28/10/2020
♦♦TIMESTAMPED MEDICAL PRIORITY - TO BE KILLED 6:00PM (Eastern) THURSDAY 10/29/2020♦♦
🔺TIMESTAMPED - 6:00PM (Eastern) THURSDAY 10/28/2020🔺
♦♦DIABETIC MEDICAL PRIORITY♦♦
*** A $500 stipend will be offered to the New Hope partner that pulls Tiger Balm 104374. Please note that in order to qualify for the stipend, he cannot go to a boarding facility. ***
MANHATTAN ACC ADOPTABLE
TIGER BALM 104374
*** SAFE! Rescued by Cat Republic ***
DONATION LINK:
https://catrepublic.com/donate/
or venmo to (click the business tab).
♦♦TIMESTAMPED MEDICAL PRIORITY - TO BE KILLED 6:00PM (Eastern) THURSDAY 10/29/2020♦♦
♦♦A private donor has graciously offered to pay $250 to the New Hope partner that pulls Tiger Balm also = $750. ♦♦
🔺TIMESTAMPED - 6:00PM (Eastern) THURSDAY 10/28/2020🔺
♦♦DIABETIC MEDICAL PRIORITY♦♦
*** A $500 stipend will be offered to the New Hope partner that pulls Tiger Balm 104374. Please note that in order to qualify for the stipend, he cannot go to a boarding facility. ***
MANHATTAN ACC ADOPTABLE
TIGER BALM 104374
14Y | MN | Owner Surrender | 9 lbs.
Hi there! My name is Tiger Balm and I'm diabetic. I'm very sweet during most social interactions, but I'm not a big fan when people are too hands on. I'll need an adopter who's experienced with this type of handling so I can safely have my blood sugar checked and receive insulin twice a day. With patience (and plenty of treats!) I hope to get more comfortable with these small parts of my day. That way I can show you how great a cuddler I am the rest of the day!
Medical:
25-Oct-2020
Progress Exam
Vet Notes: 9:53 AM
Issue List:
-Diabetic cat
-Unable to check BG because of FAS
BAR H
EENT- no ocular or nasal dc noted
HL-eupneic,
MSI- thin; ambulatory x4
Neuro-NSF
A:
diabetes mellitus on treatment
P:
CWSC
24-Oct-2020
Progress Exam
Vet Notes: 1:26 PM
Hx: Diabetic cat in medical on treatment. Currently on 3 units PZI BID. Difficult behavior, unable to check BG
S:
BAR in kennel, comes to kennel door meowing and starts swatting. Visual exam due to behavior and to minimize FAS
O:
eyes early cataract formation, no ocular or nasal dc noted
eupneic, no sneezing or nasal dc appreciated
ambulatory x4
mentation alert and appropriate
A:
diabetes mellitus on treatment
P:
continue 3 units BID
monitor clinical signs
23-Oct-2020
Progress Exam
Vet Notes: 9:30 AM
Hx: Diabetic cat in medical on treatment. Currently on 3 units PZI BID. Difficult behavior has made monitoring difficult
S:
BAR in kennel, comes to kennel door and starts swatting. Visual exam due to behavior and to minimize FAS
O:
eyes early cataract formation, no ocular or nasal dc noted
eupneic, no sneezing or nasal dc appreciated
ambulatory x4
mentation alert and appropriate
A:
diabetes mellitus on treatment
P:
continue 3 units BID
monitor clinical signs
22-Oct-2020
Progress Exam
Vet Notes: 8:21 AM
BAR, sitting at cage door. Urine in litter box. Eating wet food well.
EEN: No ocular or nasal discharge
Resp: RR & RE WNL.
MSI: General muscle wasting. Ambul x 4
Neuro WNL
A: DM. Pet appears comfortable
Plan
c/w Prozinc 3 units sq bid
21-Oct-2020
Progress Exam
Vet Notes: 11:22 AM
Hx: Diabetic, on treatment
S: Alert in kennel, at front, meowing and purring
Urine in litterbox
Good appetite
O: BAR, no nasal or ocular discharge, no coughing or sneezing
A: Stable diabetic
P: CWCT
1088
20-Oct-2020
Progress Exam
Vet Notes: 8:51 AM
S: Eating well, large amount of urine in litter box. Purring and soliciting attention at front of kennel, then began hissing and swatting when I opened the cage door, so only visual exam performed.
O:
EENT: Nuclear sclerosis OU, no ocular/nasal discharge/sneezing/coughing observed
H/L: Eupneic
MSI: Ambulatory x4, mild epaxial muscle wasting, palmigrade and plantigrade stance
A:
Diabetes mellitus- on treatment
P: Continue with 3 units PZI SQ BID as long as eating well
19-Oct-2020
Progress Exam
Vet Notes: 8:13 AM
Hx: Diabetes, on 3 units PZI
S: Purred throughout exam, leaned into petting and scratching under his chin. Allowed me to palpate his abdomen once, but when I tried to palpate a second time he swatted and hissed, so I ended the exam.
Urine in litterbox - amount WNL
O: BAR-H, BCS 4.5/9 with mild generalized muscle wasting. MMs pink and moist.
EENT: No discharge OU, AU, nose.
PLNs: Not significantly enlarged.
H/L: Eupnic, not ausculted. No coughing or sneezing.
Abd: Soft, no pain on palpation, no masses palpated
M/S/I: Stands on hocks. Amb x4. No skin lesions noted.
UG: Male neutered
Neuro: Alert and appropriate, no sign neurological deficiencies
A: Diabetes, clinical signs are well-controlled although we have not been able to check BGs. Mild muscle wasting.
P: CWCT
1088
18-Oct-2020
Progress Exam
Vet Notes: 11:11 AM
Hx diabetes mellitus, pt highly stressed by handling and blood draw even for glucose check, so we have been very limited in our ability to evaluate diabetic control. He has had extremely high BGs on recent readings, but I suspect that his BG goes up by several hundred points just by the blood draw attempt, so these are inaccurate.
Pt is eating well and is urinating a good amount (i.e. litter box no longer flooded) so he seems clinically comfortable.
S: Alert, mews and tolerates petting, but hisses when I do more than this.
O: BAR-H, good hydration today. Muscle wasting.
EENT: No discharge OU, nose
H/L: Eupnic, not ausculted. No coughing or sneezing.
Abd: Not palpated
M/S/I: Amb x4. Leans back on hocks when standing. No skin lesions noted.
Neuro: Alert and appropriate, no sign neurological deficiencies
A: Diabetes, good clinical control although we cannot assess his BG
P: Continue 3 units PZI SQ BID **indefinitely**, monitor body weight
1088
17-Oct-2020
Progress Exam
Vet Notes: 8:55 AM
BAR, walks around cage. Urine in litter box.
EEN: No ocular or nasal discharge
Resp: RR & RE WNL.
MSI: General muscle wasting. Ambul x 4
Neuro WNL
A: DM. Pet appears comfortable with minimal handling
Plan
c/w Prozinc 3 units sq bid
16-Oct-2020
Progress Exam
Vet Notes: 10:26 AM
BAR, walks around cage.
EEN: No ocular or nasal discharge
Resp: RR & RE WNL.
MSI: General muscle wasting. Ambul x 4
Neuro WNL
A: DM. Pet appears comfortable with minimal handling
Plan
c/w Prozinc 3 units sq bid
15-Oct-2020
Progress Exam
Vet Notes: 8:41 AM
QAR lying down but walks to cage door when I approach. Eating wet food
A: Appears stable
Plan
c/w prozinc 3 units sq bid
14-Oct-2020
L V T Notes: 9:50 AM
cat needed to be netted to draw blood for BG reading. very stressful for cat/ BG 741 gave 3 units of prozinc
14-Oct-2020
Progress Exam
Vet Notes: 8:45 AM
Issue List:
- Diabetes Mellitus
- Difficult to assess blood sugars d/t FAS
QAR eating
A)
DM
P)
continue PZI insulin- 3 units sq q 12 hrs
13-Oct-2020
Progress Exam
Vet Notes: 10:08 AM
Issue List:
- Diabetes Mellitus
- Difficult to assess blood sugars d/t FAS
QAR eating
A)
DM
P)
continue PZI insulin- 3 units sq q 12 hrs
12-Oct-2020
12-Oct-2020
Progress Exam
Vet Notes: 5:21 PM
S: At front, pawing at me through the door, meowing
O: No coughing or sneezing, nasal or ocular discharge
BG just before insulin administration 523 mg/dl
BG 7 hours post-insulin 146 mg/dl
A: Diabetic - BGs unstable. Pt may be receiving insulin too early in the evening due to shelter staffing limitations (8-8:30am and 6:6:30pm). Pt HIGHLY stressed by blood draw and this is very challenging to achieve. Confirmed that pt is not getting fed at any other times besides BID with insulin.
P: Continue 3 units PZI SQ BID, try to adjust times slightly to get closer to q12
1088
12-Oct-2020
Tech Exam
L V T Notes: 3:39 PM
BG: 146 mg/dL at 3:20 pm
12-Oct-2020
Tech Exam
L V T Notes: 10:16 AM
BG: 523 mg/dL at 8:22 am
Per Dr. 1088 gave 3 units PZI SQ
11-Oct-2020
Progress Exam
Vet Notes: 1:36 PM
Hx: Diabetes. Currently receiving 3 units PZI BID. Pt has had very high BGs lately. Pt also fractious and increasingly difficult to medicate.
Good appetite lately
S: Alert in kennel
O: BAR, no coughing or sneezing, no nasal or ocular discharge
A: Diabetes mellitus, not regulated in the shelter
P: Move to double kennel. Check BG tomorrow morning, consider glucose curve if able.
1088
10-Oct-2020
Progress Exam
Vet Notes: 9:11 AM
QAR, lying sternal in back of cage. No urine in litter box. Pet ate DM yesterday and this am.
Visual exam to reduce FAS
EEN: E&E clear
CV/RESP: RR RE WNL
MSI: Ambul x 4
Neuro QAR
A:
Pet eating. Energy level good.
Prognosis Fair
Plan
c/w PZI 3 units sq bid
recheck BG 2 days
9-Oct-2020
Progress Exam
Blood Work Interpretation
Vet Notes: 9:46 AM
QAR, lying sternal in back of cage. No urine in litter box. Pet did not eat this am.
Cat hissing, swatting and lunging when try to remove him from cage with towel. Captured cat in net.
9 #
EEN: E&E clear
CV/RESP: RR RE WNL
MSI: Decreased muscle mass. BCS 3/9 Ambul x 4
Neuro QAR
BG 609 Higher than yesterday.
Negative ketones on free catch urine from cage floor.
A:
BG high again after going down to 475 yesterday am. Insulin was increased to 3 units 2 days ago. Would like pet more time at 3 units before increasing. Increased stress may be raising BG.
Pet will not tolerate IVC placement.
Prognosis Poor to fair
Plan
gabapentin 100mg/ml 0.5 ml po indefinitely
100 mls lrs sq
Cerenia 10mg/ml 0.4 ml sq
c/w PZI 3 units sq bid
9-Oct-2020
Tech Exam
L V T Notes: 9:18 AM
Morning BG 609
8-Oct-2020
8-Oct-2020
Progress Exam
Vet Notes: 8:36 AM
BAR, litter box empty
EEN: E&E clear
CV/RESP: HR 280 gallop rhythm SSP NMA Lungs clear RE WNL
ABD/UG: Doughy abd. No discrete masses.
MSI: Decreased muscle mass Ambul x 4
Neuro QAR
BG 475
A: BG lower than yesterday am.
New gallop rhythm r/o cardiomyopathy vs other. T4 1.7 at intake
Prognosis Fair
Plan
c/w PZI 3 units sq bid
monitor heart rhythm
7-Oct-2020
Tech Exam
L V T Notes: 1:41 PM
As per Dr. 1379, rechecked BG at 1:30 pm - result 378. Gave more food.
7-Oct-2020
Tech Exam
L V T Notes: 9:39 AM
As per ACR and Dr. 1379, BG completed at *:20 am - result is 609 and gave 3 units instead of 2 units of insulin as per Dr. 1379.
7-Oct-2020
Progress Exam
Vet Notes: 8:37 AM
BAR, drinking a lot, eating very well, flooded litter box overnight. Allows light handling but gets irritated with restraint.
Clear OU, nndc
H/L no coughing or sneezing, eupenic
MSK amb x 4
Integ nsf
BCS 6/9
Neuro a/a
A:
-Diabetes mellitus
-Geriatric
-Dental dz
P:
-BG @ 8:15 am=609 mg/dL
-Increase PZI to 3 units SQ BID
-Recheck BG nadir in 4-6 hours
Addendum:
BG @ 1:30pm=378 mg/dL
Continue on PZI 3 units SQ BID
6-Oct-2020
Tech Exam
L V T Notes: 9:34 AM
BG: 538 mg/dL at 8:25 am
Per Dr. 1379 gave 2 units PZI SQ
6-Oct-2020
Blood Work Interpretation
Vet Notes: 8:09 AM
CBC: NSF
Normal HCT 33.7%
Chemistry:
-Hyperglycemia 694 mg/dL
-Elevated BUN (mild @ 38), normal creatinine
Total T4: wnl
Urinalysis:
Cystocentesis
USG 1.025
pH 7
Protein 1+
Glucose 3+
Ketones negative
Blood negative
WBC 0-2/hpf
RBC 0-2/hpf
Bacteria none seen
Crystals none seen
Urine culture not indicated.
6-Oct-2020
Progress Exam
Vet Notes: 8:04 AM
BAR. He does ok with minimal handling but he does not like any sort of restraint and will start to hiss and swat. Eating well. Flooded litter box with urine, no blood. No stool in cage.
~3-4% dehydrated
Nuclear sclerosis OU, clean AU, nndc
OP 2/4
H/L reg, no obvious murmur, ssp, lungs clear/eupenic, no c/s
ABD snp
MSK amb x 4
BCS 6/9
UG m/n
Neuro a/a
Re**al clean externally
A:
-Diabetes mellitus
-Dehydrated
-Geriatric
-Dental dz
P:
-BG this morning 8:30 am=538 mg/dL
-PZI 2 units SQ BID until otherwise directed
-100 mL LRS SQ SID x 3 days
5-Oct-2020
Tech Exam
L V T Notes: 5:50 PM
Per Dr. 1088, obtained CBC/Chem/UA to send to IDEXX
5-Oct-2020
DVM Intake
Other Lab Interpretation
Vet Notes: 1:41 PM
Medical history was obtained. Last bloodwork was done on 8/29:
Fructosamine Assay 08-29-20
Fructosamine 586 (HIGH) ref 143 373 umol/L
Clavamox was started that day due to painful bladder and bad odor to urine.
Diabetes diagnosed on 7/22/20.
1088
Vet Notes: 1:30 PM
Urine - cystocentesis
USG 1.031
Keto-diastix - neg ketones; 2000 glucose
1088
Vet Notes: 12:53 PM
DVM Intake Exam
Estimated age: Reported 14 years old - exam is consistent with this
Microchip noted on Intake? Scanned POSITIVE
History: Surrendered. Pt was diagnosed with diabetes over the summer and has been steadily losing weight, also urinating all over the house. Reported to be on ProZinc 2 units BID (prescription from 7/29/20) and Clavamox 45.6 mg/ml 1 ml PO BID (prescription from 8/29/20). Both meds brought in and given to us.
Subjective: Alert, looked around and walked out of kennel on his own, explored the exam table
Observed Behavior - Hissed many times but largely stood still for exam
Evidence of Cruelty seen - None
Evidence of Trauma seen - None
Objective
BAR, estimated 8-10% dehydrated, BCS 7/9 with moderate muscle wasting
EENT: Small cataracts OU, no discharge or erythema. Ears clean. No nasal discharge noted.
Oral Exam: Stage 2-3/4 periodontitis
PLN: No enlargements noted
H/L: NSR, NMA, Lungs clear, eupnic, no coughing or sneezing
ABD: Slightly doughy. No masses palpated.
U/G: Male neutered.
MSI: Generalized muscle wasting. Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat.
CNS: Mentation appropriate - no signs of neurologic abnormalities
Re**al: Normal externally
Wood's Lamp Exam: N/A
Assessment:
1. Reported diabetes - on PZI 2 units BID
2. Suspected UTI or hx of UTI - prescribed Clavamox in August, unclear if pt has been receiving it continuously since then
3. Dehydration, muscle wasting, overweight - R/O diabetes
4. Dental disease
5. Small cataracts
Prognosis: Fair
Plan:
1. CBC/chem/UA with urine culture if indicated
2. Continue PZI 2 units BID
3. Recommend dental cleaning, daily tooth brushing
1088
Behavior:
Animal Behavior Saved At: 21-Oct-2020 13:55:28.000
Animal ID:
104374
Animal Name: Tiger Balm
Age: 14 Years 2 Weeks (approx)
Tag Number:
Breed: Domestic Short Hair
Gender: Male
Spayed / Neutered: Yes
Handler: 991647
Observer:
Behavior Assessment Date:
10/8/2020
Retest Date:
11/8/2020
KNOWN HISTORY:
Lived Indoors
Previously lived with: 2 adults
Behavior toward strangers: Shy for a few minutes with strangers. It is said that he will play gently with adults.
Bite or Scratch history: None
Litter box trained: Yes, but in the former home he was having accidents.
Energy level/descriptors: Low Energy Level
Other notes: Tiger is described as friendly and shy. It is said that when in the home that he will follow people around, sit on their laps, and be in the same room as family members. It is said that he enjoys playing with balls and strings. He was kept indoors and is used to sleeping anywhere. He was fed both dry and wet food. It is said that he enjoys playing with balls and strings. He was kept indoors and is used to sleeping anywhere. He was fed both dry and wet food. It is said that he will scratch furniture and on scratching posts made out of cardboard and fabric material.
ENRICHMENT NOTES:
10/13/20
Resting on his cage bedding on approach. Soft meowed in response to speaking to him. Engages the front, loose body with tail high. Treat motivated. Allowed pets throughout the interaction.
10/14/20
Quickly engages the front for treats. Loose body with tail slightly down. Allows a few strokes until he finished it. Demanding for more, pushy and hissed while searching. Offered more and he enjoyed it.
10/15/20
Resting softly near the back. Engages to eat his wet food and also to eat the squeeze up treat offered. Tolerates gentle petting on the head and slowly head-butts the hand while eating.
10/21/20
Independent Senior. Enjoys offered treats and allows a few strokes but when treats are down he demands for more and strikes at the hand attempting to get more.
EVALUATION:
ACTIVITY LEVEL:
Mellow
VOCAL:
Quiet
CHARACTER TYPE:
Social
Calm
Sweet
Affectionate
People oriented
Curious
POTENTIAL CHALLENGES:
Inappropriate elimination
Potential challenges comments:
Please see flyer.
BEHAVIOR DETERMINATION:
Level 3
BEHAVIOR SUMMARY:
Tiger Balm was calm in his kennel and curious and came forward for petting and enjoyed all petting with a tail that went up and leaning in hard for cheek rubbing, and the lying on his side. He was easy to pick and remained relaxed. Behaviorally he is Level 1, but due to his litter box issues is being made Level 3.
Tiger Balm interacts with the assessor, solicits attention, is easy to handle and tolerates all petting. He is very social and appreciates attention, however due to reported litter box issues in his previous home, we recommend that this cat go to a home with experienced cat parents.
Notes:
Animal ID: 104374
Animal Name: Tiger Balm
Breed: Domestic Short Hair
This animal came from:
Other Shelter
Origin Address
Spay/Neuter status
Yes
Date of Intake
6-Oct-2020
Is this cat having litter box issues?
Yes
If yes, Please elaborate:
It is said that Tiger would have daily accidents with both peeing and pooping outside of the litter box. It is said that his has been happening for 6 months to a year. He has been seen by a vet for this issue and the vet said it can be due to his old age and diabetes.
Basic Information:
Tiger is an approximately 14 year old, domestic shorthair, altered male. He was brought in as an owner surrender due to having long term medical needs.
Previously lived with:
2 adults
How is this cat around strangers?
Tiger is said to be shy for a few minutes with strangers. It is said that he will play gently with adults.
How is this cat around children?
Behavior is unknown.
How is this cat around other cats?
Behavior is unknown.
How is this cat around dogs?
Behavior is unknown.
Behavior Notes
It is said that Tiger will scratch furniture and is afraid during car rides. It is unknown hoe he will react to being given a bath, having his nails trimmed, and when being disturbed while sleeping. It is said that he is non-reactive to having his coat brushed. It is said that he will struggle when being picked up and held and when being put into a carrier.
Bite history:
No known bite history.
Energy level/descriptors:
Low
Has this cat ever had any medical issues?
Yes
Medical Notes
It is said that Tiger has diabetes.
For a New Family to Know
Tiger is described as friendly and shy. It is said that when in the home that he will follow people around, sit on their laps, and ne in the same room as family members. It is said that he enjoys playing with balls and strings. He was kept indoors and is used to sleeping anywhere. He was fed both dry and wet food. It is said that he will scratch furniture and on scratching posts made out of cardboard and fabric material.
Behavior Notes:
During the intake process Tiger allowed all handling without issues. He allowed counselor to scan for a microchip, collar, pick up, and place into a carrier.
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