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Parham | 2 months ago
Hello All, I Wanted To Follow Up On My Question About Mercury From Two Months Ago. …

Hello all,

I wanted to follow up on my question about Mercury from two months ago. He had been suffering from recurring urinary blockages, and after several ER visits, I scheduled him for a PU surgery at The Bridge Clinic, a non-profit vet hospital in Bensalem and Philadelphia. The surgery was done on Aug 14th, and the surgeon recommended doing the PU first to see if the stones would pass naturally, which they did. The surgery cost me $1,181.

Unfortunately, the issues didn’t end there. Mercury seemed to recover for about three weeks, but then he started frequenting the litter box and peeing only small amounts, sometimes not at all. He also began peeing outside the litter box and seemed very uncomfortable, especially at night, so I took him for a follow-up on Sep 12th. An X-ray and urinalysis were negative for stones or infections, but crystals were found, leading to a diagnosis of FIC/FLUTD. They suggested Gabapentin for pain and more water fountains and litter boxes (this visit cost $191).

Despite following their advice, Mercury’s issues persisted, so I scheduled another appointment on Sep 19th. The vet confirmed FLUTD and suspected a possible infection at the surgical site, so he received a Convenia and Buprenorphine injection (visit cost: $134). Still, no improvement.

I then took him to his primary vet at Telford on Oct 3rd, where they suspected a different bacterial infection and prescribed Clavamoxin, though I declined a urine culture due to cost (this vist was $170). I also put him on a strict urinary diet (he was on dryMetabolic Urinary food and regular wet food which I diluted with water). He showed some improvement, but then, last Monday, he seemed blocked again. After giving him Amitriptyline, he was able to urinate, and Telford said their only recomendation is a urine culture, and they don’t have any time to see him that week, so I reluctantly agreed to. (Urine culture + 7 Amitriptyline + 14 Clavamoxine was $323), today the results from the culture came back clean, meaning I spent $273 for nothing.

What’s frustrating is that I haven’t spoken to the vet directly since the first visit, only through techs and nurses, and I’m running out of time and money. Mercury is still in pain and struggling to urinate, and I don’t know what else to do.

So if you have any insight or recommendations to what I should do next please let me know because I am at my wits end and have no idea what to do. (I’ve attached the visit’s summaries and the receipt from my last time at Telford to this post)

1 Response

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  1. Krista Magnifico

    Hello,

    I applaud your dedication and devotion and on your cat. I’m sorry it has been such a long and arduous road.

    I’m sorry but I also think these cases need lots of time to resolve. They are usually complicated and multifactorial. So expecting or hoping for a quick resolution is often not feasible.

    I do think that it is hard to manage a budget and a complicated case. I don’t know if anyone has done xrays or an ultrasound but these are also still on the list of possible places to look for your answer. If you are running right on funds than lean harder on pain medication and anxiety medication.

    I like long term gabapentin and fluoxetine. I also offer lots of options in the litter and litter box department. I like a big, shallow uncovered box with potting soil, or play sand. Don’t remove what you have just add something like this and see which box they choose to use. Also add anything that you can to help keep him relaxed and calm.

    I also like feliway and lots and lots of toys.

    I hope this helps. Please let us know how things are going.

    Good luck
    Krista.

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Parham | 4 months ago
4 Year Old Male Cat With Urinary Blockage

Hello

My name is Parham Parsa, I found your page on youtube and have read your blog, and for once I saw someone that is actually talking about blocked cats and is raising awareness to this issue and I wanted to thank you for it.

My cat Mercury (4.5 years old, 18lbs) is currently in the hospital for another urinary blockage and I genuinely don’t know what to do, this is his third visit, first time he got blocked was about a year and half ago and he was on the death’s door, his blood work was extremely elevated, he was lethargic and in visible pain. His regular vet unblocked him and transferred him to a vet hospital for further care, this visit cost me about $5K, and after that he was put on a strict urinary diet. Second time was 3 months ago where we noticed him being in pain and struggling once again and we took him to an ER vet and he was unblocked again, despite my persistence of leaving the his urinary catheter in, they took everything out, and send him home that very night, thankfully he remained unblocked until last night. His vet told me that since he is keep getting blocked he should just get the PU surgery and all but refuse to see him, so I took him to the Metropolitan vet hospital and their estimate for getting him unblocked and doing the PU surgery was 7-8 thousand dollars which is wildly out of reach for me at the moment. After reading your blog I have decided that if I find a second job I can afford to have him unblocked and kept in the hospital for observation for a night or two but I don’t know what I can do after that. If you have any suggestion regarding an affordable PU surgery or any other suggestion I am all ears. I’m really sorry for the long email, and looking forward to hearing back from you.

I just got off the phone with his vet at Metropolitan and after they took some X-Rays they saw some large stones in his bladder which they suspect could be the reason for his repeated blockages, and recommended a cystotomy and they said that the balance would stay at 7-8 thousand dollars. As of now my plan still remains to have him unblocked and watched for couple of days but I don’t know what I should do next.

PS.. I have attached a couple of pictures of him to this post. He is genuinely the sweetest and the friendliest cat I have ever met and the idea of me having to say goodbye to him just because I can’t pay for his treatment is is something I cannot imagine.

2 Responses

Comments

  1. Krista Magnifico

    Hello,

    I’m so sorry to hear about your cat. So many of these cats have a similar situation and it leaves their families with such a huge dilemma about what to do and how to afford all that might lie ahead.
    My advice at this point would also be to do the PU surgery and to remove the stones. If you are close to us I would be happy to see him and see if there is anyway we can help. Please call the clinic and leave your number. I will call you back.
    Dr Magnifico

    1. Parham Post author

      Thank you, Dr Magnifico, I will definitely call the office first thing in the morning. And again I want to thank you for bringing awareness to this problem. Your articles about the blocked cat were such a huge help for me in dealing with this issue.

Parham

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