I wish I had more definitive answers for you Dee. Only you can decide what course to take. If he were mine, I wouldn't want to sedate him, if it could possibly be avoided. It's wonderful that his rbc was up to 30 and the weight gain is a very good sign too. I just had a tiny, near death rescue kitten with a horrible case of mange in to the vet about a week ago. The vet was concerned about giving her a shot of Ivermectin because in her condition she was afraid it might kill her, but she was afraid the mange would kill her if she didn't. She gave her the tiniest dose. This little girl is quite a fighter, her mange is clearing up and she's so much stronger now. This is my only personal experience with injectable Ivermectin and I'm sure it saved this little one. As far as the abx... I would definitely continue the Dox, I'm not so sure that the Clavamox is necessary along with it, esp if you do the Ivermectin. It sure would be nice if you knew what was really going on here, pneumonia or lung worm. Has your vet had much experience with lung worm? Did you ask her why she suspects it? My gut feeling is that your vet may be being a little too aggressive with her approach. I don't know why she'd suggest taking him in every two weeks for blood work when he obviously gets so stressed by the visits, and the sedation is dangerous too. Has she worked with felv kitties before? I know you are "suppose" to give her an answer by tomorrow, but since Smokey is improving, I'm not so sure a rushed decision is the best thing to do here. You want to make sure that you are confident in what you decide to do. I say take your time and be sure. You may want to get yourself another opinion about all this. Did you ask for a referral to an Internist? Also ask your vet for a referral for a house call vet. It would be better to have someone come to the house for those blood draws.

I really feel for you Dee. None of this is easy. There are so many pieces of the puzzle missing here. Please let us know what you decide and how you and Smokey are doing.
Nina


Dee & Evan wrote:

Hi Everyone! Smokey went to the vet today to get bloodwork done & to revisit my concerns over his breathing. I'm not so concerned about the rate of breathing, but the effort it sometimes takes him to inhale & exhale. It's almost like a forceful expansion. About 9 days ago his Red Blood Count was 30, just at the edge of high for anemia. Today it was at 38, an +8 jump! And he gained another pound. He now weighs 8.4 pounds. Hoorah!!! However, we just don't know what to think of his breathing. The vet still thinks it may still be pneumonia & his system is just too weak to shake it or she thinks it may be lung worm now. She said it is hard to find lung worm in testing. The options that the vet gave us (& none I'm too thrilled about) are to do another series of chest x-rays & a trans trachial wash, both under sedation, to get a better feel for what is going on. Or Give him a diluted shot of ivermectin, usually for larger animals like horses & cows for the lung worm. Or start him on another regiment of Clavamox Liquid 2 x day (or a pill antibiotic if we could get him to eat the pill pockets-but he won't even try them) in addition to the Doxy he is already taking. Or a combination of all these ideas. I am suppose to give her an answer tomorrow. We just don't know what to do. I HATE putting him on another medication and taking him in there again because it gets him sooo worked up. The poor dear panted & pooped all over himself before we even go to the vet's office & they had to give him a bath when we got there, _not_ good. They wanted him to come in every two weeks for bloodwork but we negotiated to once a month. I just wish someone could just come to our house & draw the blood here. Does anyone have any suggestions on how to approach the treatment for his breathing? What is anyone's opinion on Clavamox & taking it at the same time as Doxy? Would you put your furbabies through that additional testing or only if more problems arise? I know, a lot of questions. But I just want to do what is best for Smoke. Any input would be greatly appreciated, again. Thanks.

~Dee





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