Hi all - An update re Omar:
I just got another call from my vet and they had the lab recheck and redo
the ACTH bloodtest result and it does indicate Addison's disease, which I
understand means his body isn't producing enough corticosteriods and we'll
have to put him on both a corticosteroid (prednisone) and a mineralcosteroid
(spelling?). And we're going to have to get bloodwork from him weekly re
his electrolytes till we can get his system stabilized. She is going to
call and consult with an endocrinologist on Friday to get ideas re this and
also his concurrent IBD. She also said she's never had a cat with Addisons
before.
So, I'm relieved to at least know what I'm dealing with; it's the not
knowing that's been hard. -- Now if I can just continue to encourage Omar to
keep eating enough. (I'm having to go through some song and dance stuff to
try and get him to eat enough, which includes putting pieces of Feline Evo
dry in his canned food.)
Thanks, Victor, for the info on the other scale but it had sold by the time
I saw and followed your link.
Guess that's it for now -- I'll keep ya'll updated.
Thank you all for help, support, and purrs -- they're very much appreciated.
Christine
Howard C. Berkowitz - 02 Jun 2005 02:50 GMT
> Hi all - An update re Omar:
>
[quoted text clipped - 5 lines]
> mineralcosteroid
> (spelling?).
This may be Too Much Information, but when we talk about
corticosteroids, we really mean two effects. One is the
glucocorticosteroid effect, which is anti-inflammatory but also
important in stress reactions.
The other is the mineralocorticoid effect, which, among other things,
causes sodium retention. That's not desirable in many conditions, but
it's necessary in Addison's syndrome. Addison's is a disease of adrenal
hormone underproduction, while Cushing's is a disease of overproduction.
In a way, this would be good news for a human, because once you have the
diagnosis, it's manageable--the best known example being John F.
Kennedy, maintained with far poorer techniques and drugs than we have
today.
If Omar wears a collar, it might be good to put the equivalent of a
Medic-Alert tag on it, in the hopefully never-occurring event he is
injured or needs surgery when you aren't around. Anyone (four-legs or
two-legs on long-term corticosteroids) MUST get supplemental
corticosteroids when dealing with the stress of injury.
>And we're going to have to get bloodwork from him weekly re
> his electrolytes till we can get his system stabilized. She is going to
> call and consult with an endocrinologist on Friday to get ideas re this
> and
> also his concurrent IBD.
There's a good chance the corticosteroid will help IBD.
> She also said she's never had a cat with
> Addisons
[quoted text clipped - 8 lines]
> Evo
> dry in his canned food.)
Again, corticosteroids tend to be appetite stimulants.
> Thanks, Victor, for the info on the other scale but it had sold by the
> time
[quoted text clipped - 4 lines]
> appreciated.
> Christine
I suspect he will do fine!
Purrs and hugs!
Christine Burel - 03 Jun 2005 01:41 GMT
Thanks for the input, Howard; I like lots of info!
Some Good News -- I'm almost afraid to jinx anything but my vet called me
this early this a.m. and asked me if I'd be willing to try giving him the
Fludrosone acetate (the mineralocorticoid you explained) via an
intra-muscular injection that would last for a month rather than try and
give him yet another med orally (which we were going to order from the
online pet pharmacy I've used before). I thought I'd give it a try to see
about getting the med into his system asap because he was seeming to get
worse daily.
Anyway, since this morning's injection he seems much more alert, much
hungrier, and much more himself; I am amazed if this is truly a fast
response to the medicine! (Plus everyone's purr power!) Will be talking to
my vet again tomorrow.
Christine
> > Hi all - An update re Omar:
> >
[quoted text clipped - 62 lines]
>
> Purrs and hugs!
Susan M - 03 Jun 2005 05:23 GMT
That sounds so promising Christine. We'll keep sending purrs his way!
Susan M
Otis and Chester
> Anyway, since this morning's injection he seems much more alert, much
> hungrier, and much more himself; I am amazed if this is truly a fast
> response to the medicine! (Plus everyone's purr power!) Will be talking to
> my vet again tomorrow.
> Christine
Howard C. Berkowitz - 03 Jun 2005 22:48 GMT
> Thanks for the input, Howard; I like lots of info!
>
[quoted text clipped - 14 lines]
> my vet again tomorrow.
> Christine
I can believe that. In asthma, for example, corticosteroid injections
don't act much faster than oral drugs -- but you typically start seeing
significant results in about 8 hours. It can be faster when used on
rashes and such.
From personal experience, I can only speak of prednisone and
dexamethasone, but they were extremely bitter. Luckily, I was much
better on taking pills than the average cat, so if you can get a
long-acting injection, all the better.
Victor Martinez - 02 Jun 2005 03:04 GMT
> So, I'm relieved to at least know what I'm dealing with; it's the not
> knowing that's been hard. -- Now if I can just continue to encourage Omar to
I'm glad to hear you got a diagnosis, and a treatable disease.
> Thanks, Victor, for the info on the other scale but it had sold by the time
> I saw and followed your link.
That same vendor might have more, you could email him/her.

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Mary - 02 Jun 2005 03:38 GMT
> > So, I'm relieved to at least know what I'm dealing with; it's the not
> > knowing that's been hard. -- Now if I can just continue to encourage Omar to
[quoted text clipped - 5 lines]
>
> That same vendor might have more, you could email him/her.
There are lots more from the same vendor up for sale now. The $19.99 flat
shipping rate turns out to be just a few dollars over basic shipping via
UPS, so it is not a bad deal.
Christine Burel - 03 Jun 2005 02:02 GMT
> > > So, I'm relieved to at least know what I'm dealing with; it's the not
> > > knowing that's been hard. -- Now if I can just continue to encourage
[quoted text clipped - 11 lines]
> shipping rate turns out to be just a few dollars over basic shipping via
> UPS, so it is not a bad deal.
Thanks -- I've gone back and looked and if I can figure out if bank wire
transfer will be quick enough (Paypal made it sound like it takes 3-4 days
for a transfer to clear; I also tried to ebay-mail (?) the vendor to see if
they would take a credit card but I haven't heard back from them yet. I've
never bought anything on ebay before.
Christine
SuzQ - 02 Jun 2005 12:29 GMT
Christine, I'm glad that you have a diagnosis and that there is treatment
for it. Purrs that Omar's health improves.
Suz&Spicey
Karen - 02 Jun 2005 03:08 GMT
> Hi all - An update re Omar:
>
[quoted text clipped - 20 lines]
> Thank you all for help, support, and purrs -- they're very much appreciated.
> Christine
I'm sorry it is not better news, but you can at least work at a regime now.
Many purrs a and hugs.
Marina - 02 Jun 2005 03:27 GMT
> Thank you all for help, support, and purrs -- they're very much appreciated.
The purrs will continue for Omar. When Nikki was put on prednisone, it
seemed to stimulate her appetite (not that it needed stimulating).
Hoping it will eventually have that effect on Omar.

Signature
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Pics at http://uk.pg.photos.yahoo.com/ph/frankiennikki/
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Candace - 02 Jun 2005 03:53 GMT
> So, I'm relieved to at least know what I'm dealing with; it's the not
> knowing that's been hard. -- Now if I can just continue to encourage Omar to
> keep eating enough. (I'm having to go through some song and dance stuff to
> try and get him to eat enough, which includes putting pieces of Feline Evo
> dry in his canned food.)
Christine, I will be praying for Omar and you. Have you ever tried
cyproheptadine (periactin) tabs as an appetite stimulant? It doesn't
have bad side effects generally. It is an antihistamine but it acts as
an appettie stimulant for cats. I have Abbey on it now and it worked.
I was getting nervous because she wasn't eating since her last chest
tap. My late cat, Cory, used it off and on for the last few years of
his life. Whenever he would seem as though his appetite was bad, I
would give him just 1/4 of a tablet and that would jumpstart him. The
effects seemed to last well over a day and often it only took the one
dose to get him eating regularly again. The only thing I noticed with
him was it would make him a little restless, he wouldn't sleep much.
That's why I only gave him 1/4 pill when the dose was actually one
whole one.
Last night I gave Abbey 1/4 pill and, within an hour, she was eating.
Today she is still eating although I will probably give her another one
tonight.
Ask your vet. My regular vet recommended it to me but the vet I have
been going to for Abbey didn't know about it until I told him
(strange). He did recommend one of the benzodiazipines, though, and
would have prescribed that if I wanted. I believe oxazepam was the one
he suggested.
Candace
Susan M - 02 Jun 2005 05:00 GMT
Thank you for the update Christine. I'm glad to hear you have a definitie
diagnosis and that you'll be able to treat it. I'm encouraged also by
Howard's summary of the situation. Lots of purrs and healthy wishes
continue to be sent by our crew here and please keep us updated.
Susan M
Otis and chester
> Hi all - An update re Omar:
>
[quoted text clipped - 10 lines]
> Addisons
> before.
W. Leong - 02 Jun 2005 05:38 GMT
Christine,
I am glad you finally have a diagnosis. Rusty is sending purrs and
asking Omar to eat, eat, eat.
How much does Omar weigh?
Winnie
> Hi all - An update re Omar:
>
[quoted text clipped - 26 lines]
> appreciated.
> Christine
Adrian - 02 Jun 2005 12:08 GMT
> Hi all - An update re Omar:
>
[quoted text clipped - 21 lines]
> Thank you all for help, support, and purrs -- they're very much
> appreciated. Christine
Purrs that now you know, Omar will soon be feeling a lot better.

Signature
Adrian (Owned by Snoopy & Bagheera)
A house is not a home, without a cat.
Mognusticat - 02 Jun 2005 14:51 GMT
I am not familiar with the condition but many purrs in support non the less.
Cat.
> Hi all - An update re Omar:
>
[quoted text clipped - 26 lines]
> appreciated.
> Christine
Monique Y. Mudama - 02 Jun 2005 16:22 GMT
> So, I'm relieved to at least know what I'm dealing with; it's the
> not knowing that's been hard. -- Now if I can just continue to
> encourage Omar to keep eating enough. (I'm having to go through some
> song and dance stuff to try and get him to eat enough, which
> includes putting pieces of Feline Evo dry in his canned food.)
I'm glad you at least have a name for his problem. Purrs for you and
him.

Signature
monique, who spoils Oscar unmercifully
pictures: http://www.bounceswoosh.org/rpca
Irulan - 02 Jun 2005 17:32 GMT
aw, poor Omar. More purrs and prayers going both your way.
Jazz & his mama

Signature
Irulan
from the stars we come
to the stars we return
from now until the end of time
> Hi all - An update re Omar:
>
[quoted text clipped - 26 lines]
> appreciated.
> Christine
glsummer@neptunelink.com - 02 Jun 2005 17:44 GMT
>Hi all - An update re Omar:
>
[quoted text clipped - 20 lines]
>Thank you all for help, support, and purrs -- they're very much appreciated.
>Christine
Christine, I wish it was something simpler, but I'm glad you at least
know what it is now and it is treatable. Purrs for Omar's appetite to
be good in the future.
Ginger-lyn
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Animals in Movies Website)