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...in fact, yesterday afternoon he vomited his breakfast largely undigested and was lethargic so I called Dr. B to see if we should add any urgency to our intended treatment plan. The answer was yes--Dr. B suggested I reach out to Dr. Medinger and the Internal Medicine team at VCA Aurora that helped treat Ra for his tummy troubles, as now there were just too many digestive tract variables in play that they were beyond his general practitioner scope of practice comfort level. I called VCA Aurora and was able to get Lars an appointment right away; another Friday appointment so J could help with the Cat Wranglings.
Then last night happened; he vomited a kibble snack J fed him while I was at bowling shortly after I got home, and then around 2100 we found a LARGE errant shit in the den by the TV stand. He did keep his very small kibble allotment for dinner down, though, as far as we know; if he did vomit it, Harlow likely found it and ate it, piggy that Harlow is...
Anyway, I figured it was probably A Good Idea to call VCA Aurora to see if they wanted me to move up Lars' appointment to today because of the new developments. They did, and he was seen at 1100.
Intern went over our pre-appointment paperwork (which was about 3 long pages worth of questions long) very thoroughly with us, gave Lars a preliminary exam (temp, weight, etc) and then it was wait to see Dr. Medinger.
Right out of the gate, Dr. Medinger is listening to Lars' heart and he says "Did you know your boy has a grade 3 1/2 to grade 4 heart mumur? That's out of 6 grades, in case you didn't know." !!!! What the everlasting fuck, do you say?!?! Sweet Jesus!! :( He didn't have much more to add to that observation at this time, just let me know about it as of right now. So I don't know what, if anything, this could mean for my boy on its own...
Dr. M determined that, yes, something is definitely afoot at the Circle K, and worth much more investigation. First plan of attack was an abdominal ultrasound, a full blood chemistry panel, and a special blood panel to test digestive tract and pancreatic function which would be overnighted to a special place in Texas for the test. This all took about 1 1/2 hours.
Ultrasound was largely...inconclusive is not a good word, but ambiguous? Nothing relating to his digestive tract, per se, but he does seem to have something going on physically with his kidneys (his one is severely undersized and the other is slightly enlarged with an infarct of some sort) and his gall bladder is enlarged. That's what the prelim report I got says anyway--when Dr. M came out to talk to me he told me the ultrasound came back "relatively okay, nothing significant." We have a few questions we want to ask someone in Internal Medicine tomorrow about the ultrasound in particular...Blood work will all be back sometime early next week.
Meds: we're to start Lars back on Lactulose at max dose until he's downloading decently again; 1/2 teaspoon of Benefiber added to his wet food every morning; add 8mg of Cerenia daily for four days for the nausea/vomiting; and continue the Mirtazepine every 3 days for appetite stimulation. No changes to diet save stopping the Science Diet kibble which Lars doesn't like anyway. We'll see what, if any, changes come from the blood panels...
Got Lars home and gave him the Cerenia for the nausea right away, then fed him about 3 hours later. So far he's not eaten much, but he's kept down what he's eaten. He's gotten 3 of the 6cc of Lactulose he's due--the other 3 are due around bedtime. Hopefully this will produce some download results.
Sigh...
So, yeah. That's what Lars and I did today. :/ So very worried about my boy.
Then last night happened; he vomited a kibble snack J fed him while I was at bowling shortly after I got home, and then around 2100 we found a LARGE errant shit in the den by the TV stand. He did keep his very small kibble allotment for dinner down, though, as far as we know; if he did vomit it, Harlow likely found it and ate it, piggy that Harlow is...
Anyway, I figured it was probably A Good Idea to call VCA Aurora to see if they wanted me to move up Lars' appointment to today because of the new developments. They did, and he was seen at 1100.
Intern went over our pre-appointment paperwork (which was about 3 long pages worth of questions long) very thoroughly with us, gave Lars a preliminary exam (temp, weight, etc) and then it was wait to see Dr. Medinger.
Right out of the gate, Dr. Medinger is listening to Lars' heart and he says "Did you know your boy has a grade 3 1/2 to grade 4 heart mumur? That's out of 6 grades, in case you didn't know." !!!! What the everlasting fuck, do you say?!?! Sweet Jesus!! :( He didn't have much more to add to that observation at this time, just let me know about it as of right now. So I don't know what, if anything, this could mean for my boy on its own...
Dr. M determined that, yes, something is definitely afoot at the Circle K, and worth much more investigation. First plan of attack was an abdominal ultrasound, a full blood chemistry panel, and a special blood panel to test digestive tract and pancreatic function which would be overnighted to a special place in Texas for the test. This all took about 1 1/2 hours.
Ultrasound was largely...inconclusive is not a good word, but ambiguous? Nothing relating to his digestive tract, per se, but he does seem to have something going on physically with his kidneys (his one is severely undersized and the other is slightly enlarged with an infarct of some sort) and his gall bladder is enlarged. That's what the prelim report I got says anyway--when Dr. M came out to talk to me he told me the ultrasound came back "relatively okay, nothing significant." We have a few questions we want to ask someone in Internal Medicine tomorrow about the ultrasound in particular...Blood work will all be back sometime early next week.
Meds: we're to start Lars back on Lactulose at max dose until he's downloading decently again; 1/2 teaspoon of Benefiber added to his wet food every morning; add 8mg of Cerenia daily for four days for the nausea/vomiting; and continue the Mirtazepine every 3 days for appetite stimulation. No changes to diet save stopping the Science Diet kibble which Lars doesn't like anyway. We'll see what, if any, changes come from the blood panels...
Got Lars home and gave him the Cerenia for the nausea right away, then fed him about 3 hours later. So far he's not eaten much, but he's kept down what he's eaten. He's gotten 3 of the 6cc of Lactulose he's due--the other 3 are due around bedtime. Hopefully this will produce some download results.
Sigh...
So, yeah. That's what Lars and I did today. :/ So very worried about my boy.
