truepenny: artist's rendering of Sidneyia inexpectans (Default)
[personal profile] truepenny
So, the back-end of 2010 was pretty awful, what with the ankle and all, and the beginning of 2011 isn't much better. Ben's death was hard, and since that obviously wasn't enough, the First Ninja has hydronephrosis in both kidneys. She was diagnosed a month and a half ago (By then the blockages were gone, which is a blessing--we have no idea when exactly this happened. Was it related to her seizures? No freaking clue.), and she's still losing weight despite the new renal diet (which, blessedly, she likes--and she likes having special food that the other cats don't get).

Her case, unlike Ben's, involves some hard decisions. We could try for a kidney transplant--she's only six--but there are two reasons not to, and I can't even tell you which one is the more important deal-breaker:

1. we can't afford it.
2. prolonging her life is not worth the misery it would cause her.

If it were a different cat, I might be doing the cost-benefit analysis differently. But of the two ninjas, she is the stubbornly feral one. And, as the vet tech said today, she's a worrier. She's highly anxious. She's difficult to catch, nearly impossible to hold; I've never had to pill her, and doing so would be a major daily trauma (for both of us). Even routine trips to the vet terrify her, and I can't imagine what it would be like for her to undergo major surgery and then have to spend up to a month in the hospital--and then, like any human transplant recipient, be on a regimen of drugs for the rest of her life. She is a lovely affectionate girl (in her own particular way), and I can't stand the thought of making her undergo incomprehensible long-term suffering like that.

We're not in end game yet. The vet loaded her up with fluids and anti-nausea medication at her check-up today, and we have a prescription of kitty Valium to try, to see if perhaps she will eat more if she doesn't feel she has to flee from every unexpected sound. And I'm willing to keep trying things as long as they're (relatively) inexpensive and non-invasive, and as long as she still seems to be enjoying her life.

But it's still just really hard.

Date: 2011-02-23 03:20 am (UTC)
From: [identity profile] jade-sabre-301.livejournal.com
ooooooooooooooh, First Ninja! :-(

fingers crossed that you will be able to keep her happy for a while yet.

Date: 2011-02-23 03:21 am (UTC)
From: [identity profile] comrade-cat.livejournal.com
I'm sorry. I hope things continue to be inexpensive and she keeps on enjoying life.

Date: 2011-02-23 03:29 am (UTC)
From: [identity profile] electricland.livejournal.com
Oh no. That's so hard. I hope at least one of the relatively inexpensive things works.

I feel fortunate that my monster is so far very healthy. (A tendency to get chomped on by other dogs isn't really ill health as such, although it does run expensive.)

Date: 2011-02-23 03:30 am (UTC)
From: [identity profile] swan-tower.livejournal.com
Oh, god! That's terrible all on its own, and on the heels of losing Ben . . .

Though I'm sure it's not much comfort to hear, your reasoning sounds very good; transplant surgery is hard enough for humans, and so much worse for animals, who can't understand what's going on and why. For a cat like her, it really would be traumatic. So I'll keep my fingers crossed extra hard that non-surgical intervention does some good for her.

Date: 2011-02-23 03:35 am (UTC)
From: [identity profile] rchan.livejournal.com
I can't even imagine. :( I'm so sorry to hear about this, especially so soon after you lost Ben.

On the upside, Valium not only makes kitties less anxious, but it is a wonderful appetite stimulant. Also, I'm sure your vet has thought of this, but if pilling her is a concern, have you tried getting her meds compounded? You can get most of them as flavored liquids, treats and some even work as transdermals gels (you just rub them inside the ear). Just something else to think about.

Hoping for the best!

Date: 2011-02-23 03:44 am (UTC)
heresluck: (kitty!)
From: [personal profile] heresluck
It will come as no surprise to you that I entirely agree with your reasoning about not trying a kidney transplant -- it would be way too hard on her.

I send a round of petting to the tsarina (on the stairs, of course) and lots of support to you and [livejournal.com profile] mirrorthaw; here's hoping that the Valium softpedals the anxiety a bit.

Date: 2011-02-23 03:49 am (UTC)
From: [identity profile] inizitu.livejournal.com
=( I'm so very sorry. Hug? And luck to you all.

Date: 2011-02-23 03:50 am (UTC)
kate_nepveu: sleeping cat carved in brown wood (Default)
From: [personal profile] kate_nepveu
Kidney disease runs in my dad's family [*] and so I am fairly familiar with the costs and benefits of transplants in humans. Your reasoning about her quality of life appears very sound to me.

[*] Adoptive, to forestall the logical question.

Sympathies and best wishes.

Date: 2011-02-23 03:59 am (UTC)
From: [identity profile] rachelmanija.livejournal.com
I'm so sorry. If only we could explain in cat-terms why we want to do what we do...

Date: 2011-02-23 04:16 am (UTC)
marycatelli: (Default)
From: [personal profile] marycatelli
hoping for the best

Date: 2011-02-23 04:27 am (UTC)
From: [identity profile] txanne.livejournal.com
Oh, no, not again.

I've written and deleted about four different comments, so I'll just say that I'm here if you want a recent perspective on the side of "don't make them keep living just for the monkey's sake."

Date: 2011-02-23 04:31 am (UTC)
From: [identity profile] dsgood.livejournal.com
My sympathies, and wishes for things going as well as possible.

Date: 2011-02-23 04:38 am (UTC)
From: [identity profile] neko-san.livejournal.com
Poor kitty. We have a cat that was just diagnosed with chronic renal failure a month or two ago; he's doing well with sub-cutaneous fluids. I did jump forward to thinking about dialysis and kidney transplant - and, from what I know of them, I don't think it would be worth the trauma for him. Poor guy. Though, he seems to be doing well now, so that's good.

And i understand the money thing. It sounds horrible, but I can't afford to spend 3x on vet care per month than I do on rent for the rest of a cat's life. (As a one-time thing, it's painful, but okay. Forever is not so reasonable.)

Date: 2011-02-23 04:44 am (UTC)
From: [identity profile] shelly-rae.livejournal.com
Poor kitty. The best we can do is make them comfortable and give them the best life possible.

As for the transplant. I understand the urge to do one but consider that unlike humans, a kitty "donor" has no say in the matter. I'm a little squidgey about the ethics of such transplants. And then the cost. wow. Don't get me wrong. I've spent thousands of dollars on my pets. But in this case? With a dubious outcome? I think not doing it is the kinder choice.

Best of luck to you all,
Anon

Date: 2011-02-23 06:21 am (UTC)
From: [identity profile] ashcake.livejournal.com
I'm so terribly sorry. For what it's worth, this segment of the internet also thinks you're making the correct decision. We just lost our Evil Cat(tm) a year ago to a rare disease cats hardly ever (according to the vet) get. Her last few months were happy ones, thanks to the meds (and I heartily second the compounding advice - hers were TUNA flavored and she would race me to the fridge), but eventually, it was time to go.

My thoughts are with you and your family, both two- and four-footed.

Date: 2011-02-23 06:27 am (UTC)
From: [identity profile] matociquala.livejournal.com
<3

It's all I got.

Date: 2011-02-23 06:40 am (UTC)
pameladean: (Default)
From: [personal profile] pameladean
I'm so sorry. I think you're right to rule out transplant for such a skittery girl. I hope the interim measures give you some more time with her.

P.

Date: 2011-02-23 07:38 am (UTC)
From: [identity profile] fjm.livejournal.com
Good luck with the little Ninja and enjoy her while she's there. We had to take Miss P off the renal food because she was willfully starving to death. It means I can see the deterioration (a wet litter box) but I have a happy cat, and for the last year of her life that's what matters.

Date: 2011-02-23 08:05 am (UTC)
From: [identity profile] tekalynn.livejournal.com
*hug* We do the best we can.

It sounds to me that the kidney transplant is probably too costly, both in the financial and quality of cat life considerations, to really be feasible. If you can keep her hydrated, fed, and comfortable, that may be the best for everyone. Does the First Ninja accept pill pockets? We found they were far and away the easiest way to dose our cat. Stick the pill in the little dough pocket, seal it closed, feed it to the cat. They like the taste and they get the medication with minimal fuss.

Best of luck, whatever you decide.

Date: 2011-02-23 06:53 pm (UTC)
From: [identity profile] sillylilly-bird.livejournal.com
pill-pockets were wonderful - until Smoky bit down on a pill....


GLOW headed your way for strength health and wisdom.

Date: 2011-02-23 10:27 am (UTC)
ext_7025: (yellowdog)
From: [identity profile] buymeaclue.livejournal.com
Warmest thoughts.

Date: 2011-02-23 10:56 am (UTC)
From: [identity profile] bluestalking.livejournal.com
*HUGS* This is so stupid.

Date: 2011-02-23 11:35 am (UTC)
From: [identity profile] renatus.livejournal.com
I'm sorry you have to make such a decision at all. You and your little ninja are in my thoughts.

Date: 2011-02-23 12:46 pm (UTC)
libskrat: (Default)
From: [personal profile] libskrat
Bleh. How incredibly unfair.

Love to the Ninja and to you.

Date: 2011-02-23 12:56 pm (UTC)
From: [identity profile] mrissa.livejournal.com
Oh, dear heart, I'm so sorry.

Date: 2011-02-23 01:33 pm (UTC)
From: [identity profile] michaeldthomas.livejournal.com
*hugs*

I'm so sorry.

Date: 2011-02-23 02:51 pm (UTC)
From: [identity profile] anderyn.livejournal.com
Oh, that really is hard. Because you don't want the First Ninja to suffer, because she wouldn't understand, and just... yeah. My Mittens is a terribly anxious cat, and I have accepted that but I still feel guilty that I can't provide her with a better life (she is nervous around kids, and two of them moved in on her when my daughter moved back home, ditto boy cats... but you can't toss grandkids into the snow...) so I can grok how you must be feeling about now.

So my profoundest sympathies and wishes that the non-invasive methods will work for a good long time.

Date: 2011-02-23 03:02 pm (UTC)
From: [identity profile] theladymoon.livejournal.com
We lost our first cat to kidney failure which we detected too late, but I remember my vet had told us that there were ways to keep her relatively well for a time (we didn't get the time in the end because she collapsed right afer that visit, so we had to bid her farewell 2 days later). So I do hope that things work out for the ninja in the best possible way.
Keeping fingers crossed for her and for you, since it must be particularly hard with the loss of Ben being so recent

good thoughts!

Date: 2011-02-23 03:33 pm (UTC)
From: (Anonymous)
I don't have any wisdom to add, and just wanted to let you know that you and your entire household are in my thoughts. Like everyone else, I hope the non-invasive stuff is effective for a good long while!

the grrly grrl

Date: 2011-02-23 04:31 pm (UTC)
From: [identity profile] http://users.livejournal.com/la_marquise_de_/
Very best wishes to her.

Date: 2011-02-23 04:31 pm (UTC)
ckd: two white candles on a dark background (candles)
From: [personal profile] ckd
Sympathy and good thoughts to you all. I hope that, at the very least, there's a non-invasive treatment that gives her a good life for as long as is practical.

Date: 2011-02-23 07:14 pm (UTC)
From: [identity profile] oceankitty1.livejournal.com
We don't know how much we love them until they really need us, do we? It's heartbreaking to watch an animal suffer. You have all my sympathy and love.

Date: 2011-02-23 08:36 pm (UTC)
From: [identity profile] marypcb.livejournal.com
much sympathy; we decided to go with an amputation when our Mainly Coone had a sarcoma on one foot and he did well as a tripod but transplant is so much more invasive that it completely makes sense to decide against it. for calming down purposes, have you tried Feliway in a diffuser? we needed it when the tripod looked like a frankenkitty and one of the other cats would go up and sniff him as normal, see the stitches as he walked past and freak out - it calmed them all down really well.

Date: 2011-02-23 08:48 pm (UTC)
gwynnega: (Garage Kitty)
From: [personal profile] gwynnega
I'm so sorry.

Date: 2011-02-23 09:53 pm (UTC)
From: [identity profile] rarelylynne.livejournal.com
I'm so sorry. *hugs*

Date: 2011-02-23 11:44 pm (UTC)
From: [identity profile] talimena.livejournal.com
I am so sorry. I've been in a similar situation with one of my cats recently and it's awful, so I can only imagine dealing with that on top of Ben's death.

Date: 2011-02-24 09:32 pm (UTC)
From: [identity profile] smills47.livejournal.com
I'm so sorry to hear this.

If it helps at all, I can only imagine how different her life would have been if you hadn't rescued her.

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truepenny: artist's rendering of Sidneyia inexpectans (Default)
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