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)

Hi Krista
My almost 11 year old MC Potcake (who has too many beings lipomas to count) recently had his senior blood work and urinalysis – everything was normal except an elevated ALP.

The urine was a free catch sample at 4 pm and it was very dilute. This prompted me to remember that he has been drinking a little more (summer) as well as eating a lot of watermelon – and to remind me that he has also had an increased appetite over the last year. I did a specific gravity on a morning urine sample after he had no access to water overnight and he was able to concentrate his urine at 1.025

He has chronic seasonal allergies so his inner thighs have a dark pigment change – this has been present for years – there are no other derm changes and I don’t see a pot bellied appearance but the vet is considering Cushing’s. They suggested an abdominal ultrasound first followed by a low dose suppression test. I would rather do the dex test first before an ultrasound. I’m not sure that I’m convinced that Cushing’s is likely but something may be going on.

Of more concern is that this previously healthy dog coincidentally, a few days after the blood work, had an episode of vertical nystagmus and ataxia – very brief – less than 30 seconds. He’s been fine ever since but its only been a few days – I have been told that vertical nystagmus is less common with Senior Vestibular disease and possibly more likely a central lesion.

any thoughts that you have would be appreciated !
Pam

Post neutering my vet diagnosed a hernia and did a second surgery. They found that it was just a seroma. Now they are saying she has another seroma. She is a ragdoll and has a very saggy stomach and I can’t see a lump this time. I don’t believe it’s a seroma. They have told me to bring her in to have a drained. Is it negligent not to go to this appointment?

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.

Hi Dr. Magnifico,

Thank you from the bottom of our hearts for your help with our baby Percy last week. He perked right up after the Subq fluids and is doing well. I wanted to ask you how many times is best to feed him since he is a kitten? Don’t want to overfeed him or underfeed him. Also, since I rescued him from the rescue I volunteer with ( AARF) they will be doing his neutering on 7/30. He will be 3.5 months then. He was born on April 11th 2024. I’m still nervous because he’s so young and little and just want to do the right thing and for it to be safe for him. How young do you neuter boy kittens if I came to you? My kitten that I rescued in 2005 from Defender’s of Animal Rights was already spayed when I got her and she was just a little thing. I know with male kittens you have to wait longer. Thanks so much for your advice.

Hello Dr. Magnifico,

I called your clinic about cat ear polyps. I watched your videos on Youtube about these. I believe my cat has one and was wondering what price range your office charges for the removal of these. Here I either get we can’t give an estimate at all without seeing them or very expensive. I live in Wisconsin and am having problems with resources regarding this situation. I don’t know who else to contact. I want to get my cat help with his ear.

Thank you,
Valerie Wild

My kitten I think has an abscess it started out as a small lump and it just keeps getting bigger and I need advice on how to treat it at home as I don’t have money to go to vet

Hi Dr. Magnifico,

Our adopted cat (former stray cat, now 100% indoor) has always shown all of the signs of a nasopharyngeal polyp (about 4 years now). I didn’t know what it was until I saw videos of cats with similar breathing noises and eventually saw your YouTube polypectomy videos.

Three short videos of his breathing sounds (turn up your volume) follow:

Called our vet for a surgeon referral, but they’ll only refer for a CT scan ($2000) before they’ll refer to a surgeon. Surgeon’s websites all indicate that they will only accept appointments by referral from a general Vet, so I can’t just make an appointment for examination by a surgeon (which I’m happy to pay for).

Bottom line, looking for a second-opinion / consult (happy to pay!) on whether it’s really necessary to do a $2000 CT scan *before* being referred to a surgeon for (a probably $2000) surgery. I’d rather just have a surgeon put the cat under anesthesia, go in, look for the polyp, and remove it if they see one. Happy to pay $2000 for just that surgery, even if it turns out there’s no polyp.

Thank you in advance for any response.

Hello.

I got a puppy a few weeks ago and was told that he was six weeks old. I started him on stage two puppy formula and over the next three weeks, transitioned him to dry puppy food. For the last two weeks, he still eating a normal amount of food drinking a normal amount of water super energetic as a normal puppy would be, but he has persistent diarrhea. I assumed it was from changing his food’s.

I had set up an appointment with Vetco for this past Tuesday for his first visit/wellness checkup and his first set of shots. They called me Monday night letting me know they have to reschedule me for this upcoming Tuesday (4/30). I wanted to have them look at Artemis’ anal gland/sacs because I feel like they are not being released while he is having really bad diarrhea. Within the last four days, there has been drops of blood in his stool from him constantly pushing and nothing coming out. He will use the restroom and then he will stain himself to the point that his rectum or colon is popping out. I explained all this to the vet Monday when it was starting and I told them that I have been giving him homemade sweet potato cakes, and carrots to try to build up his fiber intake to help him fight the diarrhea. I also told them I changed him from Purina puppy chow to pedigree puppy chow, and I even tried giving him rice mixed with his puppy food, but he rejects it like the plague. They told me if there’s any blood to get him to urgent care, but I don’t know if I can afford the bill for urgent care and he hasn’t shown any signs of being in distress.

He’s still eating healthy, drinking and being extremely active as a nine week puppy would. I don’t know how to get the diarrhea to stop and I don’t know how to get him to stop pushing when there’s nothing to push out. When he does poop, it is soft, but not liquidy. This last batch of sweet potato cakes I made I have mixed them with the white rice and he can’t seem to get enough of them, but it isn’t making a big difference as far as helping his feces harden to the point where they will help him release his sacs.

How do I get him to stop trying to poop every few minutes there’s nothing there?

Hi . I have a 9yr old DSM/Tabby female cat. I’ve recently taken to JVet but for years she was seen at Banfield Pet Hospital since I adopted in March of 2015..for years she has chronic ear infections most of the time tested positive for Yeast bur one year was positive for bacterial, however usually it is her left ear that bugs her the most then her right ear…however I thought maybe this could be an issue with possible food allergies because I do see her scratch around her face, neck and ears.. I first had her on Purina kitten. Pro plan then transfered her to adult pro plan..bur noticed she had stressed locked some fur off her back right leg due to maybe a grain allergy so I changed her to grain free diet of Purina Beyond; which she was fine for awhile but by the time she was 7 yrs of age Banfield recommended she be put on Royal Canin Satiety support diet …..which ik not sure if maybe the carbs in the dry food may be causing her to have an allergic reaction…. recently ive decided to take her off dry food completely and go to an wet food diety. I have her trying backwoods , weruvia and backwoods.. she seems to like the weruvia gluten free. Grain free and Carrigan free series and the backwoods duck & rabbit giblet/shreds … how would you recommend to portion her wet food so she go from 11 lbs to 9 lbs over time gradually and for allergies what symptoms I should look for if it may collate to her chronic yeast infections in her ears?

I have her schedule to be seen at JVet soon again since I don’t feel at all satisfied with the care at Banfield