Much has gone on since the last post in October. I've kept up the Facebook posts but not the blog. I'll catch up soon. But the recent updates: Myrna has developed new complications, chylothorax fluid in her pleural cavity, the area surrounding the lungs. She developed slight pleural effusion-fluid around the lungs-in September (along with her common condition pulmonary edema, fluid inside the lungs) but developed a sudden amount of pleural effusion in December just before Christmas. Once it was drained, she was switched from lasix to torsemide. She was receiving lasix 25mg four times a day, then torsemide 5mg once a day and 2.5 once a day. But then the first week of January 2015, she developed chylothorax fluid-lymphatic fluid that should drain from the intestinal tract to the vena cava but overflows (due to heart disease or other complications) into the pleural cavity. Once drained, she was put on torsemide 5mg in the a.m,, 2.5mg in the afternoon, and 5mg at bedtime.
We need to prevent the accumulation of lymphatic fluid in the pleural cavity because it can lead to scarring-fibrosis. There's a supplement we can try called rutin. I found Canadian studies about rutin such as this one:http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1180424/
So we are trying rutin for Myrna's lymphatic fluid. She receives 500mg of rutin, a natural substance found in buckwheat and citrus fruit, thought to change the triglycerides in the lymphatic fluid so that it flows more easily to the vena cava and does not back into the pleural cavity AND will change the makeup of the fluid so that it does not cause fibrosis-or scarring-in the pleural cavity, which would exacerbate her already difficult breathing process. Found some at Whole Foods. Round large tabs, and I'll cut into halves. She gets four halves or more a day. I'll start with four and increase as I can. I say halves only because I think the size is too big as a whole to give so I'll cut it in half. Each whole tab is 250mg and we'll give a total of 500mg a day or more.
To protect her kidney function and electrolyte balance, we are increasing the doses of potassium supplements and the vitamin mixture for kidney support that I mix of vitamin E, C, COQ10, krill oil, and sweet potato (with the occasional glucose or apple cider vinegar mixed in for added benefit of electrolytes and (glucose) and kidney and stomach (vinegar.) (See med tab notes.)
|Myrna Loy at Christmas 2014 with a new mouse toy|