I have a live in cat sitter for benny already when i travel. But i am not willing to leave rosa..
She is one one pill clindamyacin and one cortisol daily.
I will have to check doses for you tomorrow.
I can at least have a local vet do all new bloods and xrays in the states..im sure there must be a specialist near charlotte.
Im sure also larry is trying to save me money even though i tell him dont worry..
My fear is
She has fip, only a month to live with effusive and i drag her out of her environment
Or
She is misdiagnosed and dies here..from me waiting til june 5 th..
Her cbc showed anemia? All was normal except slightly higher grans at 15.4 with norm high of 12...her platelets were high at 586 with normal high of 500 on 2nd cbc on thursday..her platelets were 351 on monday
Cat liver issues
Re: Cat liver issues
Well, are her extremeties cold, are her mucous membranes pale or white, did she bruise easily during attempted blood draws?
A temporary paleness may not be significant, but if she remains pale, or, as you describe, a white nose, it may or may not be cause for concern, a new CBC would determine that (since it can change rapidly).
Of course, I'm not the vet, and I'm not there to see her, but it doesn't sound like FIP to me, and in absence of additional testing, I still would NOT assume. If she is responding to meds, the fever has not reoccurred, the effusion is resolving, and she seems to improve each day, it just does not sound like FIP and other rule-outs should be done. The stateside vets should be able to tell you that. Again, make sure you talk to them about Rosa's condition near the time you plan to leave Mexico.
A temporary paleness may not be significant, but if she remains pale, or, as you describe, a white nose, it may or may not be cause for concern, a new CBC would determine that (since it can change rapidly).
Of course, I'm not the vet, and I'm not there to see her, but it doesn't sound like FIP to me, and in absence of additional testing, I still would NOT assume. If she is responding to meds, the fever has not reoccurred, the effusion is resolving, and she seems to improve each day, it just does not sound like FIP and other rule-outs should be done. The stateside vets should be able to tell you that. Again, make sure you talk to them about Rosa's condition near the time you plan to leave Mexico.
..........Traci
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christymexico
- Posts: 97
- Joined: Mon Feb 27, 2012 1:21 am
- Location: mexico
Re: Cat liver issues
Shes all pink now, just white nose the one day at 5 hours of vet..
Shes not cold but also doesnt lay near me..
A giant bubble came with attempted blood draw but did not bruise and left in a few hours..
She runs from me after i feed her so i am going to wait a few days on blood.
Ill find out doses today and run them by nyc and also you..
Shes eating, will take her friday for another xray, if she does not need fluid removal before this time.
Thanks so much traci, really..and you should see benny, he looks so good:)
Shes not cold but also doesnt lay near me..
A giant bubble came with attempted blood draw but did not bruise and left in a few hours..
She runs from me after i feed her so i am going to wait a few days on blood.
Ill find out doses today and run them by nyc and also you..
Shes eating, will take her friday for another xray, if she does not need fluid removal before this time.
Thanks so much traci, really..and you should see benny, he looks so good:)
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christymexico
- Posts: 97
- Joined: Mon Feb 27, 2012 1:21 am
- Location: mexico
Re: Cat liver issues
Went to get meds yday..was told 75 mg clindamyacin eqch day capsule
And
Surprised me with 5 mg of prednisone daily...the other dr had told me she had been taking dex..
Now, if she does have liver problems she has been on 5 days of pred.
I have prednisolone in 5 mg strength from benny
Shes 7 pounds.
Eating good, no diareah, just seems tired and with some chest pain when i pick her up.
Breathing fine but acting distant like benny did with pred.
June 5 cant come fast enough.
Any suggestions.?
I have copies of all you sent for testing and i will give to nc dr..
We have none here..
I have not taken her back for chem profile, shes calm and this guy stresses her..i am trying to get the old vet of benny to come to my home..he uses front arm..
And
Surprised me with 5 mg of prednisone daily...the other dr had told me she had been taking dex..
Now, if she does have liver problems she has been on 5 days of pred.
I have prednisolone in 5 mg strength from benny
Shes 7 pounds.
Eating good, no diareah, just seems tired and with some chest pain when i pick her up.
Breathing fine but acting distant like benny did with pred.
June 5 cant come fast enough.
Any suggestions.?
I have copies of all you sent for testing and i will give to nc dr..
We have none here..
I have not taken her back for chem profile, shes calm and this guy stresses her..i am trying to get the old vet of benny to come to my home..he uses front arm..
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christymexico
- Posts: 97
- Joined: Mon Feb 27, 2012 1:21 am
- Location: mexico
Re: Cat liver issues
http://www.dr-addie.com/downloads/FIPdi ... wchart.pdf
I am trying to floow steps with her..but the ratios i dont understand..
I am trying to floow steps with her..but the ratios i dont understand..
Re: Cat liver issues
Christy, that clindamycin dose is too high for her, in my opinion, it should be reduced, ask the vet to refer to feline-specific dosing instructions. (it should be around 35 mg once a day, but, I'm not the vet and don't know for what specific purpose he's prescribing it - i.e., bacterial infection) - Please, ask the NYC vet promptly about the clindamycin, and proper dose for Rosa. We usually use the liquid form for cats, it's in smaller doses, used for a shorter length of time (like 7-14 days, only in severe cases for specific reasons is it used for longer periods of time). Since she is on both clindamycin and prednisone, her bloodwork (both CBC and chemical profile) should be done soon, your NYC vet can probably tell you when it should be done. This is done to check liver and kidney function. Your NYC vet may agree with the clindamycin dose, but I'd prefer you ask him anyway.
As for the pred, it isn't unusual to prescribe it in a case like this, due to inflammation, which is most likely evident somewhere. However, also ask your NYC vet if a 2.5 mg dose would be better than the 5 mg dose (you would cut the 5 mg pill in half). Do not do anything UNTIL you've spoken to your NYC vet about these doses, ok?
Likewise, ask him about the fact Rosa was maybe already on the dex before now being prescribed the prednisone.
If she's eating/drinking, mobile, slightly active, urinating/defecating normally, and in much better spirits, there's a chance the meds are doing their job - if her breathing is easy, not labored, then hopefully the fluid is dissipating, and if any bacterial infection is present, it could be that the antibiotics are working. Please discuss this with the NYC vet, the meds, when to do bloodwork, when to check with another xray for evidence of fluid, and see if you can at least get his agreement with those things.
The flow chart from Dr Addie, her site is one of my favorites, and the chart is east to follow and understand as long as required testing is done and you have results to go by. At this point, the tests have not been done, so save that chart file and maybe send it to the NYC vet and get his opinion on if/when you could test the A:G ratio, the AGP test, a PCR etc. He may or may not advise you to do them, based on Rosa's current health status, and based on if he thinks she is responding to her current medications. It would be good to have this discussion with him. In my opinion, there is currently no strong evidence to suggest FIP, but again, discuss the chart, meds, etc with the NYC vet for more advice.
As for the pred, it isn't unusual to prescribe it in a case like this, due to inflammation, which is most likely evident somewhere. However, also ask your NYC vet if a 2.5 mg dose would be better than the 5 mg dose (you would cut the 5 mg pill in half). Do not do anything UNTIL you've spoken to your NYC vet about these doses, ok?
Likewise, ask him about the fact Rosa was maybe already on the dex before now being prescribed the prednisone.
If she's eating/drinking, mobile, slightly active, urinating/defecating normally, and in much better spirits, there's a chance the meds are doing their job - if her breathing is easy, not labored, then hopefully the fluid is dissipating, and if any bacterial infection is present, it could be that the antibiotics are working. Please discuss this with the NYC vet, the meds, when to do bloodwork, when to check with another xray for evidence of fluid, and see if you can at least get his agreement with those things.
The flow chart from Dr Addie, her site is one of my favorites, and the chart is east to follow and understand as long as required testing is done and you have results to go by. At this point, the tests have not been done, so save that chart file and maybe send it to the NYC vet and get his opinion on if/when you could test the A:G ratio, the AGP test, a PCR etc. He may or may not advise you to do them, based on Rosa's current health status, and based on if he thinks she is responding to her current medications. It would be good to have this discussion with him. In my opinion, there is currently no strong evidence to suggest FIP, but again, discuss the chart, meds, etc with the NYC vet for more advice.
..........Traci
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christymexico
- Posts: 97
- Joined: Mon Feb 27, 2012 1:21 am
- Location: mexico
Re: Cat liver issues
Hi tracy
Just came from vet
He again by listening said no fluid
Her breathing is hard for her
He took her off the clindamayacin bc i said she vomited last night and the gram post results were neg for any bacteria.
Yes, i know the website and flow chart well..
Shes losing weight and has fever today of 40.
He gave her dexamethasone shot
Told me to give half pill in morning half at night of pred..still 5 a day..
I found auburn university has a test i can send in from mexico
Its http://www.vetmed.auburn.edu/feline_inf ... aZOzWS9Kc0
The dr is looking for an untrasound machine..we need 1/2 ml of effusion.
Nyc vet said not to bring her to nyc because a few days would not be enough and i cannot afford a week in a hotel
The vet here feels its torture to make her travel. Shes not feeling good, laying around and today sniffs at food licks it but hasnt eaten much..she also just cMe from vet where she urinated on herself from being so scared.
She doesnt seem well at al to me..
Just came from vet
He again by listening said no fluid
Her breathing is hard for her
He took her off the clindamayacin bc i said she vomited last night and the gram post results were neg for any bacteria.
Yes, i know the website and flow chart well..
Shes losing weight and has fever today of 40.
He gave her dexamethasone shot
Told me to give half pill in morning half at night of pred..still 5 a day..
I found auburn university has a test i can send in from mexico
Its http://www.vetmed.auburn.edu/feline_inf ... aZOzWS9Kc0
The dr is looking for an untrasound machine..we need 1/2 ml of effusion.
Nyc vet said not to bring her to nyc because a few days would not be enough and i cannot afford a week in a hotel
The vet here feels its torture to make her travel. Shes not feeling good, laying around and today sniffs at food licks it but hasnt eaten much..she also just cMe from vet where she urinated on herself from being so scared.
She doesnt seem well at al to me..
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christymexico
- Posts: 97
- Joined: Mon Feb 27, 2012 1:21 am
- Location: mexico
Re: Cat liver issues
Also, today she has been going to food, smelling licking it and walking away..i wonder if the antibiotic and the pred made her nauseus..she again ate tiny bit of food and vomited it right away..
Re: Cat liver issues
The pred would not cause vomiting.
The clindamycin can, especially in high doses, which I suspect the 75 mg played a part. Even so, clindamycin can cause vomiting and diarrhea despite the dose.
Did the vet check her hydration status, and were sub-q fluids given? If not, they probably should be given.
Try some cooked white chicken for Rosa, or, blend the chicken with a little bit of water to make a creamy "soup", nothing added. Or tempt with a little bit of tuna.
Since the CBC hasn't been repeated lately, it would make sense to do so, it might help determine if a new infection has developed, which could help explain the fever. Just because the vet felt there was no bacterial infection present before, does not mean one isn't developing, that's the nature of disease - a primary disease can always be complicated with a secondary bacterial infection and may be developing.
Other than his opinion on travelling, what is the NYC vet telling you about this new development? (vomiting, fever, anorexia, weight loss?)
The clindamycin can, especially in high doses, which I suspect the 75 mg played a part. Even so, clindamycin can cause vomiting and diarrhea despite the dose.
Did the vet check her hydration status, and were sub-q fluids given? If not, they probably should be given.
Try some cooked white chicken for Rosa, or, blend the chicken with a little bit of water to make a creamy "soup", nothing added. Or tempt with a little bit of tuna.
Since the CBC hasn't been repeated lately, it would make sense to do so, it might help determine if a new infection has developed, which could help explain the fever. Just because the vet felt there was no bacterial infection present before, does not mean one isn't developing, that's the nature of disease - a primary disease can always be complicated with a secondary bacterial infection and may be developing.
Other than his opinion on travelling, what is the NYC vet telling you about this new development? (vomiting, fever, anorexia, weight loss?)
..........Traci
-
christymexico
- Posts: 97
- Joined: Mon Feb 27, 2012 1:21 am
- Location: mexico
Re: Cat liver issues
Ny vet hasnt said much
Only make it prednisolone..didnt give me dosage..and to have dr here use butterfly for tap.
Hes the only dr in house this week..hes overwhelmed in nyc..
I gave her some steamed white chicken and a bit of fancy feast, huge treat, which she ate and kept down.
The reason no blood has been done is that he cant get any..we tried twice and nada..she doesnt like her neck touched and he doesnt know how to do back leg.
Hopefully we can get the ultrasound get the fluid sent to uni and see...at this point im thinking the humane thing to do is cancel my trip home as she is getting worse not better..shes never been on a plane and i dont want to add stress if she is dying.
Im just so lost about what to do.
I can take her woth me to nc no problem , but imagine her fear. At least here shes with her family in her home. If the fip is negative then i will take her home to usa for treatment. We will also do rivalta.
But from yday to today she is worse.
No fluids were checked or given
I have a kit here
I could easily do it
Only make it prednisolone..didnt give me dosage..and to have dr here use butterfly for tap.
Hes the only dr in house this week..hes overwhelmed in nyc..
I gave her some steamed white chicken and a bit of fancy feast, huge treat, which she ate and kept down.
The reason no blood has been done is that he cant get any..we tried twice and nada..she doesnt like her neck touched and he doesnt know how to do back leg.
Hopefully we can get the ultrasound get the fluid sent to uni and see...at this point im thinking the humane thing to do is cancel my trip home as she is getting worse not better..shes never been on a plane and i dont want to add stress if she is dying.
Im just so lost about what to do.
I can take her woth me to nc no problem , but imagine her fear. At least here shes with her family in her home. If the fip is negative then i will take her home to usa for treatment. We will also do rivalta.
But from yday to today she is worse.
No fluids were checked or given
I have a kit here
I could easily do it