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Pet Forum / Miscellaneous / Animal Health / July 2007



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My wondeful cat died suddenly and NOBODY has any answers

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sfkevv@yahoo.com - 15 Jul 2007 08:38 GMT
Almost 12 years ago, I was walking in the courtyard of my apartment
complex and came across a little kitten making these awful sounds
ithat I had never heard before. I figured that this wild creature was
starving and began feeding him regularly. Meanwhile, a neighbor was
doing the same thing so soon this little guy was getting fed by two
people each day. The neighbor asked if I wanted to trap him and be his
caregiver. How could I say no to this adorable little cross-eyed teddy
bear? She set up a trap, capturing him and with that I began my full-
time relationship with L'il Bear.. It was a long, arduous process but
little by little he became semi-domesticated. It took several more
years and a 13 day runaway trip from home but after he returned much
thinner, he eventually became a sweet, affectionate kitty who would
often end up on my lap for our daily love fest. He was a very healthy
cat until about a year ago  when he began losing weight. My vet
diagnosed a thyroid condition. We treated this with methimazole and he
improved. A few months ago, I noticed him losing weight again. He was
treated for an infection with antibiotics and he rebounded. About a
week later he wasn't eating again and I took him into an emergency
hospital. They treated him with fluids but he still wasn't eating. I
took him home the next day. he soon started vomiting dark brown liquid
that contained a putrid odor.  My regular vet suggested Pepcid AC but
this didn't help. I then took him into see the top vet at the
hospital. She took x-rays and said that he appeared to have
inflammation in the colon area and she suggested an ultrasound by an
internist. The next day we had it done and it too showed inflammation.
This "specialist" also did an aspirate to extract cells for testing.
He gave him a shot of prednisone and Bear was a different cat on the
way home, much more active , even looking out of the car windows. When
we arrived home, he went right to the food and water bowls. The next
morning at 5:30am I was awakened by crying sounds. I found Bear
sprawled out on the floor in the front room crying loudly. He was in
such severe pain and stress that he bit my ankle while I was moving
him, something that he had never done before. I wrapped him in a towel
and we headed back to the hospital. My poor baby never stopped crying
the entire trip and occasionally thrashed around on the seat. I drove
as fast as I could running several red lights to get him there as
quickly as possible. We arrived and they took him back. Maybe 10-15
minutes later the vet comes out and tells me that Li'l Bear was
passing away! NOBODY had any answers as to WHY this was happening! We
had left this very same facility just 12 hours earlier and now he was
DYING? The damned vet said that she could "open him up" to find out
more. Can you BELIEVE this?? I am broken hearted overt this but also
very angry because nobody seemed to know what the hell was going on.
They sure don't have any problem charging my credit card...they have
THAT down to a science...but this isn't about money. I just believe
that if these last two vets that attended to him had been more
competent, this wouldn't have happened.
Postscript: the internist who did the ultrasound calls me a few days
later, said he was "sorry for my loss" and then proceeded to tell me
that the cell tests were inconclusive so basically, they STILL don't
know what the hell was wrong with him. If I wasn't crying for the loss
of my sweet spirit, I'd be laughing at this Keystone Cop scenario. Is
CRITICAL veterinary care just one big money grab? This is the FOURTH
negative experience I have had with vets and critical care over the
last 10 years but it was the roughest because they ALL had ample time
to treat him but the end came suddenly and violently. I am beside
myself with grief and anger. Does anybody have ANY theories about what
happened here?  Thanks in advance and appreciate you hearing me out.
buglady - 15 Jul 2007 12:03 GMT
I am beside
> myself with grief and anger. Does anybody have ANY theories about what
> happened here?  Thanks in advance and appreciate you hearing me out.

........I am sorry for your loss. The only way you would have known what
happened exactly was to have a necropsy done.

buglady
take out the dog before replying
kmk - 15 Jul 2007 19:12 GMT
> ........I am sorry for your loss. The only way you would have known what
> happened exactly was to have a necropsy done.
>
> buglady

Thank you, buglady.
I plan on talking to the vet in person this week. I just want to calm
down before confronting him.
I didn't expect a miracle but I also didn't anticipate that a half
dozen veterinarians couldn't help us
and certainly didn't expect him to die like that just 12 hours after
seeing a so-called "specialist".
Hillary Israeli - 16 Jul 2007 13:28 GMT
*I plan on talking to the vet in person this week. I just want to calm
*down before confronting him.

And maybe change your concept of this encounter! I mean, you speak of
"confronting" him - that sounds somewhat antagonistic to me. Perhaps you
might have a more productive encounter if instead you "have a discussion"
with him about what happened and why.

*I didn't expect a miracle but I also didn't anticipate that a half
*dozen veterinarians couldn't help us

Sometimes, 1000 veterinarians (or physicians) can not help. Sometimes, it
is just someone's time to die.

*and certainly didn't expect him to die like that just 12 hours after
*seeing a so-called "specialist".

And you have to bear in mind, a specialist (and btw, what kind of
specialist was it? I don't recall seeing mention of a specialist but I
don't have your OP in front of me) isn't a deity, and can't fix everything
- it's just a person with more education about a specific type of thing,
who has a greater chance of knowing more about that thing than a
generalist. Seeing a specialist increases your odds of figuring it out,
that's all. They don't know everything about everything!

Sorry about your cat,
h.

Signature

             Hillary Israeli, VMD
             Lafayette Hill/PA/USA/Earth
"Outside of a dog, a book is a man's best friend. Inside of a dog, it is
                 too dark to read." --Groucho Marx

kaligrrl - 16 Jul 2007 17:03 GMT
I'm so sorry for your loss of Lil Bear.  I know that it's
heartbreaking.  But for the most part, vets do the best that they
can.  They can only make their best case judgement as to what is
wrong, and sometimes that's based on percentages.  They treated him
for an infection because this is a pretty common reason for cats to
stop eating, and he "seemed to respond".  But then a week later he
wasn't eating again.  He didn't respond for very long, but you can't
fault the vets for assuming that this was the situation - it's
probably the most common reason for a healthy cat to stop eating and
lose weight.  Regarding the specialist, well, say that based on the
symptoms they think the issue is his colon, and they do an ultrasound,
and they see inflammation.  An ultrasound of the intestines would
completely miss a mass in the stomach, fluid in the lungs, pancreatic
cancer, any one of a number of other things that could be causing the
problem - especially if they find something that they can pin it on.
Imagine you're looking through binoculars at a distant bird.  You're
going to completely miss seeing the bird that's right next to you.
That's how ultrasounds are - they show you one thing very detailed,
but they don't show you other things at all.

Probably the one thing they maybe should have done was kept your cat
overnight.  Was that presented to you as an option?  If they had,
maybe they would have seen the change in him sooner than you did (I'm
assuming they're a 24 hour place) and would have had a little more
time to try and diagnose him.  But it doesn't guarantee that it would
have made a difference.

As sad as it is, I'm not sure which is worse: one of our cats was
diagnosed with acute pancreatitis, but by the time the vets figured it
out (three different sets of vets; it's not very common), it was too
late for them to do anything about it, even if money was no object.
And money is ALWAYS an object in health care.  It's the number one
reason why people go bankrupt - it's not running up their credit cards
at the mall, it's the lack of affordable health care and insurance.
If you did a necropsy there might be several outcomes - they might
find out and determine that it was something they could have treated
if they'd known what the problem was.  Would that make you feel better
now?  Probably not.

Again, I'm very sorry that you lost Lil Bear.  Your grief and anger
will pass, and soon you will remember again the good times and the
sweet memories that make him unique.  It doesn't sound like the vets
necessarily did anything wrong, though you may want to evaluate
whether they are the right vets for you.  Some vets believe cats are
pets, and some believe they are members of the family.  A rare third
case is those that realize that cats mean different things to
different people, and even different cats mean different things to the
same person.  You just need to determine if they're the right vets for
you, in spite of this terrible loss.  The answer may be yes or it may
be no.  Only you can determine that.  Good luck to you.

kaligrrl
NOT a vet, just a cat lover with an excellent vet, in spite of our
loss due to undiagnosed pancreatitis.
kmk - 16 Jul 2007 19:40 GMT
Kaligrrl, thank you so much for taking the time to respond the way you
did.
Believe me, I really appreciate your wisdom and good wishes.
Today, I will look for a spot to bury my sweet angel. It will not be a
pleasant task.

I have additional information to share with the group but first, I
have a question.
On the final vet bill there is a description that reads:
ES istat EC 8 + Crea

Can anyone translate this for me?

> I'm so sorry for your loss of Lil Bear.  I know that it's
> heartbreaking.  But for the most part, vets do the best that they
[quoted text clipped - 50 lines]
> NOT a vet, just a cat lover with an excellent vet, in spite of our
> loss due to undiagnosed pancreatitis.
spvet - 17 Jul 2007 03:44 GMT
ES - Erythrocyte sedimentation
EC 8 - Biochemistry profile 8 biochemical parameters
Crea - creartinine - measure of kidney function
istat - No Idea

The advice to have an autopsy is very good advice. Best guess is stomach
cancer

__________________________________________________________
> Kaligrrl, thank you so much for taking the time to respond the way you
> did.
[quoted text clipped - 63 lines]
>> NOT a vet, just a cat lover with an excellent vet, in spite of our
>> loss due to undiagnosed pancreatitis.
kmk - 18 Jul 2007 05:01 GMT
Thank you for the info, spvet.

To answer everyone else;

Ms. Israel, to clarify, the vet who took the
ultrasound IS a specialist in internal medicine.

I AM disappointed at thelack of diagnosis from my primary vet but
am certainly not angry at that office because they did seem to do the
best job that
they could. I don't feel the same way toward the specialist that
saw Bear the day before he died and the vet at the very same office
the next day when he
passed away.

The reason is that I am not a believer in
coincidences. Something took place in the 4-5 hours that they had
Bear in that facility that probably contributed to his demise.
Obviously, I
can't prove this but in twelve years, he has never been sprawled out
on the floor, crying out
the way he did until just11 hours after we left that vet. As far as my
visit with him is concerned, you are
damned right that I will be confrontational.
Of course, I will start off with questions
and listening to what he has to say BUT here is what I haven't
told you:

On the morning of his death, I called this vet
hospital and told them I was coming in immediately.
At that point, the vet should have pulled Bear's file
and reviewed his medical history.
When we arrived there, they took him in the back and I could still
hear his
cries of agony. They did the aforementioned tests and the attending
vet wasted precious time taking X-RAYS!
If she HAD DONE HER GODDAMNED JOB AND LOOKED AT HIS FILE, SHE WOULD
HAVE SEEN THAT THERE WERE X-RAYS TAKEN JUST TWO DAYS BEFORE!!

She gave him NOTHING for the pain and put him on fluids--f*cking
brilliant!

This is simply indefensible and they'll be hearing about it later in
the week.

They better re-train this quack so the next patient doesn't get the
same incompetent treatment that we did.
buglady - 18 Jul 2007 12:29 GMT
in twelve years, he has never been sprawled out
> on the floor, crying out
> the way he did until just11 hours after we left that vet.

.........I guess I don't understand your reasoning here.  Obviously if he'd
had these kind of symptoms once before, they'd already know what was wrong.

As far as my
> visit with him is concerned, you are
> damned right that I will be confrontational.

..........that will get you nowhere.  I pulled a dog out of a practice and
went straight to an ER, where she was diagnosed with Addison's - a life
threatening disease.  It took me many tries to write a letter which
expressed exactly what I felt without the anger, along with a request for
all records of all pets, because I wouldn't be going there any more.

> On the morning of his death, I called this vet
> hospital and told them I was coming in immediately.
[quoted text clipped - 9 lines]
> She gave him NOTHING for the pain and put him on fluids--f*cking
> brilliant!

...........f*cking fluids aren't out of the question if you don't know what
's going on.  Don't know enough to comment if further X-rays were
appropriate.  Perhaps they were looking for changes, don't know.  Perhaps
they just didn't read the file.  But if the old X-rays were not RIGHT there
for them to look at, then getting them sent from wherever would take too
much time.   It costs you more money to have them run again, but it could be
in the interest of time, they had to retake them for timely results to rule
out a problem.  When going to a referring vet, all lab records and X-rays
should be taken with.  It's not clear to me whether the X-rays were
previously done at this same facility.

.........I'm sorry for the loss of your pet, but because you didn't have a
necropsy done, you'll just never know what happened.  Beating up the vet
practitioner is not going to give you satisfaction as they had not yet
reached a diagnosis when your pet died.  I doubt anything is going to
satisfy you as your pet is gone.  It's a blow.  Focus on that.  No way to go
back and change the past.

buglady
take out the dog before replying
Laurie - 18 Jul 2007 01:00 GMT
> Almost 12 years ago, I was walking in the courtyard of my apartment
> complex and came across a little kitten making these awful sounds
[quoted text clipped - 54 lines]
> myself with grief and anger. Does anybody have ANY theories about what
> happened here?  Thanks in advance and appreciate you hearing me out.

    It's too late now, but if anything like this ever happens again
(fingers crossed that it doesn't!) don't freeze the body, refrigerate it
until you can find a place to do a necropsy.  I have had two done over
the years at Maryland University.  They charge 100 dollars and tell you
down to the last detail everything they can, not only about why your pet
died, but if it had any infections they tell you a list of drugs that
would and would not have had any effect.  It doesn't help your grief,
but it might help educate the vets who saw the pet and didn't figure out
what was wrong, which means it might possibly help the next little
animal those vets are presented with.
 
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