Jeddie update 6-22-12

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Sometimes (these past 2-3 days), I think we have reached an equilibrium or sorts. The routine of feedings, insulin, pain meds, cleanings, subQ fluids and brushing/cuddling/playing is in place so that is easier on me. I was pretty stressed a week ago. I know I am doing the best I can to care for him now.

Other times, I see little things that let me know things are still changing. He is taking less food at each feeding now - 1-2 Tbs instead of 2-3 Tbs. So I have to do more feedings. Still, his total intake dropped yesterday and today is not looking any better. He acts hungry, looks in the other cats' dishes, smells it, and then walks away. He even acts enthusiastic when I start a feeding, but he gets to "I've had enough" pretty fast.

He IS back to sleeping on my bed after sequestering himself in the closet since last Thursday and a day of staying on the hallway rug. He hadn't been on the bed for a couple of weeks. He even came and got on my lap at the computer a few times yesterday and this morning - also something he had not done for weeks. These are "Jeddie things", so he is more himself than he has been in a few weeks.

He has an appointment with the oncologist on Monday - 10 days earlier than originally planned for. She must be expecting something "different" than she had before - not sure what, but my guess is that she is expecting him to be a lot worse than he was a week ago. He isn't. If anything he is "better". He is getting more calories and more fluids. If the tumor has grown it is by only a small amount. I haven't seen blood in his drool for several days. I just don't think it has gotten smaller. I don't think he is too uncomfortable, but I do think there is some pain and, I hope, the pain meds are helping with that. I am giving them subQ instead of oral, for obvious reasons, but they don't absorb as well there (I am told).

The hardest thing, on a daily basis, is the twice daily ritual of treats that are associated with the PS testing and insulin dosing (and Beau's meds). All the cats participate and look forward to it. Jeddie was always very enthusiastic about the bits of chicken or pieces of kibble and he still wants them! It breaks my heart every time. I am trying to minimize the whole thing but that just confuses the others. I do feed him each time, but it is not the same. He will try to take the piece of chicken from my hand, but it just drops out of his mouth now. So sad. And even sadder is that I always wanted to get a photo of him standing on his back feet, one paw on my thigh and the other reaching for the treat with such a look of pure delight one his face. I thought I had time. He actually did that the other night, but the look is not there, and I want to remember the healthy, fluffy Jeddie face, not the thin, scruffy one. Sigh.
 
Sheila - are you giving him cyproheptadine? Someplace I read that - in humans, but I'd assume it was the same in cats - weight loss/lack of appetite is one of the biggest problems for cancer patients. Scruffy never really lost his appetite, but I did use cypro a couple of times when I thought it was important to get more food/phosphorus binder into him.


Could you use a baby food grinder to make the chicken treats easier for him?
 
Lynda, I have not used an appetite stimulant on him yet. I think he is hungry, just doesn't like more than 1-2 TB at a time. I'll ask about it.

Unfortunately, he can't eat on his own at all. I have tried puree, bits of stuff, pate food, he just can't manage it anymore. All his nourishment has to come from bottle feeding. Yes, i have the option of a feeding tube, but at this point I just don't know what the benefits are. I am doing what I can to keep him comfortable and sustained until the tumor has progressed to the point where life is no longer of any quality to him. I don't think we are looking at even a brief remission where he will resume eating on his own. I'm sort of waiting for him to tell me "enough".
 
It's good that you and Jeddie have a routine. I like that he's sleeping on your bed again too. I'll be thinking of you both on Monday when you have your appt.
You both are doing a great job handling this ever changing disease.
 
lynda and scruffy (GA) said:
My heart hurts for Jeddie, and for you.

Mine does too. It's probably even more painful for those of us who have been through these "stages" with terminally ill pets. I know that you have too, Sheila, but that doesn't make it any easier and each case is so different.

I pray that you get some reprieve come Monday and the oncologist will have something positive to say. I wonder if a feeding tube would help him feel more normal or if it would be too much given that he has an appetite rather than the condition cats are normally in who require it. Meaning since he is hungry but can't eat. Then again, the feedings would fill him up better, so perhaps he would be less stressed about food. Does that make sense?

I marvel at your patience. I syringe fed Gandalf for over a year because he wouldn't eat raw food on his own and I believed it was so important for him. But he still ate other food, so he only needed maybe 2 or 3 oz of raw/day. I only solely syringe fed during his pancreatitis attacks and then during the last few weeks of his life. It is a challenge and that is why I would consider the tube for Jeddie at this point because it might help make feedings easier on both of you.

I'm sure we can raise more DCIN funds if that would help.
 
I know the feeding tube is an option that is out there for him, but right now he seems to be somewhat eager to be fed. Like this morning when I got up early to see if he was hungry and he downed the entire bottle (4 Tb - well, there was a little left in the bottom). He actually "chomps" at the nipple. It's not sucking, but I think he thinks he has to do it to get the food. And maybe he does to help with the swallow reflex. I don't want to take that away from him. He also tried eating from a dish while his food was warming up. I probably should have tested his BG to see where he was.

The only part that is hard is if I have to leave for a while and need to get back in 3 hours - 4 at the longest.
 
Sheila -

Your love for him is so beautiful. I know he appreciates all you're doing to make him feel better and help him eat "as normally" as possible. Continued hugs and strength to you both to continue his care.

Lu-Ann
 
Sheila & Beau & Jeddie said:
The only part that is hard is if I have to leave for a while and need to get back in 3 hours - 4 at the longest.
Ok, well that is not true. The whole thing is "hard". It breaks my heart that his life is being destroyed. He was so happy. I don't know what his life was like before he came here, but by the changes I have seen in him, I don't think it was great - like he was fed the wrong food, he was alone after his sister died (also of cancer, but I don't know what kind) and I don't think he got a lot of attention. All that changed here and he thrived and he loved it and it is being taken from him too soon. THAT is the hardest thing.

The logistics are just about careful scheduling - and the worst of that is worrying about him when I am gone.

And, yes, end of life care is difficult. You are giving all this care knowing they won't get better and go one to be independent again. It is just about doing what you can to postpone the inevitable a little longer and making a day to day judgement call on quality of life. I feel it is what I owe him and it is what I "signed up for" with each cat that I added to my family. It just is harder when it is too soon.
 
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