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Update on Francis

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dirtylitterboxofferingstospammers - 07 Oct 2004 08:47 GMT
Firstly a *huge* thank you to everyone who has posted good wishes for Francis.
I *really* appreciate this so much.

Saw the *good* vet yesterday morning. I read the results of Francis's blood
test and the levels of the various things they test for are off the scale...
One item suggests the renal failure may be the result of an auto-immune disease
(not HIV) which I can't remember the name of.

Francis was a completely different cat with Mr Kennedy, who is an incredibly
humane and compassionate vet. I have made a formal complaint (in writing) about
the twit who was pressurizing me into euthanising Francis the day before and
saying Francis was dangerous and I could not be with him when he was
euthanised...

Up shot - Francis has had a steroid injection (which has perked him up
noticeably in 24 hrs). He can have these again when needed. I've also got pills
to give Francis one a day, which are for heart conditions in dogs & renal
failure in cats - ACE inhibitors. Vernon used to be on ACE inhibitors, so he &
Francis have a special bond these days :-) I've also got the low-protein cat
food for renal patients to give Francis. He loathes it. I shall be speaking
with the vet again on this. You guys who have cats with CRF, if they won't eat
the prescription food, what do you give them? Would something like fresh
chicken meat minced up with plain boiled rice be suitable??? I do not mind if I
have to prepare food myself from scratch. Oh, Marble *loves* the low-protein
food, he scarfed it down after Francis had turned his nose up at it... Marble
is of the school of thought that if it remains still in a dish for more than 30
seconds, it is edible...

Cheers, helen s

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lewe - 07 Oct 2004 09:16 GMT
> Firstly a *huge* thank you to everyone who has posted good wishes for Francis.
> I *really* appreciate this so much.
[quoted text clipped - 23 lines]
> is of the school of thought that if it remains still in a dish for more than 30
> seconds, it is edible...

Thanks for the update. Sounds like you're getting good help now.
Purrs for Francis to be comfortable and happy for the longest time possible.
Headbutts for you all!
Lena
:: lewe
-------------------------------------------------------------
lewemi at yahoo dot se || cat pics: photos.yahoo.com/lewemi
Victor Martinez - 07 Oct 2004 13:02 GMT
I'm very glad to hear Francis is feeling better. So, what was the
long-term prognosis?

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dirtylitterboxofferingstospammers - 07 Oct 2004 13:50 GMT
>I'm very glad to hear Francis is feeling better. So, what was the
>long-term prognosis?

Long-term prognosis is that he's going to die sooner than I would want; his
kidneys are on the way out. I may have him a few days, a few weeks, a few
months or a a few years. But he is a very sick cat, and I'll be taking each day
as it comes.

Cheers, helen s

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Victor Martinez - 07 Oct 2004 19:52 GMT
> months or a a few years. But he is a very sick cat, and I'll be taking each day
> as it comes.

And we'll be purring each day for you and him.

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Christina Websell - 07 Oct 2004 21:59 GMT
>> months or a a few years. But he is a very sick cat, and I'll be taking
>> each day
>> as it comes.
>
> And we'll be purring each day for you and him.

Absolutely.  Kitty's purrs are the best, she can do really loud ones.
Boyfriend's...well.. let's just say he hasn't quite found out quite how to
do them.  He did it once and scared himself.
So big purrs for Francis from Kitty FC, anyway, and Boyfriend is looking on
and saying "I want to do that, how do you do that?!!"

Tweed
dirtylitterboxofferingstospammers - 07 Oct 2004 23:15 GMT
>So big purrs for Francis from Kitty FC, anyway, and Boyfriend is looking on
>and saying "I want to do that, how do you do that?!!"
>
>Tweed

Thanks Tweed, Kitty FC and Boyfriend :-)

helen s

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dirtylitterboxofferingstospammers - 07 Oct 2004 23:14 GMT
>And we'll be purring each day for you and him.

Thanks Victor. That means a lot.

helen s

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jXwXeXrXmXoXnXt@sonic.net - 08 Oct 2004 00:38 GMT
> Long-term prognosis is that he's going to die sooner than I would
> want; his kidneys are on the way out. I may have him a few days, a
> few weeks, a few months or a a few years.

That's the thing with CRF... you just don't know. I really hope he is
able to survive for a significant amount of time more, but only if he's
comfortable!

It's a tough thing to deal with, and I've got my guys purring for Francis.

Joyce
dirtylitterboxofferingstospammers - 08 Oct 2004 10:06 GMT
>That's the thing with CRF... you just don't know. I really hope he is
>able to survive for a significant amount of time more, but only if he's
[quoted text clipped - 3 lines]
>
>Joyce

Thanks Joyce. He's comfortable today - he's eating little & often - the wet mix
of renal food & normal food purred together with some water added is accpetable
to him, not his favourite, but he's taking it. He runs upstairs, he comes down
a bit more sedately when I call him. So he's here still :-)

helen s

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Jean Hobbs - 10 Oct 2004 12:11 GMT
Helen, I'm so sorry to hear of Francis's illness,{ I have so many posts on
this
ng I can hardly ever get to the topical ones I must ask my Son to get rid of
some of the very old ones}.  My beloved Henri went to RB because of the same
thing, so I know how sick Francis must be,Wilson and I are sending a
boatload of Purrs for Francis and{{{{{{{Hugs}}}}}} for you as I know how you
are feeling.    Jean.P.

> >I'm very glad to hear Francis is feeling better. So, what was the
> >long-term prognosis?
[quoted text clipped - 11 lines]
>
> --Due to financial crisis the light at the end of the tunnel is switched off--
Christine Burel - 07 Oct 2004 13:37 GMT
Helen,
I'm really glad you got help from this other vet!  I've had 2 CRF kitties--
to be honest, I didn't worry about the food part it was more important that
they eat something then that they got the "renal" food, which mine wouldn't
eat eitiher.  I think what really made a difference was that I gave both of
them 100 ml of lactated ringer fluids daily, which also helped them feel
much better.  My cat, Frodo, lived to be 20, and had CRF for 5 years prior
to that (I know the fluids extended his life); he, too, got prednisone daily
and I think it helped, too; he also had liver problems.  Shetra had CRF the
last 2 years of his life (and got fluids duirng this time, too) and lived to
be 17.
hth,
Christine
> Firstly a *huge* thank you to everyone who has posted good wishes for Francis.
> I *really* appreciate this so much.
[quoted text clipped - 31 lines]
>
> --Due to financial crisis the light at the end of the tunnel is switched off--
CatNipped - 07 Oct 2004 14:04 GMT
Purrs continuing that Francis will have lots of quality time left with his
loving family.

Hugs,

CatNipped

> Firstly a *huge* thank you to everyone who has posted good wishes for
> Francis.
[quoted text clipped - 48 lines]
> --Due to financial crisis the light at the end of the tunnel is switched
> off--
dirtylitterboxofferingstospammers - 07 Oct 2004 14:09 GMT
>Purrs continuing that Francis will have lots of quality time left with his
>loving family.
>
>Hugs,
>
>CatNipped

Thanks CatNipped. I hope I do too.

Cheers, helen s

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--Due to financial crisis the light at the end of the tunnel is switched off--
Nan - 07 Oct 2004 14:16 GMT
>Firstly a *huge* thank you to everyone who has posted good wishes for Francis.
>I *really* appreciate this so much.
[quoted text clipped - 31 lines]
>
>--Due to financial crisis the light at the end of the tunnel is switched off--

Thanks for the update, Helen.  I'm glad that you complained about the
twit who wanted to send Francis to the Bridge.  I hope that this
causes him to have a little more compassion for his patients and his
patients families.

Francis will let you know when it's time to let him go.
--

Nan and the furkids

A wise man talks because he has something to say;
a fool talks because he has to say something.
Jean Hobbs - 10 Oct 2004 12:41 GMT
> >Firstly a *huge* thank you to everyone who has posted good wishes for Francis.
> >I *really* appreciate this so much.
[quoted text clipped - 44 lines]
> A wise man talks because he has something to say;
> a fool talks because he has to say something.
Jean Hobbs - 11 Oct 2004 13:02 GMT
Jean hobbs doesn't seem to have written anything here but I'm sure I did.
Anyway I'm glad to know Francis's update was good and I'm sure someone must
have seen my message whatever happened to it    Jean.P.

> > >Firstly a *huge* thank you to everyone who has posted good wishes for
> Francis.
[quoted text clipped - 61 lines]
> > A wise man talks because he has something to say;
> > a fool talks because he has to say something.
Sheenah - 07 Oct 2004 15:42 GMT
You guys who have cats with CRF, if they won't eat
> the prescription food, what do you give them? Would something like fresh
> chicken meat minced up with plain boiled rice be suitable??? I do not mind if I
> have to prepare food myself from scratch.

Maybe here you will find some helpful info:

http://www.felinecrf.org/diet_and_nutrition.htm

BTW, IMO,  this website is one of the best for info on CRF in cats:

ATB

Sheenah
dirtylitterboxofferingstospammers - 07 Oct 2004 16:48 GMT
>http://www.felinecrf.org/diet_and_nutrition.htm

Thanks Sheenah - greatly appreciated.

helen s

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--Due to financial crisis the light at the end of the tunnel is switched off--
Enfilade - 08 Oct 2004 00:41 GMT
Purrs for Francis, that he might have many good-quality months left.

--Fil
dirtylitterboxofferingstospammers - 08 Oct 2004 10:06 GMT
>Purrs for Francis, that he might have many good-quality months left.
>
>--Fil

Thanks Fil.

helen s

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Jeanette - 07 Oct 2004 16:28 GMT
Good luck with him, I hope you have lots of quality time left with him.

Jeanette
Ginger-lyn Summer - 07 Oct 2004 19:03 GMT
>Firstly a *huge* thank you to everyone who has posted good wishes for Francis.
>I *really* appreciate this so much.
[quoted text clipped - 31 lines]
>
>--Due to financial crisis the light at the end of the tunnel is switched off--

They can be fussy about the low-protein food, for sure.  There should
be other low-protein foods available in Britain, I'm sure.  If Francis
won't eat the one, ask the vet about alternatives.  For Cosmo, he got
to the point of not eating the usual Hill's k/d, and I read the Hill's
manual and found g/d, which seemed appropriate for him, and the vet
agreed.  He eats that one much better.  There are also other
manufacturers, so keep trying.  I have also heard sprinkling a little
oregano on the food may help (no kidding!), or a little plain chicken
broth (tuna, also, but chicken is preferable).  Check with your good
vet, of course, but that's what I've heard in my journey with CRF.

Best of luck, and still purring for Francis.

Ginger-lyn
dirtylitterboxofferingstospammers - 07 Oct 2004 23:12 GMT
>They can be fussy about the low-protein food, for sure.  

Yup, cats can be fussy ;-) Currently Francis is having equal quantites of the
wet renal food, and a relatively low-protein normal tinned food - I'm pureeing
them together. Francis will take this. He eats a little at a time, so I'm
putting at least 5ml in a syringe and giving him it every hour or so to get
some calories into him. I put a little at the side of his mouth and he licks it
down - he doesn't refuse it or spit it out. He seems content with that at the
moment. I tried putting some 'nip in the renal food on it's own, but he wasn't
fooled by that :-/

Cheers, helen s

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zuzu22@webtv.net - 07 Oct 2004 20:26 GMT
Despite what differences you and I have, the cats are what matter here.
I urge you to go to http://www.felinecrf.org and learn as much as you
can ASAP. 8 is a very young age for a cat to develop renal failure and
it's very possible that Francis could have a good quality of life for
some time if he is managed well and sub-q fluid therapy is implemented.

I also know that a lot of vets in the UK are not up to speed on fluid
therapy, and considering the position the first vet took I'm assuming
he's one of them. I'm *very* concerned that your vet would send a cat
with numbers "off the scale" home with nothing but prescription food and
a pill (and why an ACE inhibitor?) If your cat is that ill with numbers
through the roof he likely has "crashed" and if he has crashed you're
guaranteeing him an early death if he doesn't get treatment. If he has
crashed he can be brought back and have some good quality time left, but
he needs to be hospitalized on IV fluids for a few days to get the
toxins out of his bloodstream, then put on a regular regimen of at-home
sub-q fluid therapy to try to maintain him and keep his numbers down.

Now is the time to go for broke, learn as much as you can, and advocate
for your cat. You are going to have to do a crash course in CRF and push
for what your cat needs because, even though your vet may be a nice guy,
it doesn't sound like he is at all up to speed on the latest treatments
for CRF. The http://www.felinecrf.org site exists exactly because Helen
the site owner had such a problem dealing with UK vets and getting them
to even consider sub-q fluid therapy (something that is done here in the
US as a *life-saving*normal course of treatment), and felt it was
extremely important for UK owners of CRF cats to have the information
the vets weren't giving them or even aware of.

Unfortunately AFAIK the majority of vets in the UK are still in the dark
ages when it comes to treating CRF and it becomes the responsibility of
the owner to push for what needs to be done. The felinecrf.org site is
the best and most informative site on the net dealing with this health
issue and I hope it helps you to help get Francis feeling better. Good
luck.

Megan

                                   
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Christine Burel - 08 Oct 2004 00:12 GMT
Dear Helen,
The site mentioned below on feline crf  is an excellent one!  I know that
with both my CRF cats that fluid therapy made a huge difference in both
their quality and quantity of life -- they felt sooo much better after
getting the fluids, too -- Frodo, in particular, was a really smart cat and
he "knew" that he would feel better after the fluids and he always held
still for them; he was diagnosed with CRF at 15 and with the fluids lived a
good quality of life for 5 more years till the month or so before he went to
the RB. Shetra had to be rehydrated at the vet the first time we realized he
had developed renal disease; I then carried on with him like I had with
Frodo.

I know at least from having to have my daughter admitted to the hospital
because of dehydration from illness (!) that there comes a point at which
whatever you drink yourself cannot catch you up and IV therapy is the key.
For your furkid I'd sincerely suggest asking the vet to give him fluids,
particularly if his bloodwork was that bad; it could only help and would
dilute whatever cellular toxins are in his system at this point.

Purrs for both of you,
regards,
Christine

> Despite what differences you and I have, the cats are what matter here.
> I urge you to go to http://www.felinecrf.org and learn as much as you
[quoted text clipped - 54 lines]
>
> - W.H. Murray
Howard Berkowitz - 08 Oct 2004 06:13 GMT
>  Dear Helen,
> The site mentioned below on feline crf  is an excellent one!  I know that
[quoted text clipped - 19 lines]
> particularly if his bloodwork was that bad; it could only help and would
> dilute whatever cellular toxins are in his system at this point.

I hope I'm not being too pedantic, but it's worth understanding that
there aren't special toxic substances, but a problem of excreting the
normal products of metabolism such as urea and creatinine. There's a lot
of alternative medicine that overly focuses on "purifying" when the
actual problem is more of adequate excretion. I can't think of any
chemical involved in normal metabolism that can't cause disease when it
gets out of the normal range.

Treating renal failure is more a process of getting things into normal
balance than it is removing a foreign substance.  It also should be
understood that the kidneys have a very major role in controlling both
blood pressure,and in fluid retention that could overload the pumping
ability of the heart. The problem is sometimes too much fluid, just as
much as it can be too little.
Christine Burel - 08 Oct 2004 13:59 GMT
Thanks, Howard for clarifying this as I knew when I was looking for the
right way to phrase the benefits of fluid therapy that I hadn't come up with
quite the right words.
Christine

> >  Dear Helen,
> > The site mentioned below on feline crf  is an excellent one!  I know that
[quoted text clipped - 34 lines]
> ability of the heart. The problem is sometimes too much fluid, just as
> much as it can be too little.
jXwXeXrXmXoXnXt@sonic.net - 08 Oct 2004 00:43 GMT
> it's very possible that Francis could have a good quality of life for
> some time if he is managed well and sub-q fluid therapy is implemented.

I very strongly agree with this - as I stated before, I had a cat with
CRF and she lived for 5 years with the condition (from age 16-21) getting
sub-q fluids as needed (sometimes more frequently, sometimes less so).
It's really an amazing treatment, sometimes referred to as "kitty dialysis".
Did wonders for Tika, who'd perk up within an hour or so of getting the
fluids every time.

I didn't realize it wasn't a common treatment in the UK. Helen, I think
it would be a really good idea to try to find a vet who will prescribe the
fluids. It might make a very big difference in his overall prognosis as
well as the quality of his everyday life, however long he has.

Joyce
JBHajos - 08 Oct 2004 00:58 GMT
> > it's very possible that Francis could have a good quality of life for
> > some time if he is managed well and sub-q fluid therapy is implemented.
>
>I very strongly agree with this - as I stated before, I had a cat with
>CRF and she lived for 5 years with the condition (from age 16-21) getting
>sub-q fluids as needed (sometimes more frequently, sometimes less so).

  I, too, agree wholeheartedly.  Our Philip lived from 16 to 20 on
Sub-Q fluids.  I do sincerely hope you can find someone, if not your
own vet, who can do this for you and Francis.  We care.

  Jeanne
Jeanne Hajos
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===
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Howard Berkowitz - 08 Oct 2004 06:08 GMT
> Despite what differences you and I have, the cats are what matter here.
> I urge you to go to http://www.felinecrf.org and learn as much as you
[quoted text clipped - 7 lines]
> with numbers "off the scale" home with nothing but prescription food and
> a pill (and why an ACE inhibitor?)

ACE inhibitors, certainly in humans, are often used in even light renal
disorders. Without going into all the physiology of the
renin-angiotensin system, controlling angiotensin II levels is important
both for the kidneys and blood pressure.

Fluids certainly have their role, as can diuretics and diet.

>If your cat is that ill with numbers
> through the roof he likely has "crashed" and if he has crashed you're
[quoted text clipped - 3 lines]
> toxins out of his bloodstream, then put on a regular regimen of at-home
> sub-q fluid therapy to try to maintain him and keep his numbers down.

Presumably one has to learn the significance of electrolyte
concentrations and ratios?  As well as specific feline renal failure
sites, some reading in a good physiology textbook (Ganong's review book
is excellent, from Lange Medical Publishers) will give a good deal of
insight.
Yoj - 07 Oct 2004 22:42 GMT
> Firstly a *huge* thank you to everyone who has posted good wishes for Francis.
> I *really* appreciate this so much.
[quoted text clipped - 25 lines]
>
> Cheers, helen s

Luckily, both my cats loved the dry food that was prescribed for
Skeeter.  However, my vet told me that the important thing is that they
eat.  She suggested that I go to the pet food section and "buy one of
everything".  Baby meat is also okay, if it doesn't have onion in it.
Good luck with finding something Francis will like.

Joy
Singh - 08 Oct 2004 04:18 GMT
Big, loud kitty purrs heading across the way for you and Francis both. I've dealt
with renal failure in my dear Fritzie. The stubborn boy held out almost two years.
Never give up the faith and hope. Francis can feel it if you do.

As to that jackass who so callously suggested immediate euthanasia without your
presence? I hope you have a good pair of Army boots because if it were me, I'd
strap them on and give him a good swift kick where the sun don't shine!

Talk to your vet about spiking the prescription food with a bit of fat-free beef or
chicken broth. Fritzie was diabetic and we were taking steps to stave off renal
failure, and boy did he detest that food! The vet suggested mixing a shotglass
worth of broth in the canned food, and putting enough into the dry to moisten it
and give it flavor. Francis might also appreciate it if you got two different kinds
and blended them. Often that was the only way to get Fritzie fed, because he was
pricky and demanded variety. That was my fault, because Mama spoils her babies!

Blessed be,
Baha

> Firstly a *huge* thank you to everyone who has posted good wishes for Francis.
> I *really* appreciate this so much.
[quoted text clipped - 31 lines]
>
> --Due to financial crisis the light at the end of the tunnel is switched off--
LOL - 08 Oct 2004 06:27 GMT
> Firstly a *huge* thank you to everyone who has posted good wishes for Francis.
> I *really* appreciate this so much.
[quoted text clipped - 25 lines]
>
> Cheers, helen s

We're purring hard for Francis to have a long and happy time with you still to come.

------
Krista
dirtylitterboxofferingstospammers - 08 Oct 2004 10:06 GMT
>We're purring hard for Francis to have a long and happy time with you still
>to come.
>
>------
>Krista

Thanks Krista. He's okay again today.

helen s

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--Due to financial crisis the light at the end of the tunnel is switched off--
Debra Berry - 08 Oct 2004 17:08 GMT
I'm so glad to hear that Francis has perked up with his medicine and
steroid injection.  We continue to purr for his health and comfort.

Debbie and the fur girls (Daisy, Anna, Sabrina, Patty)
dberry@mitre.org

> Firstly a *huge* thank you to everyone who has posted good wishes for Francis.
> I *really* appreciate this so much.
[quoted text clipped - 31 lines]
>
> --Due to financial crisis the light at the end of the tunnel is switched off--
Helen Wheels - 09 Oct 2004 14:15 GMT
> Up shot - Francis has had a steroid injection (which has perked him up
> noticeably in 24 hrs). He can have these again when needed. I've also got pills
> to give Francis one a day, which are for heart conditions in dogs & renal
> failure in cats - ACE inhibitors.

Best wishes for Francis to feel better soon - it may take a little while
for things to settle down, so don't give up. Re the ACE inhibitor pills,
my Simon did well on them for 2 years after he was diagnosed, and they
were a _good_ 2 years. Don't know what to suggest about the food - we
all know how picky cats get. My own feeling was that it's better for
them to eat something than nothing.
SUQKRT - 09 Oct 2004 18:23 GMT
>Francis was a completely different cat with Mr Kennedy, who is an incredibly
>humane and compassionate vet. I have made a formal complaint (in writing)
[quoted text clipped - 3 lines]
>saying Francis was dangerous and I could not be with him when he was
>euthanised...

I wonder why the first guy became a vet? He doesn't sound like he cares or has
any compassion.
Suz
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Waiting for inspiration. Please hold while I contemplate my navel.

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Jean Hobbs - 13 Oct 2004 08:11 GMT
Th
> Firstly a *huge* thank you to everyone who has posted good wishes for Francis.
> I *really* appreciate this so much.
[quoted text clipped - 31 lines]
>
> --Due to financial crisis the light at the end of the tunnel is switched off--
 
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