First subcut for Pole and Cleo

After letting Pole and Cleo rest for a few hours, I decided to try the subcut for both just now. The vet had said perhaps it would be a better idea to do it tomorrow as today’s consultation took almost one-and-a-half hours, plus the waiting time. Blood was also taken and the ultrasound was done and the car trip was stressful too.

Pole and Cleo hardly ever travel in the car because they almost never got sick all their lives. It was always the boys who had to go to the vet. Not the girls. So I totally understand how traumatic and stressful today must have been for them.

The vet also said that if it’s not possible to do subcut for Cleo since she is so defensive and fierce, we could go with just a change to the renal diet.

But I know subcut helps, so I was game to try. I’ve seen how much it has helped Indy and Bunny’s CKD and I’m hoping it will do the same for Pole and Cleo too.

So just now, I got everything ready, with a size 19G needle (which is slightly thinner than the pink 18G). Then, I took Pole up first. I asked my husband to be on standby and to help hold Pole down when I pricked the needle. Pole seemed okay, but granted, she was nervous.

She kept trying to lean against the window. For a first-timer, I’d say she was really good about it.

We managed to do the full 150ml.

Next was Cleo’s turn.

Cleo let out a yelp when the needle was pricked. Again, I totally don’t blame her for it. It’s the first time for both of them. And by nature, Cleo and Pole are highly defensive cats.

Cleo kept trying to jerk away, hoping to jerk off the needle, but I managed to hold it down. I wouldn’t say it was too difficult.

So yes, we managed to do the full 150ml too.

I hope the next round on Wednesday will be easier. I also hope they will both get used to car trips since they would need clinic visits for follow-up.

Both are calm and resting now.

First subcut – done!

I guess Bunny, Indy, Pole and Cleo will need subcut for the rest of their lives since this is geriatric chronic kidney disease. Whatever it is, if we can keep them relatively happy and as healthy as possible with just subcut, without the need for medication and invasive procedures to enable them to lead as normal a life as they can, that would be a good thing.

For Pole, if hyperthyroidism is the cause of her kidney and liver condition as well as other hyperactive symptoms (like the rapid heartbeat), I hope the medication for hyperthyroidism will resolve everything. The vet also did not rule out hyperthyroidism for Cleo although there are no symptoms in her for now. We will do a follow-up in one-and-a-half month’s time and go from there.

Aging and sickness – there is no escape. It’s just the degree of discomfort, pain and suffering that comes with it.

As pet parents, of course we hope all our pets will go through their lives with minimal discomfort and pain. Let’s hope that they will never know that they are sick. Only we know and we make them as comfortable as possible, for as long as possible.

Cleo and Pole’s check-up (kidney issues and hyperthyroidism)

Six months ago, their SDMA readings were both normal, but their creatinine levels were on the higher end of normal.

I have also been rather worried about Cleo and Pole because I noticed both have been drinking water more than before. This is one symptom of possible kidney issues. Cleo also has been peeing more often than usual.

Pole also has been rather hyperactive and sometimes, we see her leg shivering.

So, we took both of them (with Ginger) to the vet’s today.

Cleo weighed 3.7kg today (a gain of 400g from 6 months ago). But her blood test showed an increase in the creatinine level (from the previous 188 to today’s 213). The SDMA was not done as the creatinine level already shows early kidney disease. The vet says it is not uncommon for geriatric cats to have this problem. Cleo is 12 years old. An ultrasound was done and there was some loss of structure in one of her kidneys. An ear-prick blood test was done to check for diabetes – it was negative.

The treatment for Cleo is 150ml subcut twice weekly, if possible. She is highly stressed, so the vet says if subcut is not possible, then a change to the renal diet is recommended. Coincidentally, Cleo has also been asking for the renal kibble lately, but I add some water to it for her. She has been very picky over food lately too. She used to be on fully Cubgrub previously but lately, she didn’t want to eat it anymore. Feeding her has been very challenging.

When the vet examined Pole, she noticed that her heartbeat was very, very fast (more than 200 beats per minute). We know Pole has always been a very nervous and jumpy cat. So, the vet wanted to check her for hyperthyroidism (the TT4 test).

Pole’s creatinine also shot up from the previous 155 to 251 and her ALT (liver reading) also went up from 175 to 257. These elevated readings also increase the suspicion of hyperthyroidism so the TT4 test was done and true enough, the reading was high (111).

So, it’s confirmed that Pole has hyperthyroidism and luckily we detected it today. The treatment is a transdermal Methimazole cream to be applied in the inside of the ear. Hyperthyroidism can cause kidney, liver and heart problems. It can even lead to blindness.

Pole’s kidney and liver issues are most likely due to the hyperthyroidism.

The vet explained that once the hyperthyroidism is treated successfully, the kidney and liver issues will also be resolved.

An ultrasound on Pole’s kidney also shows mild loss of structure in both kidneys. So, 150ml subcut twice a week is recommended. Again, the vet said that this is not uncommon in older cats. Pole is 13 years old. It happens. Aging and sickness – no one escapes it.

Looks like I would have to do subcut for four cats now (Bunny, Indy, Pole and Cleo). I am not sure if Pole and Cleo will allow me to do the procedure since both of them are highly sensitive.

I’ve never dealt with hyperthyroidism in cats before, though. Would have to read up on it.

One day at a time…

Ginger’s check-up at the vet’s

It’s been six months since Ginger’s last check up where his SDMA reading was 15 (0-14 is normal) but his creatinine was only 100 at the time so we did not start him on any treatment.

Ginger’s check-up was all okay except that he has gained too much weight. He is 6.6kg now and yes, he is obese and has to lose some weight. He also has some plague, so he would need Orozyme daily.

A blood test was done and surprisingly, the SDMA came down to 11 and his creatinine remained low at 95 today. So, based on the results, Ginger does NOT have any kidney issues. The SDMA reading is always read together and interpreted together with the creatinine and BUN readings.

It’s a relief!

But we would really have to work on his weight loss now.

Ginger, you are okay, but you have to lose some weight.

The thing is, Ginger doesn’t really eat that much. But he does like to nibble on snacks. I think we have to cut that down.

We also brought Cleo and Pole (next post).

Bunny & Indy’s check-up (after 6 months)

It was six months ago that Bunny & Indy’s SDMA tests showed early kidney degeneration. We started on twice-weekly subcut and have maintained that since then. Three months ago, the SDMA readings went down, which was good. The subcut sessions continued.

Today was their check-up after six months from diagnosis.

I was a little worried a few days prior, not knowing what the test results would be like. I guess it’s been quite a journey for me. First, it was Vincent’s kidney failure whose palliative care lasted nine months, then exactly after one month of Vincent’s demise, Zurik was diagnosed with FIP. That was so unexpected and his palliative care lasted four months. So, there has been no time for rest. It’s been a little over a month since Zurik’s passing.

This morning, I managed to get both Bunny and Indy into their carriers and off we went to the vet’s. Indy was mewing throughout the entire car trip and also while waiting for our turn.

Indy has also been having loose stools every now and then. Once, it was even blood-tinged. The vet checked his stools and did not see any worms or worm eggs. Indy was dewormed and the deworming will be repeated in two weeks. He was also given Promax, a probiotic paste, for 6 days after which we will continue with our own probiotics. Indy still has some redness on his gums above his teeth. But generally, his oral health is okay (he had 7 teeth extracted a few months ago). To address this redness, he will need Orozyme on a daily basis.

Indy’s blood test showed an improvement in the SDMA reading even though the creatinine is slightly higher than before (but still within the normal range). His SDMA reading today is 11, which is an improvement from the previous 13 (3 months ago) and 15 (6 months ago). I’m so relieved the subcut is working well for him. The SDMA measures the level of kidney injury. The simple explanation is this: Toxins destroy the kidneys, so by doing subcut, it helps eliminate toxins from the body, so the level of kidney injury will also decrease.

Indy weighs 5.8kg today, so that’s an increase as well (previously 5.4kg). The vet says weight gain is always good for any kidney patient. I’m rather surprised at the weight gain because Indy is an extremely fussy cat when it comes to eating.

Next was Bunny’s turn. Bunny weighs 5.8kg too, and this is also an increase from his previous 5.4kg. This comes as no surprise because Bunny is the food-vacuum – he eats up all leftovers.

Bunny’s ear was a bit dirty and upon checking, there were no ear-mites. So, it was just dirty!

Bunny’s blood test today also showed an improvement in the SDMA reading. Like Indy, his creatinine is also slightly higher, but the SDMA is 12 (which is normal now!). Bunny’s previous readings were 18 (6 months ago) and 15 (3 months ago). Like Indy, Bunny’s twice-weekly subcut sessions will continue.

So, the subcut sessions for both of them will continue until the next check-up.

I’m really relieved that both their SDMA readings have improved and are in the normal range now. However, it doesn’t mean that they don’t have kidney degeneration. They still do, but the subcut fluids is slowing it down and reducing the amount of injury to the kidneys. I’m glad they don’t have to be on any medicine/drugs at this point. Just fluids.

Bunny also had been having chronic eye discharge for years now. We thought it was probably due to blocked sinuses and left it at that. However, two months ago, the vet suggested we try PetDiatrics’ Ophtal (it’s an eye supplement). Initially, there was no improvement at all, but after one-and-a-half months, the discharge reduced until there was no more. Cow also started having eye discharge and I put him on Ophtal too. Cow showed improvement quite fast. I will most likely put Bunny on Ophtal on a long-term basis.

All is good for today!

Next will be Ginger’s check-up.

Back home…

Cow offering brotherly support for Bunny.

Double Charity Donation to Imm’s Shelter, Ipoh

Recipients: The dogs and cats at Imm’s Shelter, Ipoh
Donors: Kok Khee Wee, Ahmad Amir Kamil, Wan Tai Seng, NandaLeonie Hong Siew Lan, Jasmine Ee, In memory of Mr Chan Kam Loon (from his family), In memory of Vincent and Zurik.

The petfood:

Cindy’s Favourite cat canned food 400g
Tuna Chicken – 1 box
Mackerel Chicken – 1 box
Sardine Chicken – 2 boxes

Solid Gold Indigo Moon Chicken 3lbs – 1 pack

Monge Adult cat kibble 10kg – 1 pack

Alps Natural dog kibble 13kg
Turkey – 1 pack
Salmon – 1 pack

Alps Classic dog canned food (pate) 400g
Turkey – 1 box
Salmon – 1 box

We thank Avant Pet for the free delivery to Ipoh. The food arrived this morning.

About the Double Charity Donation:

Double Charity:
(1) donate petfood to shelter & street animals of your choice,
(2) proceeds go to neutering & vaccinating street animals.

Share our vision of giving quality petfood to shelter and street animals! They certainly deserve it.

Mickey learns to pray

Mickey’s mama is so delighted that Mickey accompanies her every day when she prays. He appears to be listening too.

Here’s a photo and a video.

Vaccination aid for 3 cats in Tanjong Karang (Nor Dalilah bt AB Rahman’s)

We have provided an aid of RM75 for the 2nd vaccinations of these 3 cats.

We also provided the aid for their first vaccinations:  

Last 31 august was the date for second vaccination for momi, caca and popo. Three of them are ex-strays and now stay with me.
Attached below is the picture of them.

Neutering aid for 1 cat in Tanjong Karang (Nor Dalilah bt Ab Rahman’s)

We have provided a full sponsorship of RM80 for the neutering of this cat.

Topi is a stray cat that comes and goes in my neighbourhood. He is a bit fierce. Since his habit of peeing around the house in my neighbourhood had started, people started complaining. So, i lured him into a cage n brought him to clinic for neutering. He will be released tomorrow because the vet supply him with antibiotics and inflammotary medicine for 6 days. I will feed him in my house compound when he comes around.

Neutering aid for 1 cat in Melaka (Yeow Mie Xi’s)

We have provided a full sponsorship of RM80 for the neutering of this cat.

This aid is sponsored by Avant Pet Sdn Bhd.

Hi Dr Chan, my name is Yeow Mie Xi.

I would like to apply neutering aid for a female cat. Her name is Ruby. Ruby was found at a market at Bukit Cina, Melaka. Few months ago when I saw her she was just a kitten. Now she’s a teenager cat and about to on heat. So yesterday I quickly send her to the vet for spaying. I will release Ruby back to her colony after she has recovered. An aunty at the market will be taking care of her. Moreover, I will monitor and manage Ruby every week, at the same time keep an eye for other teenager cats  to be spayed. I will post the neutering form and receipts as soon as possible.
Thank you.
Yeow Mie Xi