Just Venting

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20Merlin24

Member Since 2024
So... in the past two weeks, right in the middle of getting ready for a 1,000 mile move, three of my senior cats have had pretty major emergencies. And the vet is an hour away... One (obviously, because I'm here) diabetes, another one thyroid disease, and now this past Saturday the third one got really sick really fast and was diagnosed with advanced chronic kidney disease. I'm losing my mind here, feeling like I'm suddenly running a small pet hospital. Trying to absorb as much info as I possibly can about all these things :bookworm:, as fast as I can, and watching the credit cards go off the charts before we even get on the road. I WILL do everything I possibly can, but calling it stressful is an understatement.

Is anyone else dealing with these combo issues? Any light at the end of the tunnel - that is not an oncoming train?

:(:banghead::arghh:
 
I’m so sorry all this is hitting at the worst time. There’s lots that can be done for kidney disease. The place to look is tanyascrf.
https://www.felinecrf.org/

The crf might not be as bad as you think. It depends on the labs and symptoms. When are you moving and what state and city? If soon perhaps people here can give you vet referrals.

The thyroid should be able to be controlled with daily medication either oral or the ear gel.
How can we help?
 
@Bron and Sheba (GA) @tiffmaxee @Red & Rover (GA) Thank you all so much for your support! It truly means a lot.

We're moving in three weeks, to Peoria IL area.

Diabetes will be figured out. Thanks to all you wonderful people Merlin is looking a lot happier after finally getting on the Lantus. He's acting pretty normal again, putting on weight and playing. Steep learning curve but we'll get there. It feels doable.

My old man (age 15ish) with thyroid issues was originally on meds for several years, but when he started losing weight rapidly and vomiting lots I brought him back in because I thought maybe the dose needed adjusting. They tested him and said he was near zero and to stop the meds entirely for a while. After a month or so I called for advice because he didn't seem normal to me, and they said I could put him back on half dose. That didn't work at all. And he ended up getting maybe a quarter of the dose due to all the vomiting. Took him to the new vet (that Merlin had just seen) and had complete labs done. Besides conjunctivitis and underweight his only issue is thyroid which is extremely high, but at least I know what's going on. He's terribly scrawny, but has actually started playing a tiny bit today so the new meds are working. Yesterday he wouldn't eat despite Cerenia and Mirataz, and I was feeling really hopeless. I feed him a variety of wet food - often - and give additional high calorie gel and also coconut oil at times. But overnight he finished all his food (a full bowl of five different things to keep him interested) and he's hungry again. I keep him crated - at night only - to make sure he actually gets everything to himself. So far this morning he's screaming for food every 15 -20 minutes. And actually eating it. I'm guessing he's making up for lost calories...? He can eat as much as he wants as far as I'm concerned.

My kidney disease boy (also around 15 or so) got really bad really fast, seemingly out of the blue. When I rushed him in Saturday he was vomiting, staggering and just looking like something was neurologically wrong. After complete labs he was diagnosed with late stage kidney disease with severe anemia. He was given 250 ml sub q fluids and a shot of B12 plus Cerenia. I was told that it doesn't always help, and I may need to prepare for some hard decisions. Nevertheless, on Monday we went back in and got supplies and a lesson in proper home infusion technique. They said 200 ml twice a week. I had already found the felinercf site and joined. I had ordered a kidney support powder, and learned about the phosphorus binders. But the vet's office had no idea what I was talking about, so I went home and also ordered Phos-Bind and low phos food for him. Also started him on Slippery Elm which I had on hand. He received some more Cerenia and Mirataz yesterday but remains extremely lethargic. Almost Zombie-like at times. It's horrible to see and I'm having a really hard time with it. Supplies won't arrive until Monday, and this area is underserved when it comes to a lot of things, so I can only get the most common cat food here. Is there anything else I can do for him until then, besides the sub q fluids?

On the food chart here, I see phosphorus content listed, but I'm unclear on how to figure out the percentage. He's supposed to stay below 0.5% I believe. Can anyone enlighten me? What am I missing?

@Red & Rover (GA) is this what you mean?

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It’s better to give daily fluids of 100ml than twice a week. Some cats need it morning and night but see how it goes. Tanya’s has a food list organized by carbs. It’s dry matter rather than calories but fine. Try and feed the lowest he will eat.

You really do his your hands full. No loss in losing this vet. You might want to post a separate post on the main forum asking for vet recommendations in Il.
 
It’s better to give daily fluids of 100ml than twice a week. Some cats need it morning and night but see how it goes. Tanya’s has a food list organized by carbs. It’s dry matter rather than calories but fine. Try and feed the lowest he will eat.

You really do his your hands full. No loss in losing this vet. You might want to post a separate post on the main forum asking for vet recommendations in Il.


So poke him daily instead...? :nailbiting:
Are carbs bad for kidneys too? I thought it was mainly the phosphorus.
You mean the first vet or the second, or both? Second vet (hospital, so actually several) is at least an improvement...
I will make a separate post, yes. Thanks for the tip. :bighug:
 
Carbs are not bad for the kidneys. It is better to keep hydration even. When only giving twice a week dehydration can happen in between administering. It’s also more comfortable for the day I suspect to get smaller amounts. That’s just my opinion as when I would give fluids my cats reacted toward the end of getting them and would try and get away.
 
Carbs are not bad for the kidneys. It is better to keep hydration even. When only giving twice a week dehydration can happen in between administering. It’s also more comfortable for the day I suspect to get smaller amounts. That’s just my opinion as when I would give fluids my cats reacted toward the end of getting them and would try and get away.
That makes sense. That big bubble it causes looks very uncomfortable. What kind of needle did you use? The ones they sent us home with are huge, but that of course speeds up the process, so...
 
. What kind of needle did you use? The ones they sent us home with are huge, but that of course speeds up the process, so...

yes. They send harpoons. I get terumo 19 or 20 gauge by 1 inch needles online. They are very sharp. I also used their 25 gauge needles to do ear pricks. Get a box of 100.
 
What kind of needle did you use? The ones they sent us home with are huge, but that of course speeds up the process, so...
Vets like to send home 18 gauge needles (one even sent me off with 16 gauge years ago) which might make the process go fast but are like harpoons.

Many people use 19, 20, or 21 gauge needles (the bigger the number, the smaller the diameter of the needle), with Terumo being a popular brand.

There was just a discussion about this recently, including some links to where to buy. Check out this thread: https://www.felinediabetes.com/FDMB/threads/needle-size-for-sub-qs.289209/

I also agree about dividing up the fluids to smaller volume more frequently. 200ml is a lot all at once. With kidney disease that’s advanced, my vets have always recommended daily fluids.

Best wishes on your move. It’s a lot, I know. And it always seems the furries get sick at the most inopportune times. :bighug:
 
Was a urinalysis done? Any chance of a UTI? The kidney values are really high. He probably needs IV fluids which would unfortunately mean several days at the ER. He’s definitely anemic and should start darbepoetin to bring it up. If no infection iron along with it might be needed. If it came on suddenly I wonder if this is acute instead of chronic kidney failure. How suddenly? Poor baby must feel pretty rotten. If not in the ER, I would give 100ml fluid twice a day. I’m so sorry.
 
If it came on suddenly I wonder if this is acute instead of chronic kidney failure. How suddenly?
I was wondering about the possibility of this being acute rather than chronic kidney failure as well.
@20Merlin24 is there any chance he got into something toxic? For example, this time of year there are a lot of flowers in the stores and lilies in particular are very poisonous to cats. So are certain rodent poisons, dog flea/tick meds that contain permethrin, the artificial sweetener xylitol, acetaminophen and ibuprofen, etc.
 
Was a urinalysis done? Any chance of a UTI? The kidney values are really high. He probably needs IV fluids which would unfortunately mean several days at the ER. He’s definitely anemic and should start darbepoetin to bring it up. If no infection iron along with it might be needed. If it came on suddenly I wonder if this is acute instead of chronic kidney failure. How suddenly? Poor baby must feel pretty rotten. If not in the ER, I would give 100ml fluid twice a day. I’m so sorry.

@JL and Chip @tiffmaxee
Kitty's name is Gus by the way. I don't think they did a urinalysis. He was already on Keflex for two full weeks after having five extractions on April 1st. Not sure if that's an antibiotic that would have been given for a UTI or not, but if so it would be unlikely that he has one now, wouldn't it? He's peeing normally. They checked temp and told me no infection. I asked about iron for the the anemia and they said it doesn't do anything for cats. I asked about B12 and if he could use my drops. (I'm a vegetarian and always low, so I take this every day). They said that also doesn't do anything for cats. He will get another injection in a month instead. (Is that enough? Is the cyanocobalamin even optimal?)

He's been slower than normal since the last week of March or so, or at least that's when I started noticing. (That's when I scheduled the dental). His breath was really foul. and he seemed to be drinking more than usual, and the only reason I noticed with everything else going on is because he kept choosing the dogs' bowls instead of the cat fountains or bowls. He had a rough time after the anesthesia, but with his age that is not unusual. The (new) vet said that chronic kidney disease often starts with some kind of trauma that "pushes them over the edge" so this made sense to me.

IV treatments were not offered. Vet said the preferred way of giving fluids is sub q, and I could bring him twice a week for them to do it or just do it myself. They gave him 250 ml immediately and it took a day and a half for those fluids to be absorbed.

Two infusions a day? :arghh: Yup, they gave me 16 gauge... How long does the infusion take with the 20 or 21 gauge needles...?

Gus is a 100% indoor cat, as are all my cats. We are super careful about any potential toxins, including xylitol, and we don't use any poisons or flea treatments. And just in case, we never plant anything outside without checking the ASPCA site first. I just can't think of anything that could have caused it to be acute.
 
Was a urinalysis done? Any chance of a UTI? The kidney values are really high. He probably needs IV fluids which would unfortunately mean several days at the ER. He’s definitely anemic and should start darbepoetin to bring it up. If no infection iron along with it might be needed. If it came on suddenly I wonder if this is acute instead of chronic kidney failure. How suddenly? Poor baby must feel pretty rotten. If not in the ER, I would give 100ml fluid twice a day. I’m so sorry.

Where do you get darbepoetin and in what form? It looks like a prescription would be needed. Side effects could be severe, no? Can you recommend an iron supplement or does that not work without the darbepoetin anyway?
 
Just attempted first ever infusion and stopped at 150. Kitty got really annoyed and I only have the 16 gauge needles from the vet, so the poking makes us all really stressed. What is your suggestion from here? Try again tomorrow at a reduced dose? Wait until I get new needles and do 100 every day? :(
 
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