Searching for support or advice... (long post, sorry)

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Ashe & Chim

Member Since 2016
Chim was diagnosed with diabetes in February 2016. We started him in March on Lantus, 2 units AM and 2 PM. His numbers quickly went down from the 450-550 range to the 50s, so the dose immediately backed off to 1 unit twice a day.

It was rough going – I had a hard time with the testing, tried a couple of different meters, but we finally got a routine established. With a diet change from dry food to the canned Fancy Feast (thanks everyone here for that recommendation – SO much better than the RX food from the vet), he was pretty well regulated by May and went into a remission toward the end of June.

Unfortunately, he’s had other health issues since then. For several years, he had little cysts on his body. For the most part, they didn’t bother him. We had them checked out at the vet before the diabetes came up, and determined they were benign.

Last May he started messing with one on his right side and tore it open enough to require a trip to the kitty ER. A few days later he had surgery to remove it and close up the skin around it, and that seemed to be the end of it.

In September, he picked at another one, this time on his tail. This one, he removed completely, leaving behind a wound, but nothing like the (gross) one on his side. After a few days, it was pretty clear it wasn’t going to heal on its own. I guess this is pretty common for diabetics? We took him in for a second surgery.

His BG has been all over the place since September. He was in the 300-400 range pretty regularly until the surgery at the end of September, pain meds, and two doses of IV antibiotics to fight off the infection in his tail as a result of him picking at it. We kept him in the cone until a few days after his stitches came out, per the vet’s instructions, did the laser therapy to try to promote healing, the works.

We were all the way back down to 0.5 unit of Lantus twice a day when he got out of the cone… And immediately re-opened the wound on his tail. Not only that, but opened one on his left side as well. Had a third surgery, this time removing the rest of the cysts to try to stop him from self-medicating and whatnot.

I felt AWFUL after that. He was in the cone, and a t-shirt to protect the multitude of incisions all over his poor little body. His patchwork haircut hasn’t even fully grown back yet. Two weeks later, the stitches came out, we kept him in the cone for a few more days to make sure things were as well-healed as possible… And less than fifteen minutes after taking it off him, he was chewing at his tail again. Drew blood, and he's been back at square one ever since.

Now there are two masses, one near the base of his tail and one right above that (closer to the tip of his tail), both of which he’s bitten at until they bled. We’ve tried vet tape and bandaging them to keep him from messing with them, and to get him out of the cone. That just led to his tail swelling up so much he would yowl every time we touched it, and making a looser wrap meant he got it off after about 15 minutes. Tried spraying it with the bitter yuck stuff, and he doesn’t even care – he just chewed the bandage right off.

He acts completely depressed in the cone. He sits or lays on the couch or in the living room chair, won’t get up except to eat (when we take the cone off) or to use the bathroom. He doesn’t play, he doesn’t run around and chase his brother, and every time I tell him we’re doing everything we can I feel like he’s looking at me like he doesn’t believe me.

His BG has stabilized a little – he’s been in the 150-200 range on 1 unit 2x per day, but I know it’s just a matter of time before the pain and the stress get to him, or before his tail gets infected again and we have to start this whole process all over.

Our vet recommended a soft tissue specialist, to see if more can be done, or to amputate. She said she can’t do anything more because of the amount of abnormal tissue on his tail. Her concern is that the one mass (the main one that he’s been messing with) is so close to the base of his tail that the whole thing would need to be removed. I’ve done some reading and it sounds like this can affect a cat’s ability to use the bathroom, and basically require someone to help them use the litter box for the rest of their lives.

For the short times he’s out of the cone and has the energy to play, like when his tail was bandaged (before it swelled up), he’s so energetic and playful. He’s his old self – he seems so healthy the thought of putting him to sleep is insane. I feel terrible just thinking it, but I can’t stand the thought we’re going to put him through so much more stress and pain and just end up in the same place.

So, with all that in mind, I just need some thoughts or support or something. I don’t know what to do. I’m terrified that when we take him to the soft tissue vet on Thursday, even if there is something else we can try, it’ll just make him even more miserable. I don’t want to put him through more surgery and more pain if it’s just going to make his life more difficult.

Sorry for the really long post. I just didn’t know where else to go – I needed to talk to someone and this was the only place I could think of to go.
 
I'm sure you will hear from more experienced people soon....but I'd suggest waiting till you hear what the soft tissue expert says. Do you live near a vet school to get a second opinion? And, I had a dog who had a tail amputation at the very base and had the same fears about toileting, but he did fine...just took him a couple of days to learn to balance his walk without the tail.
 
When you asked if it was pretty common for diabetics, I assume you mean slow wound healing -- yes that isn't unexpected, and slow hair regrowth for that matter too. I am not aware of cysts themselves being common in diabetics, but I don't think that is what you meant.

With regard to tailless...I only have two experiences with tailless cats. Our Molly, but she was a feral born as a bobtail and she has no toileting issues (although I think that some Manx can). I'd always thought that the urinary/bowel issues had more to do with the underlying genetics of the Manx, though, not directly related to the lack of a tail? Now I am not sure! And also, my coworker had to have his tomcat's tail amputated recently after a dog fight, and he had no toilet issues either. Still climbs trees like a pro, too! Hopefully others have input here as well.

I do hear your sadness and frustration. I too hope that the specialist is able to get you on the right track. Please let us know how it goes. Sorry I can't help more except for done prayers for you both.

Best,
Sandi&Whisper.
 
The problems with being without a tail generally have to do with cats that are born without them....sometimes the last bit of their colon doesn't fully develop either (which means they can't toilet properly), but losing a tail to amputation is different.

Yes, it will take time for him to adjust to keeping his balance without his tail, but it sounds like he may have a much better quality of life without it. Cats are very resilient ....they can adapt to pretty much anything.

Hopefully the specialist will have some answers for you ....sending virtual hugs your way :bighug::bighug::bighug::bighug::bighug:
 
Thanks, everyone! I really appreciate the responses. I was seriously freaking out the other night.

Sandi, yes - I was referring to the slow wound healing. Sorry about the confusion!

We spent a lot of time with the vet this afternoon. Good news is, we've got a diagnosis - mast cell sarcoma. Bad news is, the best thing now is to amputate his tail before it spreads any further.

I'm glad to hear that going that route isn't the end of the world, and that it'll probably let him get back to a much better quality of life than being stuck in the cone of shame.

Thank you guys again!!
 
Oh good, it is better to know than not know. So do they think it is isolated to where they cam amputate, then? I don't mean to be stupid, but I don't know anything about mast cell and don't know if any of the other cyst problems are due to it.

I have to say that there is no downside to the amputation. The only awkward part is when Molly goes to...ummm...clean the old posterior...our other cats reach around and hold on to their tail. Molly instead found that she can prop herself up against a pillow or a wall.

Keep us informed, and best wishes to you both!
Sandi.
 
Sandi - I agree. Even though the news wasn't great, it's better to at least have a reason for what's happening instead of having to guess.

Yes, the surgeon seemed to think that there's enough space between the main mass and the base of his tail that they can amputate and close the skin over without any problems. He'd have a little nubby "tail," about 1/2 to 1 inch depending on exactly how high they need to go to avoid the cancerous cells. They want to do a biopsy after the fact, too, so we can give him other medications if there are other problems.

We had a couple of his other cysts tested and they were just fatty tissue, so what's on his tail is actually totally different. I feel a little silly for not realizing that earlier - of course once the doc explained it, it made perfect sense.
 
EXCELLENT news then! So glad to hear it. Happy days will be here again soon, Chin (shhh, let's not tell him about another final time in the Cone Of Shame just yet!)

Yay!
 
Thanks, Chris - we'll take a look and see if something like that might work. We already had to swap the one the vet gave us for a longer one because he's pretty flexible, but I'd definitely like him to be comfortable.
 
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