Hello all,

I posted on here earlier this year asking for some advice about my cat who had a very advanced cryptococcosis infection.
Her right lymph node (submandibular) was swollen the entire time, and the left one but to a lesser degree.

She developed anisocoria and horners syndrome, droopy right eye, and she had a mass that felt like bone on top of her eye.
The anisocoria disappeared after 3 days and her pupils were entirely normal again.

Things escalated last week. Her nose has always been blocked, to various degrees, since she developed the symptoms, 1.5 years ago, but it seemed like she was able to get enough air in with some gasping and mouth breathing. I didn’t know how comfortable she was, but I had to try the last recommendation the vet suggested: 150mg of fluconazole a day. She was on this massive dose for 3 months. (4 kg cat)
Previously, she was on 37.5mg for 6 months, her nose and lesions cleared up and she was able to breathe again (most importantly!)
But, in March, a big lump (cryptococcosis mass) exploded into an abscess. It wouldn’t heal. The vet performed surgery to remove it and other lesions nearby. It was an eyesore, I felt so bad for her. She had a cone on for nearly 3 weeks because the suture area got a bit infected. Raised her fluconazole dose to 75mg a day.

Last week, her nose got much more inflamed and distorted very rapidly. It began bleeding and ulcerating, drying up and then bleeding repeatedly.
She looked so uncomfortable and basically slept all day in various positions to keep her head elevated. When near me or when sleeping with me at night, she’d clamp onto my arm or neck with her teeth to keep her mouth open so she could breathe and fall asleep. I can’t fathom how difficult it was to sleep having to make a conscious effort to get air in through her mouth. I understand cats are not “mouth breathers” and can’t fully relax that way.

I took her in to see her vet, 11 days ago, after noticing blood on her paw, and no wound. The vet looked inside her mouth and looked said the fungus was pushing through her soft palate (roof of mouth) into her front teeth. She recommended euthanasia and said she was not going to “get better” in her professional opinion. And that my cat was suffering and it wasn’t ok, I asked outright if her quality of life was ok. She said no. My cat had lost 1 kg since her last visit. This also factored into the vet’s recommendation.

The vet was ready to put my cat to sleep at the time of our consult, but I requested some time to digest and take her home to say goodbye.
Then, 4 days later, I took her in for euthanasia. I wish I had canceled. Am I wrong to feel that she should have died on her own terms?
What she had was like a breathing disability, in other ways she was a strong and vital cat. She was still eating, though appetite decrease by 30 or 40%.
Why did her nose not clear up (while the cutaneous lesions cleared) and in fact get worse after 3 months on a higher dose?
I’m so devastated and confused and wish I could have done more to save her life.
I felt selfish for letting her live this way, knowing there was no hope and I’d just be prolonging the inevitable (probably suffocation).
I am in so much pain recollecting what’s happened.

I wish I had kept her at home and only taken for euthanasia if she had collapsed and refused to eat. Taking her in to have her put down when she still asked to be fed, showed playfulness in some moments, trotting around when it was food time, it felt hasty but also inevitable. I felt I was saving her from experiencing more suffering as the fungus grew.
But, I will never know how it would have gone if I left her. Maybe nature would have performed a miracle, and she would heal, or she would die without my intervention and without pain (like a quick heart attack). I feel so terrible for having made the choice to snuff out her little life when she was still very strong.
She fought the sedative the vet gave, they took her back to insert a catheter and didn’t bring her to me until 40 mins later, saying she was fighting the sedative.
It pains my heart thinking she was in terror during her last hour on earth. When they carried her in, sedated, she looked absolutely petrified and braced. I could see her spirit fighting with all its might.

The vet told me that she had a more thorough examination of her nose and that the masses had hardened/were like concrete all through her nasal airway and that she was breathing through a “pin prick” hole. She said she was never more certain that euthanasia was the right choice.

I am so heartbroken. I still feel like I took her life away too early. Why should it be up to me? I can barely trust myself now.

I have a very special and painful case I need help with, I have tried several different veterinarians with no diagnosis or prognosis so far. It may be a long shot, but I was hoping you could help me shine a light on this.

In April I found an extremely skinny stray cat and took him in. I first thought he was malnourished from lack of food for being in the streets, but 4 months in his case keeps unfolding.

He is likely older than 15 years old, but he’s a happy cat with a lot of energy and mobility. He weighs 3kg but he’s a big cat, you can feel every single bone in his spine, although you can’t see them that easily because he has long hair. He’s completely affectionate, loves to be pet, and asks very politely for attention and food all the time.

All we know about his past is he is neutered, he had some teeth surgically removed and he tested negative for FIV and FeLV.

He had a huge appetite when I first took him in, he would eat 100g of food in one meal and ask for more right after. He would sometimes ‘cough’, it sounded like he was choking on some kind of fluid, it doesn’t happen in sequences, but it happens almost every day until today.

He always drank LOTS of water and produced a lot of urine as well. His feces at the beginning were really solid with some mucus.

After a month, he continued to eat plenty and hadn’t gained any weight, that’s when he started to throw up. It started happening a few days a week, usually after spending several hours without eating he would throw up a clear frothy fluid with no content, and then it progressed to twice every day regardless of when he had eaten.

We suspected it could be diabetes or hyperthyroidism, but the labwork didn’t confirm either, it showed regular kidney function with small liver function alterations.

We then introduced prednisolone (2,5mg/day) and changed his diet from a mix of natural home-cooked protein, hypercaloric wet food, protein supplements, and dry food to exclusively Royal Canin Hypoallergenic while waiting for Royal Canin Gastrointestinal Hydrolyzed Protein to arrive in Brazil, keeping Omega 3 (fish oil) 500mg/a day in his diet.

Vomits went away for a while. He kept drinking lots of water and peeing a lot, but his feces got softer (not liquid).

He had periods where he lost his appetite, which we treated with mirtazapine, he reacted after 6 days.

We performed an ultrasound and discovered that basically all his internal organs were compromised. He has severe alterations everywhere. Still, the best specialists I could find couldn’t tell me what was causing it and offer a course of treatment that didn’t involve opening him up to collect tissues for a biopsy.

I personally think it is absurd that a doctor could look at this frail elderly cat who obviously can’t resist anesthesia without serious risks and say that surgery is the only way to go, all to find out for sure if we’re dealing with a lymphoma or an infection. I’m looking for someone to advise me on the most effective course of action. Of course, I aim to reverse his condition, but I understand that given his age and how advanced it is, it might not be an option.

He is currently at 3kg, eating exclusively Royal Canin Gastrointestinal Hydrolyzed Protein with fish oil, and taking prednisolone every day for a month now. His appetite is healthy, he still drinks a lot, pees a lot, and poops regularly but softer. He eats an average of 5 small meals.
Vomits are back down to a few times a week, usually early in the morning before his first meal, and always a clear liquid. He goes and eats right after throwing up so I get the impression he is not nauseous.
He doesn’t seem to be in pain overall.
He’s not gaining any weight regardless of all my efforts.

That is why I’m giving this a shot and trying to get your attention. I hope you have more resources and knowledge that could help me figure out appropriate next steps to give this little guy the best fighting chances I can.

On this link you’ll find a translation of his bloodwork and ultrasound. I had chat GPT translate it for me so forgive me if there are errors.
Link: https://docs.google.com/document/d/1yqcen-TYzyvfBYU-J4t1tCHola1E2otDGDa1H7V032Y

I appreciate any support you can lend me, his name is Valentim which means brave and strong, and I want him to win this fight.

Help Saving Ava, our 7 yr old chihuahua! She is currently at our vet in oxygen, fighting for her life, her trachea is 100% collapsed. She also suffers from epilepsy and is on 3 different meds to control her seizures. The specialty vets want at least $10k to just get in the door. We are fairly close to you, is there anyway you or someone you know can perform this surgery??? They have her on numerous injectable medications to try to bring the inflammation down including several antibiotics, we went to visit her today but if we take her out of the oxygen even for a minute or two her tongue starts to turn blue. Please help if you can, we are desperate at this point! She’s only 7 ????

Hi! We’ve adopted an old cat who was previously a stray, he has hyperthyroidism and is underweight (6.5 pounds at last vet checkup a month ago). He’s been getting better in most aspects (his labs are normal now, no FIV, etc), but he’s been fighting ringworm consistently since January. We’ve done regular rounds of lime sulfur dip, miconazole spray and baths, and pretty constant environmental spore cleaning (regular laundry, Rescue antifungal spray, cleaning/vacuuming) for 2 months but he keeps picking it back up. We’ve been UV lighting him often, and when it finally seems to be going away a new spot pops up!! Any tips? We were initially discouraged from getting the prescription oral antifungal med for him due to his health fragility at first, but with his labs more normal and a higher weight would the systemic medication help?

This post is specifically for Dr. Krista Magnifico, however anyone is welcome to chime in if you feel you can contribute.

On the evening of Monday, 11/20, our strictly indoor 8yo cat Louie had an accident at home. We aren’t entirely sure what happened, but we observed him jump down from the couch and race across the room, knocking his water bowl over in the process in a way that suggested he was spooked or startled, possibly by an outside noise.

That night he loafed a bit more than usual, but we didn’t think anything of it.

The next day (Tuesday) we noticed he had a noticeable limp in one of his hind legs. He had a slight sprain about six months prior in one of his front legs, and all he was prescribed was rest, so we figured this required the same since he bounced back from that sprain in under a week.

By Tuesday night it was noticeably worse and now both legs were effected, and he was extremely lethargic and kept hiding. We made sure he was comfortable and made plans to take him to a vet the following morning. The next day he was MUCH worse, now dragging his entire body by his front legs with hardly any rear leg movement, and his tail was partially limp as well. Both still had movement, but something was clearly very wrong.

We found a vet who did a quick half assed exam and wouldn’t take x-rays even though we asked for them. She did labwork and prescribed pain meds and said it was likely just a bad fall and he just needed to rest. She told us to follow up with her when we felt it was necessary.

By the next day, Thursday, his rear legs and tail showed absolutely no movement, and he was completely dragging himself with his front legs. And since it was Thanksgiving, everyone was closed, and we don’t have the means to pay for a 24hr emergency facility.

We called the vet back as soon as they opened Friday morning and scheduled the follow-up the same day. We waited in a small room while they took him into another room for a second exam, and when she came back she said his blood work was fine but she recommended putting him down asap because he had developed some sort of neurological issue, likely a slipped disc with his spine. I inquired about treatment options but apparently I didn’t look rich enough, because she just dismissed it as “probably too expensive” and suggested taking him home for some goodbye time, followed by making arrangements.

On Wednesday it was “probably a sprain, just let him rest” and 48 hours later she’s telling us to kill him. Economic Euthanasia in action. Are there treatments? Yes. Can you afford them? No. So fuck you and fuck your cat.

I immediately reached out to another facility for a second opinion. The prognosis was poor, but I was told that there was a chance he could recover with enough rest, attention, love and patience. As long as his appetite remained and he still wanted water, I could let him rest, do physical therapy, pursue acupuncture, etc….and just give him time. He said it could be 50/50 but gave no guarantees. What mattered was he didn’t take away our hope. We were told he wasn’t necessarily in pain, so it wasn’t inhumane to give him a fighting chance. So that’s what we did. The biggest problem was the paralysis meant he couldn’t use his box, so he had to be manually expressed for all his bathroom needs. I could NOT get the hang of it and was incredibly worried about a rupture or blockage. But he had developed incontinence, so even though I wasn’t able to remove his waste myself, it would come out on its own over time. I had to clean a lot of messes as well as clean his backside often, but at least it was coming out one way or another.

Still, he wasn’t examined to my satisfaction, and I wanted to find a vet who took his case more seriously and could actually provide some sort of treatment. After a little research I found one, and they did a FULL neurological exam, asked for his whole story, listened, didn’t rush, and told me how to proceed and what to expect. The did a complimentary ultrasound, two full x-ray sessions and only charged me for one because they did the second just to rule something out, and all in all were angels on earth. They said red light / laser therapy might help, but again couldn’t offer any guarantees. They unit they had on hand was a “Class IV” which is apparently really powerful and efficient, so we began treatment with that immediately, twice weekly.

That was two weeks ago, and as of today it’s now the start of week four. It’s been three full weeks since this all started. Over the last couple weeks, he started showing signs of movement in his right leg. Then his left. Bit by bit. As of today, HE CAN WALK, but only on his “hocks”. His front paws / legs are still fine, and he’s capable of making his way around the house on his own. However he’s still incontinent, and he still isn’t using his box. I’ve been doing my best to clean up after him with warm water and wet wipes (for cats), but he’s starting to develop sores by his anus due to constant over grooming. Apparently I haven’t been doing a well enough job keeping him clean.

We were prescribed a medication called Amoxicillin and Clavulanate Potassium on 12/11 which we were told to give twice daily, 12 hours apart. So we gave him his first dose that night, and twice the next day. He didn’t take well to it and developed horrible diarrhea and vomited a few times as well. Despite this, he still has his appetite and he’s still drinking water. He’s not hiding or showing signs of pain or distress. He still purrs and wants attention, and even wants to play. He just walks on his hocks and can’t use his box. He was also prescribed another medication for nerve pain which was mixed with (I believe) Almond Oil? But he immediately began drooling profusely and had an incredibly adverse reaction to it, and he hated me for the next two days and even became fearful, which was difficult to deal with. Apparently there’s a similar option available in pill / powder form, but our vet won’t prescribe it because apparently it’s too strong for his size.

What all can we do from here on out to help him regain his independence on the bathroom front? What treatments / medications / additional measures would you recommend?

We were told if he were to make a recovery it would take anywhere from 4, 8, or even 12 weeks or more. It’s been three full weeks and he IS walking again (on his hocks), but the bathroom issue is our biggest concern. We’ve laid towels down everywhere but we can’t live like this forever….but at the same time we don’t consider this issue alone to be sufficient reason to end his life. We love him, and he’s family. We’re in it for the long haul.

We were told an MRI to pinpoint the exact spot of his injury would be upwards of 4k and corrective surgery, if it’s a slipped disc, would be 8k – 11k.

We can’t fucking afford any of that, and its safe to say MOST people can’t. What an absolutely predatory situation to be in.

Any advice on how best to proceed from here would be sincerely appreciated. We’re open to anything which has ever shown proven results. Thank you for taking the time to read this. Being concise isn’t among my strong suites.

to start out I had a Jack Russell and our neighbor had a great dane. My Jack had gotten bitten by the great dane, so my vet was short of staff so I had to get him to a vet, well the neighbor called their vet and they said bring him in.This was a Wed, around 5 pm. Jack had a rip on the right shoulder and marks on his elbows. They stitch Jack up and put a drain tube in.They tell me to bring him back Monday to take out the tube, Ok now this is the following day, Thur. and I call and tell them Jack is not eating or drinking and He smells really bad.They say bring him in and that was 10 am and he was there till 7 pm. We get in the car to go home and I tell my boyfriend that he still smells bad. Well Fri. comes and I just baby Jack.Then Fri. comes and I call the vet and tell them Jack is not getting better and he still smells bad. They say bring him in, this was Sat., ok 3rd time to this vet and guess what she comes out and shows us his left shoulder that’s shaved and all black with a cut that was the smelly that I smelled for 3 days. I asked her why they didn’t see that and her reply was, are you ready for this?? Why didn’t You see it?? wth, I am NOT a vet I told her and after I told them on day 2 they should’ve found something??? We took Jack home and he was so uncomfortable that we took him to another vet at 5 am Sunday morning. They knew Jack was not doing good, they couldn’t find his blood pressure and then they found one at 18,she told us it should be 80.We left and was told if he was stable they would do a transfusion and we said whatever it takes.We get a call later saying he is not getting better so we went to see him and he was so weak and it just broke our heart to do what we had to do.We brought Jack home and buried him.
My advice to everyone if this happens get your friend shaved so this is not over looked. We miss this little guy every day and I know some people think we are nuts But his was our everything. The big kicker is no vet wants to help us because vets are their friends, Well if you are a vet for our friends you should help with anything that went wrong if not you are not a vet that cares about our friends and I think that is awful.

I live in a studio apartment with two female cats (ages 1.5 & 5) and when I’m not in the apartment, they get along fine. During the day if I’m home, they only compete when they are hungry. But all of a sudden between 12am and 1am if I’m home, they start to chase each other to the point of some scary yowels. I can only assume it’s jealousy-triggered. My question is, how do I mitigate the fighting if i can only separate them between a cold bathroom and the huge main room (that has me in it)? Would separating them like that only make things worse? Any herbal remedies to calm newly competitive kitties?

Hello guys, I have a strange question. I have two degus, one of them (a couple months older) is a male, the other one was not really identified as the people in pet shop were not sure, but we are pretty sure it’s a girl. They didn’t get along when we first put them together in one cage and would start fighting, but after some time of exchanging them from one cage to another, they became friends and now we keep them together recently. My question is: in last couple of days, the smaller one (a female?) is humping our older degu, which is a male 100%. Is this normal, or is this only possible if both of them are males? Even if it’s asserting dominance, the smaller one should not be a dominant one, right? I am really hoping you can help. Thank you very much, Nem

Dr Krista – I am a YouTube watcher with a 22yo cat that may have nasal or ear polyps. We have spent 8 weeks trying every antibiotic, nasal steroid drop, antibac nasal drop and still fighting the snorking sound and her inability to breathe. Did nasal swab wk of 4/20 – found 2 bacteria, getting compounded anti bacs at this point since both bacs are super resistant apparently – Citrobacter freundii and pseudeomonas species. Antibacs will arrive to me in California by Thur 4/30 . She has a grade 3 heart murmur and hyper thyroid (on 5mg Methimazole daily). Just as your YouTube vid about Stripes with polyps (2/23/2018), I think I may be in the same situation – I have a vet telling me to go to a specialist for $$$ because everything we are throwing at this isn’t working. How in the world do I find someone like you who is willing to help me for a reasonable cost? I am calling all over for vets and everyone is ‘specialist focused’. Do you have tips on what to ask, experience, and honestly, I need someone with your confidence to do this. Or I need you 🙂 I have been in cat rescue over 30 yrs and ‘get; the lingo but have never had such difficulty finding a vet who could assist. Thank you in advance!

Hey! Just found your page from YouTube, was wondering if it’d be possible to chat about my cat? Almost certain he has a nasopharyngeal polyp but I am having trouble convincing any vets in the Dallas area to sedate him and take a look without him first getting scans and tests that cost thousands of dollars. Is there anything I should be asking them for differently? He’s been fighting a URI for about 5 months now and we have done six rounds of antibiotics with steroids and antihistamines to help and nothing has stopped his symptoms from returning and we have only now made the connection as to why that is. He has the distinct snore noise while breathing and every other listed symptom associated, I just can’t afford the tests the vets are saying they require, it’s very heart breaking. Any help or wisdom is appreciated, we just don’t have the money to do much else and he is degrading quickly since his last round of antibiotics ended this week. I wish I didn’t sound so sure, we just are panicking that we have wasted so much time and money and may have missed our chance to best this this while we could and now may be unable to. Just heart breaking all around.