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It's been three weeks since Cara had her first endoscopy. She endured a very difficult recovery, while I tried to survive the every-6-hours-for-two-weeks medication schedule. She fussed and squirmed with every syringe filled with Carafate (aptly named, I think), which is used to treat peptic ulcers; said to bind to the ulcer site and coat it. This would help Cara's badly damaged esophagus to heal if I could get the meds into her.
Cara began to eat more comfortably and gained weight. She also began to grow-FINALLY and her odd looking coat began to fill in. Her chocolate brown fur was due to malnutrition. I was sure of this as I saw it change into a darker, more rich, almost black. She looks like a white mitted “classic” tabby, just like her brother, Chester, only he's orange.
Yesterday I took Cara back to be re-evaluated by Dr. K. The Vet hospital was very busy. I met a woman in the waiting room whose cat had stopped eating for two days, was lethargic and vomiting. I asked her what she was feeding her cat. The answer-really cheap dry kibble. I just about fell over. I tried to figure out a way to talk to her about it but when I broached the subject, she cut me off saying; “that's what she's been eating her whole life.” So I guess it makes it good? I wasn't up for another battle. I felt badly for the cat. When I left later that morning, she hadn't found out why her cat was so sick. More tests to be done.
As for Cara, well she's just a ray of sunshine. She purred and climbed on me while we were in the waiting room. She washed her paws and looked around. We waited for a good 30 minutes before Dr. K. came to see us, but I just enjoyed the one-on-one time.
I wish you could have seen what happened next. Dr. K burst into the room. She didn't say hello to me, but walked right over to Cara asking; “How is our girl today?”With that, she scooped Cara up in her arms and DID NOT LET HER GO the entire time we talked. She didn't examine her. She just held her tight and petted her and petted her. Clearly, Dr. K has a crush on our little foster feline.
We spoke about next steps. She said we didn't have to do the endoscopy, but it would be good to have the information. I reminded her that unless she was going to adopt Cara, that I needed to know if Cara was going to be a special needs adoption and that we really needed to get to the bottom of this. She agreed. Before I could even wave goodbye to Cara, I was sent on my way, wondering if this sweet woman was going to let me take Cara home or if she was going to stick her in her pocket?
A few hours later, Dr. K. called. Cara's distal stricture (say that five times, fast) was still a bit red but about 70-80% healed. The proximal stricture looked very good and well healed, but there was difficulty passing the scope through the area so she decided (on her own and with out getting permission to spend our money!) to do another balloon dilation. Before I could say a word she said she didn't charge us for it!!! It only took a second of her time and it was just a quick tweak of that area. She administered the steroid shots in to the stricture to keep it from reforming. She did all this “because of all the good work we do.”
I'm pretty sure she doesn't know much about my rescue group, Kitten Associates, but I have a good idea that she DOES have a liking for little Cara. Way to go, Cara! You put those big green eyes to work!
Dr. K feels that Cara should recover from this health crisis and not be a special needs adoption As she grows, she should do just fine. I need to give Cara two more weeks of medications-thank goodness it's only once every 12 hours this time. After the two weeks has passed, I call Dr. K to update her and hopefully Cara can be spayed and will be ready to be adopted!
Only time, good food and more yucky medications will get Cara ready for what awaits her-a home with a really great family...Or is it possible that Cara may already be spoken for?
Henry Co. Care & Control is getting filled-up again. With the weather turning warmer, soon they'll be overloaded with more cats than they can count. Many of them WILL be euthanized simply due to lack of space. Raven, an all black male cat, is one of the cats who may never leave the shelter alive. It's a very REAL possibility, even though he's very friendly, he's all black. Most folks are either superstitious or flat out don't want a black cat. It's very sad because there is research showing that the reason why there are so many black cats is because they have better genetics and are less prone to disease! Does that help Raven? Not right now.
We need to help Raven bust out of Henry County. He needs to be adopted out or have a licensed Georgia rescue get him out. It's asking a lot, but we have to try. Please share this post with your friends and family and maybe the right person will step up and offer this poor cat a home. Betsy has given us some of this cat's sad history (see below). I'm sure you'll see why this cat more than deserves a way out.
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Here is Raven – the cat with the crumpled ear. He had been locked inside a foreclosed house in Stockbridge. Standing on the front porch, we could plainly hear a cat crying but we could not locate exactly where it was coming from – only that the cat was obviously inside the residence. Friday morning, again, we could hear the cat meowing from the front porch. We were finally able to gain entry into the residence and looked everywhere inside without success. We called and called, looked in every nook and cranny – even crawled all through the attic and the cat would not make a peep. So, we left 2 open cans of cat food inside the house. When we went back on Monday, both cans of cat food were polished clean! At that point, we knew a cat was loose inside the house (as opposed to being trapped inside an interior wall or on the roof) so we baited a humane cat trap with more food. About an hour later, Raven safely was in the trap.
Raven is an adult, neutered male cat that is microchipped. The owner information came back to the person who lived at the residence. We contacted her and left a message. She called back and left a voice mail saying she had to leave town suddenly for business and that her brother was supposed to be handling the house in Henry County and she had no idea why he left the cat behind. She asked us to find a home for him. Subsequent calls to the owner have gone unanswered.
We contacted Hudson Bridge vet, who implanted the chip and they tell me that they did not ever give Raven any vaccines. They did plant the chip and saw the cat in 2009 for a hematoma in his right ear. That ear has now cauliflowered. Poor Raven. We hope one of our beloved rescues will save this wonderful sweet cat who has been dealt more than a bad hand!
**Please Note; When forwarding, crossposting, or re-posting I ask that you leave this message intact exactly as it was written by me. I do not give permission to post my message, part of my message, or my photographs on Craig's List. Thank you for your help and support, and for respecting my wishes.**
Betsy Merchant~
We are very rescue friendly and are more than happy to work with any rescue group as long as the group has a valid Georgia Department of Agriculture license! Any rescue group, whether in or out of state, that takes pets from Georgia shelters, is required, by Georgia law, to have a rescue license issued by the Georgia Department of Agriculture's Animal Protection Division. Having tax exempt status is not the same as a license. For more information on obtaining a license, please call (404) 656-4914.
The shelter is located at 527 Hampton Street in McDonough. We are located south of Atlanta off I-75. Take exit 218 and head east on 20/81 toward McDonough. Our address is 527 Hwy 20/81 East.
For all other information regarding ordinances, county codes, and other functions of Henry County Animal Care and Control please visit www.hcacc.org
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Please cross post and share so this cat CAN find his forever home! We've done it before, let's do it again! Let's WIN one for a kitty-in-need before his time is up and don't forget-there are LOTS of other cats at Henry Co. who would love a home, so check out their website to see a listing of available cats and kittens! THANK YOU!
Tomorrow Bob has his 8th chemotherapy treatment and I'm scared. I'm scared to find out what Dr. I. has to say about Bob's current condition. I'm scared we may be running out of options, too, depending on what he says.
Bob looks like Hell. He has about 1/2 of his fur left. Every day a lot more falls away. I feel alarmed when I see how much more fur he's lost from day to doy. I've complained about it to both Vets and taken him to see Dr. Larry. No one can really say if this is ringworm gone wild or if the new chemo is causing it. At first we thought it was only ringwrom, but not it just doesn't look like it. I need someone to take a stand, not push it off onto another Vet and deal with this. I don't see lesions on Bob. I don't see the crusty look of ringworm. I just see smooth skin.
We've given Bob two baths with Malaseb, but it hasn't retarded the fur loss. I've given him conofite lotion, but that doesn't do anything, either. I really think, rare or not, this IS a reaction to the chemo and the oncologist needs to stop stepping back from it and either adjust the chemo or change it.
I know what you might be thinking. So what? Bog has no fur, but he's ALIVE. Yes, that's a great point, but WHY is the fur falling out? It's NOT SUPPOSED TO. Bob is COLD. He spends his day and night on our bed. We have a space heater and an electric blanket on 24/7 to keep him warm. He never used to even go upstairs, but he makes the journey in slow old-man steps. Somehow he can still jump on the bed. I want Bob to have his dignity. I want Bob to be warm! He was so beautiful. It kills me to see him like this.
Bob's appetite was poor last week. I gave him an appetite stimulant just for one day. A week later, Bob is still eating well. I feed him often, about 4-5 times a day. The lymphoma makes it tough to absorb nutrition, so I'm hoping Bob has not lost more weight. He hovers around 13 pounds, but he looks thinner to me. I'm scared to find out he's lost a lot of weight since he had chemo 3 weeks ago. It would be a sign that the chemo isn't working.
I'm trying to convince myself that if you ignored the fur loss and just looked at how Bob is living his life, you'd say he was doing all right, not great, but okay. Every time we go for the chemo, they ask us to rate Bob's health on a scale from 1-10. Usually we rate him around 8-9, but I asked Sam last night and he feels it's down to a 7, maybe 7.5. It's so tough to not judge Bob on how he looks when determining a rating.
Bob eats, he washes his face, he purrs, he goes to the litter pan by himself, he drinks water. He comes downstairs to eat breakfast and dinner, but he moves slowly. He seems to be more tired, but many of the cats spend the day in bed with him, so really maybe he's not doing that badly?
With all the challenges facing Bob, there is one positive change I've noticed. Blitzen has started to groom Bob's head from time to time. He will also sit near Bob, a bit protectively, perhaps. MacGruber, who was very bratty with Bob, has now backed off. Generally speaking, I think the cats are aware of Bob's illness and are giving him both space and respect and companionship. Bob didn't used to hang out with the others. Very often he kept to himself or napped with Nora. There's been a lot of chaos and fighting between the cats over the past few months, but it's quieted down. Maybe they've decided to get along for now? For Bob.
This past January, terrible snowstorms ravaged the southern U.S. Many roads were impassible for at least a week, that was IF anyone could even leave their homes. Undoubtedly many feral and free roaming strays perished from not having shelter and without having access to feeding stations or a friendly handout. One of those cats had a different journey. This is his story:
The brown tabby cat sat huddled, chilled to the bone, inside a cardboard box. The towel that lined the bottom of the box was supposed to help keep him warm, but it was wet from falling snow the day before. He'd never known snow or such deeply penetrating cold. His paws were numb. His breath came out in misty puffs.
He shifted his weight to keep the blood flowing to his feet, but he was unable to get comfortable. He had to stay put or risk losing his territory to the other homeless cats in the neighborhood. At his age, the days were fast approaching where he'd no longer be able to protect his simple home. The many battle scars on his ragged ears were testament to his struggle to survive for as long as he had.
For the past year, he lived on the lawn of a church in Georgia. The church members provided this box for him, as well as food and water. The church members adopted him, in a way, and were all very affectionate towards this rough and tumble looking cat. It was more than most stray cats get, but it was lacking in some ways, too. The church folks felt he was fine as he was, but one of the members didn't agree. He noticed the cat shaking his head, digging at his ears, clearly in discomfort. His coat was in poor condition. He looked like he'd been in fights many times. He could tell this cat needed veterinary care.
He suggested taking the cat to the Vet. The parishioners did not agree and said “he loved it there” and he was “fine”. The cat had food and water and the love of the church. It was enough. They did not want him to intervene, so all he felt he could do was to go to the local home improvement store and buy a big plastic bin that could serve as a more weather resistant home for this lost creature.
That was until this past winter. Warren Royal, whose love and compassion for animals goes beyond simply providing a great home for his own cats. When he and his wife were approached by two stray kittens one night when they were eating at a local pizza shop, they couldn't ignore their plight and ended up not only rescuing these two cats, but have gone on to rescue many others over the years. They do TNR, Trap, Neuter, Return of feral cats. They donate money to cat rescue organizations. They volunteer and give back in any way they can. They are truly a cat's best friend.
Warren was troubled about this cat's future. He contacted me and told me this touching story. He knew if he didn't go against what the church members wanted, the cat might perish. He'd seen it one too many times before. That this cat even survived the past few months out of doors was a feat in and of itself. I made some suggestions and told Warren, I'd be there for him if he needed my help.
A few days ago, Warren and his wife, Terri, rescued the cat. He named him Bruiser due to his rough appearance. They took Bruiser to the Vet and discovered he had already been neutered at some point in his 8 years of life. Most likely he was dumped for one reason or another. Bruiser was also FIV+, which was not really a surprise considering the battle scars he carried. FIV+ can be transmitted through deep, penetrating bite wounds. It was not a death sentence for Bruiser, but the Forsyth Humane Society, who did Bruiser's evaluation, said they could not accept him into their program. This left Warren with a difficult choice, but really, it was no choice. Warren was committed to caring for this cat, so he brought him home, hoping we'd be able to find Bruiser a permanent home one day soon.
Bruiser had ear mites and a bad ear infection. His belly felt hard, but after an ultrasound they determined it was just gas, probably from eating garbage. Sure, he had worms and teeth in very poor condition. Warren didn't turn away. He just paid the bill. Next week Bruiser will get his dental, but for now he's on a good diet and no longer living in a box.
Bruiser lives in his OWN ROOM, away from Warren's other cats. This is a wise thing to do when bringing a new cat into your home-especially one that may have parasites yet to shed. Bruiser has his own, soft bed. Imagine how it feels on his paws. The room is not cold or drafty. His food is always available and out of the elements. And Bruiser, Warren discovered, could not keep his name. Even though he was rough on the exterior, this cat was the biggest love-muffin Warren has ever met.
It was clear he needed another name, so Bruiser became, Buddy. That's all this cat wants to be. He wants to be your buddy. He wants to rub his head on you or get petted. He's so grateful to be out of that cardboard box and the freezing cold nights, that all he wants to do is spend his days purring and loving his new friends.
Warren knows that he can't keep Buddy. If he does, he can't rescue other cats in need, so Warren is hoping to find a lasting home for this wreck of a cat. His outside may be busted up, but his inside is gleaming with pure affection.
Buddy still needs to have his dental done, but after that he will be ready for adoption. Buddy is an 8 yr old, neutered male tabby with FIV+. He loves people, but we're not sure about other pets just yet. He will be COMPLETELY vetted before he gets adopted. If you'd like to give Buddy a home, or have questions about this lovely cat, please contact Warren directly at: wroyal@namefutures.com
If you live outside the state of Georgia, transportation can be arranged, so don't let that stop you.
If you know someone who might be interested in Buddy, please share this post with your friends and family! Thank you!
And Thank You, Warren and Terri for being completely awesome-for not giving up on an adult cat who lost his home. I'm proud of you!
Cara had her first endoscopy performed twelve days ago. She was weak, frail and exhausted on that drive home after the procedure. The next day I began giving her medications at least every six hours. It's a complicated combination of medications that have to be given on time. Although I'm turning into a zombie from lack of sleep, Cara's been turning the corner!
Each day I brought Cara her food. Watered down baby food plus A/D (which I do not want to feed her!). It's a thin porridge-like consistency. I trained Cara to eat inside a cat carrier. This way her siblings or mother can't bother her (much) as she's eating and I can monitor how much she eats. It also keeps HER from getting into the canned food her family gets. I have to make sure Cara's esophagus has time to heal. Should she eat thick canned food, it might open up a sore or cause a stricture to reform.
I have to be scrupulous about not letting her have a nibble of anything, because she knows to explore the area where her family is fed, after I take up their plates and wipe down the rubber placemat. Cara frantically sniffs and licks at the tiniest morsel. At least her drive to eat is strong, but it could get her into trouble.
Then, I'll wait. I'll sit with the cats and watch Cara. She had some grumbling tummy, some burps, but nothing too bad. I looked for signs of vomit around the room and found none. I decided after more than a week, to give Cara different canned food, baby food and water. She ate it but it was a bit thick and I thought she might vomit. The next morning I found a HUGE vomit all over the bed, with lots of water in it, too. I couldn't believe that tiny Cara had that much food in her AND she would have done it many hours after eating. I hoped that maybe her mama, Mazie had done it, not her.
Since I was worried that it WAS the food, I went back to the old standby.
After the first week, I spoke with Dr. K and she said to stay the course. Now we're at almost the end of week two and it's time to update Dr. K again to see what should be done next. Cara is growing rapidly and gaining weight. She's running around the room like a maniac, chasing after Polly and Chester. If she can keep down thicker food, then she may be out of the woods and will not need another balloon dilation. It's too early to say, but right now, she's looking great!
And since it's been almost two weeks, I think I can safely (I hope) say that I'm very glad we did NOT place a feeding tube into Cara. Cara seems very comfortable now, so perhaps we're one step closer to Cara being ready to be adopted? It's truly amazing to see her progress.
With all the horror and tragedy going on in the world, I've found myself unable to write. I don't see the point in talking about my cat having cancer or my foster kittens having a cold. It just doesn't seem worthy of description when thousands of Japanese people, and their pets were washed away in a tsunami or crushed in the 9.0 earthquake last week and the ones who survived, 450,000 are in shelters without much more than the clothes on their back.
I also find myself not wanting to look at the situation with Bob. It's so sharply painful, that perhaps I'm looking for reasons not to think about it, not to write about it. This isn't a cheerful story. It's one of great heartbreak, but just for one person and that doesn't seem to matter compared to so many worse things going on.
Last month, Sam and I had to make a choice. Either stop the weekly chemo treatments Bob was getting because we can't afford it any more or find another solution. It cost $600 a WEEK and we'd have to do it for 27 weeks. I haven't worked in a very long time. My finances are in the dumps. Bob was doing well on Elspar and Vincristine, but we asked Dr. I. if there were any other things we could do that would be as good, but not as costly. He suggested we could change Bob over to using Mitoxantrone. It would be every four weeks at $400 or so. We could certainly make this happen. I felt such relief that the burden of the costs would be lifted and we could give Bob a fighting chance to live.
I asked everyone I could about whether or not we should stop a successful protocol that we cannot go back to if the other chemo doesn't work. We were told the new chemo was well tolerated and that they had seen very good results with it so we felt good about moving forward.
So Bob had his first treatment about 5 weeks ago and the Vet now said it's $600.00 and every THREE weeks instead of every FOUR. The next morning after treatment, Bob's ears were filled with hot pink spots. He was itchy. He was eating, but not great. Dr. Larry thought it was the ringworm being ignited by the chemo. Dr. I. agreed. There was little to do other than to treat it topically.
It got worse. Slowly, at first, Bob's head lost fur. He looked terrible, but he still ate well and seemed perky. I still pushed the Vets about if it really was ringworm or a reaction to the chemo. No one could tell me other than if it was chemo it was a very rare reaction. That the fur would grow back after chemo-if we get that far.
Dr. Larry said that maybe a dermatologist would take Bob's case but with having FIV+, lymphoma, ringworm, etc., that it was unlikely there was much to be done. Then, he said if I was any other client, he would urge me to euthanize Bob to spare the other cats in the household from getting the ringworm. At the time I nodded, said I understood, but the more time has passed, the angrier I've become. I know what Bob is facing. I've had ringworm in the house for a year. He knows that. Most of the cats are fine, knock wood. MacGruber has a spot on his foot. That's it. It's a fungal infection. It sucks, but that's all it is.
Bob's losing his dignity, along with his fur, but he's still Bob. He was still eating and purring and hanging out with us. To even suggest I put him down...
He said we could give Bob a bath and it might help. At least he tried.
Bob either enjoyed the bath or was too tired to fight us. As I washed him, I started to see just how much fur he's losing...and he's losing it rapidly. His belly, which was shaved when he had surgery to remove 1/2 of his liver in December, had grown more bald. His head has comical spikes and clumps of fur, but he's mostly bald now. His paws have small spots of fur loss. It won't be much longer before Bob has no fur at all. His once beautiful orange fur, will be gone, maybe forever.
I'm freaked out and don't know what to do or where to turn for help. I feel the Vets have washed their hands of this but maybe no one can help now? I'm not a Vet. I'm just someone who loves their cat and is trying to help him, but now it's hard for me to even look at Bob. When I pet him, I can feel every bump in his spine. He's not eating well for us and he spends day and night in our bedroom, on the bed, where we placed an electric blanket for him to snuggle on. He moves very slowly. Clearly something has happened and I'm not sure I can fix it. He's had the sniffles for a day or so and the other day he had "the runs." Maybe Bob's brewing a URI and that's the cause for some of his recent woes? Maybe I'm kidding myself? I can hear Dr. I's voice; “It's probably a progression of the cancer.”
I'm sure the blanket is the big reason Bob doesn't hang out with us any more, but I can't help but feel a stab in my gut when I pass by the bed he usually sleeps on and see it empty. I know Bob is upstairs, but I know, too, that one day that bed will be empty and Bob will really be gone. He's leaving us already, gradually, but we can see the progression happening when we couldn't before. The day is coming. I am not ready. I never will be.
Last week many of us had a bad scare when we found out our beloved Wellness Canned Cat Food might be lacking in Thiamine, which, over time, the deficiency can cause some serious neurological problems in cats. WellPet, jumped into action and instead of recalling just certain flavors within certain lot numbers that were effected, they recalled ALL THE CANS in certain lots.
I have to tip my hat to them for taking such action. I fed A LOT of Wellness to Cara and her family from right after they were old enough to eat solid food. I've always trusted the Wellness brand and have told ALL of my adopters that it's one of many good choices for grain-free canned cat food.
When I called the company, in dismay, they told me they were going to send me a “Kit” in which I could return ALL the cans, empty or full, that were part of the recall. I put them aside and waited.
Last night I got the mail. In it was a nice letter from WellPet, along with a fistful of coupons for free product. They've decided NOT to send out kits for returning the product, most likely realizing that the cost to cover all that shipping, the storage of the unused product, could be a complete nightmare. So if you're saving your cans, don't bother if you've already contacted the company and are waiting your coupons.
Now I don't know the real reason why they decided they didn't want their product back, but I'm not going to throw it out, as they suggest. Since I live in the woods, I'm going to offer the food up to the wildlife. I'm sure if they don't have thiamine, but they have something to eat, they'll be pretty damn happy about that.
As for ever buying Wellness again, I already did. Their good faith actions, their sense of responsibility and that they even CALLED ME to make sure they got my recall info correct...that's just good business sense. They just took their licks, so to speak, for an accident and making it right.
Now we can go back to worrying about other things, like who is Jake going to choose on Monday's final episode of “The Bachelor?!” Emily seems like “the one,” but she might get scared and blow it!
My friend, Connie says that Cara reminds her of a little bird, with big, curious eyes and slender, delicate limbs. Cara IS a fragile creature. I'm afraid to pick her up. The endoscopy has taken quite a toll on her and I find my reaction to her is to be as gentle as possible.
Cara needs care around the clock. I had to take a step back from EVERYTHING in my life, other than cat care, to make it work. No blogging, no answering emails, other than very important ones, no working on getting MacGruber, Chester and Mazie adopted. I'm on my own most of this week, which makes it more difficult, but Sam needed to be at a Conference in Chicago, so he left not long after Cara returned from the Vet hospital. In a way, it's a good thing he's gone. I can get up at all hours of the night and not bother him and not having to worry about making dinner or shopping is a relief. In a twisted way, I'm getting a vacation.
Some vacation! I've been in a daze. I absolutely must stick to the schedule of giving out medications. I want Cara to heal, feel better, be happy again. I do NOT want her to have to be rushed back to the Vet. She's been through so much already. I chose not to have the Vet implant a feeding tube, so I have to make this work. I can't make a mistake-the food can't be too thick. Cara cannot vomit. She just can't. If she does-she goes right back to the Vet for another $1000.00 procedure.
On Sunday, Cara looked like Hell. I realized she wasn't laying down, but rather, sitting up, trying to sleep while her siblings ran around the room, bouncing off the walls. It was not the best place for her, but I didn't want to move her into a crate somewhere else. Her room is nice and warm and there's a big brown electric blanket for her to warm herself on. Even with all that, I find her sitting on top of the space heater as it rotates back and forth-as if she's on a ride at Disneyland for very sick kittens. She's just cold. It must be due to her low body weight.
The past few days have become a bit of a blur. My iPhone alarm goes off to remind me it's time to do something for Cara every few hours. I get up like a zombie and do whatever it is that needs to be done. I can't leave the house for very long, nor can I sleep for very long. I find myself grabbing naps whenever I can. I still have to provide care for Bob and make sure the other cats are fed and...just before Sam left, we found out Nora has an eye infection that must be medicated, too. It's only for two weeks! I know this will pass. I just need to get through it.
Cara didn't move around very much. She didn't eat very well, either. I changed her food a little bit and found something she likes even if it's very watered down. She eats all her food, then burps and gurgles. I'm sure she's not used to having a full tummy so after she eats, she just sits quietly. I think it's too much for her to do much else. Meanwhile, I sit with her, take notes to track her progress and wait to see if something is going to happen. I whisper to her; “Please don't throw up...please.”So far, she hasn't vomited since Friday.
Cara tried to lay down, but her tummy grumbled too much. She sat up with her eyes closed, teetering back and forth. Eventually she got so tired she had to lay down. She could only do it for brief periods of time. When she did lay down I could see how much thinner she had become. I felt a knot in my gut, too. Would Cara begin to bounce back and if so, how long would this take?
Connie stopped in to visit Cara last night after we took a break and went out for dinner. While she was there, Cara ate up a good deal of dinner, then looked up at us brightly, as if to show off that something was going on-something good. I teased a ribbon toy in front of her. She reached out and touched it. She just sat there, not moving, but that she would try to play at all, was a great sign. Clearly she was exhausted just from eating, so we let her rest.
This morning, my alarm went off at 6am. I dragged myself out of bed. All I had to do was give Cara one medication, then I could go back to bed for an hour before I had to feed her. Every time I open the door to the foster room, I wonder what she'll be doing. Will she be resting and be comfortable? Will she still be hunched over in pain?
I opened the door and I didn't see Cara. All I saw was a blur as she RAN out of the foster room and RAN down the stairs! Clearly, she's beginning to feel better or she's as sick of getting medications as I am giving them to her.
Cara ate well today and ate quite a bit. Her eyes sparkle again and she has pep! She's still far too thin, but with time that may improve. It is FAR TOO SOON to say that Cara is out of the woods. Her strictures can come back in a heartbeat and odds are they will any day now, as the usual time between them closing again is 5 to 7 days. Usually these strictures have to be re-opened one or two more times to stay open, so there's still a long way to go.
That said, when I look into Cara's bright green eyes, I see what was missing for so long. I see joy and her mischeivious nature has replaced hunger and pain. It's an amazing sight, truly amazing.
I feel hungover from interrupted sleep, and little of it. I can't imagine how Cara feels in comparison. From the look of her, I'd say she feels a lot worse than I do. The last 24 hours have been difficult.
Yesterday we started fundraising for Cara's Vet Care so we could get funds for her to have an Endoscopy. It's a much needed diagnostic test that we hoped would lead us closer to finding out what's wrong with Cara.
We were very lucky that a compassionate, anonymous person (really a Guardian Angel) came forward and offered to LOAN us enough money to get the test done. It WOULDN'T solve our fundraising problem because we have to pay it back, but at least we could move fast and get the test done. I was able to book her an appointment within an hour of getting help from Cara's Guardian Angel.
It was a good thing we didn't wait another SECOND longer. We have answers. No more tests needed. It's not good news.
Cara's esophagus is in TERRIBLE shape. It's filled with bloody ulcers. The lining of the esophagus is thickened from being so irritated.
Cara has TWO strictures-which is a closing of the esophagus due to, in Cara's case, either a genetic component or the fact that she had Doxycycline at such an early age (which I didn't know was something that can cause a problem and I need to look into this further). One of the strictures was SO SMALL they could not get the scope into her stomach-how was she getting any food at all?
Cara must be in HORRIFIC PAIN. Think of the worst sore throat you ever had, times 10. Every time you eat it hurts. No wonder Cara was vomiting! The food could barely pass into her stomach, yet she was losing vital nutrients and was SO VERY HUNGRY at the same time!
The options:
Balloon dilation. Just what it sounds like. Under anesthesia, they insert a small balloon into the esophagus and inflate it very carefully. It forces the esophagus open. Then they inject a small amount of steroid into the thickened tissue to get the swelling down.
If they do this, the esophagus can tear, the chest fills with air and you have a VERY SERIOUS LIFE THREATENING situation on your hands, but you HAVE to do something because soon, Cara will not be able to pass ANY FOOD into her stomach.
If the dilation works, then they would want to insert a feeding tube into Cara. It would bypass her esophagus and go right into her stomach. I've heard about feeding tubes and how they can cause more problems than they solve. They can become infected, come out-which results in emergency gastric surgery. Considering Cara's in a room with her family and is a playful kitten, I couldn't imagine doing this to her. I also didn't feel I had the “chops” to provide that level of care without making a deadly mistake. I wanted to talk to Dr. Larry and find out if he could board Cara and provide her care for the two weeks we'd need if we put her on a feeding tube. I needed more time to think, but didn't have the luxury of having any.
I tried to stay calm while the Internist, Dr. K. gave me the news, but inside my heart was breaking. Would Cara ever have a normal life? Would she ever have a home of her own?
The Vet told me that Cara could have a good future, but that there was also a very good chance that the strictures would recur-soon. That the procedure would probably need to be re-done up to 3 times, before the stricture would stop closing up. Cara would have to be on a high calorie, liquid diet during this time.
Cara could also end up having to be on a liquid diet for the rest of her life and face having a stricture issue recur even if we fix her up now. That yes, it will cost money to provide the care, but no where NEAR the cost of the surgery to fix a PRAA, which would have been at least another $5000.00 on top of the money we needed for the balloon dilation, so that was good.
The Vet wanted to know if as a rescue group, if she should proceed with the treatment. She'd do the best she could for us regarding costs, but I could read between the lines of what she was really asking.
My reply was simple: We do NOT EUTHANIZE ANIMALS BECAUSE OF MONEY. She sounded relieved. I gave her the okay to do the dilation, but to hold off on the feeding tube. My hope is to see how we do for a few days. IF we can get Cara comfortable and eating well, she may heal on her own if she survives the dilation.
There are so many IFs. It's very tough to know what's best, but I knew that I'd be risking all sorts of extra trouble inserting a feeding tube. One step at a time...
The Vet called me a short while later. The dilation went VERY well. In fact she said that it just “popped” open and did so well enough that they could re-insert the scope and see into Cara's stomach. She said; “it looked beautiful.” That was a BIG RELIEF.
They kept Cara for about five hours after the procedure. Sam and I picked her up late last night, along with a huge BAG of medications and a two page list of directions for her care.
Sam drove and I ended up holding Cara, swathed in a big towel. She stretched out her front legs across my shoulder and put her head down and closed her eyes. Her front legs were both shaved in a band around half way up her leg. It made her paws look like she was wearing white mittens. Cara felt like a dead weight, which was very unnerving. She just laid on me, barely moving, the entire drive home. This wasn't the bouncy full-of-life kitten I'd seen just a few hours earlier. I felt panicked about my ability to provide the right care for this little sweetheart and her ability to survive the treatment.
We finally have answers to what's been ailing Cara. It's not a PRAA-Persistent Right Aortic Arch. We don't have to travel out-of-state to find a surgeon to save her life. We can do everything we need to do right here, but the problem is-will Cara respond well to treatment or have a life filled with suffering?
We still need to continue to raise funds for Cara's care. Yesterday's procedure came in under the estimate, but Cara will likely need a few more balloon dilations. We're going to cross our fingers and leave our goal as is, for now. In a week if Cara is doing well, we'll lower the goal. We never want to ask for more than we need. Every dollar is sacred.
Thank you to the MANY people who responded right away to help Cara. It makes all the difference to be able to provide care for this much-deserving little darling. If you can't donate any funds, PLEASE DO CONSIDER SHARING THIS POST WTIH YOUR FRIENDS!
If Cara could talk, I bet she'd say; “Thank you for thinking my life is precious and worth fighting for.”
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