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Josh | 2 months ago
Hello, Firstly Thank You For Making This Site And Sharing Your Message And Trying To Help …

Hello, firstly thank you for making this site and sharing your message and trying to help both Vets and pet owners do better by and for their sake.
The cold weather in Oregon is setting in, I attached some photos I hope help. I’m trying to figure out the best way to identify and treat this issue.
The following are my observations of the marks located at the base of the tail areas side and underside only, surface level circular with some being slightly more crater like. Hair loss and area effects remain the same after what feels like over a month already. Plasma is typical puss in 2 or so spots, no swelling since first observed till present day, skin near effected area looks okay, over grooming of the area likely but not believing this is a source of pain. We live in a farm setting he is a stray I will watch over like my own and treat as such, I’m not against funding anything from big or small for his care but he’s strictly outdoor hunter and sometimes I wont see him for days. Would be most appreciative to any insight in what this might be or how I can help, likewise if there is a wound spray or dewormer I could purchase he is 100% outdoors and I see no signs of worms but he drinks from bird bath dishes. He will allow me to handle him but only so much I’d be much more worried when his patience runs out. I’d say he weighs about 15 pounds and overall health and appearance / dental is amazing. I always offer him a safe clean area and access to the property I will be buying a breakaway collar with a GPS tracker for him, he’s a farm cat my neighbor and me watch after. Would this be something to just give more time to mend? or should I step in and apply or seek help. Thank you! I will 100% be doing a donation, really wish more Vets were like you or highlighted in the community.

EDIT, the donation link via paypal says this is indelible, you can click 1-2 photos below that say Ads to be redirected to those to donate, if you have a place in mind please add it to the response I’d be happy to donate to your place of choice.

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  1. Krista Magnifico

    Hello,

    Thank you for taking care of this kitty. It sounds like he really needs to have a friend in his corner.

    I think that a few things are really important to discuss. One, although the skin wounds are concerning I think that too often pet parents are focused on an exterior (often transient and benign things), and forget about all of the immensely important things going on in the inside. Like, is this cat spayed, neutered or vaccinated? These are the absolute foundations for a healthy pet.

    I also think that your vet can help you understand if this is a parasite issue like fleas?
    I wish I could tell you that this is and give you the answer to help it get better, but, medicine isn’t just looking at a picture. It is about helping the pet from the inside and out.
    I think that you need help from a vet. I think this cat needs to be spayed/neutered and vaccinated. I also think they need an antibiotic and a product to help with fleas.

    Good luck.

    1. Josh Post author

      I will search for a Vet office and bring him in for some treatment or an ER clinic for results. Glad I’m he does not have flees presently, as I comb him and check with flea combs. Those things are terrible as for infestations go and I love Food Grade DiatomaceousEarth for getting rid of that mess. My neighbor is a farmer who lives offsite and does not visit, more or less he picked up this cat some years ago and it only gets put in doors when they spray chemicals on the crops. I was worried with cold weather approaching and any injuries present much less bald spots like this. They either seen this on his tail by now or would have got him help. In his words he is just a friendly stray, pretty sure he is fixed but I will bring him in and get everything covered. He will be okay though I will make sure of it just wanted to get some insight on this. Could be days or sometimes a week or two before I see him day or night, but I will always watch for him and over him. Thanks again for your time and care you give in this field. The donation links did not work for me paypal related / sign up email Have a great day, take care.

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Francesca | 4 months ago
I Have A Very Special And Painful Case I Need Help With, I Have Tried Several …

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.

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  1. Krista Magnifico

    Hello,
    It sounds like you have done a pretty thorough work up. The places I think that you should look into are;
    Repeat the blood work. It sounds like hyperthyroidism. I always check a free T4 on top of the thyroid T4. I also check a urine. If you haven’t sent a fecal to the lab too.

    After that the ultrasound and X-rays are where I look.

    You are still at the place where the diagnosis is eluding you. That’s where you need to focus.

    PS. Just for the record I don’t love starting pred until you have a diagnosis. It can obscure your diagnostics.

    Good luck. I hope this helps.

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Ramin | 5 months ago
Need Second Opinion. Our Cat Shows All Of The Signs Of A Nasopharyngeal Polyp.

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.

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  1. Krista Magnifico

    Hello,
    I am sorry to hear about your dilemma. You are not alone. I know that a lot of people are in the same position that you are.
    I am not sure how vetmed got to this place. I am not sure why so few veterinarians are willing to go and look for a polyp that if it continues to grow will kill, by suffocation, its host.
    The idea that every single one of these cats needs a CT is incorrect. What every single one of these cats is is to breathe. Some of these cats will have polyps in places that we may not be able to get our hands on,, these cases may need a special scope to access. For this reason the price of care may increase.,, but for all of the cats I have seen I think I have given them a second chance at breathing, and a second chance at life.
    Call every vet in your area. Try every single veterinary practice that is single doctor (therefore privately owned) and every practice that has some old guy (or girl) working there. I promise that every veterinarian over 50 knows how to, and already has experience with this. They can help.

    If you cannot find anyone please come find me.
    I will do my best to help.

    Dr Magnifico

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Maddy | 7 months ago
Hi! We’ve Adopted An Old Cat Who Was Previously A Stray, He Has Hyperthyroidism And …

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?

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  1. Krista Magnifico

    Hello,
    There are a few things here to discuss. First the black UV light as a diagnostic test is not confirmatory. Second if he is not responding as expected I would be concerned that there is another problem making this lack of response difficult. Lastly in my experience it can take months to resolve.
    If you feel like your cat isn’t doing as well as you hoped you can ask for a referral to a dermatologist.
    If you would like to try the oral antifungal medication you can also ask for this to be considered again by your vet. In some cases it does help patients but we are always trying to avoid potentially causing any adverse reactions by taking the most conservative approach to every condition.

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Tracy | 1 year ago
Hello! I Just Got Back From The Vet With Maizy, By Baby Ginger Kitten Who Is …

Hello! I just got back from the vet with Maizy, by baby ginger kitten who is three months old. I got her as a stray from a feral colony of cats. The vet is concerned about her left ear. He can’t see down her left ear canal. He said it’s jammed packed with black sludge. He gave her medicine for an ear infection, but he isn’t convinced it’s that. He thinks it may be a polyp that grows off her eardrum and will eventually grow all they way up her canal. He said if she was a year or older he would be sure it was that but he has never seen one in a three month old kitten. If that were the case, the options would be euthanasia or complex surgery that goes into her jaw to get to the ear canal to remove it. It would require a specialist vet who would not be around my home town. He said it would cost roughly $4,000-$5,000 (he had a patient go that route a few years ago). I need more information about this. He didn’t give me a name and I was too shocked to ask. Can you help clarify this for me? I was super shocked and didn’t ask many questions.

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  1. Krista Magnifico

    Hello!

    Thank you for rescuing!

    Kittens bring both the joy of watching a life come to life and the conundrum of not really knowing for sure what is simply a problem due to neglect and what might be a longer term issue that needs medical resolution.

    In my experience almost all of these guys resolve their issues on their own with just simple basic tlc and time. So I wouldn’t worry about this until time and patience decides otherwise.

    I would diligently treat the ear for dirt, mites abs possible infection and follow up with the vet as indicated.

    Cross each bridge as you get to them and not before. Kittens will amaze you every time.

    Good luck.

    Keep us posted.

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Deborah | 1 year ago
Hello, Our Cat Bruce Is Over Grooming His Leg Until It Bleeds. I’ve Tried Cortisone …

Hello,
Our cat Bruce is over grooming his leg until it bleeds. I’ve tried cortisone shot, Valium, (both which I didn’t want to do but was desperate)
I have tried no chicken in his diet, and various hotspot sprays. He is extremely active and healthy in every other way. Loves to go outside and play with all the neighborhood cats. He showed up as a stray on our doorstep. His skin was fine. He got his tests and shots and was neutered in November. Skin issues started in January. He is little over a year old. I have him on a homeopathic drop for skin allergies and itching. Hopefully it will help. Any ideas??

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  1. Krista Magnifico

    Hello my friend!
    As with all skin cases the following is super important.
    1. Get a good history of the patient and their clinical signs.
    2. Do a thorough examination
    3. Treat for parasites.
    4. Start your diagnostics based on most likely rule outs.
    5. Offer treatment plans that work for the patient the pet parent and your list of most likely diagnosis.

    Here’s where I think your cat needs more help; it doesn’t sound like a list of most “likely conditions” work up and diagnose has been formulated to start a treatment plan that is best directed at the source of the itching.

    For your cat I would ask your vet (or come see me and I am happy to help). I would use revolution monthly and place an ecollar while starting gabapentin. I might also suggest a shampoo if you think he will let you bathe him.
    After that I would talk about the next tests that might need to be done to start to treat and rule out possible causes to the itch.

    The most common thing that causes itching in pets is fleas. In some cases one flea with one bite can cause a pet to become extremely itchy . And the more they scratch the more it itches until the skin is so inflamed secondary infections happen. Which just perpetuates more itching.

    So for me I start with a plan. And go through the list of control. And treatment until we get it figured out.

    The old days of “give a steroid and hope it works” are over. We can do better.

    Keep me posted.

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Tammy | 2 years ago
I Recently Found A Stray Kitten, Approximately 13 Weeks Old. He Appears To Have An Avulsion Of …

I recently found a stray kitten, approximately 13 weeks old. He appears to have an avulsion of his lower lip which exposes his mandible. Are there any concerns, complications, or fixes for this ?

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  1. Laura

    Hi Tammy – I assume you plan to take him to the vet ASAP for this. I would make a point to do so, for this and for a general checkup, and to check his status for FeLV/FIV as well as get him UTD on vaccines.

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Lydia | 2 years ago
What Is The Likelihood Of This Poor Kitty Regaining Bladder/bowel Function? We Recently Trapped And …

What is the likelihood of this poor kitty regaining bladder/bowel function?

We recently trapped and rescued an injured stray. We’ll never fully know what happened to him but he has a multitude of injuries some old and healed and some not. Required a lot of teeth to be pulled and had to have his tail amputated due to sores and maggots inside. He has about 2 inches of tail left. Surgery was done 3 days ago. He wasnt moving his tail when we got him but is walking fine. Since getting him home I notice hes leaking urine with no control and seems to be constipated. I’m unfortunately no stranger to spinal injuries in cats but he appears to still have anal tone, unsure about sensation at tail base and is mobilising fine. But his abdomen seems quite distended and a little tense. I have managed to express urine from him and giving him laxatives (back to the vets tomorrow if no poops). Just wondering what his outlook is likely to be to better guide his rehab. I know it might be too soon to tell yet but any guidance is appreciated.

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  1. Krista Magnifico

    Hello,
    The answer to this depends on a lot of things. Like age, degree of trauma , other neurological deficits and post op time.

    In general cats are very resilient and even if they don’t fully recover they often manage their challenges quite well.

    I guess my advice is to not give up but know what you are dealing with. Palpate the bladder multiple times a day and check a urine anytime it smells bad or looks murky. Keep encouraging walking and playing. Nothing rebuilds muscle better than that. Learn to palpate the colon. Add water or a laxative (not fiber as I feel it just adds bulk and makes defecating harder) to help the stool stay soft and easy to pass. I hope this helps.

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Gina | 2 years ago
My Rescue Dog Is A Miniature Chihuahua And Today She Broke Her Front Left Leg And …

My rescue dog is a Miniature Chihuahua and today she broke her front left leg and I have no funds to help her until I get my Disability check next month.I was already taking her to the vet as soon as my check came.I don’t know what to do, she is everything to me and in awful pain and I have Never felt so helpless in my life.We have a very strong bond and I love her so much please help her I don’t know what to do I just want to die for real please help Thank you Gina

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  1. Krista Magnifico

    Hello.
    In all cases it is best to have an orthopedic surgeon review the fracture to give options. In many cases it seems cheaper to place a cast but in lots of cases it is not superior to surgery and in many cases it can cost as much to manage over the long term and still give a poorer outcome. In some cases strict confinement can allow healing but it takes weeks and your pet must stay quiet and calm. In all cases I would never recommend amputation or euthanasia until all else had failed over weeks. In fact I never want to recommend euthanasia but these animals must be cared for and given appropriate analgesics. Good luck.

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megan | 3 years ago
A While Ago My Cat Became Sick, Around The Same Time We Noticed He Had Been …

a while ago my cat became sick, around the same time we noticed he had been leaving our house and stealing cat food from the neighbors who leave it out for other stray cats (therefore he was eating after other cats) his lymph nodes became swollen, he stayed in one spot all day and rarely moved, he wouldn’t eat or drink, and lost weight. We brought him to the vet and they examen him and did x-rays and said that it appears that he could have cancer/a tumor that has spread to his lymph nodes already as well as some other things like fluid/pus in his chest. They said the cancer was very aggressive since it’s already gotten that far and we just noticed it. A few days later his lymph node swelling went away, he started eating and drinking again, and he was acting like himself. We brought him back to the vet and they performed FNA on the tumor which came back inconclusive. They were also shocked that his lymph node? weren’t swollen anymore, and they said the tumor had moved places, and they started to question their diagnosis saying that he could just have an infection. The gave him antibiotics and sent us home. Since then the tumor has gotten bigger and moved places, it feels sort of soft and moves around easily. I’m questioning if this is just a lipoma rather than cancer because of the way it feels and moves, it has also been about 2 months since we very first noticed this, and to me it doesn’t appear or feel to have spread anywhere, his vet was also talking like he wouldn’t live more that a week or two and it’s been 2 months. No one can really come to a definite diagnosis… so if anyone could give advice or help on this i’d appreciate it very much!! (i’ve also included a photo below of the tumor though it’s a litte difficult to tell)

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  1. Laura

    Honestly, I’d be looking for an oncology specialist to determine if it really is a tumor of some sort.