Vincent’s updates

I’ll continue from where we left off – We thought Vincent was vomiting water. Finally, I found out that all those pools of water was not vomit, but urine. Vincent’s urine is all clear because of the kidney failure, so it’s hard to tell whether it’s water vomit or urine. There is also absolutely no smell.

We saw him urinating on that very spot, so that’s how we knew.

I’d like to believe that Vincent is urinating there to show me how much urine he can still produce. Previously, he would use the litter box or urinate by squatting at the drainhole of each toilet’s shower area, but if he did that, I won’t be able to monitor the amount of urine output. And it’s important that I do, because one of the dreaded “final stage” of kidney failure is the inability to produce urine. I dread thinking of this eventual day.

This is my first experience with chronic kidney failure. It’s very daunting and definitely not easy. There is nothing to look forward to. One has to really, really “live in the moment” and appreciate every moment when all seems well.

But then again, if you think about life – it’s also the same, isn’t it? Who gets out alive?  Who doesn’t die?  We are all born to live and then die. Death is the only certain thing in life. There’s really nothing so great about being born – we will die. It’s just that we do not know when it might happen. Anyone, young or old, can get knocked down by a bus and die. So, what do we have to look forward? Actually, nothing. This means, living in the future is futile. All we have is this very moment. Just appreciate this moment and live life to the fullest and that would be quite enough.

Animals live in the moment. They are so wise. They do not overthink like we humans.

So, let’s get back to Vincent….in the moment.

Yesterday, he gave me a fright because he rejected breakfast. Oh no…I thought, “Is this it?”

Thankfully, after I came back from work, Vincent was there at the door and he trotted into the kitchen to ask for food. And he ate. Oh, yay! And he ate and ate for the rest of the day.

I actually don’t dare to weigh Vincent. When I carry him, sometimes he feels lighter, but I did pluck up courage and weigh him a few days ago and it was 3.5kg. What a relief! 3.5kg is still good.

We also have not been to the vet’s for many weeks now. I don’t think I want to know the numbers. It would only make me sad and Vincent is so sensitive and perceptive, so it’s not necessary to know the numbers UNLESS some good can come out of it.

Since Vincent hates having a syringe (or anything forcibly put) in his mouth, I figured Kaminox just causes him more stress. But Vincent needs Kaminox especially for the iron, so to do that, I give him his favourite raw liver.

Previously, Vincent would only eat the liver and not the hearts, but just two days ago, he is willing to also eat the hearts, so at least that’s more balanced now. Hopefully, this will give him the extra iron that he needs. Kidney patients suffer from anaemia because the kidney can no longer produce the hormones needed to make blood. Iron is needed to make blood. Vincent had a course of the Darbepoetin jabs which, thankfully, helped.

As you know, he changes “nest” every few days. So, lately, he has gone from one corner in the upstairs family hall to three corners now. Hopefully, he keeps to these corners and don’t go under the bed!

The only medicine Vincent takes these days is the Fortekor. He likes the taste. Other than that, it’s, of course, the daily subcut (220ml) and FOOD….as often as he wishes.

Meanwhile, I chanced upon two vets who were interested in nutrition, so I’ll share whatever I’ve learnt in another instalment.

Have a good day, everyone. No, have good moments!  That would be enough.

2 comments to Vincent’s updates

  • Catherina

    Dear Dr,
    When my cat Tommy was diagnosed with CKD in ard Jun 2017, the vet had advised he must be fed with low protein diet. This is because high protein diet will cause the kidney to do extra work. He was fed Renal and KD from Hill’s Prescriptiond. Occassionally i will give him his favourite chicken and fish. But sadly, cats with CKD will eventually developed heart n lungs problem. Later we found out that he had a heart was abnormal and his lungs are full of fluids. Dr had informed that there will be a high chance that he will have heart attack. Finally, on that faithful day of 3 Dec 2018, I lost Tommy to heart attack. It had been 2 months since his sudden passing but i still miss him very much.

    • chankahyein

      Thank you for sharing, Catherina. My deepest condolences on your loss.

      From my very limited reading, holistic vets suggest “high quality” protein for CKD patients and some of our local vets now agree too. Not “high protein”, but “high quality protein”.

      We will never know for sure what works and can only try, but as long as our pet is happy and reasonably well in the moment, I guess that’s all that really matters.

      In any case, Vincent simply refuses to eat any prescription diet. I’ve tried, but he hates it. It comes to a point where, as Dr Karen Becker and Dr Lisa Pierson both agree, we must respect our pet.

      Vincent was diagnosed with CKD in July 2018. He was in dire straits at that time. After a lot of trial and error, he seems to be in much better spirits now but I have no doubt that the kidneys are deteriorating and his previous blood test shows this. We have no control over that. Life sucks.

      The reality is that everyone will die one day and all we can do is try our utmost to make each moment as happy as we can, for them, not for us.

      Again, thank you for your concern and so sorry for your loss.