Help For Rosie
Rosie is responding well to her steroids and the beta blocker so they'll be keeping her on those for a while longer. The trick is to see if she stays steady when they taper her off the prednisone. The prednisone brought down her pleural cavity fluid to about 40% of what it was. Her heart rate is much much better and her pericardium is not as inflamed now. She's not out of the woods yet. She may still need surgery but they won't know until later when they taper that prednisone.
She's meowing, purring, playing, demanding chow, running all over the place..... She's playing with and fussing with the other cats. She's fitting in beautifully. Happy news so far!
"Actually the fluid is accumulating into her pleura and the ultrasound and echocardiogram shows that the pericardium (the sack around her heart) is thickened. We don't know if that is inflammation or scar tissue. The heart is fine. We hope that the course of steroids will reduce the inflammation and reduce the fluid as well. If that works then we are in great shape. If not, we will probably have to do surgery because the pericardium is causing her heart to beat very rapidly and we have her on a beta blocker as well to slow the heart. We would have the pericardium removed to relieve the heart and, while there, will ligate the thoracic duct just in case the fluid leak is somewhat related. We ruled out the chylothorax which is related to the thoracic duct but would ligate it anyway.?
Unfortunately, Rosie's happy disposition veils a sobering, underlying reality. She still has substantial fluid leaking into the sac around her heart, and they are not sure of the reason. Next Friday she will receive an ultrasound to see if the fluid leak is slowing or stopped. Doctors have elected to prescribe a three week "regimen" of steroids, designed to improve this undesirable situation. Their logic is that it might simply be caused by "inflamed" or scarred tissue from the sac surrounding her heart.
If this proves unfounded, then Rosie will have to receive a $4000.00 operation on the Thoracic duct, and possible removal of the sac around her heart.Now you see what I mean by both uplifting...and fraught with dangerous possibilities! This poor little girl! Enough is Enough!
We will post to let you know what the prognosis is after the steroid regimen! All prayers welcome...PLEASE! And, thanks so much for your wonderful support and HUGE hearts! Tim & Laura