230am: m I mentally drained out? I knocked out tonight and I dream of mosses I know but I Duno contends but I’m v sad n I wake up to see the replies fr hs at 1016pm: “We can stop iv fluids for now, We can give a shot of depredil to reduce swelling. Either tonight or tmr.” – I know gummy really got breathing problem just now le, depredil alr given. I jump out of bed to off his Iv. But right I should go clinic tmr if he survive to do something but what can they do? Dr ym in on Thursday morning. Sigh. What happen? This is not the first round gummy weight drop due to mouth pain, we have overcome so many rounds. Why this time the only risk is ga scare he can’t wake up but he did n yet breathing become got issue. Why?????

Status: gummy breathing is really bad – so bad that I think I will lose him tonight – so bad that I know I rushed to Ves now they plug anything to him he will die even sooner or die otw 

Try to extend oxygen w kid mouth mask right at his face for him he will move away – I see hope, I change ice packs for him and didn’t dare to disturb him too much, let him overcome himself? 

308am: Ip he is v uncomfortable – lying near n on the water bowl – I know I go will end up open o2 chamber end up he less o2. Sigh. 

Duno what else can b done. 

340am: can’t sleep at all le, accompany gummy without disturbing him, let him know I’m around  

358am: he is now in resting position, sayang him a while n told him try sleep now is hope his body can readjust back – can’t stress him further 

4.52am: heard sound n I check on gummy again, he got a bit moan in pain again. I think I should just go clinic for their more concentrated o2? And also to remove his iv cath tmr morning 

Msg clinic phone:”I’m still monitoring him now, can I bring him in the morning like 5h later? 

1) to remove the iv cath 

2) maybe let him rest in ur oxygen chamber which I assume is better than my home lifeline type one” 

551am: suddenly remember nubulise help airway – nubulize him again, still on O2 support 

723am : sayang him again, nubulize him twice 

I knocked out

741am: dr ym ask me about gummy 

930am awake to reply her n gather some info: “Oh no….I’m so sorry to say I don’t think it looks good. I am not sure how he will survive without oxygen. I suspect he might have aspirated fluid after he woke up. I didn’t see any vomiting but he had so much phlegm in his oral cavity. The other possibility is that his throat was so inflamed and got worse due to the tube. I would try with some water but have to prop him up so that it doesn’t leak back up the tube and oesophagus. Can check his temp? It was quite low when he came in yesterday, but imrpved with warming. Got cold again during GA. Also can try to loosen or remove the bandage of the o-tube so that way his neck isn’t constricted. Continue with methadone IV if you think he is in pain. Maybe give half if IV. Aka 0.04ml. Can repeat at 6-8 hours. Can I check which injectable medications you might have at home? See what else might help” 

1020am: temp 38.8 

Remove the whole bandage on neck 

Given methadone 0.04ml iv 

Later will give 0.2ml Clav 

Nubulise him again w saline only 

1045am given Clav jab 

1110am tube fed 12ml ad

1130am tube fed 12ml ad

1140am check on him, if I touch him lift him up to adjust peepad etc his breathing worse. So need minimum handling  

1153am look scary position – but found out he poo a 1.5cm small piece of relatively black poo hardness 8/10  

1216pm dr ym: “His colour does not look very good. Do you have any inhaler medications?” 

“It’s called Seretide evohaler.” – sos help but think vallie have 

“Otherwise do you have bromhexine oral tablet? Bromhexine is a mucolytic, to help break up phlegm. The breathing sounds noisy so I think there is some mucus. Can give half a tablet once every 12 hours. Via the tube. Any coughing or choking when feeding via tube?” – 1230pm: given Bromhexine 4mg 

Meanwhile still finding place I can get the seretide evohaler – pharmacies not picking up calls 

Joreen Yeo got leftover from twinkles – she sending to us for gummy! 

I meanwhile nubulize gummy n monitor him 

155pm: he stand up n go to water bowl, he lick 5 times n turn n fall again 

210pm: puff in the seretide evohaler for him 

230pm: took out the iv cath for him, nubulise many times le 

Temp 37.7 – tonight try to find a faster thermometer – the panda one Sooooooo slow 

327pm: didn’t look better 

550pm: tube fed 12ml ad

Subcut 100ml and give methadone 0.08ml

Illusion? Still bad but seem safer?  

608pm: tube fed 12ml ad  

Nubulise again  

620pm kiss him told him I give him power to self healing while I’m out to work to earn money for 猫房  

749pm: eye open resting 

910pm: position change, still resting but on his pee, eye still open  

937pm: same position, face away fr his pee

1010pm: change position, seem better position 

11pm did I thought gummy look better? More stable? Tube fed 12ml think ad not that fresh – throw n blend a new can for him 

Clear his peepad n he pee again 🙂 

Nubulise him w the seretide evohaler again 

Later 12+ given him Bromhexine again w methadone 

1150pm: tube fed 24ml – he really did look better – Erm … then should I go clinic tmr morning first thing? 

1215am tube fed 18ml ad 

Given medi, lights out  

1259am: Duno why I feel he look weird again, got some jerking action 

815am got pee no poo again 

Scare of me 

But ok when he know I sayang him only 

950am bath him 

He got choking action/ sound when he struggling when bathing – a bit scary 

Spa machine for Ard 25 mins seem ok – not dry but we got to rush to vet 

Seem ok but mouth v v bad – got little blood in the machine 

1050am see dr ym

Weight 3.09kg – lose 950g 

Told dr ym about the coughing, she check her throat still quite ok

Taking full bloods Chem 10 w lytes cbc to see how – most probably o tube is rather firm 

Still a little dehydrate 

Ear a little a little yellow, I told dr ym I feel his belly area much more when I bath him 

Nurse will help dry him more b4 o tube is placed, if not he will be cold 

He hug dr ym as usual 

Told dr ym that gummy seem to have urine issue, keep peeing when scare n etc – yesterday itself pee is more yellow 

Physical check: Kidneys still symmetrical, liver feel slightly big, bladder small 

Taking urine test also 

rbc 5.72, hct 30.7% – a bit better than mosses 

Mcv 53.7, Glu 9.40 

Crea 132, urea 14.9, sdma 31 – can’t confirm is renal issue yet, so after o tube placed, iv cath keep in to help his kidney n see how – dr ym says will redo bloods after his hydration is better 

Tp 97

Alb 25, alt 137 – liver did start to have a little issue – dr ym is trying to get urine, nurse can’t get 

Na 169

K 3.6 

Glob 72 those mouth issue 

Plan: dr ym still want to hydrate gummy a little more n get his urine, then she try to do earlier (thought she initial target to do at 230pm) then let me bring back at 3-4pm. 

Keep iv in, I come back on Thursday if need be or i just come Sunday or something to take off the Iv. dr ym next in on next tues after thurs   

Urine: pale yellow. Still concentrate enough so not totally kidney issue 

Start new med atopica – ciclosporin half tablet (of 25mg) daily for 2 weeks see how  – but review in one week? Alr booked  

he got the breathing thingy issue like mosses, on xray better than mosses – dr ym give a cerenia jab to play safe 

Dr ym told me to monitor his sound/ breathing, the pro tall nurse also reminded me this – Erm think it’s either v serious or they r v careful cos of mosses 

5pm: back in 猫房- 6ml/h drip rate, on O2 chamber and nubulizing- I’ll switch him to non o2 chamber overnight so won’t be top stuffy 

Dr ym told me to give Clav 5 more days 0.2ml 

Also to give methadone 0.08ml for 2 more days 

Re: atopical – ridiculous, it’s a v oily gel in a super hard capsule – totally don’t work for cats la. I had to cut it n almost 12mg gone n I need to syringe water into the capsule to try to extract as much juice out – total wastage – this is for dog la 

By 7pm I had given 25+36ml ad – ok, but the sound is like radio fm signal got problem – tonight later will give maybe another 12ml n stop. Today less aggressive plus he sense I’m in stress mode. 

830pm: found him really bad – really breathing got issue. need to let him be in O2 chamber – I really have the scary mode. Dr ym did tell me monitor 1,2 days or “even tonight” that I might give a depredil jab – I think she foresee this issue – depredil 0.15ml given, methadone 0.08ml given

Don’t dare to look at him More cos can’t keep opening the O2 chamber 

945pm: I shine light into chamber see him he got look out, hopefully is ga drug totally off n he suddenly feel pain so just now scary. 

Tmr morning got to give him methadone again 

815am no poo, got pee, he pee frequent when he scare n panic too

Body full of urine smell cos he pee n just sit on it – bath w waterless shampoo 

Subcut n see how – somehow his body structure plus I can still feed blended thicker ad, I might abandoned tmr o tube plan.    

940am: syringe fed 30ml ad 

10am: syringe fed 30ml ad 

1145am Syringe fed 15ml ad 

230pm got pee, this round rather yellow. Duno his blood status. Syringe feed 15ad 

720pm got pee again, same feeling – sigh might need o tube again? 

Syringe fed only 5ml and he suddenly fart – I think is fart w diarhhoea poo 0.5/10 watery no blood no mucus 

10pm: just now feed another 15ml,  I Duno why he seem weak and breathing like weird also 

Hug hug him lots – he still koala bear 

RR 24 
1120pm: Ip somehow he just look weak. Just tired? Weak? From syringe feeding? Like that scary leh. Tmr
o tube can put meh? Or maybe wait? I really need the blood work to be done. Sigh. I didn’t know dr ym in today 🙁

Gummy 21.3.21 sun

8am; still not eating, status same 

Clinic no reply yet, still got to prepare him for Tuesday 

Ok, slot confirm coming Tuesday 1030am, I think I moving gummy to hospi cage to monitor 

10pm: move him to 猫房 hospital – syringe fed blended thicker ad 30ml – quite ok 

He is a little stress that I relocate him 

1016pm: syringe fed another 21ml – start to be pain 

Didn’t touch food on his own (aixia oldie n blended ad) 

Face v thin Liao. Look bad. Didn’t eat at all. I serve blended ad he also can’t eat. I serve selar he also can’t eat too. I made decision alr – he needs o tube or same he will die of hunger. think back, mosses didn’t put o tube will die too, so it’s still need to put, but just can’t find out why his body is destroying rbc. Tuesday trying to get slot for gummy check up for his current status and put o tube. Monday I’ll hold on the depredil jab. 

Tonight given him 0.18ml Buprenophine 

His condition is bad – bad enough to do o tube but I can’t take the risk for him to do it. I’m waiting for the minimum 5 days thingy n I give depredil 

Night: thick drool 

Syringe fed him 15-18ml ad all gone, he is too pain. Omg either I can tong till Monday give him depredil and see how or he going o tube too? 

Still salivating 

Still didn’t see him eat 

Syringe fed him 24ml diluted ad – mouth too pain keep spreading to all over the floor – he alr on meloxicam still like this. Sigh. Will stop today onwards think will give him depredil back.

Up his pain killer 
11pm; didn’t see him eat

Night: restart him on subcut w b12 b com 

Stop his mouth wash too. like become depress w it. didn’t see him eat for some time?

Gummy 5.3.21 fri
morning; bath him w malaseb shampoo, mouth become red cos I wash his mouth area lots of saliva stain, clean ears, cut all nails 

Gummy 7.3.21 sun 
we moved house, sigh very scare – reach pee. Night I sayang him hug Him, he pee on me- get whack on butt 

up mouth wash to 2ml  

• Morning; jo:”he goes next to another plate” 
• Mouth still pain but erm … continue the expensive mouth wash – I got source to mix the med le

still drooling 

• still drooling 
• Still continue mouth wash for now – I ordered a lot for their use – see how 
• he really hate the mouth wash – will run away from me

• morning; gummy drooling v bday – maybe the mouth wash bad for him -see first 
• Night: looks really bad – still try the mouth wash one more time – tmr I see how 

still drooling badly, yesterday hug him, tonight start the mouth wash. 1ml will do cos got ga drug?! 

• still drooling, but got eat 
• Seem to be on good term w Xiami 

• Whole day drooling badly
• Still eating   

night: eating ard  

Night: since the start of meloxicam, can see he eating well 

Night; look bad – come to think of it, think I should just restart Meloxicam 0.1ml like for princess