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Simcoe’s September 2015 Checkup

A few weeks ago I wrote about Simcoe’s lab work from July and some other medical issues that cropped up. I’m happy to report that the scabbing around her eyes has cleared up and we were able to get the ultrasound done last Thursday.

The bad news is that her kidneys are very small and deformed. Her vet seemed surprised that they were working at all. Fortunately she doesn’t seem to have anything else going on, no sign of infections from the tests they ran (UTIs are common at this stage). Her calcium levels have also remained low thanks to a weekly pill we’ve been giving her.

Her CRE levels do continue to creep up into a worrying range, which the vet warned could also lead to more vomiting:

CRE

But her BUN levels have dropped slightly since last time:

BUN

Her also weight continues to be lower than where it was trending for the past couple years:

weight

All of this means it’s time to escalate her care beyond the subcutaneous fluids and calcium lowering pills. We have a few options, but the first step is making an appointment with the hospital veterinarian who has provided wise counsel in the past.

Simcoe melts

Otherwise, Simcoe has been joining us in melting during our typical late onset of summer here in San Francisco. Heat aside, her energy levels, appetite and general behavior has been normal. It’s pretty clear she’s not at all happy about our travel schedules though, I think we’ll all be relieved when I conclude my travel for the year in November.

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