Street Corner Series

A little bit of rain this evening.

Took the cats in to meet their new vet, she was very nice and I think she'll be great. She was 15 minutes late coming in to meet us she told us because she was reading up on Doyle's health condition as in her career she'd never seen or treated a cat with hyperaldosteronism. She was, of course, fascinated by Doyle's health issue, she said: Congratulations on being the pet parents of a cat with a rare medical condition!

This we knew, from our dealings with our Portland vet and clinic. They had been so sure it wasn't what it was because, well, it was rare, but our vet had been convinced - and vindicated by the University of Michigan lab results. It had been the great discussion of the doctors at their clinic. I spoke to them today, actually, as they've asked me to keep them in the loop on her treatment ongoing for professional/educational reasons.

Thursday we see an internist at a specialist animal hospital - the one I scoped out my first week here - so we will learn more then.
I think this picture illustrates well the confusion of all of the vets running in various directions. Let's hope that it ends well.

I understand that you have been able to give the medicine, and that she is better.
posted March 21st, 2017  
@octogenarian Yes, I give her her meds every day, plus her supplements, and special diet, and she's what the vets refer to as 'stable' which is ok but not completely well. The vet yesterday could tell from Doyle's heart rate that things are not functioning normally which is why we need to see an internist. Our understanding of this condition is that it can be treated medically, as we are doing, but she will have to be monitored regularly to make sure her potassium/aldosterone levels are stable or her system will shut down (muscles, heart, lungs, etc.). If we deal with it surgically then the malfunctioning (potentially cancerous) gland(s) on whichever (or both) kidney(s) can be removed and she will be well. Thursday we should know more after seeing an internist who is more likely to have come across/have knowledge of a case like this.

I was glad this doctor was upfront and said she could only minimally treat her and that seeing an internist directly, rather than involving another DVM, would be the best thing to do.

It was good to get registered with her, though, for our regular needs and checkups.

I hope it ends well, too.
posted March 21st, 2017  
@mostlyfiveohthree I have been thinking myself in your situation, and I don't know what my choice were. It is good to know that you can trust these vets.

I wonder if the previous problem Doyle had, has any connection with this case? It was a couple of years ago, and she was at the clinic for several days. Yet I do not recall any specific diagnosis then.

My thoughts are with you and Doyle - - and Naboo, of course, he's there, too.
posted March 22nd, 2017  
@octogenarian Trevor and I had wondered about that previous event, the nearest diagnosis they could give us on that was acute pancreatitis, she had terrible vomiting and raised heart rate when she was suffering from that. And we've never (fingers crossed) had a recurrence.

None of those symptoms are present in her current situation. The opposite problem is happening with her heart rate - too slow. And then the muscle collapse stuff that occurred so suddenly which was the giveaway to the hypokalemia which led us to have to those University of Michigan lab tests done that showed her super high aldosterone which is what's causing her to flush out the potassium constantly = hypokalemia.

Thank you for thinking of us. It's a tricky thing to navigate. All we know is that we want to do the best for her and we never want to see her in that state of collapse again. Medicating her for the rest of her life will not be an easy thing to do, for her, or for us. Surgery, if that's determined to be the best course, we are told will be safer for her health in the long term. However, what I do want to determine from the internist tomorrow (Thursday) is how long we can treat her on medication effectively for the time being - I want her to feel like the new apartment is really her home and have us all more settled before anything more. She's been through so much already. As has her brother.

I'm just grateful that they're both doing as well as they are. It's kind of incredible how well and how quickly they've adjusted to their new surroundings already.

I just hope whatever we learn along the way will also help other cats that find themselves in this situation or that have perhaps been misdiagnosed. We still have a lot to learn. And perhaps we'll learn new and more positive things tomorrow.
posted March 22nd, 2017  
Leave a Comment
Sign up for a free account or Sign in to post a comment.