The Continuing Saga of a House Cat

Having two litter boxes does not solve Clover’s peeing all over the house problem and several more weeks go by. I do finally take Clover to the veterinarian, just in case it is a bladder infection as some have suggested as a possibility. The vet’s conclusion is that she has little stones in her bladder and possibly a bladder infection. I am given a prescription for an oxalate lowering cat food diet and antibiotics that I am supposed to give every day for 14 days. Separating the cats for feeding is not much of a problem as we have already been doing that due to an inability of the felines to co-exist while eating. Giving antibiotics every day to a skittish cat who has no interest in being caught is a totally different matter. I ask the vet if they don’t have an extended activity antibiotic that they could give as a shot. “No,” he says, “they don’t.” Our daughter disagrees, “They do have a 14-day antibiotic that they can give to animals who are difficult to coral. It is just not the ideal one for this purpose but sometimes the only choice with uncooperative animals.”

“Will you get me some and help me give it to Clover,” I beg. I have only managed to administer 1 dose in of the prescribed oral medication.

“Alright,” she responds, “I will get it for you and help you give it.”

Daughter shows up at our door on Sunday evening.  I was hopeful I could catch Clover before she came because Clover had decided in the last few weeks that I could be trusted in a limited way. She has begun coming every evening while I sit at my desk to be petted. Tonight, Clover senses something is amiss, and stays hidden behind the desk. Grrr!

How to catch her, is the question? My daughter and I both crawl under the heavy metal desk. I reach in one way while she reaches in the other. A ball of fur shoots by and Daughter is able to catch a leg. We hustle her into the bathroom in case she should attempt another escape, and the shot is soon delivered.

A spirit of hopeful anticipation prevails. Maybe this is the answer. After dumping gallons of Nature’s Miracle Enzyme formula on the soiled areas, putting down tin foil and plastic to discourage frequenting of those areas, we wait to see what the result will be of the latest changes. Maybe denial is the best psychological mechanism to deal with these issues as we convince ourselves that the situation has gotten better. Hubby reports more soiled litter in the litter box. The smell diminishes. Until one day. Willow, the puppy, is coming to stay for a week. I move the dog kennel over into the hallway in preparation, thinking that moving it away from the cat litter box will be helpful. The doorway to the kennel is left slightly ajar- after all, why should it matter if it is closed. A few minutes later, I spy Clover sitting in the kennel relieving herself. Seriously? She apparently hasn’t forgotten that this was her favorite place to pee after Bella died. A sense of utter defeat floods over me. I lock the kennel door but the cycle I thought I had broken begins again. Hubby and I both know that she is urinating somewhere other than the litter box, but where is the question? I try to tell myself that strong urine smell in the bathroom is my imagination as I can’t find the evidence. Just to cover my bases, I throw away the bathroom rugs, but the smell persists.

“Look where Clover is!” my husband draws my attention towards the area behind the couch and under the table where the baby cradle rests. “It looks to me like she is peeing.”

I can not quite believe my eyes. There squats Clover in the cradle happily relieving herself. As I inspect the cradle, it is obvious that this has been going on for some time. The whole bottom is wet and stained from the caustic fluid. That yellow stain at the end of the cradle in the blue light is truly the overflow of the waterfall. The good news is the mystery has been solved but the bad news is now I have reached the end of my rope.  My hopefulness of ever solving this problem goes out the window.

The one litter box, some food, and some water are soon relocated into the bathroom and Clover has a new living arrangement. What am I going to do with her long term? I can’t put her outdoors as she is declawed in front. I can’t give her away as no one wants a cat that pees all over the house. I have already planned to pull up all the carpets to rid the house of enticing places to pee but peeing in and on the furniture is a different matter. All that is left is euthanasia. I do have a small soft spot in my heart for this cat so maybe one more trip to the vet just to make sure this is not a medical problem is in order.

I sit on the bench to wait in the veterinarian’s front office. The warm temperature of the room persuades me to take off my coat and tuck it beside me. I further decide to leave it there while I join the veterinarian in the back room to discuss the situation and decide what the next step should be. The decision is made to leave Clover there, so they can sedate her and do some more extensive testing. Daughter will take her home in the evening and keep her for a while to see if a change of environment and housemates will turn the behavior around. As I walk out, I pick up my coat from the bench. My fingers touch a very wet spot. Hmmm! My coat was dry when I left it on the bench. And is that a very distinct smell of cat pee? I look at the vet office cat sitting in the window eyeing me. How ironic? I am not sure if I should laugh or cry. I will take my pee covered coat and go home.

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For the Love of a Dog – Saying Good-bye

Springtime2013 012By the end of the first week on a good dose of Doxycycline, Bella looks pretty chipper. She begs to go for a walk with me. Then suddenly by nightfall, she regresses.

“Bella looks terrible tonight,” Hubby greets me as I come in the door from volunteering work.

“She looked great this morning,” I counter.

She refuses to eat her evening meal and she staggers when she tries to run. I excuse what we are seeing as being weakness caused from not eating. If I could only get her to eat. I go back to the first vet and ask for some prednisone tablets which I break into 10 and 5 mg doses. This may be a huge mistake but I conclude that she is starving to death so it does not much matter about the effects of long term prednisone. I continue the doxycycline 400mg per day and add 10mg of prednisone. Within a day, she is gobbling a can of soft cat food mixed with her dry dog food. With a sigh of relief, I pack up several cans of cat food, a bag of dry dog food, all her medications, and accessories and meet our daughter for an exchange. She will keep Bella for the weekend while Hubby and I make a trip to Long Prairie, MN for a book promotion weekend.

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Treehouse B&B @ Long Priarie, MN

Bella wags her tail happily and excitedly whines to get out of Daughter’s house and into my car when I go to pick her up on Sunday. She looks like her normal self. Daughter tells me that she bought some canned dog food, warmed it up, and mixed it with the dry dog food. Bella has been chowing it down like a healthy dog. When I get Bella home, I make a decision, that in looking back, results in a final decline. I decrease the prednisone dosage to 5 mg a day, thinking that a small maintenance dose might be all that is needed to keep her on an even keel until we can finish all her antibiotics.Powerline construction 014

I can tell Bella is still running a fever as she puffs when it isn’t in-the-least-bit hot but otherwise, seems stable. But by Tuesday, things have changed. I send her out to go potty before we leave for the evening. She seems OK when I put her out but is totally dizzy and disoriented when she comes back in. She cannot walk a straight line and lays down in the middle of the floor as she can’t navigate. This is the first either of us have seen her like this. I expect to find her dead when we come home but she wags her tail in greeting and does not seem worse than before. However, by the next evening, she is refusing to eat again and I have to force the pills down her throat. The part of me that is a nurse knows that there is no longer any hope. We have fallen back into a deep dark hole and I see no point in doing this anymore. The emotional part of me wants to save her and the logical part of me knows that it is not possible.

By Thursday morning, it is obvious that Bella has seriously declined again. I had been told by a colleague at work about a vet clinic in Eden Prairie where they can do MRIs, CT scans, and all kinds of advanced tests at their clinic. As a last ditch effort, I assist Bella into the car and make a two-hour drive to this clinic in Eden Prairie. While I fill out paper work, the assistant takes Bella away to exam her. They then meet with me to explain what they would like to do and how much it will cost. They are recommending some blood work, a urinalysis, a chest x-ray, and some biopsies if they see any enlarged lymph nodes. They will be happy to perform all of these things that day, all to the tune of $1500 due and payable before I leave. Whoa! That’s a lot of money. Other than the blood work, which they already have from the local vet a couple weeks earlier, I don’t see that any of the other things will be particularly helpful.

“What would an MRI cost?” I ask.

“$3000”

“Guess that is not going to be happening.” I assert.

“Do you realize that Bella had no platelets already on the bloodwork done at your local clinic? Did he mention that to you?” Doc asks.

I sort through my brain trying to remember what was said at the local clinic. I think lower that normal platelets were mentioned but not “no platelets.” I don’t know what to do.

“I want to call my husband and daughter before I make a decision.” I tell the veterinarian.

“OK, we will leave you alone for a time while you call your family.”

Again, the emotional part of me wants to keep going but the rational part of me knows it is time to quit. “I think we are just pouring money down a deep dark hole,” I finally communicate my decision to the veterinarian after talking to Hubby and Daughter.015

“Well, if you don’t let us do any of this, we can’t help you,” is her response back. Now I feel guilty and like I am a really bad pet owner. But I am resolute. It is time to go. My plan is to go home and increase the prednisone to 20 mg twice a day. This is the treatment for an auto-immune disorder that is causing her to destroy her platelets. It is what I should have been doing all along. That is why she got better during the couple of days I had her on 10mg per day of the prednisone. None of the other stuff being proposed is going to be of any help.

Bella lies quietly on the back car seat on the way home. She meets my eyes every time I look back at her. I hold a tiny little hope that we can still turn this around. But it is too late. By evening, her breathing has changed to being more labored and there is a red fluid dripping from her nose. She refuses her food and her pills. We struggle to get them down her. It takes all her strength to follow Hubby down the stairs and out the door for her before bed potty time. Then she heads out across the yard and lies down instead of coming back in. She just looks at us when we call her name.

“Can you come and help me bring Bella back in?” Hubby implores. “I can’t leave her out there tonight.” Frost is predicted and the temperature is supposed to drop into the 20s.

I wake up several times during the night wondering if she is still alive.

“Can you go down and check on Bella?” are the first words out of Hubby’s mouth in the morning.

“I’m going,” I reply. I already know what I will find. I find her lying in the mud room where life has fled. She is at peace now. Sadness envelopes me. Bella had become a part of who we are.

I make a phone call to Daughter and we plan for a burial in our pet grave yard in the woods on Saturday morning. Hubby digs the grave on Friday evening while I am at work. “I cried the whole time I was digging,” he says with sorrow.

Hubby and Daughter sob and embrace as we carefully lay our beloved pet to rest. If I start to cry, I will never stop.

“Bella, and Blackie, and Honey Spot, and Purr will be waiting in heaven for us,” Daughter declares. Maybe they will. Maybe they will. Who am I to say they won’t be?

For me, the emptiness of the house is what messes with my brain the most. There is no happy barking when someone comes or the doorbell rings. There is no ringing of the bell on the door saying, “I want to go out.” There is no begging for food or play. There is no wagging tail and happy greeting of unconditional love when I come home. I have to keep telling myself she is no longer here.

“Are you going to get another dog?” Is the question that keeps being asked. I don’t want another dog. I want Bella.045

For the Love of a Dog

PetsFamilyJan2013 143“Come Bella,” I call from the bottom of the stairs. I repeat the summons several times before Bella staggers down the stairs and stumbles out the door to go potty. I sigh. A feeling of hopelessness creeps through my chest and into my heart. For several days now Bella has refused to eat, no longer desires to play, and lies upstairs puffing. She has grown thin and emaciated. I am at my wits end. I took Bella to the vet for the third time three days ago for these same symptoms. “She has a temperature of 104 degrees F,” was his verdict. We do not know why.

Early in January, during her last excursion outdoors before bedtime, her frantic barking alerted us. On the security camera, we could see her aggressive stance as she faced off with some unknown creature in the yard. A few minutes of protecting “her” property and she returned to the house, seemingly unscathed. But a few days later, she seemed mildly lethargic and had stopped eating. I wasn’t too worried as she has had times of skipping meals in the past. She continued to bring her indoor ball to me when I would come home, begging me to play. I did notice a small area of black on the bottom of her tongue. I don’t remember her tongue having a black colored spot there. I quickly dismissed my observation as irrelevant. One evening, I noticed very bad breath arising from her mouth each time she delivered her treasure to me. Whew! That smell was enough to knock me over. Still not giving it much thought, a few more days went by. One evening, as she stood panting, waiting for me to throw her ball, I noticed part of her tongue was missing and the remaining slit looked swollen and infected. So maybe that is why she wasn’t eating properly.363

After a trip to the vet for some antibiotics and prednisone pills, Bella began to eat regularly again and to play like her long-forgotten puppy self. Being between 7 and 8 years old, she is no longer a puppy so it was obvious that the prednisone had transformed her into the energetic frisky dog she once was. It seemed that all was back to normal. All of us were happy and returned to other life concerns.

But the good times were not to last. About 4 days after the last of the prednisone pills, Bella again started skipping meals. Oh well. I’m sure she will come around in a couple of days and be OK.

“Bella is not eating at all,” my concerned hubby conveyed to me a couple of evenings later. “And it seems like she is puffing more than normal,” he continued.

Oh dear. I had to work for the next day so I couldn’t make an appointment until the following day. “She has a fever of 104,” was the vet’s observation. “Let’s just treat her conservatively with Doxycycline for a couple of weeks and see what happens.”

That sounded good to me. Bella has always been an easy dog to give pills to which makes treating her easy. Wrap the pill in a piece of meat and give it a toss. She just opens her mouth wide and swallows whole whatever you are tossing her. Over the next couple of days, she slowly improved and went back to eating and behaving normally.power pole and birds 145

One day, however, while taking her for a walk, she was panting with maximum open mouth. As she and I puffed to the top of a steep hill, she was slightly above me and I had an unimpeded view into her open mouth. I noticed two slits on her tongue running lengthwise with her tongue further back in her mouth. That is weird. Is it possible that she has a rough or sharp tooth that is cutting her tongue? This really doesn’t make any sense.

I stopped at the vet clinic the next day and asked to make an appointment to have her sedated so that they could inspect her mouth and teeth for mechanical reasons for the slits and poor appetite.

“I would like to have you finish the antibiotics and then come back and we will take a look,” was the desire of the veterinarian.

OK, I guess I can live with that as Bella seemed to be totally back to normal. I made the appointment for a week later on March 30. I was hoping that they could also clean her teeth and x-ray her front shoulders while she was sedated as she had been limping on her front end off and on for over a year. Apparently, I did not communicate this well as when I brought her in for her appointment, I was told they did not have time to do all I was requesting that day.

“Then let’s make a new appointment when you can do all those things while only sedating her once,” I requested

“We are very busy and don’t have any opening for any kind of surgery until April 11.”

That date is almost two weeks out but I agree to the change. After all, Bella seems OK at the moment. Several days later about 4 days after completing her course of doxycycline, Bella has stopped eating again. By the following Friday, it is evident that she is seriously ill. “Bella is not going to make it to her appointment on Tuesday,” I explain to the receptionist who agrees to take her that day. “Can you draw labs too and check her for Lyme’s disease?” I implore.

They sedate her and inspect her mouth. “Her tongue looks pretty rough,” the receptionist conveys to me when I pick her up, “but it is completely healed. The only thing the doc finds abnormal is that she is running a fever of 104 degrees again. He left some antibiotics for her.” I pick up the bottles and look at them. There is a bottle of Flagyl and one of Amoxicillin. The course of treatment is for 10 days. I was hoping that he would give me more of the doxycycline since it seemed to work the last time. “I want to give her doxycycline again and try an extended course of antibiotics,” I explain to the receptionist. “Did he check her for Lyme’s” I continue my questioning. She shouts to the veterinarian who is working in the back room and he shouts back to her, instructing her to give me two more weeks’ worth of the doxycycline. I am frustrated by the lack of one-on-one communication and the inability to get what I believe is needed. He did not believe it necessary to check for Lyme’s so did not draw that test. “All of her other labs look pretty normal.”

“Alright, I will try this,” I say, “but I don’t think it is going to work.”

By now, Bella is so sick that she refuses not only her regular food but all treats as well. It has become impossible to get her to take her pills. She just smells what I have to offer and turns away. I want to cry. If I can’t get her to take the pills, she is going to die. “I can’t handle another loss,” is the sentiment expressed by my hubby. What am I going to do? There are two pills to give morning and night. There is nothing to do but pry open her mouth and shove them down the back of her throat with my fingers. Hope wells up each morning and I hurry down to see if she has started to eat her food.  But each morning and night, it lays untouched. Three days go by and Bella shows no signs of improvement. Each day, she slowly deteriorates. She no longer asks to play, she no longer walks with me and goes out only to urinate. She does continue to drink water and urinate which is a good sign but I have resigned myself that she is going to die and there is nothing I can do about it.PetsFamilyJan2013 196

“Should I make an appointment for Bella at the clinic where I work?” reads the text from my daughter.

“Yes, go ahead,” I respond. What can it hurt? I see no hope with what we are doing.

With a sense of foreboding, I take Bella 30 miles to this other vet clinic. She reacts weakly to the Lyme’s test. She is still running a 104 fever. But this vet and I agree to put her back on doxycycline at a higher dose and for a month. This vet also gives me a non-steroidal anti-inflammatory to reduce the fever and a drug to increase her appetite. Will it work? I do not hold out much hope but it is the last ditch effort. Is it silly to pray for the recovery of a dog, I wonder? At this point I don’t care how silly it is. We pray every night for Bella to get better.

The problem this new regime creates is that I now have five pills to get down her throat every morning and she is not the least bit interested in our attempts to help her. There must be a better way. When I took care of cows, we had a pill gun to give pills to uncooperative cows. What can I use to make a pill gun? Then it comes to me. Vaginal estrogen cream and vaginal anti-fungal creams come with applicators. This is unconventional but I craft one into a pill gun for Bella. I find that if I mix some yogurt around the pills, they slide out nicely and into Bella’s mouth. Ever so slowly, Bella gets better over the next week. She begins to ask to play again, agrees to go for short walks with me, and gingerly starts to eat small amounts again. She still won’t touch her dog food but readily gobbles down the cat food. If she wants to be a cat, I guess we are OK with that for now. My hubby and I cheer when she finally gulps her pills wrapped neatly in bologna. Will this recovery be permanent or will she again relapse when the month is up? Only time will tell. I never realized the love of a dog could pull so hard at one’s heartstrings especially since my heartstrings tend to be loosely tied.