127am fr ip her breathing is irregular, down iv to 3ml/h to be extreme safe. 

310am: worrying. Still Duno what to do. Sigh. How to wake up 7am if I want to walk in for NG. 

9Am: make a mess of the cage – she don’t like to be watched w the cctv ah 

940am; I’m at Hs I’m dead, I’m dead tired. 黑猫猫 more important, the rest will understand. I built 猫房 w the cats all being spoilt when they want, but in emergency they understand they r good kids. 

1015am: dr ym bring her in, core target is nasal tube. The rest see first if can get urine to do analysis and UPC. 

1027am: waiting i settle 黑猫猫 first

1113am: left w 黑猫猫 – I’m dead. Schedule really cork up. How. 

Pcv 21% drip quite a bit but it’s normal 

N tube in, xray just now can check the stomach – still bloated – add on 2ml x many times per day semithicone – let her fart more 

lung n etc still clear – Still hydrated –  let’s stable the rate at 6ml/h

Lucky I know I need to check lytes, her potassium drop, adding one v into bag 

Food wise start 1/4 of her needs (so give 35kcal ie 20% of one Kd can) PER DAY. Tmr then up double if not vomitting. 

Manage to get urine, did have protein n blood in there, start Low 0.8ml once a day semintra 

told 黑猫猫 she in charge of sleeping, farting, wake up try to eat, then the rest leave to me. 

1130am; she accompany me to 5G to feed the rest then we go back if not Totoro will be sacrifice today so this plan save some time

Back to 猫房, suck out air fr her tube 8 times and Given all meds except semintra and semitricone – added k into fluid bag. Drip rate 6ml/h – this bag will end Monday 1140am. 

Tube fed 9ml aixia oldie. K/d have to wait alr. Tonight so late Duno I can gland food or not. 

Buprenophine and Cerenia given. Later I can give gabapentin alr since got tube. 

210pm: make a mess of the cage – she don’t like to be watched w the cctv ah 

given 18ml of RC recovery milk – I got to rush out to work alr 

3.36pm; doing a good job – I told her to sleep she is sleeping 

4.32pm: she is awake, Duno she just want to move about or she is weak n fall. 

710pm: dAmn scary. Cam sure overturn or something. She don’t responding to me moving the cam. Heavy breathing, fr ip RR 24. 

1017pm; totally can’t see her movement, totally blocked. 9+pm she confirm still breathing, got movement in cage 

11.05pm: alive. Poo 1.2cm of poo, 2 pieces 9.5/10. Maybe can’t poo that’s y cage in a mess? 

Didn’t look ok, but at least not flatten. 

1117pm: Started her on semintra and give pet timic again, gabapentin added into her treatment too

1201am: lights out – critical mode. 

12.15am: definitely is bad, but I hope hei Mao Mao is doing what she should be doing – just resting. I should not disturb her. But her left kidney is really swollen. 

Tmr if I add anything else – will be kidney gold  

930am: she look weak, RR 33, I know her breathing nothing to do w fluid retention so that part is not worrying, but that also mean she is weaker now, something else even more worrying like shutting down. She look damn sianz. Told her I’m worried about her le. plus 3 days in 猫房 w minimum food intake, I don’t know how long she is without food. The bloated stomach is definitely an issue n her frustration from oral feed will cause more stress and etc. 

Got pee, she also stop going to water bowl. I answered dr ym that yes drink n pee lesser. 

No poo today. 

No nutrients Erm – decided on nasal tube. Means I have to get a/d. 

Down to her drip rate to 4ml/h – thats 96ml per day iv. Think would be safer. Or maybe 5 later on n that’s it. 

She definitely still seem nauseous. 

1245pm: more responsive to my sayang 

Given Cerenia 

5.44pm: she look really unwell. Kidneys v pain. want vomit/cough n didn’t n look really sick. Given Buprenophine. 

Iv stable at 5ml/h. Told her to rest, we try. Tmr bring her for NG tube and we try to have food n meds properly n make that stomach ok. 

That’s, she got to survive tonight. 

Still got to give her oral meds – I later think which one ok to skip for tonight. she is really frustrated. I don’t Want her to lose interests in fighting. 

6.41pm: fr ip: her eyes dAmn scary. I hope she is just trying to rest like I’m dAmn tired, hope can knock out to sleep. 

10.21pm: ip scare me I thought she is gone. Turn the cam to see her her eye looking at the cam moving – Heng ah. 

11pm: still give everything except Sam e totally impossible so I give milk thistle instead. 

Really don’t know what else to do w her other than NG tube. She is so frustrated that she can’t eat sigh. 

Change new fluid bag at 5ml/h. Last till mon 3am. 

1250am: her hind leg stain w food. She don’t look ok, clean her up. Got choking sound. won’t use the word panting yet. But I know not ok. Im worried about NG but can’t think of any further choice. Tmr need to check on urine and lytes. Stop phos binder for tmr tube feeding cos got polycilin. I need to find ad Kd etc. 

840am: looking better, standing up position, didn’t eat. 

Got drink water. 

No poo no pee at all overnight. 

Serve ciao and aixia oldie – she lick oldie. 

By 10am got a little pee. 

Given Buprenophine, phos binder and oral Clav. 

Change iv rate to 10ml/h, after tonight will fix maintenance mode 6

130pm; find her sianz sianz either stress fr 猫房 Reno, or … I drop drip rate to 8ml/h  

3pm: she scare me – head in water – sleeping – confirm nausea – given Cerenia 

Night: she did eat some of the food. 

Water bowl almost empty, top up. 

Extra ip cam on her, change iv back to 6. 

Given milk thristle 30mg (0.03ml) 

Look more alert 

Serve new food – got start to eat. 

did pee – seem dilute. 

11pm fr ip: RR ok 

Mao 26.1.22 wed 

10am: RR 35, but it’s heavy type, not breathing thru mouth la. But still it trigger 猫房 worrying mode 

cos next few days r packed days and tonight I got packed lessons, so do proper check safer. 

Serve tuna w chicken w aixia oldie w wellness core – touch none today. Cannot not Good. 

11.47am: check her bp on hind legs – all can’t read 

11.48am: temp 38.3 – temp ok 

11.57am: bp 159, 96. PR 129 

Above seem fine, but still I go aw dr nally. 

She poo in cab, 4/10, seem to have some i digested food. 

so far information given by dr ym:”Did you put her into oxygen? If there is fluid overload, a once off dose of frusemide can help. What do you think of her gum colour? It takes a pretty low PCV and rapid drop for the breathing to get affected so fast. So then gums would look quite pale. To be safe I think you can keep ivf rate low. Oxygen cage and monitor. One single dose frusemide should be safe for kidneys if you feel the breathing not improving much. Clinic is safer of course, but if they won’t see you, and she is getting worse I would give one dose first. X-ray would be good. It’s borderline high BP perhaps a bit stressed? What size cuff and which leg did you measure? Lets see what the lungs and PCV look like. Probably better to drop down rate. Is she still quite dehydrated?” 

Weight: 2.28kg – didn’t lose further weight.   

dr says her RR 60, breathing abnormal, pulse rate 160. I told her the one I taken at home (think more accurate) 

Dr nally v particular w pancreatitis – she wonder why no one tested that at all. ha – she talk damn fast, My style. But wa if i find fast to record. 

taken Cbc – rbc 4.97, HCT 26.1 – didn’t drop as bad. But non regenerative. 

Wbc NEU drop slightly – Clav continue 

v check – 2.1, pancreatitis rule out 

Kidney Imflammation and possible cancer is not ruled out. need to arrange for u/s for further step.  

2 xrays done – confirm no free fluid in lung or anywhere. lung clear, bladder super small can’t take urine again. All Point to not iv, not heart issue, no lung issue. But stomach bloated w gas that’s huge and pressing against her diaphragm thats the issue of breathing – added polycilin III 0.45ml x twice / thrice per day 

All other meds remain, but dr told me to up Buprenophine to 0.11ml n more times cos she touch hmm she is in pain. Told me to consider adding on gabapentin also. (Will do for afternoon dose) 

Oh ya dr worry that she might have Pyelonephritis – I asked whether need to add on Marbo – somehow this qn got skipped. Nvm I think Clav for now first, I’ll monitor first. 

Taken spo2 – 98/99. So she is fine no need oxygen. 

Hmm I see her gum colour is pink – ok. 

Iv cath is fine, just change bandage. 

Continue iv 6ml/h – safe. 

Continue to monitor RR, bp. 

220pm: rush back, extreme irritated by the one who close the gap. Need 2 pilers to open it, continue hmm iv 6ml/h, cola going to new home so later then give the meds 

405pm; given Cerenia, polycilic and gabapentin, syringe a little of 1ml aixia oldie – she is not willing to take it. Let her rest. 

553pm: she look fine, fluid bag will end fri 820am. 

1120pm: RR 36, seem a little better 

Frustrated from oral feed of meds – syringe feed without irritating her is impossible 

Finger fed some aixia oldie – at least willing to lick 2 times 

Syringe fed 10ml m/d – hate it 

Serve ciao 166 n aixia oldie

12pm: caught her but can’t find wawa. She go 猫房 room 3 to rest and drink some water and get some aircon b4 we go vet. 

I weigh her 2.25kg, dr ym 2.28kg – w v dehydrated state. this is a drop of 320g fr the 2.6kg weight auntie told me on 6.1.22. 

Told dr ym about the time frame of what happen to hmm from nov to now. She is as puzzled as me on why no iv since hospitalised?  Hei Mao Mao is definitely yellow, ear and eyeball alr turn yellow. Dr ym also say liver is definitely a concern! 

She got fur mites – need to Revo plus. Can’t bath le cos most prob on iv. 

Small bladder – v small bladder – dr will try to get her urine – toooo small so today can’t get to do urine analysis 

Right kidney is small, yet left kidney is enlarged  – confirm kidney got issue, but no point take sdma, will take chem10 n lytes and phos to see these 5 days any big changes. I’m worried about the phos level, even more worried about her liver profile. 

W the organs issue, Cbc is taken also, scare she turn anemic alr (though 6.1.22 Cbc still ok)  – HCT 27.8%, rbc 5.55 not regenerative – anemic actual how bad don’t know have to hydrate then know. Now she is v dry. 

Fiv felv taken – both still negative – safe  

Wbc 35.87 n NEU 32.43 elevated but from plot graph don’t think is those extreme infection, more of kidney got issue and also fr stress, mouth definitely also can be the cause – so give some ab no harm. 0.45ml Clav oral twice daily if I can’t give jab  0.15ml. 

Buprrnophine 0.07ml x twice to thrice daily 

Cerenia 0.23ml (dr ym says she look at her state sure nausea so better give) 

Must give phos binder 

Glu 8.99 for now deduce as stress 

Crea 436, urea 40.2, phos >5.20, glob 52, alt 261 – everything worsen – start iv – Iv go back 10ml/h (ok for first 12 h, cos won’t know her heart can take it or not) back to 6ml/h (she can’t go high for maintenance) so 6 is safe. 

Na high 174, she damn dry so kiv till hydrated 

Alkp 30 normal, hopefully gall bladder etc not affecting anything yet 

Liver to start sam e – I wish i can I try later on 

Dr y didn’t mention about darbepoetin but b12 n b com. Erm I later ask again. 

5.24pm: started iv, there is some back flow of blood – iv start ok alr. 10ml/h till maybe 9pm and tmr I up in the day. for now, this bag till thurs 2am. 

She did start eating my food – ciao 170. Eat 5% only then drink water. 

Given sam e successfully 200mg 

I’ll find out about milk thristle. Tmr can’t give Sam e again. 

Given Clav oral and phos binder – she vomit these 2. – informed dr ym, she told me to try Clav jab tmr. 

Darbepoetin 0.05ml, will give tonight w b12 b com. And pet tinic. 

10pm: I feel she didn’t look that well. Third eyelids (not flu, not v uncomfy) look is out. 

Given darbepoetin, b12 and b com and Petinic. 

Serve tuna w smoked fish – didn’t eat. 

11.28pm: down her drip rate to 6ml/h 

4pm: found her in drain, not willing to come out. I can barely sayang her – let me sayang. Meow at me once. I only psychically inform her I’m bringing her to vet tmr to do proper check then she come back w me to rest n don’t be scare. 

930pm: can’t find her, sigh. so many missing data, tmr how m I going to die?