When to say goodbye (Is it time?)

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Debra & CB (GA) & Gang

Member Since 2009
Hi everyone....

I bring this subject to you and am seeking honest answers about this much dreaded topic. Let me explain the situation that we're going through here, hopefully to give you a sense of what's been going on with one specific kitty, Gypsy.

We got Gypsy as an adult cat. She was a stray outside that decided to live in our attic. It was during the summer time, very hot here in NC, so we'd get her out of the attic and return her outside, only to find her back up in the attic the next day. (Our house is very old, and some of the walls are open underneath....she'd just climb right up through the walls to spend her days in the attic.) Anyway, we finally decided that since we couldn't keep her out of the attic, we'd simply "keep" her. At that time my vet estimated her age as around 2 years old. Btw, she's now 13 years old.

Up until a couple of months ago, she's been the picture of health.....no problems at all for her. Then, just a few months ago we started noticing a very slow gradual weight loss for Gypsy. Nothing dramatic, nothing shocking, and even with that she seemed perfectly fine.

Then boom! She experienced rapid weight loss and we knew things weren't good for her. I took her to my vet, and bloodwork was run. It was normal, nothing there wrong. Urine testing did however show a urinary tract infection, other bloodwork showed hyperT (just slightly out of range), and she also had an ear infection. She was also very staggery, like her balance was being effected by this ear infection.

We thought that with treatment for all of her ailments, things would improve for her. But, they haven't! Despite the oral antibiotics and Tresaderm, the ear infection remains. We're now treating that with another medication, but her left ear is still producing a crud and it's still very sensitive to treat. (It's not ear mites, nor yeast infection...vet said bacterial). Her weight hasn't improved, even though the latest T4 shows her within excellent range. And......she now has horner's syndrome. It started with her left pupil being very constricted...that went on for a couple of weeks. We have, in fact, seen some improvement of the pupil itself, but now she has almost total left side facial paralysis. Her left eye does not blink at all, the eyelid kinda droops some, and her left eye doesn't "move" with the right eye. But, we have seen her balance issue improve a bit.

Now here's where we're at right now. Gypsy has stopped eating. Her normal diet was dry food, but since all these health issues started we switched her to canned food. She's not a big eater, but when fed she'll usually eat most of what is given... This past Sunday she would cry for food, we'd feed her, she'd sniff at it, lick it maybe, then walk away. Repeat in about 15 minutes. We'd open another can, different flavor......only to get the same response. After having 6 cans of cat food sitting in my refridge I finally decided to give her some cypro to see if I couldn't get her appetite going. Sure enough, within about 20 minutes or so she ate very well! (Let me say that she's not a very happy camper to give pills to.......she can fight me like a bear on that issue!)

Yesterday she ate a little here, a little there, nothing dramatic, but some food did find it's way into her tummy without the use of an appetite stimulant. Today however, we're back to her wanting food, but not eating. And, I did give her another cypro........but it had absolutely no effect on her at all.

Hubby and I are so saddened by seeing her this way, knowing all what she's been through these past few months, and while I'd love to seek further diagnostics to see what is going on with her, we just don't have that kind of money. We've been talking tonight about this whole situation, and really have decided that perhaps tomorrow we'll take Gypsy to the vet one last time, and release her from this body that is failing her.

I guess what I'm asking is......are hubby and I being rash about making this final decision? Your input will be greatly appreciated......and if anyone here has had any experience in dealing with horner's syndrome, please let me know!

Thanks!
Debra
 
The wanting food and sniffing it and licking of the lips, but not eating it, sounds like your cat is nauseous, and you should not be giving her an appetite stimulant until after the nausea has been addressed. I've heard it's like you being with the worst case of flu and being offered food. Or something like that.
I would stop giving the cypro until you can give her some anti nausea medication. I would talk to your vet about whether some Ondansetron would help her to feel better, and get back her appetite. I give J.D. Ondansetron for nausea, as he has cronic pancreatitis. I found the price to vary: My super market pharmacy wanted $33 for 10 pills (or $3.30 per pill) and Costco sold me 75 pills for less than $25 including tax (so less than $0.33 cents a pill).
I would suggest sending a PM to Karrie and Maverick. Karrie helps people help their cats with food issues.

I wish you the best for Gypsy.
 
the ear infection could be causing the horners syndrome. should clear up ehn era infection better. idiopathic horners clears in 6-8 weeks.
shelly's scar had that when I was caring for him for a few months. scared the crap out of me. his was idipopathic as far as I know and it cleared on its own.
do a search. i think there are eye drops that can be given if other than idiopathic.

It is a very hard decision to make and people always say, you will know. and ya know what, you will know
just went through a loss of Mt. beasley and a few years ago my mr. chubbs. you will know. I personally would try something for nausea first and then cypro and find the right AB that will work. can at least give kitty that much of a chance and you will not be questioning if you did enough.

I too would have no $$ for more extensive testing so I would do the little things first.. how about some SQ fluids also if no heart problems
 
Debra -
Wishing you all the best... hopefully it's as stated above and can be remedied. Good luck.

Lu-Ann
 
She doesn't lick her lips though when given food....she'll lick the food. Just a few times, not really "eating" it, like she's minimally tasting it. She hasn't had any vomitting, so I'm not entirely sure whether she's having any nausea or not. As for her ear infection, we've been treating that since all this started, and haven't made a dent in it at all. My vet was going to call a feline ear specialist for suggestions of what other types of medications we could possibly use, but she hasn't gotten back with me yet on if she's found anything else out. And yeah, I could give her some sub-q fluids this evening when I treat her ears, not sure if that would help or not, she's not dehydrated.

This decision (that so far we haven't made) isn't something we're jumping to without any considerations........it just seems that no matter what we do, we're not seeing the improvements that we'd hope for.

Thanks!
 
HI Debra, I understand where your at because its the same place I am. The only difference is the age of our kitties - yours is 13 and mine is 19 (she was adopted by me at 6 weeks old). My cat has multiple health issues and recently had a flareup of inflammatory bowel disease/pancreatitis. She is also not eating well (does the same thing - looks interested in food - takes a few licks - then leaves). If there was a big issue like a tumor, cancer - something that I know can't be treated given her health it would be much easier. Its the gray area of illness that I think we all struggle with. I'd say to go with your gut instinct and if treatments aren't working and your kitty is suffering its time to let go to the rainbow bridge. In my case I'm still trying things to see if Sitka's appetite can be improved and she can get back to where she was before her flareup. Its a decision that is so hard and with advances in veterinary medicine is much more difficult then it used to be. Sending some cyberhugs to you & your kitty. Jan
 
I gave Gypsy some sub-q fluids last night, and some reglan for nausea. Thing is, this morning she's continuing to decline. She is now drooling, at first out of just the left side of her mouth (the paralyzed side of her face), and now out both sides of her mouth. I tried giving her some baby food with a bit of water in it to make it soupy, and when I used an eyedropper and put just a little amount into her mouth, she tried to swallow and ended up coughing, like it choked her a bit. I'm more convinced now that there is more going on with Gypsy other than horner's syndrome. I've got a call in to my vet, just waiting for her to call us back so that we can discuss these latest developments and see what she thinks. Thanks everyone!
 
I'll be thinking good thoughts for you and Gypsy.

It's so hard to tell when it's time. My oldest (Mylie) is still acting mostly normal, but who knows how she's really feeling. I worry about her all the time. And about how I'll know when it's time.
 
((Debra)) I hope your vet gets back to you soon. The second time I gave reglan to my civie she had serious adverse reactions- wobbly, crying. Maybe Gypsy is having a reaction to the reglan. I sure do hope she is better soon or you figure out what is going on so you can treat it.
 
Sending prayers for Gypsy and for guidance for you.

I know what you are going through. We had to "release" an old timer feral we've fed for years. We tried Vetting him. He was so sick he didnt fight us. That was my que that he was ready. I sure do miss that little guy but if we hadnt helped him, no one else was going to.
jeanne
 
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