Thank you so much, everyone. Yesterday was one hell of a day. I was probably in a worse state than Charlie.
In terms of his meds, the vet has given him some vetergesic, which is in the morphine family, so has a sedative effect as well. I was concerned about the metacam and his kidneys -- the risk is very minor for renal failure but particularly because he'd had 2 injections of it in the past week and the official guidelines say they should only ever have 1, I was very reticent to continue with the oral dose, so we switched to the vetergesic. He had an injection of it at the vets yesterday morning and he gave me some pre-filled syringes to give him morning and night in his mouth. So there's that fun again. At least it doesn't taste of peppermint, so he's less prone to spitting it out -- although the experience with the zantac has made him hold it in his mouth until you let him go and then shake his head so any remaining gets flung away
I struggled getting the vetergesic into him last night, I think most ended up on my arm, so I fear he may have had a few awful hours in pain. Add to that the very awful symptoms of the raised thyroid levels and it was quite distressing. He wouldn't stop pacing, meowing and yowling, going to his water, lying next to it, crying, barely drinking, not eating a thing... I gave him his double dose of felimazole and left him downstairs so I could try to get some sleep. That didn't work very well. I could hear him yowling constantly downstairs, and I was just lying there in bed shaking, unable to stop. In the end I think I managed to drift off for about half an hour.
As the night went on there were more pauses in between the yowling. I decided to go to bed normally instead of staying on the settee all night as I did the night before. He yowled on and off through the night but it definitely decreased a bit. I got up at 5.40 and gave him his next double dose, and a full tin of tuna, that he polished off almost in its entirety (apart from the bit I'd mixed with the paste that's supposed to bind his poorly poos up... that got left altoghter - but the vetergesic can cause constipation over time so I figure that will right itself over the next few days). He clearly wanted more, so I gave him a pouch of Felix and he polished most of that off too. He'd drunk loads of water overnight, and he's drunk nearly double that amount during today as well. I know that's a symptom of the thyroid, but while he's got diarrhea it's no bad thing to be taking on extra water.
I managed to get most of his vetergesic into him at 7am, and since then he's been napping on and off most of the day, and is barely yowling at all now. He's still eating, drinking a ton as I said, but he seems much calmer. I worked out he hadn't slept at all for about 36 hours (nor me
) so he must be absolutely exhausted. It was touch and go last night, not in terms of losing him I don't think but I was steeling myself for having to take him in again today to ask them to put him on fluids over the weekend while his felimazole starts working a bit better. But thankfully like I say he seems to be doing better. I can only assume being quieter is better... it's got to be, because the yowling was quite horrific.
Hopefully after another day or two of the new felimazole dose he'll continue to improve. It can take a while for it to really kick in, and I fully expect the new 5mg twice a day dose will need to be finessed over time. We have no idea what made it suddenly skyrocket after he'd been so stable for so long, particularly since when he was on 2.5mg twice a day his T4 levels were actually on the low side of normal. So it might be a long road ahead before he's properly stable again. I really don't want him to have to go through surgery again, but I'm certainly second guessing my decision to give him the meds for his lifetime rather than taking the thyroid out. But that's a decision for the future.
I feel better for being able to get a bit of sleep last night, I even managed to find the time and energy and motivation to wash my hair
And I'm sure Charlie is feeling a tiny bit better too. He's just polished off some more food.
And
trashpony -- that picture is wonderful, the resemblance is uncanny
The one at the front looks like the calm brains of the operation, and the one at the back looks like the crazy-eyed heavy making sure you 'comply'.