Cat Forum / Health and Behavior / October 2006
Cat heart murmur and incompetent humane society vet
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mdsu - 04 Oct 2006 15:51 GMT As some of you may know, I just adopted two cats from my local humane society last week. They had their first appointment with my vet this morning. She detected a heart murmur in the male, Charlie. My vet recommended that I follow up with the animal cardiologist to the tune of $500! My vet said the heart murmur could be nothing (I have a heart murmur that's caused me no problems). On the other hand, it could be something more involved.
My last cat, Al, died at the end of August. He had diabetes, asthma, and hyperthyroidism. I spent thousands of dollars on his health care. But he was fine up until he reached the age of 11 or so. Given my experience with Al, I am more than a little reluctant to start incurring large medical bills with a 1 year old cat I got a week ago.
It seems to me that the humane society's vet is incompetent. All he or she had to do was listen to Charlie's chest to hear the murmur. If my vet heard it, then their vet should have been able to hear it as well. And to be honest, I would not have adopted Charlie had I known he had a medical issue, at least not unless the humane society had certified that the murmur was not serious. But they didn't do that.
I'm more than a little angry about this situation and have let the humane society know about it. If their vet is not incompetent, then I'm led to the conclusion that they purposely withheld information from me about Charlie's medical condition.
Rich
Lynne - 04 Oct 2006 16:28 GMT > As some of you may know, I just adopted two cats from my local humane > society last week. They had their first appointment with my vet this [quoted text clipped - 23 lines] > > Rich I'm sorry to hear that the vet missed your kitty's murmur. Murmur's are funny things, though, and can come and go under various circumstances. For example, fever can cause insignificant murmurs. Was your kitty's temperature elevated at the time the murmur was detected? If so, resolve whatever illness is causing the fever and have your vet listen again when he is afebrile. The murmur may not be there anymore.
Even if this is not fever induced, as you know, some murmurs are inconsequential. In simple terms, a murmur is the sound of blood flow collisions. Charlie could have a small hole somewhere in his heart, causing venous and arterial flow to collide, which is heard as a murmur. Many holes in the heart do not cause problems, but some do. If Charlie is young, the hole could self-resolve. On the other hand, it could get worse as he ages. He could also live a long, full life with no change to his problem and no impact on his quality of life. In my opinion, if Charlie is not displaying any cardiac symptoms other than the murmur, I wouldn't worry or have the echocardiogram done. Symptoms to look for are failure to thrive (grow, develop) if he is young, poor appetite, low energy, and/or difficulty breathing. Sudden weight gain could indicate congestive heart failure, which can often be treated successfully with diuretics. Check his lips if they are light in color and see if they have a blue tinge. This would indicate his Oxygen saturation is low. Minor cyanosis is not always a problem and he may do fine even with lower than average sats. If he is not having any symptoms now, he may never. But it's a crap shoot.
Focus on Charlie's behavior and overall condition and not so much on the murmur before you get too worked up. I know that is easier said than done... Good luck to you and Charlie!
mdsu - 04 Oct 2006 18:22 GMT >> As some of you may know, I just adopted two cats from my local humane >> society last week. They had their first appointment with my vet this [quoted text clipped - 54 lines] > the murmur before you get too worked up. I know that is easier said > than done... Good luck to you and Charlie! Lynne,
Thanks very much for the information. I canceled the appointment with the cardiologist. I spoke again with my vet and she did say that it wasn't imperative that Charlie see the cardiologist. His energy level is off the charts and his appetite is excellent. Charlie was panting and open mouth breathing after play last week, but that's probably because he came home with an upper respiratory infection. (Charlie was sneezing a lot too.) But all symptoms have cleared.
For the time being I'm going to assume that Charlie's murmur is not a big deal. I'll keep an eye on him, and take him to see the cardiologist if and when I notice any problems.
And fyi, I heard from the humane society and gave it to them a little bit. The woman said to just bring him back. But Charlie is not a piece of trash. I'm not going to return him to the shelter and what would be almost certain death. I'm just more than a little annoyed that their vet can't take 15 seconds to listen to the chest of an animal. I know they have to deal with a lot of animals, but what I propose doesn't take that much additional time. The woman with whom I spoke added that many shelters don't have vets. That's beside the point because this shelter does have one.
Again, thanks very much for the help.
Best, Rich
Lynne - 04 Oct 2006 19:33 GMT > Lynne, > [quoted text clipped - 24 lines] > Best, > Rich You are very welcome. So long as your vet agrees, I am happy to help. Pay close attention to Charlie for any of the symptoms I mentioned. If they appear, get him to the cardiologist. It wouldn't hurt to take him to see your regular vet in a month or two for a checkup. If the murmur is quieter or gone, that may ease your mind. Hopefully it was transient or he will outgrow it.
Take good care. Charlie is lucky to have you!
hamandcheese@betweentheknees.com - 04 Oct 2006 20:35 GMT >And fyi, I heard from the humane society and gave it to them a little >bit. The woman said to just bring him back. But Charlie is not a piece >of trash. I'm not going to return him to the shelter and what would be >almost certain death. I'm just more than a little annoyed that their vet >can't take 15 seconds to listen to the chest of an animal. It's probably better that their vet didn't detect the murmur since Charlie is now in a good place instead of in their trash heap.
Good luck with Charlie.
-mhd
Lesley - 04 Oct 2006 23:17 GMT > It's probably better that their vet didn't detect the murmur since > Charlie is now in a good place instead of in their trash heap. I agree completely!
I don't know if this helps but a friend of mine a few years back took in a kitten who turned out to have a major bowel problem (The one where part of the bowel telescopes into another part- believe me it is easier to describe it than spell the proper term!). He survived major surgery and then was found at 3 months to have a heart murmur
He was PTS for heart disease,,,Aged almost 19! Having never had heart trouble until the last month or so of his life
Enjoy Charlie- just keep an eye on him. The vet told them them that the murmur (which was occasionally heard throughout his life) was not a cause of his demise and he was an active playful cat lively cat until the last month or so
Lesley
Slave of the Fabulous Furballs
Wendy - 08 Oct 2006 01:14 GMT an intususseption?
>> It's probably better that their vet didn't detect the murmur since >> Charlie is now in a good place instead of in their trash heap. [quoted text clipped - 18 lines] > > Slave of the Fabulous Furballs Lesley - 08 Oct 2006 01:20 GMT > an intususseption? > Something like that Lesley
Slave of the Fabulous Furballs
-L. - 04 Oct 2006 22:43 GMT > As some of you may know, I just adopted two cats from my local humane > society last week. They had their first appointment with my vet this [quoted text clipped - 13 lines] > she had to do was listen to Charlie's chest to hear the murmur. If my > vet heard it, then their vet should have been able to hear it as well. Not necessartily. If the exam was done while the cat was scared, the rapid beating of the heart may have masked the murmur. Murmurs can sometimes be hard to diagnose.
> And to be honest, I would not have adopted Charlie had I known he had a > medical issue, at least not unless the humane society had certified that [quoted text clipped - 4 lines] > led to the conclusion that they purposely withheld information from me > about Charlie's medical condition. Unlikely - the vet probably just missed it upon exam. Most Humane Societies have a liberal return policy. If you are that upset about this, take the cat back to the HS.
-L.
mdsu - 05 Oct 2006 00:42 GMT >> As some of you may know, I just adopted two cats from my local humane >> society last week. They had their first appointment with my vet this [quoted text clipped - 32 lines] > > -L. Please, I've heard enough of that from the Humane Society. There's a difference between being frustrated and being mean. Charlie is not a vacuum cleaner that I will return because something is wrong. I've already become quite attached to him and vice versa. If it turns out that he needs to be seen by a cardiologist, then I will see to it.
Rich
-L. - 05 Oct 2006 06:21 GMT > Please, I've heard enough of that from the Humane Society. There's a > difference between being frustrated and being mean. Charlie is not a > vacuum cleaner that I will return because something is wrong. Well, then why are you continuing to bitch and moan about it? Mistakes happen. Through this mistake, you ended up with a great cat that otherwise would probably have been euthanized. Celebrate that, instead of complaining about how "cheated" you feel.
-L.
mdsu - 05 Oct 2006 21:33 GMT >> Please, I've heard enough of that from the Humane Society. There's a >> difference between being frustrated and being mean. Charlie is not a [quoted text clipped - 6 lines] > > -L. Oh jeez, I expressed a little frustration. If you don't like it, ignore it. And your "just bring him back" comment was most unhelpful and certainly not welcome.
Rich
-L. - 06 Oct 2006 01:14 GMT > Oh jeez, I expressed a little frustration. If you don't like it, ignore > it. You came in here asking for advice and blaming the vet - I told you the truth - that murmurs are oftentimes missed by very good vets.
>And your "just bring him back" comment was most unhelpful and > certainly not welcome. > > Rich Well Jackass, when you post to a newsgroup how upset you are with the HS and wouldn't have taken the cat if you had known it has a medical issue, what the f.ck do you expect? If you are THAT upset about the cat, take it back. It's not neuroscience. And by the way, if you don't want opinions, don't post to a world-wide unmoderated group. Sheesh. If all you want is "yes men" and sugar blown out your a.s, join Yahopo groups - there are plenty of those there to suit your needs.
-L.
cybercat - 06 Oct 2006 01:20 GMT "-L." <MonkeySnaps@gmail.com> wrote >
> If all you want is "yes men" and sugar blown out your a.s, > join Yahopo groups - there are plenty of those there to suit your > needs. Would that be the groups reserved exclusively for the Native American tribes who practice the ancient ritual of blowing sugar out of their a.ses?
 Signature Posted via a free Usenet account from http://www.teranews.com
-L. - 06 Oct 2006 01:36 GMT > "-L." <MonkeySnaps@gmail.com> wrote > > [quoted text clipped - 5 lines] > American tribes who practice the ancient ritual of blowing > sugar out of their a.ses? LOL...Yahoo. I can't type worth sh.t, and I can't see worth sh.t to catch my typos!
-L.
-L. - 07 Oct 2006 02:38 GMT Lookie at this charmer I got from mdsu/Rich today. LOL...I think somebody needs a Prozac!
X-Gmail-Received: 75d3e2d8060b15259e28d6673b9e12e183d548e2 Delivered-To: monkeysnaps@gmail.com Received: by 10.78.150.19 with SMTP id x19cs104759hud; Fri, 6 Oct 2006 03:00:52 -0700 (PDT) Received: by 10.70.100.14 with SMTP id x14mr5123067wxb; Fri, 06 Oct 2006 03:00:51 -0700 (PDT) Return-Path: <mdsu@rcn.com> Received: from smtp02.lnh.mail.rcn.net (smtp02.lnh.mail.rcn.net [207.172.157.102]) by mx.google.com with ESMTP id g9si329875wra.2006.10.06.03.00.51; Fri, 06 Oct 2006 03:00:51 -0700 (PDT) Received-SPF: neutral (google.com: 207.172.157.102 is neither permitted nor denied by best guess record for domain of mdsu@rcn.com) Received: from mr02.lnh.mail.rcn.net ([207.172.157.22]) by smtp02.lnh.mail.rcn.net with ESMTP; 06 Oct 2006 06:00:51 -0400 Received: from smtp01.lnh.mail.rcn.net (smtp01.lnh.mail.rcn.net [207.172.4.11]) by mr02.lnh.mail.rcn.net (MOS 3.7.5a-GA) with ESMTP id MIH33836; Fri, 6 Oct 2006 06:00:50 -0400 (EDT) Received: from 208-59-162-28.c3-0.nmex-ubr1.lnh-nmex.md.cable.rcn.com (HELO [10.0.1.2]) ([208.59.162.28]) by smtp01.lnh.mail.rcn.net with ESMTP; 06 Oct 2006 06:00:47 -0400 X-IronPort-AV: i="4.09,270,1157342400"; d="scan'208"; a="288878359:sNHT23011044" Message-ID: <45262948.2040702@rcn.com> Date: Fri, 06 Oct 2006 06:00:40 -0400 From: mdsu <mdsu@rcn.com> User-Agent: Thunderbird 1.5.0.7 (Macintosh/20060909) MIME-Version: 1.0 To: "-L." <MonkeySnaps@gmail.com> Subject: Re: Cat heart murmur and incompetent humane society vet References: <OeSdnbokpvjuV77YnZ2dnUVZ_uydnZ2d@rcn.net> <1159998207.358928.191880@i42g2000cwa.googlegroups.com> <CLWdnelqY6pE27nYnZ2dnUVZ_t6dnZ2d@rcn.net> <1160025711.377382.223430@e3g2000cwe.googlegroups.com> <-rudnYmqLoKE8bjYnZ2dnUVZ_q2dnZ2d@rcn.net> <1160093678.180944.243020@b28g2000cwb.googlegroups.com> In-Reply-To: <1160093678.180944.243020@b28g2000cwb.googlegroups.com> Content-Type: text/plain; charset=ISO-8859-1; format=flowed Content-Transfer-Encoding: 7bit X-Junkmail-Status: score=10/50, host=mr02.lnh.mail.rcn.net X-Junkmail-SD-Raw: score=unknown, refid=str=0001.0A090201.4526290F.001F,ss=1,fgs=0, ip=207.172.4.11, so=2006-05-09 23:27:51, dmn=5.2.113/2006-07-26
>> Oh jeez, I expressed a little frustration. If you don't like it, ignore >> it. [quoted text clipped - 17 lines] > > -L. You know, normally I'm a nice guy. But go f.ck yourself. And when you're done, pull the pole out of your c.nt or a.s as the case may be.
Rich
*****
Rich, honey, don't be sending hatemail to my email account. Because when you do, I'll just post it here for the whole world to see what an idiot and a.shole you are. As if there were any doubt...
-L.
Charlie Wilkes - 07 Oct 2006 07:44 GMT Looks like this is headed for a hot weekend at Doubletree Inn. I'll chip in on the room if you'll post videos.
Charlie
>Lookie at this charmer I got from mdsu/Rich today. LOL...I think >somebody needs a Prozac! [quoted text clipped - 83 lines] > >-L. -L. - 07 Oct 2006 08:40 GMT > Looks like this is headed for a hot weekend at Doubletree Inn. I'll > chip in on the room if you'll post videos. > > Charlie LOL...No I spanked his a.s and I believe he's over it. Or at least he'd better be, if he knows what's good for him.
-L.
meeee - 09 Oct 2006 04:56 GMT Oh, my. I take the weekend off, and here you people are tormenting some poor idiot who was stooopid enough to try it on here, and I'm not getting any of it.
> Lookie at this charmer I got from mdsu/Rich today. LOL...I think > somebody needs a Prozac! [quoted text clipped - 83 lines] > > -L. treeline12345@yahoo.com - 04 Oct 2006 23:36 GMT > I'm more than a little angry about this situation and have let the > humane society know about it. If their vet is not incompetent, then I'm > led to the conclusion that they purposely withheld information from me > about Charlie's medical condition. > > Rich What type of murmur exactly is this?
In any case, regardless, be extremely careful of the condition of the teeth.
With cats this is for sure, teeth problems go straight to the heart. It's probably the same for people but it's not been studied that much with people.
If the murmur is caused by valve irregularities, then the bacteria from the teeth, traveling in the blood stream, have an easy time latching onto the valves. Then there is a life threatening condition of bacterial endocarditis.
I have noticed that people doctors will also miss a murmur. They just want the individual in and out and are doing the most cursory of stethoscope examinations. Although most doctors will say that murmurs are benign, that may be so statistically. But the ones that are not benign, in the end, will kill you, inevitably. THe last research I read gave a mean of around 7 years before death [for people] when the murmur is no longer benign, unless there is surgical intervention. And most quacks don't know enough to even begin to figure out which benign murmur will not be benign in the future. So they throw out meaningless generalities.
I would ask the human society to pay for the heart surgery if needed. Do they make little kitty heart valves? That will be one big bill. Also, I would ask them to look into care. It is possible that a beta blocker and an ACE inhibitor will buy time when the murmur is no longer "benign." These drug are not too expensive. A beta blocker is dirt cheap. I don't know if this is done with felines.
Lynne - 05 Oct 2006 00:35 GMT > What type of murmur exactly is this? > [quoted text clipped - 27 lines] > "benign." These drug are not too expensive. A beta blocker is dirt > cheap. I don't know if this is done with felines. 8 in 1000 human babies are born live annually in this country with congenital heart defects of one degree or another. Many of those defects are not diagnosed until autopsy, after the person dies of other, unrelated causes later in life. This makes it pretty clear that the vast majority of heart defects are benign. I doubt there are similar statistic for cats. Regardless, whether human or feline, if a murmur is indicative of a life threatening problem, there will be symptoms beyond the murmur. Humans with good medical care are prudent to explore any murmurs. Unless and until Charlie demonstrates symptoms, there is no reason for his servant, Rich, to be worried. If he has the means, getting an echo will be more definitive than watching and waiting. Maybe. I don't see any reason to alarm him if the kitty is healthy and thriving, which he would not be if he had any kind of life threatening cardiac anomaly.
Good dental hygiene is important regardless.
mdsu - 05 Oct 2006 00:47 GMT >> What type of murmur exactly is this? >> [quoted text clipped - 44 lines] > > Good dental hygiene is important regardless. Right. Thanks Lynne. For the record, I have a heart murmur. It was diagnosed when I was 13. I'm 45 now. I'm in better shape than most people half my age. I certainly don't sit around worrying about it. I take an antibiotic before dental work and that's it.
I'll clean Charlie's teeth 2-3 times/week. For the time being, I am not going to take Charlie to the cardiologist. $500 is a lot of money to spend for a "maybe." I'll watch him and get him the care if and when he needs it.
Rich
Phil P. - 09 Oct 2006 06:43 GMT > I'll clean Charlie's teeth 2-3 times/week. For the time being, I am not > going to take Charlie to the cardiologist. $500 is a lot of money to > spend for a "maybe." I'll watch him and get him the care if and when he > needs it. I would rethink that decision if I were you. If you wait for him to become symptomatic, the problem will be harder to treat. Most heart problems in cats respond to treatment better in the early stages. Getting an accurate diagnosis and treatment now might delay progression or even reverse certain types of conditions so that he doesn't become symptomatic.
Also, how do you know your vet made the right call? He could have mistaken a heart sound or lung sound for a murmur- especially if he used an adult stethoscope.
Think it over.
treeline12345@yahoo.com - 05 Oct 2006 02:57 GMT > 8 in 1000 human babies are born live annually in this country with > congenital heart defects of one degree or another. Many of those that's for congenital heart defects which is not necessarily the same thing the rate for murmurs is higher than 0.8%. with careful diagnosis maybe 2%, without careful diagnoses, much, much higher.
> defects are not diagnosed until autopsy, after the person dies of > other, unrelated causes later in life. This makes it pretty clear that [quoted text clipped - 8 lines] > is healthy and thriving, which he would not be if he had any kind of > life threatening cardiac anomaly. That's not always true. If it were, then the decision when to go in and do open heart surgery would be much, much simpler than it currently is. The problem is you want to do the surgery before the condition is not reversible. Thus, you want to go in when a person is healthy and not displaying any real life threatening conditions. It would be nice if it were always what you post above, but it's not.
Do you know anyone who has had valvular surgery? Are you speaking from experience? Heart murmurs are quite a different thing from the more common bypass surgeries and what not. It's more difficult to diagnose when to do it. The other heart problems are relatively easy, with pain and shortness of breath and inability to get around as before and many symptoms that you may not see in valve problems.
In the case of murmurs and heart valve surgery, it's just not as simple and common sensical as you post above. It would be nice if it were, but it's not :(
> Good dental hygiene is important regardless. True dat.
Lynne - 05 Oct 2006 03:51 GMT > > 8 in 1000 human babies are born live annually in this country with > > congenital heart defects of one degree or another. Many of those [quoted text clipped - 38 lines] > > True dat. Actually, I know a lot about valvular and other open heart surgery, but related to complex congenital heart defects (pediatrics). I am assuming this cat is young, so a murmur in a young cat is more likely a congenital defect than not. What I said before applies more often than not. Additionally, not all murmurs are valve problems, and not all valve problems even require surgery. I'm not familiar with thoracic surgery in felines. I do not know if surgical intervention is even possible, to be honest, but I am hard pressed to think of any congenital heart defect requiring surgery that would present with no symptoms other than a murmur.
treeline12345@yahoo.com - 05 Oct 2006 06:12 GMT > Actually, I know a lot about valvular and other open heart surgery, but > related to complex congenital heart defects (pediatrics). I am > assuming this cat is young, so a murmur in a young cat is more likely a > congenital defect than not. What I said before applies more often than > not. Additionally, not all murmurs are valve problems, and not all > valve problems even require surgery. I'm not familiar with thoracic I was referring to the murmurs caused by valve problems, like a mitral valve, that when they get bad, that is a "4+" or severe - the textbook prognosis is death within 7 years. Now if anyone can beat this, power to them but that's the average survival rate with medication and without surgery. It's not clear to me if anyone can beat this with careful medication but the problem is with "severe" mitral regurgitation, for example, the heart will begin to decompensate by enlarging. If the heart, left ventricle, enlarges too much, then the surgery will not be effective. So there is a very confusing area where someone has to get surgery although the symptoms are not severe, aside from the regurgitation. At that point, one looks for atrial fibrillation or other indicators but it's a difficult call. If one is turning blue and syncoping, then the call is simple.
> surgery in felines. I do not know if surgical intervention is even > possible, to be honest, but I am hard pressed to think of any > congenital heart defect requiring surgery that would present with no > symptoms other than a murmur. If the mitral valve regurgitation is severe, then it is possible that many cardiologists will recommend surgery without any other symptoms. You can say that the regurgitation itself is severe is a symptom. And that's what I was thinking when I originally wrote my post. But this is a difficult call. Really good cardiologists, of which there are very few, will agree with you and want to see a symptom other than severe regurgitation. Atrial fibrillation will be considered. But atrial fibrillation by itself is not considered serious although if it's paroxysmal, it can lead to strokes. But atrial fibrillation can be controlled by itself at times, with drugs or radio ablation.
The problem is it is possible to have a serious mitral valve murmur with severe regurgitation and not much else in the way of symptoms.
And it's also possible that, on top of this, the echocardiograph will not be conclusive because of the turbulence of the regurgitation. It's a nightmare for proper diagnosis in some situations.
treeline12345@yahoo.com - 05 Oct 2006 06:14 GMT > Actually, I know a lot about valvular and other open heart surgery, but > related to complex congenital heart defects (pediatrics). I am > assuming this cat is young, so a murmur in a young cat is more likely a > congenital defect than not. What I said before applies more often than > not. Additionally, not all murmurs are valve problems, and not all > valve problems even require surgery. I'm not familiar with thoracic I was referring to the murmurs caused by valve problems, like a mitral valve, that when they get bad, that is a "4+" or severe - the textbook prognosis is death within 7 years. Now if anyone can beat this, power to them but that's the average survival rate with medication and without surgery. It's not clear to me if anyone can beat this with careful medication but the problem is with "severe" mitral regurgitation, for example, the heart will begin to decompensate by enlarging. If the heart, left ventricle, enlarges too much, then the surgery will not be effective. So there is a very confusing area where someone has to get surgery although the symptoms are not severe, aside from the regurgitation. At that point, one looks for atrial fibrillation or other indicators but it's a difficult call. If one is turning blue and syncoping, then the call is simple.
> surgery in felines. I do not know if surgical intervention is even > possible, to be honest, but I am hard pressed to think of any > congenital heart defect requiring surgery that would present with no > symptoms other than a murmur. If the mitral valve regurgitation is severe, then it is possible that many cardiologists will recommend surgery without any other symptoms. You can say that the regurgitation itself is severe is a symptom. And that's what I was thinking when I originally wrote my post. But this is a difficult call. Really good cardiologists, of which there are very few, will agree with you and want to see a symptom other than severe regurgitation. Atrial fibrillation will be considered. But atrial fibrillation by itself is not considered serious although if it's paroxysmal, it can lead to strokes. But atrial fibrillation can be controlled by itself at times, with drugs or radio ablation.
The problem is it is possible to have a serious mitral valve murmur with severe regurgitation and not much else in the way of symptoms.
And it's also possible that, on top of this, the echocardiograph will not be conclusive because of the turbulence of the regurgitation. It's a nightmare for proper diagnosis in some situations.
r.rice@thevine.net - 05 Oct 2006 03:27 GMT >> What type of murmur exactly is this? >> [quoted text clipped - 42 lines] >is healthy and thriving, which he would not be if he had any kind of >life threatening cardiac anomaly. While I mostly agree, the question to ask the vet who detected the murmur is what _kind_ of a murmur it was. How loud was it, and does it have any particular characteristics that would help determine the cause? If the murmur is mild, it's probably nothing to worry about, and can easily be missed if the exam was done in a noisy environment. Also, young children sometimes get murmurs simply because of how the blood flows, and will outgrow them as the body grows and the vessels get a little bigger.
Personally, I would start saving up for the cardiologist, simply because I would want to know if it was something major early on. It may be nothing, in which case you spend the money once and can rest easy. But it may be something that you need to keep an eye on, and knowing that early is better than catching when the cat's health starts to deteriorate.
And, just as a reference point, I took my cat to the same vet for 5 years. I had to move to a new city for a new job, and took the cats in for a last check-up to make sure that everything was ok right before I left, and the vet noticed a murmur in one of the cats. She hadn't seen any signs of it before, there doesn't seem to be any reason for it physiologically, and it doesn't seem to bother the cat any. (As I put it, every medical indication is that this cat has no murmur, except that you can hear it.) So I am watching and waiting with her. But it just goes to show that these things can suddenly show up.
Rebecca
Lynne - 05 Oct 2006 03:54 GMT r.r...@thevine.net wrote:
> While I mostly agree, the question to ask the vet who detected the > murmur is what _kind_ of a murmur it was. How loud was it, and does > it have any particular characteristics that would help determine the > cause? I think it would be asking a lot of a regular vet to be able to qualify a murmur, especially one that wasn't heard by a previous vet. That's what cardiologists do.
r.rice@thevine.net - 05 Oct 2006 04:03 GMT >r.r...@thevine.net wrote: > [quoted text clipped - 6 lines] >a murmur, especially one that wasn't heard by a previous vet. That's >what cardiologists do. Hmm. My vets don't seem to have any trouble grading it, at least. But they did bring in a specialist for the echo.
Rebecca
Lynne - 05 Oct 2006 04:16 GMT I became curious about how congenital defects are handled in cats. I found this story and it was so cute I stopped looking:
http://www.nsalamerica.org/sponsor/sponsor_cat/sac_applejack.html
Note this kitty has complex congenital heart disease, and both problems are fairly serious on their own. He is doing pretty well so far! His failure to gain weight, however, is a common problem for human kids with certain types of heart disease, too. CCHD is often accompanied by other congenital defects as well and his stomach problems could be related. It's very cool that he is doing so well. Personally, I find it amazing that so many hearts are formed perfectly when so many things have to happen just right when the heart develops.
BTW, these same problems in a human child would be surgically repaired (perhaps not the septal defect, depending on its size), but the timing would depend on how the child was fairing, since many surgical repairs need to be repeated as the child grows.
Anyway, RICH, don't worry about Charlie. If you can get that echo on the insurance company's nickle, it would be a good idea for your own peace of mind.
Lynne - 05 Oct 2006 03:54 GMT r.r...@thevine.net wrote:
> While I mostly agree, the question to ask the vet who detected the > murmur is what _kind_ of a murmur it was. How loud was it, and does > it have any particular characteristics that would help determine the > cause? I think it would be asking a lot of a regular vet to be able to qualify a murmur, especially one that wasn't heard by a previous vet. That's what cardiologists do.
hamandcheese@betweentheknees.com - 05 Oct 2006 03:11 GMT >I would ask the human society to pay for the heart surgery if needed. How many other animals and programs would suffer if the HS had to use money not budgeted for exotic surgery?
Sorry but that is not realistic.
-mhd
MaryL - 05 Oct 2006 01:03 GMT > As some of you may know, I just adopted two cats from my local humane > society last week. They had their first appointment with my vet this [quoted text clipped - 23 lines] > > Rich Does this shelter list pets with www.petfinder.com? If so, there is a good chance that you are entitled to a 1-year insurance policy free of charge. It would be worth checking further, in case the woman you spoke to isn't aware of this possibility. When I adopted Duffy, I think I had 2 weeks to mail the forms for the 1 year of insurance. Fortunately, I never had to use his policy.
MaryL
mdsu - 05 Oct 2006 01:19 GMT >> As some of you may know, I just adopted two cats from my local humane >> society last week. They had their first appointment with my vet this [quoted text clipped - 32 lines] > > MaryL Yes, they do. So by checking further, do you mean call the Humane Society to ask about this possibility?
Thanks, Rich
Lynne - 05 Oct 2006 01:25 GMT > >> As some of you may know, I just adopted two cats from my local humane > >> society last week. They had their first appointment with my vet this [quoted text clipped - 38 lines] > Thanks, > Rich You should have been given a packet of paperwork with Charlie, with the adoption paperwork, microchip information (if applicable), and paperwork to fill out for the insurance. Our local Humane Society only offers the insurance for 2 months, but if you have any amt of insurance on Charlie, and since the Humane Society vet missed the murmur (therefore making this condition NOT pre-existing), I'd let the insurance cover the echo. Charlie will have to be sedated for the echo, though (hopefully not anesthetized).
If you don't have this paperwork, definitely get it!
MaryL - 05 Oct 2006 02:07 GMT >>> As some of you may know, I just adopted two cats from my local humane >>> society last week. They had their first appointment with my vet this [quoted text clipped - 37 lines] > Thanks, > Rich Yes, check with the Humane Society. Also, it would be worthwhile to go to Petfinders and see if insurance is listed for cats from your shelter.
MaryL
Gary Brown - 06 Oct 2006 04:45 GMT > As some of you may know, I just adopted two cats from my local humane > society last week. They had their first appointment with my vet this > morning. She detected a heart murmur in the male, Charlie. My vet Our cat has a heart murmur. The cardiologist opined it was nothing serious. Many aren't.
Don't be angry at the probably overworked humane society vet. In a few months you be happy to have Charlie even if he is imperfect.
Gary
Anonymous - 07 Oct 2006 09:29 GMT Charlie Wilkes wrote
> Looks like this is headed for a hot weekend at Doubletree Inn. I'l > chip in on the room if you'll post videos > > Charli LOL...No I spanked his a.s and I believe he's over it. Or at leas he'd better be, if he knows what's good for him
-L Sent via http://Pets-99.com , http://AnimalForum.ws & http://AnimalBlog.org
Anonymous - 07 Oct 2006 09:29 GMT Charlie Wilkes wrote
> Looks like this is headed for a hot weekend at Doubletree Inn. I'l > chip in on the room if you'll post videos > > Charli LOL...No I spanked his a.s and I believe he's over it. Or at leas he'd better be, if he knows what's good for him
-L Sent via http://Pets-99.com , http://AnimalForum.ws & http://AnimalBlog.org
Anonymous - 07 Oct 2006 09:30 GMT Charlie Wilkes wrote
> Looks like this is headed for a hot weekend at Doubletree Inn. I'l > chip in on the room if you'll post videos > > Charli LOL...No I spanked his a.s and I believe he's over it. Or at leas he'd better be, if he knows what's good for him
-L Sent via http://Pets-99.com , http://AnimalForum.ws & http://AnimalBlog.org
jmc - 10 Oct 2006 12:05 GMT Suddenly, without warning, mdsu exclaimed (05-Oct-06 12:21 AM):
> As some of you may know, I just adopted two cats from my local humane > society last week. They had their first appointment with my vet this [quoted text clipped - 23 lines] > > Rich My cat has an intermittent heart murmur. Same vet hears it sometimes, sometimes not. So there may have *been* no murmur for the humane society vet to hear.
So, it's likely the vet is neither incompetent, or withholding information.
Incidentally, murmurs are not terribly uncommon in young cats, and often clear up as they get older. You can find information on this on the 'net, with a bit of googling.
jmc
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