Author Topic: RIP baby Max: PLEASE READ UPDATE THREAD  (Read 72664 times)

Offline Bazsmum

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Hope you can get the new med sorted Kate, it must be so stressful knowing its recommended on the CRF site but your having probs with the vet with ref to it!  :Crazy:

Sending positive vibes for Max and yourself~~~~~ :Luv: :hug:

Offline swampmaxmum

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no, but it does coincide with the diuretics and cerenia.  Can't find info on the former, but the latter says can cause drowsiness so it may not be that.  He is not lying in uncomfy, worrying positions which suggest pain or discomfort.  But last night was the first time he didn't bother to even visit me on the futon.

We are going to have another go today to try to get the vet to focus on ondansetron and info about it.  It's just not fair.

Offline Janeyk

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Is Max on any steroids because they can keep them awake?
« Last Edit: August 12, 2009, 09:27:21 AM by Janeyk »
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Offline clarenmax

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Its strange you say that Kate, as Max was doing a very similar thing, he was lying there looking like he was sleeping, but he had his eyes open, so wasn't actually asleep. He couldn't seem to get comfortable either, so not sure if that was related.  He didn't really move off the sofa either, where he'd normally come up onto the bed to sleep with me, he just stayed downstairs on the sofa, or moved to the windowledge, but again was not sleeping as such  :hug:

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Offline Dawn F

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sorry you are having such a hard time - I remember diddydawn saying once that build up of toxin was supposed to feel like us having a hangover but not sure about the sleeping

Offline swampmaxmum

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The vet (I've lost confidence) says Max can't sleep much and just rests because of his toxins. I've searched throughout Tanya's CRF site and can't find any info on even end stage CRF causing insomnia.
Does anyone know if this is the case, or I wondered perhaps if it was because of either his pleural effusion/fluid around the lungs or the diuretic side effects? The first few days on the diuretic though he did sleep.
He won't lie with me at night any more but just lies on his sofa.

Sometimes he gets up and pees and drinks or even eats a bit and moves about. This morning he seems to have eaten a little dry that I left out (Swampy can't eat dry) and a very little Applaws too. He is still playing with me, the piranha bite mum's fingers game, but I've never seen a cat, even a sick cat, not sleep.

Offline bunglycat

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Can only send lots of  :hug: :hug: :hug: :hug: :hug: and healing vibes as i don''t know anything about the meds either- just not keen on a vet thats "not got time " to help out patients !  I wish he was more helpful to you and the boys .

Offline Gill (sneakiefeline)

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Sorry dont know anything about meds and only know stuff from searches  :hug:

Offline bonnielass

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Im sorry cant help Kate but im sure someone will be able to help with this , all i can do is send some positive vibes for both the boys and lots of  :Luv: and  :hug: :hug: :hug: for you all
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Offline swampmaxmum

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Hello, thank you all for asking  :hug:  Max's bloods came back today and I didn't want to post until I'd spoken to the vet, then I had a bit of an argument with him and was feeling a bit low. Max's creatinine is up to 413.5 from 387 in a week with less fluid and diuretics. His urea is 30.6.  He's eating and still quite cheerful for quite a bit of the time, but he has spells of nausea particularly in the afternoon and is a bit more nervy. The vet gave me cerenia, but I've read that you can't use it for long.

So I asked about ondansetron, which an American on the CRF support group mentioned her cat was on. Vet doesn't know it. Is "too busy" to chase a specialist all week.  I owe him over £800, which is only 35% of what he will be paid for both my boys as my insurance pays 65%.  I was upset as you can imagine.
I've sent him by email the link from the CRF site on ondansetron as it may be something that could help Max as cerenia's not meant to be used long term and has some possible side effects I don't like.

Does anyone know anything about it? I was wondering if I should start yet another thread. All I know is that it is used for chemo cats and for pancreatitis and in America, increasingly for CRF nausea now that there's a cheaper generic. But side effects, I've no idea.
 :hug: :hug: :hug: to everyone, thank you for caring


Offline Michelle (furbabystar)

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Was thinking the same as Gill - Hoping everything is ok  :hug:

(maddiesmum do you know anything ?)

Offline Gill (sneakiefeline)

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Oh dear I dont like silence and hope everything is OK  :hug: :hug:

Offline Leanne

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Hope everything is okay Kate  :hug: :hug: :hug: to you and your boys

Offline Janeyk

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Hope Max is ok  :hug:
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Offline JackSpratt

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Just read this, hope you're OK, Kate.




Carrie, Jack,Toby and Parsley ~ Love and miss you all always.x

Offline Dawn F

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hope you are ok Kate  :hug:

Offline Bazsmum

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Hoping all is okay at your end Kate....Thinking of you and the boys!  :Luv: :hug: :hug:

Offline Sue P (Paddysmum)

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Kate, thinking of you this morning.  :hug:

Offline bunglycat

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Hope everything goes well at the vets for Swampy - mega healing vibes and lots of  :hug: :hug: :hug: :hug: :hug: to you all

Offline bonnielass

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Tons of positive vibes for Max for tomorrows visit to the vets :Luv: hope all goes well :hug: :hug:
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Offline Gillian Harvey

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Very difficult, as Ruth said, trying to balance the fluids, hope all goes well at the vets tomorrow.  :hug:

Offline bunglycat

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Millions of mega healing vibes for Max from us all here .
Come on Max  :Luv2: :Luv2: :hug: :hug: :hug: :hug: :hug: :hug: :hug: :hug:

Offline Bazsmum

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Sending tons of positive healing vibes for Max~~~~~~Hope his nausea subsides quickly! Thinking of you all!  :wish: :care: :ahh: :ahh: :grouphug:

Offline swampmaxmum

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Max is very poorly tonight. He was ok until late afternoon when his nausea kicked in and he just wants to lie still. I have given him his first cerenia dose. He goes to see the vet at 11 tomorrow to see how much fluid is still on his lungs. He needs more fluid than he is getting. Please send him your prayers and vibes as we have not many weapons left to fight this terrible disease.


Offline Bazsmum

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What a vicious circle for you!  :shocked: Then it must be a case of less in the subs less needed for the diuretic....Its just getting that balance yet again!  :Crazy:

Do you have charts for Max and Swampy? I would get so mixed up if it were me, it would also be good to look over and see what is good and what not!  ;)

Hope Max shows some interest in his food again, definitely sounds as if the subs needed cutting....Heavens that is some see-saw your on!  :Luv: :hug: :hug:
« Last Edit: August 09, 2009, 02:29:06 AM by Bazsmum »

Offline swampmaxmum

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He's not quite as good tonight. Getting nervy and not eating as well. He didn't seem to have lost weight and his earlier gentle breathing was a bit faster, so we just gave him another dose of frusemide (diuretic) which is such a pity as we were hoping to get away with just 1 today. I hope just 1 tomorrow, then on monday he goes in for another X ray and maybe some bloods too.
I was too scared to give him 50mls so gave him....42 mls.  I must try to relax and not throw the baby out with the bathwater. Just the vet said he was doing well and then if I give too much fluid he gets it on his lungs and has to take diuretics which are bad for kidneys, but if I don't give enough fluid his kidneys fail completely.

He still found the energy to bite my finger in a piranha attack though, but is definitely not quite as well as this morning.  OH is on 'duty' tonight so I have to show him the tricks to try to encourage Max to pee  :Crazy:

Offline Bazsmum

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So happy that you are pleased, Atleast you can have a much needed brain relax from all your worry!  ;D :Luv: :hug:

He body is now obviously using the fluids correctly!  ;) :hug:

Offline swampmaxmum

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just peed on his own with no diuretic yet today (am waiting for vet as Max is now down 600g to 4.5kgs so I think it may be ok). Too early for any dancing bananas but at this moment in time his mum is pleased.

OH has gone out. He is fed up of hearing just about cats and fluid doses  :P

Offline swampmaxmum

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I am a nervous wreck as I know at some point I will get it wrong. In 13 years of practising as a vet, my vet has never had anyone managing a cat with CRF before with fluids and anti nausea meds.
Max is eating a bit but not peeing very often (back to old habits now he's on 'only' 2 diuretics). I have to give him about 50mls tonight and again tomorrow morning. I am even more anxious as the weekend is coming and I would only have Vet's Now which would be hopeless.

Offline Bazsmum

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Brilliant that the fluid is reducing!  ;D Im sure your head will be full of self doubt, I would be a nervous wreck having to trust my own judgement!  :scared:

Ive answered your other thread on Cerinia Kate!  ;)

Sending tons of positive vibes for Max, and calming ones for yourself to believe in what you do!~~~~~~~Give Max and Swampy head rubs from me and for you, a pat on the back will be sufficient!  ;) :Luv: :hug: :hug:
« Last Edit: August 07, 2009, 13:48:06 PM by Bazsmum »

Offline swampmaxmum

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Max is down to 4.7kgs today so has lost 400g overnight. The vet is very pleased. Max is also eating. However his heart has a gallopy rhythm. He's had 40mls this morning as with diuretics we have to risk some fluids but he only peed once in the night.
The problem is I now have to watch his respiration rate and juggle the dose of fluids and diuretic on a day to day basis, based on how I think he is doing. It is immensely stressful as at some point it is guessing and I will probably get it wrong.  If Max is ok early next week he has to rehave Xray and bloods and he'll have bloods done regularly for as long as he stays stable and we can adjust fluids etc from that too.

Send HELP vibes please!

Offline Sue P (Paddysmum)

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MM, that's such a beautiful picture of the boys.   :hug: :Luv:

Offline swampmaxmum

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 :hug:  :thanks:

Max pee'd on the futon this afternoon so I've ordered in some incontinence pads and had to pay the VAT because it's not for medical use  :Crazy: should have said were for me.

I hope it's not a trend as only one of his 4 pees have been in his own tray, although another 1 was in Swampy's tray. So far he's lost 100g which is good progress. The vet doesn't think (hope he is right) Max has congestive heart failure but has had too much fluid and overloaded the kidneys. Tomorrow will be the test when I have to give him some sub cuts, or his kidneys will fail. 

My big worry is he pees in the green bed (see MMum's pix below) as that is Swampy's only refuge and would be awful. I've puppypadded it.  Max just had his dose of diuretic with another one at midnight so it could be a long night.



Offline Maddiesmum

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Sending positive vibes for Max who I had the pleasure of meeting last Saturday along with Swampy and of course Kate and OH>  Am attaching pix we took and you can see how lovely they both look curled up together.

Offline Bazsmum

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This must be a total mare for you!!! Im glad that Max has eaten today hopefully that is an indication that his nausea is subsiding and the toxins are getting less!  :wish:

I do hope he can manage to pee today and Im sending tons of peeing vibes to Max~~~~~C'mon Max you can do it!  :Luv2:

Sending much love and wishes to you and your two boys Kate....Hope this all goes to plan!  :Luv: :hug: :hug:

Offline swampmaxmum

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Max has fluid on the lungs, just as the american CRF site suggested. I took him in and asked for an X ray. The trouble is, they don't do sub cuts here much with cats so the vets don't see it often enough.
He's been given a diuretic and has to pee like mad today as if he doesn't then it has to be drained, which is risky (draining tends to be what they do in America).  Then it's a guessing game of trying to keep him feeling ok for as long as possible as he must have some fluids by sub cut, or his kidneys will fail. Too much though and it will build up.
but his toxins will rise with no fluids today and his prognosis is poor. The vet said to try it to treat him as it has a good chance of success and Max may feel a lot better in a week's time. Then again, if it turns out to be too much for him, I know Max will tell me.

I feel awful and upset but vindicated as I have been on about his breathing problems since monday. Little Max is quite happy now, he is sleeping in the sunny windowsill. Please send mega pee vibes that he can pee a lot today, then have crucial fluids to make him feel better tomorrow again.  At least he ate this morning.
 

Offline Dawn F

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good luck Kate, you will know what the right thing to do is

Offline clarenmax

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Tons of good luck vibes on their way  :hug: xxxxxxx

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Offline swampmaxmum

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I've been up all night with Max who was breathing too fast, through nose and mouth and swishing his tail. I thought he was going to pass out, but just held him and comforted him and the attack passed. This morning he ate. I am taking him in at 9.40am. We don't want to leave him there unless it is to check if he's had too much fluid which has affected his heart.  He's had his heart listened to for 2 days in a row - wouldn't they have noticed?  IF it is stress, hospital could finish him off.

My vet isn't familiar with any situation where a normal amount of sub cuts (<200mls per day) could cause problems. He says it's not the case. I will ask again though, even if it's a remote possibility. Only since monday though when he had his seizure from vomiting has the fluid not helped him to feel much better.
He didn't eat after fluids last night and had such a bad night (panic attacks another possibility) then felt better this morning a long time after his fluids. I'm not giving him any more until I've seen the vet. He's due them at 8.30 but I'm too scared.

However I can't check his hydration on skin test, as even when his creatinine was 500+ his skin didn't feel dehydrated and yet fluids helped him and brought down his nos so he did need them. Please please sendn vibes that the vet applies his mind and we do the right thing.

Offline Gill (sneakiefeline)

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Lots of love to Max  :hug:

 


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