Liver Disease, Kitty in Hospital

violentdayzie

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Hi,

First post, but I think I've read everything ever written in the history of words on cats and their livers - a good part of it here on this site.

I'm not really looking for advice so much as commiseration and support, but I am, of course, open to advice.

My darling Miss Moneypenny, who has moved with me through three states and been my surrogate child and best friend through the last three years (she's five now - I adopted her at 2) is at the vet's office for the next three days. I am very sad.

I came back from a week out of town for spring break to find that she had lost a significant amount of weight and wasn't eating. I had a friend caring for her while I was gone, but he isn't a cat person and isn't to blame for not noticing that anything was wrong. Went to the vet the day after I came back, and she'd lost FOUR pounds since her last vet visit. Clearly she didn't lose this in a week - I must have just not noticed it before I left. Her lab results were absolutely abysmal, with ALP/ALT through the roof, low WBC, a small bladder and ketones in her urine (but a perfect blood glucose, so we're not looking at diabetes at this point.) It seems she had an infection of some kind (probably urinary) and that plus the stress of my being gone pushed her into liver disease - unconfirmed conclusively, but she was very jaundiced and we're looking at hepatic lipidosis as the most likely culprit.

Due to being a full time student on a very limited income, I elected to take the middle route in treatment first to see if we could get her eating on her own. I am not totally unexperienced with cats, and realized that this was not likely going to be our final solution, but I had enough hope to at least try some homecare first. $500 later (including all the tests and medications), she had some subq fluids, an antibiotic shot, and came home with some further oral antibiotics and demosyl to boost her liver. For four days, we kept up that regimen, but by Saturday I'd resorted to supplementing her VERY light eating with some syringe feeding (which she takes like a champ, she's not easily stressed by that sort of thing) and on Sunday night she vomited bile. So..... off to the e-vet we went. Another $400 for IV fluids overnight and medication. I didn't sleep much without her here.


This morning I picked her up from the e-vet and he said the fluids had really perked her up and she looked much better than she had when she came in. Off we go to the regular vet, and she is now staying with him for 3 days to continue flushing out her system with IV fluids - then we'll see where we go next. I'm scrounging up all funds that I can get my hands on, as just this is going to be at LEAST another $300 - and who knows where we will be after that. I feel a gastric tube in her future, and I have absolutely no idea how to get the money for that. My vet knows my situation, and is an absolute gem of a man who is working with me to the best of his ability. As a former vet assistant, I've offered to volunteer my feeding/watering/cleaning skills, but the economy has him OVERstaffed, so no dice.
We will work something out. I have some things I am gathering to sell, and in contact with my parents to do everything financially possible at this point - but I'm scared and sad that I am going to lose my sidekick.

People who are completely clueless as to how TREATABLE liver disease is are breaking my heart even more by trying to tell me to just let her go. I know they mean well, but I don't understand why people would even presume that sort of thing is ok to say!

So, people of thecatsite, I turn to you.

Can I have an e-hug?


 

lynsgems

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good luck to you................. and best wishes to your kitty.
Those emergency vets can do a major job on the savings account (we all know we need them!
) but it sounds like you're getting the best available care for her.
 

orpheygene

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(((((((((((( )))))))))))))) Is that how you do it?

I'm so sorry for what you're going through. Totally understand the need to do all you can - however much it costs. I spend a fortune on three years of chemo for my late kitty Serena and it bought her three great happy healthy years so I never regretted the expense. Your baby is very lucky to have you. Keep us posted.
 

strange_wings

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If you care to, you could share all of her labs results with ranges. Someone on here may be able to offer some suggestions if they've been down that path.
Since she vomited bile.. have problems with the biliary system been completely ruled out? (speaking from personal experience, my liver not a cats, a blocked biliary duct and inflammation can really mess with the liver and cause some pretty rough symptoms)

Have you looked into carecredit? And did you ask your vet if they know anyone at all in the area that could use someone with your experience with animals? Even if it's at a kennel or working with larger animals.

Your kitty is young, yet, shame on people for telling you to give up on her so early.
 

clixpix

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I know what you're going through!
I didn't share much about this, but with a few people here, but just before Christmas I nearly lost my JinJin to hepatic lipidosis. Why she had not eaten enough is still a mystery. Because she is semi-feral, I opted for home treatment. Every other day I gave her steroid/antibiotic injections, and fed her whatever I thought she would eat. A local pet store was nice enough to give my an array of samples, and we finally found a food she loved. She did pull through, and is right now playing with a puff ball at my feet.
To get an idea of how jaundiced she was, here is her picture from that time:



Lots of vibes for your kitty's full recovery!
 
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violentdayzie

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Thank you for your kind words. It means a lot to me to just read something positive right now.

strange_wings, I don't have a copy of her lab tests. I have been so scatter-brained with all of this that I didn't ask for a copy. I'm hopefully going to get a visit in tomorrow at some point, and I will try to get a copy then. I don't know if the vet has looked at anything related to the biliary ducts, but he may have.

As far as my asking him about work goes, it was sort of a barter arrangement I was looking for with him. I do have a part time job already on top of school, and I have 13 hour days most of the week. I was hoping that he might have let me work off some of the costs, but it would have been over a long period of time. I will speak to him about any suggestions he might have on that front - a housekeeper, or a babysitter, or a free math/science tutor. I know I'm reaching, but it doesn't hurt to ask, right? Care credit doesn't list him as a vet that uses their services on their website, and I know from past experiences applying with them for my own chronic health condition that I have not qualified before. These three days this week are something I should be able to get money for - and if he wants to do a feeding tube, I will figure out the next step then. I know that there are services online that I can try to apply for when that comes up.

Again, thank you. I get rambly when I'm anxious.
 
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violentdayzie

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Oh, wow, clixpix. That is a really yellow kitty! Poor dear must have been feeling really terrible. The picture on my first post is Miss Moneypenny just a few days ago. She looks like she had a wicked night out in town the night before, and was nursing a kitty hangover, which is what I've heard liver disease feels like in humans.

Thank you for sharing with me. It is certainly reassuring to hear your success story, and I appreciate it. I've been scanning the web for other success stories for the last week and using them to boost my confidence that we're fighting a WINNING battle.
 

carolina

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Here is the link to apply for carecredit it can help you a lot with your bills... Have you tried feeding her Hills A/D through the syringe? I am glad she is taking syringe feeding well... She should be eating roughly one can a day, make sure to discuss the qty with your vet before you take her home - A/D is great for syringe feeding...
A feeding tube can be a life saver for hepatic Lipidosis too, as it allows you to control exactly how much calories she eats a day, with minimum stress for the kitty. The one problem with the feeding tube, is getting her accustomed to eat on her own, but there are ways to keep her interested on food regardless of the tube.
The best medicine for HL is eating, so you will be ahead of the game with a kitty who takes force feeding well...

You can have plenty of e-hugs from us.... Please stick around and let us know how your little one makes out of this :hu gs:
 
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violentdayzie

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Carolina, I just wanted to quote this from my reply to strange_wings. I didn't want to retype it, but didn't want you to think I was ignoring your post. We hadn't gotten a prescription for A/D when she was home the first time, because she was still eating at that point. When I get to take her home next, I'm positive it (or another rx food) will be included in her care.

Thank you for the reply, and I will definitely post updates here. I'm sure my facebook friends are getting overwhelmed by my status updates there, and having a community here will be a much better place to vent.

Originally Posted by violentdayzie

Care credit doesn't list him as a vet that uses their services on their website, and I know from past experiences applying with them for my own chronic health condition that I have not qualified before. These three days this week are something I should be able to get money for - and if he wants to do a feeding tube, I will figure out the next step then. I know that there are services online that I can try to apply for when that comes up.
 

strange_wings

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I'm sorry carecredit isn't an option - and that you've been down that path where you really needed it before (and were denied).


What I meant, about asking other places with animals, is mostly if they needed someone for early morning cleaning. I don't know your work or school schedule, though, or whether you could physically handle early mornings on top of everything else.


I hope something comes along soon and that your vet can give you at least some suggestion or bit of good news tomorrow.
 

hissy

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it is beatable, but it takes a lot of dedication to get a kitty over liver disease. Been there several times myself and if you need to just talk or throw things send me a PM. Your kitty sounds like a fighter. I highly recommend MaryJean Ballner's book Your Cat Wants a Massage- the stimulation of certain massage techniques can get a kitty to eat when all else seems to be failing.

CareCredit can be a good thing, or it can really mess you up financially. Whoever is considering this option remember to read all the fine print before you sign.

Good luck with your kitty- she's lucky she has you in her life.
 

xocats

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"Your Cat Wants a Massage" sounds very interesting MA. Thanks for the link. I just might try cat massage on Isis and Dexter.

Sending vibes that Miss Moneypenny begins moving toward a complete recovery.
 

otto

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{{Hugs}} for you Voiledtdayze, and gentle skritches to Miss Money Penny, she is very beautiful, thank you for ahring her with us. I'm sure it is very lonely at home without her. When you visit today bring in a shirt that you have slept in, so she has something with your scent on it. Nothing of value, as you may not get it back.

How wonderful you are to go the distance for her. Miss MoneyPenny is is good hands I can tell. Please do post here as often as you like. TCS is a great place for support, we all care about your kitty even though we've only just met her, and about you too of course.

My Tolly is on Denosyl for liver damage, though his was brought on by medication (he takes phenobarbital for seizures). He isn't having biliary issues yet, but if Miss MoneyPenney is you might ask about switching to Denamarin (which is denosyl with milk thistle)

PS I LOVE your positive attitude! That's half the battle!

.
 

snickerdoodle

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Keep that positive attitude, it really IS half the battle as was said. I am so sorry you are going through this. I am going through CRF with my furbaby, and it's really difficult when you have others who don't understand and don't have the information that you have. I'm glad you're here, these people here are very loving and supportive. I couldn't half done most of anything I've done without them!
Love, thoughts and prayers for you and your kitty
 

blueyedgirl5946

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Sending hugs and get well wishes for Miss Moneypenny. I am sorry you are giong through this. You are blessed to have such a good vet working with you. Take one day at a time and try not to worry.
 

tamarae

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Hugs for you and Miss Moneypenny. My Abbey went through a liver infection of some sort when she was about that age, and after much worry and heartache (and fluids and forcefeeding and stress) she did pull though and has done great.

I hope your Miss Moneypenny is feeling better today.
 
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violentdayzie

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Thank you all again for the well wishing.

She's deteriorating further at this point and has been vomiting bile again.

I'm going to throw in some applications for financial aid around various charities I can find on the internet, and the vet is trying another drug today to see if that does anything. This will also give me a chance to see if there's any financial help I can use.

He's not talking HL anymore. He said there might be a blockage in a bile duct, but there's really no way to check unless I get her to a specialist in the area or have someone come in for an ultrasound. So, we're still without any real definitive diagnosis. I've asked about a feeding tube again, but there is something more sinister here than even HL going on that a tube won't help.

I got a hold of her records to help with my applications for aid, and I'll post her lab results below. Keep in mind that these are from last week, and her condition has worsened since then.

Urine: Large amounts of sludges, cocci, RBC's; Moderate amounts of crystals, GLU 100mg/dL, BIL Large, KET 15 mg/dL, SG 1.020, BLO Small, pH 6.5, PRO >=300 mg/dL, URO 4.0 E.U/dL, NIT Negative, LEU Large

Bloodwork: I'm just noting the ones that are listed as abnormal, but there are other values on here.

Globulin 5.4 HIGH (s/b 2.3-5.3)
ALT 156 HIGH (s/b 10-100)
Alkaline Phosphatase 460 HIGH (s/b 6-102!)
Total Bilirubin 2.4 HIGH (s/b 0.1-0.4)
CPK 960 HIGH (s/b 56-529)
WBC 3.3 LOW (s/b 3.5-16.0)
HCT 2.6 LOW (s/b 29-48)
Neutrophils 2211 LOW (s/b 2500-8500)
Lymphocytes 858 LOW (s/b 1200-8000)
Platelet Count 40 LOW (s/b 200-500)
Negative FeLV, FIV
FCV <1:400
T3 20 LOW (s/b 40-150)
T4 / Free T4 normal

She's been on Denosyl, Clavomox, have a shot of another antibiotic that I can't read the name of, IV fluids, Famotidine, and now Metoclopramid. Pardon my spelling errors. His handwriting is horrible.

I'm still trying to stay as positive as I can, but I'm really struggling with that. When I got to see her, she was still trying to roll over for belly rubs with her buster collar on and the IV in, and the vet techs have noted that she is still loving on them to the best of her ability, but she's very depressed and clearly a very, very sick cat. I'm going to bring in a litterbox sample from my other cat (who is healthy) as well as call the apartment complex to see if they've sprayed anything in any of the neighboring apartments that might have come through the walls or the floor, just to rule out anything environmental.

I'm trying to prepare myself for there being a very difficult choice in our near future. I don't want her to keep becoming more miserable by the hour, and she is simply not responding to anything we've tried.

I should probably eat something myself before I have to go back to school and drag myself through a biology lab that I really don't want to be there for.
 

strange_wings

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Originally Posted by violentdayzie

He's not talking HL anymore. He said there might be a blockage in a bile duct, but there's really no way to check unless I get her to a specialist in the area or have someone come in for an ultrasound. So, we're still without any real definitive diagnosis. I've asked about a feeding tube again, but there is something more sinister here than even HL going on that a tube won't help.
See - I figured something like that because when I had a stuck stone I vomited bile, too. Her blood work doesn't look too different from some that I've had.

We do have a member around here somewhere that had a cat with gallbladder problems.
iirc they tried or had to put her cat on ursodiol to try to dissolve any stones/keep the bile thin even though I think I remember they did remove the gallbladder. (no idea how well ursodiol works, I wasn't on it long enough myself)

Does he know of a specialist in the area you can go to or they can call over? If so, will you try to push forward with that soon?
 
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