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Cat Forum / Health and Behavior / January 2005My Current List of Qs + Comments for the Vet
Why was Mingy not put on the s/d diet first? (And, of course, Mingy has to eat in order for it to do any good.) Since the diagnosis of struvite crystals came immediately, does that imply there was just a microscopic examination of the crystals, which might miss something else in the composition like an oxalate core or bacterial cause? Was a crystal sample also sent to the lab for analysis and culture to see a) whether there was an oxalate core and b) whether bacteria was present? Has the urinalysis been concluded? I see struvite crystal formation can be caused by infections and am wondering whether one has been found. IF bacteria is present, have both a culture and sensitivity culture been done? I gather one needs a sensitivity culture to determine which of 9 antibiotics will be effective. I note that Clavamox is usually NOT a good choice. Since Mingy has not been drinking much at all in spite of my efforts, should I learn to administer fluids? Any idea how Mingy lost one of his hind claws? I was wondering why he was having problems with that leg when he got home and then noticed one of his claws is MISSING!  SignatureJean B. Sounds like a very good list. The vet will have no choice but to answer those as it seems that you have done alot of research on your own. How is the little one doing? > Sounds like a very good list. The vet will have no choice but to answer those as it seems that you have done alot of research on your own. How is the little one doing? > > -- > Message posted via http://www.catkb.com Welllllll, I wouldn't be perseverating if I thought he was totally out of the woods. I am going to go get him checked today and hope whatever ensues does NOT involve his being hospitalized again. I also will learn to do the subcutaneous fluids, since he NEEDS to have diluted urine. SignatureJean B. Poor little baby , we are sending daily purrs for him to feel well, and for his meowmie not to worry to much. Please keep us updated. > Poor little baby , we are sending daily purrs for him to feel well, > and for his meowmie not to worry to much. Please keep us updated. > > -- > Message posted via http://www.catkb.com Hehe. It's hard to say who is more anxious: me or Mingy. We did go to the hospital, but Mingy did not have to stay. There was both good and bad there.............. I'll write more about that in a separate thread. SignatureJean B. > Why was Mingy not put on the s/d diet first? (And, of course, > Mingy has to eat in order for it to do any good.) [quoted text clipped - 3 lines] > crystals, which might miss something else in the composition like > an oxalate core or bacterial cause? Excellent! Many vets automatically assume crystals and uroliths are struvite because years ago, 90% were. Since the advent of acidified diets - especially "urinary tract health" diets, the incidence of calcium oxalate is almost equal to struvite. However, struvite is still the most common mineral in urethral plugs. Was a crystal sample also > sent to the lab for analysis and culture to see a) whether there > was an oxalate core and b) whether bacteria was present? Excellent! You've done your homework! The core should be cultured and analyzed. Did your vet determine whether the blockage was caused by a urolith or plug? Struvite plugs are more common in males. Also, did your vet check Mingy's urine pH? Athough pH at the time of exam may not be reliable since he probably didn't eat for some time which can allow normal urine acidity to return. > Has the urinalysis been concluded? I see struvite crystal > formation can be caused by infections and am wondering whether one > has been found. Urethral plugs are more common in males - plug matrix is thought to follow UTI. > IF bacteria is present, have both a culture and sensitivity > culture been done? I gather one needs a sensitivity culture to > determine which of 9 antibiotics will be effective. Very good! Bacteria belonging to 9 different genera cause nearly 99% of bacterial UTI in cats. I note that > Clavamox is usually NOT a good choice. > > Since Mingy has not been drinking much at all in spite of my > efforts, should I learn to administer fluids? I think so. At this point, I don't think he can voluntarily consume enough water to replace his water deficits and meet his daily water needs in addition to keeping his urinary tract flushed of crystalline particles. > Any idea how Mingy lost one of his hind claws? I was wondering > why he was having problems with that leg when he got home and then > noticed one of his claws is MISSING! The claw grows from the last bone (distal phalanx) - its not like a human fingernail. http://www.maxshouse.com/facts_about_declawing.htm I'd want a damn good explanation. You've done your homework very well! Phil . > > Why was Mingy not put on the s/d diet first? (And, of course, > > Mingy has to eat in order for it to do any good.) [quoted text clipped - 64 lines] > > . Thanks. I'll answer the claw part here. I was MOST displeased with the answer I got, which was that that happened A LOT there. Did he hear what I said????? I have to wonder with that nonchalant answer. SignatureJean B. > Thanks. I'll answer the claw part here. I was MOST displeased with the > answer I got, which was that that happened A LOT there. Did he hear what I > said????? I have to wonder with that nonchalant answer. Jean, Do you have a long history with this vet? From all of your posts, I have to wonder if they're the right people to treat your cat. And if cats boarded there lose claws a lot ... well, that's says something about the place, and it's not good. Signaturemonique, roommate of Oscar the (female) grouch ~~~~~~~~~~~~~~~~~~ Eros was adopted! Eros has a home now! *cheer!* > Jean, > [quoted text clipped - 7 lines] > ~~~~~~~~~~~~~~~~~~ > Eros was adopted! Eros has a home now! *cheer!* No, my vet has limited hours and refers us to this veterinary hospital or two other places when he is closed. My first impression was positive, but now I really wonder. There is probably a gamut of vets there, and some are undoubtedly good, but you don't exactly get to pick when you go in on an emergency basis. Everything else aside, I don't like this cavalier attitude toward Mingy's claw. I can see how this might have happened, because yesterday I had to point out to a technician that Mingy had wrapped his paws around the end of the examination table and was holding on for dear life. I didn't want the tech to just pull at him! I am imagining he probably was holding onto something and got pulled........ It is bad enough to have Mingy there and anxious, and it is even worse when there are fears about how he is being treated. I will obviously need to find another 24/7 place for his care. I do have one idea, which I will research. SignatureJean B. > > > Any idea how Mingy lost one of his hind claws? I was wondering > > > why he was having problems with that leg when he got home and then [quoted text clipped - 17 lines] > Did he hear what I said????? I have to wonder with that > nonchalant answer. WHAT?! "that happened a a lot there"? What kind of a bullshit answer is that???? I've never heard such nonsense! In the literally *thousands* of cats I've taken to vets, not *one* has *ever* come back with a missing claw unless removal was a medical necessity and the claw was removed surgically. If they admitted that a lot of cats lose their claws in that place, I'd *never* bring a cat there again! What the hell do they do to the cats??? That really pisses me off. Phil > WHAT?! "that happened a a lot there"? What kind of a bullshit answer is > that???? I've never heard such nonsense! In the literally *thousands* of [quoted text clipped - 4 lines] > *never* bring a cat there again! What the hell do they do to the cats??? > That really pisses me off. My sentiments exactly. > > WHAT?! "that happened a a lot there"? What kind of a bullshit answer is > > that???? I've never heard such nonsense! In the literally *thousands* of [quoted text clipped - 8 lines] > > My sentiments exactly. I will certainly find another place to take Mingy. I do hope I have at least a brief hiatus in his health problems so I can do that. I will also tell my vet this. (But then I recall back when I had Mingy neutered, they suggested he be declawed! I do hope they have wised up in the meantime. If not, I probably should look for a new vet too. I wonder if he would even be concerned about Mingy's claw? Hmmmm. I don't understand how these people whom seem to be so nice and concerned about cats can have such an attitude....) SignatureJean B. "Jean B." <jbxyz@rcn.com> wrote : > I will certainly find another place to take Mingy. I do hope I > have at least a brief hiatus in his health problems so I can do > that. I will also tell my vet this. (But then I recall back when > I had Mingy neutered, they suggested he be declawed! Unbelievable. These people are no cat lovers. >I do hope > they have wised up in the meantime. If not, I probably should > look for a new vet too. I wonder if he would even be concerned > about Mingy's claw? Hmmmm. I don't understand how these people > whom seem to be so nice and concerned about cats can have such an > attitude....) I would not take my cat within breathing space of these people. > WHAT?! "that happened a a lot there"? What kind of a bullshit answer is > that???? I've never heard such nonsense! In the literally *thousands* of [quoted text clipped - 6 lines] > > Phil Whilst I concur with your sentiments 110% (and I'd also be ripping the vet apart for careless handling), I have seen a claw coming out like that "ONCE". In that case, the cat kicked off whilst we were trying to get blood, and he got his nail caught in the towel he was wrapped in. He struggled so much that the nail was ripped out of the bed. Was it the nail, or was it the entire claw missing? Either way it's a sign of extremely poor handling, and it should never happen. Helen M > > Whilst I concur with your sentiments 110% (and I'd also be ripping the [quoted text clipped - 7 lines] > > Helen M I see no claw at all. :-( SignatureJean B. <SNIP> >> . > >Thanks. I'll answer the claw part here. I was MOST displeased >with the answer I got, which was that that happened A LOT there. >Did he hear what I said????? I have to wonder with that >nonchalant answer. Do you have the name, address and telephone number of this clinic, purely for reference purposes? thanks eq > <SNIP> > >> [quoted text clipped - 10 lines] > thanks > eq Are you in Massachusetts? If so, I will send it to you by email if you want. SignatureJean B.
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