Sickly....sneezing with alot of discharge, coughing, gulping, fluid in his throat, snorting, shivering when resting. No playing. eating when I give feedings, using the facilities and returning to couch, blanket or lap.
No other vets...have only seen the feline vet since 4/4. All of this work up is hers. all correspondence for Squiggy has been with her. She did not talk about referring out. Advised the trial on famc. showed response (2nd time around), he was on a good run, like I posted and diminished after stopping. Spoke on 4/19, increased inhaler, 4/21 we started anti-viral back up, 4/22 seen and had tests run. He has improved again as of 4/24.
Culture came from nasal cavity...sneezed onto a slide, put onto a Q-tip like thing and sent to lab.
Kitten with chronic illness
Re: Kitten with chronic illness
Perhaps it's time for a specialist. If the current feline vet isn't specialized, you're essentially just going in circles.
I'm not trying to make you feel as if you're not doing enough lest you think that, but this has been going on for way too long, and something is amiss. The current vet may not have enough experience to know what step should be taken from this point.
There very well could be a polyp, but could also be mass, inflammation, obstruction, etc, and it would still be good to find out what kind of culturing the vet is getting - are all bacteria and fungii being checked with the cultures? Was aspergillosis ever discussed?
I think before getting a rhinoscopy, I'd seek that specialist opinion first, just to ensure all other diagnostics have been done (and correctly) before a scope view.
I'm not trying to make you feel as if you're not doing enough lest you think that, but this has been going on for way too long, and something is amiss. The current vet may not have enough experience to know what step should be taken from this point.
There very well could be a polyp, but could also be mass, inflammation, obstruction, etc, and it would still be good to find out what kind of culturing the vet is getting - are all bacteria and fungii being checked with the cultures? Was aspergillosis ever discussed?
I think before getting a rhinoscopy, I'd seek that specialist opinion first, just to ensure all other diagnostics have been done (and correctly) before a scope view.
..........Traci
Re: Kitten with chronic illness
If I had unlimited funds in my pocket...my options would be unlimited. Unfortunately, that is not reality here. We have provided what I consider, the best possible home and vet care within my abilities. I have allowed all testing, searched out additional care, and exhausted Thousands of dollars, countless sleepless nights caring for him, and hundreds of hours cleaning up after him and for him and the others to prevent spreading this issue. YES...Its gone on WAY too long. I live with it every day. My heart sinks every time that deep cough starts back up...because here we go again.
I have to admit I was not entirely happy with my last follow up, however at my persistence, additional tests were run, and this is what I am given as information to work with.
Yes we discussed, aspergillosis, a full culture was run from what i was told, it was a $200.00 culture test?? I am told a polyp is the best possible diagnosis, however not probable.
Three doctors have seen him now, all say this is a viral illness. Yes, damage may be done at this point, I do not know the answer to that yet. Most virus's run their course. He was hit hard... Was it the vaccine? Was he exposed at the time of vaccination? Was it being an immune compromised kitten? Who knows....but this illness has not spread in my house where two other kitties live.
Most importantly...he is still alive and growing. So I'm doing something right? I need a break. I need to try this Rx course and hope for some success. He only relapsed coming off the meds last week. Should he relapse on meds this time, I will deal with it.
I reached out for help, thank you! I feel defensive and have from the last few contacts. There is enough tension at home from the situation and reaching out to additional adversaries in my quest to heal and help this guy, is not in my best interest.
Wishing you my best...Take care, Lisa
I have to admit I was not entirely happy with my last follow up, however at my persistence, additional tests were run, and this is what I am given as information to work with.
Yes we discussed, aspergillosis, a full culture was run from what i was told, it was a $200.00 culture test?? I am told a polyp is the best possible diagnosis, however not probable.
Three doctors have seen him now, all say this is a viral illness. Yes, damage may be done at this point, I do not know the answer to that yet. Most virus's run their course. He was hit hard... Was it the vaccine? Was he exposed at the time of vaccination? Was it being an immune compromised kitten? Who knows....but this illness has not spread in my house where two other kitties live.
Most importantly...he is still alive and growing. So I'm doing something right? I need a break. I need to try this Rx course and hope for some success. He only relapsed coming off the meds last week. Should he relapse on meds this time, I will deal with it.
I reached out for help, thank you! I feel defensive and have from the last few contacts. There is enough tension at home from the situation and reaching out to additional adversaries in my quest to heal and help this guy, is not in my best interest.
Wishing you my best...Take care, Lisa
Re: Kitten with chronic illness
I'll keep Squiggy in my prayers.
Re: Kitten with chronic illness
I understand the costs involved thus far, but you may need to be prepared for more, or further diagnostics in which to get this under control, at most, to effectively diagnose in which to treat as effectively as possible. I'm not saying this is easy, not only are diagnostics costly, but so is the lasting damage if not properly diagnosed.
If it's a vaccination issue, and that's a very big if (doubtful), then all the vets in question (or specifically, whomever gave the vaccines) should have been bringing that to the attention of the manufacturers, as in reporting any unusual events, getting data and working with the manufacturers to rule out potentials, has that ever been approached by the vets?
The following is a primer of sorts to help you better understand what is involved in many cases like Squiggy's:
Upper and Lower Respiratory Infections/Rhinosinusitis:
http://www.felineasthma.org/links/gunn-moore.htm
As for the latest results, a flushed sample is sometimes more helpful than a swab sample, at least ask the vet what her opinion is on the URD-PCR (Idexx), and only use a sample during active state (when most symptoms are noted). Chronic infection waxes and wanes and therefore won't always detect the viral/bacteria on the PCR. The URD-PCR might be helpful in this case, at least to help isolate to the sinus cavity.
A compounding problem is waiting too long (in my opinion, you're at or past that point), since damage could be occuring or already done to the sinusus or nasal cavities (even bone) - While rhinosinusitis is difficult to narrow down to specific virus or bacteria, it's imperative that bacteria at least is addressed, that being, intermittent courses of antibiotics (which can also alleviate symptoms).
A skull xray could be useful, but a CT would be better to see the sinuses and detect any damage (or obstruction etc) - the difficulty is deciding what to do first, the CT or rhinoscopy. Either way, Squiggy's case isn't really getting better and I worry about lasting damage that could hamper or prohibit his recovery. The vet needs to consult with a specialist, which can be done on your behalf either via VIN, via telephone consult, or other conference, and she shouldn't charge you much for this type of consult. It would be a step in the right direction, at least in determining which diagnostic would be the most revealing toward treatment and management.
I say this with not only understanding, but empathy, both for Squiggy and you. Don't think I don't understand the costs, the frustration, the helplessness you are feeling, etc. I understand every bit of it, but my job here is giving you tools to work with, to discuss with your vet, and to give equal consideration to whatever is available toward a proper diagnosis, to prevent worsening symptoms and to hopefully narrow this down so that effective treatment can give Squiggy relief and hopefully get him recovered. It sounds like he's miserable, and I can't stand the thought of this going another month with no resolve. Sure, the current meds might be helping to some degree, but you've found that once they are ceased, the symptoms come back with a vengance. I feel it's incumbent upon your vet to consult with a specialist on your behalf, if for nothing else, that she may be missing something a specialist may be able to pick up on right away.
If it's a vaccination issue, and that's a very big if (doubtful), then all the vets in question (or specifically, whomever gave the vaccines) should have been bringing that to the attention of the manufacturers, as in reporting any unusual events, getting data and working with the manufacturers to rule out potentials, has that ever been approached by the vets?
The following is a primer of sorts to help you better understand what is involved in many cases like Squiggy's:
Upper and Lower Respiratory Infections/Rhinosinusitis:
http://www.felineasthma.org/links/gunn-moore.htm
As for the latest results, a flushed sample is sometimes more helpful than a swab sample, at least ask the vet what her opinion is on the URD-PCR (Idexx), and only use a sample during active state (when most symptoms are noted). Chronic infection waxes and wanes and therefore won't always detect the viral/bacteria on the PCR. The URD-PCR might be helpful in this case, at least to help isolate to the sinus cavity.
A compounding problem is waiting too long (in my opinion, you're at or past that point), since damage could be occuring or already done to the sinusus or nasal cavities (even bone) - While rhinosinusitis is difficult to narrow down to specific virus or bacteria, it's imperative that bacteria at least is addressed, that being, intermittent courses of antibiotics (which can also alleviate symptoms).
A skull xray could be useful, but a CT would be better to see the sinuses and detect any damage (or obstruction etc) - the difficulty is deciding what to do first, the CT or rhinoscopy. Either way, Squiggy's case isn't really getting better and I worry about lasting damage that could hamper or prohibit his recovery. The vet needs to consult with a specialist, which can be done on your behalf either via VIN, via telephone consult, or other conference, and she shouldn't charge you much for this type of consult. It would be a step in the right direction, at least in determining which diagnostic would be the most revealing toward treatment and management.
I say this with not only understanding, but empathy, both for Squiggy and you. Don't think I don't understand the costs, the frustration, the helplessness you are feeling, etc. I understand every bit of it, but my job here is giving you tools to work with, to discuss with your vet, and to give equal consideration to whatever is available toward a proper diagnosis, to prevent worsening symptoms and to hopefully narrow this down so that effective treatment can give Squiggy relief and hopefully get him recovered. It sounds like he's miserable, and I can't stand the thought of this going another month with no resolve. Sure, the current meds might be helping to some degree, but you've found that once they are ceased, the symptoms come back with a vengance. I feel it's incumbent upon your vet to consult with a specialist on your behalf, if for nothing else, that she may be missing something a specialist may be able to pick up on right away.
..........Traci
Re: Kitten with chronic illness
Ociboys, I really understand what you're going through. I hope you can get a definitive diagnosis ASAP.
Re: Kitten with chronic illness
Hi Traci!
Thought I would post in on a happy note. The boys are celebrating their 2nd birthday today and doing very well. Squiggy was finally well by November 2011. He was treated by a Respiratory Specialist at Tufts who was able to Rx the right treatment combo. He still has flare ups but overall has overcome most of his medical issues. Final diagnosis was FHV-1 with a possible secondary infections, causing chronic bronchitis from post nasal drip. Thank you for your help in supporting their care. Regards, Lisa
Thought I would post in on a happy note. The boys are celebrating their 2nd birthday today and doing very well. Squiggy was finally well by November 2011. He was treated by a Respiratory Specialist at Tufts who was able to Rx the right treatment combo. He still has flare ups but overall has overcome most of his medical issues. Final diagnosis was FHV-1 with a possible secondary infections, causing chronic bronchitis from post nasal drip. Thank you for your help in supporting their care. Regards, Lisa
Re: Kitten with chronic illness
Thank you for the wonderful update on Squiggy!
I'm sure you are aware, but if not....please get Squiggy checked by your vet on a regular basis (I would advise twice yearly, unless your vet states otherwise), and pay close attention to his ocular health (both acute and chronic herpesvirus can cause keratitis, sometimes leading to cloudiness of the eyes), your vet should be checking his eyes very thoroughly with each vet checkup.
Also, has she recommended the use of L-lysine? Comes in both capsule form (that you can sprinkle the contents in food), and an oral paste. I think vets are somewhat divided on it's efficacy, but it's worth it to ask your vet.
Keep stress reduced at all times, since stress is the main cause to flare-ups. Provide lots of good nutrition, fresh water, a place he can access sunlight from a safe window, and a safe haven room during any time he might feel stressed. Remember also, any time there is a flare-up, he is susceptible to secondary infections, so watch him like a hawk, and get him seen by your vet if he is lethargic, appetite is reduced, not drinking enough, elimination changes or behavioral changes, and of course, displaying any signs of eye/nasal discharge, sneezing, coughing, runny nose, etc. Also remember that Squiggy can be a lifelong carrier, so watch any other cats you have, very closely for any signs too (yes, adult and older cats can still aquire herpesvirus from a carrier cat).
I'm so glad you were able to get a specialist's opinion and effective treatment, you and Squiggy had such a long and tough time to endure!
Once again, thanks so much, Lisa, for the update, and for taking such excellent care of Squiggy, you sure went above and beyond for him!
I'm sure you are aware, but if not....please get Squiggy checked by your vet on a regular basis (I would advise twice yearly, unless your vet states otherwise), and pay close attention to his ocular health (both acute and chronic herpesvirus can cause keratitis, sometimes leading to cloudiness of the eyes), your vet should be checking his eyes very thoroughly with each vet checkup.
Also, has she recommended the use of L-lysine? Comes in both capsule form (that you can sprinkle the contents in food), and an oral paste. I think vets are somewhat divided on it's efficacy, but it's worth it to ask your vet.
Keep stress reduced at all times, since stress is the main cause to flare-ups. Provide lots of good nutrition, fresh water, a place he can access sunlight from a safe window, and a safe haven room during any time he might feel stressed. Remember also, any time there is a flare-up, he is susceptible to secondary infections, so watch him like a hawk, and get him seen by your vet if he is lethargic, appetite is reduced, not drinking enough, elimination changes or behavioral changes, and of course, displaying any signs of eye/nasal discharge, sneezing, coughing, runny nose, etc. Also remember that Squiggy can be a lifelong carrier, so watch any other cats you have, very closely for any signs too (yes, adult and older cats can still aquire herpesvirus from a carrier cat).
I'm so glad you were able to get a specialist's opinion and effective treatment, you and Squiggy had such a long and tough time to endure!
Once again, thanks so much, Lisa, for the update, and for taking such excellent care of Squiggy, you sure went above and beyond for him!
..........Traci
Re: Kitten with chronic illness
That's great news! I remember you & your boys and am very happy to hear all are doing well!
Re: Kitten with chronic illness
Thank you! Yes...we do watch him like a hawk. He is also on a bi-annual wellness check up and doing very well. Lungs have been clear since November 2011. Thanks for the extra info. We have been fortunate that his eyes have not been affected by the virus, but I will be sure they keep an eye on that and his teeth. Also..you are correct. We are not able to have any more kitties in the home at this time due to his condition. Although, not a conventional treatment...he is receiving 3cc's of intranasal dose of saline/gentamicin 2-3x week at the start of symptoms and it's working to stop the progression. We did this for 12 wks initially beginning last summer with Zeniquin daily for 6 wks. He is also on L-lysine. Two minor flares this spring and his August check up was excellent.
Your advice was imperative and he overcame a huge obstacle with a chronic viral condition.
Sending my best to you and the group....Lisa
Your advice was imperative and he overcame a huge obstacle with a chronic viral condition.
Sending my best to you and the group....Lisa