AMPS 588

It sounds like you've gotten a lot of good advice. Too bad neither vet is familiar w/ SEB, it is a very gentle natural remedy that has few side effects. The only interaction is that it coats the stomach (that's how it soothes from excess acid.) That coating action is what interferes w/ meds absorption, thus the 1 to 2 hour separation from meds. Do you know of a holistic vet that you could consult with?

Your regular vet sounds like he has a better plan, start w/ the less drastic treatments and see if they help first. :YMHUG: :YMHUG: :YMHUG: cat_pet_icon cat_pet_icon
 
Re: 08/05 J.D. AMPS 588

Dyana said:
Baytril
Should I stop the Baytril (since his WBC is back to normal)? She said to go back to 4 weeks off and then 2 weeks on. .........I wonder if I should try Flagyl 4 weeks off 2 weeks on, instead? Should I ask her?
Click to expand...

Flagyl is not a substitute for Baytril. They are different classes of antibiotics and would target different bacteria. If he still needs Baytril, Flagyl would not do the job.

When people use Flagyl for IBD, it is not so much for its anti-protozoal properties, but because it appears to soothe inflammation in the GI tract.
 
Re: 08/05 J.D. AMPS 588

What a trying day yesterday. :YMHUG: :YMHUG: So much to think about. Lots of healing and appy vines going your way for JD.

Have you talked to JD's acupuncture vet about SEB? Acupuncture vetty's often know more about holistic meds.
 
Re: 08/05 J.D. AMPS 588

Wow, Dyana, you have a lot to digest. I had to read your condo yesterday twice to take most of it in, and today's was almost as bad. Your head must be spinning.

You are so thorough, I know you will get this sorted out and J.D. will soon be improving. In the meantime, sending lots of good appy and healing vines for him, and de-stress vines for you.
 
Re: 08/05 J.D. AMPS 588

I was able to give Jomo the carafate 20 minutes before a meal and found it to be effective, for her, even though it says to wait two hours. If I waited two hours, she would ALWAYS vomit it up. Not all of it, but she would non-the-less, vomit. I doubt that there is a cat in the world that enjoys the taste or flavor of chalky Sulcrafate. Dr. Gardner prescribed the liquid Sulcrafate for Jomo and said that it worked much better to coat the mouth, throat, and stomach, all potential locations for irritating and painful ulcers, which will kill a cat's appetite in a heartbeat.

For Jomo, I gave her 1/2 tablet of the normal strength pepcid first. I would wait 20 minutes. Then, I would give her the liquid carafate, and I would wait another 20 minutes, after which I would syringe feed her Stage 1 Chicken baby food with a little bit of water added to it. She also got Buprenor 3x a day instead of 2x a day when she was really refusing to eat. I believe it greatly reduced her pain as she would start eating again, little by little. I also gave Jomo Sub-qs when she was having an P-titis attack.
 
Re: 08/05 J.D. AMPS 588

I don't have any advice on the meds. I just wanted to send some prayers for J.D. and hugs to you. :YMHUG: :YMHUG:
 
Re: 08/05 J.D. PMPS 270

Thank you for the replies and vines and well wishes.

Tina, I wish I could give J.D. the buprenex 3 times a day, but it is hard when your job gets in the way. If I absolutely have to I suppose my boss would let me run home at +8 every day for a while to give him some more bupe.

He didn't want to eat tonight, except for a few cat treats.
I blended some Wellness Core Chicken & Turkey & Chicken Liver, as a change from the MaxCal. He still didn't like it or maybe it was the syringe feeding he didn't like.

He left me a nice prezzie poo.
He has been going once a day, which is what he used to do. When he has pancreatitis he usually goes twice a day and it gets pretty loose. I think the buprenex is helping to firm up his poos and I don't know what is making him make once a day prezzies.

He seems pretty tired. I hope he is just healing himself.
 
Re: 08/05 J.D. PMPS 270

I can't get the discharge paperwork to erase my address and phone number to attach the link on the forum.
 
Re: 08/05 J.D. PMPS 270

I gave him his bupe and we went for a short walk and he went right to the plate where the cat food is and I put some MC down and he ate it.

I guess I'm going to have to ask my boss to let me leave in the middle of the day to get it to him every 8 hours.

I gave it at 7:30pm.
If I give it again at 4:00am (that would be 8.5 hours), then maybe I could get home at 12:30pm tomorrow (that would be 8.5 hours) and eventually work my way up to 6:00am, 2:00pm, and 10:00pm which is easiest for me to handle (except for my job).

Time for some syringe feeding, and then I have to get to PetsMart to get some more MC FF Medleys.
 
Hi Dyana,
The link works fine and I think the vet's discussion of the various options is reasoned. It is understandable to the layman, even those who are medical "klutzes", as I am. I hope that the folks here who have so much experience with issues like J.D.'s will be able to assist you in the course you choose to pursue.
I hope J.D. is feeling OK tonight and am sending him lots of healing vines, eating vines, poop vines, whatever vines.

Hugs, scritches,

Ella & Rusty
 
Thank you Ella :YMHUG: I deeply appreciate all the scritches and vines and hang in there's that I can get.

I do need to make a couple corrections on things he got wrong. When he wrote "You do not think he drinks/urinates excessively" I don't know where he got that from. He drinks and pees all the time, and I told him that I thought he is not regulated.

"He is currently being treated with Levemir 0.75 units every 12 hours, Metronidazole 100 mg every 12 hours, Buprenex 0.04-0.075 ml as needed, Miralax, vitamin B12 suppplements, Denamarin once daily, and Azodyl once daily." He is not getting Metronidazole. I told him he gets it as needed for diarrhea and it stops him right up in one dose, but that I sometimes have given him 3 to 4 doses, for what reason I don't know.

I also made a mistake in the copy and paste of the information I talked to J.D.'s regular vet about. She said "NO Steroids!" but we did not talk about Budesonide. I didn't even get a chance to mention the word. I think she was referring to the Luekaran sp? and Prednisolin or whatever it's called that the IM vet wrote about in his papers.

I am tired, and am going to bed. I had his methyl B12 pill ready to go, and I don't remember giving it to him, but I guess I did because it's no longer sitting here.

I hope everyone has a good night.
 
(((((Dyana))))) I'd take this in to your regular vet and discuss it with him. I was curious about the cost of the meds and found this article. Perhaps your primary vet could prescribe it to be compounded if you decide to go that route.
 
i thought the vet's report is very clearly written, even if it has a couple of errors in what he remembered you to say. He's laid out the options for you along with some of the pros and cons of each one. I think consulting with your regular vet over these recommendations is a great idea. That'll give you another view from someone who knows you and JD well.

sounds like he's doing really well today!

:YMHUG:
 
I think the IM has it all explained correctly from what I know. It's very difficult to decide what to do with multiple issues. My heart goes out to you as I have been in a similar situation minus the diabetes. I'm glad J.D. had a good day today. I too would discuss all this with your regular vet. Lots of people get leukeran compounded into chews if you decide to go that route and many use Roadrunner. I forget right now the other one often used.
 
I just wish I knew how much buprenex to give him.

He sleeps a lot. He just ate some cat treats. He walks kind of wobbly when he first gets up.

I don't think he drinks his usual amount because he's always sleeping.

He just peed and ketones - negative.

Going back to bed for a bit.
 
Dyana --

Bupe comes in a sustained release form. It has a longer duration than the usual bupe. Ask your vet about it. It can last up to 72 hrs.
 
Status
Not open for further replies.
Back
Top