Monthly Archives: November 2013

My other full time job is Zoe….

We left town to attend my niece’s wedding and had to get a friend to stay with our children, Hank and Zoe. The below email describes how often we give her medication and how the do what we do. (Zoe has diabetes as a result of hepatocutaneous syndrome, so she requires insulin)

Sometime between 6-9am the following needs to happen:

Usually hank goes out 1st (have to make him go out). He goes to backyard

Zoe goes out front (check her urine dip). (Expect negative ketones). Get worried if it’s more than trace!

Feed hank. (Between 2-1/2 to 3 cups). Add about 1/2 cup of water
He eats from the blue bowl beside the fridge
He can go outside after about an hour from the time he eats (that’s why he HAS to go out before he eats). If he won’t calm down, he can go out back on the leash, but he cannot run around outside on his own until at least an hour after he eats

Zoe gets a Baggie of food with the following added:
Her meds as noted on the am part of chart
1 Tablespoon of sour cream
1 Tablespoon of cottage cheese
1 slice of Ezekiel bread (can be toasted)
1/3-1/2 cup of chicken stock
1/4 cup of raw goats milk

INSULIN:
Within an hour of eating, she needs her insulin injection. She is getting somewhere around 20 units of insulin. Technique is as follows:
1. Wash hands well with warm water
2. Take insulin out of fridge door and using palms rotate insulin vial in a manner to gently mix the insulin
3. Using cotton ball, saturate it with alcohol and swab top of insulin and allow to dry (usually takes about 60 seconds for alcohol to evaporate from top of insulin vial)
4. Get syringe and remove plunger protector (DO NOT remove needle until ready to pierce vial)
5. Draw up insulin to desired amount and gently roll the syringe with insulin between palms to warm it up. (Injecting cold insulin is painful, so it’s important to warm it up)
6. Prep skin with alcohol cotton ball. Lift up skin on Zoe anywhere that a saddle would sit on a horse and gently slide needle under skin and slowly inject insulin
7. Give her her zinc treat as reward. (She doesn’t know this is med, but rather it’s her favorite treat!!!)

Around 11-2, Zoe needs her eggs separated into:
Use a small cup and place about 1/2 cup of chicken stock into cup and heat in microwave for 50 seconds
Take 2 eggs with the raw yolks separated and put yolks into small bowl (Zoe will eat out of this bowl). The whites go into the heated chicken stock–cook for about 1 min 50 seconds to 2 minutes and then pour the cooked whites into the bowl with the bowl with the raw yolks. I usually add 4 ice cubes to cool this off for about 5 minutes and then feed it to Zoe
(Hank gets about 1/4 of the egg white mixture in his bowl—usually add some chilled water from the fridge dispenser OR can add ice to cool his)

Around 3-5 pm (or about 8 hours after Zoe got her am keppra, she needs the afternoon meds) I used chicken meat as the “vehicle” to get her meds in. She gets another booster of chicken stock (this time not warmed). About a tablespoon or two!

Evening meal: usually around 6pm, but can be as late as 7 (same as am meal for additives). Meds are slightly different for the evening, though

INSULIN (to be given within an hour of getting her evening meal). See instructions above

Before going to bed, OR about 7-8 hours after her afternoon keppra, she gets the last meds of the day

Notes:

Hank can go in or out at his will, but we don’t leave him outside when we aren’t home. He just needs to be “calm” for about an hour after he eats. IF you place his bed (it’s actually just foam with batting over it and spread over that) at the foot of your bed, he will probably sleep in his bed, if he doesn’t have his bed there, he will probably be in the bed with you

Zoe can go out back (she likes to roam out there just before getting her eggs, but she can certainly just go out front). She thinks if she has her leash on, that means she is going across the street to the sidewalk for her “walk” which is actually more of a “sniffing” rather than a walk, since she spends most her time smelling what all the other dogs have done rather than walking

IF she starts licking on her feet, just lightly cover them with a towel. (We keep the “dog towels” in the cabinet above the washing machine)