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Cat Forum / Health and Behavior / December 2003

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can clavimox kill a cat?

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lakinapook - 25 Nov 2003 18:41 GMT
On Friday evening we brought her to the vet because of a urinary
problem, they kept her overnight, and then released her the next day
with clavamox (an antibiotic) to give twice a day. Saturday seemed to
go OK, she wasn't exactly energetic, but no one was really expecting
her to be anyway. Then yesterday she started having coordination
problems, she began urinating on herself, she couldn't breath, she
started having watery defecation, and we drove like 90 miles an hour
to the vet, but she expired right before we got there. My BF was
devastated, as was I. She was only 10 years old, and the vet said that
it sounded like a heart attack, and that she had a pre-existing heart
problem (a heart murmer to be exact).

It seemed strange that this should happen so quickly after I had
brought her to the vet for another problem, that I decided to look up
the medication that they gave her to see what it said about side
effects. Well, any type of antibiotic that has amoxycillan (not sure
of spelling) is to be administered with the utmost of caution in an
animal with a heart condition!

I think very highly of my vet, but I think that they might have
missed the ball on this one. It cost $435.00 for the initial visit,
and now it is going to cost another $135.00 for the cremation. If they
were lax and this could have been prevented I am going to expect a
refund of my money. It isn't the money, because no amount of money is
going to make me feel better, but I really hate the idea that I might
have paid them to kill my cat.
Sherry - 25 Nov 2003 18:55 GMT
>t seemed strange that this should happen so quickly after I had
>brought her to the vet for another problem, that I decided to look up
[quoted text clipped - 10 lines]
>going to make me feel better, but I really hate the idea that I might
>have paid them to kill my cat.

I am so sorry about your cat. I know it was devastating to lose her that way. I
know it's too late now, but if something like that ever happens again,
sometimes it's worth the money to have a complete necropsy done by an
independent vet just to settle the unanswered questions. Again, you have my
complete sympathy.

Sherry
Wendy - 25 Nov 2003 19:35 GMT
On Friday evening we brought her to the vet because of a urinary
problem, they kept her overnight, and then released her the next day
with clavamox (an antibiotic) to give twice a day. Saturday seemed to
go OK, she wasn't exactly energetic, but no one was really expecting
her to be anyway. Then yesterday she started having coordination
problems, she began urinating on herself, she couldn't breath, she
started having watery defecation, and we drove like 90 miles an hour
to the vet, but she expired right before we got there. My BF was
devastated, as was I. She was only 10 years old, and the vet said that
it sounded like a heart attack, and that she had a pre-existing heart
problem (a heart murmer to be exact).

It seemed strange that this should happen so quickly after I had
brought her to the vet for another problem, that I decided to look up
the medication that they gave her to see what it said about side
effects. Well, any type of antibiotic that has amoxycillan (not sure
of spelling) is to be administered with the utmost of caution in an
animal with a heart condition!

I think very highly of my vet, but I think that they might have
missed the ball on this one. It cost $435.00 for the initial visit,
and now it is going to cost another $135.00 for the cremation. If they
were lax and this could have been prevented I am going to expect a
refund of my money. It isn't the money, because no amount of money is
going to make me feel better, but I really hate the idea that I might
have paid them to kill my cat.

So very sorry about your cat.

I don't know about the antibiotic. Did the vet give her the antibiotic
overnight while she was admitted? If he did, he may have observed her and
thought she was doing ok on it.

You said she was there for urinary track problems. The symptoms you describe
are identical to what my Ralf had when he died with kidney failure. I wonder
if her kidneys just gave out?

We spent over $600 for tests and treatment but there was nothing to be done.
He was only 8.

Without an autopsy you'll never really know.

Again so sorry. It's so hard when we lose them.

Wendy
lakinapook - 26 Nov 2003 16:16 GMT
Well, I don't actually know if they gave her clavamox during the
night, but I did forget to mention in my original post that when we
went to pick her up she was breathing really rapidly, and didn't look
good.  We called the vet technician out from behind the desk to take a
look at her and she said that Moosh was probably just having anxiety.
I have since discovered that the rapid breathing should have been a
tip off that she needed to be looked at more closely, and that it is a
symptom that shouldn't be ignored.  I just feel terrible, because I
didn't think it was right, but I went along with what the tech said
because it was a saturday and I had a lot of things to do and was
anxious to get out of the vets office.  I figured I was just being
silly.
Karen Chuplis - 26 Nov 2003 17:27 GMT
I don't think my vet would even have considered release with the cat like
that. I think you should find a new vet.
Karen

> Well, I don't actually know if they gave her clavamox during the
> night, but I did forget to mention in my original post that when we
[quoted text clipped - 8 lines]
> anxious to get out of the vets office.  I figured I was just being
> silly.
Mary - 26 Nov 2003 18:38 GMT
>I figured I was just being
>silly.

Don't ever think that. You know your cat better than anyone. I took my Boots to
the vet and they said he just had a tummy ache. The next day he was still sick
so I took him back. They said he just had a tummy ache and I was basically
being a little silly. That night he collapsed and was rushed to emergency.
Another vet looked at his xray and saw obvious stoumach and liver cancer. The
next day we let him go to sleep. Vets and vet techs are not Gods. They are
fallible, get busy, can make mistakes. I now check my vet's diagnosis through
google searches. I check out possible side effects of all medications they
prescribe as well. I've actually caught a few mistakes.
Cheryl - 27 Nov 2003 02:37 GMT
>> I figured I was just being
>> silly.
[quoted text clipped - 10 lines]
> effects of all medications they prescribe as well. I've actually
> caught a few mistakes.

Shadows last really bad IBD flare-up was very scary to me because I
was gone that day and came home around 9pm.  I couldn't find him
anywhere.  It took hours and I was even looking outside on the
off-chance (no real chance) that he got outside.  I finally found him
hours later (I was a WRECK by then!) and he was drooling and very
sick.  I took him to his vet first thing in the am and was told he
"missed me" because I wasn't home at the normal time.  His bloodwork
was fine and that was apparently all they could gauge him on.  I was
very insulted to have a vet say my cat was sick because he missed me.
It wasn't like I hadn't gotten home until late other times.  A friend
of mine came with me that morning and she was apalled that a vet would
say that.  That's the last time he's been to that vet and up until
then I was happy with them.
Wendy - 26 Nov 2003 19:23 GMT
Did they run blood work on her?

Well, I don't actually know if they gave her clavamox during the
night, but I did forget to mention in my original post that when we
went to pick her up she was breathing really rapidly, and didn't look
good.  We called the vet technician out from behind the desk to take a
look at her and she said that Moosh was probably just having anxiety.
I have since discovered that the rapid breathing should have been a
tip off that she needed to be looked at more closely, and that it is a
symptom that shouldn't be ignored.  I just feel terrible, because I
didn't think it was right, but I went along with what the tech said
because it was a saturday and I had a lot of things to do and was
anxious to get out of the vets office.  I figured I was just being
silly.
lakinapook - 28 Nov 2003 17:31 GMT
Yes, they did run blood work on her.  I am absolutely not qualified to
read the results, but these items did stand out.
Sodium level was 160, and was rated HIGH
CPK level was 610 and was rated HIGH
Platelet count was 195 and was rated LOW
Eosinophils was 1309 and was rated HIGH

Don't know if anyone else knows what those things might indicate.

I will forever be more wary and skeptical of any vet that I go to.  I
had a bad experience at a different vet with another cat of mine,
where the vets worked on salary plus commission, so they reccommended
unnecessary treatments to jack up the bill.  I successfully got them
to refund the portion of the bill that was for unnecessary treatment,
but not without fighting tooth and nail over it.  That wasn't my
regular vet though, that was an emergency vet.  This was my regular
vet clinic, and they have such an excellent reputation, I really
thought that they would be on top of it.  I now know that you have to
be vigilant in doing your own research in health care matters (and I
think this applies to human medicine as well as animal medicine).
Betsy - 28 Nov 2003 17:38 GMT
1.  How did you know they work on salary plus commission?

2.  How did you know the treatments recommended weren't necessary?

I'm curious because I often feel taken at these emergency places.  They are
the only thing open after hours, and I have not found the caliber of the
veterinary care higher than my regular vet.  And the prices, as you
indicated, are through the roof.

> Yes, they did run blood work on her.  I am absolutely not qualified to
> read the results, but these items did stand out.
[quoted text clipped - 16 lines]
> be vigilant in doing your own research in health care matters (and I
> think this applies to human medicine as well as animal medicine).
lakinapook - 01 Dec 2003 18:45 GMT
I found out that they worked on salary plus commission because someone
from my regular vets office used to work there, and after I told her
the whole story, she explained the situation to me.  She also told me
that some of the treatments weren't necessary.  Which just confirmed
my hunch about it.  If you have a suspicion about one of the emergency
vets, just ask your regular vet, there doesn't seem to be any internal
loyalties like there are with people doctors or police officers who
will cover each others a.ses.  After I found out I threatened the
emergency vet that I would report them to the regulatory agency that
oversees veterinary clinics, and that if they felt like they wanted to
take that chance, that they had done everything right, then they would
have nothing to worry about.  They argued and argued until I said
"refund my money, or I am reporting you, period, so you can either
take your chances with the regulatory agency, or refund the money".
Apparently, they were unwilling to take that chance, because they did
refund my money.  They sent this snotty letter with the check that
said that I wasn't welcome at their facility anymore.  Oh boo hoo,
like I would have gone back there anyway.

> 1.  How did you know they work on salary plus commission?
>
[quoted text clipped - 25 lines]
> > be vigilant in doing your own research in health care matters (and I
> > think this applies to human medicine as well as animal medicine).
PawsForThought - 02 Dec 2003 19:18 GMT
>From: lcl_72@hotmail.com  (lakinapook)

>I found out that they worked on salary plus commission because someone
>from my regular vets office used to work there, and after I told her
>the whole story, she explained the situation to me.  

Boy, that sure doesn't seem right that a vet clinic should work on commissions.

>They argued and argued until I said
>"refund my money, or I am reporting you, period, so you can either
[quoted text clipped - 3 lines]
>said that I wasn't welcome at their facility anymore.  Oh boo hoo,
>like I would have gone back there anyway.

Good for you for sticking to your guns and I'm glad to hear you got your money
back.

Lauren
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Yngver - 01 Dec 2003 18:32 GMT
>Yes, they did run blood work on her.  I am absolutely not qualified to
>read the results, but these items did stand out.
[quoted text clipped - 4 lines]
>
>Don't know if anyone else knows what those things might indicate.

I'm not a vet and can't really interpret those figures except to say that when
a stray cat we took in tested very high for eosinophils, the vet suspected
heartworm. Is this a possibility? Heartworms can cause sudden death.
lakinapook - 02 Dec 2003 18:13 GMT
I suppose its possible.  I don't recall ever being spoken to about
heartworms in cats.  I always thought that it was just a dog thing.  I
will have to check into that.

> >Yes, they did run blood work on her.  I am absolutely not qualified to
> >read the results, but these items did stand out.
[quoted text clipped - 8 lines]
> a stray cat we took in tested very high for eosinophils, the vet suspected
> heartworm. Is this a possibility? Heartworms can cause sudden death.
Yngver - 02 Dec 2003 18:47 GMT
>I suppose its possible.  I don't recall ever being spoken to about
>heartworms in cats.  I always thought that it was just a dog thing.  I
>will have to check into that.

No, cats can get heartworm as well, and detecting it may be harder than it is
with dogs. Sometimes the cat appears perfectly normal and then suddenly dies of
heart failure.

With our cat, I don't remember the actual eosinophil count but the vet said it
was extremely high, high enough to suspect heartworm. I don't think it was as
high as 1309, however. A high level of eosinophils indicates the body is
reacting to something foreign--like parasites, or allergens.
It's possible your cat died of heart failure due to heartworm infestation,
although I don't know quite what the other parts of the blood test indicate. I
believe a high CPK is consistent with heart attack or heart failure.

>> >Yes, they did run blood work on her.  I am absolutely not qualified to
>> >read the results, but these items did stand out.
[quoted text clipped - 9 lines]
>> a stray cat we took in tested very high for eosinophils, the vet suspected
>> heartworm. Is this a possibility? Heartworms can cause sudden death.
lakinapook - 04 Dec 2003 16:52 GMT
Thanks yngver, that is actually very helpful.  I am going to research this.

> >I suppose its possible.  I don't recall ever being spoken to about
> >heartworms in cats.  I always thought that it was just a dog thing.  I
[quoted text clipped - 25 lines]
> >> a stray cat we took in tested very high for eosinophils, the vet suspected
> >> heartworm. Is this a possibility? Heartworms can cause sudden death.
Yngver - 04 Dec 2003 17:23 GMT
>Thanks yngver, that is actually very helpful.  I am going to research this.

You're welcome. One place to look is
http://www.heartwormsociety.org/FelineHeartwormInfo.htm

If you decide it sounds as though it could have been heartworm, it may be some
comfort to you to know that often when a cat goes into crisis from acute
infection, it can be so sudden and so serious that nothing can be done to save
the cat. So if that was the case, there was probably not much you or the vet
could have done. Even when heartworm infestation is known and the cat is being
monitored at a clinic when in crisis, many times the cat cannot be saved.
Again, I'm sorry for the loss of your cat.

>> >I suppose its possible.  I don't recall ever being spoken to about
>> >heartworms in cats.  I always thought that it was just a dog thing.  I
[quoted text clipped - 32 lines]
>suspected
>> >> heartworm. Is this a possibility? Heartworms can cause sudden death.
 
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