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TK's annual heart echo

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Nomen Nescio - 01 Nov 2007 09:24 GMT
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It started yesterday with the traditional game of catch the kitty
after we brought the carrier up from the basement. This included
a couple laps around the house and, of course, pulling out every
chair under the dining room table as TK jumped from one to the
other. Finally, a sneak attack as he rounded the corner of the living
room had him squirming in my arms, and gnawing on my wrist as
I incarcerated him in the carrier.
The 1 1/2 hour drive to Tufts was uneventful and included the standard
10 minutes of complaining when TK realized that this was the long
trip and not the 15 min. vet trip.
Last year he was nothing but trouble during the ultrasound. He wouldn't
stay still. Squirmed, kicked, swiped, and nipped. We were warned
that this year he might have to be sedated.
At Tufts, he had the standard pre-echo checkup from one of the
students and wasn't too unruly. We let him climb back in his carrier for
the 15 min wait to get in to the ultrasound room.
When we got in for the echo, they were prepared to immediately
sedate our wildcat. My wife and I expressed our reluctance to have
him sedated and they agreed to try the ultrasound without sedation.
We dragged him out of the carrier and turned him over to the two students
charged with holding him on the table while the cardiologist did the
exam. He was laid down on his side, shaved, and the exam began.

If we hadn't been with TK the whole time, I would have thought they
switched cats on us. He was such a good boy. A few little movements,
but for the most part, he stayed quite still and didn't complain much
about being restrained. To the credit of one of the students, she seemed
to know just the right time to lean over his face, talk to him, and give him
a little face rub to keep him calm (we found out later that she has 6 cats).
Anyway, the exam was quick and low stress for all concerned.

The results.......virtually unchanged from last year.
At last year's exam, TK's Hypertrophic Cardiomyopathy had regressed
to the point where it was just barely considered HCM. Improved from
the previous year where it was considered to be "moderate". So his
treatment is going to stay the same at 30mg diltiazem ER once a day
and an 81mg aspirin twice a week. The cardiologist told us that the aspirin
isn't absolutely necessary, right now, since the doppler is now showing minimal
turbulence, but suggested continuing with it since he's doing so well and
his blood test shows no kidney problems. Basically, if it ain't broke...don't
fix it.
So there's a good chance he'll be with us for another year.

As to why he was so calm for this exam as compared to last year. We had a
different cardiologist...a woman. The two students.....both female. I've always
suspected that TK had a bad experience with a male human, either as a stray
or with whoever abandoned him. I remember the first time he saw me holding a
beer bottle about three months after we took him in. There was a look of
absolute terror in his eyes. I can only guess what that cat had been through
before he showed up in our back yard. It's probably a good thing that I don't
know because I would, quite likely, hurt someone really bad. But, I think, being
in a room with four women, and me (who he now knows would never hurt him),
was much less threatening to him.

And again this year, I'd like to thank everyone who had offered good wishes
and advice, especially Phil P. who gave me a good bit of his time to help
decypher, translate,and explain, the first ultrasound report, giving me a much better
understanding of TK's situation than I would have ever have been able to
get on my own.

Thank You
CatNipped - 01 Nov 2007 17:21 GMT
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>
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> room had him squirming in my arms, and gnawing on my wrist as
> I incarcerated him in the carrier.

LOL!  Been there, done that!  With 18 pounds of pure muscle and female
orneriness, Sammy, that part is an adventure all by itself (sometimes I wish
they'd sell those tranquilizer guns to the general public - it would save on
my medical bills).

> The 1 1/2 hour drive to Tufts was uneventful and included the standard
> 10 minutes of complaining when TK realized that this was the long
> trip and not the 15 min. vet trip.

Aw, that's so heart wrenching when they start that crying and there's
nothing you can do to reassure them.

> Last year he was nothing but trouble during the ultrasound. He wouldn't
> stay still. Squirmed, kicked, swiped, and nipped. We were warned
[quoted text clipped - 18 lines]
> cats).
> Anyway, the exam was quick and low stress for all concerned.

What a good boy - kudos to the students who were so patient and gentle with
him, I know how much that eased your mind, it's always worrisome when they
have to be given sedatives.

> The results.......virtually unchanged from last year.
> At last year's exam, TK's Hypertrophic Cardiomyopathy had regressed
[quoted text clipped - 10 lines]
> fix it.
> So there's a good chance he'll be with us for another year.

YAY!  HaPpY dAnCiNg for you and TK!

> As to why he was so calm for this exam as compared to last year. We had a
> different cardiologist...a woman. The two students.....both female. I've
[quoted text clipped - 9 lines]
> don't
> know because I would, quite likely, hurt someone really bad.

You and me both, it breaks my heart thinking about what some animals have
suffered at the hands of sociopathic imbeciles!

> But, I think, being
> in a room with four women, and me (who he now knows would never hurt him),
> was much less threatening to him.

Takes after his dad - he likes da womens!  ;>

> And again this year, I'd like to thank everyone who had offered good
> wishes
[quoted text clipped - 3 lines]
> understanding of TK's situation than I would have ever have been able to
> get on my own.

You and TK are always in my purr-ayers.  And you're right on about Phil P. -
he's been a godsend to a number of people who post here.

Hugs,

CatNipped

> Thank You
>
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> =ttSu
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Nomen Nescio - 04 Nov 2007 07:20 GMT
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From: "CatNipped" <CatNipped@PossiblePlaces.com>

>>Finally, a sneak attack as he rounded the corner of the living
>> room had him squirming in my arms, and gnawing on my wrist as
[quoted text clipped - 4 lines]
>they'd sell those tranquilizer guns to the general public - it would save on
>my medical bills).

18 pounds!?!
That's one big a.s kitty!

Luckily, I've got a pretty strong immune system and have never needed
to see a Doc from a cat bite. I still went through a small bottle of iodine
during the first month we had TK, though. Of course, he had an abcess on
his butt and I needed to pill a wild cat twice a day and hold a warm washcloth
against his butt for 15 minutes every 8 hours. My hands looked like they'd
been run through a meat grinder after a week of that.

>> The 1 1/2 hour drive to Tufts was uneventful and included the standard
>> 10 minutes of complaining when TK realized that this was the long
>> trip and not the 15 min. vet trip.
>
>Aw, that's so heart wrenching when they start that crying and there's
>nothing you can do to reassure them.

It's funny, the first 10 minutes of the drive to either the vet or Tufts is the same
route. As soon as we turned right, instead of left, TK knew he was going for
the long drive and started bitching.

>>To the credit of one of the students, she seemed
>> to know just the right time to lean over his face, talk to him, and give
[quoted text clipped - 6 lines]
>him, I know how much that eased your mind, it's always worrisome when they
>have to be given sedatives.

The girl that was handling the "head" end of TK just had that aura about her
that could calm an animal. The kind of person you could drop in the middle
of a lion's den, come back 10 minutes later, and see a very large kitty getting
a belly rub. I think she'll be a very good vet.

>> So there's a good chance he'll be with us for another year.
>
>YAY!  HaPpY dAnCiNg for you and TK!

Thanks.

>>I've always
>> suspected that TK had a bad experience with a male human, either as a stray
[quoted text clipped - 3 lines]
>> before he showed up in our back yard. It's probably a good thing that I don't
>> know because I would, quite likely, hurt someone really bad.

>You and me both, it breaks my heart thinking about what some animals have
>suffered at the hands of sociopathic imbeciles!

I have no comprehension of the mindset that gives someone pleasure from abusing
a small living creature. I have to admit that I've gotten some pleasure from hurting
a few humans, but they were all bad people. I have a feeling that if I knew about TK's
history, I'd be adding another human to the list.
Or I'd just give this cat the guy's address. :)
http://i191.photobucket.com/albums/z240/abidos/machine-gun-cat.gif

>> But, I think, being
>> in a room with four women, and me (who he now knows would never hurt him),
>> was much less threatening to him.
>
>Takes after his dad - he likes da womens!  ;>

I refuse to respond to that on the grounds that my wife might kick my a.s. :)

>You and TK are always in my purr-ayers.

Thanks. We both need all the help we can get.
CatNipped - 04 Nov 2007 18:40 GMT
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> 18 pounds!?!
> That's one big a.s kitty!

Yep, and that's one kitty with a big a.s!  ;>  Her nickname is Samazon, or
sometimes just "wide load"!

> Luckily, I've got a pretty strong immune system and have never needed
> to see a Doc from a cat bite. I still went through a small bottle of
[quoted text clipped - 4 lines]
> against his butt for 15 minutes every 8 hours. My hands looked like they'd
> been run through a meat grinder after a week of that.

Oh man, I hear you.  Bandit was like that - luckily she wasn't sick at all
until near the end when she was, by then, at least relatively easier to
handle (although at the very end when the vet gave her a sedative before
administering the euthanasia, she gave out one of her trade mark cougar
yells that scared the vet tech shitless!)

>>> The 1 1/2 hour drive to Tufts was uneventful and included the standard
>>> 10 minutes of complaining when TK realized that this was the long
[quoted text clipped - 8 lines]
> for
> the long drive and started bitching.

Yep, they always surprise me with how much they know and can sense.  DH was
commenting just yesterday about this.  We were watching the LSU/Alabama game
when he walked outside to smoke a cigarette.  Something really funny
happened and got me all excited so I walked to the back door to tell him
about it.  All five of my cats were right there looking at us expectently.
I guess they sensed my excitement and figured I must have cornered a mouse
or something!  ;>

>>>To the credit of one of the students, she seemed
>>> to know just the right time to lean over his face, talk to him, and give
[quoted text clipped - 14 lines]
> getting
> a belly rub. I think she'll be a very good vet.

I *LOVE* vets like that - I've only every known two of them who had that
"magic" though.  Thankfully one of them is my current vet.

>>> So there's a good chance he'll be with us for another year.
>>
>>YAY!  HaPpY dAnCiNg for you and TK!
>
> Thanks.

You're most welcome.

>>>I've always
>>> suspected that TK had a bad experience with a male human, either as a
[quoted text clipped - 20 lines]
> Or I'd just give this cat the guy's address. :)
> http://i191.photobucket.com/albums/z240/abidos/machine-gun-cat.gif

LOL!  Nope, that death would be *WAY* too quick and painless for them.  I
won't say that I'd like to do to them what they did to the animal they
abused, I couldn't do that even to an animal abuser.  I'd just like to be
able to give them instant and deep empathy so they can comprehend and
imagine the pain they caused (having a deep empathy myself, I think that in
the long run that would be more painful than any physical torture you could
do to them).

>>> But, I think, being
>>> in a room with four women, and me (who he now knows would never hurt
[quoted text clipped - 5 lines]
> I refuse to respond to that on the grounds that my wife might kick my a.s.
> :)

Nah, speaking as a wife I think it's a *good* thing that my husband likes da
womens - it means he likes me!  Also, I never cared how/where my husband got
his appetite stimulated as long as he came home for dinner!!  ;>

>>You and TK are always in my purr-ayers.
>
> Thanks. We both need all the help we can get.

LOL!  Yup, me too.

Hugs,

CatNipped

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Nomen Nescio - 05 Nov 2007 07:20 GMT
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From: "CatNipped" <CatNipped@PossiblePlaces.com>

>>>Takes after his dad - he likes da womens!  ;>
>>
[quoted text clipped - 4 lines]
>womens - it means he likes me!  Also, I never cared how/where my husband got
>his appetite stimulated as long as he came home for dinner!!  ;>

My wife never worries about me coming home for "Dinner".
It's the afternoon "Snacks" that she's concerned about. :)

(Disclaimer: The above is an attempt at humor)
CatNipped - 05 Nov 2007 22:17 GMT
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> My wife never worries about me coming home for "Dinner".
> It's the afternoon "Snacks" that she's concerned about. :)

LOL!  Oooooookay!  Let's not have any snacking now, please!  ;>

Hugs,

CatNipped

> (Disclaimer: The above is an attempt at humor)
>
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hopitus - 01 Nov 2007 19:47 GMT
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Yes, Phil P. is truly a friend to all cats and I've always wished
blessings on him and
his for his help to us with our cats' medical problems online. Glad
your beloved feline
friend as well as you have benefited from his help. I got no advice
for you myself as
Phil took care of you....except that as some might remember I'm a
retired xray tech
and ultrasounds for m ( didn't do US, strictly ER work) are really
hard to make sense of.
Nomen Nescio - 04 Nov 2007 08:00 GMT
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From: hopitus <hopitus@hotmail.com>

>Yes, Phil P. is truly a friend to all cats and I've always wished
>blessings on him and
[quoted text clipped - 6 lines]
>and ultrasounds for m ( didn't do US, strictly ER work) are really
>hard to make sense of.

Thanks.
I'll keep your career and experience in mind and bug you with some
questions if anything involving your field confuses me in the future.
yngver - 02 Nov 2007 23:42 GMT
>  The results.......virtually unchanged from last year.
> At last year's exam, TK's Hypertrophic Cardiomyopathy had regressed
[quoted text clipped - 7 lines]
> fix it.
>  So there's a good chance he'll be with us for another year.

Wow, that is great news. Our own cat's first echo recheck is coming up
Dec. 3 and I am getting nervous. She has been to the vet a couple of
times since her first echo in May--I posted the results here and you
and Phil so kindly helped me understand what it meant--and she has
been doing very well on 6.25 mg of atenolol twice a day. She was just
in last week for her six month geriatric exam and her heart rate was
150--right where they want it--and her bp was 110. Vet said that was
low but not too low. And he still can't hear a heart murmur anymore.

So I am hoping for good news at her next echo, but don't want to get
my hopes up too much. The cardiologist said the first recheck is the
most important because it will show how the condition is likely to
progress. Her HCM is very mild so I am hoping the next echo will show
no or very little progression--or maybe even a little better. We are
also giving her CoQ10 in her food so maybe that well help. She seems
perfectly fine.

Anyway, congrats on your good echo! It's good to know that HCM can be
stabilized.
-yngver
Nomen Nescio - 04 Nov 2007 10:30 GMT
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From: yngver <yngver@aol.com>

>Wow, that is great news.

Thanks.

>Our own cat's first echo recheck is coming up
>Dec. 3 and I am getting nervous.

Quite understandable.
I always start getting a little nervous right after I hang up the phone
after making TK's appointment.

>She has been to the vet a couple of
>times since her first echo in May--I posted the results here and you
[quoted text clipped - 3 lines]
>150--right where they want it--and her bp was 110. Vet said that was
>low but not too low. And he still can't hear a heart murmur anymore.

Great news! That's exactly what you want to hear from a basic physical.

>So I am hoping for good news at her next echo, but don't want to get
>my hopes up too much. The cardiologist said the first recheck is the
>most important because it will show how the condition is likely to
>progress. Her HCM is very mild so I am hoping the next echo will show
>no or very little progression--or maybe even a little better.

Six months after TK was first diagnosed, the numbers were pretty much
the same as the previous echo or just slightly better. We were thrilled that
it hadn't gotten significantly worse. It was the following year the we saw
a real improvement.
You caught the HCM, and started treatment, early. You've got a real good
chance of keeping it under control.

>Anyway, congrats on your good echo! It's good to know that HCM can be
>stabilized.

Thanks.
Let us know how things go on Dec. 3. I think you'll have some good news to
celebrate. :)
Best of luck.
 
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