I Just Need To Vent

RagdollsApArt

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Hello fellow cat people!

I haven’t posted much here but I’ve been following the forum religiously since I got my 2 ragdoll kitties a couple of years ago. Recently I posted about Apollo’s urinary issues, namely FIC. This time, I am posting because I really need to vent about the care Apollo received during a recent visit to the out-of-hours vet surgery. I know people here will understand why I am frustrated and if I’m wrong, I know it’ll be pointed out to me -which is part of why I love this community!

So, Apollo has had recurrent bouts of cystitis since August. He’s had investigations in February (bladder and kidney ultrasound and x-Ray, cystocentisis, blood panel, etc) that revealed no issues, so by exclusion he was diagnosed with idiopathic cystitis.

Fast forward to last Friday, Apollo had blood in his urine again. He was otherwise his usual self, eating and drinking normally, playful and cuddly as always. So I upped his Cystease from 1 capsule daily to 2 and monitored his litter box habits. He wasn’t visiting the litter box any more often than usual and he didn’t have any “accidents” outside the box. All good. Still have him Tramadol and Hypovase, as per his vet’s instruction, in case he is in pain and hiding it. On Tuesday evening, he went in the litter box and had a small pee, then came out and back in again but this time he didn’t produce anything. That had me a bit concerned. About an hour later, he stuck his head in the litter box (it’s covered) but didn’t go in. He loafed on the mat in front of it. All these behaviours are unusual for him so I got really stressed out thinking his urethra has blocked. I phone the emergency vet immediately, as his normal practice had closed for the day and they told me to bring him in and he’d be seen immediately. Indeed we went and they took Apollo literally from the entrance to the exam room in seconds. So far so good.

The vet examined Apollo thoroughly and told us that his bladder was soft and empty but when she palpated his colon it appeared to have some poo in there, so she concluded that the odd behaviour was constipation. I sighed with relief and I also thought that his poo just cost us £200! But then the vet said she wants to give Apollo some pain relief. I told her that we already give him Tramadol but she insisted that she should give him an opioid injection to ease the discomfort from the constipation. I did ask if this was necessary, as it seemed a bit of an overreaction to me, to give opioids to a constipated animal -given that he had pooed normally the day before. She insisted that it was in his best interest so of course I agreed. He was given buprenorphine.

Oh my God, he went absolutely crazy when we took him home. It was as though he was seeing things, he was going from chasing invisible things in the air, to standing in the middle of the room with a blank stare. He didn’t sleep at all during the night, he was growling every time us or his sister went anywhere near him, he didn’t eat or drink anything and didn’t visit the litter box either. It wasn’t until the afternoon of the next day that he calmed down, ate and went to his litter box -everything normal. And now I’m thinking that I added to his problems by taking him to the vet with a mild discomfort from constipation and causing him such huge upset. I know cats hide pain well, but I’ve seen him in pain and I know that he wasn’t suffering on Tuesday; he might have been irritated because he tried to poop and couldn’t a couple of times but it seemed to be that the reaction to the injection was so much worse for him. I already had him on Tramadol and Hypovase for the cystitis anyway, I can’t shake the feeling that the vet was just looking for a way to charge us more. I know, I know, this was not the case most likely, I don’t want to believe that vets do not have their patients’ best interest in mind first and foremost.

I guess part of why I am upset is because my beloved cat has a potentially life-long condition and the thought that every few months he will be subjected to situations like these breaks my heart. I may not be thinking rationally after all.

Thank you for reading this and sorry for the long post. Obligatory cat photo:

C98B40F6-023F-4892-8640-643484DD299F.jpeg
 

amandag1

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Hello fellow cat people!

I haven’t posted much here but I’ve been following the forum religiously since I got my 2 ragdoll kitties a couple of years ago. Recently I posted about Apollo’s urinary issues, namely FIC. This time, I am posting because I really need to vent about the care Apollo received during a recent visit to the out-of-hours vet surgery. I know people here will understand why I am frustrated and if I’m wrong, I know it’ll be pointed out to me -which is part of why I love this community!

So, Apollo has had recurrent bouts of cystitis since August. He’s had investigations in February (bladder and kidney ultrasound and x-Ray, cystocentisis, blood panel, etc) that revealed no issues, so by exclusion he was diagnosed with idiopathic cystitis.

Fast forward to last Friday, Apollo had blood in his urine again. He was otherwise his usual self, eating and drinking normally, playful and cuddly as always. So I upped his Cystease from 1 capsule daily to 2 and monitored his litter box habits. He wasn’t visiting the litter box any more often than usual and he didn’t have any “accidents” outside the box. All good. Still have him Tramadol and Hypovase, as per his vet’s instruction, in case he is in pain and hiding it. On Tuesday evening, he went in the litter box and had a small pee, then came out and back in again but this time he didn’t produce anything. That had me a bit concerned. About an hour later, he stuck his head in the litter box (it’s covered) but didn’t go in. He loafed on the mat in front of it. All these behaviours are unusual for him so I got really stressed out thinking his urethra has blocked. I phone the emergency vet immediately, as his normal practice had closed for the day and they told me to bring him in and he’d be seen immediately. Indeed we went and they took Apollo literally from the entrance to the exam room in seconds. So far so good.

The vet examined Apollo thoroughly and told us that his bladder was soft and empty but when she palpated his colon it appeared to have some poo in there, so she concluded that the odd behaviour was constipation. I sighed with relief and I also thought that his poo just cost us £200! But then the vet said she wants to give Apollo some pain relief. I told her that we already give him Tramadol but she insisted that she should give him an opioid injection to ease the discomfort from the constipation. I did ask if this was necessary, as it seemed a bit of an overreaction to me, to give opioids to a constipated animal -given that he had pooed normally the day before. She insisted that it was in his best interest so of course I agreed. He was given buprenorphine.

Oh my God, he went absolutely crazy when we took him home. It was as though he was seeing things, he was going from chasing invisible things in the air, to standing in the middle of the room with a blank stare. He didn’t sleep at all during the night, he was growling every time us or his sister went anywhere near him, he didn’t eat or drink anything and didn’t visit the litter box either. It wasn’t until the afternoon of the next day that he calmed down, ate and went to his litter box -everything normal. And now I’m thinking that I added to his problems by taking him to the vet with a mild discomfort from constipation and causing him such huge upset. I know cats hide pain well, but I’ve seen him in pain and I know that he wasn’t suffering on Tuesday; he might have been irritated because he tried to poop and couldn’t a couple of times but it seemed to be that the reaction to the injection was so much worse for him. I already had him on Tramadol and Hypovase for the cystitis anyway, I can’t shake the feeling that the vet was just looking for a way to charge us more. I know, I know, this was not the case most likely, I don’t want to believe that vets do not have their patients’ best interest in mind first and foremost.

I guess part of why I am upset is because my beloved cat has a potentially life-long condition and the thought that every few months he will be subjected to situations like these breaks my heart. I may not be thinking rationally after all.

Thank you for reading this and sorry for the long post. Obligatory cat photo:

View attachment 280497
What a beautiful kitty! But....honestly, I would try another vet in the future, but that's just me. Was he howling in pain while using the box, making any noises or seeming scared to use the box?
 
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RagdollsApArt

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What a beautiful kitty! But....honestly, I would try another vet in the future, but that's just me. Was he howling in pain while using the box, making any noises or seeming scared to use the box?
Thanks for replying!
No he wasn’t making any noises at all. The only thing that could be interpreted as fear is when he kind of stuck his head in the litter box but backed out instead of going in. I guess I might have overreacted myself, but it was due to the ongoing bout of cystitis -I wanted a vet to examine to make sure he wasn’t blocked.
 

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Don't worry about you overreacting. I personally think there is no such term when it comes to seeking vet care; you know your cat best and if you know something is off it probably is.

I don't think the vet was trying to make more money but I think they thought you were the normal cat owner. Most ER vets are going to deal with cats only when something is really really wrong. Most other cat owners aren't alert and by the time they see the vet the cat could be at death's door. I've heard people in the waiting room when I've gone asking the vet to just stabilize so their cat can get through the night and "they were fine until a few minutes ago". Usually when I see the cat I can tell on sight something is very wrong and I am not a vet (my boy has had six ER visits in five years so too much of that). So the vet was probably thinking the situation was worse then it was.

I personally say no to any opiod because Link does NOT handle them well. What you described is Link anytime he is on one. With him, unless it is really really really bad I will avoid it.
 
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RagdollsApArt

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Don't worry about you overreacting. I personally think there is no such term when it comes to seeking vet care; you know your cat best and if you know something is off it probably is.
Thank you for saying that.

I don't think the vet was trying to make more money but I think they thought you were the normal cat owner. Most ER vets are going to deal with cats only when something is really really wrong. Most other cat owners aren't alert and by the time they see the vet the cat could be at death's door. I've heard people in the waiting room when I've gone asking the vet to just stabilize so their cat can get through the night and "they were fine until a few minutes ago".
Wow, I never thought of it this way… You’re right, that’s definitely a possibility. I guess I wrongly assume that every pet owner has made the same choices as me, I took a good pet insurance when they were weeks old and take them to the vet at the first sign of trouble.

Usually when I see the cat I can tell on sight something is very wrong and I am not a vet (my boy has had six ER visits in five years so too much of that). So the vet was probably thinking the situation was worse then it was.
I am very sorry to her your boy has had some rough times. I hope he’s better now!

I personally say no to any opiod because Link does NOT handle them well. What you described is Link anytime he is on one. With him, unless it is really really really bad I will avoid it.
After seeing Apollo on opioids, I think I will try to avoid it in the future too!
 

Kieka

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I am very sorry to her your boy has had some rough times. I hope he’s better now!
Thank you, he is right now (knock on wood).

The last time was August/September of last year for an abcess that ended up leading into constipation (three ER visits, x-rays, an enema and an overnight stay on that one, yay). He is fairly healthy overall, just the world's biggest klutz cat and seems to do things in groups. The worst incident was when he had an abcess then two months later broke his leg, then two months later rebroke the same leg AND THEN twisted his cast while on crate rest (two surgeries, two ER visits and a weeks vet stay that time) in 2016.

He's practically a legend at his vets office for all the wrong reasons. Luckily he is a laid back guy and rolls with it so the time he had a vet visit every other week for six months was just stressful on my wallet. :doh2:

But just look at that face, totally worth it. :heartshape: although I would appreciate a year with no medical emergency.

IMG_20190406_144108.jpg
 

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I can’t shake the feeling that the vet was just looking for a way to charge us more. I know, I know, this was not the case most likely, I don’t want to believe that vets do not have their patients’ best interest in mind first and foremost.
I don't think the vet was trying to make more money but I think they thought you were the normal cat owner.
I was going to say that you're more charitable toward vets than I am, but Kieka Kieka has convinced me. What I will say is that you know your cats best; in any situation that isn't immediately life threatening, follow your insticts even if it means overruling the vet.

Don't worry about you overreacting. I personally think there is no such term when it comes to seeking vet care; you know your cat best and if you know something is off it probably is.
:yeah: Also, don't beat yourself up over this. No long term damage was done, which puts this in the category of "Cheap lessons." Apollo has probably already recovered from the trauma; knowing cats he won't even remember it. But you will, and will learn the appropriate lesson, because that's your job. Apollo's job is to be loving and adorable, and to keep you on your toes, and I'd say that he's doing it admirably.

Your cats are gorgeous, by the way.

Margret
 
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RagdollsApArt

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But just look at that face, totally worth it. :heartshape: although I would appreciate a year with no medical emergency.
1000% worth it, what a majestic, stunning boy!! :heartshape:

Also, don't beat yourself up over this. No long term damage was done, which puts this in the category of "Cheap lessons." Apollo has probably already recovered from the trauma; knowing cats he won't even remember it. But you will, and will learn the appropriate lesson, because that's your job. Apollo's job is to be loving and adorable, and to keep you on your toes, and I'd say that he's doing it admirably.

Your cats are gorgeous, by the way.
That’s a nice way of putting it, thank you!

~ :petcat: I give an eyedropper of olive oil if one of my cats is having trouble. It also helps pass any ingested hair.
Good to know! I’m Greek, so we’re never short of olive oil in my house! :D
 

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IMO vets are drug pushers and not the answer to a lot of situations.. Luckily I weeded out the arrogant ones and found one that I can trust.. Some just wanted to dope my cats up, I dont take that crap anymore...

I give my cat uromaxx everyday for his urinary health, it cured him last time.. This time hes off rx foods, so only time will tell how good it truly is
 
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RagdollsApArt

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IMO vets are drug pushers and not the answer to a lot of situations.. Luckily I weeded out the arrogant ones and found one that I can trust.. Some just wanted to dope my cats up, I dont take that crap anymore...
Unfortunately I haven’t found a vet I truly, completely trust. I don’t know if it’s because Apollo’s condition, idiopathic cystitis, and the fact that it is not completely understood, so vets have no choice but to take shots in the dark and hope for the best.

I give my cat uromaxx everyday for his urinary health, it cured him last time.. This time hes off rx foods, so only time will tell how good it truly is
Fingers crossed for your cat! Apollo has never liked rx foods, but given that his symptoms keep coming back despite all the other efforts we’ve made, I am going to persevere and try to get him on a urinary food exclusively for a while.
 

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sounds to me like your instincts were very sound.

your cat was acting pretty normal, no hiding or crying, and was already on tramadol - which when they gave it to my husband, had him flying very high - and the vet gave him a shot of more pain killers? i'd avoid that vet in the future no matter what. and as Margret said, "What I will say is that you know your cats best; in any situation that isn't immediately life threatening, follow your insticts even if it means overruling the vet."

do they have urologists for cats? i know they have cardiologists. or is there a veterinary college with some high end instructors who could see your cat or at least check his tests and stuff?

who knows if the vet was trying to charge more? my experience with human and veterinary doctors is that more aren't competent than there are good, experienced and observant doctors who really look and listen.

i'm so glad your cat is okay.

Fingers crossed for your cat! Apollo has never liked rx foods, but given that his symptoms keep coming back despite all the other efforts we’ve made, I am going to persevere and try to get him on a urinary food exclusively for a while.
are there things like cranberry extract that work for cats? i see cranberries in some dog urinary food. or maybe can acidifying the food help? maybe your vet knows...
 

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Dante has been to the emergency vet twice. The first time was for issues related to dehydration and the second for crystals.

The issues surrounding the dehydration were a lot of vomiting and lethargy. I had taken him into the emergency vet around 2 in the morning or so. Dante was obviously upset and in a bad state. The vet that looked him over ended up saying something that, to this day, makes me so angry it brings my own claws out: "Look at the bright side. If he dies, you can get a better behaved cat."

Needless to say, when he had his second late night issue, we did not go back to that particular emergency vet.
 

Leomc123

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What i dont understand from your vet is that, if the vet thought it was constipation, why didn't the vet provide a laxative to help soften the stools to assist your cat to actually go to the little box, your cat was already on pain meds anyways, and giving another pain medication wouldnt help constipation.

I agree with you when you say that they were looking to charge for something extra. Tramadol is a pain killer and then mixing buprenorphine with that probably added to the craziness your cat experienced he may have been on a high which lasts 8 hours. In humans the logic for constipation is to give a laxative to soften the stools, not to dose you up even further with a strong dose of opioid buprenorphine drug , with another dose of opioid (tramadol) which would have pushed your cat over the edge and could have caused a heart attack. I would find another vet.
 
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RagdollsApArt

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Get that furball some uromaxx...

.5ml twice a day in the mouth on the tongue not down the throat from the side
I already have him on Cystease supplement. Do you think Uromaxx is better? I might give it a go, thanks for the suggestion.

do they have urologists for cats? i know they have cardiologists. or is there a veterinary college with some high end instructors who could see your cat or at least check his tests and stuff?
I live in Scotland and there’s a Feline Clinic in the veterinary school in the university of Edinburgh, I looked it up and it turns out my regular vet can make a referral. Thanks for the suggestion, I think this might be our next step.

lThe vet that looked him over ended up saying something that, to this day, makes me so angry it brings my own claws out: "Look at the bright side. If he dies, you can get a better behaved cat."
I’m genuinely sorry you had to hear this in such a stressful time for you and your cat no less! You know what really annoys me? I work in (human) healthcare and if I even implied something along those lines for a patient, I would probably lose my licence. But somehow when a vet says it for a beloved pet, it’s OK. :argh:

In humans the logic for constipation is to give a laxative to soften the stools, not to dose you up even further with a strong dose of opioid buprenorphine drug , with another dose of opioid (tramadol) which would have pushed your cat over the edge and could have caused a heart attack. I would find another vet.
These were my thoughts too. I feel great guilt for not standing up to her and basically taking my cat away when the purpose of the visit was achieved, i.e.: the bladder was checked and it was soft and empty. But thanks to your comment and all the rest, I’ve gained a bit of confidence in my instincts and I’ll try to be a better cat mum in the future. :)
 

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I’m glad Apollo is fine and hope he lives a long healthy life.

About the pain medication ...... now I could be wrong and maybe it is fine if given via injection BUT opioids tend to cause constipation. So though I would have listened to her about maybe trying a little more pain medication, I wouldn’t have gone with an opioid. Perhaps you can look into some holistic ways to help him not be constipated? Also all those medications could be making him constipated.
 
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RagdollsApArt

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I’m glad Apollo is fine and hope he lives a long healthy life.

About the pain medication ...... now I could be wrong and maybe it is fine if given via injection BUT opioids tend to cause constipation. So though I would have listened to her about maybe trying a little more pain medication, I wouldn’t have gone with an opioid. Perhaps you can look into some holistic ways to help him not be constipated? Also all those medications could be making him constipated.
Thank you! :blush:

Overall, he doesn’t appear to have issues with constipation. Sure, sometimes he might “miss a day” but he is fairly regular 90% of the time, he even goes around the same time every day! But you’re right, all those meds we gave him for his cystitis flare-up might have actually caused the constipation. I have thought of a bit of olive oil and/or some sweet potato for when he seems to have issues.
 

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Unfortunately I haven’t found a vet I truly, completely trust. I don’t know if it’s because Apollo’s condition, idiopathic cystitis, and the fact that it is not completely understood, so vets have no choice but to take shots in the dark and hope for the best.
I have lost the trust in basically all vets after one of my Rainbow Bridge cats had a rare disease and none of them was able to spot and diagnose it. My cat risked her life because of the incompetence of many many vets. Only my stubborness allowed her to live longer.
The other cat had hyperthyroidism and the vets didn't want to treat her properly, until I took the situation in my hands.

Since then, my approach with the vets is to listen to them, then check it out on reliable web sources and read all there's to be read.

The cat with hyperthyroidism also suffered from bouts of pancreatitis and on one occasion she was given a shot of Tramadol, and I remember she was stoned for at least 36 hours...
 
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Leomc123

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well my cat MC 2 weeks ago was put down, when my dad took her to the vet for me for not wanting to eat or open her mouth so i could not see inside, i wanted to get a blood test done to see if it was a chemical issue but apparently they had a power outage or something, the vet called me on the phone at work , she then said she had a severe mouth infection and really damaged teeth and that teeth needed to be pulled out and injected her with an antibiotic, 4 days later i took MC back to the vet cause she still wasn't eating but drinking ,so i thought ok if she has bad teeth ill get her teeth done, when the other vet opened MC mouth on the saturday, she was surprised at what the previous vet had told me, because she had perfect teeth for a cat that is 19 years old, and there was no infection and antibiotic wasnt needed, and that my cat was dying from kidney failure. I was like WTF. And still there was no test done. but poor Mc looked miserable this first pic is 4 days later 30 th March 2019 the second pic is 4 days earlier 26th March 2019 . She didn't want to sit up just laid there on the table :sniffle:
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