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Sammy's TED checkup

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Steve Touchstone - 06 Apr 2005 02:20 GMT
Now that the girls have posted their take on Sammy's TED visit, let me
tell you the hoomin view. Since the scare Sammy gave me last fall, and
the diagnosis of a heart murmur, it was time for her quartely checkup.
The good news is that her heart problem doesn't seem to be causing her
any trouble.

I received a printouts of her test results, but don't really know what
it all means. So, if anyone with more of a medical background
understands this stuff feel free to tell us what it means. About all I
can tell you is that under S-AMP the listed normal is 0.0-0.2mv and
her average is 0.44, and the diagnosis is supraventricular tacycardia.
Like I said, doesn't mean anything to me - the important thing is that
her Doctor wasn't too concerned and says she's doing fine.

Unfortunately, when someone says "the good news is..." there's usually
bad news. Sammy also got what is called a "major blood profile" and
"urinalysis w/ sedimentation". Nothing too far out of line, but a
couple results up in the high range. [CHOL 227.1 - normal 65.0-225.0,
GLU 198.9 normal 76.0 - 145.0, and Na 167.6 normal 150.0-165.0]
Dr Haney felt it the results may just be elevated because of her
stress, but we're going to re-test on the 25th. If he feels she's too
stressed, I'll either have to try to collect a urine sample at home,
or board Sammy a couple days so that her stress levels will be
reduced. Also, based on the results, Dr Haney changed her from Hills
k/d to x/d.

BTW that change has been met with mixed reviews: they like the new wet
better, but the old dry was better.
Signature

Steve Touchstone,
faithful servant of Sammy and Little Bit

stouchst@JUNKsirinet.net [remove Junk for email]
Home Page: http://www.sirinet.net/~stouchst/index.html
Cat Pix: http://www.sirinet.net/~stouchst/animals.html

Karen - 06 Apr 2005 02:31 GMT
> Now that the girls have posted their take on Sammy's TED visit, let me
> tell you the hoomin view. Since the scare Sammy gave me last fall, and
[quoted text clipped - 24 lines]
> BTW that change has been met with mixed reviews: they like the new wet
> better, but the old dry was better.

Well, I'm glad he is not too concerned. Mischief posted a good tip about
collecting urine. If you can get some plastic beads from a hobby shop and
use that in the box, the urine can be poored off. I don't know if boarding
would destress her!
Steve Touchstone - 06 Apr 2005 03:41 GMT
>Well, I'm glad he is not too concerned. Mischief posted a good tip about
>collecting urine. If you can get some plastic beads from a hobby shop and
>use that in the box, the urine can be poored off. I don't know if boarding
>would destress her!

I remember reading about using beads to collect urine, but wonder how
that would work when you have two cats. Sammy often decides to use the
box right after I put in new litter, so maybe she'd hop in and do her
business right after I put down a box of beads. Definitely something
to try.

I really have my doubts about her stress level going down if she's
boarded. She has spent every night of her life in this apartment with
LB to keep her company. I would think that boarding would be more
stressful, both for her and Little Bit, than a trip to TED.

So, I'm thinking the best way to avoid stress would be to figure out a
way to get the urine sample here at home, if at all possible.
Signature

Steve Touchstone,
faithful servant of Sammy and Little Bit

stouchst@JUNKsirinet.net [remove Junk for email]
Home Page: http://www.sirinet.net/~stouchst/index.html
Cat Pix: http://www.sirinet.net/~stouchst/animals.html

W. Leong - 07 Apr 2005 16:33 GMT
>>Well, I'm glad he is not too concerned. Mischief posted a good tip about
>>collecting urine. If you can get some plastic beads from a hobby shop and
[quoted text clipped - 14 lines]
> So, I'm thinking the best way to avoid stress would be to figure out a
> way to get the urine sample here at home, if at all possible.

I got a urine sample from Rusty at home once. I emptied the litter and put
on a fresh clean litter box liner. Rusty still used his box without the
litter. I emptied the urine into a vial and took it to the vet. They asked
me several times how I got the
sample before running tests on it.
Of course if Rusty pooped in the box, this won't work. You can try to
confine
Sammy to a room with her own litter box.

Winnie
Howard Berkowitz - 06 Apr 2005 03:36 GMT
> Now that the girls have posted their take on Sammy's TED visit, let me
> tell you the hoomin view. Since the scare Sammy gave me last fall, and
[quoted text clipped - 9 lines]
> Like I said, doesn't mean anything to me - the important thing is that
> her Doctor wasn't too concerned and says she's doing fine.

I'm puzzled by S-AMP; it's not a parameter normally reported in human
EKGs. There is an "S" point, but I can't think what it would tell you
unless the "T" point is given with it. The duration and magnitude of the
S-T segment is an important EKG parameter.

Supraventricular tachycardia, in humans, is more frightening than
dangerous.  It can cause faints, so is usually treated. There are both
drugs and electric shock techniques to abort an episode. Prevention can
involve medication, or using a catheter in the heart to burn out the
location that's the incorrect pacemaker. I don't know if the latter
procedure, catheter ablation, is available for cats. No real reason why
it shouldn't be, other than it takes an electrophysiology lab and a
team, including a skilled tertiary specialist.

> Unfortunately, when someone says "the good news is..." there's usually
> bad news. Sammy also got what is called a "major blood profile" and
> "urinalysis w/ sedimentation". Nothing too far out of line, but a
> couple results up in the high range. [CHOL 227.1 - normal 65.0-225.0,
> GLU 198.9 normal 76.0 - 145.0, and Na 167.6 normal 150.0-165.0]

I wouldn't worry about the very slight elevation in cholesterol and
sodium.  The glucose is more of concern, and definitely should be
repeated -- it might be nothing, or it might be early diabetes. Was
Sammy fasting?

> Dr Haney felt it the results may just be elevated because of her
> stress, but we're going to re-test on the 25th. If he feels she's too
[quoted text clipped - 5 lines]
> BTW that change has been met with mixed reviews: they like the new wet
> better, but the old dry was better.
Steve Touchstone - 06 Apr 2005 08:27 GMT
Thanks for the input, Howard

>> I received a printouts of her test results, but don't really know what
>> it all means. So, if anyone with more of a medical background
[quoted text clipped - 8 lines]
>unless the "T" point is given with it. The duration and magnitude of the
>S-T segment is an important EKG parameter.

Actually, right below the S AMP line there IS a T AMP. It says the
normal range is -0.16-0.16mv. On that line (which has ten readings)
Sam varied from 0.09 to 0.21, and Sammy's average is 0.15. I don't
really see a direct correlation between the two lines S AMP & T AMP.
<snip>
>> Unfortunately, when someone says "the good news is..." there's usually
>> bad news. Sammy also got what is called a "major blood profile" and
[quoted text clipped - 6 lines]
>repeated -- it might be nothing, or it might be early diabetes. Was
>Sammy fasting?

The glucose is the reason Dr Haney wants to retest. And, yes, I
suppose you could say Sammy was fasting. It wasn't planned that way,
just that I was in a rush to get her to her appoinment and we both
skipped breakfast.

Signature

Steve Touchstone,
faithful servant of Sammy and Little Bit

stouchst@JUNKsirinet.net [remove Junk for email]
Home Page: http://www.sirinet.net/~stouchst/index.html
Cat Pix: http://www.sirinet.net/~stouchst/animals.html

Howard Berkowitz - 06 Apr 2005 16:48 GMT
> Thanks for the input, Howard
> >
[quoted text clipped - 15 lines]
> Sam varied from 0.09 to 0.21, and Sammy's average is 0.15. I don't
> really see a direct correlation between the two lines S AMP & T AMP.

Unfortunately, this is hard to explain without pictures.

**** basic but technical description of EKG follows; may be skipped ***

An EKG is an electrical record of successive heartbeats. In humans, it's
measured concurrently from 12 real and computed points, but since there
isn't room for all the electrodes on a cat, feline EKGs have fewer views.

OK. Start with the word "isoelectric".  That means straight horizontal
line with no electrical activity at the moment.  In an EKG, there are
three major peaks, one of which has several components. Much of the
analysis involves timing between the peaks, and then changes to the
normal shape.

When the heart's normal pacemaker fires, there's a brief bump in the
isoelectric line. This is called the P wave, and shows the electrical
impulse starting.  Heart rate, in a normal patient, is based on the time
between successive P waves. There are many abnormalities where the heart
can skip a beat, and if there is no P wave, that shows the problem is
likely to be in the main pacemaker part of the heart, the sinoatrial
(SA) node.  Hearts also have backup pacemakers.  I have a problem called
Sick Sinus Syndrome, where the P signal doesn't always happen,
especially when I'm asleep. For that reason, I have a surgically
implanted pacemaker. Without it, my heart has been known to stop for as
long as 10 seconds. It's electronic pacemaker time whenever the heart
stops for more than 3 seconds.

The big wave is called the QRS complex.  That's a little misleading, as
in a normal EKG, you go from P to R. Q is present only in certain
abnormalities.  The big peak is the R wave on the rising side and the S
wave on the falling side. This complex shows the large lower chambers of
the heart, the ventricles, contracting and releasing.

If there is no QRS complex following a P wave, this is one of the many
types of heart block, where the signal from the SA node is not being
conducted to where it's needed.

Normally, the S wave returns to isoelectric, and, a little later, you'd
see a T wave, which shows the recharging of the ventricles. If you draw
a line between S and T, you have the ST segment.  When the ST segment is
above or below the line, there is a problem of blood supply to the
ventricles: inadequate flow (angina or myocardial ischemia) or actual
dead tissue ("heart attack" or myocardial infarction).

In atrial disease, you may see a very short time between P waves,
sometimes even too fast for the ventricles to keep up. This will also
make the EKG much harder to read, as you may get random P waves
superimposed on QRS or T waves.

*** a little less technical

If the QRS signal has a high amplitude, it may indicate the heart has
enlarged, causing a larger signal.

> <snip>
> >> Unfortunately, when someone says "the good news is..." there's usually
[quoted text clipped - 12 lines]
> just that I was in a rush to get her to her appoinment and we both
> skipped breakfast.
Marina - 06 Apr 2005 03:37 GMT
> Now that the girls have posted their take on Sammy's TED visit, let me
> tell you the hoomin view. Since the scare Sammy gave me last fall, and
> the diagnosis of a heart murmur, it was time for her quartely checkup.
> The good news is that her heart problem doesn't seem to be causing her
> any trouble.

That is good news, and that TED wasn't concerned for her. We'll be
purring that the elevated blood values were due to stress and nothing
underlying.

Signature

Marina, Frank, Nikki, and introducing: Mere!
marina (dot) kurten (at) pp (dot) inet (dot) fi
Pics at http://uk.pg.photos.yahoo.com/ph/frankiennikki/
and http://community.webshots.com/user/frankiennikki

Victor Martinez - 06 Apr 2005 03:45 GMT
> Unfortunately, when someone says "the good news is..." there's usually
> bad news. Sammy also got what is called a "major blood profile" and

Lots of purrs for Sammy.

Signature

Victor M. Martinez
Owned and operated by the Fantastic Seven (TM)
Send your spam here: uce@ftc.gov
Email me here: pistorLITTER@BOXaustin.rr.com

SuzQ - 08 Apr 2005 12:39 GMT
Health purrs for Sammy.
Suz&Spicey

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