Myrna began to breathe heavily at home, began to sit and not move, and looked very much in pain. I called the vet on Wednesday and told her of the symptoms and she said not to worry unless Myrna was breathing through her open mouth (which is actually incorrect as cats that are congested do not only pant with open mouth but will first breathe very fast closed mouth.) She said if she was still sick on Thursday, to bring her in. By Wednesday night, Myrna collapsed and we rushed her to the ER. She was in congestive heart failure. The ER vet saved her and the next day, with the assistance of our regular vet, we got an emergency appointment with a cardiologist for that afternoon. The cardiologist took xrays and did an echo and discovered that Myrna had advanced HCM.
We began the meds immediately. We take Myrna to the cardiologist every three months and now every two months. She has had only two severe CHF reactions-April 2010 and July 2011-after she initially overcame by January 2010, the November 2009 CHF. But she spent all of summer of 2013 fighting congestion and she had a heart attack in September 2013. She has had some mild congestion since September that we deal with by giving extra lasix. Please follow the blog post links below to read the details of her experiences.
She recovers from CHF at the animal hospital and stays overnight.
June 2013 sees another dramatic increase in the size of Myrna's heart and difficulty breathing and now taking nitrates.
Another June 2013 visit due to labored breathing and we now begin injecting lasix.
July 2013-For many reasons, injecting lasix isn't working: caused pain, lumps, might be allergy to plastic and or brand of lasix, etc. Taking antibiotic and forgoing injections for now.
August 2013 sees another increase in heart size and more congestion, increase in meds while lesions continue to heal. No Revolution or annual vaccines can be given at this time.
September 2013-Myrna's condition worsens and her breathing rate is up to 12. We go to the ER.
September 2013-cardio visit on Friday reveals Myrna had a heart attack 9/11
September 2013-Myrna's breathing rate and energy improve after 9/11 heart attack.
In October, 2013, we continue to fight diarrhea, an issue from the antibiotics this summer.
October 2013-She continues to recover from the heart attack in September.
January 2014-Myrna has a cardiology check-up in January 2014 and continues to be stable with slight congestion.
February 2014-Difficulty in breathing with increased breathing rate, leads to injection of lasix and extra lasix over a weekend in February 2014.
February 2014-Her breathing rate continues to improve.
June 16, 2014 Myrna in ER-She Now Develops Asthma
July 2014 begin giving supplements to improve kidney function/support kidneys. Vitamin E, sweet potato baby food, 2 COQ10, vitamin C, and water.
September 8, 2014 Kidney Values Go Up and Down June-September But Doing OK So Far
September 8, 2014 Myrna Develops New Complication-Afib
September 18, 2014 Myrna Stops Eating, Unsure If Kidney Decline or Mouth Issue.
Kidney values increased again. Changed amount of lasix and gave antibiotic. She takes antibiotic clyndamicin for possible mouth infection. Has diarrhea once daily but mild compared to what she suffered when taking Clavamox last year. Ends as soon as antibiotics are over. Antibiotics improve her ability to eat.
October Myrna began not to eat or feel very well.
Myrna develops complications in November.
November 5, 2014 begins taking 1/4 Pepcid once a day
November 10, 2014 she develops major CHF.
November 15, 2014 we begin daily lasix injections but lesions appear again.
Myrna develops new complications with pleural effusion in December. She needs to have fluid withdrawn.
Myrna continues to struggle in January 2015 with pleural effusion and begins taking rutin.
In March, Myrna needs bi-weekly withdrawal of fluid from pleural cavity.
April 2015-She develops additional heart issues: thinning and thickening walls.
April 2015-She develops scarring in lungs and April 6, 2015 visit finds new complications.
April 13, 2015-Myrna's cardiologist, for the first time in five and a half years, announces she believes Myrna's life is nearing the end. Her heart and lungs have developed complications, making fighting CHF difficult.
April 20, 2015 post-we review what is wrong exactly with Myrna and why bouncing back may not be as easy this time as before.
April 25, 2015 Myrna slowly begins to recover but needs to be hand fed and is slowing down.
May 4, 2015 Myrna developed saddle thrombosis.
We had trouble in the ER when she had saddle thrombosis
Update after saddle thrombosis recovery and need to be hand fed.
Cardio's notes on saddle thrombosis.
June 14, 2015 Myrna takes iron supplements to help her kidneys.
June 21, 2015 Myrna's lung gets scratched while having fluid removed.
July 1, 2015 Myrna goes on sucralfate for stomach ulcers.
July 18, 2015 Myrna had a very difficult July with vomiting and diarrhea. At one point, around July 18, 2015, nothing was working. We gave her Mirtazapine for appetite, Cypro for appetite, sucralfate for stomach ulcers, and Cerenia for nausea. She was not able to keep down the food I fed her PO (by mouth). I Googled for information and found that sodium depletion-caused by diuretics, a lot of urination, and vomiting and diarrhea-can create more vomiting and diarrhea. Sodium is a necessary electrolyte, used to help the body maintain adequate water supply, aids in blood pressure and heart rhythm. The negatives are, of course, for HCM cats, it can cause fluid retention, drive up CHF, drive up blood pressure, etc. I decided to try a risky move and put a few grains of salt into the KMR and water mixture I had been feeding her. And it worked. She perked up in two hours.
And she continued to do well.
August, 2015 Myrna continues to have stomach issues. Her eating is up and down. Her breathing is ok.
August 17, 2015 Myrna begins to have trouble with increased congestion and needs to be tapped.
August, 18-19, 2015 Myrna ends up in the ER Tuesday night with BR at 60.
August 19, 2015 Myrna Loy dies in the ER, in the Novi ER at 1:30 a.m., very quickly, of cardiac arrest and CHF.