Monday, July 30, 2018

Truffle's Latest Vet Visit

As many of you know, Truffle has been going to the vet about every three weeks since April when she had her bladder surgery to remove bladder stones. She's had 3 urinalysis tests since her infection from the surgery and we've had difficulty getting her pH levels down with normal range and her getting her urine more dilute. She went back to the vet last week for another test.
Truffle in the red Sleepypod® Mobile Pet Bed before being strapped in

I think the girls have been going to the vet too much lately. They are a little more hesitant to get into their carriers the last few weeks. It's time to do some things to give them more positive feelings associated with their carriers again (we'll talk about this next month for Take Your Cat to the Vet Day.


Truffle traveled to Cherokee Trail Veterinary Hospital last week in Brulee's red Sleepypod® because Mom Paula was washing the liner for the violet one (which is designated for Truffle). As I said earlier, the girls have become more sensitive to the carriers since Truffle has been to the vet so frequently since April and Brulee stayed at the emergency animal hospital for 4 days. In fact, when Mom Paula picked up Truffle and began walking to the front of the house to the carrier, Brulee took off and went hiding. She's never done this before and only started when Truffle developed her infection after the surgery and stayed at the hospital while Mom Paula was at BlogPaws. It may be time to communicate with Coryelle again.

Truffle staying close to Mom Paula in examination room

Since Brulee went hiding, Mom Paula decided to take Truffle to the vet alone this time (hindsight - probably won't do this again). The wait in the front of the hospital wasn't too long and we were escorted to one of the "cat examination" rooms. These rooms are away from a lot of the noise from the check out and other animals (although some dogs can be pretty loud). There is also a Feliway diffuser plugged in and the examination table is covered with a warming pad with a blanket over it. Truffle's temperature was taken (normal) and she was weighed (gained 0.1 lb).  Mandy (vet assistant) gathered some information about Truffle since the last visit three weeks ago and then left us in the room to wait for Dr. Boyette.


Truffle resting more comfortably in her Sleepypod® Mobile Pet Bed

When the girls were younger, they'd rest on the examination table. Now that they are older, they tend to hide either against my body or under the chairs. This time, I placed Truffle inside her Sleepypod Mobile Pet Pet so she'd recognize familiar smells and was close to me. Dr. Boyette came in checked her out. He was pleased she hadn't lost weight because that meant she was eating. He gathered her up in his arms to take her to the back to withdraw some urine.


Dr. Boyette getting ready to take Truffle to the back to draw the urine sample

I love how Dr. Boyette holds Truffle in his arms! It's obvious he truly cares about cats. There are still some procedures, such as drawing blood, where he still takes the girls to the back. The vet assistants always say Truffle is a little angel when they need to draw blood or urine. I think Brulee is a little more feisty. Dr. Boyette brought Truffle back to the examination room while we waiting on the results. He also took a culture to make sure there was no evidence of bacteria.


Truffle resting inside her Sleepypod® Mobile Pet Bed

Dr. Boyette came back into the room after several minutes with the paperwork. At first, he scared me because he had a sheet of paper in his hands and wanted me to see it. I was very concerned because we are having difficulty getting her pH levels down within normal ranges. If her urine is too alkaline, she may develop more bladder stones. Cats are carnivores and should have a slightly acidic urine pH, optimally ≤ 6.4. Truffle's pH level has stayed between 7 and 8 the last few months. We were pleased to see that Truffle's pH had decreased to 6.5, which is a great improvement. The concentration of the urine (specific gravity) should be less than 1.030. Truffle's levels have been higher than 1.050, which is more concentrated than it should be. Unfortunately, her specific gravity continues to be above 1.050. 

Dr. Boyette didn't see any evidence of crystals. There was a little blood, but he said this tends to happen sometimes when they withdraw the needle. The culture showed no evidence of bacteria. 


Next steps

  • Continue feeding prescription food
  • Have plenty of fresh water available
  • Reduce stress
  • Bring her back in 3 months for another urinalysis
I've finally found a prescription food recipe that Truffle will eat most of the time. Once a week, I'll feed her a high-protein wet food so she doesn't get bored with the food. There is a new formula from Royal Canin that also treats stress, so we're going to try it, too. I have plenty of fountains throughout the house and she does drink from them. I'm going to put a couple more Feliway/Comfort Zone diffusers in the house to see if that helps. I also have some calming treats to help out when there is an upcoming storm or when I know I'm going to be out of town.

34 comments:

  1. We’’re glad Truffle’s pH level is down. We hope continuing what you are doing will help the concentration.

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  2. I'm glad her pH level is going in the right direction! Paws crossed the other number follows.

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  3. We are happy to hear Truffle did well and her tests were good.
    We purr this continues and she stays in the "normal"pH range.
    Great pictures too :)
    Purrs Georgia,Julie and JJ

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  4. Down is good but those visits are still no fun. Our Cat Only Vet does everything in the exam room except xrays and we love the Dad being there with us.

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  5. That is a relief! I know what you mean about cats being leery about more frequent vet visits. Ringo needs his anal glands expressed about every four months. . .and he's gotten smarter about avoiding me. LOL

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  6. We're glad it is going down. Good for Truffle.

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  7. I am glad Truffle had a good vet visit and the PH level is better and hope the SG will drop too.

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  8. The days of cloth carriers are over for our cats. We never had a problem for years, but our new cat, Bella, DESTROYED a cloth carrier on a road trip last summer. Go figure. I didn't think they could do that. Back to hard plastic.

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  9. We're glad to hear such good news ! Purrs

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  10. I'm glad things are getting better for Truffle. I've been sending healing thoughts.

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  11. Poor Truffle. I hope her health will improve even more and get back to normal as soon as possible :)

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  12. Poor Truffle has been through the ringer, but it's great to her her levels have dropped. I love how they have cat rooms away from the noise, heated mats and diffusers, that's truly amazing. I have never been to a vet that had anything other than a metal table...as wonderful as those vets were. Cats do sense when something is going on. I only had to "think" it's time for the vet and all the cats would hide. Telepathy??

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  13. Great news that everything you are doing for Truffle is working, you must be so relieved. The vets sounds wonderful and they really seem to know how to calm cats when they come in. I hope everything continues to go well for Truffle. x

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  14. So happy that Truffle is making progress. I know what you mean about the carrier. We have to hide it in the laundry room and shut the door or all five of them disappear.

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  15. I'm sorry your lovely kitties have been dealing with so many medical issues. That can't be easy! It does sound like things are headed in the right direction though. I'm glad to hear about Truffle's improvement! Healing thoughts coming your way <3

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  16. Glad to hear Truffle continues to do well. It's always scary when one of the fur kids doesn't feel well. Yes, maybe some high-potency 'nip in the carrier could help improve the c'atmosphere!

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    1. Thank you for the idea. Truffle definitely responds to catnip. Brulee - not so much.

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  17. I am so happy to hear the good news and I understand her totally when she sees the carrier, I would hide too

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  18. It's great that the ph levels are getting back to normal. I'm also so glad you have a vet that truly cares about cats.

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  19. Your vet sounds great. My vet only recently added a 'cat only' room with a Feliway. I can't tell if it helps, but the last two years of my previous cat's life I took her to the vet twice a week for fluid injections because of her kidneys. I didn't get easier but it didn't get harder either.

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  20. I'm glad to hear Truffle is on the mend! I love the sleepy pod carrier, too. Your vet seems to really love animals. Have a great weekend!

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  21. Truffle must be causing you a lot of concern and this is a shadow at the back of your day. You have a great vet, the best care and YOU are the best cat mom OK????

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  22. I'm glad you have found a prescription diet that she likes and that her PH levels are down. Paws crossed for her continued good health!

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  23. Its great that Truffle's PH levels are down! I am sorry that the cats have been stressed about their carriers though. We want our cats to be happy and seeing them stressed is never fun, especially when it is something for their well-being. I hope your two precious kitties are feeling better soon and Porsche and Lambo send them calming purrs!

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  24. I'm glad that Truffle is doing better! Her vet seems to be a very caring and kind person.

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  25. I'm glad Truffle's numbers are getting better. I love the cat focus at your vet. They've sure got it right.

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  26. I had trouble getting Mr. N to eat prescription food too. I'm glad she's on the mend and I hope it continues!

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  27. You really are an awesome pet parent, being aware and using all the tools at your disposal to keep your cats both healthy & happy! You are inspiring!

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    1. Thank you. The girls are my family and I would do anything in my power to make sure they are taken care of.

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  28. So glad things are looking quite well. Sometimes I have a hard time getting Cookie drink as much as I feel she should. What works for me is offering chilled raw goat's milk. She never turns that down.

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  29. I'm happy to hear Truffle is doing better. After reading another blog post about getting a cat in a crate, I'm glad that hasn't been too much of an issue for you. I'm impressed with a cat exam room with a heated table and blanket! My vet only works with dogs and she takes them in the back to draw blood and do exams.

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  30. Oh so sorry Truffle has been going through all this. I'm by happy to hear her levels are going in the right direction. I tried Royal Canin when Dusty was alive and she did well on it and gained weight. Keep doing what you are doing. Praying for you both things will return to normal and be in good health.

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  31. It is such a worry when our babies do not feel well. I am so, so glad to hear Truffle is doing better, but so very sorry for all the vet visits and her not feeling well. I hope from here on out it is all smooth sailing and that Truffle will be back to full good health soon.

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  32. I'm glad Truffle didn't have any bad results and that you're continuing with her special diet. I'm not surprised they are starting to dislike the carrier. If pets associate the carrier with nothing but trips to the Vet it's not surprising. Can you hide some yummies or new toys in the carrier and let them search for them? Are you able to take them anywhere fun like a visit to Grandma's house? Those have helped my pets in the past. They've both been through a difficult time the last few months, poor sweeties. Love to them both!
    Love & Biscuits,
    Dogs Luv Us and We Luv Them

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