I love the GA sun
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Though I've been neglecting this blog since moving to GA, the past couple of weeks have not been due to work stress.
Loki, my orange kitty who I affectionately call Pooky, has been diagnosed with Juvenille Renal Failure and has CRF, chronic renal failure.

On Saturday, 12/23, I noticed he wasn't quite himself. He wasn't trying to hypnotize me with eyes, as in the picture above.
The previous week, my friend Mariposa was in town visiting with me and her other GA area high school friend Talon I had more company over than usual and both Pooky and Pumpkin were loving the extra attention. After the company bruhaha died down, he had seemed a bit sulky and a bit more needy. Come last Saturday, I tried to get him to play. He didn't want to, which is not like him at all. He also smelled horribly bad. His breath about knocked me out. So, I figured that I would err on the side of being too cautious and had Unfriendly accompany me to the ER vet.
Two hours after he was admitted and his bloodwork came back, I got a call back from the vet on duty. Pooky was in renal failure, but she couldn't tell if it was acute or chronic. He hadn't gotten into anti freeze and I don't own real houseplants. She wanted to take an x-ray of his kidneys to see if they were swollen (which points to acute) or shrunken (which points to chronic.
The x-ray showed stones in each kidney and that his left kidney was much larger than his right kidney. They recommended that he stay over at the clinic until Tuesday and put him on IV therapy and re checked his bloodwork every 24 hours.
The smell that knocked me over was due to the toxins in his system. His blood urea nitrogen levels were 140. 33 is high normal. UF and I visited Pooky every day over Christmas weekend and even brought him one of his presents. He wasn't lethargic during visits and always looked at us as if to say, "why the hell can't I come home yet???" See.

The vet that owns the emergency clinic is an internist and actually did his Master's project on kidney related matters. He was back in on 12/26 and called me to let me know that he wanted Pooky on IV therapy for a couple of more days since only some of the bad numbers had gone down. The ER doctor that saw him on Saturday - Monday was different than the one who had initially treated him. She basically gave me a death sentence for him on Monday. Merry Christmas? Hardly. But the internist wanted to treat him and told me that many cats with CRF could live for many months up to years with treatment.
He had an ultrasound done to see if any of the stones were blocking his urine flow. They weren't. From the color and shape of the kidneys and his history, the internist thinks that he's actually been in renal failure from very young. Cats are apparently very good at adapting to this. People normally don't realize there's a problem until their cats crash, and by then, much of the kidneys' ability to function has greatly deteriorated.
Pooky is home now. He is on subcutaneous fluid treatment. I inject 100 mLs of fluid into him daily, which he takes very well. He isn't really interested in eating, so UF and I have been feeding him via syringe about every four hours during the day. He gets a teaspoon of Maalox 3xs a day to bring his phosphorus numbers down to normal and also gets 1/4 of Pepcid AC tablet every day to control his acid reflux. The reflux is actually pretty common in CRF cats. He goes back in on Thursday to re-check his numbers.
I've been dealing with the fact that my little orange guy has a terminal disease and all I can do is keep him as healthy as possible by keeping him hydrated and medicating him. Yahoo actually has a group for folks with CRF cats and two other groups for dealing with phosphorus related medicine and how to assist feed your cat. Reading other people's stories and how their cats have come back from far worse crashes has been helpful in my keeping my sanity. However, I do still break down in tears from time to time with Christmas being the worst of it.
I had felt guilty for not realizing that Pooky's crazy love of water pointed to him being sick. Since he had been that way since kitten hood, I didn't think anything was wrong. I thought it was one of those weird personality things. Other than catching it earlier and managing it earlier, there's not much I could have done.
Unfriendly has been wonderful through this so far. We've both been tired and are sick of the smell of canned cat food and antacid, but we haven't been fighting or at odds.
I'm hoping for as long as I can have with Pooky. He doesn't seem to be ready to give up just yet, so I won't.
On his favorite spot at our last MI abode
Christmas 2005
Contemplating offing Pumpkin for being in the wayLabels: Kitty Kids, Pooky, Tales of Trauma