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
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> 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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