Cat Forum / Cat Anecdotes / June 2004
Feline Specialist? (long again - sorry)
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LOL - 15 Jun 2004 07:15 GMT Sunday afternoon, DH and I were to take Mike in for sub-q fluids from the vet tech when she was there to feed the boarders; however, when we arrived TED himself was there instead, and we were able to talk uninterrupted for a bit while the IV bag emptied itself into Mikey. I am not entirely sure what's going on with Mike's kidney function - what TED said Sunday was not really the same thing as what he'd told me on the telephone Thursday night, and was far more pessimistic. (I was too upset about it to post an update, frankly.) He did say, though, that he thought we should consult an internal medicine specialist.
I'd previously tracked down a feline specialist on St. Simons Island, GA, which is appx. 60 miles from here. No sane person would have gone to the islands in the past few weeks, but now that the G-8 Summit is finally over, DH and I went today and talked to her. I certainly want to give her a try - this is by far the closest feline specialist, and we liked her. She had four gorgeous office cats - 2 black girls, an orange tabby boy and an enormous tuxedo boy. She said that if our vet is willing to work with her, she'd be happy to do so, and may be able to suggest some things we can do right now that will help. She says she sees probably about one hyperthyroid cat per day, whereas Mike is only the second hyper-t cat our vet has *ever* seen. And the other is having no complications at all - she's doing beautifully on the tapazole, and has gained weight and is marvelously healthy. (I try very hard not to have mean and petty feelings about this other cat.)
The only thing that gave me pause is that she mentioned (just mentioned in passing, didn't recommend this for Mike or anything like that) the possibility of surgery to remove the thyroid. I've done an awful lot of reading about the hyper-t, and I understand that this surgery isn't recommended any more. Perhaps there are circumstances that make it more feasible and I just don't know about them - anyway, we are quite capable of saying no to any proposed treatment, it's just that this didn't sit quite right with me.
I like our vet very very much - he's great with Mike, and he is very knowledgeable and does a lot of research. The fact remains, though, that knowledge and experience are not the same thing, and entirely aside from that I want a second opinion. Mike has another appointment with TED tomorrow (he has to go to the vet on his birthday, poor baby!) and we are going to talk to TED about this and ask him to fax the records. I'll be holding my breath until she's at least looked at his records - I am hoping with all my heart that she won't see the situation as quite as grim as our regular vet does.
I know a lot of you take your furbabies to feline specialist vets - do you find that it makes a big difference?
And please, if there's anyone lurking out there who knows anything about good kitty docs in south Georgia, please, please let me know!
------ Krista
Victor Martinez - 15 Jun 2004 13:36 GMT > And please, if there's anyone lurking out there who knows anything > about good kitty docs in south Georgia, please, please let me know! You can search here: http://www.aafponline.org/find.php
 Signature Victor Martinez Owned and operated by the Fantastic Seven (TM) Send your spam here: uce@ftc.gov Email me here: pistorLITTER@BOXaustin.rr.com
LOL - 16 Jun 2004 06:39 GMT > > And please, if there's anyone lurking out there who knows anything > > about good kitty docs in south Georgia, please, please let me know! > > You can search here: http://www.aafponline.org/find.php Thanks, Victor. That's how I found the vet we talked to yesterday; however, we talked to our regular TED about it today, and he is referring us to someone else, who specializes in internal medicine. We are going to take Mike to see the internist as soon as we can get an appointment, and we'll see what happens after that.
All I'm looking for, really, is a vet who can produce several thousand sworn affidavits that she is a miracle worker, plus at least one short video of her walking on water. ;-)
------ Krista
Marina - 16 Jun 2004 06:47 GMT "LOL" <arbitrarilyyours@hotmail.com> wrote
> All I'm looking for, really, is a vet who can produce several thousand > sworn affidavits that she is a miracle worker, plus at least one short > video of her walking on water. ;-) LOL, Krista, aren't we all? Purrs for the vet hunt to be successful.
 Signature Marina, Frank and Nikki Email marina (dot) kurten (at) pp (dot) inet (dot) fi Pics at http://uk.f1.pg.photos.yahoo.com/frankiennikki
Susan M - 15 Jun 2004 14:48 GMT Hi Krista:
I've been worried about Mike and had been thinking of posting today about the possibility of you seeing a more specialized vet. It seems like maybe your nice TED hasn't really hit the nail on the head for Mikey?? I'm glad that you've got in touch with this other woman and I'll be eagerly checking for updates for what she has said. I'm not clear from your post whether you took Mike to see her the first time or not? Doesn't sound like you did. Losing weight like he has doesn't sound right to me and I hope that you're able to get him in ASAP.
I see a small animal specialist for my boys and you've got to imagine that it helps, considering that he's had 25 years experience with nothing but cats and dogs. He's totally plugged into traditional medicine and goes to updates constantly but often insists on consulting the holistic guy in the city when he's not sure that what he's doing has helped. I convinced its why we still have Otis - my TED's unrelenting search to find something for a kitty that had stress induced interstitial cystitis.
Another thing I remember was that, during the worst of all of Otis' undefined health problems, I thought it would never ever get better. Now, these problems seem like a dream, they're so far away. Don't give up hope, as I know you won't - you've given a lot to help your kitty.
Susan M Thinking of you and Mikey
> Sunday afternoon, DH and I were to take Mike in for sub-q fluids from > the vet tech when she was there to feed the boarders; however, when we [quoted text clipped - 49 lines] > ------ > Krista LOL - 16 Jun 2004 06:58 GMT > Hi Krista: > [quoted text clipped - 22 lines] > Susan M > Thinking of you and Mikey Thank you, Susan. We didn't take Mike yesterday to see the specialist - we didn't know anything about her and it's an hour or more to get there; we just wanted to check it out. As it happens, when we talked to our regular vet at Mike's appointment this afternoon, he said he wants to refer us to an internal medicine specialist, so we're going to start there. We are hoping to hear tomorrow about when we can get an appointment.
I am frustrated because it seems to me (and DH too) that it's hard to tell from what TED says just how serious the situation is with Mikey's kidneys. A fair amount of what he's said seems inconsistent. I don't think he's doing it on purpose, but have to wonder if he just doesn't know.
I just typed, and then deleted, a long and complicated explanation of my frustrations here, so maybe I should just say I have high hopes for this referral.
Please give your boys some scritches for me, plus a smooch for Otis, who reminds me soooo much of my Mike.
------ Krista
PS: By the time we left TED's today, the tech and I were both bleeding. That's my boy!
CajunPrincess - 15 Jun 2004 17:55 GMT > Sunday afternoon, DH and I were to take Mike in for sub-q fluids from > the vet tech when she was there to feed the boarders; however, when we [quoted text clipped - 49 lines] > ------ > Krista Good luck with Mike. I think you're doing the right thing to go to a specialist given your regular vet's inexperience with CRF. I think it's also great that the specialist is willing to work with your regular vet-there's probably lots of things that they could coordinate on that would save you the long trip to the specialist and as you say you really like your regular vet. He sounds like he's a very honest and straighforward person.
My impression from researching CRF on the web when Prissy was being treated was that removal of the thyroid is still considered an option but it isn't utilized very often anymore. Maybe there are infrequent situations where something about the cat's condition makes surgery more of an attractive option. I'm guessing the specialist was just trying to lay out all the possible treatments since you say she just mentioned it in passing.
I took Prissy to the same vet I use now, who specializes in older cats, which means they saw CRF cats all the time. Since they made the diagnosis of CRF, I can't make comparisons but I can say that knowing that they had lots of experience in treating it gave me a sense of confidence in their advice.
LOL - 16 Jun 2004 07:11 GMT > Good luck with Mike. I think you're doing the right thing to go to a > specialist given your regular vet's inexperience with CRF. I think [quoted text clipped - 17 lines] > that they had lots of experience in treating it gave me a sense of > confidence in their advice. Thank you - your posts are always informative! I remember your posting some very good information when I was talking about Mike's hyperthyroidism.
We talked to our vet today about taking Mike to see the feline specialist, but he said that he had someone else in mind that he wanted us to see - an internal medicine specialist. We're waiting to hear about an appointment. I do have high hopes about getting effective treatment from a specialist.
------ Krista
Suzanne Thompson - 15 Jun 2004 17:56 GMT Delurking to say that my 12-year-old hyperthyroid Japanese Bobtail was treated with radioactive iodine (I-131) last September and appears to be completely cured. Here's a site containing some info: http://www.radiocat.com/.
I'm in Boston, so Peter's regular vet referred him to Angell Memorial for the treatment, but he sees his regular vet for all follow-up visits.
Peter and I highly recommend the treatment if it's available in your area and if your cat meets all the criteria.
Suzanne
> Sunday afternoon, DH and I were to take Mike in for sub-q fluids from > the vet tech when she was there to feed the boarders; however, when we [quoted text clipped - 49 lines] > ------ > Krista m. L. Briggs - 15 Jun 2004 19:48 GMT >Delurking to say that my 12-year-old hyperthyroid Japanese Bobtail was >treated with radioactive iodine (I-131) last September and appears to be [quoted text clipped - 62 lines] >> ------ >> Krista That is great news -- I wish I had that option about 8 years ago. I habe bookedmark for future reference. MLB
LOL - 16 Jun 2004 07:44 GMT > Delurking to say that my 12-year-old hyperthyroid Japanese Bobtail was > treated with radioactive iodine (I-131) last September and appears to be [quoted text clipped - 8 lines] > > Suzanne Thank you for this - I'm glad you delurked. Please stick around!
We may very well end up having the radioiodine treatment, if Mike will be able to tolerate it. We'd wanted to start with Tapazole because we thought it might be easier on Mike, since the only facilities for the radioiodine treatment are far away. It is looking more and more like we'll need an alternative, though, and I do hope he'll be able to have this.
I'm glad Peter is doing well, and I'd love to hear more about him!
------ Krista
Norm - 16 Jun 2004 11:09 GMT > We may very well end up having the radioiodine treatment, if Mike will > be able to tolerate it. We'd wanted to start with Tapazole because we > thought it might be easier on Mike, since the only facilities for the > radioiodine treatment are far away. It is looking more and more like > we'll need an alternative, though, and I do hope he'll be able to have > this. Geriatric Beastie, at 18, had been on Tapizol for 'most 3yrs now, now off it and doing ok considering his infirmities.
-- 'The web has got me caught. I'd rather have the blues than what I've got." <via Nat King Cole
m. L. Briggs - 15 Jun 2004 17:57 GMT >Sunday afternoon, DH and I were to take Mike in for sub-q fluids from >the vet tech when she was there to feed the boarders; however, when we [quoted text clipped - 49 lines] >------ >Krista When my Siamese was diagnosed as hyperthyroid, the Vet said usually it is from a tumor on the thyroid gland. If the tumor was on one side, surgery "might" be helpful, but if it went all the way around it would not be advisable. I asked what her chances of surviving surgery were at her age (16). He said 50/50 if on one side -- 0 if all the way around. We tried the medication, but it made her violently ill. It was very hard, but I decided to let nature take its course wth no meds. If your cat can handle the meds, that would seem to be the way to go.
What I don't understand is why so many cats become hyperthyroid. Yet they say cats never become hypothyroid. Anybody know why?
Best wishes for success in treating your friend. MLB
LOL - 16 Jun 2004 07:05 GMT > When my Siamese was diagnosed as hyperthyroid, the Vet said usually it > is from a tumor on the thyroid gland. If the tumor was on one side, [quoted text clipped - 10 lines] > > Best wishes for success in treating your friend. MLB Thank you. I am very hopeful that we can find something to work for our little darling. He *seems* to be tolerating the medication well, and once we finally finished tweaking the dosage, it got his thyroid levels down to normal; however, our vet thinks that the medication itself is the cause of Mike's current kidney problems. We may very well end up having to consider the surgery, or radioiodine treatment if he can handle it.
I had read that about a tumor being the usual cause of hyperthyroidism, but I can't imagine why it wouldn't sometimes affect them the other way, and lead to hypothyroid. Kitties is weird critters.
------ Krista
CajunPrincess - 16 Jun 2004 19:26 GMT > Thank you. I am very hopeful that we can find something to work for > our little darling. He *seems* to be tolerating the medication well, > and once we finally finished tweaking the dosage, it got his thyroid > levels down to normal; however, our vet thinks that the medication > itself is the cause of Mike's current kidney problems. Of course it's widely known that Tapazole masks preexisting kidney problems, but I don't recall reading or being told of Tapazole independently causing kidney problems. I hope that's not the case with Mike because it would give you less flexibility.
We may very
> well end up having to consider the surgery, or radioiodine treatment > if he can handle it. I think I posted this before when you found out about Mike, but in the event I didn't, I have had several people, including a vet tech, relay their happiness with results of the radioiodine treatment. Of course, it's a big one-time expense and a fair amount of trouble for a few weeks. As I recall, they have to get a good feel for the degree of impairment of kidney function before doing it so that the cat doesn't encounter catastrophic kidney failure after the thyroid problem is dealt with.
I wish the best for Mike; it's hard when you are facing this kind of roller coaster but it sounds like he has a good chance to have lots of quality time ahead of him after this is taken care of.
> I had read that about a tumor being the usual cause of > hyperthyroidism, but I can't imagine why it wouldn't sometimes affect [quoted text clipped - 3 lines] > ------ > Krista Kajikit - 19 Jun 2004 07:13 GMT m. L. Briggs had something important to tell us on Tue, 15 Jun 2004 10:57:54 -0600:
>What I don't understand is why so many cats become hyperthyroid. Yet >they say cats never become hypothyroid. Anybody know why? If they did, I think they'd have more of an idea about why so many humans become hypOthyroid and what to do about it...
I hope the specialist vet can help your baby out...
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Karen AKA Kajikit
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jXwXeXrXmXoXnXt@sonic.net - 19 Jun 2004 10:45 GMT [snipped]
Hey, there you are! I was just talking about you!! :)
I was asking whatever happened to the fluffy long-haired cat that you used to see on walks, the one who desperately needed to be brushed, whose humans were doing a p*ss-poor job of it?
Actually, I asked that question of Krista (LOL), because I got her name mixed up with yours. That whole episode with the fluffball cat was a few years ago, so I got a little confused about it...
In any case, did you ever find out what became of that kitty?
Joyce
polonca12000 - 15 Jun 2004 22:28 GMT Lots and lots of purrs and best wishes for a good solution to be found for Mikey's problem,
 Signature Polonca & Soncek
> Sunday afternoon, DH and I were to take Mike in for sub-q fluids from > the vet tech when she was there to feed the boarders; however, when we > arrived TED himself was there instead, and we were able to talk > uninterrupted for a bit while the IV bag emptied itself into Mikey. <snip
Steve Touchstone - 16 Jun 2004 04:16 GMT No apology needed for the long message, since it was full of information that hopefully some more experienced slaves can latch onto and make a few suggestions. Like you said, it sounds like it would be best to find a vet who has dealt with the problem more often, and hopefully someone further down the thread can steer you towards one closer to home.
Purrs coming that the specialist can spot something in the records once she gets them that can help - and sending happy purrday wishes even if Mikey is goinf to end up spending some of the times being poked and prodded. And hugs for the worried hoomins.
 Signature Steve Touchstone, faithful servant of Sammy, Little Bit and Rocky
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LOL - 16 Jun 2004 22:12 GMT > No apology needed for the long message, since it was full of > information that hopefully some more experienced slaves can latch onto [quoted text clipped - 7 lines] > even if Mikey is goinf to end up spending some of the times being > poked and prodded. And hugs for the worried hoomins. Thanks, Steve. We have an appointment in the morning with a specialist our TED is sending us to. He's even farther away (sigh) but specializes in internal medicine, and we are hopeful he can help our boy.
Mikey had as good a purrday as possible - only 2 needles at TED's, and lots of tuna water on his yummy new food. :-)
------ Krista
Adrian - 17 Jun 2004 14:47 GMT Purrs and best wishes for Mike.
 Signature Adrian (Owned by Snoopy, Milo & Bagheera) A house is not a home, without a cat.
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