Vincent’s prognosis, back from clinic

We made the trip to the clinic this morning. I decided not to do the subcut yet and thought I’d do it after the visit.

However, the vet found Vincent severely dehydrated and the subcut had to be done immediately at the clinic. It was 300ml too, due to the severe dehydration.

Vincent’s muscle wastage is also very severe.

He was given his second Darbepoetin jab and the B12 jab.

A urine sample was taken by expressing his bladder and his proteinurea is extremely high. This comes as no surprise as evidenced by the severe muscle loss. Despite eating protein, I guess practically all the protein is leaking out.

A blood test was done to determine his PCV and it was very low at 11%. Last week it was at 15%. This means that the first Darbepoetin jab did not work. Vincent is very anaemic now and this is why he very lethargic.

His phosphate level is also high, and so is the urea (due to the dehydration) but the creatinine level is “okay” at 224. Despite being CKD, Vincent’s creatinine level had never been alarming.

The vet checked Vincent’s mouth and most of his ulcers have healed though not entirely. However, he has two rotten teeth and the bone is exposed. These must have been causing him pain. Unfortunately, the teeth cannot be removed without sedation and there is no way Vincent can be sedated.

Vincent only weighed 2.3kg today. He was 2.9kg about 10 days ago when he was hospitalised. This is a very significant weight loss.

The prognosis is very poor.

Of course we already know this, judging from the massive muscle wastage and the clinical signs, especially the lethargy.

The vet already did not expect Vincent to last through last Saturday. We know it isn’t good.

I asked the vet to please feed the 1/4 tablet of Fortekor and 1/4 tablet of Alucid (to control the phosphate).

Kidney disease is such a debilitating ailment, both for the patient and the caregiver. It takes a tremendous emotional toll on the human caregiver, because we “know” so much and have access to so much information.

We bought some chicken from a nearby coffeeshop.

When we came home, Vincent knew there was food for him, so he came in excitedly to the kitchen to wait for it.

He ate the chicken quite happily.

He is now resting in the bathroom.

Life is so imperfect and merciless at times. But that’s just the way it is and we have to cope as best we can.

2 comments to Vincent’s prognosis, back from clinic

  • Lay Cheng

    Dear Dr Chan,
    I’ve been following your postings on Vincent lately – one thing I can say is that he is trying to cope with his condition and he is definitely happier (without the cone & tube) and this wouldn’t be possible without you. Tough times don’t last but tough people do. Rest when you can and give it your all to the very last.