Magic was on a ridiculously high dose of 21units of glargine insulin (Lantus) which she was failing to respond to and she had a very high IGF-1 level of 2000. Ideally she'd have had her CT scan carried out in Glasgow with the rest of her pre-op screening. However, to limit cost and an unnecessary repeat dose of radiation, it was carried out on the Thursday at the RVC as their scanning equipment links to the Brainsight software which guides the surgeon intra-operatively during the hypophysectomy operation.
I was offered a visit to the ITU which I gratefully accepted. Having an image of the ITU setting and understanding the systems and staff available routinely and in an emergency made me feel much more at ease. Clarity of reality rather than imagination, I suppose. Her critical care vet was fabulous. He was most engaged and genuinely interested in getting her optimised and home in as great a state of health as could be achieved. Our own vet from Glasgow Vet School has been wonderful and so supportive through this time too.
Her surgery was confirmed for the Monday and she was expected to be in ITU for a minimum of 5days and then some time in the cat ward. The plan was to optimise her over the weekend and allow her to acclimatise and settle into the hospital environment so that she was a calm and fit for surgery as possible.
The mats in the consulting rooms looked perfectly clean and impressively hair free unlike my own carpets but obviously they had the most amazing scents
This one seemed to make her nearly faint and I think if Magic could have spoken she'd have asked me to roll it up and bring it home!
Typical Magic, so long as she can explore the place she's happy and settled even if her dragging her IV line everywhere makes me wince.article from the Guardian discusses the surgery and showcases one of the early survivors. Although I knew the positioning of the surgery to get through her mouth I actually found myself getting quite teary at the thought of this happening to my sweet Magic.
Visiting her in the vet school each day and especially on the day I left was very bittersweet as you can imagine and one of the vets kindly took our picture together. She was only the 25th case to have been operated on in this manner and three cats did not survive. I had the strong sense that the way she would be managed and the expertise available was very much as a result of the learning the team have taken from each case so I offer my heartfelt gratitude to all the cats and brave owners who preceded us for the learning they left in their wake.
Funnily I'd thought the Savoy would have had a larger entrance.
I was really hungry and noodle and rice really hit the mark
Popping to the loo before I left lead to a rather forthright 'Too Much Information' moment
Her tumour and pituitary gland did not come out cleanly but required much dissection and this is possibly why she had a head tilt and was exhibiting circling behaviour to the right hand side post-operatively. Some residual effects remained when she came home, though they are now mainly resolved. Her renal values became problematic with her fluids and glucose needed close monitoring and management. On the up-side she was eating and drinking ravenously very quickly post operatively as the rogue hormone from the tumour has a half-life of around five days after removal. She became anaemic at one point and apparently cats can haemolyse their own blood post-operatively particularly with certain anaesthetic agents so that caused a sleepless night.
Even de-hairing the vacuum became a joint venture
He's actually sitting on my shoulder and upper arm here instead of on the top of the sofa as normal
I know I've taken a while to get this next part posted but I hope that I've done justice to her time in London.