Cammie’s
battle with her latest episode continued on Friday. She vomited all Thursday
night, throwing up reddish green foam. I tried to feed her the following
morning, but she was having none of it. I had no choice but to take her to the
hospital. Several things were done for her there.
She
was physically examined this time, and nothing extraordinary was found. Blood
was tested, and her potassium levels were down, though this may have been
through dehydration. Her kidney failure has advanced to the later phases of
stage two, but this as well may have been influenced by her current conditions.
A large amount of fluids was given her. She was given another injection of
Cerenia, as well as a mirtazapine pill. The former was to reduce stress on her
stomach and eliminate vomiting, the latter to stimulate her appetite.
I
am pleased to write that things have improved. After waiting a certain amount
of time, I fed Cammie and she ate a good amount of Z/D soft-food. She ate a few
more times Friday night (I didn’t want to feed her too much; I was afraid of
causing a rejection of her meals, and thus vomiting.) But she did not throw up
during the night, and this morning she consumed more food. Since last night,
she has eaten half a 5.5 ounce tin of Z/D, and it is staying down, so far.
An
interesting aspect of this event is that Cammie becomes very restless when she
is hungry. I wonder if the mirtazapine is strong enough to cause some
discomfort, if she doesn’t assuage it with some food in her tummy. When I first
noticed this characteristic, I thought she was about to be sick; she seemed in
fact to be looking for the food dish. Once that was provided, and she had
eaten, she settled down.
The
hospital called me this morning to see how the princess was doing. Her doctor
would have been available until noon, though this weekend, I would have been
able to call upon none of the hospital’s veterinaries, in an emergency.
Provision is made in such rare cases for another hospital to take over the
responsibilities temporarily, but for a number of reasons, I did not want to
resort to that. Because of this situation, a pill of mirtazapine was given,
rather than a transdermal cream, which I could have given. The pill is stronger
and lasts three days; I likely would have had to give a rubbing of the cream
each day. So far, as I have written, Cammie is doing well, and has not thrown
up.
She
is resting when not eating, and seems uninterested in roaming about, as she
sometimes does. I am not surprised. With two drugs in her system (three, if one
counts her daily high blood-pressure medicine), extra fluids (now absorbed) and
what is likely an unnatural feeling of hunger, my Siamese girl is probably
feeling out of sorts. But she is eating and keeping her food down. That is the
important fact.
Cammie
is, however, very affectionate and needy. I noted this earlier in the week. It
may be a by-product of her blindness, a necessity for comfort and reassurance.
She spends most of the night on my head now, first trampling me as if I were a
grape in a wine vat, to find the right position. During the day, she enjoys
lying on my chest, purring, up to half an hour at a time. I am glad that I have
been home these past three weeks to accommodate her.
So,
while my previous entry’s hopes may have been premature, this time I think
there is true improvement. At the very least, a substantial amount of nutrition
has entered her system, and won’t be coming back up. And yes, it was two
o’clock in the afternoon before I was able to make the bed.