My 14 year old cat has undergone a wedge excision of submandibular tumor (AC) with skin flap 12 days ago. Surgery was rather successful, margin was cleared, drain was removed at post op day 6. He started to develop soft swelling (feels like a pouch of fluid) over his wound site and rather noticeably with some tension on the wound. He didn’t seem to be annoyed by the swelling (craving for food as always) and the site wasn’t warm. He was supposed to see the vet in a week time for off stitches. We wanted to consult the vet earlier but he’s out of town, anything we should be aware these couple days? Please help. Thank!

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?

My dog has been sneezing frequently over the past few months. We are now noticing a small growth and change in shape on his nose as well? Any advice or help would be much appreciated, thank you!

-Mitch

Help Dr. Magnifico of Jarrettsville Vet Our beautiful 13 year old Husky/beagle mix Sadie was struggling with getting up and climbing stairs because we thought her arthritis was getting worse. We took her in to the vet to get some pain medicine and they discovered that she has a large tumor on her spleen. We were told that the surgery is quite expensive. We are unable to afford much due to our current financial situation. The doctor suggested that we should euthanize her if we were not going to try to do the surgery. we have scheduled an appointment for tomorrow. 6/3 with lap of love.
My husband was looking for solutions because she is walking around and it is so hard for us to imagine putting her down. We saw the article by Dr. Magnifico. We tried to call Jarrettsville vet and they told us our only option was to put a question on here. Beth.a.acton@gmail.com

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)

My parents’ cat, Oso, is not doing so well. He’s been needing subcutaneous fluids administered via IV and he had not been eating every meal for a little over a week until we started giving him an appetite stimulant.

He also is having labored breathing, mouth closed 36 – 42 inhales/ minute. Here’s a link to a video so you can see: https://www.dropbox.com/s/elf32wwm5z06ygn/OsoBreathe.mov?dl=0

An image of an X-Ray is attached – The comments below and the color arrows were provided by a mobile radiologist that came over to see him – I didn’t understand the notes, but basically she was pointing out tumor(s), cancer and fluids building up inside his body there.

We are continuing with the fluids and with the appetite stimulant he is eating. Steroid once month shots have been suggested and were just started 2 days ago.

Any advice here is very much appreciated and welcomed.

My cat had a cancerous tumor removed approx. 1 1/2 yrs ago (at JVC) She has had this black (not sure how to describe it) crusty substance under her chin, on her front paw and I recently spotted more underneath her and on another paw. Could this possibly be caused by her cancer if it has returned? Other than that she is acting normal.

Our 7 year old Rhodesian Ridgeback / German Shepherd mix, Duke, had surgery a couple weeks ago. He came home with a small fluid pocket where his tumor was removed. It ended up becoming bigger, and retaining a lot of fluid. As of now it is getting smaller, at least a little bit, but I noticed it’s feeling a little more solid on one end. I’m not sure if that is normal. He seems to be doing fine in all ways otherwise, no discomfort or any other noticeable changes to his behavior. I’m not sure if I’m starting to worry over something that may be normal, but the portion that feels more solid is still engorged and it doesn’t sit well with me. I don’t know if it will start to feel more solid, if that’s normal… I don’t know.

My foster cat, who I am now considering adopting, has been struggling to breathe properly for about 3 months now. He came into the shelter with a suspected URI. However, after months of treatment with antibiotics and a whole swath of other anti viral medications, the vet determined that he wasn’t getting any better and euthanasia is on the table. I want to get a second opinion before we make any drastic decisions. I am doing online research and suspect that perhaps he has a polyp, a tumor, or foreign object in his throat/nose.

While I am dying to explore these other solutions, the shelter told me if I adopt him and take him to a specialist costs could go up to $5,000. I don’t have that kind of money. I am in Olympia, Washington State. Does anyone recommend any veterinary hospital that is more affordable and can explore other resolutions at a more reasonable price? I don’t want to give up on him, but can’t afford to spend that kind of money.

Thank you so much.

Hi Dr. Magnifico. We took Boogie to VRA in Gaithersburg, MD, a couple weeks ago, hoping to have the Radioactive Iodine Therapy done for his hyperthyroidism, but Dr. Conway said she did not think he was a good candidate for it and was very concerned with his constipation.

She did bloodwork, an ultrasound, chest x-rays and more. We took him there on 4/16 and again on 4/27. I asked her to send all results to you and I hope you have received them by now.
Dr. Conway said he has a tumor or mass on his kidney but no abnormalities found from the chest x-ray.
She quoted me $5,000-$6,000 (gulp) to do the surgery, but I can not remember if she said that was to remove the tumor from the kidney, or remove the entire kidney.
She also mentioned something about his blood being thicker? I really can not remember exactly what she said about that, but it didn’t sound good. It may have something to do with his red blood cell level being high due to the tumor on his kidney.

She said to cut back his methimazole to 1/2 pill every 12 hours. *Dr. Conway told me that his hyperthyroidism is very mild.
She also said raise his dose of cisapride 5 mg/ml from 1 ml every 12 hours to 1 ml every 8 hours (three times a day), and she said to raise his dose of lactulose to 3 ml every 8 hours.
I started all of the above on 4/17.

He has since sprained his leg and is limping. He’s been hiding under the bed more, but not completely. He will still come up on the bed to visit me once or twice a day, but just not as often as he used to, and is still coming up on the bed to sleep with me. I’m not sure if he’s not feeling well because of Dr. Conways findings, because of his sprained leg, or both, the reason he is under the bed more.

Here is the last email I received from Dr. Conways office on 4/29, after his ultrasound on 4/27:

1) His calcium results was fine and within normal limits. Dr. Conway suspects the prior calcium elevated was due to lab error.
2) His thyroid level is good on the lower dose of Methimazole – please continue as directed with this medication.
3) His blood cell count shows his red blood cell level is HIGHER – this is due to the tumor of his kidney. If you are not interested in pursuing surgery for Boogie, Dr. Conway’s recommendation would be an oncology consult to discuss any palliative care options.

Please let me know if you have any questions.
​
Julia Conny, RVT
Internal Medicine Lead Technician
Veterinary Referral Associates
301-926-3300

Dr. Mag, We have been clients of yours for several years, as four of our cats are all seen by you and your wonderful staff. We are begging you on hands and knees to please help our Boogie boy. He is only 12 years old and we are not ready for him to go. Can you please do the removal of the tumor or kidney? We realize it is a very risky surgery, but we would feel better knowing we did something, than not. We know you are a big advocate of doing everything you can to help bring pets back to health, instead of just giving up.
I’m in tears as I write this. Can you please look at all his records you have at your office asap, and also what Dr. Conways office sent you. Please, can you help our baby?

Terri and Steve