radioiodine therapy for feline hyperthyroidism€¦ · hyperthyroidism, and has >25 years...

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Radioiodine Therapy for Feline Hyperthyroidism See why clients love veterinarians that choose radioiodine therapy Radioiodine (I-131) Hillʼs Rx Y/D Diet (severely iodine deficient) Methimazole Outcome Cures hyperthyroid state Hyperthyroidism is never cured Hyperthyroidism is never cured Side Effects None Unknown Common Costs One time Ongoing for the life of the cat Ongoing for the life of the cat Concurrent Disease Diet flexible to accommodate other needs Strict adherence to Y/D diet required Diet flexible to accommodate other needs Treatment Single SQ injection Life-long diet Life-long treatment Hypothyroidism Rare with customized I-131 dosing Unknown Common Follow Up Care Routine Continuous Continuous Multi-cat Households No impact Requires independent feeding of hyperthyroid patient No impact Adenoma Destroys adenoma Adenoma continues to grow leading to possible loss of control Adenoma continues to grow requiring regular dose adjustments Malignant Transformation Prevents malignant transformation Malignant transformation not prevented Malignant transformation not prevented Carcinoma Only effective treatment for cats with thyroid carcinoma Allows thyroid carcinoma to progress Allows thyroid carcinoma to progress Hypertension Renal hypertension and proteinuria resolve Renal hypertension and proteinuria may persist Renal hypertension and proteinuria may persist Renal Disease Stops progression Poor control may allow progression Poor control may allow progression Diet Variable Diet Strict diet adherence required Variable Diet Obligate Carnivore Meat based diets allowed High carbohydrate diet inappropriate for obligate carnivore. Meat based diets allowed Survival Best long term survival Survival unproven Shortest survival

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Page 1: Radioiodine Therapy for Feline Hyperthyroidism€¦ · hyperthyroidism, and has >25 years experience treating hyperthyroid cats with radioiodine. THYROID CARCINOMA Thyroid carcinoma

Radioiodine Therapy for Feline HyperthyroidismSee why clients love veterinarians that choose radioiodine therapy

Radioiodine (I-131) Hillʼs Rx Y/D Diet(severely iodine deficient) Methimazole

Outcome Cures hyperthyroid state Hyperthyroidism is never cured Hyperthyroidism is never cured

Side Effects None Unknown Common

Costs One time Ongoing for the life of the cat Ongoing for the life of the cat

Concurrent DiseaseDiet flexible to accommodate

other needsStrict adherence to Y/D

diet requiredDiet flexible to accommodate

other needs

Treatment Single SQ injection Life-long diet Life-long treatment

Hypothyroidism Rare with customized I-131 dosing Unknown Common

Follow Up Care Routine Continuous Continuous

Multi-cat Households No impactRequires independent

feeding of hyperthyroid patientNo impact

Adenoma Destroys adenomaAdenoma continues to grow

leading to possible loss of controlAdenoma continues to grow

requiring regular dose adjustments

MalignantTransformation

Prevents malignant transformation

Malignant transformation not prevented

Malignant transformation not prevented

CarcinomaOnly effective treatment for cats

with thyroid carcinomaAllows thyroid carcinoma

to progressAllows thyroid carcinoma

to progress

HypertensionRenal hypertension and

proteinuria resolveRenal hypertension and proteinuria may persist

Renal hypertension and proteinuria may persist

Renal Disease Stops progression Poor control may allow progression Poor control may allow progression

Diet Variable Diet Strict diet adherence required Variable Diet

ObligateCarnivore

Meat based diets allowedHigh carbohydrate diet

inappropriate for obligate carnivore.

Meat based diets allowed

Survival Best long term survival Survival unproven Shortest survival

Page 2: Radioiodine Therapy for Feline Hyperthyroidism€¦ · hyperthyroidism, and has >25 years experience treating hyperthyroid cats with radioiodine. THYROID CARCINOMA Thyroid carcinoma

Radioiodine Therapy for Feline HyperthyroidismSee why clients love veterinarians that choose AVMI

DIAGNOSISThyroid imaging (scintigraphy) performed to confirm the diagnosis on each cat prior to performing radioiodine therapy.

DOSIMETRYPatient I-131 dosing customized to individual cat’s thyroid adenoma(s) size, resulting in >98% cure rate, including less cats persistently hypothyroid following therapy.

SUPERVISION Cats are examined, treated, and personally evaluated each day of their stay by Dr. Michael Broome.

CRITICAL CAREContinuous 24 x 7, eyes on supervision is available from board certified veterinary criticalists (via Advanced Critical Care using personal iCat web cams).

CARDIOLOGYOn-site board certified veterinary cardiologists are available (via Advanced Veterinary Care Center) for consultation in cases with cardiac disease.

EXPERIENCEDr. Michael Broome completed post graduate training in comparative thyroid pathology at UCDavis, is board certified by the ABVP in canine and feline practice, has authored numerous articles on hyperthyroidism, and has >25 years experience treating hyperthyroid cats with radioiodine.

THYROID CARCINOMAThyroid carcinoma is correctly diagnosed using thyroid scintigraphy, which allows for appropriate therapy with higher radioiodine doses.

COMMUNICATIONClients are called daily by the technicians that actually care for their cat and Dr. Broome is available to speak to clients and assist referring veterinarians managing difficult hyperthyroid cases.

ACCOMMODATIONSOur Synder Cat Cottages™ with Cat Nap-pur ™ and Cottage Fresh VentSystems™ ensure each cat gets the pampered experience it deserves.

ENVIRONMENTOur hyperthyroid cat patients are housed in a large, quiet ward with multiple large picture windows and their own flat screen TV that plays relaxing nature videos to ensure continuous environmental enrichment.

WEB CAMPersonal web cams allow each client and their referring veterinarian to keep an eye on our hyperthyroid cat patients for the duration of their hospitalization.

3047 Edinger Ave., Tustin CA 92780Tel: 949-559-7289 ● Fax: 949-559-6727

2340 S. Sepulveda Blvd., Los Angeles, CA 90064Tel: 310-477-4453 ● Fax: 949-559-6727

avmi.net