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Ohhh good luck Jasper!! Hope all goes well tomorrow, I guess it will take a little while for him to get used to lower dose. Hope he perks up again tomorrow Tina. I know you have your eagle Mummy eye on him :D:D Now you behave yourself Jasper and eat all your brekky in the morning!
Trish and Flynn xx
Hi Tina,
How is Jasper this morning? I hope the decrease works just fine for him this time. Let us hear from you when you can.
Hugs,
Leslie and the gang
Hoping Jasper perked up a bit
((((((((((((((((((hugs)))))))))))))))))))
Hey Tina :) How did Jasper do with the every other day dosage?
hugs,
Sharlene and Molly Muffin
Can't wait to hear how Jasper is doing. HOpe today is a good day!
Hi Everyone, thanks so much for all the good wishes!
Jasper has continue to eat fine so far. He got his Dex yesterday morning. He has perked up some, but still seems a bit subdued to me. Last night he rough housed with Shelby for a while, but then for the rest of the evening, seemed pretty tuckered out. Hard to tell if it is decreased energy overall, or if he was just tired for some reason. Seems kind of tired this morning also. So today is a skip day, no Dex. Will see how he does.
I was home Monday to monitor him on the first skip day, but I have to work today. Hopefully it will all be ok. I am just a little nervous because this is the first time we have tried the every other day thing with the lower Dex dose, and I do worry about the off days. Also hoping to maybe hear from my vet today regarding the IMS consult.
Gotta head to work, have a good day all!
Hugs,
Tina and Jasper :)
Hope everything goes good with his off day today.
Any word on the consult today?
hugs,
Sharlene and Molly Muffin
My vet talked to the IMS, she called this evening to discuss his comments and recommendations. The news is not wonderful. After reviewing all the latest information on Jasper, he feels the next step is to check his renal function as he thinks it is a primary kidney issue due to the protein loss. I don't want to forget to mention that my vet asked him about Diabetes Insipidus, and he said he didn't think it was likely because there is not usually protein loss with DI. She asked about a trial of the Desmopressin drops to be sure, and he said that it could actually make things worse if the kidneys aren't happy. So I guess I am glad we didn't try that a while back.
The immediate plan is to recheck his kidney values and blood protein level with a chem panel, and to get a sterile urine specimen for culture to make sure there isn't a UTI going on. I will take him in after work tomorrow to get that done. The blood results should be back Friday, and urine culture back Saturday.
If the kidney values are still normal (BUN and creatinine have been normal on previous checks, last one in October), then there is another blood test specific to kidney function that the IMS is recommending, it is called an iohexol clearance test. It can apparently check for early kidney disease before the usual abnormalities show up in the blood.
I will post more tomorrow about all that she said, I am pretty wiped out right now from researching stuff on line and worrying. Again, I am trying to not panic, but I am very scared and can't seem to stop crying. I am just praying that the disease is in a very early stage so that we have a good chance that the progression can be stopped with treatment. I am not sure what else to think right now, just scared to death for my baby. :( Please keep him in your prayers.
If anyone here knows anything about this test, or kidney disease, I would welcome the information. Thanks.
Tina and Jasper
Hi Tina
Well I am glad your IMS rung back to get this process underway! Jasper is such a trooper with all these tests, just like Flynny... they keep on going and we keep on worrying, thank goodness they don't know about all the stress their problems cause us. It is so not fair, but I am still very hopeful this is early stages and we all know they can do such wonderful things for our furry friends :) Sitting here with you in support tonight Tina, so if you have to get up to let Jasper out and want to vent come find me. I am sitting up watching the Aussie Open tennis and one of my favourite players is coming up soon! In between that, I am writing my letter to the IMS about Flynn :rolleyes:
Trish xxxxxxxxxxxxxxxxxxxxxxxxx
Thanks so much for your post Trish. I have been up for a bit to let Jasper out and also to do a little research on kidney diets. I took him in for his chem panel, and the sterile urine for culture, and my vet had a couple of sample bags of prescription kidney diets to send home with us. One is Hills k/d, the other is labeled CNM K-9 NF, which I think is a Purina product, not sure. She said to do some trials to see if he likes one more than the other, and the plan is to switch him over to a prescription kidney diet, which I guess makes sense. He has been doing so well on the Hills low fat i/d diet, I hate to mess with that, but I guess we must. :rolleyes:
We should have the chem panel results back sometime today. Like you said, I am hopeful that it is early stages so we will have good treatment options. But I am still quite scared. Well, back to bed we go, not that I am getting much sleep. I am exhausted, but my mind won't let me rest. I will post the lab results when we get them.
Again, if anyone has any input, I would appreciate it.
Tina and Jasper