Re: [Felvtalk] [OT] congenital peritoneopericardial diaphragmatic hernia

[Beth]

I would definitely want to take my babies somewhere where there is a person 
there with the animals all night.
She is beautiful! Black cats are my favorite!

Beth

 
Don't Litter, Fix Your Critter! www.Furkids.org
 



 From: Lance 
To: felvtalk@felineleukemia.org 
Sent: Friday, June 14, 2013 3:31 PM
Subject: Re: [Felvtalk] [OT] congenital peritoneopericardial diaphragmatic  
hernia
 


Thank you for your thoughts, Margo. Yes, surgery is stressful, and it could 
cause the FeLV to kick in. We've been very fortunate, but you never know what 
will happen when FeLV, FIV, or any other random health issue is in the mix. 

I am concerned that the hernia could progress. Maybe it won't happen tomorrow 
or next week or next month, but it seems like something to treat sooner rather 
than pressing our luck.

It does seem like this particular operation has a low incidence of mortality, 
and that the complications are usually easy to deal with. Hyperthermia is one 
of the most common complications, and that seems easy enough to guard against. 

I am considering taking her farther away to a veterinary teaching hospital, 
though the surgeon who did the diagnostic seems to be prepared for 
possibilities. I know that someone stays at his office all night to check on 
the animals. 

Still, yuck.


Lance

On Jun 14, 2013, at 12:58 PM, Margo  wrote:


>>Hi Lance,
>> 
>> That's a really tough call. On the plus side is that Ember 
>>seems to tolerate anesthesia just fine.  The unknown is whether the stress of 
>>surgery and recovery will kick the FeLV back in. Gribble went under 
>>anesthesia to treat a partial urinary blockage, and that procedure seemed to 
>>be the catalyst that brought his FeLV to the surface. Before that we assumed 
>>that his negative FeLV/FIV test was accurate.
>> 
>>  But he would likely not have survived without the 
>>procedure. So it wasn't really optional. I would think that Ember's hernia is 
>>somewhat the same. It is causing her distress, and could worsen. I can't 
>>possibly understand how you feel, but I think were she my cat, I would try to 
>>get her as "ready" as possible with whatever treatments have seemed to be 
>>beneficial to her to, and have the hernia repaired. The only other option 
>>seems to be to treat her palliatively, with the hope that her symptoms don't 
>>progress.
>> 
>>   I'm thinking we'll all face this kind of choice, 
>>eventually. Mako has a lump on his side. We're watching it. Maybe it will 
>>stay the same. Maybe we'll be faced with a similar dilemma.
>> 
>>   I am sure that your choice will be the right one for 
>>Ember. It won't be easy, but you'll research and weigh the alternatives. And 
>>you will hold Ember's best interests first and foremost. 
>> 
>>All the best,
>> 
>>Margo
>> 
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Re: [Felvtalk] [OT] congenital peritoneopericardial diaphragmatic hernia

[Lance]

Thank you for your thoughts, Margo. Yes, surgery is stressful, and it could 
cause the FeLV to kick in. We've been very fortunate, but you never know what 
will happen when FeLV, FIV, or any other random health issue is in the mix. 

I am concerned that the hernia could progress. Maybe it won't happen tomorrow 
or next week or next month, but it seems like something to treat sooner rather 
than pressing our luck.

It does seem like this particular operation has a low incidence of mortality, 
and that the complications are usually easy to deal with. Hyperthermia is one 
of the most common complications, and that seems easy enough to guard against. 

I am considering taking her farther away to a veterinary teaching hospital, 
though the surgeon who did the diagnostic seems to be prepared for 
possibilities. I know that someone stays at his office all night to check on 
the animals. 

Still, yuck.


Lance

On Jun 14, 2013, at 12:58 PM, Margo  wrote:

> 
> Hi Lance,
>  
>  That's a really tough call. On the plus side is that Ember 
> seems to tolerate anesthesia just fine.  The unknown is whether the stress of 
> surgery and recovery will kick the FeLV back in. Gribble went under 
> anesthesia to treat a partial urinary blockage, and that procedure seemed to 
> be the catalyst that brought his FeLV to the surface. Before that we assumed 
> that his negative FeLV/FIV test was accurate.
>  
>   But he would likely not have survived without the 
> procedure. So it wasn't really optional. I would think that Ember's hernia is 
> somewhat the same. It is causing her distress, and could worsen. I can't 
> possibly understand how you feel, but I think were she my cat, I would try to 
> get her as "ready" as possible with whatever treatments have seemed to be 
> beneficial to her to, and have the hernia repaired. The only other option 
> seems to be to treat her palliatively, with the hope that her symptoms don't 
> progress.
>  
>I'm thinking we'll all face this kind of choice, 
> eventually. Mako has a lump on his side. We're watching it. Maybe it will 
> stay the same. Maybe we'll be faced with a similar dilemma.
>  
>I am sure that your choice will be the right one for 
> Ember. It won't be easy, but you'll research and weigh the alternatives. And 
> you will hold Ember's best interests first and foremost. 
>  
> All the best,
>  
> Margo
>  
> -Original Message- 
> From: Lance 
> Sent: Jun 14, 2013 10:21 AM 
> To: felvtalk@felineleukemia.org 
> Subject: Re: [Felvtalk] [OT] congenital peritoneopericardial diaphragmatic 
> hernia 
> 
> Hi Kat,
> 
> That's good advice. As far as I know, Ember has done well with anesthesia. 
> She's had two dentals in the last three years, and she was anesthetized for 
> the CT scan two weeks ago. However, the stress of surgery is another 
> consideration. 
> 
> Since Ember is doing reasonably well (other than a URI she might have right 
> now), it might be prudent to take care of the hernia since she is showing 
> symptoms of it. Unfortunately, it's a lot to think about. I'm hoping to talk 
> to her primary vet today to discuss this some more.
> 
> Lance
> 
> On Jun 14, 2013, at 7:58 AM, kat  wrote:
> 
>> Hi Lance,
>> 
>> I have not had experience with congenital hernias - but I would be concerned 
>> since Ember is FelV+
>> 
>> You might want to check back with her 2 vets about using anesthesia & 
>> putting her thru the stress of surgery.
>> 
>> Kat (Mew Jersey)
>>  
>>> - Original Message -
>>> From: Lance
>>> Sent: 06/13/13 04:19 PM
>>> To: felvtalk@felineleukemia.org
>>> Subject: [Felvtalk] [OT] congenital peritoneopericardial diaphragmatic 
>>> hernia
>>>  
>>> My 11 year old FeLV+, Ember, was diagnosed with a congenital 
>>> peritoneopericardial diaphragmatic hernia after CT scans and a consult 
>>> between a surgeon and a radiologist. 
>>> 
>>> So far, her symptoms haven't been too scary: rapid breathing (but not open 
>>> mouth breathing or panting) and an odd posture she sometimes assumes where 
>>> she will "stand" with her forelegs and lie down with her back legs. This 
>>> tells me that she might be having some discomfort (one lobe of her liver is 
>>> involved in the hernia). She settles into lying down without problem, and 
>>> she rests normally. 
>>> 
>>> The symptoms have only begun in the last few months, as far as I know 
>>> (Ember and I weren't in the same part of the world for almost a year). We'd 
>>> been fearing cancer, so this would seem to be good news. 
>>> 
>>> The surgeon is gung-ho to take care of business, and he has an excellent 
>>> reputation with a lot of experience and education. However, I just spoke to 
>>> one of Ember's two vets about this, and he said, "If she were my cat, I 
>>> don't think I would do it." He's concerned about moving the liver, and more 
>>> importantly, about the surgeon having enough to work with when the hernia 
>>> is likely congenit

Re: [Felvtalk] [OT] congenital peritoneopericardial diaphragmatic hernia

[Lance]

Thank you, Beth. Ember is black. Here's a picture of her:

https://www.evernote.com/shard/s201/sh/a57b8e18-7c55-42e9-8c65-be8dcdbfc22e/b97d7ebbe0d39324107adc1f32bf1884

On Jun 14, 2013, at 12:35 PM, Beth  wrote:

> Yes, what we all want is more time. Wishing you and Ember the best. 
> What color is she, btw? 
> 
>  Beth
> Don't Litter, Fix Your Critter! www.Furkids.org
>  
> 
> From: Lance 
> To: felvtalk@felineleukemia.org 
> Sent: Friday, June 14, 2013 12:37 PM
> Subject: Re: [Felvtalk] [OT] congenital peritoneopericardial diaphragmatic
> hernia
> 
> It's very tough. Surgeon is ready to go, and one vet says, "Be careful." Most 
> of what I've read seems to indicate that the surgery is *usually* safe, and 
> that any complications should be minor. However, we all know how that goes...
> 
> I'd just like more time with my sweet girl.
> 
> 
> On Jun 14, 2013, at 11:28 AM, Beth  wrote:
> 
>> That's a tough decision, Lance. It does sound like she may be in pain, which 
>> is a stress, but so is surgery.
>> 
>>  Beth
>> Don't Litter, Fix Your Critter! www.Furkids.org
>>  
> 
> 
> ___
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> 
> 
> ___
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Re: [Felvtalk] [OT] congenital peritoneopericardial diaphragmatic hernia

[Margo]

Hi Lance,
 
 That's a really tough call. On the plus side is that Ember seems to tolerate anesthesia just fine.  The unknown is whether the stress of surgery and recovery will kick the FeLV back in. Gribble went under anesthesia to treat a partial urinary blockage, and that procedure seemed to be the catalyst that brought his FeLV to the surface. Before that we assumed that his negative FeLV/FIV test was accurate.
 
  But he would likely not have survived without the procedure. So it wasn't really optional. I would think that Ember's hernia is somewhat the same. It is causing her distress, and could worsen. I can't possibly understand how you feel, but I think were she my cat, I would try to get her as "ready" as possible with whatever treatments have seemed to be beneficial to her to, and have the hernia repaired. The only other option seems to be to treat her palliatively, with the hope that her symptoms don't progress.
 
   I'm thinking we'll all face this kind of choice, eventually. Mako has a lump on his side. We're watching it. Maybe it will stay the same. Maybe we'll be faced with a similar dilemma.
 
   I am sure that your choice will be the right one for Ember. It won't be easy, but you'll research and weigh the alternatives. And you will hold Ember's best interests first and foremost. 
 
All the best,
 
Margo
 
-Original Message- From: Lance Sent: Jun 14, 2013 10:21 AM To: felvtalk@felineleukemia.org Subject: Re: [Felvtalk] [OT] congenital peritoneopericardial diaphragmatic hernia Hi Kat,

That's good advice. As far as I know, Ember has done well with anesthesia. She's had two dentals in the last three years, and she was anesthetized for the CT scan two weeks ago. However, the stress of surgery is another consideration. 

Since Ember is doing reasonably well (other than a URI she might have right now), it might be prudent to take care of the hernia since she is showing symptoms of it. Unfortunately, it's a lot to think about. I'm hoping to talk to her primary vet today to discuss this some more.

Lance


On Jun 14, 2013, at 7:58 AM, kat  wrote:
Hi Lance,I have not had experience with congenital hernias - but I would be concerned since Ember is FelV+You might want to check back with her 2 vets about using anesthesia & putting her thru the stress of surgery.Kat (Mew Jersey)
 

- Original Message -
From: Lance
Sent: 06/13/13 04:19 PM
To: felvtalk@felineleukemia.org
Subject: [Felvtalk] [OT] congenital peritoneopericardial diaphragmatic hernia 
My 11 year old FeLV+, Ember, was diagnosed with a congenital peritoneopericardial diaphragmatic hernia after CT scans and a consult between a surgeon and a radiologist. 

So far, her symptoms haven't been too scary: rapid breathing (but not open mouth breathing or panting) and an odd posture she sometimes assumes where she will "stand" with her forelegs and lie down with her back legs. This tells me that she might be having some discomfort (one lobe of her liver is involved in the hernia). She settles into lying down without problem, and she rests normally. 

The symptoms have only begun in the last few months, as far as I know (Ember and I weren't in the same part of the world for almost a year). We'd been fearing cancer, so this would seem to be good news. 

The surgeon is gung-ho to take care of business, and he has an excellent reputation with a lot of experience and education. However, I just spoke to one of Ember's two vets about this, and he said, "If she were my cat, I don't think I would do it." He's concerned about moving the liver, and more importantly, about the surgeon having enough to work with when the hernia is likely congenital. 

Has anyone on the list had experience with congenital hernias in cats? I'd really like to get some more input before I make a decision. 

Thanks, 

Lance 
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Re: [Felvtalk] [OT] congenital peritoneopericardial diaphragmatic hernia

[Beth]

Yes, what we all want is more time. Wishing you and Ember the best. 
What color is she, btw? 


 Beth
Don't Litter, Fix Your Critter! www.Furkids.org
 



 From: Lance 
To: felvtalk@felineleukemia.org 
Sent: Friday, June 14, 2013 12:37 PM
Subject: Re: [Felvtalk] [OT] congenital peritoneopericardial diaphragmatic  
hernia
 


It's very tough. Surgeon is ready to go, and one vet says, "Be careful." Most 
of what I've read seems to indicate that the surgery is *usually* safe, and 
that any complications should be minor. However, we all know how that goes...

I'd just like more time with my sweet girl.


On Jun 14, 2013, at 11:28 AM, Beth  wrote:

That's a tough decision, Lance. It does sound like she may be in pain, which is 
a stress, but so is surgery.
>
>
>
> Beth
>Don't Litter, Fix Your Critter! www.Furkids.org
> 

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Re: [Felvtalk] [OT] congenital peritoneopericardial diaphragmatic hernia

[Lance]

It's very tough. Surgeon is ready to go, and one vet says, "Be careful." Most 
of what I've read seems to indicate that the surgery is *usually* safe, and 
that any complications should be minor. However, we all know how that goes...

I'd just like more time with my sweet girl.


On Jun 14, 2013, at 11:28 AM, Beth  wrote:

> That's a tough decision, Lance. It does sound like she may be in pain, which 
> is a stress, but so is surgery.
> 
>  Beth
> Don't Litter, Fix Your Critter! www.Furkids.org
>  

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Re: [Felvtalk] [OT] congenital peritoneopericardial diaphragmatic hernia

[Beth]

That's a tough decision, Lance. It does sound like she may be in pain, which is 
a stress, but so is surgery.


 Beth
Don't Litter, Fix Your Critter! www.Furkids.org
 



 From: Lance 
To: felvtalk@felineleukemia.org 
Sent: Friday, June 14, 2013 10:21 AM
Subject: Re: [Felvtalk] [OT] congenital peritoneopericardial diaphragmatic 
hernia
 


Hi Kat,

That's good advice. As far as I know, Ember has done well with anesthesia. 
She's had two dentals in the last three years, and she was anesthetized for the 
CT scan two weeks ago. However, the stress of surgery is another consideration. 

Since Ember is doing reasonably well (other than a URI she might have right 
now), it might be prudent to take care of the hernia since she is showing 
symptoms of it. Unfortunately, it's a lot to think about. I'm hoping to talk to 
her primary vet today to discuss this some more.

Lance


On Jun 14, 2013, at 7:58 AM, kat  wrote:

Hi Lance,
>
>I have not had experience with congenital hernias - but I would be concerned 
>since Ember is FelV+
>
>You might want to check back with her 2 vets about using anesthesia & putting 
>her thru the stress of surgery.
>
>Kat (Mew Jersey)
>
> 
>- Original Message -
>>From: Lance
>>Sent: 06/13/13 04:19 PM
>>To: felvtalk@felineleukemia.org
>>Subject: [Felvtalk] [OT] congenital peritoneopericardial diaphragmatic hernia 
>>My 11 year old FeLV+, Ember, was diagnosed with a congenital 
>>peritoneopericardial diaphragmatic hernia after CT scans and a consult 
>>between a surgeon and a radiologist.  So far, her symptoms haven't been too 
>>scary: rapid breathing (but not open mouth breathing or panting) and an odd 
>>posture she sometimes assumes where she will "stand" with her forelegs and 
>>lie down with her back legs. This tells me that she might be having some 
>>discomfort (one lobe of her liver is involved in the hernia). She settles 
>>into lying down without problem, and she rests normally.  The symptoms have 
>>only begun in the last few months, as far as I know (Ember and I weren't in 
>>the same part of the world for almost a year). We'd been fearing cancer, so 
>>this would seem to be good news.  The surgeon is gung-ho to take care of 
>>business, and he has an excellent reputation with a lot of experience and 
>>education. However, I just spoke to one of Ember's two vets about this, and 
>>he said,
 "If she were my cat, I don't think I would do it." He's concerned about moving 
the liver, and more importantly, about the surgeon having enough to work with 
when the hernia is likely congenital.  Has anyone on the list had experience 
with congenital hernias in cats? I'd really like to get some more input before 
I make a decision.  Thanks,  Lance 
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Re: [Felvtalk] [OT] congenital peritoneopericardial diaphragmatic hernia

[Lance]

Hi Kat,

That's good advice. As far as I know, Ember has done well with anesthesia. 
She's had two dentals in the last three years, and she was anesthetized for the 
CT scan two weeks ago. However, the stress of surgery is another consideration. 

Since Ember is doing reasonably well (other than a URI she might have right 
now), it might be prudent to take care of the hernia since she is showing 
symptoms of it. Unfortunately, it's a lot to think about. I'm hoping to talk to 
her primary vet today to discuss this some more.

Lance

On Jun 14, 2013, at 7:58 AM, kat  wrote:

> Hi Lance,
> 
> I have not had experience with congenital hernias - but I would be concerned 
> since Ember is FelV+
> 
> You might want to check back with her 2 vets about using anesthesia & putting 
> her thru the stress of surgery.
> 
> Kat (Mew Jersey)
>  
>> - Original Message -
>> From: Lance
>> Sent: 06/13/13 04:19 PM
>> To: felvtalk@felineleukemia.org
>> Subject: [Felvtalk] [OT] congenital peritoneopericardial diaphragmatic hernia
>>  
>> My 11 year old FeLV+, Ember, was diagnosed with a congenital 
>> peritoneopericardial diaphragmatic hernia after CT scans and a consult 
>> between a surgeon and a radiologist. 
>> 
>> So far, her symptoms haven't been too scary: rapid breathing (but not open 
>> mouth breathing or panting) and an odd posture she sometimes assumes where 
>> she will "stand" with her forelegs and lie down with her back legs. This 
>> tells me that she might be having some discomfort (one lobe of her liver is 
>> involved in the hernia). She settles into lying down without problem, and 
>> she rests normally. 
>> 
>> The symptoms have only begun in the last few months, as far as I know (Ember 
>> and I weren't in the same part of the world for almost a year). We'd been 
>> fearing cancer, so this would seem to be good news. 
>> 
>> The surgeon is gung-ho to take care of business, and he has an excellent 
>> reputation with a lot of experience and education. However, I just spoke to 
>> one of Ember's two vets about this, and he said, "If she were my cat, I 
>> don't think I would do it." He's concerned about moving the liver, and more 
>> importantly, about the surgeon having enough to work with when the hernia is 
>> likely congenital. 
>> 
>> Has anyone on the list had experience with congenital hernias in cats? I'd 
>> really like to get some more input before I make a decision. 
>> 
>> Thanks, 
>> 
>> Lance 
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Re: [Felvtalk] [OT] congenital peritoneopericardial diaphragmatic hernia

[kat]

Hi Lance,

I have not had experience with congenital hernias - but I would be concerned 
since Ember is FelV+

You might want to check back with her 2 vets about using anesthesia & putting 
her thru the stress of surgery.

Kat (Mew Jersey)
- Original Message -
From: Lance
Sent: 06/13/13 04:19 PM
To: felvtalk@felineleukemia.org
Subject: [Felvtalk] [OT] congenital peritoneopericardial diaphragmatic hernia

My 11 year old FeLV+, Ember, was diagnosed with a congenital 
peritoneopericardial diaphragmatic hernia after CT scans and a consult between 
a surgeon and a radiologist. So far, her symptoms haven't been too scary: rapid 
breathing (but not open mouth breathing or panting) and an odd posture she 
sometimes assumes where she will "stand" with her forelegs and lie down with 
her back legs. This tells me that she might be having some discomfort (one lobe 
of her liver is involved in the hernia). She settles into lying down without 
problem, and she rests normally. The symptoms have only begun in the last few 
months, as far as I know (Ember and I weren't in the same part of the world for 
almost a year). We'd been fearing cancer, so this would seem to be good news. 
The surgeon is gung-ho to take care of business, and he has an excellent 
reputation with a lot of experience and education. However, I just spoke to one 
of Ember's two vets about this, and he said, "If she were my cat, I don't think 
I would do it." He's concerned about moving the liver, and more importantly, 
about the surgeon having enough to work with when the hernia is likely 
congenital. Has anyone on the list had experience with congenital hernias in 
cats? I'd really like to get some more input before I make a decision. Thanks, 
Lance ___ Felvtalk mailing list 
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[Felvtalk] [OT] congenital peritoneopericardial diaphragmatic hernia

[Lance]

My 11 year old FeLV+, Ember, was diagnosed with a congenital 
peritoneopericardial diaphragmatic hernia after CT scans and a consult between 
a surgeon and a radiologist. 

So far, her symptoms haven't been too scary: rapid breathing (but not open 
mouth breathing or panting) and an odd posture she sometimes assumes where she 
will "stand" with her forelegs and lie down with her back legs. This tells me 
that she might be having some discomfort (one lobe of her liver is involved in 
the hernia). She settles into lying down without problem, and she rests 
normally. 

The symptoms have only begun in the last few months, as far as I know (Ember 
and I weren't in the same part of the world for almost a year). We'd been 
fearing cancer, so this would seem to be good news.

The surgeon is gung-ho to take care of business, and he has an excellent 
reputation with a lot of experience and education. However, I just spoke to one 
of Ember's two vets about this, and he said, "If she were my cat, I don't think 
I would do it." He's concerned about moving the liver, and more importantly, 
about the surgeon having enough to work with when the hernia is likely 
congenital.

Has anyone on the list had experience with congenital hernias in cats? I'd 
really like to get some more input before I make a decision.

Thanks,

Lance
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