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 Post subject: Miko my asthmatic cat - We let her go on Monday 3/11
Post Posted: Mar 6, 2019 3:44 pm 
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This all started on Saturday, so I will post everything at once and update as things progress. This is long, but I hope you read it because it may help others that may find themselves in this situation.

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Background: Miko was diagnosed with asthma a few years ago and I have been treating her with Flovent with good results.
Miko was a rescue kitty that we adopted in December 2008. She had been outside and in 3 different shelters for over a year when we took her in. She was a damaged girl that took us about 2 years to get her to trust us and let us love her. She is now a big love muffin to us. Miko is a fraidy cat and not good around strangers. This will be important later in my updates. About a month ago, she got really congested, down in her chest. We put her on antibiotics and prednisolone. She got better but not 100%. A week later she got really bad, congested and I took her back in to my vet this past Saturday.

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Saturday Morning:
Miko is with Doc Palmini. She has not been able to shake a respiratory infection over the past few weeks. She has done two sessions of Clavamox and is not improving. She is asthmatic and is on prednisolone and flovent.

Luckily, Doc Palmini was working today and they fit me in. He kept Miko for more X-rays and bloodwork to look at white cell count.
More than likely, he is going to keep her for a few days on IV antibiotics. He should be calling me in a few minutes.

Poor baby. I know she is good hands, but I don't like them being apart from us.

Miko stayed at vets Saturday - Monday. They did an ultrasound on Monday and it showed no heart issues or cancer. I went to pick her up at 4 on Monday.

It is 9pm Monday and my day just ended.

I went to pick up Miko at 4 and she could barely [censored word] breathe, her little tongue was out and her mouth open and she was BARELY taking in air. The ultrasound ruled out heart and cancer, but beyond that they had no idea why she cannot breath, so it was referral time to VRCC ( a speciality hospital with all the specialists and equipment you can imagine - open 24/7). I told him as much as I did not want to put little Miko through more, I was afraid to take her home, so OFF we went to VRCC at 4:45. Doc called ahead and sent all her files down.
They took her back right away even before I checked in and put in an oxygen chamber. Her temperature was LOW not HIGH, so they do not suspect any bacterial infection. They took new X Rays and they did show her airway to be constricted but they were still unsure of anything other than asthma. SO into the oxygen box overnight. They gave her Albuterol to help open her airways. I said goodnight to her before I left to come home and get the Flovent, and while she was still opened mouthed, she appeared better than I had seen her this afternoon. They were out of Flovent, so I had to drive home at 7pm and get her Flovent (and I grabbed her a bed) and take it back down and then drive back up. I did not eat today because I was a mess, so when I got home, I had a bowl of cereal.
First thing in morning, her case is transferred from Emergency to Internal Medicine. After their review, they should call me around 7am. .

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Tuesday morning 8am

I called just a bit ago to get status of things and she is sitting up and looking around, so that is encouraging. The vet tech I spoke with said when she got in this morning, she went over to introduce herself and say hi and Miko was pushing back on her hand for affection, so that is encouraging.
She is in line for her exam, etc from internal medicine and as soon as they complete all exams, they start their call backs, so I should hear sometime this morning. At this point, no news is good news. If something major was happening, I would have heard.
I did not fall asleep until sometime after 4, I think and was awake by 6:30, so I am a bit of a zombie, but feeling a little bit better after talking with them.
It is presenting as asthma related, but the internists will know more, I hope.
The internist, Dr. Fenimore, called about 9:30 and told me that Miko has lower respiratory issues as a result of her asthma. She was no longer breathing through her mouth and her breathing had normalized and she was sitting up and alert.
They have all fallen in love with her. She is right in the middle of ER in an oxygen box.

Tuesday Noon

I went down to see Miko and take some of her food since he has not been eating. Until today, she really wasn't able to breathe so eating was not a priority.
She LOOKED GREAT! calm and alert and head butting. She has captured all the hearts in ER.
I can only touch her through a small door in the oxygen box so hand only. Different antibiotics that also have anti-inflammatory properties, bronchodilator, flovent, steroids are what I can remember she is on.
They had her at 40%. She was at 50% oxygen. The goal is to keep reducing the oxygen and see if she stays stable as she is now. and if she is, then they want her there for 12 hours off oxygen to observe that she is OK before releasing her to come up another 3,500 in elevation.
The doc said Miko was head butting her this morning during the exam. That is HUGE. She is a scardy cat and not good with strangers, but this staff is so attentive and sweet , that she seems really calm and OK. Being in the oxygen box, she is separated from other animals and on her own. I think that helps.
I FEEL SO MUCH BETTER. I just hope she continues this trend and I can bring her home tomorrow.
oh and the doc said that after we talked, she actually ate 1/4 can of their food for them. all good signs.

Tuesday 7pm

Dr. Fenimore called tonight about 7 to let me know that she is still holding steady and stable and during her exam tonight she did not hear any issues with breathing.
She suggested that they look into scoping her upper respiratory tract and CT scan to be thorough. I told her that unless she felt it was absolutely critical to coming up with a treatment plan, I would rather not put her through any more because that would also include anesthesia. I told her that if the new treatment regimen started to deteriorate, that I would be open to doing those things. She thought that was a good plan.
Miko continues to do well while reducing her oxygen levels and by 10pm tonight, she should be off oxygen and they would monitor her for any distress over night and adjust as needed.
IF she does well tonight, she would want to continue to monitor her during day tomorrow and if she continued to be stable, she is coming home.
My fingers are crossed that she will be sleeping by my side tomorrow night.
I will sleep better tonight but I won’t sleep well until she is home. I plan on sleeping in on Thursday ♥

Wednesday Morning

I just talked with her internist and she is coming home at 1! She will have a new treatment regimen and I am going to watch her like a hawk when we get home. Denver is at 5,000' above sea level and we are another 3,500' above that in the foothills of The Rocky Mountains southwest of Denver.
I'll post a pic and an update after we get home. I AM SO HAPPY!

UPDATE WEDNESDAY AFTERNOON

Miko is HOME. First thing she did was go pee in her own litter box. Second thing was eat. Now she is lying down, purring like a big dog. Her breathing is still good up at altitude.
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Last edited by Wily Fox aka Angela on Mar 14, 2019 11:00 pm, edited 2 times in total.

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 Post subject: Re: Miko my asthmatic cat & her near brush with death this w
Post Posted: Mar 6, 2019 4:07 pm 
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Gosh, what a few days. Ang, you must be exhausted. We are sooo glad Miko is on the mend. We are also very glad that we have such a wonderful veterinary practice as VRCC. We wish Miko continued and complete recovery!


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 Post subject: Re: Miko my asthmatic cat & her near brush with death this w
Post Posted: Mar 6, 2019 4:33 pm 
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you saved Miko again ...its wonderful to hear she has become a love muffin after all she had been through before finding you.
you are amazing Sistah

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 Post subject: Re: Miko my asthmatic cat & her near brush with death this w
Post Posted: Mar 6, 2019 4:41 pm 
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Wily: Your telling of events was riveting - like a novel that I couldn't put down. :shocked:

Miko has been in such good hands throughout all of this, :cat: starting with you. :love:

When you wrote that during her ordeal Miko was affectionately headbutting her doctor, despite being such a scaredy cat . .
I believe animals know when you're trying to help them :cat: and she wanted to show her gratitude.

Bless Miko in her recovery and bless you for always being her guardian angel :angel: whenever she's needed one. :love:

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 Post subject: Re: Miko my asthmatic cat & her near brush with death this w
Post Posted: Mar 6, 2019 5:23 pm 
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thanks guys and did y'all know that James, er 500 Foundation, named this girl? ♥

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 Post subject: Re: Miko my asthmatic cat & her near brush with death this w
Post Posted: Mar 6, 2019 5:50 pm 
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Can you get one of the oxygen boxes that the vet used for her? So if she has trouble breathing again, you have something you can use immediately.


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 Post subject: Re: Miko my asthmatic cat & her near brush with death this w
Post Posted: Mar 6, 2019 7:47 pm 
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WOW. I just gave her the evening meds and that includes her flovent with an aerokat. I have NEVER seen the little flap move as hard and as fast and completely OPEN like she did tonight. She has NEVER breathed this clearly.

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I am giving her an oral bronchodilator. The doc said this one does not lose efficacy over prolonged use.
So, she gets Flovent, oral bronchodilator(right now, a 1/4 of a tiny pill but it can be compounded) , prednisolone (compounded at Monument Pharmacy so liquid), and antibiotic (also a liquid compounded). She was very grumpy about it. Usually she is OK, but I think right now, it just reminds her of the past 5 days.

TB, I thought about that and am willing to investigate if the need arises. I think keeping the meds going will keep her airways open. (fingers crossed)

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 Post subject: Re: Miko my asthmatic cat & her near brush with death this w
Post Posted: Mar 6, 2019 11:55 pm 
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What a relief! Such a striking little girl.

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 Post subject: Re: Miko my asthmatic cat & her near brush with death this w
Post Posted: Mar 7, 2019 9:48 am 
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Hang in there Miko and Mom! She is doing great - due to her Mom and Drs! Praying for all of you. :praying:

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 Post subject: Re: Miko my asthmatic cat & her near brush with death this w
Post Posted: Mar 7, 2019 10:27 am 
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Thursday Morning Update:
I brought Miko home yesterday. When we first walked in the house, she peed in her own litter box and ate straight away (she was not eating much while in hospital), then plopped down on the floor and started purring. ♥ During the night, she got up twice to eat some more. I think she appreciated the quiet and dark :)

I could not believe how clear her airways were. When I gave her the Flovent, the little flap in the Aero Kat was moving fast and ALL THE WAY OPEN. I have NEVER EVER had that kind of result with her.


Breathing Today: I am hearing a small noise with her this morning. Nothing like she has been over the years. I am just hyper aware of her breathing now. The Flovent flap did not move as fast as all the way open as it did last night, but still a better result than I have ever seen with this device.

I imagine this is all part of adjusting back up at altitude (8,500'). I will keep an eagle eye on her and report any changes.

All in all, she is happy and eating and breathing better than I have seen in a long, long time.

Opinion:
Dr. Fenimore, her internist, wants to scope her throat, biopsy anything found and a possible CT scan. I don't want to do it. First of all, she has been through enough and I don't 1)want her sedated and 2) don't want to put her airway into any more distress by sticking a scope down there. The last X-Ray showed "something". It could just be the last of inflammation or it could be a growth. I am not sure what knowing that would change in her treatment. There would be no way I would put her through throat cancer treatment (IF it was cancer) so as long as she is breathing well and not in distress, I am good.

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 Post subject: Re: Miko my asthmatic cat & her near brush with death this w
Post Posted: Mar 7, 2019 10:40 am 
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I understand how devastating it can be when your trusted vet starts grasping for one more straw, but still dont't know. It leaves you feeling helpless. Been there. I am so sorry you and Mico are faced with this. :(

How did you find each other?

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Post Posted: Mar 7, 2019 1:01 pm 
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who? me and Miko or me and Dr Fenimore?
Dr Fenimore was the internal medical doctor assigned at VRCC from ER admittance. She is quite competent and I trust her, but I am in conversation with Dr Palmini about his opinion on the scoping procedure.

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