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Hi @silent meowlook Thank you so much for your insight! The specialist did not mention anything specific about a bile duct obstruction - I wish I had seen your message before the appointment...drats. I will call and ask about it. Thank you all for your kindness. They did an ultrasound-guided...

Thank you so much for your insight @fionasmom I sincerely appreciate it. :heartshape:

Hello! I am so sorry for the delayed update. Alfie is holding his own, he's on minimal medication at the moment, Denamarin for his Liver, B12, and lactulose, occasional mirtazapine, and ondansetron. Weight is stable at 8lbs. Minimal vomiting, usually clear fluid, and grass. He's happy and...

Thank you so much @fionasmom I so appreciate this site - it is a source of great comfort when all around me think I am worrying too much. Thank you!

A long overdue update. It's been a little crazy, so the good stuff first. We saw the specialists; an intern, and a resident took care of him and the radiologist happened to be on-site that day> I don't have the full report yet, but they said the ultrasound showed nothing that was on the first...

Thank you so much! I am so grateful for all of your advice and words of wisdom.

Thank you so much for taking the time to share your thoughts with me. I have been reading so much about the drugs Alfie should be taking, side effects, and biopsies.It's overwhelming and I know that the people here on this forum know more than the vets because they live the trials. Today Alfie...

Hi all, I just wanted to check in with an update. The good stuff Alfie's weight is stable, put on a little weight even, he knows that if he stands on the scale I bought he gets a treat so that is adorable. No yellowing of skin, eyes, or gums Not hiding Eating well (mirtazapine assisted) Cuddly...

Thank you so very much! @fionasmom

If anyone has any Internal Medicine Specialist Referrals for Orlando, FL, I would really appreciate them!

Thank you so much @silent meowlook, I so appreciate your kindness and advice. I'll start looking for a specialist today.

Thank you so much for responding. I think I am struggling with the decision to do more because I have made many mistakes with all my cats when there have been options to pursue; always picking what I thought was best and not always being right. I've always done all the tests without question...

Hello! I finally got the blood results today. Levels are lower than previously, but still high. Vet advised us to just monitor and keep on with the Demamarin unless we decide to biopsy, but with weight stable and levels dropping,, I'm torn. There must be something going on, and the Denamarin is...

HI all, I am so sorry for the delayed response. I have been working 70 hours a week and had not found a moment to return as I have no new blood test results to add yet. The vet visit last week was inconclusive. The vet said that the pancreatitis test has to be done after fasting for 12 hours so...

I am so sorry for the delayed reply. I had to reschedule the vet visit for today at 3pm; I am going to give Alfie some gabapentin to calm him some for the appointment. Poor little guy. The good news is that he is eating and playing and the last weigh-in was 8lbs 2 oz Thank you so much for your...

Thank you so much! How is your kitty now? Pancreatitis has been mentioned and not ruled in or out yet. I'll ask about the special test tomorrow - thank you so much for mentioning it! :)

Oh, should add, that I am administering the Denamarin now ( I was not home previously) and Alfie is tolerating my nightly interruptions without too much upset.

Yes, Absolutely! :) Alfie is about 12 years old and was found as one of 3 kittens. Mum had been caught by TNR and neighbors had left kittens to fend for themselves when they were not yet weaned. There's a long story, but all 3 ended up with me! The only thing better than 1 kitten is more...

Thanks so much for your continuing kindness, @Furballsmom - I am so grateful. We have had an at-home vet previously, which made everything easier, but she has recently stopped this part of her practice. He is highly stressed I would say, but has been once a month since May, so perhaps a...

Hello again! Alfie has lost an ounce - not a huge amount in the scheme of things, but of course, it has me panicking. I will say that he is playing, resting comfortably, and eating without prompting. I have an acupuncture appointment for him tomorrow so we'll run bloodwork again and see how...