Just talked with the facility where the MRI will be done.I didn't have an MRI done because the cost is about $3000 US and a 3 hour commute each way.
Looks like vet care is very overpriced in the United States! That's why i was careful to state the prices are for in my area and US$ but the cost difference is shocking, much more than I would have ever thought. I was very upset I couldn't get the MRI for my cat and then it turned out I didn't need it, so it was OK.Just talked with the facility where the MRI will be done.
The place is 100 miles from home (1 h 30m).
The waiting list is a week long, so it's quite quick.
The cost is $715 (680 euro) for the MRI and $400 (380 euro) for the EEG and the celebrospinal fluid test.
All they need is a recent blood work (not older than 2 months) and the referral from the neurologist who visited Freya yesterday and a yaer ago.
Actually it isn't the first time that we compare US vet bills with Italian vet bills, and the difference is breathtaking.Looks like vet care is very overpriced in the United States! That's why i was careful to state the prices are for in my area and US$ but the cost difference is shocking, much more than I would have ever thought. I was very upset I couldn't get the MRI for my cat and then it turned out I didn't need it, so it was OK.
I'm very glad to hear that it's affordable for you where you live. I hope you get the information your vet needs!
I missed your previous posts on this. Have you done any follow up?My opinion is that the trigger are the sexual hormones. Freya had her first episode when she was nearly 6 months old, the time when I had planned her spaying, and I strongly suspect that her spaying wasn't complete. Due to other health issues, she was spayed at the age of 10 months, and I believe they might have left a follicle behind and this gives cyclic hormonal storms. The fact that the last episodes are almost evenly spaced (8 to 13 days) just like they were last year, makes me think it is like the heat cycle in cats that appears every 10 to 15 days.
Freya didn't show any classic signs of heat before the surgery, so even now I couldn't tell if she's in heat or what.
What I know is that she acts like suddenly meowing out loud, or trying to dart outdoor, but not always, only for a few days every, say, 10 to 15 days.
That's the reason why I started THIS THREAD last October. I discussed this with the neurologist today and he said it makes sense and he will talk to another vet who is very expert in breeding and hormonal stuff.
Maybe try the recovery food? daftcat75 has used this when their cat Betty wasn't eating. I haven't tried it myself so don't know where you get it.Freya was discharged from the clinic at 6:30 pm yesterday.
We're waiting for the results of urine and blood tests.
The US scan and the visit didn't find anything out of the ordinary, so the vets weren't able to determine what caused both the disorientation in the last three days and the urinary block Monday night.
I was given all the report from the visit, the neurologist and the US scan, and the prescription for the phenobarbital (Phenoleptil 25 mg) pills, at the dosage of 1.7 mg/kg, twice a day, which is lower than the one usually needed (2 x 2.5 mg/kg). The vets want to see what the reaction of Freya is to the med. In two weeks we'll have a bllod test to assess the dosage of phenobarbital in her blood, and we will adjust it if it's the case.
Freya was alert and active when she came home. We gave her a quick dry foam bath to wipe that bad smell off her. She peed herself during the trip back home as well.
The only thing is that she's still not eating... she hasn't had a complete meal since Saturday. She slowly reduced her food intake until the day she was taken to the clinic, she didn't eat anything while she was there, she didn't eat last night, she didn't eat this morning.
I'm telling you, I'm exhausted...
If you mean whether I did any follow up for the hormone test, well I didn't.I missed your previous posts on this. Have you done any follow up?
Freya never showed any clear and classic signs of heat, even before the surgery August 2021. But she often yowls or does strange things, almost cyclic.Right after I adopted Delilah, I went through a period that I didn't understand at first. She walked around yowling, would roll around, and then stick her rear up like assuming the position.
And this is exactly what I nearly sure of, but nobody wants to listen to me. They keep saying that the vet who spayed her is experienced and that they are sure no tissue was left behind during the surgery. They ran another US scan after that, and they said they didn't see anything. But I think that if the remnant is very small, the scan can't see it.Since they said she'd been spayed I was confused and looked into the ovary remnant. Essentially she was going into "heat" every other week (1 week normal, 1 week "in heat"). The vet was able to confirm the hormone changes. Then they did an exploratory surgery. He couldn't find anything. I contacted my cousin (also a vet) who told me to get a referral to a veterinary internist. She said the difference between a general vet and an internist was 5 more years of college and more training. The internist did a sonogram and found a tiny bit of ovarian tissue hiding behind a kidney. He sent Delilah to a specialist surgeon who took out the piece of tissue AND some scar tissue from the spay (in case anything was left behind). Since then the signs of her acting like she was in heat disappeared
Yeah, I thought about these high energy foods, but my fear was that she could get used to them and didn't want to eat anything else.
Actually, I always found that cats don't like Hill's A/D much, at least not as much as Royal Canin Recovery, which has a couple of advantages on its side.Also, pure A/D, because of its high appeal, and because you're going to make it a rare offering once you can get her to eat any mix of it, the unadulterated stuff can be used for mixing supplements or burying pills.
This morning Freya ate on her own, 70 grams of wet food, which is a great achievement.So yeah, Hills A/D is great stuff to have if your cat will eat it. Ask your vet for a can or two to try with her.
The first vet I saw didn't give much credit either. That's why I saw another vet.If you mean whether I did any follow up for the hormone test, well I didn't.
My vets didn't give much credit to my theory when I first presentes it to them. Later on, all weird symptoms in Freya didn't show up anymore, and we almost forgot about them. Until a few weeks ago.
I had adopted Delilah in April. I didn't see anything the first two or three weeks. Because I thought it was related to allergies (I thought her rolling and licking and yowling were part of her being itchy or uncomfortable) the vet tried her on an allergy diet which she pretty much refused. I started posting video of Delilah here after she started "presenting herself" - that didn't start until about 2 months in.I think that the first time I saw something this year was around March? I'm not sure. Freya is a quite strange cat, and we're kind of used to weird episodes or behaviors. In the last month, though, I decided to keep trace of them, and three episodes occured so far since April 22, almost evenly spaced among them.
Late last night and this morning were the first moments when I saw her acting as usual since last Saturday morning.
The neurologist prescribed the phenobarbital, I could start it tomorrow.
But I think I will wait a couple of weeks, I want to see if she gets "weird" again in about ten days or so.
Remember, if she's spayed most of the hormone producing parts are gone and it's just a little teeny weeny piece that can be the size of a pin head.Freya never showed any clear and classic signs of heat, even before the surgery August 2021. But she often yowls or does strange things, almost cyclic.
Furthermore, there are times in the month when she tends to dart outside, when she's usually uninterested about the outdoor world in other times.
All these signals make me think she is going through heat cycles where she acts in not common ways.
I'm sure the vets that spayed both Freya and Delilah were experienced. But I was told it only takes a couple of cells left behind to regenerate enough cells to become a problem and unless the vet was using a microscope to check after surgery anything is a possibility.And this is exactly what I nearly sure of, but nobody wants to listen to me. They keep saying that the vet who spayed her is experienced and that they are sure no tissue was left behind during the surgery. They ran another US scan after that, and they said they didn't see anything. But I think that if the remnant is very small, the scan can't see it.
There are even rare cases where the ovaric tissue can be hectopic, that is it's in a different position than they expect to find it.
How was the vet able to confirm the hormone changes? Is there a specific test?
She ate fine late last night and she ate three times this morning.
They said everything was normal BUT the level of CPK.They said the bloodwork was normal?? Did they explain the elevated CPk? That is a sign of muscle damage like with a cardiac event.