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Frederick | 9 months ago
This Post Is Specifically For Dr. Krista Magnifico, However Anyone Is Welcome To Chime In If …

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.

2 Responses

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  1. Krista Magnifico

    Hello,
    I’m sorry to hear about all of the issues you have had with your cat and the ability to find meaningful help. I know how hard it can be.
    I think that a few things need to be discussed.
    1. I feel it is really important that you talk to the vets who failed you and your cat. Here’s why. You and your cat are still alive and I fear too many others would not have had the same fate. If you don’t tell that to these vets they will keep on writing off pets and breaking their humans hearts. I honestly don’t know why we just don’t help people and stop killing pets we refuse to help.
    2. Keep practicing palapating your cat so you can monitor urine and fecal output.
    3. It sounds like this might be Ivdd in your cat. Which would also mean it can improve and your cat might regain function. For these cases I recommend cage rest and at home physical therapy. Try to keep massaging the legs and work on strengthening and supporting the body.
    4. Keep your cat in a safe place. No jumping or falling. That’s why we call it strict cage rest.
    5. I do think that these guys do have enough quality of life to stay with their family. If they can eat, drink, urinate and defecate and you can provide them a happy life then it’s ok they aren’t perfect.

    PS if he’s struggling with the box put a small amount of litter on a puppy pad. That might help.

  2. Frederick Post author

    1. I have absolutely already been planning on doing so with at least the first initial office which was so quick to suggest euthanasia. She really was SO QUICK to give up on us. I’ve had the thought of sharpening his claws once he’s fully healed, going back there and just throwing him at her face.

    2. I’m doing my best to stay on top of it. He’s not plugged up on either end, that’s for sure. He’s fully incontinent. I just hope he regains his independence at some point, because this is so frustrating. Keeping him and our home clean feels like a full time job in itself at this point.

    3. Is Ivdd different from a slipped disc? I’ve googled it but there’s so much information, some of which is a little conflicting. Initially I was told surgery would be 8-11k (on top of a 4k MRI), but a quick search online suggests surgery for Ivdd runs anywhere from $1500 to 4k. We can’t swing 4k, but we could scrounge up a grand and a half if it meant giving him his best chance at a full recovery. If you have any recommendations for a spot in California we could turn to, we’re open to it.

    We haven’t been keeping him in a cage, as he doesn’t take to it well at all. It stresses him out a great deal, and the third vet that actually bothered treating him said that reducing his stress would play a substantial role in his chances of recovering. But we don’t have any stairs and he’s not able to jump. He can make his way onto the bed using his front lets, and we put pillows and comforters all around the base of the bed so when he heads down, he lands on something soft even though it’s only about two feet high.

    I’ve been massaging his legs a bit and doing bicycle riding motions from time to time for as long as he’ll put up with it (which isn’t long). I also purchased this from Amazon and have been using it along his spine and the base of his tail.

    https://www.amazon.com/dp/B0BR3PSMW1?psc=1&ref=ppx_yo2ov_dt_b_product_details

    If you would recommend a different variant which you’re more familiar with, please let me know and I can return the above and buy your recommendation. Louie is also currently receiving a much more powerful version of this twice weekly with a class IV unit.

    4. He’s not able to independently get onto anything high. The most would be the bed, and we’ve made sure he can get back down comfortably.

    5. His appetite and interest in water have yet to waver. Any recommendations on the puppy pad front? Perhaps something with pheromones or other such attractant? You’re suggesting the pad and litter combination will help re-associate him with the idea of peeing where there’s litter, which might encourage him to start using the box again after a few successful puppy pad uses?

    Lastly, he was prescribed gabapentin about two weeks ago for potential nerve pain, but he had an incredibly adverse reaction with severe drooling and agitation. It was in liquid form in some sort of almond oil, which he HATES. It’s not something I’m comfortable giving him regularly based on the severity of his reaction. I was told there is a pill form, but our vet won’t prescribe it because it’s too much for Louie’s size, and apparently California law has some kind of regulations about allowing the pills to be opened with readjusted doses, so I can’t just half the powder from each pill. If you have any advice for alternatives on this front or how best to proceed, any suggestions at all, that would be extremely helpful.

    They’re also reluctant to give him any anti-inflammatory medication because it’s apparently terrible for the kidneys. I believe it was called an “NSAID”.

    He doesn’t seem to be in any obvious pain or distress, but he’s also a cat and they’re notorious for hiding their discomfort, as you full well know.

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Laura | 7 years ago
Dr. Magnifico (and Anyone Else), A Friend Has A Difficult Situation He’s Trying To Rectify…

Dr. Magnifico (and anyone else), a friend has a difficult situation he’s trying to rectify with his cat.

He has a male cat who was treated for a UTI very recently – 2 weeks ago, to be exact. In the past two days, the cat has taken to urinating on a specific spot on the carpet on the same floor as the litterboxes (they have 3 boxes for 2 cats). He is not actively AVOIDING the boxes, he’s just preferring the carpet for urine. He isn’t marking, either – he’s emptying his full bladder in this one particular spot. I’ve suggested cleaning the heck out of the spot with an industrial shampooer with Nature’s Miracle added to the mix, to get the urine out of the pad. What other suggestions can I give him? I have zero experience with a cat with a UTI, and I’m at a loss at the moment.

6 Responses

Comments

  1. Anonymous

    Just to update, friend rented a Rug Doctor and thoroughly cleaned the spot. Once it’s dry, he’s going to do another round of cleaning on the spot.

  2. Sarah

    I’m wondering if he out the box there, would the cat use it? I know it’s not a permanent solution, but it may help short term. Then perhaps move the box back little by little, IF the cat starts using it again. Just a thought….

  3. Krista Magnifico

    Hello,
    Here’s my gold standard recommendation. Serial urinalyses (three to be exact) to look for any evidence of a urinary issue. This might include a culture and sensitivity. I also like an X-ray and ultrasound. Point being work out a medical issue to the ninth degree!! At the same time start to address behavior issues. I have a few blogs on “inappropriate urination”. I think (hope) that I have added all my secrets and tips to them. If things get bad (like to the point of considering giving up use the drugs!!!). Try fluoxetine.

  4. Anonymous

    Sarah – Thanks! I suggested the box move. Even if it’s just plopping ONE box in that spot, it can’t hurt, right? I don’t think they’ve furnished the basement yet, so it’s a great idea. 🙂

    Dr. M – THANK YOU! I’ll recommend another urinalysis. My gut feeling is it’s not quite gone, especially when this started a day or so ago, and he was seen by their vet 2 weeks ago. I’ll recommend another visit today. I’ll also dig through the blog. 🙂

  5. Anonymous

    Update! He will cover the spot with plastic and put a litterbox on top of it, and he’s trying to get his cat in today to get a urine sample captured today or tomorrow. He also washed the spot again before returning the Rug Doctor this afternoon.

    Thanks a ton, ladies! I’ll keep updating as things progress.

  6. Julia Morrell

    are they declawed? some cats dont like the feel of the litter. have several types of litter boxes high, low, covered, open, etc. to encourage proper elimination