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Dr. B was in the office when we went to pick up Jazz, so we talked to him at length about Jazz's condition. While he does think she's somewhat in the supportive care realm, his opinion differs with Dr. Choy and Dr. Lehal on how we should go about treating Jazz going forward.
Interestingly, he wants Jazz back on a minimal amount of sub-qs, 50ml a day if she's not in respiratory distress, starting again in a few days. That's substantially less than the 75ml twice daily that she was getting, so he think that little bit of fluids won't cause any problems for her fluid retention wise as long as she's on the lasix. His dosing regimen for the lasix is a bit different than Dr. Choy's--he says 12.5mg every other day while she said 12.5mg every day. His reasoning is that he doesn't want to see dehydration become a factor, or depletion in potassium, so he doesn't want to go too aggressive with it unless she's starts showing signs of respiratory distress again. He's also of the mind that we should stick with the cyproheptadine appetite stimulant rather than go with the newer and stronger one that Dr. Choy suggested. He thinks Jazz is merely tired of her prescription food and that we should experiment with non-prescription foods to get her to eat more again. This is borne out by the fact that while she barely touched her kibble or her a/d food yesterday she all but took off my fingertips when I fed her turkey breast last night.
It's all very dizzying. Of all three doctors that we've dealt with, we obviously know Dr. B the best of all three and he's kept Jazz alive with CRF since March of 09, so we trust his judgement a little bit better than the rest. His is only a slight bit more aggressive regimen than Dr. Choy or Dr. Lehal would be, so it's not outlandish what he's suggesting. So we're going to follow what Dr. B is suggesting and see how things go for awhile. He says he's now back in the office full time starting next week, so that's a good thing...
So we're not out of the woods by any means, just not as far into them as we had thought. Tonight we tried Jazz on Fancy Feast Gravy Lovers chicken flavor and she not only ate the food, she about tried to eat her bowl as well. ;) Same thing happened when we fed her more when we got back from the laundromat. And she's kept it down so far, so that's even better! :) Yay? :) It's the small victories, and we'll take every one we can get right now.
Interestingly, he wants Jazz back on a minimal amount of sub-qs, 50ml a day if she's not in respiratory distress, starting again in a few days. That's substantially less than the 75ml twice daily that she was getting, so he think that little bit of fluids won't cause any problems for her fluid retention wise as long as she's on the lasix. His dosing regimen for the lasix is a bit different than Dr. Choy's--he says 12.5mg every other day while she said 12.5mg every day. His reasoning is that he doesn't want to see dehydration become a factor, or depletion in potassium, so he doesn't want to go too aggressive with it unless she's starts showing signs of respiratory distress again. He's also of the mind that we should stick with the cyproheptadine appetite stimulant rather than go with the newer and stronger one that Dr. Choy suggested. He thinks Jazz is merely tired of her prescription food and that we should experiment with non-prescription foods to get her to eat more again. This is borne out by the fact that while she barely touched her kibble or her a/d food yesterday she all but took off my fingertips when I fed her turkey breast last night.
It's all very dizzying. Of all three doctors that we've dealt with, we obviously know Dr. B the best of all three and he's kept Jazz alive with CRF since March of 09, so we trust his judgement a little bit better than the rest. His is only a slight bit more aggressive regimen than Dr. Choy or Dr. Lehal would be, so it's not outlandish what he's suggesting. So we're going to follow what Dr. B is suggesting and see how things go for awhile. He says he's now back in the office full time starting next week, so that's a good thing...
So we're not out of the woods by any means, just not as far into them as we had thought. Tonight we tried Jazz on Fancy Feast Gravy Lovers chicken flavor and she not only ate the food, she about tried to eat her bowl as well. ;) Same thing happened when we fed her more when we got back from the laundromat. And she's kept it down so far, so that's even better! :) Yay? :) It's the small victories, and we'll take every one we can get right now.
