Ultrasound & FNAC results

* Again, This post is not for everyone. It's for my sickness records ( August 8, 2023 till Today ) . You guys don't need to read or comments because it's going to be very long long post. Most of stories already has been told in FB. * Comments are off *

Back to the past ...

Before mom and me know what caused fluids in my right lung buildup, All my results ( Bloodwork, X-ray, Fluids samples ) were unclear to tell what was caused. It was very serious because unclear results means a doctor was unable to give me treatments. It could be fatal because my fluids were building up every two days. They have to act quickly to find out.

A VET suspected :

1) FIP : feline infectious peritonitis

2) Heart disease

3) Cancer

4) Minor diseases

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I did ECHO so it was clear I don't have heart disease.

Only FIP and Cancer is a main suspicious. But most of first results put more weight to FIP the most. With a big pictures. Nothing weighted for cancer. It was the less suspicious.

Once it was unclear, I had to do the second test. All was sent to feline pathology again, and I did more X-Ray. ( The second bloodwork and my third fluids aspiration's samples ) 

Then all second results + the forth fluids from lung ( Milky ) cleared up on July 30, 2023  I was diagnosed Chylothorax. New diet ( low-fat ) and my treatments started right away under hospital care. ( Note : I admit to hospital on July 27, 2023 )

Only one test I did not yet do is Ultrasound... 🐾 

Monday night : July 31, 2023 A specialist found a lump above my heart ( right lung ). Mom still thought it was nothing. A specialist advice to do FNAC Fine Needle Aspiration Cytology. Mom agreed. The sample was sent to feline pathology.

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I was back home on August 2, 2023. I looked good. Me and mom started the new normal. ( New Diet & Medicine + No treats. Mom has to monitor my breathing , weight, etc. )

I was doing good. Our positive was up.... 

Then August 4, 2023  The VET ( GP ) rang mom to tell mom my results from FNAC shows I have evil cancer. My mom tears was pouring. That day, I actually looked fine. Only thing my mom concerned was my mushy products.

At the front of an oncologist's room

August 6, 2023 Sunday afternoon, We went to see an oncologist to find out the detail and options of treatments. Before mom saw her. Mom already made up her mind " No operation & No Chemo for me " End up she told mom the results said  " WAS SUGGESTED ". It means " Only suspicious " The oncologist said it was not enough for her to have a conclusion 100 % I has cancer, and no way she can suggest me any cancer treatments "

Me and mom had big smile, We was creaming happily till an oncologists had to give mom a warning " But it doesn't mean he doesn't has cancer ! It's just couldn't be sure by FNA's results. To be 100% we has to see his tissue from his lung which he has to do operation which I am not going to send him to do that. He looks well no other signs to pin yet. " Mom didn't hear her anymore. We was quickly leave a room lol.

Mom asked the hospital to see my doctor to check fluids in my lung. She sent me to do X-ray to see do I have a fluids build-up ? Nop, its no fluids buil-up. It was a great news. Mom and doctor talked about my diet and my medication because my products become semi- liquid in that morning. My doctor stopped antibiotic ( Cafspan 100 mg ), and gave me Synbiotic D-C ) Mom thought she was on top of my symptoms but NOT.

No fluids built-up

A star on my right lung is an area FNAC was performed

After we back home. I ate and I ran straight to my litter. My missile exploded in a tray and spread to a wall. Mom looked at my new artwork then she turned and see my shitty butt and paw. She did wash and dried for me. She hope a new pill will make it better tomorrow to come.

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Monday 7 of August, I still kept going with diarrhea. Mom was not worried just diarrhea but my body temperature was changed too often. According to cleaning after the missile explosion ( + my belly was shaved when I have to do ultrasound. Its easy to feel cold ). The end of Monday she took me to hospital for fast check up ( gum, blood pressure, sample of my poop and my body temperature ) A doctor had a quick chat with mom she put me back to antibiotic but a different one : Marbofloxcin 20 mg. and she reduce my steroid ( prednisolone 5 mg )

August 8, 2023 It was International kitty day. It was my unstable day. Good news my diarrhea stopped, Bad news, I didn't make any products all day long, only pee. My breathing is so fast in the morning. It's almost hit a level mom has to grab me and go to hospital. My face is shaking like the Indian way of shaking face ( means fluids in my lung might be build-up ). Mom weight me again to check. 7.2 kg is exactly the same as the early morning and yesterday. Phew ! it was okay.

We kitties sleep a lot, that's our normal way. Yesterday I was like a human who has a lots of coffee. No sleep for long hours ( During daylight ).

Mom tried to encourage me purrs to heal myself. I avoid her hand to touch my head. Mom thought I was possible in pain or feel dizzy because of pills. She gave me Matatabi powder ( AKA Silvervine powder ) I licked it all. After that I went to sleep.

In the afternoon my breathing was slowing down and back to normal rate at the end of a day. Mom did massage me. I did purrs so she know she got nothing too worried about. Purring is always a good sign.

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Today August 9, 2023 I am good as new even I didn't make a product. My breathing is normal. I eat a lots and drink. I can ran away from medicine. ( I did have it + Omega 3 )

I will see my doctor again on Sunday for check-up.

All Good 🐾

💖 Thanks to you all. it's overwhelming by your love and care 💖

💖 Love you all 💖

xox

Puddy Boy

Causes of Fluids in my right lung

This post is not for everyone. It's my past of what was going on with me. Mom is a forgetful person.. she needs this post as a note to herself which she can access easily. You guys doesn't need to read or comments because it's going to be very long. And most of stories already has been told in FB excepted the last part, what cause of fluids build up in my lungs ( which you can scroll down to the end if you prefer to find out ) 

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Encore 

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Last Monday, me and mom rushed to an animal hospital because I breathed very fast for two days. I started to deny food, treats, drink, pee and poo. An hour before we went to hospital I had labour breathing. My heart's movement look like a big wave in the ocean for surfing. Mom suspected I might have a problem with heart. She took me to this new hospital ' VET4 ' because there has a feline heart specialist. And its not far from my home.

Arrived at the hospital, They took my blood and did X-ray. Blood's results turned out fine but X- ray shows my lung was filled up with fluids ( Full ). 

My normal X-rays are from a previous hospital

when I diagnoses a chronic upper respiration disease  on March 2023

Bottom left is the first X-Ray I reached a hospital,

Bottom Right is the X-ray before a doctor performed my forth fluid aspiration.

All the fluids squeezed my heart till I had a very difficult breathing. A heart specialist asked mom permission to perform fluids aspiration to safe my life. Of course mom said yes.

New things mom learns, They couldn't drain all fluid my right lung in one hit. Once a cat feels a little bit better we don't allowed them to continued. I made my moved. Big furry guy like me ? You bet ! ...So my VET did his best ( mom felts sorry for him a bit ) Got fluids out as much as he could. First time in mom's life in Bangkok. She thinks she finally found a good VET for me. Mom is graceful because a doctor is a big guy he got more chances to drain my fluids than a small doctor. 

Later my results of both bloodwork and fluids shows many possibility... Heart diseases, Cancer, FIP, etc. But all is not enough to pin. what I got. Once they don't know for sure they can't give a treatments. We were back home. I was good in one day, next day was down. I was back to hospital again last Wednesday.

This time, A VET & staffs couldn't perform much ( Fluids aspiration ) because I still have some strength. On Wednesday, they all are small persons and thin built. Only 30 cc. was drained from my body. Everyone knew in their heart my lung still contain lots of fluids they can see no improving of the way I was breathing. But they couldn't force me more. Everyone know sick cat's stress can trigger strokes and heart attacks. They stopped. 

Thursday of July 27, 20233  I was home. My breathing was still fast & furious. I couldn't move normal. Mom made a decision to admit me to A hospital's care that night. She expected the fluids will come back like a wave. 

Friday of July 28, 2023 @ 7.26 am, The hospital reported mom about my respiration by the apps. My respiration counts are a bit fast but not critical. I got no fever, not eat by myself, no drink, pee but poo. Mom drove to see me. She expected to reached a hospital at 10 am ( Visiting Hours ) She worried and miss me. She planed to feed me and make me drink ( I might do it by her ). I was already in an urgent room because my breathing was racing to + 66 counts per a min. A doctor performed fluids aspiration straight away. An amount was better from the second time but it was not all. Same things I made my moved. No one could hold me more. Mom has to wait for an hour because a heart specialist performed Echo with me as well. Mom felt sorry for a lady who brought her cats by appointment. She and her cats have to wait till her doctor has done with me ( urgent ).

A doctor had a good talk with mom explained the fact , whats possible could be and sorry she couldn't pin point it quick enough. According to most results are unclear. ( Fact : The most accurate way to know is...taking a tissue from my lung ( operation ) to test which we are not going to do it ) While they was talking, the latest results from ECHO heart scan arrived and showed I don't have heart disease 100% Now what was left ? it's an evil Cancer & FIP... The sound always put the weights to FIP in some points. Mom has been warned by one doctor. It have to act fast for treatments once they know for 100%. A doctor wants to be sure mom understood because she have to approved them to go every process. ( These days many humans sued a doctor or hospital so they won't act till everything was signed or approved ) 

Saturday of July 29, 2023. Mom went to visit me. I was stable in the morning. A doctor reported my weight was increasing from 7.1 kg - 7.2 kg ( 15.8lb) overnight. A doctor expected a fluids in lung was building up +100 ml but she couldn't be sure because I didn't pee and poo. She kept an eye on me,

A young doctor answered mom about FIP treatments that mom got no idea about it. It's an illegal drugs a hospital does not provided them. Mom has to get them by herself if my results show positive. It's an illegal because FDA still didn't approved. It's a new drug.

That night she did home works about FIP treatments. It's extremely expensive in Thailand. To finish a set of GS. It's about +200,000 Bath for starting.( AU 8740.29, USA 5849.92, EUR 5301.67 ). For 4 kg ( 8.8 lb ) Kitty. I'm 7.2 kg. (15.8 lb)

Yep. FIP is absolutely can broke my mom's bank. Whatever it is my fluid is building up every two days. Too often perform fluids aspiration could take a high risk to have an infection or add up more diseases because of stressful. She just know she have to act fast. She couldn't wait for bloody results to pin. How many tests I have to do till the results will show 100%. No one could tell even the doctors. Don't take mom wrong, she doesn't think it's anybody's false. But fluids in my lung couldn't wait.

What my mom heard about GS is a miracle even some kitties who doesn't have FIP. Three to seven days of treatments you could see an improvement, especially a level of fluids reducing. ( Reminder : there are a few percentage the cat dies right away as well )

Saturday night, Mom turned to be a Tiger's mom after knowing my Ultrasound appointment has been postponed to Monday night. 

She has been told my condition will be treat as soon as they has some results to confirmed the 100%.

All results they got are blur, not clear. Mom's hope is the Ultrasound, it could pin. then I can start my treatment whatever it is

All a sudden, an ultrasound specialist canceled my appointment in the last min. because the public holiday which the people in a whole country knew. We booked him earlier if he knew he will not be available for me he should not accepted to have an appointment with me. That was mom's thought and she was furious while chatting with a hospital on Saturday night. Mom misunderstood. My doctor booked him by his normal schedule. He didn't know. My doctor apologized she just found out as well. Apologized accepted.

Sunday July 30, 2023 The Clear Day

Good start with my one tiny poop and pee. So now a doctor was clear my fluids increasing in lung, not pee or poo. My breathing is okay. I don't drink at all. 

Mom requested a serious talked with s doctor because makes a decision to be on top of my fluids. She wants to know what it could be if she wants to use GS with me even I might not have FIP.  She wants to know where she could get GS, and is it possible to do in hospital. Or she have to hire someone to injected me. Many idiots questions was pouring... A doctor was super polite and kind. She told mom we got a treatments it's a tablet. Same kind of Favipiravir a treatment for COVID19 in human. It's Oral treatment containing GS-441524. It's available to use in animal hospital. One is clear for mom who didn't sleep almost a week...lol

A doctor showed mom a new blood work results which some numbers have changed. The old one indicated I might have FIP 80%, but now NOP ! just high FAT !!!! HIGH CHOLESTORAL !

which cause my lymphatic vessels become damaged, and chyle — a fluid — leaks into nearby... 

Yep, my lung

To confirm I got Pleural effusion caused by Chylothorax 100% 

After my doctor performed fluids aspiration with me.

My fluids is milky ... Fat....FAT...and FAT !!!

Left is my last 3 times fluids : Clear light yellow ( syringes )

Right is my latest fluids in my right lung : Milky : 300 cc.

All I have to do is change my diet. Add more Omega 3

Doctor will give me some medication to eat.

Mom has to keep an eye on my respiration daily/nightly

Mom doesn't tell me yet no more treats.... SUFFER !

That's all I know for now

Please wish me luck, Next two hours

A specialist will perform Ultrasound with me.

we wish nothing bad to be found

Paws Crossed

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Puddy Boy

The winner of all the tests

💖 YOUR PURRS ARE AMAZING !!! 💖

TA..DA ....

I DON'T HAVE HEART DISEASE ( 100%)

I DON'T HAVE CANCER ( not 100% but low percentage )

I DON'T HAVE FIP ( my bloodwork's results yesterday kicks out this evil completely )

BUT PLEURAL EFFUSION !

Yep, it's still one kind of evil bug but It's a lot less scary.

What me and mom have to do..

Change my diet ( to reduced fat food ), Have my medicine,

Mom has to monitor my fluids ( My daily/nightly respiration counts )

Go to see my VET from times to times.

That's all about it

I still have to stay at hospital. To make sure fluids are not build up too quickly ( my records : every two days ) If it happens again , the specialist will insert the drain tube for mom to empty my fluids at home next Tuesday and I have an appointment to do ultrasound on Monday night as well.

My next door, Miss Lex she has colon problems.

She always says ' Hello' to mom

This guy names Tiger. Once he gets out of his jail. He runs quick to all ladies in a room. Marks his scents in super speed. He diagnoses diabetes. We get along well. Me thinks he is super sweet boy. Tiger is Miss Lex's sibling.

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Thanks again for your prayers, for purring, for your good thoughts, for story you do share and advices. Most thanks for your kindness and love shown towards me and mom. It's incredible !

💖 Love you all, Stay heathy ! 💖

xox

Puddy Boy

PS : the full story will tell after my mom get some rest. She couldn't eat and sleep for a week. Most of you already knew what was going on with me from FB. but we wants to make a record of my illness here as well... soon