Cat Forum / Cat Anecdotes / October 2004
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
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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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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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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.
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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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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 Macmoosette Thank Heavens There's Only One =^..^= =^..^= =^..^= =^..^= =^..^= =^..^=
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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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