12/30 Latte AMPS- 219 PMPS- 119

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carolynandlatte

carolynandlatte

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Yesterday:
viewtopic.php?f=9&t=177

Good Morning!
Latte was at a rippin', screamin' high of 256 when I got home from work around +6ish ( I forgot to look at time when I actually shot last night-yikes). down to 222 at +8 and stayed put until amps. Her a.m. drop should begin at any time now. Better start at eating this a.m., though still a little slow. I love how she sat in the kitchen with me while I was getting her food ready, raced to her bowl when i put it down and then took 2 licks before walking away! :lol: She gets me all hopeful and then..."just kidding mom!" :twisted:

Cassandra: I will ask her vet and some other folks about the prilosec. May not hurt to try. Only problem is pilling. She is not good with it AT ALL, and absorption issues. So we would have to look into compounding which may cost more money that I can spend. Maybe one of the first things we could do is split her pepcid dose into 2 (am/pm). Unfortunately that means one more shot. *sigh* It may be worth the experiment for a few days at least.

I think i will try to get her into the vet on Saturday or Monday for a kidney panel. I have to wonder....anemia is often related to higher uremic values. The obvious signs of nausea in pm lately....well and a.m., too could easily be caused by the same thing. And, could this choking thing be related to acidic tummy/reflux as her specialist pointed out the possibility a long time ago? If so, this may unfortunately mean some of her values are rising. I HATE doing these panels because they rarely budge anymore and I feel like Ive wasted money. I also have a great fear of them....too many in the beginning after the ARF that just kept coming back higher and higher or bouncing around. It's like going to the dentist I just know once her kidney values start rising we ARE signaling an end to this journey. That said, its been a few months since we have had any labs and things can change. If they come back fine then we have good information to rule out the kidneys as the culprit.

I will be around today/night in between naps and an errand, so she can lay the low numbers on me! :mrgreen:
 
Re: 12/30 Latte AMPS- 219

Cassandra said in your yesterday condo:
"Carolyn, Have you ever considered switching to an acid reducer other than Pepcid? With the Pred's potential to cause gastritis as well as the CKD, maybe Latte would benefit from a medication like Omeprazole/Prilosec? The dose is 1/4 of a tablet (really tiny), and I have about a month's worth here if you wanted to give it a go. It really helped Sasha (Pepcid didn't), and I know Linda/Bear likes it too. It's pretty popular on the IBD board, maybe because it is stronger/more effective than Pepcid in many kitties."

I agree with Cassandra about the Prilosec being better than Pepcid, only from a personal standpoint. The Pepcid does not help me with my GERD but the Prilosec works wonders. I wonder if you could take the 1/4 tablet and crush it with a mortar and pestal and then mix it with a little something you know Latte would eat and get it into her that way. I know what you mean about not being able to pill...Morris is impossible too.

Hope Latte's numbers improve for you...she was running so nice there for a while.
 
Re: 12/30 Latte AMPS- 219

I am using the Omeprazole for Bear, and I am pretty happy with it. The pharmacist expressed a concern about splitting the pill (Bear takes 1/2 pill), as it is coated and is not designed to be absorbed all at once , but the vet doesn't seem to feel it is an issue. It is a very expensive drug for sure, probably more so up here.
 
+2- 165

Wishful thinking would be a nice slow, steady drop back to the 50's and a surf. That would be a lot less reason to bounce again later tonight. But again, thats wishful thinking. Its definately a much needed btb kind of drop! :mrgreen:

Thanks for the thoughts on prilosec, Brenda and Linda!
 
Re: 12/30 Latte AMPS- 219

I could have sworn I posted here. I probably hit the wrong button!

Personally, I think Cassandra is so on top of many of the medical issues that her input is worth starting a dialogue with your vet over. I hope Latte has a nice surf today.
 
Re: 12/30 Latte AMPS- 219, +4- 87, +6-81

not really sure if I want to see where she will be later this aft. She spent my btb time walking all over me, meowing and eating kibble. Now its her btb time....think Im going to bother her by smothering with kisses. :lol:
 
Re: 12/30 Latte AMPS- 219

carolynandlatte said:
It's like going to the dentist I just know once her kidney values start rising we ARE signaling an end to this journey. That said, its been a few months since we have had any labs and things can change. If they come back fine then we have good information to rule out the kidneys as the culprit.[/i]
Click to expand...

I have to disagree (lovingly, of course :)) about it being the end of a journey with rising renal values. All it means in many cases is more fluids, additional binders, different meds (if applicable). Have you ever looked at WCF/Meowzi's labs? Renal values can go up and down just like you said. They go up, and you adjust things. Sure, someday the additional treatment may not help, but seeing one panel of higher values should not make you think it is the end of the line.

That said, I have faced the same dilemma multiple times with Sasha, and I know how you feel.

The Prilosec is so tiny that perhaps you can wrap it in something treat-like for her and see if she will eat it? I assume you have tried Pill Pockets? You only need to coat it with a tiny amount of something tasty - could slip it in a tiny piece of meat or cream cheese or butter. Crushing it would not be recommended for that particular med, because of the time release it has. Cutting it is not recommended as per the package, but we had no problems with that and neither has anyone else I have seen use it.

In any case, the package is here for the taking if you want it. Sasha had such an amazing response on it. It was the only med outside of the Budesonide that really did anything significant for her.
 
Re: 12/30 Latte AMPS- 219, +8- 101

Wonder how much of that is the kibble from this a.m. Guess we will find out at pmps.

I set an appt for bloodwork on Saturday a.m. I did this after reviewing anemia on tanya's (crf) site. Ive also sent out a note to the group asking some questions. There were a few things that stuck out in my head when reviewing the information.
  • 1. Litter eating
    2. Excessive acid/nausea (this has become more prevelant in the last week or so, alongside the litter eating)
    3. Back leg weakness - this came on suddenly a week after her fd diagnosis. she literally couldnt walk for 2 days. She can walk now but is obviously weak and wobbly since that happened. Coudl be realated to arthritis...but its also a symptom of anemia.
    4. The odd breathing - taking extra big breaths, slight wheeze on inhale, etc - another symptom
    5. The choking/gagging episodes could very well be related to reflux - again symptom of anemia.
    6. In May the University noted in her labwork that she was mildly anemic. Labwork at regular vet since then has been normal. I dont know, but I wonder if it can come and go and then get progressively worse?
At any rate we will hopefully learn something on Saturday.

Cassandra- I didnt mean to sound so doom and gloom about the kidney panel. I know a cat can live with high values for a very long time and have a great quality of life. I need to get rid of the black/white view. I think rising creatinine and remember her 10.3, bun off the charts, 11 something phos. I've seen her creatinine bounce from mid 2's to 7's in a weeks time. I will be doing no more heroic efforts when it comes to this (no hospital/iv's/etc). So I do get a little nervous. Im sure she will be just fine. She's got one determined kidney pluggin away in her body! :D

Sorry for the length of the post. Thanks for letting me ramble!
 
Re: 12/30 Latte AMPS- 219, +8- 101

carolynandlatte said:
3. Back leg weakness - this came on suddenly a week after her fd diagnosis. she literally couldnt walk for 2 days. She can walk now but is obviously weak and wobbly since that happened. Coudl be realated to arthritis...but its also a symptom of anemia.
Click to expand...

Has she ever been treated with Methyl B12 for neuropathy? I know she is on B12 injectable, but that is cyanocobalamin rather than methylcobalamin and the doses of methyl B12 used to treat neuropathy are much greater than the standard cyanocobalamin doses. If it happened with the diabetes Dx and got slightly better as her insulin treatment ensued, I would be inclined to think it may be resolving neuropathy. Of course it could be arthritis, but many cats have some level of neuropathy that requires methyl B12 supplementation upon diabetes Dx, and that it may be worth looking into. That pill can be crushed into food (or baby food, etc.).
 
Re: 12/30 Latte AMPS- 219

Hey Linda,
Question- do you see any correlation between the prilosec and bear man's liquid poo?
Im just asking because I was doing my research (as I always feel I need to ) and noticed that can be a side effect, usually on high doses, tho. And its rare. Thought of you when I was reading it. If you want the link I can try to find it...think it was on petplace.com

Hi Carolyn,
Thanks for your responses in my condo today. I started the Losec (as it's called here) quite a long time before the liquipoo started, so I never thought that the two were connected. He takes so many meds that any of them could be implicated, I suppose, but the thing that really seemed to aggravate it was the antibiotic Suprax.
 
Re: 12/30 Latte AMPS- 219

I did try it and believe I still have it at home. I didnt have good luck getting it in her AT ALL. I also tried Thiamine, I think. Strangely 2 days later she was walking again....albeit, wobbly. Her vet did not think it was neuropathy from the diabetes because after the initial days of not being able to walk it kind of came and went. he said it would always be there if it was diabetes related. Though I tell ya, when her numbers are higher I do think she is wobblier/weaker. i would not rule it out, even if the vet does not think so.

We have SOOOOOOOOOOO much on our plate, juggling so many different things, trying to sort out which is which. I hope that anyone reading this stuff does not think I am neglecting things. Due to finances and multiple health issues, I really have to do the best I can at prioritizing.

Btw cassandra - Ive been reading up on prilosec. Im not dismissing it by any means. I think we should find out if there is anemia complicating things. If so, it would be prudent to treat that first. Then the reflux and such may be more manageable on what she is taking. I will be talking to the vet about it either way.

Okay - I have to stop stalling and get out of the house or I will not have enough food varieties for this picky eater over the holiday weekend.

See ya at pmps, unless her +11 drops drastically and I freak out! :o
 
Well, I shot a dropping number :shock:
amps +11 was 171. Im quite certain this was kibble related and she is losing the food spike.
Im home all night so we should be good, right?

Im half tempted to make a routine of doing pmps 15min early, feeding babyfood, then shooting. I cant for the life of me get her to eat in the pm especially. It worked really well last night. Just not sure if its a good habit to get into with the babyfood. wish she would eat regular cat food off the spoon. *sigh*
 
Thanks for stopping by KB's condo today. You do juggle alot with Latte, she is one lucky kitty to be the object of such devotion.

Concerning KB's famotidine - the vet gave me two pre-filled syringes and charged for one injection. I questioned it when I spoke to her later as she did not administer it and I thought I would only be charged for the medication and the syringes. I guess they don't do it that way, and I think she thought she gave me a break by only charging for one. She called a prescription in for me for a vial after I did some shopping around. He had one with his PM meal yesterday, and the other tonight. I would have given the second in the AM but he seemed better and it was meant to be a once-a-day dose so I went with PM. (I have occasionally used the pills, but I wasn't sure he was getting it all in when he wasn't eating as well.)
 
Latte is a handful with her issues. You have so very much to juggle between yourself and her. It boggles my mind and humbles me.

Never doubt that you are an awesome Momma-bean. You have sacrificed SOOOOOOOOOOO much for that girl. She couldn't ask for a better Mom, and her devotion to you - even while huffing and puffing :lol: - is clear to see when I see you together.

So stop it. ;)

I can't imagine what ride she'll take you on tonight, but her numbers have been a lot better lately. Guess the Latte-PM-Show is about to begin... ;)
 
+2- 148, +4- 192

What happened to that dropping number I shot?!?! :? Saving it up for tomorrow night when I wont be home, so I can worry, I imagine. :twisted:

Well, lets hope the pred is wearing off for her little dip around +6 and then a nice surf in blue till morning.

Dont know what her deal is today, but she has not spent any time on her throne. Since her morning escapade of walking all over me, meowing in my ear, crunching kibble, and howling at her water bowl as I was trying to sleep she has stayed in her spot under the piano. I keep bugging her as payback and she purrs so nicely, feels so soft. But then I have to get her up for another medicine and its like torture. She walks around or sits in the hall - but only to please me, so it seems. Like its a chore. Then she retreats back to her spot. Hmmmmppppffff! Only makes me more curious about what her labs will reveal on Saturday.

Be back with a sixish number.
 
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