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hyperthyroidism, radioactive iodine, and kidney failure in cats

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sdaniel13@nyc.rr.com - 23 Oct 2005 02:00 GMT
My cat just had radioactive iodine therapy for his hyperthyroidism.
Before receiving this treatement he was on methimazole long enough to
stabilize his T4 levels. When his T4 levels were normal, his kidney
functions were also normal. The vet interpreted this to mean that he
was a good candidate for the radioactive iodine therapy. So we got the
radioactive iodine therapy.

When my cat arrived for his therapy, his kidney functions were normal.
He was tested right before he left the facility approximately eight
days later, and his CUN and creatinine levels were significantly
elevated at that time, according to the tests.

I learned the test results tonight. Now I'm afraid that, in attempting
save my cat's life, I've damaged his kidneys beyond repair. I was told
to have his kidney function checked again next week by my vet. The
ironic thing is, my cat acts like he never felt better in his entire
life. And he looks better, too, since his coat is soft and smooth and
no longer rough and disheveled looking, as is characteristic with
hyperthyroid cats.

I wish I could undo what I've done.

Steve
Wayne Boatwright - 23 Oct 2005 03:08 GMT
On Sat 22 Oct 2005 06:00:25p,  wrote in alt.cats:

> My cat just had radioactive iodine therapy for his hyperthyroidism.
> Before receiving this treatement he was on methimazole long enough to
[quoted text clipped - 19 lines]
>
> Steve

Has the vet indicated that this is permanent?  Perhaps, and hopefully, it's
not.

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sdaniel13@nyc.rr.com - 23 Oct 2005 03:12 GMT
He entertained a few alternative possibilities, but didn't seem to
think they were very likely. Another blood test next week will
determine the urgency of my cat's condition. I'd love the new tests to
reveal that his BUN and creatinine levels from before were just
temporarily elevated, but I know I can't count on this.

Steve
Wayne Boatwright - 23 Oct 2005 03:38 GMT
On Sat 22 Oct 2005 07:12:07p,  wrote in alt.cats:

> He entertained a few alternative possibilities, but didn't seem to
> think they were very likely. Another blood test next week will
[quoted text clipped - 3 lines]
>
> Steve

It would be nice to know immediately, of course, but we just have to wait for
some things.  I don't recall you mentioning the age of your cat.  This could
also be a factor in his return to normal levels.  Obviously, there is nothing
you can do at this point except wait for the results, and waiting can be so
frustrating and unnerving.  I'm very sorry for your kitty and your present
situation.  I hope and pray that everything works out alright.

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Wayne Boatwright *¿*
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Meet Mr. Bailey

sdaniel13@nyc.rr.com - 23 Oct 2005 04:26 GMT
Thanks Wayne. I appreciate your good wishes. To be honest, I don't
really know his age. His name is Mr. B. He was an adult stray when I
adopted him, so I can really only guess at his age. My vet guessed that
he's around 11 or 12 years old, which is middle age for a cat.

The pne thing I can think of that inspires some sort of optimism is the
fact that, when he was on methimazole and his T4 levels were low (in
fact, they were too low for a while), his kidney functions always
tested normal. I don't quite see why any underlying kidney condition
wouldn't have surfaced at this time. That is why they insist that cats
have their T4 levels stabilized prior to radioactive iodine treatment.
But as you point out, there's nothing to do but want for the results. I
know I'm not going to argue Mr. B back to good health.

Steve
Wayne Boatwright - 23 Oct 2005 05:15 GMT
On Sat 22 Oct 2005 08:26:46p,  wrote in alt.cats:

> Thanks Wayne. I appreciate your good wishes. To be honest, I don't
> really know his age. His name is Mr. B. He was an adult stray when I
[quoted text clipped - 9 lines]
> But as you point out, there's nothing to do but want for the results. I
> know I'm not going to argue Mr. B back to good health.

Steve, do post back and let us know how Mr. B's test results come out.  
I'll keep you both in my thoughts.

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Phil P. - 08 Nov 2005 15:12 GMT
> Thanks Wayne. I appreciate your good wishes. To be honest, I don't
> really know his age. His name is Mr. B. He was an adult stray when I
[quoted text clipped - 9 lines]
> But as you point out, there's nothing to do but want for the results. I
> know I'm not going to argue Mr. B back to good health.

Hang in there, Steve.  Many cats go through a transient period of
hypOthyroidism that can last for a few months after I-131 tx.  Transient
hypOthyroidism can decrease kidney GFR and elevate BUN/creatinine.  If your
cat's kidney values are still elevated, ask your vet to check your cat's
serum T4 levels.

Good luck,

Phil
Wayne Boatwright - 08 Nov 2005 19:39 GMT
>> Thanks Wayne. I appreciate your good wishes. To be honest, I don't
>> really know his age. His name is Mr. B. He was an adult stray when I
[quoted text clipped - 19 lines]
>
> Phil

Steve, please keep us posted with Mr. B's progress.

Best wishes!

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