Jack & Mopem'sMom
Member Since 2020
Apologies for not posting over the weekend, my life is out of control. Jack is the same, still being a picky beast about eating, even with cerenia. I've put the email response from my vet below, and they STILL haven't responded about an appointment (they are actually more frustrating than Jack's eating habits) I need to make a decision about these tests, and at least get the CBC onboard. That and Jack's eating habits are on the agenda this week.
Vet response:
I think the pancreatic profile is overkill for your situation. The CBC/ Superchem is fine for Jack, as that has 2 pancreatic values in it. If those are both normal it's less likely to have an abnormal fPL test.
We don't have an account with Idexx. The spec fPL test is theirs and I believe it is well patented for a while yet. It is a good test for pancreatic inflammation though it doesn't necessarily identify the cause of the inflammation. An emergency hospital would likely have a SNAP fPL test; this isn't as precise but it is a good start. What I usually do to evaluate the feline pancreas, without the fPL test being available to me:
-- check Superchem/ CBC for the 2 feline pancreatic enzymes, rechecking if PSL or amylase were elevated;
-- consider X rays and ultrasound of pancreas
The ultrasound can be very informative in skilled hands. Many ultrasonographers may also want abdominal Xrays to help interpret the ultrasound. I would refer you for ultrasound; we can do Xrays here.. It depends where you would like to travel to. If you do that, you should be able to get the fPL test with the ultrasonographer, either as SNAP on site, or possibly they would send off a spec fPL test to Idexx for you. I can request it for you; check in advance with the facility you would like.
Barton Heights may be able to do an ultrasound; Dr. Dionne Ferguson, an internal medicine specialist at VREC / Clarks Summit in South Abingdon ( near Scranton) would be a good choice as well. Their site is the Clark Summit website: https://www.vrecpa.com/medical-staff/internal-medicine/
We can send you to Valley Central. Do not see Dr. Ron Hodges there, though; he is apparently having medical issues.
You may also try the new Eastern PA Veterinary Medical Center in Allentown. However, they do not seem to have an internal medicine doctor on staff on the web page. Our clients have been very happy there for emergencies; probably the emergency service would be willing to do this, but you'd pay accordingly.
https://www.epvmc.com/
7042 Snowdrift Rd. Suite 2
Allentown, PA
18106
CONTACT
P: 610.904.1776
F: 484.460.2646
E: contact@epvmc.com
Any of these would likely have the Snap FPL test. Some may be willing to send it to Idexx for the fPL test, since they would all have Idexx accounts if using the Snap test . We can't set one up due to our small size -- we have checked into it, but it is cost prohibitive with monthly payments required.
Then there's Oradell, Red Bank, Blue Pearl, etc in New Jersey.
Let me know which of the above you are interested in geographically and we can proceed from there.
Last thread:https://www.felinediabetes.com/FDMB/threads/11-3-jack-324-amps-pancreas-test-question.270383/
Vet response:
I think the pancreatic profile is overkill for your situation. The CBC/ Superchem is fine for Jack, as that has 2 pancreatic values in it. If those are both normal it's less likely to have an abnormal fPL test.
We don't have an account with Idexx. The spec fPL test is theirs and I believe it is well patented for a while yet. It is a good test for pancreatic inflammation though it doesn't necessarily identify the cause of the inflammation. An emergency hospital would likely have a SNAP fPL test; this isn't as precise but it is a good start. What I usually do to evaluate the feline pancreas, without the fPL test being available to me:
-- check Superchem/ CBC for the 2 feline pancreatic enzymes, rechecking if PSL or amylase were elevated;
-- consider X rays and ultrasound of pancreas
The ultrasound can be very informative in skilled hands. Many ultrasonographers may also want abdominal Xrays to help interpret the ultrasound. I would refer you for ultrasound; we can do Xrays here.. It depends where you would like to travel to. If you do that, you should be able to get the fPL test with the ultrasonographer, either as SNAP on site, or possibly they would send off a spec fPL test to Idexx for you. I can request it for you; check in advance with the facility you would like.
Barton Heights may be able to do an ultrasound; Dr. Dionne Ferguson, an internal medicine specialist at VREC / Clarks Summit in South Abingdon ( near Scranton) would be a good choice as well. Their site is the Clark Summit website: https://www.vrecpa.com/medical-staff/internal-medicine/
We can send you to Valley Central. Do not see Dr. Ron Hodges there, though; he is apparently having medical issues.
You may also try the new Eastern PA Veterinary Medical Center in Allentown. However, they do not seem to have an internal medicine doctor on staff on the web page. Our clients have been very happy there for emergencies; probably the emergency service would be willing to do this, but you'd pay accordingly.
https://www.epvmc.com/
7042 Snowdrift Rd. Suite 2
Allentown, PA
18106
CONTACT
P: 610.904.1776
F: 484.460.2646
E: contact@epvmc.com
Any of these would likely have the Snap FPL test. Some may be willing to send it to Idexx for the fPL test, since they would all have Idexx accounts if using the Snap test . We can't set one up due to our small size -- we have checked into it, but it is cost prohibitive with monthly payments required.
Then there's Oradell, Red Bank, Blue Pearl, etc in New Jersey.
Let me know which of the above you are interested in geographically and we can proceed from there.
Last thread:https://www.felinediabetes.com/FDMB/threads/11-3-jack-324-amps-pancreas-test-question.270383/
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