Not sure how teeth can go that bad,...within a year, either.So, after leaving the ER, she was pretty immobile, crouching, etc. and hiding. She's kind of been in the bedroom sleeping all day instead of out near me which makes me sad. But she mostly looks tired. I completely feel for you and the dental issues with your cat. I had no idea with Lulu. I was only told she had mild gingivitis about a year ago and that was it. I regret not addressing her teeth then. But I also feel the vet was incompetent and probably under diagnosed the severity of what was going on with her teeth. She had been on a homecooked and raw diet for a year, so I don't know how her teeth went from mild gingivitis to feline tooth resorption and stomatitis.
My guess would be that the resorption, is not really seen, visually, ..since it's below the gumline...and only an x-ray would show it.
(It doesn't really help, knowing this after the fact. (and why us laypeople...have to research and learn these things...when some vet doctors...who are educated in their field...and who are getting paid to examine and treat our animals...are not being thorough.)
My problem...is the ones I really like...and find to be excellent...often leave the Vet clinic, after a year or two.
They either join other clinics further away, or open their own clinics...also far away.
(With me, though, I blame myself, too,...since I also noticed bad breath...from my rainbow cat Spotty, ..but chucked it up to being his wet cat food. I should have remembered to mention this to the Vet...and I also had missed a six month scheduled appt...so really I had dropped the ball, there, too. I find it's so important to keep up with the appt's for senior cats and dogs. Things move quickly, at their age. Sadly sometimes our Lives get in the way...of things...and we forget to reschedule...and prices of Vet procedures also seem a lot higher than before.)
Lulu has definitely made progress,...from the time when she left the ER.
Wonder if it's more to do with what the mobile Vet gave her,...since last friday...or all the things that you have given her.
Probably a combination of both.
(With Pred, as a kid, I was on it for a muscle inflammatory disease.
It definitely takes away inflammation, and does make a human extremely hungry.
I needed to take some type of 'milk of magnesia' type of liquid, to coat the esophagus and stomach, and I think there may have been some type of pepcid meds...but it was over 40 years ago...so really cannot recall.)
Unfortunately with Lulu...I did read that pepcid AC can be toxic to the liver.
So again,...you are so limited...with what you can give her, to not cause any further liver damage.
I did read online, that corticosteroids can change the Liver values...to increase them..so maybe just keep that in mind, when seeing the bloodwork.
When you first posted her bloodwork, I was a bit shocked that the ALT was off the charts.(that would have been from the mobile vet's)
But if Lulu...was acting better than when she had come from the ER...then those high numbers...are not really indicative...at what you are seeing ...in better improvements with Lulu.
That's why I think you have to 'look at the cat's actions, too'...and not just the numbers.
Though numbers help us all...in making decisions...like you mentioned before.
That ER place discharging you without any instructions, liver support meds, foods, supplements, or fluids...just sounds wrong.What I am angry about is that I was discharged without any real guidance or instruction on how to treat this at home...no real liver support or helpful meds or fluids. And then I'm even more angry that her primary who was responsible for us even being in this situation made no attempt to check on us and didn't offer any advice or additional support either on how to treat this aggressively at home. In fact, when I asked for ondansetron which the ER refused to give her, her primary called me yelling at me because he was frustrated that my pharmacy hung up on me and then proceeded to tell me that he wasn't spending any more time on this and that I could drive the two hours back and forth to get my prescription from his office the next day. She vomited that night without the meds...I honestly felt so abandoned and overwhelmed. Thank goodness for sites like this.
Even just instructions of where you can purchase the supplements or fluids...would have been the decent thing to do.
And no, it should not be so difficult to easily fax in a prescription to your closest pharmacy. Or have the pharmacy be able to call up the Vet..for the prescription, too. In this day and age,...having to run around it just wasting time.
I'm so glad that you found this new mobile vet.
She sounds to be way more supportive, and professional than that primary one.
I hope your dog is okay, too.My dog was diagnosed with Lyme disease. He is on meds. I don't know how early we caught it or if he was suffering from any longterm effects. I haven't seen him so I hope he's ok. I pushed for the blood test - I just knew intuitively that he had Lyme. I don't know why. But I knew and I am so glad I listened to my gut. My last dog went undiagnosed for 8 months at least and I strongly believe that is what caused his cancer and his organ failure.
Wow, so it was you who had to push and ask for the blood test.
Really glad that you saw the signs, and went with your gut instincts, too.
(Here, we give the dog topical Revolution...which covers only one type of tick.
I know that one of the vets, last year told me, that it does not cover the other two types.
So maybe I'll have to research, again, just to see which ones are dominant in this area.)
Thanks for that info, Jen.
I think retesting either this Friday, sounds good....or even next friday.The mobile vet does do bloodwork, by the way. I think I am going to retest Lulu on Friday.
Hopefully the 'in house' blood work would cover the liver values.
I know that the mobile Vet said "1-2 weeks to see improvements"...so even if you wait until the next friday...that would be okay, too.
Hoping that your Lulu just continues to eat.