From:
"sukiedaviscrandall"
Date: 2010-04-04 17:53:22 UTC
Subject: [ferrethealth] Re: personal ferret emergency: Hilbert post-op
To: ferrethealth@yahoogroups.com
Hilbert is home but there is a new concern, too, now.
First: the good news is that his kidney values are back to normal.
That is major good news.
The bad news is multifold:
1. There is now a cloudiness in his mediastinum and the cranial
mediastinum is enlarged so there are several possibilities
with hypertrophic cardiomyopathy one of the things that absolutely
have to be ruled out when this is compared to earlier x-rays.
Hypertrophic is the form that that can be hidden well. So, he will
be having a chest ultrasound in his near future.
2. He is at risk for vascilating between high and low blood glucose
so a crash could be either of those. He's hard to get blood from.
Tail is worthless in his case, paw rarely useful. We'll be trying
his ear next, and will be trying syringe needles for getting it. He does
not bleed easily but he does clot easily. The chances are greater at
this point for low blood glucose. So, since he over-responded to meds
Steve and I will sleep shifts for frequent small meals...
3. BUT he had the acute kidney episode, past kidney problems, and
he is genetically prone to cystine stones so we have to be careful to
not overdo the protein during those meals which means also
encouraging him to eat kibbles at those times and that can be harder,
4. AND we are increasing his Fludrocort to make sure of no Addisons
while he is under so much stress. (His adrenals had come out
as a preventative measure when he was very young because they were
so inflamed by being rubbed by huge kidneys when he had hydronephrosis
back then due to the cystine stones and a bladder malformation.)
We are also:
1. Adding Carafate once a day. Yes, we know about timing.
2. Giving two antibiotics
He does have mild neural crest genetic variant markings. Neural Crest
genetic variants do increase the chances of cardiomyopathy, especially
hypertrophic cardiomyopathy in multiple species.
For those who have not read earlier, he is 7 years old.
We have another terminal ferret, too, Mornie, who has carcinoma but is
so far doing well despite it.
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