Dr. Magnifico,
Hi, I was in to see you in February with my 18 yr old cat Sophie. The morning throw- ups and lack of appetite got better for awhile. The appetite stimulator ointment really helped. But, we’re on a downward swing now. Sophie eats VERY little, yet still manages to throw it up. Yesterday, (Saturday) she ate hardly anything. Today she will not eat at all and has slept all day. So, I’m concerned about what to do. Best case scenario, she would die in her sleep. If she’s not eating, I would think this would happen. But, I don’t want her suffering. If I have her put to sleep at the vet’s, what’s the procedure since i can’t go in? I can’t imagine just handing her off to a stranger. I’m really struggling with this, so would appreciate any advice. Thanks.

IVDD – Beagle
My 9 year old beagle is displaying symptoms of IVDD. Currently he is still able to walk. He holds up a paw when he stands but does have pain in the neck area. He has been displaying these symptoms for a month. This is the third times he has had issues with this leg which we always assumed was so sort of sprain and was helped by rest. The nuroligst wanted to do an emergency MRI and possible surgery if the MRI confirmed IVDD. However, his symptoms don’t seem nearly as bad as other have expressed. Is surgery really the way to go if I can afford it to help him heal the quickest? I want him to heal as quickly as possible, but I am nervous that the surgery seems risky. Any advice?

Blocked cat 3.5 years old
Left er at 2pm about 3 hours ago they drained bladder..asked if they had payment plan and don’t have
.cost is over 2000 dollars
I can’t afford. Trying to find a place that will accept payments in Dayton Ohio

My elderly cat, age 17, recently took a downward spiral with her health. It started with her not eating, then the next day she started becoming more unbalanced, along with sleeping more, and still, eating very little (she also did seem to use the bathroom a tiny bit more than usual, but it wasn’t anything like when my male cat had a urinary tract block, she peed a little each time, but she could be dehydrated) , and today it’s only gotten worse, along with her barely using the litter box, she peed today but no sign of pooing. She ate all of maybe once today, with a few treats here and there. She also has been wandering aimlessly to stare into the bathroom (a place I used to give her water) and to stare at her litter box.
She seems really interested in drinking when she’s up, but doesn’t actually seem to be doing it much. (I’ve debated syringe feeding her some water, but I worry it might hurt her)

She is a cat with a history of feline kidney disease, diagnosed stage 2 by the vet that I’d seen a year ago. Although I have been managing it with daily feedings of wet food and water.

I took her to see the vet today, but all he really did was palpate her kidneys and then tell me he felt something there. I was unable to afford the suggested blood work and x-rays, but the vet was saying things like “everything is hospice care at this point, she’s so old, there not much worth putting the money into her at her age.” Wich was a bit callous sounding. But maybe it’s because she’s my baby.
So they suggested I consider euthanasia right then and there. I couldn’t go through with it right that moment and just took her home to decide.
She has eaten a little, and drank a little since. I’ve been putting her in her bed near me as she’s super tired.

Would putting her down be the right decision? Is there something else I can do???? She’s my only family, and pretty much my child. I can’t just give up on her. Please help.

A year and a half ago we rescued a 4 week old kitten who presented unresponsive with a body temp so low it did not register. She was revived. As the caretaker was going to put her back out that evening I stepped in and offered to take her with the plan to rehome her. I have rehomed dozens of kittens over the years, all who came from feral colonies. From the get go Annabelle was incredibly sick and had behaviors that weren’t what we were used to. When held she would attack faces, when stimulated she would attack, we continued to work with her and a year and a half later she lays with us at night and as long as we don’t touch her does not attack people. Instead she attacks items. This occurs whenever there is any stimulation in our home, folding laundry, cleaning out a closet, dogs playing, children laughing, the list goes on and on. She has destroyed a sofa, armchair, curtains, tablecloths, comforters, sheets, duvet covers, etc, etc. We can not trim her nails….because we can’t handle her and truly even with her nails trimmed I am sure she would rip things apart with her teeth. We are no stranger to ferals, I am happy to allow them to hide until they feel comfortable, there is no hiding with Annabelle instead she literally runs into the chaos. When we let our dogs out and at feeding time out she runs into the chaos, when I vacuum she runs around the room, when we have company she runs around as I warn our guests not to touch her. We are no stranger to keeping cats happy, we have cat towers, scratching posts, scratching boards, elevated areas, areas to hide. Our other 4 cats are incredibly happy members of our family. I am at my whits end, I honestly feel like we attempted to tame a raccoon and are living with it in our house. I do wonder if Annabelle would be happier outside, but with no sense of danger and a habit of running into the chaos I can’t help but worry she would get killed….and I didn’t save her to have that happen.
I am open to suggestions and curious if anyone has ever had a similar experience.

Hi Dr. magnifico! Curious on your thoughts on gabapentin for pain? I’ve read mixed reviews. My pup has a painful back leg. Originally she saw a vet at our practice who thought is was due to Lyme because she had tested strong positive and did not feel a drawer sign when checked. We did antibiotic treatment and the lameness got better for the most part. She would have some days where you could see it was bothering her. Then a few months later she was back to not bearing weight on it. Saw a different vet this time at our practice and this vet said he felt the drawer sign and said he felt it was injured CCL and reccomened a surgeon. Surgeon said would need to have x-rays to confirm which I haven’t had the money for. So we did pain meds (gabapentin and tramodyl) and rest for about a month and lameness went away again. She’s been good for about a year up until the past month or two and the vet gave gaba again. When she’s on it, she looks sleepy and scared. I’ve never had an issue giving pills with her in cheese on lunch meat or something but now she tries to spit it out. It’s like she knows what it’s going to do to her. I’ve read mixed reviews. I’ve also read it’s more for nerve pain? So I’m not sure if it’s actually relieving her pain or not. I’ve also read the reciptors that tramodyl targets, dogs don’t have? Curious on your opinion on all of this. I would like to see if she’s still a candidate for surgery even though it’s been some time but I need to come up with the funds for that so I’m trying to help her in the mean time. I give her vitamin supplements for her joints. I don’t want her on pain meds all the time but want something that gives her some relief on those bad days without making her feel drugged up.

Hello, I was trying to cut the hairs around my dogs ear and he shook causing the tip of his ear to get cut off. Very small port around a 1/4” or even less it looks like. It is not bleeding. Do I need to do anything? He doesn’t look to be in pain but I know animals don’t always look to be in pain even if they are.

I need help finding services for my dog I feel it’s an emergency to give you a little bit of background I’ve had our dog for about 2 years now I hadn’t looked at by a family friend a year ago cuz I noticed a bump on her lower back they said it would be fine as long as it doesn’t rupture well today’s the day it did I don’t have the finances to get her help I’m scared that it can take her from us or make her very sick as selfish as I want to be in this moment not to surrender my pet I would if I had to so I’m asking is there any resources out there that can help me please help her

Hi,

Last April, my 16-year-old long haired cat, Geisha, began experiencing frequent sneezing and congestion. Her symptoms worsened gradually. Her nasal breathing sounded wheezy and her purring sounded like duck quacking. We took her to the vet who treated her with antibiotics (Amoxicillin) and anti-histamine (Chlorpheniramine). When her symptoms did not improve, the vet then gave her a different antibiotic (Convenia) and a steroid (Dexamethasone). When her symptoms still did not improve, we took her to a specialist. The specialist ruled out rhinitis because Geisha’s bloody nasal discharge only occurred from her right nostril and concluded that Geisha possibly had a polyp or nasal tumor. They recommended performing a CT scan, rhinoscopy, and biopsy. They prescribed Geisha a steroid (Prednisolone) while we thought over their recommendations. Within a day, Geisha’s symptoms began to dissipate and after a couple of days, all her symptoms disappeared and she was fully recovered.

Unfortunately, in January of this year, Geisha had another relapse of the same symptoms. We brought her to the vet on 1/9/2020, who after hearing her previous history, prescribed both Clavamox and Prednisolone. They also administered a blood test, the result of which we were told was unremarkable.

Geisha’s recovery last year came after she was put on 1 tablet of 5mg Prednisolone per day. Unfortunately, the same medication regimen this time did not improve her condition. After weeks on medication with no signs of improvement, on 3/6/2020, we brought Geisha to a specialist referred by the vet. There she was given another blood test, the results of which was once again deemed unremarkable. During the same visit, we were told that only a CT scan along with a biopsy would conclusively identify the root cause of her symptoms. We agreed to the CT scan on this basis alone.

After spending close to $2,500 on the scan, we were told that the CT scan did indicate a mass but that the nature and identity of the mass could not be determined. The specialist informed us that the biopsy results did not indicate that the mass was cancerous. However, he stated that it is his opinion that the mass was cancerous, without any supporting evidence and despite the contradictory biopsy results. It is his opinion that the biopsy results are incorrect due to poor sampling. His conclusion is that we should consider pursuing radiation treatment since that would be the only resolution. So, basically, after a $2,500 expense, the vet is just as clueless about the nature of Geisha’s issue as he was before.

Geisha was returned to us after the CT scan with Prednisolone medication. We were instructed to increase her dosage to 1.5 5mg Prednisolone per day. With this increased dosage, Geisha’s condition has improved. In the month that has passed, while her condition has improved, she is still mildly symptomatic and not fully recovered and thus is still on the same medication regimen.

Naturally, my wife and I are very disappointed that we still have an inconclusive diagnosis despite having been assured that the costly procedures would be justified by the precise root cause that they would deliver. We also don’t understand why we spent money for procedures such as the biopsy only for the vet to completely disregard the results and formulate his opinion purely on conjecture. This all seems to fly in the face of the scientific method that all science is based on.

I would love to get your opinion on what you think is the issue with Geisha and what you believe the best course of action for her is based on her past year of symptoms and treatment history and also taking her age into account.

Thank you so much for your time.

My male cat is 2 yrs old and he has a small history of urinary issues. He went in for not being able to pass urine in May 2019. Vet #1 suggested prescription wet food(hills c/d multicare) and perineal urethrostomy. While he was hospitalized with a catheter and IV fluid therapy I did my research and the surgery seemed risky and I wanted a second opinion. After my boy was discharged I went to vet #2. Vet #2 reviewed urinalysis and bloodwork and didn’t see reason for surgery at the moment as cat was passing urine okay. Vet #2 said to continue with the food and gave dasuquin supplements.
Fast forward to present day April 2020 almost 1 year later he’s still on the c/d wet food, hasn’t had any blockages since. I want to change his diet to Open Farm which is a higher quality food and I am a bit nervous. Should I get another urinalysis or bloodwork done before making the transition? Is it necessary to make an appointment and ask my vet? The c/d is ranked below average for nutrition and ingredients from what I have read and I don’t want to be paying for food that’s not the best but it has a high price tag! I currently feed him 1 can/day and add salmon oil.