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And it's a mixed bag...
Urinalysis, CBC, chem panel, and T4 all came back normal. All of the special digestive testing ones came back normal save for one--serum folate came back elevated. I'm still not sure what this means and I'm going to have to both call back and ask more questions and also do some google fu on my own and see what I can find out. Evidently it can be a sign of underlying disease in the digestive tract, probably the pancreas. That was unclear, and I need more clarity on that. The phrase "Small Intestinal Dysbiosis" was bandied about and I did a little google fu on that one this morning and all it served to do was confuse me more with all the veterinary medical jargon.
Next steps if Lars either doesn't improve or gets worse on his current medication regimen within the next week or so is re-evaluation followed quickly by an endoscopy of the belly. His current medication regimen, as you might recall from days' past, no longer contains the anti-nausea medication Cerenia--it's a 4-day run for that one typically, according to the tech I spoke with, unless the nausea/vomiting returns again. Again, my understanding is its blood serum levels remain high in the system for several days after the last dose of the regimen, so we've got some time before we need to worry about the nausea/vomiting possibly returning.
So far he's on 3cc of Lactulose every 12 hours, a half teaspoon of Benefiber on his food every morning, probiotic powder on his food every Saturday, and Mirtazepine for appetite stimulation every third morning. I asked about the Ursodiol in regards to his inflamed gall bladder and was told the inflammation is relatively minor and they do not want to add an additional med at this time, that they're hoping the inflammation will go down on its own. We shall see...
As for his affect/appetite--both are improving. He's still a bit lethargic and "flat"--no chasing the other cats down the hallways, mostly sitting quietly when he's not begging for food by the laundry room door. He's downloading on about a every 24 hours schedule right now, which is at least predictable the last few days. I expect to see some "action" around noon if his recent schedule remains intact. He should be downloading more and more often than he is, which leaves me concerned, but the folks at VCA don't seem too terribly concerned, so I'm trying to not be terribly concerned myself...
So yeah...mixed bag...Will post when I learn more about the specifics of the blood work...
Urinalysis, CBC, chem panel, and T4 all came back normal. All of the special digestive testing ones came back normal save for one--serum folate came back elevated. I'm still not sure what this means and I'm going to have to both call back and ask more questions and also do some google fu on my own and see what I can find out. Evidently it can be a sign of underlying disease in the digestive tract, probably the pancreas. That was unclear, and I need more clarity on that. The phrase "Small Intestinal Dysbiosis" was bandied about and I did a little google fu on that one this morning and all it served to do was confuse me more with all the veterinary medical jargon.
Next steps if Lars either doesn't improve or gets worse on his current medication regimen within the next week or so is re-evaluation followed quickly by an endoscopy of the belly. His current medication regimen, as you might recall from days' past, no longer contains the anti-nausea medication Cerenia--it's a 4-day run for that one typically, according to the tech I spoke with, unless the nausea/vomiting returns again. Again, my understanding is its blood serum levels remain high in the system for several days after the last dose of the regimen, so we've got some time before we need to worry about the nausea/vomiting possibly returning.
So far he's on 3cc of Lactulose every 12 hours, a half teaspoon of Benefiber on his food every morning, probiotic powder on his food every Saturday, and Mirtazepine for appetite stimulation every third morning. I asked about the Ursodiol in regards to his inflamed gall bladder and was told the inflammation is relatively minor and they do not want to add an additional med at this time, that they're hoping the inflammation will go down on its own. We shall see...
As for his affect/appetite--both are improving. He's still a bit lethargic and "flat"--no chasing the other cats down the hallways, mostly sitting quietly when he's not begging for food by the laundry room door. He's downloading on about a every 24 hours schedule right now, which is at least predictable the last few days. I expect to see some "action" around noon if his recent schedule remains intact. He should be downloading more and more often than he is, which leaves me concerned, but the folks at VCA don't seem too terribly concerned, so I'm trying to not be terribly concerned myself...
So yeah...mixed bag...Will post when I learn more about the specifics of the blood work...
