Off to the Rainbow Bridge
A cat I knew sometime ago. taken in by amy. Today she gone thru a major dental sx and on o tube (25.1.24) so I shall help her w her recovery. Will see her on 26.1 at 猫房 hospital.
09 Feb 2024
10am+: xiao lian brought a new sb to visit meow. The cage too small cannot put, so choose her litter box. So only can give her a little mettacat mouse to accompany her for new year. Sayang and wipe her eyes and face and chin. She know her head v clean le. Refreshing 🙂 told her to sleep le later wait for next meal.
02 Feb 2024
10am+: see meow and tell her u see! Not ah mao don’t pamper you, not I don’t like you. U r so cute. I update her i bring sweeties in n most prob I can’t come clinic for the next 2 days n etc. She just sit in litterbin, think she sleep on my oval sb on u/c pads so much better at least legs won’t have litter stuck and body is wet.
01 Feb 2024
7am+: sitting at door, got residue of poo on floor and the sb – clear all, let her rest. given bupre and told her I not giving her Subcut this morning cos 10am she going vet check blood status le, more accurate that way.
Day 05 didn’t touch food on her own.
3.04kg – gain 250g in 4 days. She really leaving 猫房 when she hit 3kg
10.30am: arrive at clinic, dr Brandon didn’t see her yet.
11.04am: since she is staying, so she just go in straight to the back, I don’t get to see her check up. Summary everything to dr Brandon
So he knows what’s going on what meds left over.
12.49pm: I’m still in clinic waiting for bills then I’m going back. Heard meow anemic is 20%, she need to start darbepoetin alr expected. Can’t be on iv. Sigh. Poor cat. Cant help her anymore since help is rejected weirdly. had reminded her many times to fight, and she is a good cute baby.
1.20pm: sayang her and told her she is welcomed in 猫房 she is a good girl, we going home alr. It’s not her fault at all. she looks sad.
Damn mf ,;?/&/.,&-‘w make me leave a clinic feeling so sad. Can never help others ever again. Cause me to let a cat down. Kns
31 Jan 2024
4am+: alive. She pee n poo in the sb she rest in. Give her a room is no diff that she stay in a cage. Not Space enough she don’t even move. Again, highest change is iv. Should she be on iv? Have to check her kidney values and Cbc then. Clean her up for quite long but small percent can be done. She needs to bath.
510am: given probiotics and bupre. Yesterday last day of meloxicam
6.50am: tube fed 25ml Kd. Serve finesse chicken w shrimp gravy, fed her a little of the juice to tempt her to taste. Given Subcut and b12
7.30am: sleeping
10am+: tube fed another 25ml Kd. Smart. Now pee in sb she sit on floor to wait for me to clear then she pee on floor Peepad. sayang her. Wa I got to bring more unicharm pads back here.
Amy msg want meow to be checked b4 Sunday, so Tmr is the best day le loh. All of us going clinic. Her transporter can’t make it to fetch us, dr Brandon in or not clinic no reply. But my appt w dr nally is 10.30am. Later see how first I bring a hard carrier fr 5G back to 4g for her
12.40pm: checked on her mouth, looks ok.
Stable on Kd. given bupre
2.30pm: checked, room clear. She is ok on Kd.
2.44pm: don’t make sense things again – defeat purpose of helping. sigh. Going to explain to meow later on so she won’t get stress up Tmr in case amy decide to leave her in clinic, meow needs to know that i l totally ok to accompany her to slowly overcome the illness. just need to check if need anti nausea n etc. initially thought Tmr might need to buy kaolin but her bowel is generally ok now on Kd.
4pm:+ b4 I rush out I kiss her twice and sayang her face and cheek as usual and update her the final confirmation that she confirm not coming to 猫房 Tmr. But she knows I sayang her, didn’t find her a burden. Whole thing is simple. Tmr review for status, Tmr she will go w sweeties they all everyone go for status review to know what needs to adjust for treatment and maintenance. Remind her not to worry about anything nonsense, sick cat just eat, sleep. No worry. Slowly. Go slow no issue one.
5.00pm: tube fed her 40ml Kd. Doing well on Kd no issue.
Normally I would have checked and changed her bandage for her, since Tmr she going back clinic then they will do if for her bah. But I had checked temp n etc. she isn’t running any fever.
Serve tuna w shrimp and calamari. Not keen at all. I think she needs to start doxy. sigh.
10pm+: room cleared, so confirm many times she is working well on k/d. got pee, cleared. Sayang her n complain to her my delivery short of 2 packs siak. I calling the seller while we Subcut and bupre. Cartoon girl. Sayang her and tube fed 45ml kd and nights out. Told her Tmr morning I’ll give her bupre jab but not Subcut b4 the bloodworks so will be more accurate. Will tube feed too.
30 Jan 2024
7am: long msges dr amy.
Core points: collar I dare to change to ducky I got monitor. And also main reason is cos she said “she is eating well” – totally not true. She isn’t eating at all, that’s why I put duck collar to make sure it’s not collar hinder her fr eating. Day 03 she didn’t eat on her own. biggest change: no iv. told Amy may need to recheck earlier cos of her Cbc anemic then now is cos of her kidneys. Duno how bad due to stop iv.
Food amount n freq: confirm no issue, is the past give food give tooooo little.
I personally don’t think she diarhhoea is a bad thing cos maybe she discharging toxins. But maybe RC recovery too rich? (I’m not sure) cos I normally give ad post op. or maybe cos is actal added? now I’m thinking should I blend my a/d for her today? I think I should.
Ok back to room: all got poo stain. Condo also have this time. She pee on the pad too. Got pee is good. Didn’t eat on own.
Why don’t use bin le ah? – I kind of know why cos she is v weak. Leg no strength.
8.15am: sayang her tell her I give her probiotics first, later then I decide what food to tube fed her. Given Subcut and b12 n bupre. I covered what needs to be done alr. Serve a plate of tuna w salmon, she is not keen.
8.40am: dr Brandon reply that he will check her record.
9.40am: dr Brandon”She pooped every day normal. Diet wise she was eating about 60-70% aristocrat and the balance syringe feed recovery”
Update dr Brandon that she just diarhhoea again. No strength to go bin.
Update dr Brandon day 03 she stop eating on her own due to no iv, “A/d and recovery quite similar in the calorie content but you can try a/d if you think she might tolerate it better. Is she tolerating subcut OK? Otherwise we can put iv again. Yeah I guess while she’s having diarrhea maybe better to do twice”
“Is she interested in the food at all?” – no
“Even with mirtazepine she got no appetite?” I’ll do that. Cos I didn’t give (give when needed and she keep telling me she eating well, to me eating well is without that)
So I’ll add on appetite stimulant gel 1 given at 9.50am.
10am+: tube fed 30ml k/d – since changing food i of cos give kd for kidney makes more sense? I checked, cal only a little lesser. More benefits for her. Serve an extra bowl of tuna w smoked fish.
Given meloxicam and clinda.
11.43am: checked. Sleeping so far no vomit fr any food and stool clear.
1245pm: still sleeping. Room clear.
3.00pm: Room clear. Tube fed 35ml Kd. Blended another 2 cans so far she cope well w k/d. Got pee. Unicharm pads work well for her
3.30pm sleeping, kiss her she likes to be assured that she is a good girl2 and she is very cute
4.45pm: tube fed 32ml Kd. Told her later I’ll feed later I think I want to find some sleep. We sleep tgt
7.00pm: she got poo stain but definitely feel better than when she is on RC recovery. Tmr will be a better gauge.
8pm+: Clean her body she still quite ok. Clean butt think sore she will growl. But she generally understand I pamper her. good girl. Subcut her n given all meds. Tube fed 40ml Kd and tell her good job today more than 1 can Kd.
Tmr see how again. Serve her another servicing of tuna w white fish. The unicharm pads on oval sb works well. She is generally kept clean and she is happy on it.
29 Jan 2024
Backdate to 28.1 11.20pm: sleeping, sayang her, nothing significant, told her rest.
9.00am: diarhhoea 1/10, whole room dirty, her right hind leg a lot of poo, clean up told her ok. Sick sick is like this de. But no more mat, got to throw. she will walk to me, sayang? Clean legs? Mouth very dirty, but I only clean 10% each time, cos her gum also black, dirt, sticky dirt or fur or stitches? – play safe. Given bupre.
1.10pm: tube fed 48ml.
1.50pm: tube fed 24ml and given ab and sacc and meloxicam and bupre.
3.05pm: still no reply from clinic, i ask is it finish clinda and stop completely? Cos only left 3 days dose. Label state so, but her bloodworks might have to continue further. Waiting for confirmation. – confirm stop clinda after finishing these 3 days.
As of now, meow is leaving 猫房 on 4.2.24 sun 10.30am, but her review to check Cbc ultra important is on 11.2 n it’s new year n b4 that Amy can’t bring her at all. Sigh. Seem like 6.2 meow join 猫房 kids for grooming and 8.2 bring her for checks is the best – but I can’t commit, cos 8.2 check le she got to return to 5G and Fri 9.2 transporter free to help her transport in the morning? Oh is she working also? Then how?
4.20pm: since she off iv she isn’t eating on her own. I won’t make her hungry anyway.
Tube fed 30ml and I told her I trust that she won’t shake off, I wash her hard cone and give her a cute ducky L collar so she can’t paw her mouth. she definitely can reach the plate now (tuna w salmon) not keen she go back to sleep. She drip 0.5/10 poo on sb. Wipe off but one more time I’m going to to throw it but she likes it a lot. Wipe her butt also.
9pm+: room full of diarrhoea. clear v long. Generally she looks v down. his kidney? Cos off iv since discharge. And anemic? tube fed her 40ml food. the only thing I can think of is these 2 days in 猫房 her food intake confirm more cos clinic didn’t really tube fed her much n I know her own intake isn’t much too. I also feel that she is nausea. Clean both her ears. Super dirty. Left ear much dirtier. She is okay w it.
10pm+: she urinate near the door on my wooden plank I’m dead. full of diarrhoea again. Lucky I put some Peepads just now. All thrown. clear v long. Wipe her butt n she is angry. She is v weak. Didn’t walk since Thurs sx? Keep topple. But her potassium is ok on bloodworks.
Asked clinic on her poo status since 25.1-28.1.
1110pm: Sayang her tell her it’s ok. Rest rest.
Now the room is full of lots of Peepads and unicharm pads. No food intake on her own day 02.
28 Jan 2024
1130am: meow a lot in the carrier box.
11.53am: calm down while we are waiting to go back. Her bloods aren’t good. Anemic 25%, but might be post sx. So better Re check in 2 weeks to decide to start darbepoetin or not. she is alr on clinda. Semintra can be given via tube. And dr b says can be as what I thought, tube feed to beef her up, mouth should rest. Sdma 16 cos on iv. Can Subcut daily 100ml.
1.00pm enter 4g hospi cage 02 first, she is fine w other cats. Serve water bowl and aixia oldie. She want to lick but difficult, later will serve her in the lift up cat bowl that I bought for her when I move her to room.
Old cat I like v cute
1pm+: packed some of her meds. Sigh. Bupre I’ll pro rate 0.2ml thrice per day for the PO non sterile bupre. The rest I’ll pro rate according to her weight n jab.
Semintra 1.5ml. Don’t have any new bottle. Only got old bottle.
Got actal I’ll grind and blend w recovery then. the o tube looks small width.
Meloxicam 0.1ml till 30.1 so I’ll give for 3 days only
3pm: receive msg from Amy: “CBC: Moderate to severe anemia, this could be due to surgical blood loss or as a result of the chronic kidney disease.
SDMA is elevated but slightly lower than before at 16, Creatinine is 2.2 after being on fluids the last few days which puts her in IRIS stage 2 of kidney disease (vs previous bloods without fluids which put her at high stage 3, bordering 4). Phosphate is within the high normal range, phosphate binders are recommended.
Sodium/potassium levels are normal
Daily subcut fluids should be continued” – i alr know. I’m bz sorting out her meds so I can register in my brain. And need to get ready all meds and blend food for feeding. actal one tablet per day.
3.30pm: recovery from clinic i blend till v smooth. blend 2:1. Think can change to 5:1 or none. Tube fed 30ml n given bupre via gum. Her gum hard to see w the cone. Jab so much easier. Still waiting for clinic reply on whether they had given meloxicam for today
4pm+: no reply. Move her to Totoro room. She like sb. Got tried eating the sanyo oldie I gave her. Anyway can food passed to me only 5 cans. I’ll use much more than that. Since have to keep serving fresh food. The cone is ma fan. Smart. Know how to use unicharm le got pee.
Her cone is so dirty loh. Must think of a way to make sense. wipe her mouth the pins r there, is an issue.
5.40pm: sleeping well on the sb. 2.81kg. Tube fed 25ml and given clinda.
7.00pm: sleeping soundly on sb
8.12pm: Subcut her. There isn’t anything about Subcut passed to me. All use mine. Any oral fed of even bupre will trigger her to move her mouth. Pain. Purring I don’t think is positive is pain. Tube fed 35ml. All meds given for the day. Will add on gaba for her at 5mg/kg. 0.28ml of my mixture for the next meal.
9.00pm: told her I’ll stop tube feed her cos I think she didn’t eat that much these few days. Given 10ml, and gaba. Told her rest. She is a good girl. Tmr continue beefing treatment. to see her mouth heal to 50% is impossible within 6-8 days. To hit 3.00kg or 3.2kg is my target that will be a good size to perk up.
27 Jan 2024
Amy:”Cos mm needs to have cone on, i bit worried that she n cone on head may not be able to go into her small carrier. She does have tendancy to rub head n paw at mouth.They worried cone off she will ruin her stictches etc.” – I’ll bring my carrier to fetch her safer too. then since amy mention she wanna test bloods and last known is long time didn’t do so tell her to do: Cbc, Chem15 w sdma
Lytes w phos” – need to confirm w dr Brandon why semintra can’t go by o tube? Erm … so so weird.
26 Jan 2024
4am+: wake up cos I got things on mind. and thought meow can come in earlier than arranged 12.30pm. Sigh. End up say evening, sigh don’t make sense everything defeat purpose of helping, but anyway become 29.1 Mon entry 12.30pm.
she is alive. Alr start eating some food (sigh) and she is on iv, she keep shaking that line.
“Morning Amy, an update re MeowMeow, vitals are stable. Mouth still swollen as expected but not overtly painful, ate a small portion of food voluntarily and rest fed through feeding tube.
As for discharge, as long as you have caregiver able to give painkiller + rest of meds (clindamycin, semintra etc) as well as familiar with feeding tube management, you can discharge her later in the afternoon or at least after PM meds are given.”
“Yes she has o-tube i.e. oseophageal feeding tube, but pls let her eat orally if she is keen.” – nah sigh didnt let her mouth heal more. Sigh. “do not force feed any medications orally” – obvious siak, if not put o tube for what.
2pm: just tell Amy Sunday discharge most logically cos 21h to Monday open, since Sunday close early. up to her. just now we confirm that targetted period of help: less than 6-8 days so I can beef her up as much as possible and see how she cope w amy at her house then.
5pm+: amy visited mm and “She has to wear collar cos she started to paw her mouth so they said cant take out as she may remove stitches or mess mouth up n then have to redo everything again. Poor yhing she so uncomfortable n not much space for her so she ends up sitting in tray in her pee. I asked them to change cos her lower body has wet litter stuck on it. But cos dhe on iv drip then she keeps peeing. Her mouth all swollen n she prob still feel pain. Usually her backside will rise if scratch it. Even if she uncomfortable”
25 Jan 2024
Today she gone thru a major dental sx and on o tube (25.1.24) so I shall help her w her recovery. Will see her on 26.1 at 猫房 hospital.
11pm+: I clear out room A and fully santidise the whole room overnight, Tmr got cleaner in to total wipe down. Tmr see how.
Information I got from dr Brandon:
“Oral meds:
low dose meloxicam 0.1ml once daily
clindamycin 25mg antibiotic twice daily
mirtazapine transdermal as needed once daily
bupre 0.3ml twice daily
Semintra 1.5ml once daily at night” – but bupre I think I won’t listen leh. Erm… I’ll jab that.
“Full mouth extraction done today, rostral mandible fracture, cat also has CKD. O tube placed today can be used to feed, est about 1 can recovery or A/d per day.” – why not k/d? Erm a/d fine maybe cos of the calories for her recovery.
“Assuming no issues, starts eating etc, then next review will be in 6-8 wks to remove the pin in the jaw.” Ie 21.3.2024.
“I think probably only need to tube feed a few days ba..after that as long as the cat eating no reason she cannot look after it” – Erm see how. Mouth healing v important if not defeat my help.
Information I got from Amy:
”long time didn’t take bloodworks. Jaw broken during dental sx on 25.1.24. full dental sx done but some roots can’t take out – lower roots cant come out he said may break jaw worst
1.5ml semintra – at vet – given at night, she ok with meds. Sheds ALOT – DR B said could be cos of stomatitis. Got scabs on lower neck area left n right – scratches some times
Ears always get dirty fast. Think ears cleaned end dec when she did scaling cos i asked them too, but i too bz never cleaned after. Likes mats to sleep on not so warm kind. Subcut 150ml every other day except 2 days in row yesterday n the day b4 – she ok now subcut, dont move so much”
“I put dry food for her too – she eats fit 32, dont like kidney diet”. -I won’t give fit32, my place kibble is earthmade and urinary indoor RC
“Eats aristo , some cans at vet u can have, n she ate tiny bit aixia mini can chicken last night” – tube feeding loh. Need a/d repeated that few times le. See what the transporter send over bah.
“Tofu litter – at vet” – my place is unicharm.
“Used to eat half can aristo, mix with a little water n make soft – cant finish whole can – bfast, dinner, supper” – wet food will serve minimum for her, target is to rest mouth. that’s why put o tube
“She likes to be petted her head, her back sensitive – maybe hurts since got her, dont like brush her on back, used to being wet wiped that she doesnt mind on her back area. Not real real scabs, like she scratched, n it falls out – shud be after dental scaling, cos comes out onto her bed only last few days when she start to paw at her mouth and keep gagging cos of her mouth. Lower jaw broke, dr b put wire
She also moves around, likes scratcher to scratch. Can jump low places like onto the bed. Very fast. She always like to rub her head on things too ( like mark). N her usual self she always come to u when u go to her, and she will follow u where u go. Still do that even when in pain n cant eat”
“N likes fresh water. Will drink when u subcut n also eat wet food while doing subcut at times so i put everything near her when i subcut her. N wet wipe her after that cos he fur keeps shedding bad She walks v fast” – I feel nausea