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Speaker 1: You were listening to Petlife Radio dot com.

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Speaker 2: And happy Sunday to everybody you are here with live

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I should say your host, doctor Jeff Weerber here on

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pet Life's radio Ask the Beets with Doctor Jeff, and.

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Speaker 3: Sorry we missed you last week. At least I did

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live because I was.

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Speaker 2: In New York doing Fox and Friends at the time,

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and I hope you guys had someone had a chance

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to tune in and see it. We were talking about

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holiday hazards, something we will be talking about on the

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show coming up probably next week. I wanted to finish

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a series that we started a while ago on some

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of the health issues and organ systems that we've been discussing.

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And we've been on this kick of endocrine diseases and

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we've gone to a lot of them. By now, a

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lot of you listening should be experts. So I am

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just getting over this ridiculous laryngitis. Try doing live TV

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or live radio when your voice is not participating as

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well as you are. So one thing you can do

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to help me out today is I want to hear

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from you. You got to give me a call. I

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need someone else to do some talking. So the number

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is eight seven seven three eight five eight eight eight

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two once again eight seven seven three eight five eight

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eight A two. You can also get a hold of

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me by joining in on the conversation. Log on to

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pet Life Radio, then go down to the Ask the

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Vets with Doctor Jeff tab and we will have you

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live and you can sit and just type in and

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we have it. You'll see a long box that says

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join the conversation.

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Speaker 3: Very easy to do.

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Speaker 2: And lastly, you can send us a quick email to

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Dr Jeff. That's doctor Jeff at petlifradio dot com and

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as we speak, Mark our show's producer, they'll get that

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to me asap. So those are all, you know, kind

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of good things, very easy to join in and we

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really want you to to participate and be a part

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of the show.

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Speaker 3: Now.

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Speaker 2: A couple things also is that, first of all, we

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have to thank our sponsors, because I wouldn't be here

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if not for them. Pro Sense pet products. These are

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veterinary quality, veterary endorsed products that you are available to

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you over the counter.

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Speaker 3: And of course calm.

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Speaker 2: Everybody loves calm and calm toys. I hate to use

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the word toys because they're really more than that. They

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are for behavior, they are for teeth. They have so

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much therapeutic value. But they do keep your pets busy

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and occupied and they really to like them.

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Speaker 3: So without further do.

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Speaker 2: One more time. I'm going to remind you because I

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want to hear from you. Eight seven seven three eight

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five eight eight eight two. Give me a call, help

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my voice. You're doing this big favor. And anyway, you know,

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people tell me, people write to us. I know you're

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out there listening, So don't be bashful, don't be shy.

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Speaker 3: Join in.

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Speaker 2: It's very easy to do a bunch of numbers on

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a phone, types on a keyboard, and you can join

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in and join us here.

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Speaker 3: In pet Life Radios as the vets. So just as a.

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Speaker 2: Refresher, we've been talking about different organ systems going through

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some of the issues. We've talked about the adrenal glands

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that was Cushing's disease and Addison's disease. We will be

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getting to the diabetes, which are diabetes melodists which is

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the sugar diabetes, and diabetes incipitus, which is the water diabetes.

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So those two will be talking about. Then what we

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also started talking about the thyroid diseases and how in

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the dog. The much more common by far thyroid disease

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is hypo thyroidism, that is a low thyroid count. And

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these dogs typical keepers ant as you wouldcall. They will

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be sort of sluggish, They might be overweight, the skinned,

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you know, sometimes greasy, sometimes very thin. Their coats are

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very thin. They lose hair. But when they lose hair,

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it's not because of scratching. They offered prone to disease

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or immune system is affected. So this is the classic

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hypothyroid dog. Some breeds are more prone to others. We

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see golden retrievers. And how important it is, which was

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my point from your veterinarian standpoint, to make sure to

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do the appropriate testing and just the standard classic T

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four test may not be enough because so many other

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conditions will present with a sick thyroid syndrome. So if

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a dog has another illness going on or something else,

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that's just not right. As we joke earlier, adr ain't

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doing right. They might have a low thyroid at the

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same time, but it's not a real low thyroid. It's

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kind of a fake temporary low thyroid. And if a

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veterinarian were to decide to treat a dog like this

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with thyroid supplement, we can actually throw them into hyper thyroidism,

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meaning too much thyroid. So these are things that we

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have to worry about. The best test is the T

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four by ed. It's called free T four by equilibrium dialysis.

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It should be run in conjunction when suspected with the

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regular T four. Now that leads me to the other

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four legged species that I love working with, of whom

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I have seven, that is the feeline. And typically cats

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that present with thyroid disorder are presenting with hyper thyroidism.

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And what's so interesting about the thyroid gland and the

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disease in cats when compared to that of people. Twofold

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number one, The thyroid gland is a bilobed It's a

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two lobed gland in the cat that are not attack.

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Speaker 3: So if you knew, for example, with the.

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Speaker 2: Old fashioned wave, we had disease in one of the glands,

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we can remove just it, leaving the other gland. This

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is not the same with people. They actually have a

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little island. It's a little connection called an isthmus between

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the two lobes.

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Speaker 3: So whatever is.

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Speaker 2: Really happening badly in one gland is sort of happening

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with the other, so you have to remove both. One

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of my kids, my oldest daughter, for example, had a

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thyroid problem and when she was treated, she also had

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she had to have both of her thyroid glands removed

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because of the connection between the two. So with cats, however,

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it's different. So what we're going to see with a cat.

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The classic presentation of a thyroid disease and a cat.

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Speaker 3: First of all, is age.

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Speaker 2: We usually don't see it before seven years of age,

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and typically really after nine.

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Speaker 3: Years of age.

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Speaker 2: But I've seen a few between seven and nine. And

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because of that, and because of the subtleties when it

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comes to cats, why because the cats that are hyper

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thyroid are still acting great.

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Speaker 3: In fact, they're acting even more than great.

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Speaker 2: So you have a cat that's maybe a little bit

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more active and animated, and you're thinking, myself, oh my god.

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You know, as my cat's getting older, he's eaten great,

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he's very active, he's very animated, and you're kind of

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like so thrilled that your older cat is.

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Speaker 3: Doing so well.

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Speaker 2: But as a matter of fact, if you continue to

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weigh this great, doing well eating cat, you're going to

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find that they're losing weight and they're losing weight certainly

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at the beginning of hyper thyroidism, because that thyroid is overacting,

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so their metabolism is greater. That's why they're eating so much.

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But that's also because why they're losing weight now as

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a cat if missed earlier. And the reason we're here

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today is to try to make sure that you will

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not have this missed earlier. But as they get sicker

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because of the continued hyperthyroid disease, then they will start

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to get more sluggish and you get the almost the

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opposite effect and they will start possibly putting on weight,

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and you're staying yourself, well, can't be hyper thyroid because

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he's putting on weight. The issue is is that now

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they're really sick. You waited too long, your veterinarying waited

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too long. So here's what I have started doing in

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my practice, and I think that if you know about it,

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you should insist on it when wherever you take your

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cat to the veterinary. But as we know that, we

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start treating our pets as seniors somewhere around seven eight

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years of age, So that means that when you're going

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in for your annual wellness check or for your vaccines,

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and your cat is seven or over, I highly advise

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having a full blood panel done as well, and that

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includes your analysis. Why a number of reasons. If we

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start thinking about two of the more common diseases affecting

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our middle aged late middle ages early senior cats going

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into obviously senior and cats, kidneys and thyroid, I have

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to tell you that these are two diseases, two conditions

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that we don't often have the luxury of having telltale

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signs early. These cats are acting totally normally effective, sometimes

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even better than normal, so they often go missed. If

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you wait until your cat is showing clinical disease, you

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will have wait in too long. So the best way

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to manage this is through prevention, is through early detection.

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And therefore I say that you want to have these

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cats treated or tested early on with a full panel

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and includes the T four, the free T four by

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ED which is equilibrium analysis cute story thyroid disorders. As

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far as our recognition, relatively new and you know invenitary

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medicine are Edison you talk about something being new, you

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know it could be fifteen twenty years new, but it's

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still when you talk to the older practitioners that never

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dealt with this a lot of times.

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Speaker 3: When these cats get sick.

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Speaker 2: What do we notice, Well, first of all, their liver

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enzymes can elevate, and secondly, their hearts because of the hyperthyroidism,

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the blood is circul and everything is going faster. Their

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heart rate is high. To put it to perspective, instead

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of you know, maybe one thirty to one fifty, it

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could be two twenty to two forty. I mean we're

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talking a very very fast heart rate. So if you

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talk to an older practitioner, and I mean older, someone

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who's been doing this for thirty five forty years, I

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should be careful as I say that, because I mean

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this third by thirty first. But anyway, but they didn't

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really know of thyroid disease. I remember early in my

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practice career, I would get these cases classic hyperthyroidism and

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they were being referred because of concurrent liver disease. I'm

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listening to heart, I'm looking at this cat. I'm reviewing

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the blood work. Of course, there was no thigway has

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done and I'm started to palpate the neck right here

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and I could feel what's called the thyroid nodule, or

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even even if the gland is palpable, it's probably too big,

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it's probably hyperthyroid, So of course I would. I did

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my test, my thyroid tests, and it wasn't liver disease,

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it wasn't heart disease. It was hyperthyroidism, which will often

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cause both diseases or other conditions. And you therefore think,

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oh my god, this poor cat. He's seven or eight

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or nine or ten or twelve years old, and he's

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got liver disease.

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Speaker 3: Already, and he's got heart disease.

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Speaker 2: Well, in fact, he had neither of those. He had

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something much more treatable, and that was thyroid disease. So

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I remember, you know, it was this young whipper snapper.

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I didn't want to make a colleague feel badly, especially

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an older, wonderful, wonderful doc. He's no longer with us,

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And I called him and when I saw his patient

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and it did have this condition we call hyperthyroidism, I said,

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you know, you knowing one thing I do, and I

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haven't seen a lot of this lately. So what I

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recommend him, what I've started to do here, I said,

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is I automatically add the two thyroid tests to the

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blood panel.

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Speaker 3: Just do it.

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Speaker 2: Whether you think it's a problem or not, just do it.

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He goes really, I say, oh, you'd be amazed how

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many of these you're gonna catch way early. And on

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the one hand, and he was so appreciative and so

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thankful that he has this new information from this, you know,

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young doctor. But I feel good because I am helping

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cats in the long haul. You know, when I lecture

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and I do shows like this, When I lecture at

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the vet conferences and I can give these pearls to

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other doctors, it makes me feel good. Why because I

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know that animals are gonna benefit from this information. As

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a media veterinarian, when I can get out there and

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talk about things like this, I think it's gonna help

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way more pets than I can ever hope to see

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in my practice in my lifetime. So you know, this

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is really important stuff. So anyway, you make the diagnosis

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because you run these tests, and you run the thygroid

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panel and you see, yes, not only is the regular

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T four elevated, but is free T four by ed.

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And now we pretty much have a diagnosis. But wait,

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there's more which we're going to get to is so

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stay tuned, don't go away, especially if you have cats,

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especially you have older cats. You're here tuning in with

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doctor Jeff here at pet Life Radio's assi Ets with

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Doctor Jeff, and we're going to be breaking for a

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quick commercial break and be back in a minute.

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Speaker 1: We'll be right back right after these messages. Stay tuned.

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Speaker 7: Pet Life Radio if a number one pet radio network

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Speaker 4: Let's Talk past, Let's talk Pets Talk Radio, Headline.

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Speaker 1: Radio, pet Live Radio dot.

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Speaker 2: Com and Welcome back to pet Life Radios.

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Speaker 3: Ask the Mets with Doctor Jeff. I'm your host, Doctor Kick.

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Speaker 2: Before the break, we were talking about diabetes. Excuse me,

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that's that's that's coming up soon, talking about hyper thyroid cats.

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Now we got to the point of yes, macon diagnosis,

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how important it is to do the blood testing including

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the T four by e D for four by equilibrium

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dialysis and just you know a quick story. You know,

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I have a lot of cats now down to seven

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and unfortun he had to put one of my cats

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to sleep. A couple of weeks ago, by eighteen and

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a half year old who was just a trooper, who

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was a gorgeous American rag doll.

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Speaker 3: But you know what, he had a great life. He

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came to us.

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Speaker 2: We were a second home. He was terrorized by the

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family's German shepherd in his first home. They brought him

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into my office. They were clients, brought him into my

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office to rehome him. I've always loved the rag dolls,

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and I just took one look at him and I said,

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holy cow. I didn't quite say it that way. I

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have another cat. So and that was almost eighteen years ago.

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Speaker 3: So he was andy. He was great.

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Speaker 2: But our other old cat, now was now sixty, is

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a Maine coon Norwegian forest cat cross. Someone brought him

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in a litter of four. They had to have been

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maybe three to four days old. They were just starving.

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Some old lady heard the meowing under her house and

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she sent her neighbor kid under the house with a

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flashlight to see what was under there, and sure enough

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he found these four huddle together, took him out, brought

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him in. Two died within the first day, and two

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we just kept fighting. I was two feeding him every day.

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There was two week they couldn't even nurse. Anyway, that

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little d D thing turned into a twenty two pound monster,

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and you know it's amazing. So anyway, I've noticed, and

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he's always been a big cat, that he was losing

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a little weight. So it was time for his senior

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physical anyways, annual, so I brought him in and of

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course this time his T four by ED was greater

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than one hundred. Now normal is ten to fifty. The

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gray zone is to fifty to seventy five. Usually if

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they're above seventy five, even above eighty, it's going to

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correlate with real hyperthyroidism.

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Speaker 3: But the question is how do you know?

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Speaker 2: So before the break, I said, after getting the test,

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that is only a strong suggestion of But before even

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considering treatment.

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Speaker 3: We'll get to treatment in a second. We have to

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we recommend a thyroid scan.

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Speaker 2: This is a synthigraphic scan that lights up the thyroid

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by radioactive iodine lights it up on the scan and

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then the radiologists can actually make it determination. First of all,

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is one glander both is it real? I had a

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cat once it was seventy five on the ED. We

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did the scan he was normal. So I'm dealing with

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a cat right now who went from fifty eight a

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year ago.

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Speaker 3: That was our scratch.

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Speaker 2: The head got to watch his cat as now is

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seventy eight, So of course we're sending him in for

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a scan. The scan will be the real diagnostic indicator.

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And so anyway, good old Oreo, my black and white monster.

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Speaker 3: He was down to eighteen pounds. He lost four pounds.

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Speaker 2: And he's not twenty two pounds fat, he's twenty two

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pounds huge. So sure enough we take him in. His

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scan confirms the hyperthyroidism. We go in for what is

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now become the Rolls Royce of treatment, and that is

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the I one thirty one.

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Speaker 3: It's radioactive iodine.

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Speaker 2: That literally, what's the beauty of it is it is

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taken up by the overactive cells in the thyroid, not

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by the normally active cells. The radioactive iodine destroys those

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overactive cells. So in the classic perfect world, after treating

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00:19:13,160 --> 00:19:16,359
a cat with I one thirty one, it only destroys

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the abnormal portion, not the normal.

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Speaker 3: So at the end of treatment these.

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Speaker 2: Cats are left what we call you thyroid, normal thyroid,

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which is exactly what happened OREO. So now OREO is normal.

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00:19:28,480 --> 00:19:30,559
I don't have to supplement, I don't do anything. The

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old treatments still being done.

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Speaker 3: Nothing wrong with it is surgery.

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Speaker 2: Surgery, however, is technically difficult. You still want to do

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a scan because the opposing gland, or a gland that

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looks normal.

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Speaker 3: Still might be hyperthyroid.

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Speaker 2: If you do take the glands, you have to be

382
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very careful to not take the parathyroid glands because that

383
00:19:48,359 --> 00:19:52,200
completely messes up the calcium and phosphorus balance in the

384
00:19:52,240 --> 00:19:55,680
body and that can cause a lot of problems. So

385
00:19:55,720 --> 00:19:59,960
the vitamin D, calcium phosphorus all related to the parathyroid gland,

386
00:20:00,279 --> 00:20:02,359
and therefore we have to be very careful. And that

387
00:20:02,400 --> 00:20:05,200
parathyroid is a little teeny gland. It sits right on

388
00:20:05,240 --> 00:20:08,000
top attached to the thyroid gland. So to do the

389
00:20:08,039 --> 00:20:11,599
surgery to remove a thyroid, one really needs to be careful.

390
00:20:11,680 --> 00:20:13,160
And I remember back in the days when we had

391
00:20:13,160 --> 00:20:16,279
that because we didn't have radioactive iodine, our treatment was

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00:20:16,480 --> 00:20:19,759
removing the gland and it was always a challenge to

393
00:20:19,839 --> 00:20:24,039
maintain the parathyroid gland intact. But if you have to

394
00:20:24,079 --> 00:20:26,799
take both thyroid glands, then you're left with what you're

395
00:20:26,839 --> 00:20:30,160
left with having to supplement the thyroid forever. So now

396
00:20:30,160 --> 00:20:32,880
these cats have to be put on the thyroid medication

397
00:20:33,200 --> 00:20:37,839
levoth Thyroxin now also another treatment, and this really depends

398
00:20:37,880 --> 00:20:42,200
on so many factors, the cat's age once finances, the

399
00:20:42,240 --> 00:20:44,720
rest of the body for the cat. In other words,

400
00:20:44,839 --> 00:20:47,559
do we already have a lot of other disease, because

401
00:20:47,599 --> 00:20:52,920
if so, one might therefore opt for a treatment of methemisol.

402
00:20:53,200 --> 00:20:55,720
The brand name now is felimi Isol, and that is

403
00:20:55,920 --> 00:21:01,759
just a medication that sort of counteracts the hyper thyroidism

404
00:21:01,960 --> 00:21:05,240
and leaves cats somewhat normally thyroid. But it's the band aid.

405
00:21:05,240 --> 00:21:07,400
It's not really doing anything. If you stop the drug,

406
00:21:07,400 --> 00:21:09,000
they're going to go right back up again, so it's

407
00:21:09,039 --> 00:21:12,000
not really getting to the course and the source of

408
00:21:12,000 --> 00:21:15,400
the disease. Personally, I reserve that only for cats that

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00:21:15,400 --> 00:21:20,319
are extremely infirm. Otherwise, some radiologists like to put cats

410
00:21:20,359 --> 00:21:23,720
on philamosol before scanning and treatment because they want to

411
00:21:23,720 --> 00:21:25,799
make sure that we have an idea of what the

412
00:21:25,880 --> 00:21:28,880
kidneys are like in doing. And the key to that

413
00:21:29,319 --> 00:21:31,920
is when you have failing kidneys and old cats as

414
00:21:31,920 --> 00:21:34,720
we know do so what happened is because of the

415
00:21:34,920 --> 00:21:38,640
hyperthyroidism and the blood being pumped faster, the blood is

416
00:21:38,680 --> 00:21:41,599
going through the kidneys more than they would in a

417
00:21:41,640 --> 00:21:43,759
normal cat with a normal heart rate. So even though

418
00:21:43,759 --> 00:21:45,960
the kidneys aren't doing well, the blood is going through

419
00:21:45,960 --> 00:21:48,240
more than once. So whatever miss they missed on the

420
00:21:48,240 --> 00:21:50,759
first pass as far as filtering, they're going to get

421
00:21:50,759 --> 00:21:53,359
on the second pass. So in essence, cats that are

422
00:21:53,440 --> 00:21:58,079
hyper thyroid are often masking their kidney disease. So you

423
00:21:58,279 --> 00:22:01,400
have this great successful treatment for the thyroid, and then

424
00:22:01,440 --> 00:22:04,759
after treatment you find out, oh, my poor cat also

425
00:22:05,039 --> 00:22:08,160
has pretty bad kidneys that you couldn't tell because of

426
00:22:08,200 --> 00:22:12,160
the hyperthyroidism. So just so we know, you know, information

427
00:22:12,240 --> 00:22:14,880
is king what do we have to deal with once

428
00:22:14,920 --> 00:22:17,720
we do the thyroid treatment, which is why also that

429
00:22:17,920 --> 00:22:22,440
when we have cats like my own successfully treated for thyroid,

430
00:22:22,640 --> 00:22:26,400
when we monitor the thyroid over the ensuing years, we're

431
00:22:26,440 --> 00:22:28,880
going to take a really really close look at the kidneys.

432
00:22:28,920 --> 00:22:31,319
Speaker 3: Also is who want to make sure that we didn't

433
00:22:31,359 --> 00:22:33,880
have hidden kidneys. He's going on at the same time.

434
00:22:34,119 --> 00:22:37,160
Speaker 2: So anyway, now you're experts on thyrop but I will

435
00:22:37,160 --> 00:22:39,759
tell you Oreo, he's already put two of his pounds back.

436
00:22:39,960 --> 00:22:40,880
Speaker 3: He is doing great.

437
00:22:41,160 --> 00:22:43,039
Speaker 2: One thing I should warn you that if you're going

438
00:22:43,119 --> 00:22:45,640
to have the radioactive iodine, which by the way, is

439
00:22:45,680 --> 00:22:48,720
the way to go. It is now the treatment of choice.

440
00:22:48,920 --> 00:22:53,480
After treatment, just be prepared for some interesting instructions. For example,

441
00:22:53,680 --> 00:22:56,359
you have to save all your litter for several weeks

442
00:22:56,559 --> 00:22:57,559
before you can throw it out.

443
00:22:57,759 --> 00:22:59,960
Speaker 3: Everything that's coming out of this cat is radioactive.

444
00:23:00,160 --> 00:23:02,559
Speaker 2: If you have multiple cat households, as I do, I

445
00:23:02,559 --> 00:23:04,400
had to set are you up in his own room,

446
00:23:04,720 --> 00:23:08,680
his own bathroom. I got a special wheat litter which

447
00:23:08,720 --> 00:23:11,000
is flushable, so I could flush it. I had to

448
00:23:11,079 --> 00:23:12,759
keep him separate. I had to wear gloves when I

449
00:23:12,799 --> 00:23:15,240
went into feed him for about ten days.

450
00:23:15,559 --> 00:23:18,960
Speaker 3: So just know that there's a little bit.

451
00:23:19,000 --> 00:23:21,559
Speaker 2: I mean, look, it's no big deal, really, but I

452
00:23:21,599 --> 00:23:23,000
just want to warn you that you need to be

453
00:23:23,079 --> 00:23:25,359
very careful that you want to separate these cats when

454
00:23:25,400 --> 00:23:26,640
they come back from treatment.

455
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Speaker 3: But I went to it, took him to a facility.

456
00:23:28,480 --> 00:23:31,279
Speaker 2: Which was so great where we got to log on

457
00:23:31,279 --> 00:23:33,480
on a webcam and we got to visit our cast.

458
00:23:33,519 --> 00:23:36,160
We got to see them staying in these really cool cages.

459
00:23:36,200 --> 00:23:37,880
I mean, it was really it for him. It was

460
00:23:37,880 --> 00:23:40,160
a great experience. If he could talk, he told me

461
00:23:40,200 --> 00:23:40,640
he had.

462
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Speaker 3: A great time.

463
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Speaker 2: Anyway, next week we're gonna talk about some holiday hazards.

464
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I want to hear your stories, so send me your

465
00:23:48,119 --> 00:23:50,519
stories or just be prepared to give us a call.

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Eight seven seven three eight five eight eight eight two.

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00:23:53,160 --> 00:23:55,319
Write that number down. You're gonna call me next week.

468
00:23:55,319 --> 00:23:58,039
You're gonna save my voice. Next week. I want to

469
00:23:58,039 --> 00:24:00,920
hear from you as well as you all's listening to

470
00:24:01,000 --> 00:24:04,640
me now again thanking our sponsors, pro Sends pet products

471
00:24:04,640 --> 00:24:09,440
available at your local Walmart and also Calm Toys. Of course,

472
00:24:09,440 --> 00:24:12,119
we want to thank Mark, our producer, and we will

473
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see you here next week, same time. That is nine

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o'clock out in the west by me and noon in

475
00:24:18,839 --> 00:24:22,599
the east and ten or eleven wherever you are in between.

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Speaker 3: We'll see you again next week.

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00:24:24,039 --> 00:24:24,799
Speaker 2: Thanks for listening.

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Speaker 1: Let's Talk Pets every week on demand only on Petlife

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