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- Jul 16, 2019
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Dr. Jeff had asked me to post this on the Forum...
Koby had diarrhea and vomiting this past week. I asked Dr. Jeff if I need to get Koby SubQ fluids and if I can skip giving him Furosemide (diuretics for his heart & lungs), Dr. Jeff asked me how Koby's BEAM was. So I asked what does BEAM have to do with these?
Here's Dr. Jeff's response:
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Great question about BEAM!
Because dehydration, like other physiologic changes of his body are reflected by BEAM.
The reply to whether or not to get SQs is yes, if BEAM is low.
Especially if there’s any fluid loss such as with vomiting or diarrhea.
But your first step is usually a remedy redose if the last dose was helpful.
If it wasn’t helpful, then a new remedy might be needed.
Hold off on furosemide whenever there’s possible dehydration unless resting respiratory rate is elevated or moist coughing is severe.
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@Dr. Jeff - here are some follow-up questions for you:
1)You said "physiologic changes are reflected by BEAM" - This makes sense but I'm still a bit puzzled....Koby's BEAM was pretty decent when we visited his cardiologist last time but she gave us the shocking diagnosis of his heart getting worse. (She did make a comment that what we see on the outside does NOT reflect what's on the inside...I didn't fully agree with her.) Anyway, in this case, Koby's physiologic changes are not reflected by BEAM. Can you explain further?
2) SQ fluids - in the past, you'd asked me to bring Koby to the vet for SQ Fluids after he had diarrhea and vomiting without checking his BEAM. But I'm glad you did this time because a vet visit would be very stressful for him. Thankfully, his BEAM was decent without moist coughing and increased respiratory rate this time. Do you think giving him E-Lyte in his water every day had contributed to a more speedy recovery this time?. I also wanted to add that I’m glad we could use BEAM as a guide to determine HMDM and not just strictly following conventional medicine protocols, which could end up causing further internal balance.
Thanks for your time and empowering us with more knowledge.
Koby had diarrhea and vomiting this past week. I asked Dr. Jeff if I need to get Koby SubQ fluids and if I can skip giving him Furosemide (diuretics for his heart & lungs), Dr. Jeff asked me how Koby's BEAM was. So I asked what does BEAM have to do with these?
Here's Dr. Jeff's response:
-----------------------------------------------------------------------------------------------------
Great question about BEAM!
Because dehydration, like other physiologic changes of his body are reflected by BEAM.
The reply to whether or not to get SQs is yes, if BEAM is low.
Especially if there’s any fluid loss such as with vomiting or diarrhea.
But your first step is usually a remedy redose if the last dose was helpful.
If it wasn’t helpful, then a new remedy might be needed.
Hold off on furosemide whenever there’s possible dehydration unless resting respiratory rate is elevated or moist coughing is severe.
-----------------------------------------------------------------------------------------------------
@Dr. Jeff - here are some follow-up questions for you:
1)You said "physiologic changes are reflected by BEAM" - This makes sense but I'm still a bit puzzled....Koby's BEAM was pretty decent when we visited his cardiologist last time but she gave us the shocking diagnosis of his heart getting worse. (She did make a comment that what we see on the outside does NOT reflect what's on the inside...I didn't fully agree with her.) Anyway, in this case, Koby's physiologic changes are not reflected by BEAM. Can you explain further?
2) SQ fluids - in the past, you'd asked me to bring Koby to the vet for SQ Fluids after he had diarrhea and vomiting without checking his BEAM. But I'm glad you did this time because a vet visit would be very stressful for him. Thankfully, his BEAM was decent without moist coughing and increased respiratory rate this time. Do you think giving him E-Lyte in his water every day had contributed to a more speedy recovery this time?. I also wanted to add that I’m glad we could use BEAM as a guide to determine HMDM and not just strictly following conventional medicine protocols, which could end up causing further internal balance.
Thanks for your time and empowering us with more knowledge.
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