Artemis’ promising blood results

Artemis’ latest blood results have just been phoned through. Creatin has continued to drop, from 416 to 376, slowly moving towards the normal maximum of 212. Urea is down from 36 to 19.5, again moving steadily towards the target 12.9. Phosphorus and calcium have stabilised. Her red blood cell count is low, but that’s possibly just because she’s on such a high rate of fluids.

The decision has been made to reduce the flow of intravenous fluids down to 1.5x maintenance levels, rather than the 2x she’s been on, and see what happens over the next 48 hours. For the background to that, see the post from earlier today.

“We’re looking at the possibility we could get [her] through it,” says Dr Meredith Gibbs.

Artemis improves, but it’s early days yet

I’ve just spent half an hour with Artemis, and here’s a picture. While she’s showing marked improvement, she’s still on fluids at twice the normal maintenance level to flush out any toxins — think of it as poor man’s dialysis — and it’ll still be some days yet before we really know what’s going on.

First the good news. Artemis has been eating. While she was obviously annoyed at still being connected to the drip, she was exhibiting her normal behaviours. I’m friendly, but don’t touch me. Yes, I want attention, but don’t pick me up. How can I escape from this table? How can I get my leg out of this uncomfortable bandage? This is a great sign.

However she needs to stay in this stable state without being on intravenous fluids.

As I mentioned earlier, the blood tests done on Friday afternoon showed that the enzymes associated with kidney problems had been declining, although they were still way above normal levels. Urea levels, for example, had dropped from 113 during the crisis night to 36, but they should be below 12.9. Creatin levels were at 416 on Friday, when they should be below 212. On crisis night they were so high that the measurement technique didn’t even work, even with the blood sample being diluted.

Curiously, certain blood tests showed indications of acute kidney problems, but others were associated with chronic problems.

In brief, as I discussed with Dr Meredith Gibbs today, Artemis was so profoundly ill — so near death! — that everything was very different from normal. We shouldn’t read too much into any of this, but simply take everything one step at a time.

And the next step is further blood tests this afternoon, 48 hours after the last batch. If all these enzyme levels are returning to normal, then the intravenous fluids will be reduced slowly to see what happens — to see whether Artemis’ kidneys can now sustain their function or not. If the blood tests are not showing sufficient movement towards normal today, well, she stays on the high-level fluids for another 48 hours. And then we try again.

So what’s the longer-term view?

Continue reading “Artemis improves, but it’s early days yet”

Artemis update soon

Just a quick note to say that I’ll have a full report on Artemis’ health once I’ve visited her at Pet Vets at midday Sydney time. That’s in about an hour, and I’ll post something perhaps an hour or two after that.

There was brief news from Dr Emily Payne on Friday night to say that various kidney-related enzyme levels were still high but reducing relatively quickly, which indicates both that the suspicions regarding liver disease could well be correct and that the issues may not be severe in the long term. The plan then was to keep her on fluids for another 48 hours and update the plan, which of course brings us to now. Please stand by.

Artemis eats

About 7.30pm this evening Dr Emily Payne from Pet Vets left a voicemail with an update about Artemis: “She’s drinking a bit of water for us, and she has eaten a very small amount of food as well, so that’s good. And she’s purring when she gets a pat.”

Artemis is stable, diagnosis unknown

“I’m so glad she’s doing well, I really didn’t know if she’d make the night,” said our vet Glen Kolenc a short time ago. And yet Artemis did make it through the night, thanks to interns Dr Helsa Teh and Dr Dharshinee Rajkumar and their team at the Sydney After-hours Veterinary Emergency Service.

“On presentation Artemis was collapsed and her gum colour was slightly muddy,” says the discharge statement. “She was given oxygen by mask and started on shock rates of intravenous fluids. Her blood pressure improved afterwards.” Artemis then spent the night in hospital on the drip, with methodone for pain relief.

While there is a lesion in her mouth which, as I explained yesterday, “could be a tumour”, the report also says that “her small kidneys and very dilute urine despite being dehydrated is suggestive of kidney disease”.

This morning, thanks to James Neave providing transport and Kate Carruthers covering the bills for now, Artemis was transferred back to our regular vets at Pet Vets, Petersham. She’s back on the drip and at the start of a few more days in hospital while tests are run and diagnoses reached.

At lunchtime Dr Emily Payne called from Pet Vets to say the first of the blood results were back. They show very marked kidney disease going on, “all kidney-related enzymes high”, “this all relates to kidneys”. And if it is kidney disease, well, it’s generally manageable long-term. It could even explain the mouth lesions: ulceration. We’ll find out more over the next few days.

However for the time being it’s mostly a matter of getting Artemis her strength back and then figuring out what’s going on. There will be uncertainty for a while, but she’s alive and now in no immediate danger.

My especial thanks to the many, many people who’ve given support, both personal and financial.

Donations have now well exceeded $2000, and this will probably cover the emergency treatment, hospitalisation and diagnoses currently scheduled. Whether further treatment is needed remains to be seen.

Of course if the mouth lesions do turn out to be cancer then we’re in for a bumpy ride. But it may not be that, and Dr Payne emphasised that at this stage we simply don’t know.

Thank you, everyone.

Right now I’m mentally exhausted, and I didn’t get much sleep last night. I will respond properly to comments in the next instalment. But for now, I’m taking a nap.

[Photo: Artemis, 30 May 2004.]

Artemis is gravely ill, generosity astounds

What a week! If you were following my Twitter stream this evening, you’d already know that one of the cats, Artemis, is gravely ill tonight. She is in hospital. My cashflows are thoroughly depleted. And I am severely stressed. But I am also astounded by people’s generosity of spirit.

In writing all this, I run the risk of alienating those who want to see a supposed-professional’s website full of serious things like my media work and serious commentary, or at least mildly amusing satire, not that supposedly lowest-of-low, “cat blogging”. My good friend Nick Hodge has already written this week about professional versus personal social media projections and the risks of letting them intermingle.

But you know what? Fuck all that!

If I am to be an honest human — and I would like to think I strive to be one — then what I write about should be what is on my mind. And this is what dominates my mind today. If you don’t like it, well, stop reading now and pop back another time. Maybe next week.

And if you think less of me for writing about the personal issues that happen to be dominating my life, well, fuck you too.

So, to Artemis…

Continue reading “Artemis is gravely ill, generosity astounds”