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Great News

NavyRet

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We just got back from Baby's Cardiology followup visit at the University of Minnesota Vet clinic. They were finally able to complete the ultrasound of her heart (due to us giving her a tranq this morning) and the results are super. There's an 85% chance that surgery will be able to correct the PDA that is causing the hole between her aorta and her pulmonary artery. Without the surgery she wouldn't last 6 months. With it, there's a very good chance she could enjoy a normal life span. She's scheduled for the surgery a week from this Wednesday. I could sure use all your good thoughts and prayers. Thanks.

PDA:
http://www.petmd.com/cat/conditions/cardiovascular/c_ct_patent_ductus_arteriosus
 
Great news indeed!

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Our thoughts and wishes are with poor Baby who has won our feelings with her stoic suffering. They will carry her thru the operation.
 
Always nice to get good news about our furry friends.
I have two dogs who are like real part of our family.
It don't matter how crappy your day gets, when you get home
they make you forget why you were grouchy.
Best of luck to you...StevenK
 
Thanks to everyone for all the positive vibes. I'll post back with updates as they become available.
 
Just to let you all know, Baby's surgery is tomorrow morning. The plan is to insert a pediatric catheter in her femoral artery and work it up to her heart, through her heart and into her pulmonary artery. From there, they'll insert a coil into the blood vessel that didn't close, preventing the unnatural blood flow from the aorta back to the pulmonary artery. The surgery will take about 3 hours and should be finished by around 10 AM CST. I'll post back here when I know something.
 
Update - Not so great news. Baby's been in surgery for 7.5 hours now. The first plan to occlude the unclosed PDA met with failure because the blood vessel was too large in diameter for the coil to fill it. The tried numerous times, to no avail. That being said, they called us and asked if we wanted to continue with what is basically open heart surgery. An incision in her left side to gain access to the PDA from the outside. The procedure requires separating her ribs and tying a ligature around the PDA to stop the flow of blood from the aorta to the pulmonary artery. The downside is that the vessel could burst under the additional pressure and that would be it. If successful, she would be 85% cured - a chance at a longer life with a better quality of life. The alternative is to let it go as is and she would get progressively worse over the next few months and die of congestive heart failure - essentially drowning in her own fluids. We opted to have them go ahead with the open heart surgery (at a considerable upcharge which we'll have some trouble coming up with, but if there's a chance, it's worth it, as far as I'm concerned.

As I said, she's still in surgery and they will call us when she's out. I am cautiously optimistic.
 
Just got a call from the surgeon and Baby came through her operation in excellent condition. They were able to completely close the PDA. He said she has a chest tube in and is on pain medications. Depending on how things go throughout the night, she might be able to come home tomorrow afternoon. At most she would need one more night in the ICU if she still needs the chest tube. They'll know more in the morning when they do a chest x-ray. He said her heart immediately slowed down and her blood pressure improved as soon as they closed off the PDA. I'm so relieved, I'm just beside myself. Will post more info as it becomes available. Thanks for the support ladies and gents.
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I am very saddened by this unfortunate development and can only hope the best possible outcome under the circumstances. But poor Baby will suffer pain long after the operation. Only very few cat lovers would be generous enough to go thru such costly procedure, I only hope there's an insurance to at least cover part of the costs.
 
Nope, no insurance. Pet insurance here is not available for pre-existing conditions. But I have a credit card. I don't mind going into debt for this little sweetheart.

Got a call from the surgeon this morning and Baby came through the night with flying colors. No drainage from the chest tube and she has been drinking water and ate a tiny bit. He said she maybe could come home this evening. I'm not sure about that though. On the one hand, I'd love to have her home and I'm sure she would prefer to be home BUT, in the ICU they can watch her all night. Here at home, when I'm asleep, no one is watching her. So the question is, do I ask them to keep her for another night or do I bring her home today? I dunno right now. I'll have to think on it.
 
My previous post crossed the one before it, so the news is actually better than it seemed at the time of writing it.

As for making the right choices, being far away and with no relevant experience, I cannot responsibly advise, other than say I’d tend to ask the specialists for theirs.
 
We brought Baby home this afternoon. They shaved about a third of her fur off for the incision in her side. It's roughly 2.5 inches long and looks really ugly. She's on quite a lot of medications - pain med, antibiotic, tranquilizer, water pill and a blood thinner - 5 different meds, all at different times. I'm giving some kind of medication almost every 2 hours except between midnight and 8 am (The pain med and tranq will keep her sedated all night).

I'm going to have to spend every waking minute with her for at least a week to 10 days to make sure she doesn't jump. I've already caught her trying to jump from the floor to the bed. I barely caught her in time as she started to slip back to the floor. I do have a large kennel I am going to put her in at night so I can sleep. I've also turned up the heat due to her missing fur - a bit hot for me, but you do what you have to.

Followup appointment is in 2 weeks when she'll get her sutures out and a repeat cardiac echogram to assess the size of her heart to see if the enlargement has gone down.

I guess we'll just take it one day at a time and hope and pray for the best.
 
I just got an email from our regular vet. Baby is now on facebook:

Code:
https://www.facebook.com/CityCatClinicMN/
 
It's very worrying that a single jump, that comes so natural to a cat, could spoil the whole effort. Maybe the clinic know of tricks or methods of preventing her from jumping. Didn't they advise?
 
They said the medications would take care of it, combined with the fact that she's sore and not feeling great. I'm thinking it was a reflex since it hasn't happened since.

One thing that's concerning is her sister. Before the surgery, they were inseparable - the best of friends. Groomed each other, slept and played together, shared food and treats. When her sister saw her today, she growled at Baby and tried to get her. I had to physically restrain her to keep her from hurting Baby. I hope when Baby is healed and healthy again that they will get along.
 
I know something about cats and my advice is as follows.

Her sister’s reaction could be due to medications etc changing Baby’s (hormones and) smell. Cats are very smell sensitive and Fancy possibly hasn’t put up with the changed smell that doesn’t belong to the Baby she knew. And cats don’t necessarily like one another, unless they are siblings brought up together or otherwise befriended. It’s important to show Fancy that the new Baby is not a threat to her “territory”, until Baby’s smell returns to normal. One way is to keep Baby in a separate room or only feed Fancy when Baby appears, so that she makes positive connections with her.

In analogy, dogs have been known to attack and even kill their masters (I consider that dogs, unlike cats, do have masters) when the latter returned home drunk at night and the dogs didn’t recognize their smell from the alcohol.

There’s also a risk that Baby, not really knowing that all her suffering and the undesirable medications are for her own good, may directly link them to you and come to fear or dislike you. Special efforts are required to avoid this, e.g. extra friendliness and giving the pills in an agreeable or concealed way.
 
A good book with, among other, excellent medical advice, is:

Think Like a Cat: How to Raise a Well-Adjusted Cat--Not a Sour Puss
By Pam Johnson-Bennett

I’ve uploaded this here specially for the occasion:

Code:
http://forum.dirtywarez.com/viewtopic.php?f=18&t=1455532

See for example under Chapter 4: The Doctor Is In, Medicating Your Cat, Pills
 
Thanks kiwi. All good wishes and prayers are gratefully accepted.

@ Katz: Baby and Fancy are litter mates and were totally bonded from birth. They didn't even know there were any other cats in the world until we brought them home when they were 12 months old. They had been living with (ahem) dogs their whole lives in a dog rescue. If we hadn't taken them when we did and gotten Baby the medical care she needed, she would have been dead by now of congestive heart failure. So, as to Fancy's reaction to Baby, I'm thinking it was a combination of many factors: 1. not recognizing her in that big blue dress, 2. not recognizing her scent and 3. a bit of jealousy because that strange cat is in my space. In any event, we'll get it sorted, I'm sure. Thanks again for the link to the book. I've also just purchased it on Amazon for 12 bucks, postage included.
 
I couldn't bear to look at the incision, but I add my wishes and prayers once more.

As for buying the book, though I'm a confirmed pirate, I agree that the author deserves the support.
 
Baby had her 2 week follow-up appointment with Cardiology today. They removed all her sutures and stopped her anti-clotting medicine. She has to stay on the Lasix for another week and then stop that, too. Baby's heart has reverted back to a normal sized heart for a cat her age (which the doctor said was almost unheard of). Her aorta is still enlarged, but because the atrium is back to normal the blood isn't backing up in there and that's why the anti-clotting medicine isn't needed any more. Her blood pressure is normal but she has a slight touch of pulmonary hypertension in the pulmonary artery. The doctor said that will probably normalize in time. She has no restrictions and is allowed to run and jump all she wants. Her next follow-up will be in three months at the end of February or early March. All in all, things have gone wonderfully well and her long range prognosis, barring unforeseen complications, is excellent.
 
Now, this is the good news we were hoping for. And I'm doubly glad for baby: firstly because she's cured, and secondly because she won't have to take all those medicines.

In anticipation of her reaching old age, I've found a recipe for future birthday cakes, e.g. the 14th, which I'm sure she'll reach:

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Thanks, Katz. She's currently climbed up to a newly fashioned window seat and is watching it snow.
 
After spending all day today in the same 40x15 room with lots of hiding places and under close supervision, it has improved somewhat. Fancy tolerates her in the same room, but will hiss and growl whenever Baby gets close enough to initiate mutual grooming. I'm confident that things will eventually return to normal now that Baby isn't wearing her blue dress/cone any more. We went to Target tonight and bought a pack of newborn T-shirts for Baby. They fit her quite well and cover her scar/incision site to keep her from licking it until it's fully healed. And she seems much calmer now that the dress is gone. I couldn't be happier with the outcome of all this. Some people tell us that we are saints, etc for doing this, but I believe any animal lover would do the same if they had the resources. I believe it's my mission on this Earth to bring joy and happiness whenever I can and this was an instance where I could do it with no expectation of reward other that the love of this beautiful little creature.
And after all, isn't that enough? For me it is.
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A man’s intrinsic civilization is not judged by how he treats other people, that he needs or fears, but by how he treats animals, that he neither need nor fear. (Katzenfreund)

Do good and throw it in the sea. The fish won't know. The Creator will. (Arab proverb)
 
Here's the complete story for anyone who is interested.

Well, we've had cats (and a few dogs) since 1974. Our first cat died of old age at 18[char]frac12[/char]. The next one we got died of old age, too at 19[char]frac12[/char]. Before the second one died, we got three more, two of which are still with us at age 16. The third was my Yummy Tat. She was a petite, little Siamese who I had to give an inhaler every day for the last 10 years of her life. We were inseparable, she followed me everywhere and slept next to my head inside my bookcase headboard. She was sickly and was on antibiotics many, many times for upper respiratory infections. She died in my arms last February 22 - worst day of my life. Since we are in our late sixties, we decided not to get any more pets/cats. Well, that didn't last too long. In August, I decided I wanted another Siamese so we started looking at various Siamese rescue centers around the country but couldn't seem to get one that appealed to us. Finally, I looked on Craig's list and spotted an ad for two year-old kittens in a small town about 100 miles north of us. I contacted the lady who placed the ad and she said they were available, but only if we took both because they were sisters from the same litter and had been together since birth. She runs a dog rescue and had saved these two from being euthanized when she went to rescue some dogs. Not being a "cat purrson", she didn't pay them much attention. She had taken them to her vet at 6 months to get them spayed, but one of them had a grade 6 heart murmur and the vet wouldn't do the surgery and said she wouldn't live another year.

When I spoke to her about them she told me of the heart condition, but we decided to go look at them anyway. When we got there, the conditions were horrible. This woman had literally scores of dogs running around and in cages and these two little kittens were scurrying around, staying against the walls. She caged them every night because she couldn't deal with them. Well, we took one look at this and said we'll take them both. I paid her and we brought them home.

Within a couple days, I had an appointment at our cat only vet where she told us the other vet was right, Baby would probably not see her second birthday. I asked if there was anything we could do and she said we should take Baby to the Cardiac Vet Clinic at the University of Minnesota. I called them and made an appointment for Baby. When we got there, she was so stressed that her breathing rate was 160 a minute (normal is between 20 and 30) They did a chest x-ray and tried to do a cardiac ultrasound but she was too stressed to lay still long enough for the ultrasound. The x-ray showed congestive heart failure with an enlarged heart and aorta. She was put on lasix to help get the fluid off her lungs and we made a 2-week follow-up appointment. During the interim, I was to keep a record of her breathing rate. During the two weeks her breathing rate dropped to an average of 45-50. We were to give her a sedative prior to the next appointment to try to keep her stress level down.

At her second cardiac appointment, they tried to do the ultrasound again, but she was still too stressed out. The vet doubled her lasix and added plavix. We talked about causes and remedies with the Cardiology vet. It turns out Baby had a congenital abnormality called a PDA where a blood vessel going from the aorta to the pulmonary artery that is supposed to close shortly after birth didn’t close so it was shunting blood from the aorta right back into the heart causing the heart to work overtime. Her heart couldn’t keep up and she was in heart failure.

There is a procedure where the vet inserts a tiny catheter into the femoral artery and threads it up to and through the heart to insert a coil in the PDA, thus closing it and correcting the problem. So we said “Let’s do it”. We made a third appointment for November 11 to perform the surgery. We dropped Baby off at 6 am and they said they would call when they were through (at about 10am).

10 am came and went. 11am, noon, 1 pm. The call came at 1:30 pm and I was expecting the worst – that she had died on the table. Luckily I was wrong. There was a problem, though. The PDA was twice as big as the largest coil they could thread through her arteries and they were asking if we wanted to stop and just treat her symptomatically and she would die within 3 months or did we want to spend the extra money to have a thoracic surgeon open her chest and try to close the PDA by tying a suture around it to stop the flow of blood. They told us there was an 85% chance the surgery would be successful and Baby would live a normal life. This was a no-brainer.

After 10 hours under anesthesia, they called us back to say the surgery went well and Baby was recovering in Intensive Care. We were told to come pick her up the next afternoon.

Long story short with a happy ending: Baby is recovering well from her surgery with no complications. Her heart is back to it's normal size. She is off all medications and her breathing rate is averaging 26 breaths per minute since the surgery. She runs and jumps with her sister and terrorizes our two older cats. We bought her a T-shirt that says “Hello. My name is Super Duper Naughty” and she is living up to it on a daily basis.

All in all, this is something we had no plans on doing but I am so happy we did. She may be naughty, but she is the cutest and most loving cat we’ve ever had. The $8,000 was well worth it.

Well, that’s my cat story.
 
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