Living With Feline CRF (Chronic Renal Failure)
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Signs and Symptoms
Since you see your pet daily, it can be difficult to notice substantial and profound weight loss is occuring. Oftentimes, when you finally do notice this change, it's quite significant. As was the case with my cat, Pandora. Her previous nicknames were: "Flabby Tabby" and "PanContinental" (sorry, girl) as she was, well, hefty. Not overtly obese, but the floor got a good dusting as she glided by. I began to notice she was becoming more svelte. In fact, I thought she was looking pretty fit until one day I was taken aback by her skeletal figure.
Her next nickname became cat pan-dora for the frequency with which she visited the cat pan. Not only were the trips numerous, but the urine output was voluminous. I became suspicious that she'd succumbed to feline diabetes as I'd had the unfortunate priviledge of managing with a previous cat. Off she went to the vet. Her lab results showed in no uncertain terms Pandora was in chronic renal failure (CRF). I could no longer remain in denial, the verdict was in.
Be suspicious if you see your cat displaying the following signs and symptoms:
- weight loss
- frequent and voluminous urination
- loss of appetite
- vomiting
- "unkempt appearance"- coat looks dissheveled, no longer glossy.
- lack of energy
- stools become hard from dehydration
- constipation
- constant drinking
- drooling
- urinating outside the cat pan
- oral ulcers
"D" Day (Diagnosis) of Your Cat's Kidney Failure
The purpose of this hub is not to delve into the myriad of medical terminology and lab results you will be innundated with. My favorite site for that information is:
My motivation is to offer hope, answer questions, and provide information I wish I'd had when Pandora was first diagnosed with CRF.
When my veterinarian informed me Pandora was in kidney failure, I truly thought the end was days away. Sadly (and quite unnecessarily) I instinctively began the process of emotional detachment from my ailing kitty. I knew the disease was irreversible, I knew Pandora was in Stage III (according to the International Renal Interest Society- http://www.iris-kidney.com/), I felt helpless and completely hopeless.
I was told I'd have to shove a huge needle into my cat's back every day or every other day to administer subcutaneous fluids to keep her alive. I saw the needle, it isn't small. How could I do this? What about quality of life? I made the decision to treat her for a month and take a wait-and-see attitude. I am so glad I did.
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Giving Fluids- My First Experience
I'd been given a tutorial by my veterinarian's technician on how to give subcutaneous fluids, but I was still petrified the first time I attempted to give Pandora sub-q's. It was a complete debacle. MARK MY WORDS: it does get easier. I promise. I don't want you to make the same mistakes I made (you will make your own), so let me share with you the mistakes we made and how to avoid them:
- Always insert the needle hole side UP!!! It is way to hard and painful to insert the needle if the hole is down. Look carefully at the needle and you can see which side the opening is on.
- Make a tent of skin along the cat's back. Insert the needle into the long axis/parallel to your cat's body. If you attempt to insert the needle cross-wise into the tent, the needle can come out of the skin on the other side. The fluid will leak out onto the kitty in this case, which will be quite obvious to the human(s) involved. You may not reinsert the same needle again, you need to start out with a fresh one to avoid contamination.
- Make a burrito wrap out of your cat with a towel you don't really care about. Even a mellow cat can feel stressed out during this process, so having him or her restrained can save you and your kitty a lot of pain (literally).
- Have some paper towels or a clean rag on hand. As I've already stated, if the needle is inserted improperly, fluid will leak out. Additionally, sometimes a mix of blood and fluid will seep out after the needle is extracted. I always check for that now and "pet" Pandora with a paper towel to mop up anything that may have escaped.
- If at all possible, administer the fluids with a helper, in particular the first few times. Thankfully, my husband has always been a part of this process. Trying to restrain the cat, hold the needle in place, watch the bag, and start and stop the fluids is very difficult for one person. Granted, it can be done, but it's very tricky, especially in the beginning.
- Pinch the skin around the needle when you take it out. Just pulling it out without doing so can cause unnecessary pain and bleeding.
Complete Tutorial on Subcutaneous Fluid Administration
Appetite Stimulant- Mirtazapine
The first time I gave Pandora the appetite stimulant, Mirtazapine I thought it must be laced with some high-grade catnip. She was one lovey lady. She also got frisky, wanted to play "spider under the covers" whether I wanted to or not. She became a little nippy, too and a lot vocal.
My veterinarian said this is completely normal. Mirtazapine is actually an antidepressant used in people. It works to increase both serotonin and norepinephrine in the brain. The side effects have anti-nausea (anti-emetic) and appetite stimulant properties. In fact, human chemotherapy patients are sometimes given this antidepressant.
Just be prepared for some possible changes in your cat. In some cats the side effects are unpleasant, in Pandora they were just amusing.
Pepcid AC- Famotidine
First of all, buy the generic Famotidine! It's ever so much cheaper and it's the same thing. Pandora is to take 2.5 mg every morning. The smallest doses are 10 mg pills that I need to cut into quarters, They are already tiny. Ask your pharmacist to help, they will be happy to assist. You can also get your vet to cut them up for you. It's next to impossible any other way.
9 Months Later and Still Chugging Along!
Pandora was diagnosed in August of 2008 and she is doing quite well. She turned 17 in March, so I'm pretty pleased. Her labs have actually improved over the past 3 months, both creatanine and BUN. So, I'm here to offer hope. It all seems so overwhelming in the beginning, I remember the sadness and stress. I thought I'd never feel comfortable giving the fluids, but now neither Pandora nor I even flinch. The whole process takes less than 5 minutes out of our day. It's been well worth the effort. I'm happy to answer any questions you might have.
For more information...
- Feline Kidney Disease
Kidney disease can be divided into two different types- acute and chronic. Both types of kidney disease will result in kidney failure, but the onset has a different cause. Acute kidney failure is a type of...
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Comments
Jennifer, glad this information helped. I know how stressful this diagnosis can be... I would be happy to help answer any questions you might have. There really is hope for more quality of life. Skeets has a great owner.
my little cat , Tucker, i am sure is in kidney failure. He has all the symptoms. I am wondering if giving the fluids, helped the constipation? My cat has lost a lot of weight in the last few months. He was always close to 10 lbs,and now is not much more than 7. Do uyou give fluids every day?
thanks for the help
Hi Susan,
Hey, thanks for reading the Hub. In the beginning I was giving fluids every other day, but as her disease progressed, I'm now giving them daily. She was also quite constipated and the fluids have solved that problem. I recommend you get him to the vet to have blood work done, of course. Another disease that causes weight loss is feline diabetes, among others. By the way, we have a dog named Tucker. It's an awesome name. Keep me posted on your kitty.
Thank you for the support! I took my 14 year old cat to the vet in January 2009, and everything was fine. Then, he lost weight for the next 4 months straight - I thought this was normal for an older cat. Until one day I could really tell he was sick. He was diagnosed 2 weeks ago - worst day of my life. I will do ANYTHING to help him, so switched to Science Diet k/d food - hard and soft - which he LOVES! Also, sub-cutaneous Lactated Ringers with potassium. I think administering the fluid is more painful for me than for him! We started out twice a day, then twice a week. He's almost back to his old self. If your cat is diagnosed, do NOT give up on them - tons of information at your vet and on the Internet. Best wishes and hugs to everyone from Smushy and Jenn.
Hang in there, Jenn. My girl is still doing great, in fact her creatanine has decreased quite a bit over the past few months. We're still chugging along at 10 months now and she's 17. We give the potassium as well, it also makes her feel better. I agree, DO NOT give up on your kitty with this diagnosis, there really is a lot you can do to manage CRF. Hugs to you and Smushy!
thank you all for this discussion. No need to rehash the specifics but our Princess was diagnosed with chronic failure after she went in for surgery..came out of it fine, but 6 days later when they suggested changing here food before stitches were even out...she stopped eating and could not get her back on the original food before it was days without much food. We are not giving up until she tells us. We are starting the fluids in the morning with a coach after me trying it alone was not a success. I am wondering if I accidentally stuck her twice when the needle started to come out...hoping for the best on that and will not make the same mistake again.
This is the best real world online (or otherwise information) I have found yet.
I will keep you all updated.
dean, thanks for reading and commenting. I'm sorry to hear about your Princess. In the beginning, giving our cat fluids was very difficult. I felt like I needed to be an octopus to successfully pull if off. We had needles coming out, coming out the other end, you name it. But, within a few days, it all got much easier. I can readily do it by myself now. My cat, Pandora is used to it. She sees the bag and jumps up on the bed because she knows it's time. You will get the hang of it. She's doing very well now, her kidney failure has been stabilized. In fact, her numbers were down at the last visit. There really is hope. I felt hopeless in the beginning, but we've found there's a lot of hope.
We had to experiment with quite a few foods. She HATES the k/d and other food designed for kidney failure. She refused to eat them at all. So, my vet finally said it's more important for her to eat something than nothing. She's on senior Innova now and get a lot of wet food. Discuss food options with your vet. You'll probably have to do some sampling before you get it right. Let me know how the fluids go in the morning. I'd be happy to help in anyway I can. Hang in there!
thanks for the tips...my 22 year old cat (yes 22) has crf and i have been giving him subq for about a month now..he has his good and bad days...every day is a blessing..
Thank you so much for posting this info. It has been very helpful. Pumpkin was just diagnosed about a week ago and spent 5 days in the hospital on IV fluids. I am giving him IV fluids at home and he goes for his first cbc profile tomorrow since being home. I am having a hard time getting to eat. He ate pretty good the other day but today no such luck. He is getting better every day, you can tell, just the appetite thing is making me nervous.
Michelle, I also have a Pumpkin who will be 17 this Dec and was diagosed about a month ago. Her first CBC will be this Monday and I have been giving her subQ fluids ever since the diagnosis. She'll eat her K/D wet & dry food but is also getting into my other cat's food (he's on a weight loss diet) which worries me that it may hurt her. I am so nervouse about her bloodwork Monday and I THANK YOU SO MUCH FOR THIS PAGE. YOU ARE ALL IN MY HEARTS AND PRAYERS. THIS IS SUCH A FRIGHTENING EXPERIENCE AND I DO NOT WANT TO LOSE MY BABY GIRL!
Anna, Michelle and Melanie: Thank you all for reading and commenting. It is so scary at first, but it does get easier. My cat will occasionally get into my other cats food, but no worries. Just make sure it doesn't happen daily. You are all in my hearts, as I know the love and commitment it takes to care for these precious cats of ours. Mine is still doing very well more than a year later. So, there is hope... She's more than 17 1/2! She still plays, is happy and has quality of life. Everyone keep me posted on your kitties. Anna, let me know how the tests turn out on Monday if you can!
Wordscribe 41 and Michelle (see below)...THANK YOU so much for your support...I cried when I saw your response. I've never joined a support group & never expected a response.
Pumpkin's results were given to me today - I asked for a printout so hopefully they will give that to me as the Vet's accent can be difficult to understand.
From August-Sept she's remained relatively the same. Her red blood count and electrolytes are NOT affected. BUN has gone from 72 to 67 and Creatine 3.2 to 3.3. Urine concentration is 1.017. She told me to increase SubQ to 2x week....and to hold off next Renal Profile MV310 for 2-3 months unless I see a change.
Michelle - please let me know how your CBC results came out , if you can. It would be comforting to be able to compare. And about the eating...my Pumpkin is extremely finicky but absolutely loves Royal Canin Renal L/P both dry and pouches. Just an idea. Sorry I wrote so much!
Hi Michelle, thanks so much for keeping us abreast of Pumpkin's progress. Having results that don't change much can actually be a blessing. Pandora's stayed the same for the first few months, then her labs started improving. Granted, that was after we were giving her daily fluids. ARGH. Everyday is a blessing, no doubt. I would never have believed she'd be doing as well as she is now. Not in a million years.
I LOVE hearing from you, Anna. Comment away, or feel free to send me an email ANYTIME. So funny you mentioned the Royal Canin, a new discovery of mine as well. Pandora adores it, the first renal specific food she actually likes... Tsk tsk picky girl. My other 2 cats also love it, so it's a task keeping them away from it.
Let me know about Pumpkin often. Pandora has some labs coming up soon as well... I'll let everyone know how she's doing. Hugs to you and Pumpkin.
Please do let us all know about Pandora's (love that name)
lab results.
You are really providing a great service to all of us...you are making a huge difference in a lot of lives.
Thank you so much, Anna. Obviously this is a cause close to my heart. I was so scared and depressed after her diagnosis, I was just convinced I needed to start saying goodbye. I was wrong.
I will post the lab results. I always feel a bit nauseous the day of and then the waiting... I hate the waiting.
Take care! Laura
I'm just here to say that we have been giving Smushy fluids twice per week since late June. For awhile, he seemed to be doing better, but now his old body can't do it anymore. He can't keep weight on, he's dehydrated despite the fluids, and he's just not himself. I took him to the vet today to get a last, big dose of fluids and penicillin (the vet said that might perk him up). I plan to spend the weekend with him, and have him put to sleep next week. He'll be 14 years and 3 months old Tuesday. I will love him for a lifetime. Best wishes to everyone else!
Jenn, I'm so sad to hear about Smushy. What a wonderful owner you are to have been so dedicated, AND to know when it's time to let him go. I know how difficult it is for you now, you are in my thoughts. I'm so glad you get to spend the weekend with him. Again, how lucky he is to have you. So sorry he's not doing better. Huge hugs to you both. I wish I could aptly ssy what's in my heart, I can only hope you may know... Thanks for the post.
It's me again. And after spending a beautiful night by Smushy's side and today (where he ate and drank more than I've seen recently), I need to give him one more chance. I'm going to get him a big dose of fluids Monday - and anything else anyone recommends? Maybe we just weren't giving him enough? I have to give him one more chance.
Even after all of this, I will always feel like I didn't show him as much love as he always showed me. :-( Heartbroken.
Jenn,
What does your vet say about giving fluids more often? I starting out giving Pandora fluids every other day and now give them daily. I do wonder if he's just not getting enough! How much does he get each time?
What food is he eating? I'd recommend Royal Canin, the renal formula. My cat LOVES it, I just discovered it recently. She's been doing better with food she loves. Anna above has also had a lot of success with Royal Canin as well. Is your cat on Pepcid AC? It's made a lot of difference for Pandora. Her stomach isn't upset anymore, so she has more of an appetite.
I know the vet visits get REALLY expensive, but I'd be very curious to know if increasing fluids would make Smushy better. I'd recommend another visit with that slant right now. I'm a bit surprised he's getting fluids so infrequently. If he's not getting enough, obviously he'll be dehydrated, which in turn affects his appetite and makes for a lovely vicious circle. I think it's worth investigating. PLEASE keep me posted.
I was so glad to hear from you, Jenn. No doubt you are a wonderful owner. I can't tell you how many people I've known who wouldn't even try giving their CRF cats fluids. Give yourself a pat on the back! Keep me posted, please!!!
Jenn,
I so feel your pain and anguish. I am so happy that Smushy finally ate and drank a good amount. I move Pumpkin's food to wherever she is -- whether in bed or in livingroom & remind her to eat...sometimes when I mash the food with my hands (the pouch one) it evokes a stronger scent and she is drawn to it.
I know that eventually I will be in your position and it terrifies me. I don't know if I could "put her to rest" although, I tell her all the time that I will NEVER let her suffer any pain. We have to think of our babies and not ourselves. But it's difficult.
I give her 150 cc's or a little more -- beginning next week I will do it twice a week.
Whatever your decison....Smushy knows you love him -- they are smarter that we can even imagine. My heart is with you -we are not strangers since we are going thru the same situation. Whatever your decision is - it will be the best decision for Smushy...only you know how he is really feeling.
PLEASE let us all know the status of Smushy. It will be of a great service to us who happened reached your point yet.
My heart and prayers are with you.
Hey there.I've just come accross your site after looking for more information on fluids for CRF cats (I'm in NZ). My cat was diagnosed with kideny problems 5 years ago after an operation for a abycees with routine bloods taken. He has been doing great all this time and has needed no fluid intervention as he has always been such a good drinker and ble to hold his fluids. However, approx 6 months ago, I had another lots of bloods done and his numbers were sky high. Since July he has had one lot of Sub Q fluids and was able to maintain hydration untill a couple of weeks ago. I took him back to the vet approx 4 days ago for another lot of fluids as I noticed he was dehyrated and acting more lethergic and not drinking as much as usual (eating was ok). Vet gave sub q's but recommend next treatment of IV fluids with a vet stay of 3 days with teaching me who to give sub q's from home which I'm scared to death of doing. I'm wondering if this is going too far and when you explain the situatin to people, they kinda of look at you strange as to say "don't let him suffer, put him down". How anyone else found this and what kind of quality of life is he going to have after all of this? We don't want him to suffer at all but I'm willing to do what it takes to help him. My cat is not going down with out a fight so figure I should fight for him too.
Joanna -- I feel like I'm becoming an expert on SubQ fluids but am certaintly not. DON'T BE AFRAID to learn how to do it. If I can do it...I promise you can do it. It does get easier and it does your heart so good to see how much more energy your cat will have after the SubQ. My belief, is that it is too stressful to bring the cat to the Vet each time and sometimes leave them there for days.
Not everyone is an animal person. You have nothing to explain to anyone. It is none of their business. It is only between you and the cat you love.
It does take a lot of dedication and work to take care of a cat with Kidney Disease...but...if it was a child - would you put the child down...of course not!
I found that my Pumpkin loves Royal Canin K/D in pouches and the dry food...I've read somewhere that it is the most paletable to cats. And always keep fresh water nearby.
My Pumpkin is not in pain...she just can't retain the hydration her body needs. The first time you do it - put the needle into your cat's body...he/she will cry...but so do kids with shots and needles.
This Website is incredible! Watch the video and REMEMBER to ALWAYS enter the needle with the hole facing up - which is written above.
Last night was the first time Pumpkin did not cry at all!! To my shock and surprise. I gave her a little more than the usual 150cc's (200cc's) and I cannot believe how different she is today...jumping all over the place...eating so so much...drinking...acting just like a kitten and she is 17 years old! I'm not giving up on her...I want her around for at least 5 more years (God willing)....but I also told her that I would never let her suffer any pain.
Good Luck! and I'm sure that the owner of the Website = Wordscribe41 will soon answer your email with her wisdom.
Please let us know the name of you cat and how old he/she is.
With love...we are all in the same position.
Hello everyone -
Thank you SO much for your love and support - you all know how much it is needed at times like these.
I've learned a lot that I hope can help all of you. Smushy spent Monday - Wednesday at the vet hospital (a different one); I'm SO glad that I changed vets. ALWAYS get another opinion, and make sure your pet is getting THE best care they can. They had him on IV fluids (210 ml/day - he only weighs 6 lbs), gave him antibiotic (since he was on IV fluids), and vitamins. The dehydration had even caused a slight heart murmur that my other vet hadn't diagnosed. Anyway, and most notably and most sadly, Smushy's CRF took a difficult twist in that he was also severely anemic. A normal # PCV (I think that's what it was called) is 35, low normal would be 20-30 and poor, sweet Smushy was at 13. Unfortunately, it wasn't due to a parasite and all his RBC's were mature - which means that basically, since his kidneys weren't functioning well, they also weren't secreting the hormone that tells the bone marrow to make RBCs. PLEASE remember to watch for this with your cats. To combat this short-term, he had a transfusion of 1 unit of Feline Type A blood on Tuesday. This brought his # back up to 23 - low normal. Before he left the hospital, he also got a hormone shot - to stimulate his bone marrow (hopefully) and it wouldn't hurt if it also stimulates his appetite. Now that he's home - he's on:
- Calcitriol: the most important.
- Pet tinic: Vitamins - I don't think this can hurt any pet.
- Amphogel: A phosphorous binder at mealtime
- SubQ Fluids: 150 ml every other day (as you say - I'll do more when I can)
- Hormone shot 1x/week.
So, he's home, and still very tired. His next vet visit is Tuesday at 6pm. They'll test his RBC number again. Please, please, please send your best wishes that it's 23, or maybe higher - meaning his kidneys and bone marrow woke up. He'll get another steroid shot.
Future options for him (his vet said he might only have 2-6 months, best case) are more transfusions (but apparantly, you can't do this as many times in pets as you can in humans - we'll see), and a different hormone (epogen) - which ironically my father is on that may be more effective stimulating the bone marrow. But, again, unlike humans - you can only do this a few times in cats unfortunately.
Stem Cell treatment is being investigated as a treatment option, but at this point - it only appears to be effective for cats MUCH earlier in the disease than Smushy.
Lastly, I am trying to start him on Royal Canin, although I'm not having good luck. He doesn't like Science Diet KD, but the vet said he has 3!!! other options. I'll likely switch to one of those and let you know. For now, to keep his strength up and keep him happy, I'm feeding whatever he'll eat.
Ok. I think that's it for now. Again, many thanks for your kind words and well wishes. I love Smushy so much and wish he would be by my side forever.
Jenn - thank you so much for sharing the update on Smushy and all that you have learned about this awful disease. I am sitting on the couch with Pumpkin sleeping by my side and I too, cannot imagine losing her. These wonderful animals bring so much to our lives...they give so much love and companionship. They deserve the best.
I'm sorry to hear all that Smushy has gone through. Just proves how tough he is. Please believe me that my heart and prayers are with you and Smushy....AND everyone on this board....we are all suffering with this together.
We must be strong for them. They are, in my opinion, our Guardian Angels.
We must enjoy and cherish every moment we have with our "babies".
Hi Anna. Thanks so much for your comments, they really help. My boy is 14 years old and his name is Buddy.
Over the last couple of days he has gone from eating well to not really eating anything. He has started drinking well again which is good. However, his behaviour has changed so much over the last few weeks. He has now become a kitchen cat where he never has before. He likes sitting on the kitchen bench. Gross as it sounds, he like to drink, sleep and eat up there. I figure if that makes him happy then why not. I fear he has developed anemnia as his PVC was 26 (3 months ago) but his gums are whiter and he has started eating kitty litter. It just breaks my heart to see him act the way he acts now. He is manly an indoors cat as he used to fight so much with other cats. He used to be waiting at the door to go outside when we came home now he doesn't move from his perch when we come home. May take him to the vet today as the next step is the IV, bloods and teaching sub q's from home. I have a new vet and he is great. He seems postivie that the IV will help. I hope this perks him up but what are the side effects and will it last. I have a list of question as long as my arm for the vet. Talk about high maintenance cat lol!
Joanna - My Smushy's PVC went from 23 in June to 13 last week - good for you for going to a new vet and watching it. The treatment my cat got (basically) - IV fluids to rehydrate him and then Sub-Q fluids now that he's home, a transfusion (which brought his PVC back up to 23 instantly) and then steroids to try to stimulate his bone marrow to make RBC. The key your vet needs to find out is - what is causing the anemia. Is it a parasite or the bone marrow? Good luck! Very treatable!
Hey Jenn. Thanks for that. My boy is at the vet now getting hydrated (sub q's) and having a urine test. Basically, the vet wants to know how damaged his kidneys are to determine next course of action. She is not going to do bloods yet untill he is fully hydrated as they will give an incorrect reading. I must admitt, I'm fearing the worst I'm afraid. His urine looks like water... Thanks again
Hey ya - I have yet another update.. Well Buddy is home after two lots of sub-q's yesterday, an antibotic and B5 injection. Was expecting a "new and improved" boy but no real change to eating and behaviour - he just crouches on the kitchen bench where is has never sat before. He used to sleep on our bed during the day or on the couch now it's only the bench. He almost missed his dirt box last night which is very unusal. Ok this morning with purrs and smooches but as the day goes on, seems to be feel more and more sick. Still waiting on urine tests to come back but have a bad feeling.
Thanks everyone for keeping us posted about your babies. I've been out of town for a few days, so I haven't been here to "approve" your messages. SORRY! You've all been going through so much lately, I'm so sorry to hear. Let us know how your kitty is, Joanna. Pandora is still doing well, I'm continually surprised. I dread taking her to the vet each time, an appointment is right around the corner.
Don't fear the worst - there are options. Can your boy get IV fluids instead of Sub cutaneuous, while at the vet? If he's severely dehydrated, this is what he needs. As for kidney damage - remember that 75% of their function is gone already (likely) before you got to this point. Your cat has gotten accustomed to living with reduced function to an extent. So - with proper hydration - maybe subcutaneous fluids at home, vitamins and close monitoring to make sure he's not getting one of the side issues so common with CRF, you may be lucky enough to have many more months, maybe years, with your boy.
As for the kidney tests, they may look worse now than they really are, since he's so dehydrated....it's likely they'll get a little better once he's rehydrated.
Best wishes. Please post again, and please - do what you can for your boy by asking lots of questions and doing what research you can. It's worth it!
Joanna, so true what Jenn says. Pandora is in stage III (IRIS staging), so there's VERY little function left. The IV's have saved her multiple times, they're just miserable and out of whack when they're dehydrated. I'd push for the IV.
Hey Guys - thanks for the positive words, it's very encourging. So I have a question.... why then would sub-q's not work but an IV would? I know they are done differently (one through the vein and the other under the skin) but if Buddy isn't holding the sub-q's then what's to say the IV will work - he could just get dehydrated again even with using the sub-q as well. I don't mean to sound negative just a question if that makes sense :)
You don't sound negative at all, Joanna. It's a good question! The difference is he'll be able to have MORE fluids through the IV, you can only get in so much fluid with subq's. IV fluid treatment is commonly used for CRF cats when they crash (suddenly become severely dehydrated and very ill), or if they have high bloodwork values (say creatinine over 7) when they are first diagnosed, when they are also often quite dehydrated. In such cases the cat may need to be on a drip for several days in order to restore the correct level of hydration and re-balance electrolytes -Pandora was on IV twice, the first time for two days, the second time for three days.
Thanks for the kind word but urine tests are back and news as expected, isn't great. He has advanced renal failure with only a very small portion of kidney still working. It seems that because the "not as important" part of the kidney failed some time ago, he has managed to survive for so long on the remainder but it appears that is now failing. There are three options apparently... 1 do more bloods tests to find the exact cause of failure and how bad.. 2: Put him on an IV and see what happens and then do sub q's from home - he my not hold the fluid though...3 have him put to sleep which I think is what I'm going to do. I don't want to give up on him but I think he has given up the fight. I can't bear to think of life without him and the decision has not been an easy one to make. I can see him suffering and don't want him to go into complete Renal failure which will be awful. Spending the money isn't an issue as my vet says that some cats are bought in every couple of weeks for IV treatment.. I will not put my boy through this. If I thought in my heart it would make a differnce, then I would but I just don't think it will. Thanks
Joanna, I am heartbroken for you, I truly am. And I understand your thinking completely. Once Pandora is suffering, I will definitely change my plans. It's the SUCKIEST part of loving an animal so much. My doctor once said the hardest thing for her is not putting an animal to sleep, but rather when an owner should and doesn't. I am thinking of you, please know that. Keep us posted, from all of us cat lovers, big hugs to you and your baby.
Hey Joanna here again - geez I'm in two minds. One minute I think the best thing for Buddy is to put him to sleep, the next thing I think I should is try the IV? Can't decide what to do? What chance is it going to give him and for how long? Am I doing this for him or for me so I don't have to deal with his death yet? He is still eating and drinking. He is just so quiet and doesn't move hardly at all. Last lot of sub-q's were gone within a 24r period. Such a decision HELP!
Oh, Joanna, such a tough decision. I SO wish I could make it for you, but of course I cannot. I can only tell you it's a horrific place to be (I've been there with a diabetic cat). What would the harm being in trying one last thing- the IV? Potentially, how he responds would help you arrive at the answer. Or possibly he will let you know himself, if that makes sense. If there's not a significant change by morning, I might opt to at least give it one more go with the IV. Obviously, if that doesn't take him out of his misery, you will have your answer. But, I'd see how he is in the morning (not sure where you live, but it's night in the US). If there's been a horrific decline over the night, I'd be quite tempted to end his suffering. I hope this helps, I know how hideous it feels to let a kitty go. Let me know what you think. It's so hard to advise you, it's killing me. It's times like these I SO wish we could talk to them...
Thanks. I'm in New Zealand. He has been like this for a couple of weeks now. First lot of Sub -q's helped for about 6 weeks (early in August) Second lot done 3 weeks ago didn't really help and last lot done on Monday (it's now Wed) didn't do anything.
I love New Zealand, have considered moving there... to Wellington. Is he eating at all? Drinking now? Using the litter box?
Yes to all
That's a good sign. Pandora was in a similar state a while back, but she was barely eating. She had to stay at the Vet's for 2 days getting the IV. She was MUCH better after that, then we started giving the sub-q's daily and it made a huge difference. Really sounds like the IV is critical. That's what I'd do. Then, I'd take a wait and see approach.
Well I've done it - taken Buddy to the vet for IV! I rang my vet this morning and after another long chat and lots of thinking will give it a go. If I didn't, I would always have wondered. They are also going to run kidney tests to see what his kidneys are doing. He's going to be kept there for three days. It's just a "wait and see" game. If it doesn't work, then at least he may (hopefully) feel a little better for a few days. Will keep you posted. How often has Pandora been on IV, how long has she had CRF and how old is she?
Pandora's been on IV's twice now, once in the emergency room when she was first diagnosed. She's been a CRF cat for 14 months now, so we've been at this a while. She's an old lady, turned 16 in March of this year. She's had some bad times, but she's doing pretty well now. She's also on potassium and Pepcid AC for her appetite and nausea. The girl is a trooper, just won't quit. Thanks for keeping us posted, even though I don't know you, I sure think about the 2 of you. Keep me informed, hugs!
Oh my, I'm being so dumb, Pandora turned 17, not 16 in March. A little brain fart there.
Wow- she is an old girl. Gee, aren't they part of your family though? It was horrible last night with no Buddy - just knowing they aren't there is awful. Can't stop thinking about him hoping he's ok. I did ring the vet last night and he was asleep on his blanket I took in with him. Bloods are back today which I'm dredding. Counting down the hours till he's home and praying the IV works. If it doesn't work, then I'll be satisfied I have tried everything possible for him. Wish us luck.
Yes, she's an oldie, no doubt. I do hope Buddy does well with the IV. I know how hard it is having them away while they're getting treated, I always felt guilty, like she thought I'd forgot about her. Anyway, I made myself feel better by knowing it's for her own good, just as it is for Buddy. You really are a great cat Mom, Joanna. You've given him so many chances lots of owners would not. How long do they anticipate he'll be there, by the way? Let me know how he is, okay?
Laura
Hello again -
Smushy was doing so well - and so happy - since leaving the vet after his IV and transfusion. Eating well, resting, loving. But today, while at "daycare" at my parents (we don't leave him alone now that he's sick), he was really tired and just not himself. He also tried to pee on their carpet twice - and he was successful once. He's just not having any fun. I also got the news that just one week after his transfusion, his PCV is back down to 18%.
I'm taking him to the vet tomorrow, to get epogen and fluids, and maybe talk about another transfusion to give the epogen time to work. He deserves one more try, but unfortunately I think he's close to the end. So unbearable.
Oh, Jenn- why are all our kitties having such a hard time? I'm heartbroken for you and Joanna right now. That's so nice he goes to your parents during the day (sorry about the carpet). Let me know how he's doing tomorrow after the vet. It's such a rollar coaster ride, isn't it? I'm so sorry you're having a tough time with Smushy right now. I'm thinking of you, please fill me in when you get a chance.
Jenn - so sorry to hear about Smushy - I'm sending love to you both. Spoke to the vet today about Buddy - not bad but not good. He was put on an IV on Thursday afternoon - it is now Friday evening. He doesn't appear to be fully hydrated yet so this is a concern if will. Going to see him tomorrow (Saturday morning) to see if he will eat a little. He is only picking at his food but I'm not too concerned as he is probably "fretting" about being away from home. I may be able to collect him tomorrow evening or Sunday morning but not feeling all that great as I think he will just lose his fluids again. The vet has told me if this is the case, it will be time to let him go as there is nothing more that can be done. I'm trying to be optimistic but have a feeling that the outcome isn't going to be good. Hugs to all xxx. Will keep you all posted
Thanks for the update, Joanna. Let us know how Buddy is when he gets home. xxx
Well Buddy if finally home - yay!. He has been at the Vet for three full days and nights and just got him home 4 hours ago (he is asleep). Must admit, he is certainly a lot more happier but still not him self totally. Is this normal and do they take a little to bonce back totally? Must be bit of an ordeal for them I guess.
YAY, Buddy! I'm sure both of you are ecstatic about his return. When Pandora gets home from these marathon visits, she's always EXHAUSTED for a while and takes some time to bounce back. I'm not surprised to hear he's sleeping. So glad he's home for both of you. Let me know how he seems when he's settled in a bit. Thanks for the updates!!!
Well Buddy seems ok but I don't think the improvement has been huge from the IV. He is eating well but this is probably because they gave him a steroid as an appetite stimulant and to build some muscle as he seems quite wobbly and has been for sometime (he can still climb a fence though). He used to be an a cat that used to wander in and out side and do his own thing and lounge on the couch or bed in the sun. Slowly he has stopped all of this and now sits on the kitchen bench. He likes pats up there but if you bring him down and put him on your knee, he's straight back up there. But he goes at a "bull at a gate" and slips on the tile floor because of the muscle loss. To get him outside, you need to put him out there and to bring him in. I don't think give him sub-q will help as when he came back from the vet fully hydrated, he still wasn't himself.
What to do...... He is still eating, drinking, wants pats and using the litter box but it breaks my heart seeing him like this, not to mention I'm finding it very stressfull and life has gone on hold at the moment.
Smushy entered immortality today, a little before 9 am. He started getting tired Thursday, as I mentioned. He wasn't much better Friday and breathing funny, so I took him to the vet. This vet suggested a bone marrow stimulant, with an iron shot to go with it, and some fluids. The vet was in a rush - I wish I had made him spend more time with Smushy. I knew it would take days for the stimulant to kick in, so I took him home and hoped for the best. Saturday was no better - he tried to play a little, but peed on my mom's carpet and wouldn't eat dinner with us. This was huge - since he loves dinner at my moms. He also wouldn't eat any of his favorite treats that we spoil him with - pancake syrup or cake frosting. We hardly slept Saturday night - I could tell he really wasn't feeling well. Sunday morning, he woke me up just before 7, even though he knows I'm not a morning person. Of course, I didn't mind. He must have known the vet would be in at 7:30. I called my parents to meet me at the vet, and they were so sweet to him. It was really peaceful, since the office wasn't bustling like on a weekday, and I held him. I hated to leave, but he will ALWAYS be loved, and he will always be in my heart. Now - Joanna - watch what your cat is really eating. In the end, Smushy must have had dehydration, intestinal ulcers, metabolic acidosis, anemia and proteinuria - all at once. We simply couldn't cure it all, and he wasn't having any fun. Make sure this doesn't happen to you - you think you're treating one thing, but your poor cat is suffering from so many other things, too.
I am so happy that he is no longer in pain. Best wishes to everyone and thank you for your kind words.
Rest in Peace Smushy R. Bear. 5-29-1995 to 10-11-2009
Jenn - I'm so sorry to hear about Smushy - my heart goes out to you. You did your very best and couldn't have done anymore. I know this doesn't help any but at least he is no longer in pain or discomfort. Buddy is eating good but I feel that dehydration will arise again soon. He wee body isn't able to hold these fluid as he is just peeing them straight out - I think his kidneys function has almost gone. The thought of having him put to sleep is so awful - how do you move on without them in your life?
Jenn, I'm so sad about Smushy. I extend my arms out to you for the biggest hug I can possibly give. No doubt you made the right choice, when so many systems are down, what are you to do? No doubt, it's hard. Are you okay? My thoughts are with you, and I'll miss hearing about Smushy. What a great pet owner you are. So glad to have "virtually met you". Hugs.
Jenn, you've certainly done all you can. You know that. Now you just wait for Buddy to show you when he's ready, huh? Your gut will know when it's right. I do hope he begins to feel better, though. I still grieve over my cat I put to sleep in March of 2008, I still miss him. But, the grief changes over time and becomes less intense. Now, when I think of him I remember him as a young, playful fellow, not old, with diabetes and cancer. I still smile when I look at his picture, but I still get a bit misty. The pain just becomes bearable over time. You will always miss your cat, but you will be able to move on.
Right now I'm at the point of feeling guilty over anytime I left him alone, and he wondered where I was. Or, now I'm looking back at pictures and thinking of last winter when he was starting to be tired and lose weight. He must have wondered why I didn't help him feel better then; he was so brave, I just thought he was slowing down. I hope he wasn't in pain! Lastly, he didn't like other animals, so one of my friends said he's up in heaven hissing at all of them right now, showing them who's boss. I just hope he has someone to hang out with up there. One more thing - it's so hard to think about, I try not to think about. But then I feel disrespectful for not thinking about it. I just hope it gets better soon. Everyone who loved him misses him so much!
Oh, Jeen, I so remember those feelings after my cat passed away last year. It's all so sucky and normal. I felt guilty about ever little thing, but just remember, Smushy had it made in the shade when he got you for an owner. The pictures are tough, you just want to be able to tell him one last time how much you love him. But, he knows. I also had a cat with a big personality and had images of him up in Heaven being the "alpha cat". It's amazing how much cats know, so please remember he knew how much you loved him and that you did the very best you could to care for him. And, you WILL miss him terribly. The pain will begin to change over time, but it does take time. Thank you for being the kind of human that loves these gifts we get as they were meant to be loved. And, I feel honored you came here to post your feelings. I've been thinking about you nonstop. Rest in peace, Smushy! Love, Laura
Hey Jen, when I bought Buddy home after his IV I felt guilty too because of everything he went though too but my husband and mother has told me not to be so silly that what I did was to try and help and make him feel better. I think Buddy and Smushy must be similar age as my boy is 14 too. He was orginally my husbands cat he got when he was younger and because he moved around alot, he ended up with his parents who took care of him. We have had him 6 years now with 5 of those being with kidney problems. I love him dearly but feel the time is coming where he must too go to heaven, but when. He has lost all the hydration from the IV as I did the skin hydration test. When I pinch it, it just stays there bounching back very slowly. I feel the sub-q's won't make a difference but will speak to the vet today or tomorrow. He is still purring, eating, drinking and when outside, wanting cuddles. I think when he stops eating, this will be time. He seems to have lost so much weight - poor boy
Just to add on from my "doom and gloom", Buddy does seem to be slightly better as each day goes by but ever so slighty
Joanna - you definitely sound like you are in the same boat we were in and I'm so sorry. when the time is right, you will know, and not wait too long so that he doesn't suffer. Buddy and Smushy can be friends in heaven when Buddy is too tired to go. Best wishes to you and sweet Buddy.
I'm sorry I haven't responded in such a long time -- it is just terrifying me about Pumpkin's (17 yrs old) future. I feel like such a coward for not responding sooner.
Jenn -- I cried my eyes out & am crying now. I can't imagine what you are going through. I know there has to be a Heavan for our Guardian Angels and that Smushy is there right now. You are in my Heart right now and just remind yourself what a wonderful 'mother' you were to Smushy. I am giving you a 'virtual' Big Hug to you.
Joanna - You too are in my mind and heart as well. Poor Buddy. Why is it that the innocent with no voice need to suffer the most. I wish you and, especially, Buddy all of the BEST. I hope he perks up -- I am happy that he is eating, drinking and using the litterbox...this is good.
And Pandora.....what a name! You too are in my mind and heart and I wish we could all have a group hug and group cry.
I'm looking at my Pumpkin right now and she is so happy. Jumping off and on the couch I am on to eat or drink or to just walk around. But I see how thin she is...I delayed her SubQ because she seems so so happy. I dread having to prick her with that awful needed again (soon). I am TOO attached to her and she to me. She would have a heart attack if she had to stay at the Vet's overnight (as would I)...I would sleep in my car in the parking lot if God forbid she needs IV in future. I just pray that when the 'end' happens....that it is quick...in her sleep.
I must stop now because I can barely see the screen. Please forgive my cowardness in giving my condolences to Smushy. I can just picture him being so soft and cuddly.
All three of you -- Please know that all of you are in my prayers every night. This is the most difficult situation I have ever encountered.
Good Night All!
Hey Guys
Thanks for your "well wishes", it means alot. I feel like no one else understands the care that Buddy needs and my husband, has been very supportive up till now is starting to question the amount of care he needs verus quality of life. He thinks to "just leave him be and see what happens". He doesn't really agree with with want I want to do with sub-q's etc and I must admit, that I'm in two minds too. I know the sub-q will only fix the hydration and not the strange behaviour, the wobbly legs or the weight and muscle loss. I spoke the vet last night has thinks Buddy has a little demenia. He has advised there are pills for this and steriods for his itchy skin. He wants to see him again but I'm relucntant as he seems to be imporving every day. His eating is good but not drinking very much. But boy, he must be feeling better as he went in and outside by himself this morning which hasn't happened for a few weeks. Was even tearing up newspaper last night which I haven't seen for a few weeks also. Small improvements but the return of some parts of his personality seem to reappear each day. Most of which I haven't seen for a couple weeks. Getting some binders today to go in his food. XXX
Anna and Joanna - My best, best wishes to you as you continue on the roller coaster that is CRF. Your babies are, undoubtedly, individuals and what happened with Smushy or Pandora may help you, but you know what is right for them and for you and that may be different than what was right for Smushy. Trust me - after what I went through - if it's the same for you, you will know when the time is right. Please, though, and I know you won't - but don't let them suffer and die at home. Once they stop acting themselves or stop eating like my Smushy did, help them go peacefully. Don't let them have multiple system failure or be in pain. They love you and have always trusted you to protect them and they love you for it.
If anyone knows how to post pictures, I'd love to send you pictures of my dear, dear boy. He was an all white persian, with pink nose and ears and copper eyes, and he was just beautiful. I can't imagine a more perfect companion.
Hugs!
Hey Jen, thanks for your email. I would love to see pictures of your beautiful boy! As soon as Buddy stops eating, he will be down to the vet (maybe even be sooner depending on whats happening ie: another crash. The vet has told me in great detail what happens when the kidneys fail completely - I don't want my darling boy to go through that.
Jenn...I would never let Pumpkin suffer. So far, so good --her behaviour, eating, drinking & playing are the same. I always put the worse-case scenario in my head & that makes me so emotional as I was when I wrote my previous comment.
I don't think there is a way to post photos on this site -- please correct me if I am wrong. If you do not think it is too strange....I would love to see photos and don't worry...I would not bother you -- my e-mail is an5937@gmail.com. Smushy, Buddy, Pandora...any others...I always love to see photos of cats.
I have promised my Pumpkin that I would NEVER EVER let her be in pain...it is about HER and not ME. I will not be a "wimp" when the time comes. But I should stop worrying about the futre and enjoy every moment I have with her NOW in the present.
Thank you all!
Wow, this place has been hopping since I've been busy. WOW. So great to hear from everyone! I really love hearing how all the cats are doing. Joanna, glad to hear Buddy is showing some improvement anyway. I would love to meet all of you in person, too bad we're all scattered around the globe. Jenn, how are you coping with your grief now? Anna, you speak the truth. The minute Pandora is suffering, I will put her down. The old lady won't stop, she was being a maniac last night with a crunchy ball. The worst thing we deal with is her urinating everywhere. She likes to pee on bedding and clothes. I really should buy stock in Nature's Miracle as I use nearly a huge bottle per week. Doing laundry from last night's adventures. UGH. I'm crazy, but I still let her sleep with me because I can't bear to lock her in the bathroom. Our water bill is hideous. I'd love to see pictures of all your kitties, too. Please email me from my profile page. I'll put up some pix of Pandora when I get a chance. I must say, she's a cutie pie.
Anna,All - I've started a website for my dear, sweet boy. Please visit him at smushystanton.shutterfly.com
Continued well wishes and hugs.
Check out Jenn's shutterfly.com memorial to Smushy. It is beautiful.
God Bless,
Anna
Anna, the website is fantastic - I was crying reading his story. Aren't we luck to be touched by these wonderful animals in our lives. What a great tribute to such a beautiful Smushy. Have been thinking about you and hope your doing ok. XXX
Anna -
We took Smushy to the vet first thing Sunday morning - lucky for us, our vet has wonderful hours and was available. Also - the office wasn't bustling and stressful at the time, but that is just the way fate works sometimes. The vet was able to give Smushy a shot of morphine in his muscle while I held him in my arms. Sau your goodbyes BEFORE that - since that makes it so the vet could do surgery on the cat, and the cat couldn't feel it. I'm sure they can still hear us and sense us, but they won't likely feel your touch. That slowed his breathing, and then he relaxed. They then gave a mainline shot to stop his heart, and it was very quick once he got that. Then, they let us spend time with him. You won't want to leave, but you have to. The vet was VERY sympathetic. Smushy was cremated and is now at home with me forever, on the fireplace mantle so that he's always warm and at the center of the home. Hope this helps.
Jenn - Thank You so much for sharing this painful moment with me....I too want Pumpkin cremated. She was always afraid of the outdoors so burying would never be an option for me. I want her with me forever too. This definately does help me...to know what to expect. So Smushy was left at the vet to be cremated -- you didn't have to take him to where it is done? If so...leaving must have been extemely difficult. I'm happy that Smushy is still with you. That facial expression he has is priceless!!! What an Angel he was and still is! Words cannot express the gift you have given me....God Bless You.
Anna - I'm glad that it helps you to make the right decisions for your Pumpkin. Smushy didn't like other cats, so I could never do a pet cemetary and I hated the thought of Smushy being cold if he was buried. Cremation is the lesser of all evils. We bundled Smushy in towels and left him for the vet to take care of. My last words to him were,"You will always be with me and I will always be with you. I love you." I had told him that on the Thursday night before he passed away also - and as soon as I finished the words, he reached out his paw and touched my arm. That's how wonderful and sympathetic (and ready to go) he was. I love him so much. Please tell Pumpkin to tell him that when he sees him. :-(
Hey Guys.. Quick update on Buddy. He is doing pretty good - has a thing about the house. The vet isn't sure if it's demantia or just a side effect of the kidney issue. But has anyone tried alternative healing? My cousin has a CRF cat and she does "touch healing". She has advised that she also used some kind of Flower Essense - not sure what but has offered if I want to use some. Your thoughts?
Hi Joanna--I'm going to jump in and put my 'two cents' into this option. First let me say that I am so happy that Buddy is doing better.
When I first received the news that Pumpkin has CFR, I panicked...went onto the Internet and saw this "herbal solution" with a lot of "testimonials" from other owners of kitties with CFR. I order this liquid called Tripsy immediately dishing out over $90. It was a knee-jerk reaction to the news I had just received.
I then researched a little more and looked at each of the ingredients in this "liquid". Mind you I was going to do the convention treatment and perhaps use this as an add-on.
I found that one of the ingredients is poisonous to cats/not dogs. The site said that it only used the part of the plant that was not poisonous -- but I read elsewhere that the ENTIRE plant is poisonous. I asked the Vet technician about it but she never heard of it (although the site says it is highly recommened by Vet's). I decided then and there that I was not going to take the risk! When it arrived I returned it (and was charged a 15% restocking fee...jerks! :) ) I'd bet anything that those "testimonials" were created by the seller themselves.
I'd be very cautious with trying this on Buddy. God forbid it makes things worse.
The "touch healing" is something that cannot hurt as long as it is used in conjunction with traditional treatment. I've actually started giving Pumpkin slow massages to the head and body and she enjoys them tremendously. She is a quiet "purrer" but when I massage her slowly and deliberatley (if that makes sense)...she purrs so loud that I am surprised YOU can't hear her. I've read about ways to massage online as well as use my own common sense by looking at the reactions she gives me.
I am a believer in Positive Energy all around us. Just like a cancer patient...not only should their body be treated but their spirit too. I want Pumpkin's spirit to be as happy as possible. I believe it will help with her situation and give her a better quality of life.
I don't know if you've ever done Yoga or taken a Yoga class...but the blissful peaceful feeling you have when you have completed the session. So I make a special time...just she and me...peaceful music...a slow massage with sweet talking to her. And playing with her. Keeping them happy and giving them a sense of safety and contentment can only make things better.
I'm sorry for my long rant - but I just wanted to share my opinion/thoughts.
I wish Buddy the best and he is in my prayers (as are Smushy and Pandora)....Our little Guardian Angels.
Hey...
My name is Erin and I need help. I'm absolutely devastated because my 8yr old cat, Ickie, was diagnosed with CRF yesterday. He went from being so energetic and lovable to distant and helpless in a day. I just brought him home today just to see how he adjusts. I was afraid to start him off on a pill and subq fluid diet on his first day home but I'm prepared to pick up those things tomorrow. I'm basically here to look for guidance and to find people who I can relate to. This is one of the hardest things I've had to deal with. I've tried to get him to eat his new K/D diet and he's nibbled at it a few times. I've also tried tuna and coaxing him with some catnip, both of which have failed. I need every suggestion I can get because I don't want to give up on him but I don't want him to suffer. Please help me.
Hey Erin. I'm sorry to hear about your cat Ickie having crf. My cat too Buddy was first diagnosed at the age of 8 but lucky for us both, it was caught very early and so far has managed 5 years. However, the last 6 months has seen a very big change in him. First off, what has your vet recommended? Have you had some bloods done? Is he drinking and using a litter box? The K/D food is not that great (not sure which country your in) but I'm in New Zealand and my cat doesn't like it that much. However, I have just collected some new food to try. Some may disagree with me but I figure it's better to get them to eat something rather than nothing. Look forward to your response.
Erin - We've all been in your shoes, and we're so sorry. 2 pieces of advice:
- Ickie will tell you whether he's really sick and suffering or whether he can be helped. It is important to remember here that by the the time you usually get a diagnosis, 75% of their kidney function is gone. This varies by cat, though, and since cat's evolved from desert animals, they can do better than you'd think with such reduced function.
- As for food, their are many brands and flavors of kidney diet food, and my cats didn't like any of them. It is much more important for your cat to eat, than to eat the special food. I fed whatever my cat would eat, and gave him a dropper of amphogel with meals to absorb the phosphorous. He didn't mind the dropper!
There is plenty of info out on the Internet that will help you, and the best site I've found is http://www.felinecrf.org/. It's definitely a one-stop-shop.
Keep us posted! We've all been through it and are HAPPY to help.
Hey Guys - I have a quick question. Buddy has always been very good at using the dirt box and have noticed that his kitty litter box is really starting to smell (I clean it all the time). The only thing I've noticed that the smell is a lot more urine smelling. In the past, he has always had almost clear urine with very little smell. Now that it is smelling, is this a good sign or a bad sign? He has just started on Royal Canine k/d food with a binder.
I don't know whether it is good or bad -- but Pumpkin's has always smelled of strong urine....even before switching to Royal Canine Royal L/P (both in pouches and dry food). Maybe 'wordscribe41' knows?
Joanna - How is Buddy doing? I hope better.
Hi all. I'm so sorry I've been away so much lately. I am bawling after going to Smushy's website. What a sweet and sorrowful story. Thanks for the link.
Erin, we have all been there and it does seem very bleak in the beginning. It takes time to understand the disease, to get a treatment plan and to learn what your cat will eat. A lot of experimentation is necessary for all three. One step at a time. Try the Royal Canin and see how that goes. Let us know specifically what you need help with. We know exactly how you feel!
Pandora goes "in" tomorrow. Ugh. I'm not excited, never am. I'll let you guys know how she's doing. Hope all kitties are well.
Hey Anna/all..... Buddy he is doing pretty well actually. In the weekend he decided he hadn't seen the neighbours cat to beat up for a while so decided it was "punch up" time but managed to get there before it was all on - so he can't be feeling too bad. Eating well (apart from this morning) where he just looked at food and walked away but he usually eats during the day when we are at work so not too concerned. Behaviour heaps better, very talkative. He loves the Royal Canin food which is good. We just take it one day at a time. Haven't heard from my vet in a while about doing sub-q's but not sure that he needs it at the moment. I think when he gets to that stage again, it will be "call it quits time" because previous sub-q efforts haven't worked. Take care all. Good luck with Pandora. I have my fingers crossed for you both.
Joanna - that is so great to hear...Buddy likes to fight (hahahaha), oh dear! So great that he loves his food...I'm telling you - Pumpkin is such a finicky (sp?) eater and she just gobbles up the Royal Canine L/P...moist packets and dry. The dry is her treat. Cat's just love the dry stuff...but our kitties need the water content of the wet. So Buddy's the talkative kind...so cute! Don't be so quick to give up on subq's if, God forbid, he needs it again. Pumpkin still runs away when she sees the solution bag & cries when the needle goes in (I cry before and after...still) but am calm & collective when giving it to her. She runs away and hates me for about 1/2 an hour and then she is back to normal and feeling great again. I wish Buddy continued good health!!!! I can just picture him being the King of his domain (and the neighbor's)!!
And Pandora.....my fingers are crossed for good news!! I can just imagine how you are feeling. Our next bloodwork isn't until Dec 21st & I'm ALREADY nervous.
I have a good feeling about Buddy & Pandora (and of course, my Pumpum).....Let's all try to be positive (I'm not sure if I am saying this to all of you or just trying to convince myself) but regardless.....Good Luck!!!!!
You are all in my thoughts and prayers....always. And I don't want to forget about Smushy....he's still with us!!!!
Thank you, everyone, for remembering Smushy! I bought 2 pieces of jewelry as memorials to him. I'm posting the links, since I think they're nice:
http://www.bbbecker.com/displayStoreItemRetail.php
http://www.bbbecker.com/displayStoreItemRetail.php
They are beautiful! Good luck to all. Am thinking of you constantly.
Jenn - both are Gorgeous!!! I especially love the quotes from Gandhi and Helen Keller....they look like they are from Tiffany's.
Anna - Thank you for visiting Smushy's page and leaving a note. That means so much to me!
Jenn (and all)....Whenever I look at Pumpkin, I can't help but think of Smushy, Buddy and Pandora.
Looking for advice/suggestions....Pumpkin is still terrified of seeing the Saline Solution bag & runs frantickly (sp?) in all directions which breaks my heart. Has anyone found it better to do at night...so they sleep afterwards...or morning....ANY suggestions appreciated. No matter how calming I try to make the circumstances....as soon as she sees it she panics.
She's sleeping in bed now & I'm tempted to do it now but I know it will "screw up" her peaceful sleeping. Help!
2 thoughts on the fluids:
1 - They say if you warm it slightly, it's a little better (put it in a warm pace, soak it in a water bath - just make sure it's not too warm.
2 - For awhile, Smushy's fluids had KCl (Potassium) in it - which stings under the skin. Since fluids were the important thing, we took the Potassium out and it was less painful for him.
Jenn - Thanks for responding....I do warm the solution and then test it on my arm (like a baby's bottle) but I do not know if there is potassium in it....the bag just says Saline Solution but I will call Vet to ask.
I couldn't do it last night, but she really needs it today and will be doing it in a bit.
Again....thank's for being there.
Hey Anna - how are you getting on with Pumpkin and her fliuids - hope it's not too stressful for you both - keep up the great work! Just a quick update on Buddy, he is doing great, back to his old self. It's taken awhile but slowly he is getting better. The only thing is he looks quite thin and smells a bit but apart from that, he is great and really happy - very talkative. I know this is a CRF site but I have to tell you all about my mums new babies...She has a neighbour with a young female cat that was pregnant (in addition to the two other non spayed female cats). She wasn't being feed and with such a large family and dogs, decided to live at mums. Anyways, she has had 4 kittens!! They all look exactly the same - ginger tabby and white. However, one died at 4 days old and we were both so shocked and upset that this happened. The neighbours have "signed" the cat over to mum and she will look after her and get he spayed so there are no more kitten. Can't wait for them to grow. We just love them to bits. I feel so proud that my mum and I can look after the mother cat and to give her a better life than the one she had and for her kittens to be happy. I would love to take the mother cat and kittens but it's not far on Buddy. The birth of life truly is amazing to see. Keep well all...hope all the babies are all doing well!
Joanna -- so nice to hear from you! Pumpkin (cross my fingers and toes) is really doing well! So far so good. The SubQ's still "stink" BUT, I have to keep on reminding myself it is quick...it makes her feel better (later on)...and that she recovers from being frightened so quickly. It's MY problem...I need to grow a spine!!
And Buddy is doing well!!! Awesome!!!! Wonder why he smells a bit (wonder if he's not just getting into something outside...hmmm)....
How exciting about the new babies...though it did make me sad to hear that the mommy to the babies wasn't being cared for properly....but I have family in Brasil and everytime I am there I want to feed and help all the poor dogs and cats roaming free with no home :(....but enough of that.....
Kittens are so much fun (too bad the one didn't make it)....
I've never seen kittens being born...it must be amazing to
experience. I'm so glad you mum (love the term you use..so cute!)...is able to take them all in and care for them -- especially the poor Mommy....I just know they will all have such great lives -- and YOU will have playing with them.
I agree with you that it would not be fair for Buddy to take on in to your home. It's odd that you even considered it because I too had the thought of adopting another recently. At my Vet's office is a 11 year old "lover boy" Icall him, because he just wants someone to pet him and he rrubs his head all over you (I was sneaky and opened the cage he was in)...His name is Mufasa & even looks like a Mufasa to me -- which is a name that I would have never even thought of. But my primary care and loyalty is to Pumpkin (and my Misha, of course) and a new cat would be in more stress...not fair. I just pray he will find a home -- somehow we just connected so much.
Have fun with kittens (and don't forget the mommy of the kittens too)....I wish Buddy continued good health.
And again, great to hear from you. Take care!!!!!
Jennifer Meier says:
6 months ago
You are a blessing--thank you so much for sharing this. My cat, Skeets, is undergoing the exact same treatment you describe. When I need to start the sub q fluids I'll come back to this page. Thank you again--this is terrific support.