1/15 Blue AMBG 114

https://www.felinediabetes.com/FDMB/threads/1-13-blue-ambg-70.241435/

Blue isn't looking good this morning. He's wobbly and I hand fed him.

 

Oh, Patty...

I suppose the GI upset is understandable. Did the oncologist or your vets give you any idea of side effects to expect, or how long they take to wear off after dose administration?

This is so hard, and my heart goes out to you both.

((((Patty and Blue))))




Mogs
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And I continue to pray for you both.



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I gave him some gaba. He was whiny so I thought he might be in some pain.
The chemo pill is called Lomustine and it takes from 2-5 days to 2 weeks to
show improvement. I am so worried about him. I hope and pray he'll improve
soon. I don't want him to suffer.

 

Did the oncologist give you any literature or explanations about what to expect in the way of side effects, Patty? I'm asking because there might be something in there to give you an idea of common reactions and how quickly they might wear off and that might make the worry less bad.

Wish I could do something to help.

((((Patty and Blue))))


Mogs
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Side effects of lomustine are uncommon but can include bruising, lethargy, fever, poor appetite, vomiting and diarrhea. If these are noted or you have any other concerns then please call BVNS.

From: https://bvns.net/medications/lomust... lomustine are,concerns then please call BVNS.

 

I just heard from Dr. Johnson. I took Brat into see her yesterday because she stopped eating. She's going to die.
Elevated kidney values, liver and high white blood count. I can hospitalize her but even then the prognosis
is not good. I don't know what to do.

 

OMG. No sign of kidney infection? With acute renal failure if there’s an infection IV fluids and antibiotics can turn it around. This happened to Tiffany. She recovered after almost a week at the ER and lived for 6-9 months.

 

There is an infection but additionally kidney and liver disease. She didn't give me much hope even if she was hospitalized. This is a lot to handle. Would you give it a shot anyway? She's only 13.

 

I would put her on IV fluids and antibiotics and see how she responds. Tiffany’s kidney numbers were off the charts thanks to the oncologist. You will likely need sub-q fluids when she comes home if she can beat this and lots of supplements. I’m glad I did it with Tiffany. One problem is that I believe your vet’s office does not have a vet in at night. Fluids need to be monitored for fluid overload so she would need to be at a 24 hour facility. I know you liked the internist at Blue Pearl. Do you think you he will call you back?

 

This will be very expensive as well. I need to tell you that because she might need a week at the ER. With Tiffany she stayed at the ER as long as her kidneys values kept going down. When they reached a plateau she came home.

 

The specialist at Bluepearl are only in Gwinnett one day a week.

 

I have an estimate of $1550 for 3-4 days

 

Darn it! The UTI or kidney infection will likely improve with IV. What is the liver issue?

 

She just said she didn't know which came first the liver problem or kidney. She talked about it could go into fatty liver but I was so upset I don't remember half of what she said. She sent all the blood work and there is a lot way out of wack. She also sent an estimate. They're not even open on Sunday so I'm not sure what they do with animals in the hospital.

 

All of Tiffany’s labs were out of whack. Can you scan the labs?

 

Yes

 

Teddy's fur is on the right. He wouldn't move.

 

Btw Tiffany passed from lymphoma, not CKD.

 

Those kidney values aren’t even stage 4. The concerning part is the liver. What is her liver disease?

I keep forgetting to tell what I think about Blue. I think his symptoms are from the lymphoma rather than the chemo. I pray the CCNU starts to fight it. If I am right when it starts to work he will feel better.

 

I don't know what the liver disease is. She just said she didn't know which one came first but it didn't really matter
at this point.
I'm waiting on the chemo to kick in. I did give him some gaba because he seemed uncomfortable. I know it will
take a little while to work so I'm trying to be patient. It's hard seeing him so sick.

 

It’s very hard. Has Brat lost a lot of weight recently?

 

Yes but she's always been small. She's been a little over 4 pounds off and on.

 

Losing weight too quickly can cause fatty liver. Did Brat have liver issues before? The next question is why the lack of appetite. That could be due to the CKD but can be dealt with if that is the cause. When were Brat’s last labs done before this?

 

I don't remember. Maybe a year. I'll have to look. I have taken her in for the weight loss previously and diarrhea.

 

So she has never had labs that were off in the past or meds? Did the diarrhea come and go but was never ongoing?

 

Okay, 3/11/2020 with same vet for same thing. She only weighed 5 pounds then. No blood work done.

 

Yes, it came and when, and her weight yoyoed.

 

7/2019 was last blood screen and she's been into the vet 3 times since for the same thing.

 

She was also in 9/2019 and had x-rays done for some reason.

 

I've been so busy with Blue that I haven't done a good job with my others. Teddy goes today and he's lost weight too.
I'll probably do a blood chemistry panel for him as well.

 

Oh and yes, she has had a variety of meds.

 

Patty!!! (((Brat)))

Am I correct in understanding that Brat has had IBD for some time, per yesterday's thread? (Excuse me for having to double-check with you but with the fatigue issues I can miss things, so it takes a bit of repetition for stuff to sink in. )

What day did she last eat properly?


Mogs
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She stopped eating two days ago but was picking at her food a couple of days before.
I'm taking Teddy to the vet. I'm not sure if I need to go ahead and take Brat or not.
I'm at a loss. I think I'll take her and talk with them some more. I'm inclined to treat her
but I don't know how realistic that is.

 

A cat can get fatty liver quickly if eating less than 3/4 of normal. How old is Teddy? If over 10 and no labs in more than 6 months I would get them done.

 

Yes. I just spoke to Dr. Johnson. I'm in the parking lot. We're doing a complete workup for Teddy.
She said Brat has a lot of spunk so thinks she might do ok. I'm having sub-Q fluids done and she running a few tests and I'll hospitalize her on Monday. They do have people come by on the weekend but I’d rather have her in during the week.

 

Teddy. He's around 15 and a half. 6 months younger than Blue and Layla. Found him in the middle of the highway and he weighed under a pound.

 

Ah. He looks like a Russian Blue. So handsome! I’m glad your vet feels you can treat Brat. Can you get fluids to give at home over the weekend? Have you ever given them?

 

Thank you. Yes, he’s a Russian Blue. Solid gray.
I have given fluids but not in a long time. I think I can do it though. I'll ask. Still in the parking lot.

 

There are really good videos as a refresher. Brat needs the daily right now. Ask how much to give since he’s so small

 

I just asked and she said she needs an IV and doesn't think it will make much difference. I'm bringing her back Monday morning. Radiograph shows thickening of intestines which could be lymphoma.

 

Brat or Teddy?

 

For Brat.

Brat just ate the AD
Teddy wouldn't touch the biom
Blue ate some AD

 

Am following all the updates and thinking about things. Keeping up the prayers too.




Mogs
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Blue is running a fever of 104 and I have been feeding him water and wiping him down. I'll take his temperature again to make sure it's coming down. Maybe a trip to ER

 

Could be that. Could be IBD. My vet advised me that biopsies are needed for differential diagnosis.

Patty, are Brat's skin and eye colour normal?


Mogs
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Oh, Bluebird.

((((Blue))))

Did the vets run any blood tests for Blue yesterday, Patty?


Mogs
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No blood test on Blue because I already had them done so sent them over.

One of Brats eyes changed color a year or so ago. I ask about it and was told that can happen in older cats.

 

I'm confused now, so please bear with me. Did your own vets do blood tests before Blue went to the oncologist yesterday? If not, when did Blue last have blood work done? (Sorry for having to ask, I'm just trying to get my head round all of what's happened since the night before last. Let me know as and when you can. )

How's Blue's temperature now?


Mogs
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Blue had blood work this week at my vet. They sent it to Bluepearl so they didn't need to run it again.
I haven't taken it again. He's sleeping peacefully right now but his ears are not hot like they were.

 

He ate and drank some more and his ears are cooling down.

 

I'm glad Blue's resting and his ears are cooler (and that he's had some food and water). Do you have an oscillating fan that could keep some moving air around him, perhaps? Maybe check his temperature again in a little while? (Just throwing out ideas here in the hope that something might help a little bit.)

((((Blue))))




Mpgs
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His ears are warm and not hot like they were. I don't want him to get too cool. He could go into shock. I'm not far from him and keep checking. He's much more alert now. I want to give the new chemo a chance to work but I also don't want him to suffer.
Brat is laying beside me.

 

I'm glad Blue's perked up, and that Brat's snuggled close to you.

((((Patty, Blue and Brat))))

How's your knee today?


Mogs
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What did the vet say about Teddy?

 

My knee is ok. It will get worse before it gets better is what I was told.

So worried about Blue. I'm not going to check his BG tonight. He doesn't need anything else done to him. He ate a little bit. Brat wouldn't eat. I can't find Teddy.

 

She thinks IBD but did a senior panel to make sure it's nothing else. I hope they get it back tomorrow.

 

I’m glad Blue is eating and not hiding.
Brat might very well have IBD. Neither IBD or lymphoma can be diagnosed by xrays or even ultrasound.

 

Patty, I don’t know what to say. This all is overwhelming.

 

It is overwhelming but most of all I'm worried about Blue. He's not feeling well at all.

Oh and she did say Teddy could be hyper-thyroid.
That would explain the weight loss and diarrhea.
Now that I think about it, I've noticed he climbs on me then leaves and does this over and over again. It's irritating but maybe he can't help it. Too much energy.

 

I just read your condo today and my heart goes out to you. . Thinking of all your babies tonight but especially Blue. Sending prayers that his body adjusts to the new medication regimen and he turns a corner very soon.

 

I don’t think the CCNU is what’s making him feel sick. I hope it starts to work it’s magic soon.

 

Thank you. It's been a rough day. I just gave him some more water. I'm so tired but afraid to go to bed. I feel helpless. I appreciate the prayers and everyone listening while I freak out. It's just too much to go through all at once.

 

So you think it's the cancer making him feel so bad? I hope the CCNU kicks in soon too. I don't know if I can stand to watch him if he gets worse.
This is hard. Thx for being here.

 

I was "sleeping" on the couch near butters when she was sick. It was so hard to sleep. But you need to try at least a little bit. I know it's difficult. Freak out as much as you need to. I'm always checking up on your condos just to give some extra support and prayers.

 

I appreciate you doing that. He just got up to go to the litter box. I'll probably sleep on the couch too. I want to check on him throughout the night. Brat is sleeping next to me so I might have to wait for her to wake up before I can lay down. I hate disturbing her because she's very ill too. I'm happy she looks comfortable.

 

This.

Even if it's just light, brief short naps on the sofa, Patty, try to snatch what bit of sleep you can. It's something very mundane but vital that you can do to care for them tonight. You need to look after you a little bit so that you can be there for them.

Meds are kicking in. Last thing before the shutters come down will be prayers, and all of you are very much in them.

((((Patty, Blue, Brat and Teddy))))




Mogs
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Sending prayers for all of you. They are right. You need to get some sleep. You can’t afford to get sick and need to be able to think.

 

I am going to bed now. I took Blue's temperature again and it's normal. I've been wiping him down and feeding
him syringes of water, some with pedilite. I know it has some sugar in it but I felt like he needed it. I mixed it
with water.
The couch is officially the cats tonight. Brat was already there and Mia decided she'd take my spot when I got up.
Night and thank you all.

 

Good night.