Question
Profile Image
Jana | 2 years ago
Rottweiler, Female, 11 Years Old. Vertically Split Nail; Under Vet Care But I Think We Need To …

Rottweiler, female, 11 years old.

Vertically split nail; under vet care but I think we need to get more decisive.

The vet trimmed the nail half way with local (dog has bad reaction to sedation protocol, narcotics, etc). Still hurt and vet said it would cause undue pain. However, the nail continues on splitting.

How common of a procedure is cutting the nail off all the way to nail bed? How does that improve outcome? How much faster is the recovery?

By what percentage is anesthesia risk lower with such a short procedure? (Has to be anesthesia as explained above). Last time, after anesthetic procedure, she had heart rhythm problems and other problems; became critical and almost died. But was also full of drugs and had pancreatitis as complication of splenectomy. I’d assume the shorter the time under, the lower risk of complications?

I’m concerned about putting her under but I’m also concerned about dragging this out for weeks, taking valuable time from her, and having to do it that way anyway eventually.

I really don’t know what is the best thing to do for her. Hubby leaning toward waiting if it heals but I’m not seeing it healing any time soon if at all. (Photo of the present state of the nail attached.

I’m sad, depressed, concerned, and don’t know what I should decide for her.

4 Responses

Comments

  1. Krista Magnifico

    Hello,

    First I will admit that I have had cases like this and they are frustrating. So I remind my clients this.
    Next we take it in small steps. I do start with trimming the nail as much as able and start toe/foot soaks to keep the area clean and place an ecollar to stop the patient from licking and further traumatizing the nail and seeding infection from the mouth . I ask them to give it a week or two to heal.

    If it doesn’t or other nails start cracking we talk about oncodystrophy. And start talking about what to do if that is the case. The treatment options are not great so the decision to treat needs to be made with a great deal of thought or referral to dermatologist is recommended.

    In one case I had a dog who was placed under general anesthesia and the nail was ground to the base to allow a new nail to grow back.

    Risk of anesthesia is something discussed on a case by case basis and usually has little definitive concrete information to allow predictive measures or reasoning. That would be a conversation for an anesthesiologist.

    Also I have had some cases with underlying nail bed infections so antibiotic’s, foot wrap and medication or culture and sensitivity testing might be helpful.

    1. Jana Post author

      It’s already been three weeks now. It appears the nail was vertically cracked from the beginning with the first part in the middle (which is now the end)

      How well did the grinding to the nail bed work and what was the recovery?

      The other nails appear to be fine.

  2. Krista Magnifico

    Grinding the nail was a last resort for a difficult chronic case. It worked but it was a last resort treatment.

    1. Jana Post author

      Actually, it looked quite bad and hurt every time she brushed it on something. We had the nail entirely removed last Friday. Anesthesia was a risk, but I didn’t want her to spend whatever time she has left trying to get that damn nail healed–she already lost months with the first one.

      The upside–48 hours of bandage, some pain meds, and all done. It looks good now and doesn’t bother her at all. She can now get on with her life and have fun.

      I hated taking the risk but I”m glad I did.

Question
Profile Image
Cristina | 2 years ago
My 2 Year Old Female Dog Was Neutered Last Week And The Incision Site Is Looking Concerning. …

My 2 year old female dog was neutered last week and the incision site is looking concerning. The only veterinary clinic close to us is closed today and I am worried about infection or other issues. The dog is an obssesive licker and I don’t know if the wound is healing ok.

1 Response

Comments

Question
Profile Image
Emma | 2 years ago
I Have A 1.5 Year Old Male Himalayan Who Has Been Having Issues With His Chin …

I have a 1.5 year old male Himalayan who has been having issues with his chin for about 7 months now. It started off with a little black build up on his chin that looked like acne so I didnt Pay much attention to it. It then started to get a lot worse to the point it looked like he had wet food cemented onto his chin. I took Him to the vet and they told me to change his bowls from stainless steal so I did And I’ve tried plastic, ceramic, glass, any kind of bowl you can get and that has not changed anything.
We went back to the vet and they were stumped on what it could be so he went on steroids to see if that would help and it did for a couple days and it came back worse. We then tried an antibacterial shot and that slightly helped but then came back worse again. Tried steroids once again and made no difference this time. We ran some tests and swabbed the chin and they concluded it was staff infection. So he was treated for that and it didn’t help at all. We then tried another antibacterial shot I believe It was and it cleared up completely. But it is now back again and just keeps getting worse. The chin is raw, red, bloody, black scabby looking things, and so so itchy for him. They have now said I should Try a different food but he is on the urinary s/o Royal canin because my other cat recently had a urinary blockage and I cannot afford to put them both of different vet foods. I do Not think it is a food allergy because I have Tried numerous different foods with him but I could Be wrong. I clean it daily with a medicated soap they gave me and it doesn’t do much except keep it clean obviously, it hasn’t helped it improve. Has anybody dealt with something similar or have any possibly ideas of what this could be?
I will try to Add images to the comments , it won’t let me add them to the post

3 Responses

Comments

  1. Krista Magnifico

    Hello,
    There is no way for me to help without a diagnosis. To get this you may need more diagnostics. Which I know is going to cost you more money. But if it gets you the answer to the cause you can direct the treatment plan. You are at a place where you either need a dermatologist or a biopsy.
    I wish I could offer more help. It sounds like you have done quite a lot already.
    Best of luck.

    1. Emma Post author

      Hello,
      I will contact my vet and see if I can get either of those options done. It is very confusing not having an answer for him and seeing him in pain. If I end up getting an answer I will update my post for others who may be facing similar issues.
      Thank you for your advice.

Question
Profile Image
Kayla Jo | 2 years ago
Hey Everyone. My Sweet Baby Girl Ellie May Is 11 Going On 12 And Has IVDD With Back …

Hey everyone. My sweet baby girl Ellie May is 11 going on 12 and has IVDD with back leg paralysis. The funny thing is that overtime she has been able to sometimes memory walk which resembles a raccoon on our carpet and can even kick her back feet when you carry her. She’s unable to urinate on her own so I do that for her and have for years. She has a wheelchair, her own playpen and even her own stroller because she is my diva child.

Last weekend little miss decided to jump from her stroller because she was too impatient to see what I was cooking in the kitchen. She didn’t help or anything and has even done this before and it doesn’t phase her but about gives me a stroke. Last Sunday morning I was getting her out of bed and she yelped and when I gently sat her on the floor to get her morning drink before tinkle time she flopped out on her left side. Since then she has weakness In the front and she knuckles the foot but can still put pressure but is hard to get around and will cry in pain and breathes heavier. She’s a dachshund so we all know their attitude and behaviors.

I called my veterinarian and it has been a back and forth battle the ENTIRE week and I haven’t actually spoken to the vet just desk people who apparently don’t like to pass messages or do anything really. I totally understand how busy a farm vet practice is but some communication would be nice. Thankfully I had some gabapentin left from her sister Miley’s dental and have been doing that twice a day but the dose is in half as she weighs less than Miley. When they did call me back they said yes what I was doing was fine as I’m also doing crate rest. I’ve done this dance before with my girl so we know what to do. From the start she wasn’t a candidate for surgery they said since she had already lost function In her legs. But with my love and care she bounced back within 2 weeks and then slipped again a few weeks later and has been without full use since.

I expressed my concern she could have slipped a front, they don’t seem all too worried,really????? Now my hubby and I have a game plan that as long as Ellie has the will to fight and live then so do we but the second she is truly suffering we will not allow her to deal with that. I’ve had so many folks wonder why we have a special girl and didn’t just put her down, I respond with would you shoot your own child if he broke his leg and couldn’t play sports again? You don’t give up on your dogs. If anything she has more attitude being my handy girl. We call her the sheriff of tiny town. I called my vet yet again yesterday to try and get in for a steroid injection and some nsaids and they just don’t seem to pass the message. So tomorrow I’m calling as their hours are 8a-12pm and if they can’t get me in then praying that at least doc can call the meds in for her. As a mama of an IVDD baby I’m familiar with the drill. Thank you for letting me vent.

We are ordering a secondary pop up playpen for her for when we are upstairs and when we are downstairs . Also ordering a raised bowl set so she isn’t angling her head down, I’ve rolled up blankets into the open areas in her playhouse so she is more secure and comfortable. Are there any other IVDD parents out there? Any and all tips would be greatly appreciated

1 Response

Comments

  1. Krista Magnifico

    Hello,

    Congratulations on doing so well with managing your pups disease. It really is a total investment in love.
    I know a lot of people like Dodgers list Facebook page. If you aren’t a part of that community go there.
    If you have specific questions I will do my best to help. I have a really exhaustive library of information on my YouTube channel and blog. Maybe they can help? Search Ivdd on the YouTube channel or blog at kmdvm.blogspot.Com.

    Good luck.

Question
Profile Image
Chris | 2 years ago
My 10 Year Old Cat Has A Giant Nasal Polyp. I Took Him To A Specialist And …

My 10 year old cat has a giant nasal polyp. I took him to a specialist and they said he needs a bulla osteotomy, and possibly a double as he may have it growing on both sides. My question is if you are able to do that surgery, along with a CT scan, and if so what is the earliest appointment I can get in. (“You” meaning Dr. Magnifico at the Jarretsville Vet Center). Bc he now can not eat due to the obstruction of everything, he still wants to eat and tries to everyday but it is too difficult to swallow and it kills me that this superficial thing may actually kill my otherwise healthy cat. My other option is to get the CT scan here, along with a feeding tube, to help bridge the gap for me to get an appointment with you. Any help or suggestions I would appreciate. If you need any other info just ask. I could ramble endlessly telling you everything but I’m trying to be as concise as possible. Thank you for your help.

1 Response

Comments

  1. Krista Magnifico

    Hello.

    I’m sorry to hear about your cat.
    I’m also sorry to say that I don’t have a ct scan. Further I feel it is very unlikely that older cats get polyps. In my experience the older cats get tumors. The you see ones get polyps.

    I hope you find help.

    Best of luck

    Krista.

Question
Profile Image
Alexis | 2 years ago
My DSH Cat Ollie, 6 Years Old Started Vomiting And Having Trouble Eating On Wed 3/1/23, Same Thing …

My DSH cat Ollie, 6 years old started vomiting and having trouble eating on Wed 3/1/23, same thing Thurs. threw up everything he ate. I gave him watered down fancy feast broth via syringe that evening. I took him to the ER vet Thurs night. The ER vet did body XRays and found nothing abnormal. Gave him fluids. She thought it might be related to his teeth removal in Aug 2022. She gave him pain meds and nausea medicine. There’s been no more vomiting.

Followed up with his veterinarian practice Friday morning 3/3/2023. She did a very thorough mouth exam. Did not believe related to dental work. His blood work came back normal. Was not reactive to firm pressure anywhere near mouth. She agreed to continue pain and nausea meds but no other info. Given antibiotic shot. He was fed watered down meat baby food on Friday and more water via syringe.

Saturday 3/4/2023 went back to his vet practice to see another vet. She did additional bloodwork and ruled out pancreatic issues. She did same exam and noted his was not reactive to pressure/touch anywhere except back of mouth/throat area. Told to stop pain meds. Given steroid shot to see if his throat/back of mouth is inflamed. Said should notice a difference Monday if this is effective. Has follow up with this vet on Tuesday morning. He started hills science prescription a/d food today via syringe and continuing water mixed with a little baby food for extra hydration/nourishment. She said if this doesn’t help he will need to seek an internal specialist.
Please help. Thoughts ?

2 Responses

Comments

  1. Krista Magnifico

    Hello,
    This is a tough one because we don’t have a direction to go in

    Here’s my advice. First weigh him everyday. We need to be sure he is not losing weight. Next try a canned only food. I like science diet I/d. (As in intestinal diet). Available at your vets office. Ideally feed small meals every 3-4 hours as long as he is not vomiting. Next make sure a full cbc chemistry fecal (very important to do a fecal) and urine is done. Then full X-rays. If I am still worried I send the X-rays to a radiologist for review and then do an ultrasound. If possible find a feline only veterinarian to get a second opinion. Then I call for an internal medicine consult via my lab services company. All of these are things you should (hopefully) have access to before you go to an internal medicine specialist.

    The issue with your cat seems to be the hat you do not have a diagnosis for the cause of the vomiting. All of the above should help you get to one.
    I hope this helps. Please keep me posted.

    Krista.

  2. Alexis Post author

    Thank you Krista! The vomiting has stopped but he won’t eat on his own. I truly appreciate your help. I’m really trying while we work toward answers.

Question
Profile Image
Destiny | 2 years ago
This Started Three Days Ago. I Noticed That My Cat Is Not Eating. When He Does …

This started three days ago. I noticed that my cat is not eating. When he does eat, he cries, then he throws up and it looks yellowish in tint. Earlier I put food down for my other cat and I guess because of the smell of it he started to cry then throw up again. This time it wasn’t as yellow. Could you please help me? My cat is six years old. I do have a two year old cat living in my house as well but my two year old cat is not vomiting at all. Also, my cat that is vomiting has not gone to the restroom either. When he goes inside his litter box, he tries to throw up as well. The only thing that comes out of his mouth is foam in there.

1 Response

Comments

  1. Laura

    I would consider this an emergency at this point. Please get him to the vet NOW.

Question
Profile Image
Pam | 2 years ago
My 9 Year Old Potcake (probably Shepherd/lab/etc Mix) Has A Long History Of Lipomas, Which …

My 9 year old Potcake (probably shepherd/lab/etc mix) has a long history of lipomas, which grow fairly large. In late October of 2022 I found a lemon sized mass on the back of his right hind leg, which was not bothering him but was firm. Our vet in Ottawa ON is a VCA practice nearby; I was able to get an appointment the next day. The vet and I were both concerned at the location, size and consistency of the mass.

She recommended an xray of the limb and a chest xray to rule out cancer and metastasis as well as blood work. (all normal) She sedated him for the radiorgraphs and aspirated the mass multiple times with a presumptive diagnosis of lipoma. We discussed the fact that it was probably and inter-muscular lipoma, between the two muscles of the hind leg at the back . To remove it she advised a board certified surgeon elsewhere, who she said would want to do an MRI of the limb first to evaluate the extent of the mass in preparation for surgery. When I expressed concern about the cost she offered a surgeon at the VCA who is not board certified but who may be able to attempt a surgery without the MRI.

Since October the mass has grown, especially medially, and is now the size of a grapefruit. He is still not lame or uncomfortable when I feel the mass. I want to prevent problems for him with this leg but I also worry about the invasiveness of the surgery – and the cost, which I can’t afford right now. I am waiting and watching at this time. I worry about having the mass return even after surgery and wonder about removing the majority of it just to give him more comfort when moving – is it ok to wait until it gets bigger? I know that lipomas don’t tend to spread to other parts of the body like malignant cancer – this is why we took the xrays, to look for other signs of cancer in his body. Now i wonder if this was too soon, and should have waited on those tests.

2 Responses

Comments

  1. Krista Magnifico

    Hello,
    Almost all of the lipomas hat I see are easily removed as they tend to form in a capsule that makes it easy to remove. Usually they can be shelled out without much if any bleeding and other than resolving the issue of left over dead space ( a drain might be needed) they heal quickly and easily. I have seen a few invasive lipomas that seem to form from within the muscle and are embedded within in the adjacent muscle. They do not shell out but often can be “debulked”.
    If cost is an issue see if you can find an independent veterinarian who is comfortable and proficient in surgery. I don’t think that many of these cases need or can afford an mri or boarded surgeon. At least in my cases I offer to try to remove and I usually know within a few minutes of surgery if this is going to be a routine lipoma surgery or something else. Talk about options cost and scenarios. Be available by phone while the surgery is taking place and know that it’s ok to both wait and monitor and look for affordable options. Lastly I would recommend you find an independent vet practice and avoid corporate practices as they tend to be more expensive and refer cases to specialists most people struggle to afford.

    I hope this helps.

    Good luck

  2. Pam Post author

    thank you for all of the advice, it helps a lot in decision making

Question
Profile Image
Mahesh | 2 years ago
Hi, My 1 Year Old Lab Was Taken For Neutering. We Were Aware That He Would Be …

Hi,

My 1 year old lab was taken for neutering. We were aware that he would be a crytorchild situation as his 1 testicle was not descended. VET did check for 2nd testicle by his abdomen incision but couldn’t find the other testis for a long time. N now recommending to go for a higher level ultrasound with a surgeon..to confirm if there is another testicle or not in the body. N then do the next procedure accordingly.

1. Is that possible to have just one testicle in Labrador dog?

2. If its hard to find the undecended testicle via ultra sound, can we take plan B – the visible n descended testicle is removed n then blood test is done in 4 -5 months for testosterone hormones in blood if anything changes to be sure if there is another testicle in body?

Youemf valuable inputs are much appreciated

Thanks mahesh

1 Response

Comments

  1. Krista Magnifico

    Hello?

    I am not a reproductive specialist. But I think your vet can ask their lab services rep about progesterone checks or go get an ultrasound or refer to a surgeon for help. These cases can be frustrating but it is really important to make sure a testicle was not left behind in the abdomen.

Question
Profile Image
Heather | 2 years ago
My Question Is About Urinary Crystals And Cat Blockage. I Specifically Want To Know About Jaundice …

My question is about urinary crystals and cat blockage. I specifically want to know about jaundice after surgery, but also to know if we should have done anything differently, we lost our little sweetheart a few days ago to urinary crystals.

Details: 4 weeks ago our little fellow, a 2-year-old neutered male, got worms. We brought him to the vet and, with medicine, successfully treated them. They stressed him, and he didn’t want to eat much, but the vet said this was normal. He seemed to get better, but a week ago started acting stressed again, not eating much, drinking very little, but still eating and drinking. Seeing his pee was not possible due to having 2 other cats (and not knowing what urinary crystals are, much less know what to look for)

We called the vet Friday morning, they told us he would probably need another dose of worm medicine, and scheduled an appointment for the following Monday. Keep in mind we had never heard of urinary crystals before, we thought he had worms again.

On Saturday evening, it became clear it was more than worms. He was lethargic, not going potty at all, and just wanting to lay down and close his eyes. We called the vet clinic which was closed, several other numbers for local cat places (adoption, care, etc) and could not get him seen but got the same phone diagnosis at every step, “probably a stomach tumor”.

It was 5pm Sunday before we got lucky, found an animal hospital 2 hours drive away, got a hold of an actual vet through their emergency number, and she agreed to open the hospital late on a Sunday and see him immediately for $1000. We got there at 7pm and by 7:15 he was in surgery to unblock him. She immediately knew what was wrong. His temp was already low, he was very weak and barely moving but alive.

The next morning, we found out he survived the surgery and was recovering with a catheter and IV fluids. The plan was to keep him in the hospital for 3 days and to let him come home if his pee was clear and his blood work for liver function was acceptable.

We got a phone call early on the second day telling us he was occasionally moving in his cage but wasn’t eating or drinking. She said he seemed depressed, and we could visit at 4pm to see if it perked up his spirits. It was the earliest time they could let us visit so we took it.

On our drive to see him, the hospital called us and said he wasn’t doing well. They asked if we wanted the blood work done immediately instead of on day 3 and told us he had become extremely jaundiced. During our visit he could only manage a couple of steps, so we held him, he was clearly exhausted and under the effect of pain medicine.

The hospital had taken the blood after the call and said his sugars were 3 times normal and other things “5 times normal”, and he was a deep greenish yellow in color around his ears. They brought him warm food but he was not interested. They explained organ failure and said his lungs would fail eventually, but he was breathing well.

In seeing us did perk him up a little, he focused on us, but he quickly faded again, preferring to lay down with his tongue out after 20 minutes. We didn’t want him to suffer and linger with no hope of recovering, and he was heartbreakingly euthanized at that point.

Again, I didn’t know anything about crystals before he went into surgery, and I have questions in case his brother, or any cat, is in that situation.

My questions are….
– Was the jaundice a terrible sign or could it have been from the IV fluid, exhaustion, surgery and lack of eating? IE was it normal after surgery, or recoverable?
– Given what I’ve described, should we have waited another day? Could it have been just needing more time to recover? Or is the jaundice and blood work at that point enough to know he’s fought all he can?

We just want to know more. We’re still in shock and miss him terribly, but we felt alone in making decisions, the hospital clearly didn’t want to influence our decision either way. We’re just not sure now that 24 hrs recovery was enough to make a decision, or how serious jaundice is when he didn’t have it pre-surgery/IV.

Any advice appreciated, we found this site via a YouTube video on urinary crystals. Thanks.
P.S. We aren’t second guessing or wanting to hear we did the right thing, it’s too late to help him, but we want to know more in case it helps another cat.

Also, the hospital took a deposit from us when we agreed to the $1000 fee, and said they would accept payments since there was no way to forsee this type of thing. They did seem caring and knowledgeable, but clinical, and would offer no advice on euthanizing or not. We felt alone with that specific decision…. and in hindsight aren’t even sure it needed to be made yet… or did it?

5 Responses

Comments

  1. Krista Magnifico

    Hello,

    I’m sorry to hear about your cat.

    It sounds like there are multiple issues here and I don’t know how they are related. I don’t expect the crystals caused the jaundice. Most of the time I see the crystals because of poor diet or stress. Stress can be many many things. I suspect this was either a cat with underlying conditions like FeLV fiv or fip. Also I suspect the jaundice was either hepatic lipidosis or parasites.

    You sound like you really love your cat but never had a vet who was invested in your cats care. It is my biggest gripe in vet Med now. We don’t care for people who care about their pets. We need to do more in providing both care and advice.

    I am also very concerned about the vet who took the deposit and didn’t do pre op blood work. Or talk about the possibility of all of rhe things that can happen if there are underlying conditions or post op complications.

    I’m sorry for your loss.
    Dr magnifico

    1. Heather Post author

      Thanks for your time, I’ll try to keep it shorter.

      Yes, we loved him and his brother dearly from the day we found them in our barn, a couple of weeks old at best. His feral mom didn’t return, we watched with remote cameras. After bottle feeding him and weaning him to soft food, we got him dewormed, neutered etc. He seemed happy and normal in every way, clean bill of health.

      – The jaundice first appeared 24 hours after surgery to unblock him, and he’s never had it before.

      – The vet said the surgery was too urgent to wait for tests, and after surgery said testing was pointless until he was ready to leave. She ended up wanting it on day two when he got jaundice, so it did feel a bit irregular.

      That’s why I want to know more about what the jaundice meant. We really thought the jaundice and other signals + a bad test result was what the vet needed to know he was not going to recover.

      Was that normal with meds? Post surgery? After not having eaten much in a few days?… Or was it the terrible sign we thought it was? It’s so emotional to experience.

      We weren’t being told what we SHOULD do, but were asked to make a decision anyway. It’s so hard to do what’s best for him at that moment, especially with how things happened.

      We had to leave either way, the hospital was closing. Leaving him there alone for the night, in that condition, felt wrong. Bringing him home for the night felt like it might just make him suffer more. The IV couldn’t come with us she said, it’s illegal, but she would leave the catheter in if that’s what we choose.

      It was a “decide now” moment… and then he rolled to his side with his tongue hanging out, exhausted. It’s truly heartbreaking.

      We live in a rural community and the only licensed vet is over an hour away. The only local cat care is from a local donation based feral adoption service, run by a woman and a Facebook group of like-minded people, but without a full time vet.

      This happens strictly on donations to have a vet visit regularly. Resources are always stretched. Spending lots on one cat means little is available for others. I get that, but we were willing to pay.

      What we did is what people usually do at that point, she said, but we don’t care about that, we wanted him to live. Did we do the right thing? It’s too late to help him, but an answer may help another cat in the future.

      As you said, premature end of life for avoidable reasons is such a needless loss.

      I did call the hospital to ask about the jaundice afterward, what it meant, and was told it was his organs failing and cells breaking down. Again, not technically wrong, but of no help to a non-vet to decide if it’s time.

      I can answer any specific questions you might have.

      Thanks again.

      1. Heather Post author

        About hepatic lipidosis, he was a fit 2.5-year-old cat that passed away at 12.8 lbs and had been exactly 13 lbs a month earlier when he was given worm medication.

        He was solid, lean and strong in appearance, like most young cats. He was a long-haired male cat often called a Tuxedo, if breed matters.

        I wouldn’t describe him as anorexic, though he had stopped eating as much 3 weeks prior, and stopped eating at all 3 days prior. He didn’t have kidney stones, but it was enlarged at the time of his blockage surgery.

        He also had crystals in his bladder. She showed me a picture of it opened up with pink colored crystals, which seemed to have worried her more than anything else.

        He did pee afterward, and the color was good, but it got dark a day later when jaundice set in.

        I’m not sure what else might give you a clearer image, but I can find out, I feel like he still had hope. Also, she wanted to know what specific food brand we had been giving him because he was the 4th complete blockage that week, which is a lot in her practice.

    2. Heather Post author

      Sorry for the triple response, more information. He was given warm wet food after surgery and didn’t touch it. He hadn’t eaten for 3 days prior, and hadn’t been eating much since he started showing what we thought was worm related behavior, or about 2 weeks before that.

      Would it be normal to see jaundice appear in an already exhausted cat AFTER surgery, if likely hepatic lipidosis was not treated immediately by feeding him nutrients through a tube? It all seems to have progressed so quickly.

      He was never given a feeding tube, and in hindsight, I don’t see how he could have been expected to take a bite and swallow, he was too weak.

      The jaundice though, it was entirely absent pre-surgery and extreme 12 hours later. I can’t help but feel it was not a sign of the end but a sign of hurry up and do…. ??

  2. Heather Post author

    Closure – When he was diagnosed with worms, the vet missed that he also had urinary crystals forming, likely from being stressed. The change in behavior was attributed to the worms, and we didn’t know until it was too late.

    A lot of things went wrong, obviously.

    We’ll never know if a young male cat could have survived through the jaundice, after an unblocking surgery, with bloodwork showing levels 5x too high and not an ounce of energy left in him.

    The grieving has been difficult through the sense of guilt for not having been able to figure things out in time. I don’t believe in ghosts, but regular activities trigger memories of when he’d join in or watch… which is like a ghost, but the memories bring smiles too.

    He touched our lives in such a meaningful way that he’ll never be far from our thoughts, still bringing those smiles.