Feedback (Page 9)
opinions expressed in the Caregiver Feedback pages are those of the
authors and do not necessarily reflect the opinions of the Feline
CRF Information Center.
I wish I had
known about your website earlier. Our eldest cat, Clio, was euthanised
on 23 May after a valiant fight against CRF. She was 17 years
old and had a quality life until about six months ago. We had
talked with our vet about euthanasia before actually making the
decision (after asking Clio) so we were prepared when we actually
made the decision. An option that was available to us was giving
Clio the injection intra-abdominal. This eliminated the need and
stress on her of searching for a vein and we had a good hour with
her as she gradually lost consciousness and died. It was very
peaceful. She did need two injections (the second about 30 minutes
after the first) but by that time she had already lost consciousness
and didn't even flinch. Please do let others know about this option
when they are faced with the same decision.
creating this site; in desperation I entered "feline renal failure"
in an internet search and found you! My cat, Lanikai, recently
turned 19 and is in the latter stages of FCRF. He is a Himalayan
mixed breed and a fighter, but it is devastating to see my dear
friend emaciated and struggling to keep his balance at times.
Being a nutritional
consultant, I'm seeking ways to help him in his final days. He
was diagnosed with CRF several years ago and due to a misdiagnosis
while seeking a second opinion, this vet gave him thyroid medicine
which slowed his system down and further injured his kidneys -
he has declined more rapidly that he would have.
his BUN is 114 and his Creatinine 4. I give him 200 every other
day of the Lactated Ringers solution, give one, twice a day of
Renafood by Standard Process, feed him Hill's AD when he is weaker
and Precise Feline Growth Formula-Turkey when stronger. He's gone
from 12 lbs. to 6.5 in the last two years, losing more weight
every month now. He also gets a monthly shot of mixed steroids
which helps control the vomiting.
The tip on
warming the bag before doing SQ is great, has made it much easier.
I put him on the bathroom floor and hang the bag from a towel
hook high on the back of the door. I crouch behind him on my knees
and inject him from the rear so I can control him and hold his
legs and hold his rear quarters between my legs. The height of
the bag makes it flow quickly and has cut the time in half.
which decreases appetite, so I give him 1 inch of Petromalt every
day as well as as much Nutri-Stat as he will eat, usually 1 inch
also. For treats he gets a few tablespoons of cream or half &
half & raw turkey meat.
He still wants
to go outside for a few minutes every day and, although weak,
can still jump up on the couch and bed, where he spends most of
his time sleeping. He can even still climb up into the bathroom
sink for a drink of water. Although I give him bottled water,
I also let him drink the horrible city water from the sink as
he needs as much water in him as possible.
It is painful
to see a cat who has been a larger-than-life persona deteriorate,
but each moment is precious and I work at home so I can give him
lots of love during this time. His ups and downs amaze me as many
times I thought he was ready to die, but he bounced back, weaker
and bonier, but his spirit wants to live now. Luckily he does
not seem to have much cognitive disorder, still uses the litter
box effectively and even purrs when feeling better than worse.
I'd let you know how we're doing and that your website is a compassionate
service to all of us in this situation.
I'm so sorry
you lost Avatar - I cried when I saw his face on your front page
- what a cat!
Our cat Chessie
was diagnosed with CRF in May of this year. He is doing very well
now. Chessie is young, he just turned 4 in July. We always thought
he was just a quiet, laid back kind of cat. We didn't know that
he wasn't feeling 100%. I don't think his kidney ever did work
properly. Now he is one our most playful cats.
I found your
site very helpful and I gave your web address to our vet. Your
links to other sites have also been helpful.
we had was getting him to eat k/d. I blended it with water (14
1/4 oz k/d, 1 1/4 c. water) so I could force feed with an oral
syringe. When he started eating on his own, he preferred it blended
with water. He still won't eat it straight out of the can.
method will work for someone else.
lost our cat, Victor, to CRF. As you have heard many times, your
site was a tremendous help and comfort during a battle that cannot
But the main
reason I am adding to your e-mail inbox is to suggest an addition
to your info on administering pills. As Victor lost weight, our
vet suggested Nutri-Cal, a gel dispensed from a tube, as a calorie
supplement. We soon discovered that we could hide a pill (or more
often a quarter pill, or even fragments in the case of a horse
pill like Amphojel) in a blob of Nutri-Cal, and Victor would lick
it right off our fingers. From that point on, pilling Victor involved
no fuss whatever.
in Victor's final two days, he would still take his meds in Nutri-Cal
when he wouldn't even eat the baby food we had been feeding him
for months. We don't know if this would work for other cats, but
considering how hard it can be to administer pills, it's worth
for all you have shared with the community.
food your crf cat will like
Chicken and Rice -- canned only
- 18 years next spring; Tiger II 17 yrs next spring.
I found this
food by using one of the links from your site 18 months ago. Our
cat hated all the food the vet had - KD etc. This food has been
a godsend. Both of our crf cats love it and it has kept them going
for 1.5 years. We occasionally give them some chicken white meat
these last few months but they still like the canned. It is very
low in phosphorus and sodium. This food is tuff to find but very
well worth it.
providing an excellent website for all cat lovers who will probablly
get to go through some stage of crf. Our youngest cat - Black
Toes- was diabetic and only 12 when a super rare anal gland cancer
got him in less than 5 weeks. Surgery couldn't get it all.
Keep up the
good work and many THANKS again,
you from Germany. I also had two cats with CRF. Momo died in december
1999 in the age of 13 but Kim (13 years old) is still with me.
My vet gave me "vasotop 1.25" for them. It's a medicament which
they used for cats with heart-problems but then they noticed that
the blood tests of crf-cats became very much better with "vasotop
1.25" (the old name is "delix"). Momo died in the end after 4
years with sub-Q-fluids, diet and delix / vasotop. But he lived
longer than without vasotop! His labor-Ergebnisse became very
much better for a long time! Kim also had a creatinin-Wert of
2.1 but since a half year he gets his vasotop and has now a creatinin-Wert
of 1.74 (BUN 22!) I wanted to tell you that in the hope that it
is useful for you. (I don't know if you know this medikament in
P.S. Also greetings from Kim and his new friend Sally (3 year
I have some
information for CRF cat owners who might be having difficulty
administering subcutaneous fluids due to a "fiesty" or "squirmy"
cat. My 10-yr old siamese cat just didn't handle it well at all.
He would "bolt" out of our arms.... the towel technique didn't
Our vet. recommended
a RESTRAINING BAG and he is now much more relaxed (mostly because
we don't have to be so firm with him to hold him down). The nylon
bag has a zipper down the back, and a velcro closure around the
neck. You can zip up the back, and leave a gap for the insertion
of the needle. We found our cat to be much more relaxed when we
started using the bag and he's taking the fluids without a struggle.
others that they should contact their vet., who could order a
restraining bag for them if they are having difficulties. Maybe
it could be included in the section on "how to administer fluids"?
The site is
well-done, and quite helpful to an older tabby's friend who must
now care for her CRF. I was looking for a support for the Sub
Q bag before her first hydration, and I happened to see my wife's
telescope on its tripod in Mickey's favorite room. I also own
a camera tripod, which is light, portable and easy to store when
the Sub Q session is finished. An "S" hook from the hardware store
fits nicely over the handle that adjusts the head angle, but there
are lots of other ways to fit a hook that holds the bag. Even
the cheapest tripod (try video accessories at discount stores)
is easily adjustable for height and sturdy enough to support a
liter of LRS.
my gorgeous black cat who was born without fully developed kidneys.
He is almost three years old and sadly his vet feels that it is
time to consider putting him to sleep.I have looked through much
of your site and wish so much that I had some of the options available
to you in America.
We live in
Scotland where transplants are unheard of in cats, dialysis is
not even an option.I have to let my beautiful cat go knowing that
something could have been done for him if the geography was right.
I think that
the point of my e-mail is to say that you are very lucky and if
you feel down at all, just think of how difficult it would be
if there were no resources available to give your little cat a
chance to fight kidney disease. I wish you all well and hope that
you feel privileged that you can do so much more for your cat.
has been a great help. Understanding what is going on and feeling
that there is something that I can do has made me a lot less frantic.
was diagnosed in March I had figured out some of the tips I've
seen in the feedback on my own,but there are a few others that
I haven't seen mentioned. When we started giving the Sub Q treatments
warming the bag was a big help, but even more so was when we realized
that if we did it early in the morning,before Cleo had gotten
into her daily routine she was much quiter and didn't struggle
at all. I've also made a point of taking her back to bed and cuddling
her afterwards. She really seems to appreciate the reassurance.
Cleo has also
had a problem with constipation. Your note on Amphogel alerted
me that it could be a problem. She has had a couple of enemas
which help for a while, but it seems to be a recurring problem
and the cause of her refusal to eat. Her vet suggested one over
the counter laxative when bran (she wouldn't eat it), metamucil
(she threw it up), laxatone (the only result of trying to get
it into her mouth was very sticky fur) and mineral oil (no effect)
didn't work out. The brand she suggested didn't work either, but
after spending half an hour reading every laxative package in
the pharmacy I decided to try Senokot-S. I took it to the vet,
she checked it out and said to give it a try. The key was that
this has a stool softener! Two days later success. I am also giving
her olive oil (1tsp /day) and she seems to actually like it.
Also on your
dietary management page I saw Hills g/d listed. Cleo, like a lot
of other cats hates k/d unless mixed with a/d, which isn't so
good for her, and she still had to be spoon fed. My vet hadn't
heard of g/d, her Hills catalog didn't even list it. According
to the Hills website the g/d has slightly more protein and phosphorus.
However, when you check out the actualy labels it had the same
protein, less fat, more fiber, more moisture, less ash and
less phosphorus. More to the point Cleo practically dove into
the can when I stopped to get another spoonful. Anyone whose cat
won't eat k/d should consider this. I haven't seen anyone else
mention it, perhaps because Hills lists it for "early stages"
I hope this
helps someone. Now I have to go check out some of the other tips
with my vet.