Sunday, May 26, 2013
Jack was back at the vet..
So Thursday we got indications that Jack was feeling poorly again. I was so hopeful that we had finally gotten this under control since it had been almost two weeks since he had gotten any supplements to help his bladder and urinary issues.
Then poof, we had a few pink urine drops in one of his favorite "I'm not feeling well" pee spots. As soon as I saw them I had every intention of bringing him to the vet the very next day, and come morning he was obviously suffering.
Oh how it broke my heart to see him obviously hurting again, but I knew we could fix this.. so I called the vet and told them I wanted to do a cystocentesis (cysto) (see a video of a dog getting a cysto) and a culture and sensitivity (C&S) on the urine to see what was going on. The vet allowed me to drop him off to do it when they could so I packed him up
and dropped him off
and went to work and attempted to get some work done.. I called to check in on him after lunch and was told the cysto was done and that the vet would call and talk to me when he had a minute. He said the cysto showed a lot of blood in the urine and some bacteria but no crystals! Now I am convinced that we are looking at a side effect from the catswell product I fed him, so I asked the vet if he could check Jack's liver and kidneys to make sure they were not damaged.
It was interesting talking to the vet, because since he is unaware of my history, he felt the need to start at the very beginning.. trying to explain why these things happen, he threw acronyms at me (FLUTD) and mentioned what foods he recommends and why (urinary food that has extra salt in it to promote water consumption), and that stress might be a part of it.. etc. He also thought my boy was only 4 years old.. (he's 11ish) I explained he has had crystals in the past so I'm quite familiar with the current beliefs of FLUTD, and explained that raw food has kept him in check for a long time, and that I feared this was a side effect from treats I fed (hence the request for the blood work) He too asked if they were recalled - which they aren't but all recalls start somewhere don't they?
I was told I could pick him up at 4, and I showed up at 4. The blood work showed issues with his liver and kidneys. The vet believed that it was just from Jack being dehydrated and when he saw the results he gave him fluids. When I called I had asked about fluids and he said he didn't feel the need because he wasn't dehydrated - so I can not help but be scared out of my gourd that this is damage despite what the vet thinks. He suggests a recheck in a couple of weeks and I will be redoing the blood work then and hope that it is just dehydration.
He also took an x-ray and almost everything looked good there.. no stone which is a relief. I knew the chances of that were minimal, but I felt more comfortable ruling it out then not being 100% sure. They took the x-ray after the cysto. After the cysto Jack vomited - which isn't uncommon. The x-ray showed that Jack's stomach was pushed off to the right. He didn't think it was anything to worry about that it probably happened during the vomiting or when they manipulated him for the x-ray. He said it could be an issue, but he didn't think it was since he didn't have any symptoms of it prior to coming in - which is mainly vomiting.
I spent a good deal of time talking to him about the blood values and the xrays and what I should be worried about and watching for if these things were actual issues that I did not stop to think about Jack's immediate situation. He had a very long needle inserted in him, had his urine stolen directly from his bladder. He vomited despite not haven eaten in quite some time and had his stomach shifted to the wrong side of his body. If I had used a few extra brain cells I would have asked about pain medication and anti-nausea medications. I guess I simply assumed the vet would have thought about it - especially since he walked in the door in pain and the last time he gave me buprenorphine to take home for him.
When I got home Jack was absolutely miserable. For some reason I thought I should give him the antibiotics that were prescribed to him - I guess I didn't realize just how miserable he was. A few minutes after giving them to him he vomited them up and was drooling something fierce. I offered him his ultra favorite things in the world (canned food and freeze dried meat treats) and he was interested when the can popped open, but he couldn't even bring himself to go sniff it. I put a little food gravy on my fingers and he wouldn't lick it. My heart broke into a million pieces. And sadly by this time the vet's office was closed so I couldn't get any injectable famotidine. I have pepcid at the house, but I doubt he could have kept it down long enough to do him any good, so I did my best to just be with him but not bother him. As we sat there, he peed himself.. it was only a little so when he eventually got up and went to sit back in the carrier I saw a slight wetness on the floor and his 'pants' were wet. I did my best to clean him up with out bothering him, but left most of it in his fur.
We kept him alone with us in the bedroom with us while he recovered (Muffin sat at the door banging it for quite some time, she is so not used to not being able to sleep with me) He sat in his carrier most of the night. He would purr a little when I patted him, but would stop pretty quickly - like it hurt to even purr. Some how I went to sleep and was awoken at 4am to the sound of Jack eating. It was the best sound I had heard in a long time. I got up to check on him and he purred happily when I patted him and was much more interactive. When morning came I went to the vet and got some pain meds for him. When I called I was told they would be getting me five days worth but when I got into the vet to pick them up they said they only put up three days because it was expensive. ($36 for 1.2 cc in six 0.2 doses) to which I could only roll my eyes and it took a lot of strength for me not to have words with them because I just spent $500 on him yesterday running tests.. money was not an issue for me when it comes to making Jack comfortable. (to which I am beyond thankful!!) the other part of their reasoning that this would take us to Tuesday when they open back up again and if he was still in pain he should probably be seen... which I agree with
I am so lucky that at this point he's doing well. He hasn't urinated on the floor since Thursday (well except when he peed himself, but I don't count that) and there hasn't been any blood. he is eating, purring, seeking out attention, and being his old self. Now we just wait on the C&S to see if the bacteria in his urine needs different antibiotics to get rid of it.