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Submarine Sandpaper
May 27, 2007


I had a cat at kitten to 2 years with an audible murmur, confirmed via ultrasound. They don't hear it anymore.

More of an abstract, but do pain meds and crate rest actually have a positive effect vs just crate rest?

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Crooked Booty
Apr 2, 2009
arrr

Slugworth posted:

On the nipple side of things, you're not wrong per se in that in any professional setting, any errors should be disclosed, buuuuut...... Nicked cat nipples are unbelievably common, and I've never seen one cause an issue, so I think from their side of things it just didn't really bare mentioning. But also you're right to want a heads up on any injury, no matter how minor, to your beloved pet. Little things like that are common enough to us that I think we just disregard them - It's not meant to be sneaky or anything, we just see nicked nipples, razor burn, a quicked nail, or a fine needle aspirate that bled for a minute, we address them, and we move on knowing they're not going to cause any issues. So, I'd chalk it up if anything as a failure/short coming of the industry as a whole, not your specific clinic. I'd suspect similar things happen in human med, or honestly pretty much any other industry - People who deal with something for a living develop different tolerances than their customers/clients/patients.
This. I couldn't tell you how many nicked cat nipples I've seen. Much like clipper burn, it's something that just happens sometimes no matter how careful everyone is, and it's not something that would even occur to me to mention to an owner unless 1) it was something I thought the owner would notice and worry about (most people never lay eyes on their cats' bellies, and you'd be surprised how many people are surprised to learn their cat even has nipples) or 2) I thought it was bad enough that it might bother the cat or need some sort of intervention. I wouldn't expect my kid's teacher to tell me if she got a paper cut at school, but if she's coming home with a black eye or needs stitches, someone needs to let me know.

Boris Galerkin posted:

I forgot to say that they did the proBNP test and said that it looked normal, but that they still heard a murmur even after when my cat was more calm.
The only way to know if your cat has significant heart disease is an echocardiogram. Heart murmurs are common. Most cats with heart murmurs do not have significant heart disease, and some cats with no heart murmur have severe heart disease. The older your cat is, the more likely it is that your cat actually has heart disease. The normal proBNP is reassuring and makes it much less likely that your cat has severe or advanced heart disease, but an echo is still the definitive way to know. Even if you go to another vet and they don't hear a murmur that day, the only way to know for sure is to do an echo. It sounds like your vet is okay with doing the dental if you're comfortable with the risk, but it sounds like you're not comfortable with the risk, so I would just do the echo.

Boris Galerkin
Dec 17, 2011

I don't understand why I can't harass people online. Seriously, somebody please explain why I shouldn't be allowed to stalk others on social media!

Crooked Booty posted:

This. I couldn't tell you how many nicked cat nipples I've seen. Much like clipper burn, it's something that just happens sometimes no matter how careful everyone is, and it's not something that would even occur to me to mention to an owner unless 1) it was something I thought the owner would notice and worry about (most people never lay eyes on their cats' bellies, and you'd be surprised how many people are surprised to learn their cat even has nipples) or 2) I thought it was bad enough that it might bother the cat or need some sort of intervention. I wouldn't expect my kid's teacher to tell me if she got a paper cut at school, but if she's coming home with a black eye or needs stitches, someone needs to let me know.

The only way to know if your cat has significant heart disease is an echocardiogram. Heart murmurs are common. Most cats with heart murmurs do not have significant heart disease, and some cats with no heart murmur have severe heart disease. The older your cat is, the more likely it is that your cat actually has heart disease. The normal proBNP is reassuring and makes it much less likely that your cat has severe or advanced heart disease, but an echo is still the definitive way to know. Even if you go to another vet and they don't hear a murmur that day, the only way to know for sure is to do an echo. It sounds like your vet is okay with doing the dental if you're comfortable with the risk, but it sounds like you're not comfortable with the risk, so I would just do the echo.

Scheduled an appointment with a cardiologist for an echo. This jerk (in the most loving way) is costing me a fortune.

GordonComstock
Oct 9, 2012
So our cat has been receiving chemo orally once every two weeks for a few years now (it's lymphoma, and he's already on borrowed time based on statistics). The new cat oncologist we just switched to is requiring us to basically come in every month to do a checkup before they will release chemo meds to us (with two ultrasounds this year as well at 1k a pop). This reeks of a scam, since every vet visit is a min. $300, they basically just weigh him and tell us the same thing, he's losing weight and then release is prescription. Is this a normal practice? Our last oncologist didn't do this, and a vet visit every month is poor quality of life for the cat for what is a terminal diagnosis.

Junkyard Poodle
May 6, 2011


I’m traveling with my pooch and his Apoquel ran out. I need a new script, but my vet hasn’t gotten back to me yet. We just established care in a new city so I’m not sure if their policy.while I wait, I’m wondering if anyone has used an online vet for a script.

I called around locally to price appointments. Just trying to figure out the options.

Upgrade
Jun 19, 2021



Junkyard Poodle posted:

I’m traveling with my pooch and his Apoquel ran out. I need a new script, but my vet hasn’t gotten back to me yet. We just established care in a new city so I’m not sure if their policy.while I wait, I’m wondering if anyone has used an online vet for a script.

I called around locally to price appointments. Just trying to figure out the options.

I've used Vetster a few times. I think it was $120 IIRC, and they called in a prescription to a local pharmacy.

Genpei Turtle
Jul 20, 2007

Thought this would be as good a place as any to ask for advice--my 7 year old cat seems sick, but I'm not sure whether I should bring her back to the vet again. It started last Friday when she refused food, including treats, which she never does. I took her to the urgent care vet who did an exam, bloodwork, and x-rays, none of which found anything. They gave her an anti-nausea injection and told me to call back in two days.

Sunday she hadn't improved much--she had eaten a little but still much less than she had before, and had spent most of Saturday hiding. I called the vet back and they had me bring her in again. Again, no obvious signs of illness (though she freaked out too much for them to get bloodwork again) so they gave me an appetite stimulant and said the next step would be to get her an abdominal ultrasound.

Since then there's been some mild improvement, probably because of the appetite stimulant--she's eating more, but only churu treats and meat baby food (which she loves). Enough to get a good 200 calories/day into her, and her litter box is approaching normal again too (it was much less output when she was eating less). She's still not herself, but there's been some improvement there too-she comes up seeking affection every once in a while, purrs heavily when I give her a tummy rub or brush her, etc. Coat looks fine too and she's not neglecting grooming either. I haven't brought her back to the vet yet since she's an extremely anxious cat and wanted to give her some time to see if some of her behavior was just being freaked out at being at the vet multiple times (and for hours at a time).

My question is--would it be better to bring her to the vet again for the abdominal ultrasound or wait it out until after the weekend? Neither of the vets I've seen so far could pinpoint any real signs of illness, and while she's decidedly not acting normal, it could be environmental as well, since there have been changes around the house recently and she's very high strung in general. E.g. the AC is broken so the house is a lot hotter, there have been random AC techs walking about that scare her, my 5-year old son has been having increased ASD meltdowns and scares the heck out of her, the entire family is stressed because of it, etc.

I don't want to bring her to the vet just for them to look at her again, find nothing again, and only distress her further, but I also don't want to sit idly by if she's sick or in pain and can be treated.

mycelia
Apr 28, 2013

POWERFUL FUNGAL LORD



Genpei Turtle posted:

Thought this would be as good a place as any to ask for advice--my 7 year old cat seems sick, but I'm not sure whether I should bring her back to the vet again. It started last Friday when she refused food, including treats, which she never does. I took her to the urgent care vet who did an exam, bloodwork, and x-rays, none of which found anything. They gave her an anti-nausea injection and told me to call back in two days.

Sunday she hadn't improved much--she had eaten a little but still much less than she had before, and had spent most of Saturday hiding. I called the vet back and they had me bring her in again. Again, no obvious signs of illness (though she freaked out too much for them to get bloodwork again) so they gave me an appetite stimulant and said the next step would be to get her an abdominal ultrasound.

Since then there's been some mild improvement, probably because of the appetite stimulant--she's eating more, but only churu treats and meat baby food (which she loves). Enough to get a good 200 calories/day into her, and her litter box is approaching normal again too (it was much less output when she was eating less). She's still not herself, but there's been some improvement there too-she comes up seeking affection every once in a while, purrs heavily when I give her a tummy rub or brush her, etc. Coat looks fine too and she's not neglecting grooming either. I haven't brought her back to the vet yet since she's an extremely anxious cat and wanted to give her some time to see if some of her behavior was just being freaked out at being at the vet multiple times (and for hours at a time).

My question is--would it be better to bring her to the vet again for the abdominal ultrasound or wait it out until after the weekend? Neither of the vets I've seen so far could pinpoint any real signs of illness, and while she's decidedly not acting normal, it could be environmental as well, since there have been changes around the house recently and she's very high strung in general. E.g. the AC is broken so the house is a lot hotter, there have been random AC techs walking about that scare her, my 5-year old son has been having increased ASD meltdowns and scares the heck out of her, the entire family is stressed because of it, etc.

I don't want to bring her to the vet just for them to look at her again, find nothing again, and only distress her further, but I also don't want to sit idly by if she's sick or in pain and can be treated.

With the caveat that I'm not a vet, you know your cat best etc: my cat (11yo) loving hates the heat and goes off her food for a few weeks every summer. She starts eating normally again when it cools down. We've had luck getting calories into her via cat-friendly soup and churu, mostly. So, I vote wait and see and just try to keep her eating what you can in the meantime. Cats, man.

Upgrade
Jun 19, 2021



Our 15-year old beagle has osteoarthirits in her back legs from an injury when she was a puppy - we believe she was hit by a car which broke her lower leg, resulting in a fused joint. As she's aged this joint has become arthritic, which has also created challenges on her other back leg as she avoids walking on her injured leg. She currently takes Gabapentin for arthritis (100mg, 2x a day) - we do not give her NSAIDs because of a history of stomach upset as well as concerns with her kidneys (she has some elevated kidney values which are well managed).

About a year-and-a-half-ago we started her on Librela, which seemed to help her a lot. About two months ago she had a vestibular incident (eyes rolling, troubling walking, stumbling), which she recovered from in 24 hours. Out of an abundance of caution, and because of some recent articles/FDA guidance, we stopped the Librela injections.

For the first month, we noticed no change in her behavior. Over the last two weeks though, she has been struggling much more - she can't walk as far, she isn't as interested in running while playing, and some evenings after a day of walking she really struggles to move around/get up, and her back legs seem to 'collapse' under her. She still has great quality of life, but not sure how to balance the benefit/risk here.

We're thinking we may want to restart the Librela, but are concerned about the potential side effects. I know at this point its mostly out of her system, and it does seem to have been helping a lot.

Boris Galerkin
Dec 17, 2011

I don't understand why I can't harass people online. Seriously, somebody please explain why I shouldn't be allowed to stalk others on social media!
Can anyone recommend a pill splitter for tiny chalky pills? My cat has been prescribed amlodipine for hypertension. The pills I get appear to be 6 mm diameter and I'm suppose to give my cat only one quarter of the pill per day. The tech showed me that I can just "use my nails" to split them but like that feels super imprecise to me especially for a pill that's suppose to regulate blood pressure.

I tried splitting some with knives and the blade of a box cutter but it's not uniform at all.

E: Chewy sells specially made pills for cats that are 0.625 mg and chicken flavored. It's just 60 cents per pill vs 15 cents for one that can be quartered but whatever, I'm fine with the premium.

Boris Galerkin fucked around with this message at 16:21 on Sep 17, 2025

lite_sleepr
Jun 3, 2003

Un posting magnifique!
Meet lil bit.



Heard this one crying under a bush outside. Investigated, found 2 in a shallow hole under a bush.



Gave the mom all night and all day while i was at work to come relocate him. This morning, only this guy remained. Mom relocated the one, left this guy.



When I got home from work I came back to check, this one was still there. I figured, if the mom didn't come back by NOW, then she's either abandoned it or died. Horrible.

I had to step in, otherwise it wouldn't survive.

So far, it's taken 3 meals, for a total of about 1 tablespoon of kitten milk replacer, and each time I dab it's rear end I get plenty of pee. Still no poop, but I read that can take a little longer. So far it's VERY vocal, moves around, eats, pees, cries, etc. Ticks all the boxes for 'not exactly going to die,' so we'll see if I can nurture this little bug to health. I can't exactly afford a vet check up right now, but what I *can* see is what looks like the remnants of the ubilical cord, still attached but all desiccated. What looks like green secretions stuck to where the nipples are, and other spots on the fur. I'm going to guess those are just leaves and foliage from being under a bush. I'm aware of the doodoo on the tail, but it's so fragile I don't want to try and scrub it with a cloth. Can I soak it in warm water? I'm keeping it on a heating pad set to low, and I put the pad in a pillowcase to prevent burns.

I work full time, so I'm going to do my best to make sure it's fed every 4 hours, and that means maybe one late late night wake up, first thing in the AM, come home for lunch, and then right home after work.

Wish me luck!

Aragosta
May 12, 2001

hiding in plain sight

lite_sleepr posted:

Meet lil bit.



Heard this one crying under a bush outside. Investigated, found 2 in a shallow hole under a bush.



Gave the mom all night and all day while i was at work to come relocate him. This morning, only this guy remained. Mom relocated the one, left this guy.



When I got home from work I came back to check, this one was still there. I figured, if the mom didn't come back by NOW, then she's either abandoned it or died. Horrible.

I had to step in, otherwise it wouldn't survive.

So far, it's taken 3 meals, for a total of about 1 tablespoon of kitten milk replacer, and each time I dab it's rear end I get plenty of pee. Still no poop, but I read that can take a little longer. So far it's VERY vocal, moves around, eats, pees, cries, etc. Ticks all the boxes for 'not exactly going to die,' so we'll see if I can nurture this little bug to health. I can't exactly afford a vet check up right now, but what I *can* see is what looks like the remnants of the ubilical cord, still attached but all desiccated. What looks like green secretions stuck to where the nipples are, and other spots on the fur. I'm going to guess those are just leaves and foliage from being under a bush. I'm aware of the doodoo on the tail, but it's so fragile I don't want to try and scrub it with a cloth. Can I soak it in warm water? I'm keeping it on a heating pad set to low, and I put the pad in a pillowcase to prevent burns.

I work full time, so I'm going to do my best to make sure it's fed every 4 hours, and that means maybe one late late night wake up, first thing in the AM, come home for lunch, and then right home after work.

Wish me luck!

Bless you for doing this and trying to save its life. Please keep us updated on its progress.

Boris Galerkin
Dec 17, 2011

I don't understand why I can't harass people online. Seriously, somebody please explain why I shouldn't be allowed to stalk others on social media!
My cat's vet mentioned today that my cat won't be due for a rabies vaccine for a couple of years because she had gotten the 3 year one from my previous vet. Then the vet said that at this practice only gives the 1 year rabies vaccine. She doesn't like the 3 year one because "it has preservatives". I need to know is this some kind of crazy antivax sentiment?

kaom
Jan 20, 2007


Actually not antivax in this case. They’re talking about the risk of Feline Injection Site Sarcoma (FISS). To help avoid this, our vet also only uses non-adjuvanted vaccines for rabies. Until like… this year, that meant we could only get the annual rabies shot, not the ones that last for 2-3 years, but I think longer ones might be available now? (I’m not sure because our cats are indoor only.) But these are the keywords you can use to get more info. :)

Slugworth
Feb 18, 2001

If two grown men can't make a pervert happy for a few minutes in order to watch a film about zombies, then maybe we should all just move to Iran!
It's not actually super clear that the purevax vaccines genuinely lower the risk, at least by an appreciable amount, but it's certainly not weird antivax stuff. Like anything in vetmed, there's studies that completely contradict each other.

And yeah, there is a 3 year purevax rabies available, but it's expensive - $150 at our clinic.

Joburg
May 19, 2013


Fun Shoe
I was talking about this with my vet just yesterday, she gives injections as low as possible on the leg so if there is FISS they can take the leg off and save the cat.

That’s a big change from my old vet that gave vaccines way up on a cat’s back.

Boris Galerkin
Dec 17, 2011

I don't understand why I can't harass people online. Seriously, somebody please explain why I shouldn't be allowed to stalk others on social media!
Is there anything wrong with Chewy for compounded prescriptions? Like I assume that they have to run a legit pharmacy with the correct QA in place. I'm trying to order compounded amlodipine (0.625 mg pills) and my vet is saying things like "oh I don't really trust them blah blah" and trying to point me to other pharmacies. Like I get all my pet food from chewy and have the chewy membership so it's just more convenient.

Slugworth
Feb 18, 2001

If two grown men can't make a pervert happy for a few minutes in order to watch a film about zombies, then maybe we should all just move to Iran!

Boris Galerkin posted:

Is there anything wrong with Chewy for compounded prescriptions? Like I assume that they have to run a legit pharmacy with the correct QA in place. I'm trying to order compounded amlodipine (0.625 mg pills) and my vet is saying things like "oh I don't really trust them blah blah" and trying to point me to other pharmacies. Like I get all my pet food from chewy and have the chewy membership so it's just more convenient.
Eh, largely speaking Chewy is fine, but like Amazon, the more successful it gets the shittier and less trustworthy it gets. They use a bunch of third party suppliers like Amazon, so there's no real way for you to ensure where your stuff is coming from (full disclosure, I'm not sure if this is true of their compounding, but I would suspect so), and there have been instances of counterfeit drugs being sold. But like Amazon, it's a major company with *some* regard for its reputation, so you probably won't run into anything too egregious.

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PhysicsFrenzy
May 30, 2011

this, too, is physics
I hope this is the right place to ask this-- does anyone have experience with cat liver issues and biopsy options? We're at the point where a biopsy is the best path forward, but we're struggling to decide between tru cut and laparoscopic. More information is good, but less risk is also good, and I just want my baby to be okay.

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