His RBC is back up a little: from 17 percent to 21 percent. Small, but still an improvement! We'll take it!! His Aranesp dose remains at .07ml for now.
While at the vet I noticed in the bright lights of the exam room that Ra's inner ears seemed to be ever so slightly yellow tinged, so I brought this to Dr. Lehal's attention. Further exam of the whites of Ra's eyes and his mouth tissue confirmed my suspicions and a blood chemistry was added to the mix to check his liver values.
The results? kidney values are stable and remained unchanged, which was good. ALT (one liver enzyme) went down from 950 to 835, which was also good. Bilrubin, the liver enzyme that, when elevated, causes jaundice is up: from .5 to 1.5. This explains the slight jaundice Ra had. And one of his other liver enzymes, which Dr. Lehal said really fast and I didn't get the name or numbers for, also went up. So yeah, liver not doing so well. :/ It's a good thing he's on both the Atopica and the Ursodiol--both of which are to support and assist with liver function.
It was decided to keep all of his meds at the same doses and not to add anything. Thank Bast for that--poor fool cat takes enough meds as it is, I daresay we can't really add more without causing him undue trauma, poor guy. He's just on SO MUCH medication right now. He usually takes it like a champ, too, though, so that's a blessing, and it's only twice a day for 95 percent of them (he gets the Atopica first thing and before his PM meds and he gets his Cerenia as a stand alone dose once in the afternoon every day outside his AM and PM meds and his Ursodiol after he gets his PM syringe feed), so...yeah...
Also? While in the exam room, Ra made a mess--he shat on the floor in one of the corners of the room! :( I was MORTIFIED!! :( I should've asked for a small litter box when he started crouching and pawing at the floor as if to scratch at litter about five minutes before he pooed, but I didn't so...yeah...It was a messy one, too, of course, so a lot of fun for me to clean up. Ugh. Poor fella tried to warn me, though, so I can't really bitch all that much.
If all goes well we don't go back in for a vet appointment until his scheduled Thursday morning RBC blood draw in the coming week. Let's hope he continues to remain stable enough so that's all we have to worry about... :/
While at the vet I noticed in the bright lights of the exam room that Ra's inner ears seemed to be ever so slightly yellow tinged, so I brought this to Dr. Lehal's attention. Further exam of the whites of Ra's eyes and his mouth tissue confirmed my suspicions and a blood chemistry was added to the mix to check his liver values.
The results? kidney values are stable and remained unchanged, which was good. ALT (one liver enzyme) went down from 950 to 835, which was also good. Bilrubin, the liver enzyme that, when elevated, causes jaundice is up: from .5 to 1.5. This explains the slight jaundice Ra had. And one of his other liver enzymes, which Dr. Lehal said really fast and I didn't get the name or numbers for, also went up. So yeah, liver not doing so well. :/ It's a good thing he's on both the Atopica and the Ursodiol--both of which are to support and assist with liver function.
It was decided to keep all of his meds at the same doses and not to add anything. Thank Bast for that--poor fool cat takes enough meds as it is, I daresay we can't really add more without causing him undue trauma, poor guy. He's just on SO MUCH medication right now. He usually takes it like a champ, too, though, so that's a blessing, and it's only twice a day for 95 percent of them (he gets the Atopica first thing and before his PM meds and he gets his Cerenia as a stand alone dose once in the afternoon every day outside his AM and PM meds and his Ursodiol after he gets his PM syringe feed), so...yeah...
Also? While in the exam room, Ra made a mess--he shat on the floor in one of the corners of the room! :( I was MORTIFIED!! :( I should've asked for a small litter box when he started crouching and pawing at the floor as if to scratch at litter about five minutes before he pooed, but I didn't so...yeah...It was a messy one, too, of course, so a lot of fun for me to clean up. Ugh. Poor fella tried to warn me, though, so I can't really bitch all that much.
If all goes well we don't go back in for a vet appointment until his scheduled Thursday morning RBC blood draw in the coming week. Let's hope he continues to remain stable enough so that's all we have to worry about... :/