Thank you for your response.
a) Puka´s pancreatitis has not been studied histologically. Do you think it is worth submitting her to a biopsy?
c) She has not vomited for the last two days, but she did vomit every other day and often daily before she last saw the vet on Tuesday, when she injected Celenia. Should I give her Celenia when she starts vomiting, or should I rather wait to see the vet (once a week).
d) Will the predisolone be harmful if given for only one week? when she had an acute episode it was highly effective, and this time it looks that predisolone is being having a good effect, but I am not 100% sure.
e) the vet did not seem too worried about Puka having an electrolyte imbalance when she last saw he, but Puka looks lethargic..Do you think she should be given preventive intravenous hydration?
f) there are not veterinarian pancreatic enzymes in Mexico, but she is taking 150 pancreatinine capsules for human use, which I have been opening and spreading in her food
g) if her condition is chronic, will it progress -as I´ve been told- to the point of a horrible death? what is the prognosis in these cases?
h) should I try another vet, perhaps at a veterinary treatment center at the University, where they do research? LAst year I took her there when she had her acute episode. Medically, everything was excellent, except for the fact that the vet center is massive and extremely crowded, full of barking dogs, and every single time to wait many hour (3-4 hours) sitting at the waiting room, with the poor kitty really stressed out. I felt that it was not worth stressing her to that point if she has a chronic problem, and I am therefore taking her to a small feline hospital. However, I am afraid that her problem is acute and not being diagnosed. How can I know?
I knoe these are complex questions, I I will be grateful for your help!