MARGOT IS 19 YEARS OLD AND SHE IS TREATED 4 YEARS WITH METHIMAZOLE.

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SIDDHARTHA

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Hello to all of you. We are living in Greece and we just returned from the veterinarian. We have a female beauty named Margot, siamese, 19 years old, who yesterday gave us a real fright. Suddenly at 3 o clock in the afternoon, she cried a very strange and desperate scream in the middle of our living room and got temporarily blind. She started to make rounds totally lost, she became very frightened on our caring touch, and roamed in the house helpless. She crashed to the walls, to the furniture, to doors, to the other cats of our house. She could not orientate herself at all. Her pupils covered all the eyes and did not respond to anything like sudden strong light or movement right in front of her. She was totally blind. We were panicked. But somehow at 10 o clock in the evening, Margot started to see again. She could walk in the house without crashing anywhere, she could find her food, her water and the litter box. Her cries of discomfort and fear stopped. We felt a little . We read that eye treatment must be achieved within 24 hours. We found an veterinarian specialized in ophthalmology who examined Margot today at noon.

Good news first. Margot s eyes are ok for her age. Her pupils reflexes are adequate, they respond slowly but they respond. No retina detachment has taken place, no blood clots inside the eyes. The only problem is enophthalmos in her right eye, something that cannot be cured neither in humans nor in animals.

Bad news next. The temporarily blindness was propably caused by a small stroke that may occur again with worse results. The stroke was due to her hyperthyroidism that is not addressed properly. Here start the problems and the dilemmas for Margot and her parents. She is taking methimazole 2,5 mg per day, 1,25 in the morning and 1,25 in the evening. She is taking methimazole since the summer of 2017. Four years of everyday medication have taken their toll. The T4 results are outside the normal limits or at the highest range of normality. She is losing weight constantly, she has galloping heart rate, she is sick and tired of the pill, she drinks and urinates a lot, she has often diarrheas, she is lying on the floor many times exhausted. How can we augment her dose of methimazole ? How can we stress even more her organization ? We will do it, we have no other solution, we will try. As long as Margot will approve.

Why am i writing all these ? I dont know. I was looking for answers yesterday and today and i found this wonderful forum, where i read some interesting things about other hypethyroidic cases. I believe i started writing because i wanted to tell you that all you who live in countries where radioactive iodine therapy is available, all you are very lucky. Here in Greece, we have not that choice. We were afraid of the surgical removal, so we chose the pill solution. And now we have to "torture" our Margot with augmented doses, which no one knows if her diminishing aged body can tolerate.

The veterinarian said that we must check again her T4 results, in order to control better the thyroxine. The last examinations were made in April. Her T4 result was 4.93 mg/dl with normal range 1,48-4,70. Every time the last years it becomes very difficult to take blood from Margot veins. Her veins are very small. (Today the vet could not measure her blood pressure. She tried three times with no success.) In April we tried both hands with no success and we chose in the end the vein in the front of her neck. Margot was very tired and stressed by this procedure. We feel very sorry for her, very sad, very angry that she must pass all this adventure every time. We are thinking to augment her dose from 1,25 to 1.75 every 12 hours. Lets hope it will work. We dont want to take her for blood exams again.
 

fionasmom

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Welcome to The Cat Site and thank you for posting your story about Margot and her struggle with hyperthyroidism. You were very proactive to get her to an ophthalmologist and as I was reading I began to wonder if the diagnosis would be small strokes causing the blindness.

Given that you were able to find a specialist for the blindness, can you find a veterinary internist to assess the current situation?

Fiona herself was on Felimazole for several years and lived past 16. At the time I was not informed about the I-131 treatment or would have pursued it...easier to do probably here than where you are and I understand that.

FeebysOwner FeebysOwner Antonio65 Antonio65 S silent meowlook
 

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Hi. I am so very sorry to hear all of what Margot (and you) have been through. As you have seen, there are so many members on this site that have had to deal with hyperthyroidism in their cats. Me too. Feeby (16+ yo) was diagnosed last October. After trying to get a stable T4 count since then - with multiple re-tests - I was told that she will need to be tested every 6 months to ensure the dosage is adjusted as needed. And, the meds will most certainly need to be increased as time passes.

I take it that Margot was not routinely re-tested in order to increase her dose over these past 4 years - because of her vein condition? I know my vet takes Feeby's blood from the inside of her hind leg. Maybe you can ask about that and see if it is easier to get blood from that location.

In so far as giving her the meds, I have had no issues with the following 'treats'. I crush the pills and mix with:
1.) 'juice' from canned tuna and chicken, and then give her a piece of the meat as a treat afterward
2.) baby food meats (Gerber Stage 2 or Beechnut)
3.) lickable treats, such as Applaws, Wholehearted, Tiki Cat Stix, Inaba Churu, Vitakraft - just to name a few
4.) Tiki Cat Mousse (which is complete meal, not a treat)
Use just enough of any one of them to mix with the meds so you know for sure she eats it all.

I am sure you know that her kidney values also need to be tested often as well. Hyperthyroidism tends to mask kidney issues which are then realized once the meds are doing their job. I hope this information might help some.
 
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SIDDHARTHA

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Thank you for your support.

I believe it is impossible to find a veterinary internist here in Athens. We asked today the ophthalmologist if she knew someone specialized in problems of thyroid and she said that endocrinologists exist only in the University of Thessaloniki and that we must find a pathologist instead. We have tried many pathologists all these years but we are not fully satisfied. We hav
 
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SIDDHARTHA

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Thank you for your support.

I believe it is impossible to find a veterinary internist here in Athens. We asked today the ophthalmologist if she knew someone specialized in problems of thyroid and she said that endocrinologists exist only in the University of Thessaloniki and that we must find a pathologist instead. We have tried many pathologists all these years but we are not fully satisfied. We have lost another cat from Hyperthyroidism and renal failure, a very sad story, so we have experience from many veterinarians. It is not easy to find the right one.

About the blood tests, we have made 11 blood tests to poor Margot since the summer of 2017. We are checking many things every time, for renal function, liver enzymes, and many other biochemical things. The problem is that all vets have difficulty when trying to take blood from Margots veins. Shaving the legs, putting the syring, no blood coming out, Margot in pain complaining, trying to escape, sweating, lets try the other leg, veins swollen, me trying to stay calm, to immobilize Margot, trying not to show my sadness, my anger. Now she is 19 years, she cannot suffer such situations any more. Today when we were returning from the vet, inside the taxi Margot was in the limits of exhaustion and we did not make blood test, only her eyes were examined. It was also very hot, it was noon, the Greek Sun had no mercy, she was breathing with the mouth open. Margot does not like any more the travels to and from the vets.

We give her the pill straight to the mouth, no need to crush and mix it in the food. Food... another difficult subject.

Anyway, now that i am writing, i see her lying on the floor satisfied. Let me be, leave me alone, I had enough for today. Ok Margot, whatever you want. You are the Queen and we are the servants. We will augment the dose without blood tests. If everything goes well, we will try to take her for blood test when the summer ends. I believe she will be ok. I hope that no more stroke happens again, i hope that she will tolerate the dose, i hope that she will give us the time till autumn. Thats all.

Thank you. Be well and strong. Our little sons and daughters need us.
 

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Margot has been lucky for the last 19 years to have had you as her caregiver. This stage of a pet's life is difficult at any rate and you are doing everything that you can to make her comfortable and are taking her feelings into consideration. She is probably so happy just to be home with you and your family and to know that she is loved.
 

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Dear Margot, what wonderful people you've found in this life time.

This time is hard, to have shared so many years, but this is the crowning glory of a successful life. 19 is a rare age for kitties. Keep her comfortable, that is everything.

I would only suggest if you must take her out in the heat again, freeze an ice pack. Use a small plastic bowl with lid fill it with water, when the water freezes put it in a small plastic bag and seal the bag. Then wrap a small towel around it and put that under the towel in Margot's carrying case. Do not let the vet tech or the vet throw it away. It will keep her cool on the way home too.

If you have a small plastic bottle as one for calcium pills or moisturizer you can use that instead of the plastic bowl.
 
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SIDDHARTHA

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We will apply the ice bag solution next time, sounds very good, but i will try never again to take her out in such heat. Today it was an emergency, but in the taxi i felt awful when i saw her breathing with difficulty. Next time we will also suggest the inside of the back leg as you propose for blood testing, though all these years nobody has ever tried this method. We will see.
 
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SIDDHARTHA

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Margot died yesterday morning.
She was suffering little by little after the stroke at 12 July.
She passed away in our hands, mine and my wife's.
I can not describe the pain and loneliness we feel.
Our life ended with Margot. Now we must find another way of living.
When parents bury their children, the world falls apart.
Thank you for your kind support.
Dimitris.
 

neely

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I just found your thread and I'm so terribly sorry for your loss. :hugs: I can also relate to the struggles with Hyperthyroidism in cats and understand what your wife and you went through. Please accept my heartfelt sympathies and know that you gave Margot the best possible life any cat could have imagined. She will live on in your memories and never be forgotten.:hearthrob: RIP sweet angel. :angel:
 

fionasmom

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I am so sorry for your loss. You and your wife cared for Margot for all those years of her long life and did everything that you could during her last illness. Hopefully with time memories of Margot in her younger and happier days will replace those of her last illness.
 

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I lost many cats during my childhood (my mom is British so they were always indoor/outdoor...), and I continue to grieve for them all. But the ones that torment me with "what ifs" are those that were hit by cars or disappeared outside; I feel so much more at peace with the two that died naturally (at 16 and 17 years old) because I know their last moments were surrounded by people who loved them, that they lived full lives, and that their time of suffering was brief. None of us ever want to part with our cats, but given the inevitable I think everyone here would choose for them to pass from old age while in our arms. Margot's death will always wrench your heart when you think of it, but I hope you and your wife will eventually be able to reminisce on the many wonderful moments of her very long life without memories of her loss even entering your minds.
 

betsygee

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So very sorry to read this news. We'll close the thread now out of respect for your loss, and invite you to post a tribute to your sweet kitty in our Crossing the Bridge forum if you wish.
 
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