Del,
Oh, I am so sorry to hear about "your" Sam.  Reading your post brought back memories of "my" Sweet Sam.  He was also six years old when he threw a clot that resulted in hind leg paralysis.
I rushed him to the Emergency Vets when it happened (at 1:00 A.M. on a Sunday morning, of course).
The vet on duty that night was a real ogre. She immediately advised euthanasia, PRIOR to even examining him!  And, when I flat out refused and took him out of his carrier, when she saw he was already handicapped (was a stray that lost his right front leg in a TRAP!! That's how our rescue got him...), she insisted that he be euthanized.  I just told her, as politely as I could, that since they already had my money (oh yes, money UP FRONT at this place), that the decision was mine alone, and I wanted them to stabilize him and make him comfortable until I could get him to my vet Monday morning. (He was very frightened because of his immobility, and missing his front limb, he freaked when he was unable to drag himself.....)
So, I took him to my vet Monday, and although they were not overly optimistic, they agreed to let me give him valium to calm him down, and give him some time to see if paralysis was permanent or if he'd adjust. They also prescribed a heart medication, Cardizem, and a blood thinner.  My vet explained that in some cases, a blood thinner might work in reducing/eliminating the clot...but there were a lot of "If's".
My poor Sam however didn't recover. The paralysis caused by the clot was permanent, blood flow to the hind had been cut off for too long.  He also was very uncomfortable, and just cried all the time, despite the valium.  By the end of the week I knew that I was being unfair to him in prolonging his agony. I assisted him over The Bridge.
 
Now, my PeeWee threw a clot when she was around sixteen.  In her case, I believe she pulled thru without permanent paralysis because I was able to get her to my own vet immediately after it happened. Once again, there were many "ifs" involved, but, lo and behold, my girl pulled thru and lived another two years. She also was on heart meds, and she did succomb to a stroke at 18, which vet felt was related to her cardiomyopathy.
BUT...she did have another TWO good years after the initial diagnosis.
 
So, don't despair.....your Sam might be ok.
I am sure there are groups out there dealing with feline cardiomyopathy. Did you do a Google search or check the Yahoo Groups listing?
Also, there are some very good veterinary cardiologists now.
Another thing to consider, if paralysis is permanent, is the "carts" for handicapped pets.  Someone on this list posted links not too long ago on carts. I don't have the links, but if you check the archives, or maybe someone can re-post them for you.
I wish you & Sam the best of luck. Will keep you in my prayers.
Hugs,
Patti

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