veterinary care

Cita and Opportunistic Mycobacteriosis.

That Asian-Looking Chick Leave a comment

Late Tuesday afternoon last week, Callaghan happened to check the skin beneath Cita’s fur on her backside, where her open wound had been. When we found that the wound had re-opened, we called the vet and arranged to take their open evening appointment slot.

At the hospital, the doctor looked at Cita and then took her to the back to have the area shaved for closer examination. Cita was returned to the room with two large shaved patches on her back end and hindquarter. We saw her old wound, open and oozing and rounded, just like it’d been before it healed. We also saw five more wounds exactly like it. It made no sense. She’d been indoors and pampered in a protected environment for four months.

The next day, Cita’s test results came back, and our baffled doctor consulted with Dr. K, who, with his expertise from many years of experience, determined that Cita was suffering with Opportunistic Mycobacteriosis. We weren’t looking at wounds. We were looking at lesions. Dr. K had only seen the disease twice in his long career.

Cita’s case was textbook.

[Click here to read about mycobacterial diseases in cats]

[And here’s another site on the subject of Opportunistic Mycobacteriosis]

[ETA: Here’s yet another one]

It turned out that just like Ronnie James, Cita was suffering with a disease caused by an environmental menace, and it was uncommon enough that it escaped detection until the end. Ronnie James had come into contact with a poisonous caterpillar in France. Cita had come into contact with a mycobacteria, most likely from soil. Cita had loved to roll in the dirt. The mycobacteria in the dirt probably entered her system through a puncture wound.

We were shocked, but thinking back, we realized that we never actually saw Cita get attacked. We’d seen her getting chased, and early in the fall, we observed tiny puncture wounds after one such incident… so when her first lesion appeared at the beginning of November (the night before we left for my brother’s wedding), we just assumed that the horrible wound had come from an attack.

We recalled how the doctor at the emergency hospital remarked that Cita’s wound didn’t look quite like a cat fight wound. We went back through our paperwork and saw that the doctor had written “dog bite,” and we remembered that she’d hazarded that guess.

All of our assumptions had been based on circumstantial evidence. We’d seen Cita instigating fights by growling at cats, and we’d seen her running away, rather than fighting. We just assumed that the wound had come from a cat jumping on her back as she ran.

(I’ve always been against the notion of cats being outdoors; my cats have always been indoors-only. Cita had been an exception because of the details of her rescue from the street. Despite our strenuous efforts, it wasn’t working out with Nenette, so we had to release her back to her backyard patio and her outdoor laundry room.)

With her diagnosis, everything made sense, especially the solid thickening in her lower belly that no doctor had been able to figure out. At one point, we followed one doctor’s advice and scheduled a surgery for exploration and to remove whatever was in there, but when we took her in for the surgery, the surgeon recommended sparing Cita the ordeal. We’d had X-rays taken, and our surgeon also took Cita back for an ultrasound. None of the tests showed a tumor or a hernia, so we agreed on a “wait and see” approach.

We’re so glad that we did. Cita’s disease was advanced, and no surgery could have saved her.

Since we didn’t know what was going on back then, we re-started a course of antibiotics, plus a painkiller. Cita got better. Her wound closed up, and she was feeling well. She was taking an anti-anxiety medication so we could ease her second introduction to Nenette.

And that medication was working: Cita and Nenette were eating breakfast and dinner together, facing each other through a baby gate under supervision. There was no growling. It was a much different story than early last summer. Cita and Nenette seemed comfortable together; we’d gotten them to the frenemy stage, and we’d planned to take the next step in mid-May.

Cita was happy and relaxed, as playful and affectionate as ever. We spent most of our time with her in her “apartment,” which she loved. She had her favorite scratch pads from the patio, all of her toys, including her precious salamander; she had multiple bedding areas and surfaces to climb. She had houseplants and her cat tree by the window, and she loved sitting on the highest level, enjoying the spring breeze through the screen and watching the birds.

When we received Cita’s diagnosis, we were told that we could battle the disease with another aggressive course of two different antibiotics over an extended period of time, though her prognosis was abysmal. We bought the first round of antibiotics, but instead of starting her on them, we read the websites and talked about the situation all night. We decided against prolonging Cita’s life with a miserable routine of twice-daily medication and discomfort; we didn’t want her last days to be terrible.

We’d given Cita the best life that we could, and now we wanted to give her the best death that we could. We wanted her passing to be happy, beautiful, and dignified.

On Thursday afternoon, Cita received a sedative and painkiller cocktail to help her slip into sleep comfortably. She fell asleep happy in her Daddy’s arms, with me kissing and stroking her face and head. The last thing she heard was us telling her how much we loved her, and me saying, “Sleep well and have good dreams,” as I’d done every night while tucking her in. Once she was asleep, we gently laid her down on the table so the doctor could administer the second injection – the one that would stop her heart. She didn’t know that it was happening.

Now Cita is at peace, but we’re devastated. She’s left an enormous vacancy in our hearts – though she’ll always be in our hearts – and home. She’d been here as long as we’ve been here.

We’re so grateful that she adopted us, so honored that we’d had the privilege to make her last few months of life happy ones. She was pampered and loved probably more and better than she’d ever been. Just like Ronnie James, Cita was pure love and sweetness. Everyone who knew her loved her. She effortlessly stole the hearts of everyone at our veterinarian hospital – the receptionists, technicians, doctors.

We asked for her cremains to be returned to us in an open urn. We’re going to scatter her ashes amongst the plants, trees and flowers in our backyard. She’d loved accompanying Callaghan as he’d go around watering everything. She loved her flowers.

 

Cita’s collar and paw prints

 

Here are the pics of Cita I’d prepared for the post that was supposed to be a kitty update post:

 

Cita at the vet.

 

Cita… starting to feel better.

 

Cita watching over our front yard from her “crow’s nest.”

 

Cita notices everything!

 

Cita falling asleep while looking down on me.

 

Cita loves her window perch.

 

And here are pics of Cita on the morning of her death…

 

Cita’s last bath

Cita on her last day.

 

Thank you all again for your good thoughts and kind and compassionate comments. We appreciate them more than you can know.

CITASAURUS in the house. (Kitty update post!)

That Asian-Looking Chick Leave a comment

[::ahem::] In which I bring you the state of the kittyverse chez nous, because I’ve (still) been slacking on the kitty update posts! Apologies to you who ask, and thank you again for your patience.

The main news is that Cita is doing well, but she’s still healing, and she’ll be having a procedure next week.

I’ve posted most of these Cita pics on Facebook, but a kitty update post provides a good opportunity to see the evolution of her healing… or, shall I say, the evolution of her healing apparatus. She’s gone from a cone to a onesie to an inflatable collar to a triceratops get-up (which I haven’t posted on Facebook).

But I’m getting ahead of myself.

Cita’s two major wounds were looking good in the healing process. Then one of them opened up again, so we’ve been managing that situation. The other wound stayed closed… but beneath that closed wound on her belly, things got strange.

First, it was a thickening of the skin on the wound. Then the thickening deepened, and now it’s like a ball or a mass you can actually close your fingers around as you massage her belly. Her doctor’s been monitoring her, we’ve been monitoring her, and we’ve continued on with her antibiotics, along with a few other measures.

At Cita’s last appointment (a few days ago), we had an X-ray done to see what’s going on under her closed belly wound. We don’t know what it is, but we’re going to have it removed. It’ll be a minor surgery, and it’s scheduled for next week.

This is not a life-threatening situation. Whatever this thing is, it’s more than likely a result of the healing that started before we realized that she had a wound there. The doctor’s attempts at aspiration have yielded inflammatory cells and infectious cells, but, oddly, no bacteria. We’re basically removing a ball of gunk. It’s just hanging out between her skin and her belly wall (all of her organs are tucked inside her belly wall – she doesn’t have a hernia, as her doctor thought might be the case – and they’re healthy).

This brings us to Cita’s healing apparatus. A cone was needed to keep her from licking her open wound, so we tried the one we got at the vet:

 

Cita with cone - first attempt

Cita with cone – first attempt

 

She couldn’t function in the cone (she couldn’t get down from her low futon without falling, she couldn’t use her litter box, etc.)… so the doctor recommended that we put her in a onesie:

 

Cita in a thrifted onesie

Cita in a thrifted onesie

 

The onesie started out well, but then she wriggled out of it, and we couldn’t keep it on her. Our next option was an inflatable collar:

 

Cita with inflatable collar - third attempt

Cita with inflatable collar – third attempt

 

She’s still wearing this collar, albeit upside-down; this is keeping her from licking her open wound (which is healing nicely, by the way)… but it doesn’t keep her from licking her belly. It’s fine that she’s licking her belly now, since her belly wound is closed, but it won’t be fine next week after her surgery.

So we had to come up with an apparatus that would prevent belly-licking. We decided to fashion an extension to her inflatable collar… something wide enough to do the job, but not angled up like the cone. Her peripheral vision still works in this:

 

Cita with triceratops extension

Cita with triceratops extension

 

Because why not a triceratops collar? I suggested it, Callaghan made it (beautifully!), and now we have a Citasaurus. Here’s Tri-Cita-tops in the wild:

 

TriCitaTops in the wild

TriCitaTops in the wild

 

Of course, she hates it. But it works, and she can function in it. We’ll put it on and leave it on after her gunk-removal procedure next week. A whole new healing process will begin. She’ll need to be a Citasaurus for a few weeks.

Tricitatops is the sweetest Citasaurus you could ever hope to meet.

As for Nenette? Nenette is doing well and being a great sport about the whole situation.

 

Nenette with owl

Nenette with owl

 

She can’t go into my former office anymore (she used to love that window), but she’s not making a fuss. She has endless ways to amuse herself. She can stare into a glass of water for minutes on end.

 

Nenette with water

Nenette with water

 

Here’s her favorite pose:

 

Nenette as royalty

Nenette as royalty

 

So there you have it! Summary: Cita is still recovering. She’s doing well, but she needs minor surgery. Nenette is doing well, too, and she’s being awesome with the shift in routine around here. Nenette may be stranger-shy, but she’s quite adaptable.

More updates to come post-Cita-surgery!

Happy Friday, all!

Cita’s in da house. (Cat mom blog/kitty update.)

That Asian-Looking Chick Leave a comment

The short story: Our neighbor didn’t care about his cat. We fostered her in our backyard, and we have her inside now because he moved away and left her homeless. That happened on Saturday.

The long story: To be clear, we never took her and put her in our backyard. She came with the house… I mean, the day we moved in, she greeted us on the doorstep. She was the one-cat welcoming party. We thought she was a stray.

We found an old paper plate holding the remnants of cat food next to the house. We assumed it was for her. Maybe someone who used to rent our house abandoned her…?

She looked to be healthy and well-fed for a stray, but it seemed that she occupied the entire block. We thought maybe she ate off of old paper plates at different houses on the street. She didn’t continue to eat off of paper plates at our house, though. We resisted putting food out for her. If she did have a home somewhere, we didn’t want to encourage her to hang out on our property more than she already did.

The few neighbors we got to know said that they often saw her around in their yards, but no one knew if she belonged to anyone. Everyone thought she was a stray. She was “The Neighborhood Cat.”

She was cute and obviously intelligent. I went out of my way – way out of my way – to ignore her the whole first year we lived here, because I know me. I didn’t want to get attached to someone else’s cat. She was always here… in the front yard, at the front door, on the patio, on the side of the house, in the backyard, at the back door. It was hard to ignore her friendly meows and her soft, furry little body winding around my ankles, but I managed to look the other way. For a long time, I never even looked down at her, because I didn’t want to see her eyes.

We started referring to her as Ronnie James’ girlfriend, as she and the Wrah-Wrah fondly gazed at each other nose-to-nose through our living room window. (Our cats never go outside.)

Ronnie James died in the spring. The little black cat kept hanging around. Renters living in surrounding houses came and went. No one knew her, but everyone knew her.

In the late spring, she appeared to be pregnant. Then she vanished for a month, only to reappear looking not pregnant. She had to have been in some house somewhere, we thought.

At the end of the summer, visiting relatives stayed with us for a couple of weeks. When we gathered on the front patio to enjoy the night monsoons, the little cat would be there, too, purring under the hands of our cousins. She was cute, intelligent, and affectionate.

One afternoon I rounded the corner onto our street as I was walking home from work, and she came sprinting toward me with utter glee from the other end. I was taken aback and amazed that she saw me from so far away, especially since I was still in my ignoring-her phase. That was the day I broke down and petted her. How could I not?

Predictably, I started to fall in love with her as I relaxed my guard. The week of Halloween, I kept a vigilant eye out – black cats on the street tend to be more at-risk during Halloween.

Finally, about seven months ago, Callaghan managed to approach the mysterious occupant of the house next door. (Not the various bros in the house on our other side. We knew them, and they knew nothing about the little cat.)

“Oh yeah, that’s my cat,” the neighbor informed Callaghan.

We never knew the guy’s name. We knew that his house had a revolving door through which different people would pass at random times 24/7, but he himself was hard to pin down. “She comes and goes. Sometimes she’s gone for days. There was this one time my friend saw her at the Circle K,” he said, referencing the convenience store/gas station down the street.

We couldn’t believe that anyone could be so nonchalant about his cat roaming around outside, eating off of old paper plates at different houses and ending up at gas stations.

He also told Callaghan that he’d had her since she was a kitten. (Me to Callaghan: “WTF! How can you have a cat since she was a kitten and then leave her outside to fend for herself?”)

It’s one thing to let your cat outside. It’s another thing to leave her outside to the point where everyone thinks she’s a stray.

The neighbor went on to confirm that his cat had been pregnant, and he had her spayed after the kittens were born. With this, we had to believe that she belonged to him. (We don’t know what happened to her kittens. We never saw them.)

This last December, the cat appeared in our backyard laundry room on an exceptionally chilly day. What could we do? She seemed hungry and cold. It was too much. Compassion insisted that we drop our demeanor of indifference, neighbor or no neighbor. We lined a cardboard box with blankets, put it against the wall by the dryer, and set out dishes of dry cat food and water. From that day on, she made our property her official home base. She’d go out and make her morning and evening rounds around the neighborhood, and then she’d come back to our house. Always.

At some point, the neighbor acquired two more cats… male cats. He left them outside, too, of course, and they bullied the little black cat, who by then we’d named “Cita.” (If she had a name before, we never knew what it was. The guy never told us, and we never heard him calling for her.)

We habitually chased the other cats off our property when we’d catch them menacing Cita. Ferocious cat fights would wake us up in the middle of the night. One morning, we found her on our back patio with a big, oozing wound on her flank. We were furious. Why didn’t he care?

Recently, I saw her limping after jumping down the fence to get into our yard, so we cut out a little cat door for her at the bottom of the gate. The gratitude she displayed when we showed it to her was heartbreaking.

Cita played with the cat toys we put on the back patio. She used the litter box we put out there, too. Yes, an outdoor cat used a litter box! We spent more and more time with her, just hanging out and bonding. She’d already gotten to know Nounours and Nenette through the windows. I started to tentatively include her in my Kitty Update posts.

Despite everything, we assumed that the neighbor would want her in the end. He didn’t. On Saturday morning, the day after I included her in my last Kitty Update post, he drove off with all of his stuff in a giant U-Haul truck and left her behind. He never came around asking about her. He literally abandoned her.

On the one hand, we were sad for her. On the other hand, we were glad that he didn’t take her away to be neglected somewhere else.

Suddenly, she was officially our responsibility.

We bought her a collar and a tag.

 

Pink and leopard print jewelry for Cita, my cell phone number on the back of the tag being the most important part, of course.

Pink and leopard print jewelry for Cita, my cell phone number on the back of the tag being the most important part, of course.

 

We took her to the vet that same day before we brought her into the house.

 

We agree. Cita is a gorgeous cat, and now she's a vaccinated and microchipped cat, too.

We agree. Cita is a gorgeous cat, and now she’s a vaccinated and microchipped cat, too.

 

Then we brought her home. She’ll never go outside again, because she’s our cat now, and we don’t have outdoor cats.

We thought Cita would rebel and demand to go out, but she didn’t. She politely asked to go out just twice, but she wasn’t upset when we didn’t open the door. It was almost like she was testing us to verify that she wasn’t dreaming.

Cita’s transition from outdoor cat to indoor cat went seamlessly. As for her relationship with Nounours and Nenette… that’s a different story. The first two days went pretty well, but today, Day Three, they took a step (or three) back, which is why this post is late. I’ve spent the morning babysitting, herding, and supervising cats. It will take time. We’ll get through it. We will persevere!

Here is Cita before (outdoors):

 

Cita: "Under my tough street kid exterior I'm really a pampered house cat."

Cita: “Under my tough street kid exterior I’m really a pampered house cat.”

 

And after (indoors):

 

Cita: "See! I AM a pampered house cat."

Cita: “See! I AM a pampered house cat.”

 

Cita’s “before” pic was taken just one week ago! She’s stayed glossy and black since bathing herself for the first time indoors. She’s no longer a dusty desert kitty.

 

Now Cita can bathe without having to lick off layers of desert dust.

Now Cita can bathe without having to lick off layers of desert dust.

 

Here she is after just one night inside:

 

Cita's first morning as an indoor cat.

Cita’s first morning as an indoor cat.

 

It’s wonderful to see her so happy!

 

Nenette and Cita resting together in the dusk.

Nenette and Cita resting together in the dusk.

 

(Don’t let that peaceful picture fool you. It was World War III in here this morning.)

Hopefully, Cita will never have to employ her survival skills again.

Cats are domestic animals. Just because they can survive outside doesn’t mean they should be outside. There are dangers outside! At heart, all cats prefer to be indoor cats. Cita hasn’t looked back.

Fitness routine changes afoot! (Also, what’s new with Nenette)

That Asian-Looking Chick Leave a comment

Fitness update! This may only be interesting to me, but I’m excited about it, so I’m sharing it. AT LONG LAST, I’m going to round out my workout routine with weights. I mean, I believe I’ve figured out how I can fit it into my day.

I hadn’t added a strength-training component to my routine yet due to limited time, and Body Combat three times a week is non-negotiable. This last week, I finally applied some serious thought as to how it could be done.

My friend and Body Combat instructor Izzy the Trainer inspired me when she posted a fitness selfie during her lunch-hour workout. She’s eight weeks post-partum, and she seriously looks like she could take the competition stage in a month! I wish I could train in the middle of the day, I thought, marveling at her drive. Then it occurred to me that my recent move to a new office put me within walking distance of the gym on campus. I did a re-con a few days ago and found that the walk is a mere eight minutes. The idea of working out over my lunch hour started to take serious shape. It is feasible. I can do this.

Still, I vacillated. There’s a small financial commitment involved, and though it’s really not much, I balked at the idea of paying for two different gyms. I got to the point, though, where I decided that the investment would be worth it.

I haven’t jumped in just yet… I’ve been giving thought as to how I could maximize the time I’d have, when and how it would be the most beneficial to work what muscle groups, how often I’d go, and how I’d manage the gym attire/personal hygiene aspect in the middle of my workday. I wouldn’t do a workout that leaves me dripping with sweat, but still, I’d want to clean up somehow before returning to work, of course.

Updates to come!

In kitty news, Nounours and Nenette have been good. We’ve been seeing Nenette’s playful side emerge, and that’s been a lot of fun. The nature of her playfulness actually calls her age into question even more… she really seems more like three or four, rather than the six years old we were told.

Here are a few pics:

 

This made us laugh... Nenette playing with Nounours' tail! He seemed to be flipping it around on purpose.

This made us laugh… Nenette playing with Nounours’ tail! He seemed to be flipping it around on purpose.

 

So many toys! Too many decisions! Just like the Wrah-Wrah.

So many toys! Too many decisions! Just like the Wrah-Wrah.

 

The gold heart tag is new… it’s her microchip tag. Her pink I.D. heart is on the other side.

 

Nounours, the blue-eyed photobomb master!

Nounours, the blue-eyed photobomb master!

 

In this picture, Nenette reminds me of Louise from Bob's Burgers.

In this picture, Nenette reminds me of Louise from Bob’s Burgers.

 

(I was slightly traumatized last night when I went online looking for an image of Bob’s Burgers’ Louise for a possible “Not Unlike” of Louise and Nenette. In the process, I accidentally traumatized Callaghan. Needless to say, I didn’t find what I needed for the “Not Unlike.” Oh, well.)

 

Nenette discovered that she loves playing with this black string.

Nenette discovered that she loves playing with this black string.

 

Tomorrow, both Nounours and Nenette are going to our vet for checkups and updated vaccinations. We also need to get Nounours’ international microchip scanned so we can finally register it to us. We’re hoping to discover Nenette’s actual age… or that she really is six.

Happy Friday, All!

Callaghan and Ronnie James, bonding (instagram series)

That Asian-Looking Chick 6 Comments

Just over a year ago, I took a picture of Callaghan and the Wrah-Wrah together in a companionable moment, and I instagrammed it with a b&w filter. I shared it on Facebook, and people loved it. Over the course of the year, I did this six more times. That first photo was taken before Ronnie James started coughing. The last one was taken on the 14th of this month, the day he died… four days shy of the one-year anniversary of the first.

All along, I had no idea that I was capturing the last year of Ronnie James’ life.

Last night marked two weeks since good-bye. I wanted to share these pictures here today, together as a collection. There are only seven. I’d taken many more, but I’d carefully selected the images for this series with certain qualities in mind. Above all, the photos show the special bond between Callaghan and Ronnie James, each one spontaneous and now extra precious in its memorializing the enormous and profound love our feline son carried in his strong little lion heart.

I’ll say it again: Ronnie James loved like no other. He lived from cuddle to kiss, from nuzzle to hug. He measured his days in snuggles, rather than in minutes. He loved to be picked up and carried. He loved to be held, and, unlike most cats, you could hold him until your arms got tired, because the urge to get down never overcame him. He always had to be touching us, including with the unique way he had of flicking his butt to the side to brush against us when walking by. (We thought this quirk of his was so funny and cute.)

The Wrah-Wrah loved all three of us so much, Callaghan, Nounours, and me… and his love was such a huge, constant and present force in our lives that now, the emptiness where he used to be is just crushing. It is to me, at least. I’m having a difficult time with the absence of our “little lovebug” who was actually the greatest source of love I’ve ever encountered in a being, believe it or not. In that sense, he is divine. He’s with us somehow, I know… but still, when I walk through the house and see his favorite places, the realization of his physical goneness sucks the breath out of my own lungs, and I hinge forward under the weight of it.

It’s been rough, friends. Really, really rough. I don’t think that time could help me to miss him less, but it may help me to adapt, eventually.

Without further ado, here are the seven pictures in the “Callaghan and Ronnie James, bonding” series. At the end, I tacked on a pic of me with the Wrah-Wrah (and Callaghan’s leg!), and another of the Wrah-Wrah with his beloved Nounours, both from instagram, as well.

“Callaghan and Ronnie James, bonding”:

 

May 17, 2014. The first photo in the series. Ronnie James hanging out with his Daddy in bed, each of them doing their thing.

May 17, 2014.
The first photo in the series. Ronnie James hanging out with his Daddy in bed, each of them doing their thing.

 

June 2014. Ronnie James often kept his Daddy company in the studio (Callaghan would place the second bar-stool there just for him). This was still back in our old apartment.

June 2014.
Ronnie James often kept his Daddy company in the studio (Callaghan would place the second bar-stool there just for him). This was still back in our old apartment.

 

August 2014. Looking up attentively at his Daddy, probably asking for more belly rubs. He loved his belly rubs!

August 2014.
Looking up attentively at his Daddy, probably asking for more belly rubs. He loved his belly rubs!

 

November 2014. Ronnie James was never happier than when being snuggled by me, Callaghan, or Nounours.

November 2014.
Ronnie James was never happier than when being snuggled by me, Callaghan, or Nounours.

 

December 2014. He loved to drape himself over us. Look at his paw on Callaghan's arm! He loved to touch us.

December 2014.
He loved to drape himself over us. Look at his paw on Callaghan’s arm! He loved to touch us.

 

March 2015. Ronnie James and Callaghan sharing a moment right before we went to France for a week.

March 2015.
Ronnie James and Callaghan sharing a moment right before we went to France for a week.

 

May 14, 2015. Last photo in the series, almost a year since the first. This photo was taken the day Ronnie James died... just hours before he died, in fact.

May 14, 2015.
Last photo in the series, almost a year since the first. This photo was taken the day Ronnie James died… just hours before he died, in fact.

 

And here are the two extras:

 

August 2014. Ronnie James with Callaghan and me. I remember the ferocity of his purring, he was so happy.

August 2014.
Ronnie James with Callaghan and me. I remember the ferocity of his purring, he was so happy.

 

March 2014. One of many photos of Ronnie James and Nounours cuddling together.

March 2014.
One of many photos of Ronnie James and Nounours cuddling together.

 

Poor Nounours is so forlorn without his Wrah-Wrah. He still seeks out and cuddles with his brother’s urn and collar.

We will get through this. On Monday, Callaghan left for France suddenly because of an urgent family situation, so he’s preoccupied with the goings-on over there. I’m here with Nounours, doing my best to nurture him through his grief as I work through my own. I value this time to bond more with Nounours. We’re helping each other.

We love you, Ronnie James. As I often used to sing to him: Precious-angel-baby-bunny-dragon-Ronnie-James!

The Wrah-Wrah is Forever.

That Asian-Looking Chick 10 Comments

Ronnie James will have been gone for five days tonight, and it’s still so hard to walk through the house seeing all the places and things he loved… seeing where he should be or would be, were he still here with us in his furry gray suit, and thinking of what he would be doing. This house without him in it just isn’t right. Callaghan, Nounours and I hope you know how much we appreciate your caring, compassion and concern for the loss of our little lovebug.

Here are the words I wanted to say on Friday, but couldn’t. I just wanted to share with you the events of the week leading up to Ronnie James’ death. I also wanted to write a little tribute to the Wrah-Wrah.

 

Ronnie James the night we brought him home (Monday). Wide-eyed and content.

Ronnie James the night we brought him home (Monday). Wide-eyed and content.

 

We brought Ronnie James home from the hospital on Monday night last week, and the next day, he had an exceptionally good day. With his chest freshly tapped, he was his usual happy and active little self. I took the day off from work to be with him. He ate and drank well, also as usual, and he kept himself close to my side all day… and I do mean even closer than usual. Everywhere I went, he went. Every time I settled on the couch or on the bed, he climbed up on me to snuggle, or he curled up next to me. Callaghan was mostly not here, as he spent much of last week working on-site, but later, when I told him about the day, he was encouraged. We ended the day with the tiniest bit of hope.

On Wednesday, I stayed home with the Wrah-Wrah again – I’d asked for those two days off in advance, as soon as we knew that we were bringing him home on Monday evening – and again, he was happy.

But he also told us that he did not wish to keep his appointment for Thursday’s x-ray/fluid re-check. As heartbreaking as this was to us, it made sense, and it wasn’t unexpected.

I thought I’d seen hints of maybe a miracle the day before. He’s eating so enthusiastically! I thought. Maybe if he eats a lot, he’ll get strong enough for his body to be able to absorb the fluid accumulating in his pleural cavity! Maybe he can be one of those lucky cats who survives chylothorax!

Maybe, maybe, maybe.

Deep down, I knew I was kidding myself. They don’t call it “end stage” when it’s not. There’s no turning back from the complication of pleural fibrosis. That was the problem… the pleural fibrosis. And that was what I was afraid of all along.

I called Dr. M., anyway, to talk about the Thursday follow-up appointment. He explained that if Ronnie James had accumulated enough fluid to be tapped, the radiologist would have to insert the needle into each pocket in order to aspirate enough of it to relieve the pressure around the lungs. This would create even more pockets for fluid to fill in the pleural cavity. At the rate Ronnie James had been accumulating fluid in the hospital up until the moment he was released, the likelihood of finding a tappable volume of fluid on Thursday was 99.9%.

Did we want to put him through that again for those kinds of odds? Certainly not… and Ronnie James didn’t want to go back there again, either.

We didn’t want a single minute of Ronnie James’ short time left to involve anything but pleasantness and contentment for him, and getting stuffed into his carrier and carted back to the hospital wouldn’t qualify as pleasant. We didn’t want to “buy him time” for selfish reasons. The reality at that point was that nothing we could do would change the outcome, so we canceled his appointment in order to spare him the ordeal.

I spoke with Dr. M. a second time, and also with his primary care doctor at our main clinic, who referred me to someone she knew who made house calls. Then, with my heart crumpled into something unrecognizable in my own chest, I made the phone call. The house-calling vet had room in her schedule for us for the next evening… Thursday night.

Thursday morning, I woke up planning to go to work, but as soon as I got out of bed, I knew that I had to be with Ronnie James on his last day in this world. His favorite thing had always been me being home with him. That was when he was the happiest, and I didn’t want to deny him that at the end, if I could help it. I asked my supervisor if I could take one more day. I’m incredibly grateful to have been able to spend Ronnie James’ last three days at home with him. That time with him was invaluable.

So on Thursday, May 14, Ronnie James got 100,000 more kisses. I got to press my face against his, feel his whiskers on my cheeks, and breathe in the adorable, sweet smell of his kitty breath (a scent that only a cat mom can love, I know). I got to feel his purring on my heart as he stretched out and slept on my chest.

One of the most frustrating things about chylothorax is that it doesn’t lead to a typical, end-of-life decline… a decline that you can see. A decline that makes you feel better about the euthanasia. Ronnie James continued to eat, drink, and use his litter box normally until the very end. Not only that, but he was excited about his meal times and his treats throughout the day. He loved drinking from his water fountain. He loved hanging out in his toy corner. Psychologically, all of this made the decision to euthanize even more difficult. We never observed a diminishing quality of life, so we felt like we were killing him unnecessarily. We had to keep reminding ourselves that the fluid filling up his little chest would soon suffocate him.

With chylothorax, cats and dogs are just fine, until they’re not… and when you can see that they’re not, they’re suffering. You see them struggling to breathe. We didn’t want to take that chance. We didn’t want to end up at the E.R. with him in the middle of the night again. That was not how we wanted his death to happen; that was not what we wanted his last experience to be. When we brought him home from the hospital on Monday night, we promised him that we wouldn’t let him suffer, and honoring that promise became our mission in life for those few days we had left with him.

All day Thursday, the most painful thing was to see Ronnie James being so totally normal. He acted like a normal cat on a normal day. He scarfed up his food and drank water from his water fountain. He came running for his treats. He sat at the window and watched his birdies, chattering at them. He roamed around the house, checking everything out with his usual curiosity, and the only odd thing there was that he did this looking kind of detached, as if he was exploring a house that he’d never seen before. It was like he was patrolling, or doing a military re-con exercise. He investigated the whole place thoroughly and purposefully. It was like he was making sure that everything was okay.

As on the previous two days, he spent lots of time snuggling with me. He spent lots of time snuggling with his beloved Nounours. When Callaghan was home, he spent quality time with him, as well.

The vet arrived that night, and Callaghan, Nounours and I were as ready as we were going to be. Ronnie James was ready, too. He was still behaving normally, but his breathing had started to grow faster in the last few hours, so we knew that our timing was good. Chylothorax parents at the end of the struggle know the nuances to watch for very well. We know how to count our baby’s breaths every four hours to gauge when some kind of action should be taken. We were confident in our decision regarding what action to take this time. At 9:59pm, from the comfort of his own home, Ronnie James entered into a better dimension, leaving his embattled body behind in this world. He died in my arms, with his head in his Daddy’s hands, as he loved that so much, and with his brother Nounours nearby.

My heart was destroyed.

I’m going to reiterate, because I can’t say it enough… it was agonizing to put a perfectly normal-looking and behaving cat to sleep. It wasn’t at all like when I had to put my Frankie kitty to sleep because of kidney failure. Frankie did all of the typical things. He stopped eating. At the end, he pretty much stopped moving. It was visibly clear that he was near death. Looking at the Wrah-Wrah being so normal, we just had to keep reminding ourselves of the Armageddon happening inside his chest. We had to remember that in a very short period of time, he would have started to suffer. Liberating Ronnie James from his earthly body was the only humane thing we could do.

The venomous caterpillar that set off this disastrous chain of events won. We did everything we could to save Ronnie James; the damage was just too extensive. But if we hadn’t rescued him from that woman in Montélimar, he would have continued living in misery before dying horribly on his own, slowly suffocating to death from the inside. That is how Dr. M. described a natural death from chylothorax.

I categorized all of my posts about the Wrah-Wrah’s experience and put the category as a link in my blog’s sidebar to make it easier for people to find. There’s a paucity of information about this disease online, and I hope that my documentation here can be helpful to cat and dog parents who find themselves confronted with this terrible diagnosis for their fur-babies.

The Wrah-Wrah was extraordinarily brave and so strong and so full of life until the very end. His love of cuddles and kisses never abated. He never lost his taste for his favorite treats. His beautiful gray fur stayed velvety soft. He continued vocalizing his conversations with us, and he continued saying “I love you” with long, slow blinks of his wide eyes. No one gave kitty eye-blink kisses the way he did, by the way. He would find our gaze, hold our eye contact, and initiate the gesture, keeping his eyes closed for a few seconds before slowly opening them again, making sure that we didn’t miss it.

Ronnie James was my little soul mate from Day One. As I said to a friend the other day, he was my angel kitty who came and saved me when I was grieving the loss of Detta, my kitty who went missing in the French Alpes. I love Nounours dearly, but the Wrah-Wrah and I immediately formed a bond of a depth and strength I’ve never experienced with any other being. It was only in mid-October 2012 that we brought the two little guys home. When I start to dissolve in anguish over having had such a short time with Ronnie James, I remind myself that I should be grateful for every day that I had with him. And I am. I’m so very grateful for every day that I had with the Wrah-Wrah in the two years and seven months he was with us.

Sometime last fall, when we thought we were just dealing with asthma, I started to feel panicky about Ronnie James. I had an ominous feeling. We would be administering his inhaler asthma medications, and I would suddenly tear up and ask Callaghan, desperately, Can the Wrah-Wrah be Forever? I wanted to hear someone say, Yes, the Wrah-Wrah is Forever.

And you know what? He is. The Wrah-Wrah is Forever.

Like his namesake, Ronnie James was a little rock star. Throughout it all, no one could believe how brave he was, how alive he was. Everyone who knew him adored him. He was just such a smart, sweet, and most personable and loving little kitty. Ronnie James will always be my Rainbow in the Dark.

Here is a sampling of some of the pics I took of the Wrah-Wrah in his last three days. I especially wanted to capture his snuggly moments.

On Tuesday the 12th:

 

Curled up on my robe on the couch.

Curled up on my robe on the couch.

 

Curled up against me....

Curled up against me….

 

Laying on my belly, hugging me.

Laying on my belly, hugging me.

 

I couldn't resist taking a picture of it reflected in my laptop screen.

I couldn’t resist taking a picture of it reflected in my laptop screen.

 

Stretched out on my legs, looking at pictures of himself.

Stretched out on my legs, looking at pictures of himself.

 

On my legs, on the bed. I ruffled his fur to demonstrate his new mohawk.

On my legs, on the bed. I ruffled his fur to demonstrate his new mohawk.

 

On Wednesday the 13th:

 

Sleeping, hugging my legs.

Sleeping, hugging my legs.

 

He jumped up to sit on his favorite bar-stool even the day before he died.

He jumped up to sit on his favorite bar-stool even the day before he died.

 

On Thursday the 14th:

 

He kept eating up until the very end, too.

He kept eating up until the very end, too.

 

Ronnie James fully enjoyed loving on his Daddy, too, when he was there.

Ronnie James fully enjoyed loving on his Daddy, too, when he was there.

 

On Friday, I have a story of Nounours’ to tell, as we’ve been witness to a true phenomenon in his grieving process for his brother.

Thank you again for reading, and for being here with us.

Operation: Spoil Wrah-Wrah Wrotten

That Asian-Looking Chick 2 Comments

Ronnie James stayed in the hospital for three more days after I last updated here. We brought him home yesterday, after work.

It was a long weekend of worry and wait. We continued to visit the little guy twice a day, and we called the hospital every four hours to ask about the status of his pleural effusion. The volume of the fluid in his chest did decrease significantly from where it’d been earlier in the week, but hovering around the 8-10 ml range (down from 20-30!), it was still too much to warrant removing his chest tube.

So yesterday afternoon, Ronnie James underwent anesthesia again, and Dr. M. and the radiologist performed a lymphangiography. This procedure allowed Dr. M. to see whether we’d have a shot at the one last surgical option available for chylothorax: cisterna chyli ablation. The study results showed that the surgery would be irrelevant, since the problem was not leakage from the thoracic duct. The thoracic duct ligation surgery had been effective. The fluids were coming from somewhere else, likely from the pleura, as a result of pleural fibrosis. We are out of options.

The good thing about being out of options, though, is that the Wrah-Wrah is now home with us. He’s home, and we’re enjoying him, loving him and spoiling him with attention while we’re waiting for the next thing to happen.

Ronnie James is just the toughest little guy! His spirits are high. He’s happy and active, eating and drinking. But his little body is showing signs of wearing down. For one thing, despite eating well, he’s losing weight. We’ve stopped feeding him the prescribed low-fat diet. We’ve halted attempts to force him to take the loathed rutin. There’s no longer any point to these chylothorax medical management strategies. We’ve more or less entered a hospice phase here at home, and in this phase, we’re going to give him anything and everything he wants.

Dr. M. sent Ronnie James home with us last night so we could spend a good few days with him while he’s happy and alert. Freshly tapped, it will take maybe 48-72 hours for the increasing volume of fluid in his chest to slow him down again. I’m staying home with him today and tomorrow, because it’s out of the question that I’m not here to spend his last few days with him.

On Thursday, we’ll take him back to Dr. M. for an x-ray to see where we are with the fluids. We’ll probably have to make The Decision at that time… for real, this time.

Of course, I’ve got a slew of pics from the weekend.

From Friday:

 

Ronnie James got all the cuddles!

Ronnie James got all the cuddles!

 

Sleepy Wrah-Wrah.

Sleepy Wrah-Wrah.

 

"I can't even with this long underwear!" ~Ronnie James

“I can’t even with this long underwear!” ~Ronnie James

 

Ronnie James, our little dragon.

Ronnie James, our little dragon.

 

The Wrah-Wrah can chill with the best of them.

The Wrah-Wrah can chill with the best of them.

 

The Dude Abides.

The Dude Abides.

 

Here’s me on Saturday wearing my paw earrings just for the Wrah-Wrah:

 

Going to see my baby! Paw earrings required.

Going to see my baby! Paw earrings required.

 

On Sunday, many pictures were taken:

 

Mother's Day at the hospital!

Mother’s Day at the hospital!

 

"Happy Mother's Day, Mommy!" ~Ronnie James

“Happy Mother’s Day, Mommy!” ~Ronnie James

 

Ronnie James moved into a larger kennel on Saturday. More room for rolling around!

Ronnie James moved into a larger kennel on Saturday. More room for rolling around!

 

I got to hold him!

I got to hold him!

 

Daddy scritches are the best.

Daddy scritches are the best.

 

And on Sunday night, we got to spend an hour with him in a private room.

 

Wrah-Wrah cuddles in progress!

Wrah-Wrah cuddles in progress!

 

"I can spend forever in Daddy's arms." ~Ronnie James

“I can spend forever in Daddy’s arms.” ~Ronnie James

 

Snuggling with my baby on Mother's Day. Gratitude.

Snuggling with my baby on Mother’s Day. Gratitude.

 

A miracle could still happen, right? A miracle, an inexplicable turn-around, whatever you want to call it… it could still happen. But Ronnie James will tell us. He’ll tell us what he wants to do, and when he wants to do it. Our job is to listen. At the moment, I’m only hearing his happy “I see birdies!!” sounds as he watches the front yard through the living room window, and I’ve never heard anything more precious.

Ronnie James’ complicated case.

That Asian-Looking Chick 4 Comments

Ronnie James did not come home yesterday, as planned. He’s still in the hospital.

 

Ronnie James recovering in the oxygen chamber the evening of his surgery. (Thoracic duct ligation and pericardectomy)

Ronnie James recovering in the oxygen chamber the evening of his surgery.
(Thoracic duct ligation and pericardectomy)

 

His surgery went well, and he did well, like last time. Dr. M. said that once again, he came through it “like a champion”! The chylothorax seems to be resolved – there’s no more chyle leaking where it doesn’t belong. The Wrah-Wrah is happy and alert, loving all the cuddles and pets he’s getting. He’s eating with good appetite. His disposition and attitude are fantastic!

So what’s the problem?

His chest cavity just keeps filling up with fluid.

As I said, it’s not chyle. Rather, we’re looking at some sort of nondescript, inflammatory-ish fluid, and at this point, no one can say with certainty what it’s all about. A little bit of such fluid could be normal following a surgery. It could be caused by the chest tube, itself, even. But the amount of fluid we’re talking about here is well out of range. Ronnie James’ case is a complicated one, and it’s tough. We’re still battling the ripple effect of his contact with that venomous Pine Processionary caterpillar.

This current iteration of pleural effusion could be a fluke, as in, maybe a “pocket” of fluid resulting from the surgery just released all at once over the night (that was Wednesday night). Or, it could be something scarier, such as his pleura lingering in a self-perpetuating cycle of emitting fluid. Whatever the case, we can’t bring him home until the pleural effusion stops, since his chest tube needs to stay in place in order to drain the excessive fluids.

On his part, Ronnie James is totally oblivious to the danger he’s in, as he’s been busy in pursuit of Dr. M.’s heart (which he successfully captured, might I add). During morning rounds yesterday, Dr. M. found himself engaged in a Wrah-Wrah love fest. The Wrah-Wrah had been rolling around, asking for belly rubs, until he ended up on his back in Dr. M.’s arms, purring furiously as he got his belly rubs with two hands.

“Isn’t he cute?!” I asked Dr. M. when he told me about this.

“Oh, he’s adorable!” he answered the same second the question was out of my mouth. Exact words. Then, later, he said, “He HAS stolen my heart!”

Dr. M. has been Wrah-Wrahed. It happens.

Several other doctors and some of the technicians and staff have also fallen in love with the little guy. This is what the Wrah-Wrah does best, just being himself… his affectionate, smart, happy, interactive, funny, sweet, sweet self. Everyone who spends any time with him at all loves him!

Because Ronnie James’ two-part modus operandi in life is:

  1. Find all the hearts.
  2. Stealz them.

 

Ronnie James the day after surgery, off oxygen and resting in a kennel in the ICU.

Ronnie James the day after surgery, off oxygen and resting in a kennel in the ICU.

 

As I write this, we don’t know what today will bring. I’m going to work, as usual. But will Ronnie James come home tonight? We can’t say. We don’t know. We hope so. We miss him, and so does his Nounours.

 

Poor Nounours! He misses his brother.

Poor Nounours! He misses his brother.

 

I’ll keep you posted. Thank you for reading, and for keeping Ronnie James in your thoughts and prayers.

Happy Friday, All! =)

The Wrah-Wrah Wrollercoaster (or, the WrahWrahCoaster).

That Asian-Looking Chick Leave a comment

Ronnie James goes in for another surgery today. We’re dropping him off in about two hours, at 7:30am.

This development resulted from yesterday’s trip to the vet, when it was found that fluid has filled his pleural cavity again. His chylothorax persists with an aggression that’s frightening. A chylothorax-specific surgery might be able to stop the process; it’s actually a combination of procedures: Thoracic duct ligation plus pericardectomy. This is our next step, and it’s our last.

We were told that the success rate for this surgery is 80% for cats, which is encouraging… but we’re not sure if the Wrah-Wrah will have a chance to try for those odds. We won’t know until Dr. M. opens him up today and examines him. If the developing pleural fibrosis (a complication of chylothorax) is still mild enough to be survivable, Dr. M. will move forward with the surgery. If the pleural fibrosis turns out to be beyond-hope bad, on the other hand, he’ll drain Ronnie James’ chest for the last time and close him up. We’ll have the “end of life” discussion. It will be time to address the details of The End.

 

Callaghan with Ronnie James at yesterday's appointment.

Callaghan with Ronnie James at yesterday’s appointment.

 

Thing is, Ronnie James has been doing so well outside of his bizarre, catastrophic emergencies. You literally only know half of it, because I haven’t yet written about the other half. I will, at some point soon. It’s just… the other day, I joked to Callaghan that “Wrah-Wrah is going to outlive us both long after he sends us into cardiac arrest with his near-death episodes.”

We’ve been on the WrahWrahCoaster going 500 miles per hour for months, and sometimes, it’s like we’re barely strapped in. The relentless and extreme ups and downs have been exhausting.

 

With the Wrah-Wrah at home, after our appointment.

With the Wrah-Wrah at home, after our appointment.

 

So today, we’re trying for this final possible solution.

We’re glad that Ronnie James had such a good weekend this last weekend. He looked better and seemed to feel better than we’d seen him since, well, maybe ever. All weekend, we enjoyed an unusually alert and active Wrah-Wrah, who was everything a healthy Wrah-Wrah should be – he was hungry and thirsty, playful and talkative, and just as flirty and affectionate as ever. He stayed close to us, wherever we were. He’s our bright little lovebug, and we’re going to give him every chance at survival we’re able to give him… and we’re so grateful that we’re able to give him these chances.

Here are some pics from the weekend:

 

The Wrah-Wrah looking so alert! You can see the wheels turning in his head, too.

The Wrah-Wrah looking so alert! You can see the wheels turning in his head, too.

 

The Wrah-Wrah's poodle-like cut is growing out. When the fur on his back is ruffled, it looks like a mohawk from this angle.

The Wrah-Wrah’s poodle-like cut is growing out. When the fur on his back is ruffled, it looks like a mohawk from this angle.

 

Now that his fur is growing out from his last surgery, he’s cultivating kind of a faux-hawk on his left side. Depending on where they shave him this time, we might bring him home with a full-blown ‘hawk!

The Wrah-Wrah and the Rutin. (Help!)

That Asian-Looking Chick 4 Comments

Hmm… I’m thinking it might be a good idea to create a “Cat Mom Blog” category so I can file these Ronnie James posts in one place….

Today, I have a question that I hope someone can answer: How do you get a cat to eat something he loathes?

This is a life-or-death problem we’ve been having, and we’re feeling like we’re out of options.

Ronnie James needs to take rutin. Rutin is not a medication. It’s a dietary supplement, and it’s evidently the only thing that cats can take with any degree of effectiveness for chylothorax. It can potentially stop or at least slow down the flow of chyle into the pleural cavity. It also tastes horrible, and Ronnie James will have none of it.

 

It smells like paint thinner.

It smells like paint thinner.

 

We’ve tried everything. We had Diamondback Drugs, our compounding pharmacy, formulate it into a liquid flavored with chicken. They warned us that he probably still wouldn’t like it, but we might have more luck mixing it into his food that way.

We mixed the chicken-flavored rutin into the Wrah-Wrah’s favorite wet foods, including his current most favorite of all (which, oddly, is one that was prescribed by his primary care physician), and he refused to eat it.

After his surgery, we tried again, to no avail. Finally, in desperation, we returned to the direct approach and injected the rutin into his mouth with the plastic syringe. He threw it up, along with his antibiotics and everything he’d eaten. He was abjectly miserable. We felt awful. We stopped trying and went back Dr. M. in defeat when it came time to remove Ronnie James’ stiches.

The following week brought us to Thursday night and our harrowing trip to the E.R. No one could understand how so much fluid had filled up Ronnie James’ little chest cavity so quickly. He HAD to take his rutin. While there was no guarantee that it would work, it would at least give him a chance at survival if it did. We had to try to give him that chance, and we had to somehow do it without stressing him.

Another order for rutin had been called in to Diamondback Drugs – tuna-flavored, this time. We were hoping we’d have better luck with the tuna, since Ronnie James loves tuna; we figured that strong-smelling fish might mask the rutin flavor well enough if we mixed them together.

Diamondback Drugs was closed on Sunday, so yesterday, Monday, Callaghan picked up the rutin. He stopped by my office on his way back to pick me up for lunch. We got home and went straight for the can of herring waiting on the kitchen counter. Operation Rutin was back in effect!

Two little plates of herring were prepared for the kitties’ lunch: Ronnie James’ contained the rutin. He tentatively sniffed his plate of herring, and then he walked away.

I knew that walk. It was the “I know there’s rutin in that food and I’m outta here” walk. It wasn’t that he didn’t like herring, or that he just wasn’t hungry, either. He went to Nounours’ plate and ate some of his herring. Nounours’ rutin-free herring.

We were beside ourselves. What was it going to take to get Ronnie James to eat the rutin?

Meanwhile, he needed something for lunch, so I fixed a clean plate of his normal, favorite food. (The other issue we’re having is that he’s not drinking enough water, so we’re giving him his favorite wet food at every opportunity.) I set the good stuff down in front of Ronnie James. He looked at it askance, then walked away again.

This time, it was the “I strongly suspect you snuck rutin into that food and I’m outta here” walk. He hadn’t even gotten close enough to smell it thoroughly! He was just convinced that the rutin was in there. We were now having trust issues.

I thought for a minute, then looked over at Ronnie James. He was sitting in the hallway at the kitchen entrance, watching me. Exaggerating my motions and holding his gaze with my eyes, I took an unopened can of his favorite food, waved it before me, and said, “Let’s open a brand-new can!” I reached for another fresh kitty plate, took a clean fork from the drawer, and brought everything to the kitchen entrance where he was sitting.

He kept his eyes on me as I made a big production of holding up the can and opening it, garnishing my actions with a little dramatic flair. He watched attentively as I scooped out a generous forkful, tapped it onto his plate, and set it down in front of him.

He started eating immediately.

He didn’t even sniff it first. He just knew that there wasn’t any rutin in it, because why? Because this cat is a brilliant genius. And we are screwed.

After the rutin-laced fish failure, Ronnie James had looked warily at the clean plate of his untainted favorite food and refused to touch it. But when he witnessed me opening a new can of the same food and filling his plate, he dug right in. He saw that the can was unopened, he saw that I transferred food directly from it to the plate that he saw was clean, and he saw that I put it down without adding anything to it… and the neurons in his brain made all the connections and arrived at the conclusion – food is safe – instantly. Callaghan was as astonished as I was. We’d known that we had an exceptionally smart kitty on our hands, but still, we were floored by this display of cognitive agility and capacity for comprehension.

 

Ronnie James is on to you!

Ronnie James is on to you!

 

It might seem like I’m just letting my proud cat mom colors show here, but really, I’m more just very concerned that there’s no way we’re ever going to get Ronnie James to eat his rutin. Even if we get it down his throat, he throws it up. We can’t outsmart him. Actually, we sniffed the rutin in its bottle, ourselves, and it doesn’t even smell like tuna. It smells like an industrial chemical! It’s atrocious. It literally smells like poison. I’d think that any sane, smart cat would instinctively reject it.

Isn’t there a better way? Has anyone ever had to give rutin to a cat?

We would greatly appreciate any suggestions or advice you could offer. Meanwhile, I’m going to call Diamondback Drugs again to ask if there’s any other way they could compound this stuff….

The Wrah-Wrah goes to the E.R. (and proves once again that he has more lives than the average cat.)

That Asian-Looking Chick 5 Comments

Well, that was a night.

Ronnie James is back in the hospital. After a few days of observing him, calling the hospital, making appointments and then canceling them as he’d seem not-fine one minute and then much better the next, not knowing what his new “normal” is supposed to look like after his surgery (like all cats, Ronnie James is incredibly skilled at hiding the extent of his discomfort), we knew last night that he needed to go to the E.R.

A technician triaged Ronnie James the minute we got there, then immediately took him to the ICU and put him on oxygen. It was scary – scary enough for the doctor to come in and warn us that the Wrah-Wrah might not survive the thoracentesis that had to be done – but the little guy made it through. He was looking much better when we kissed him goodnight before coming home. He was alert and active in his oxygen chamber, being his usual flirty, affectionate self. He’s unbelievable! We were cautioned that he’s not “out of the woods” yet, but he’s looking just as spry as ever!

We shouldn’t have been surprised by this development, as Dr. M. had clearly warned us that Ronnie James would likely require one or two more thoracentesis (chest tap/draining) procedures following his surgery. We were prepared for this likelihood. We just weren’t prepared for the situation to arise in such a dramatic and scary way. I mean, we truly almost lost him last night.

The E.R. doctor, who was wonderful, showed us Ronnie James’ x-rays and said, “Look at this… I don’t know how he was still alive!”

The Wrah-Wrah is a miracle kitty, that’s how.

His x-rays showed nothing but white. On a normal chest x-ray, dark areas of a healthy size and shape would be visible. Those would be the lungs with air in them.

In this one view of Ronnie James’ chest, there’s no dark area to be seen at all:

 

Thursday, 4/23/2015 - Wrah-Wrah's chest cavity is completely filled with fluid. No lung is visible.

Thursday, 4/23/2015 – Wrah-Wrah’s chest cavity is completely filled with fluid. No lung is visible.

 

And in this view, the side view, you can see a small, grayish area with rounded edges “just kind of floating there.” That’s the Wrah-Wrah’s lung. It was surrounded by so much fluid that it was barely functioning. It’s like a ghost lung.

 

Thursday, 4/23/2015 - That faint, ghostly dark roundish area in the center, just below his spine? That's his "lung." That's all he has left, and with all the fluid crowding it, it was barely working.

Thursday, 4/23/2015 – That faint, darker gray area in the center, just below his spine? That’s his lung.

 

The doctor talked to us carefully and made sure that we understood the precariousness of the situation before he performed the thoracentesis. The procedure was extremely high-risk because Ronnie James’ condition was life-threatening. But everything went well. 300 ml of chyle was aspirated, and that wasn’t even all of it!

 

Thursday, 4/23/2015 - This is the fluid that was taken from Ronnie James' chest cavity. It's 300 ml (a cup and a quarter), and it's not even all that was in there. The doctor didn't want to try to drain all of it, because it would have been too risky. The fluid is chyle (chyle can either be cloudy or pink).

Thursday, 4/23/2015 – This is the fluid that was taken from Ronnie James’ chest cavity. It’s 300 ml (a cup and a quarter), and that was just some of it. The fluid is chyle (chyle can either be cloudy or pink).

 

There’s still “quite a bit” of chyle left in the Wrah-Wrah’s pleural cavity. The doctor said that it was too dangerous to try to get it all, but enough was removed to allow for more normal breathing. They might try to remove a little more sometime this morning.

Now, we wait to hear from Dr. M. when he comes in, examines Ronnie James, and reviews the whole situation. We don’t know what’s going to happen next. It’s at least comforting to know that what has happened so far had been anticipated… and the E.R. doctor said that he’s hopeful. Also, most importantly, the Wrah-Wrah isn’t suffering continuously.

 

Thursday, 4/23/2015 - Ronnie James felt better after his thorocentesis. He was wide-eyed, active and heart-meltingly lovey-dovey when we went to visit him in his oxygen chamber before we left.

Thursday, 4/23/2015 – Ronnie James felt better after his thoracentesis. He was wide-eyed, active and heart-meltingly lovey when we went to visit him in his oxygen chamber before we left.

 

Look at those wide, bright eyes!

We’re keeping our thoughts positive.

Ronnie James has a new nickname: Cat Squared (he has 81 lives, apparently)

That Asian-Looking Chick 2 Comments

I wanted to thank you all again for thinking of us and taking part in our journey to better health for Ronnie James with your kind well-wishes and interest in his story. I didn’t mean to tease in my last post. I just didn’t have much time for writing last week! Also, I wanted to talk to our doctor again before I sat down to scribble this out.

This is the short story:  Ronnie James was sick and gradually dying when we rescued him in the fall of 2012, but we didn’t know anything was wrong until he started coughing about 11 months ago. We now know that he’s been evading death for years, somehow surviving a thing that would have killed most mammals. We are in awe of him.

 

Ronnie James, Sunday night, 4/12/2015. Angel kitty with his halo of lights!

Ronnie James, Sunday night, 4/12/2015. Angel kitty with his halo of lights!

 

The detailed story goes like this:

In the operating room on Friday, April 3, Dr. M, our surgeon, opened up Ronnie James and found his left cranial lung lobe in a state of semi-decay; he said it almost looked like it was “rotting” in his chest. The mysterious mass seen on the CT scan turned out to be a mushroom-shaped (“pedunculated”) object that oozed a “weird, thick mucus-like material” when the stem broke off.

Dr. M tried to describe what he saw in the center of the mass, but he couldn’t quite find the words. I got the impression that he’d never seen anything like it before.

He told me, “It looks like it might be something of an infectious nature,” but he seemed to be baffled. He suggested that the mass might be a remnant of an old infection that Ronnie James’ body had tried to wall off. As he spoke, I envisioned an oyster protecting itself from grains of sand by coating the foreign material with its own bodily secretions.

But the bulbous, sickly pearl inside Ronnie James almost killed him. At first, its point of origin wasn’t obvious; it appeared to be attached to the bottom of the left cranial lung lobe. Actually, it seems to have grown off of one of the bronchi, clogging it and causing the lobe to collapse and consolidate. It’s possible that the mass ultimately caused blockage of Ronnie James’ thoracic duct, either directly or indirectly, as it was on the same (left) side. We’re hoping that this was the case, because if it was, then it answers the question of “What caused his chylothorax?”

Chylothorax, the filling up of the chest cavity with chyle, was the chronic issue we were aiming to fix, the problem we had to solve in order to save Ronnie James’ life. If the mass was causing it, well, problem solved! The mass is gone now.

Our surgeon said, “Until the labs come back, we can’t rule out cancer. I’ll tell you what, though… this doesn’t look like any cancer I’ve ever seen. I don’t know what this is.”

All along, Ronnie James’ labs have consistently tested negative for cancer. Dr. M had to say that he couldn’t rule out cancer until the labs came back, but the fact was, no one really thought that it was cancer.

Whatever it was, it was weird.

The weirdest thing was that standing before our kitty’s exposed insides, Dr. M and his team were still more or less flummoxed. Nothing was adding up or making sense, but he went ahead with the planned lung lobectomy, which was absolutely what had to be done, and removed “the entire mass and left cranial lung lobe as well as a small amount of an adherent adjacent lung lobe.” Samples of everything were sent to the lab for analyses and cultures.

While Dr. M was working in Ronnie James’ chest cavity, he also did an ultrasound on the second, smaller mass the CT scan had detected in Ronnie James’ neck.

 

Ronnie James' left cranial lung lobe, part of an adjacent lobe, and the mass were removed. The mass seemed to stem from one of his bronchi.

Ronnie James’ left cranial lung lobe, part of an adjacent lobe, and the mass were removed. The mass seemed to stem from one of his bronchi.

 

When the lab results came back a few days later, they showed that the inside of the lung mass was comprised of fat necrosis (dead fat). Necrotizing tissues and edema were also found throughout the lung lobe. There was “scattered mineralization.” We were indeed looking at decaying organic matter and an old infection, an infection with a history… and it was chronic.

Considering all of this, it’s miraculous that we didn’t lose Ronnie James to something like sepsis or cardiac arrest. Other than his intermittent episodes of coughing and his more recent bouts of prolonged lethargy, he had seemed just fine. He’d initially been diagnosed with asthma, which he may or may not actually have.

But what could have caused Ronnie James’ ancient infection? He’d tested negative for Valley Fever. He’s been an indoor cat since we’ve had him, anyway. We couldn’t stop thinking about it… we were faced with a medical mystery that had to be solved so we could take the best next steps toward complete recovery. It was maddening. What could have wreaked all this havoc in Ronnie James’ pleural cavity?

Then we thought back to the first time we ever took Ronnie James to the vet, when we were still living in France, and we remembered the cause of that problem. It was the Chenille Processionnaire, and it explains everything.

 

Chenille Processionnaire, or Pine Processionary.

Chenille Processionnaire, or Pine Processionary.

 

In October 2012, soon after we adopted 8-year-old Ronnie James from an impoverished woman in Montélimar in southeastern France, we noticed that he was having trouble eating. We took him to the veterinary clinic closest to us, which was down in Bourg de Péage. (In France, our home-base was in the Alpes, about 100 miles from the recent plane crash. I’m sorry to be able to use the location of that awful event as a point of reference, but there it is.) We thought that dental problems might be causing him pain, but when the vet opened his mouth, he simply remarked that Ronnie James had experienced some sort of contact with a Chenille Processionnaire (“Pine Processionary” in English), a venomous caterpillar common in southern France. The tip of Ronnie James’ tongue had been “burnt off,” and it was this disability that impeded his eating. Our vet immediately recognized the characteristic chenille processionnaire damage to Ronnie James’ tongue; there was no question about it.

I’d never heard of anything like it. The Pine Processionary doesn’t exist in the United States. According to Wikipedia, it’s only found in southern Europe and in parts of Asia and Africa.

From what we can understand, animals such as dogs and cats are harmed by this caterpillar either because of poisoning from its venom, or because of an allergic reaction to it, or both, in any case being potentially – even often – fatal. Incidentally, I found some disturbing images of dog and cat tongues either burned, like Ronnie James’ tongue, or amputated at the tip (due to contact with this caterpillar).

 

Les Chenilles Processionnaires (Pine Processionary caterpillars) are often seen traveling end-to-end. They're common where we lived in the Alpes and all over the French Riviera.

Les Chenilles Processionnaires (Pine Processionary caterpillars) are often seen traveling end-to-end. They’re common where we lived in the Alpes and all over the French Riviera.

 

The caterpillar’s venom is released when its tiny hairs break off, or when the caterpillar ejects the hairs in self-defense. The toxins are in the hairs. Dogs and cats suffer when they have direct interaction with the caterpillar, or when they come into contact with pine needles or other organic matter on which the caterpillar’s hairs had fallen. Ronnie James could have licked the caterpillar, or he could have stepped on the hairs while walking around outside, or, more likely, knowing him, he might have played with the caterpillar with his paws, batting it around. Whether he walked on the hairs or played with the caterpillar, the toxic hairs would have stuck to his paws (they stick to whatever they touch), and Ronnie James’ tongue would have been burned when he went to lick his paws, as cats do.

At the same time, a venomous hair or two could have traveled down into Ronnie James’ lungs.

It happens. It happens to dogs and cats who roam outside in areas infested with the Pine Processionary.

Dr. M, who had (along with the rest of his surgical team) noticed the unusual damage to Ronnie James’ tongue when they were prepping him for surgery, agrees that more than likely, this is what happened to him. Though we didn’t witness the caterpillar encounter, we can all look at the evidence before us and do the math. In this case, 2 + 2 = Pine Processionary caterpillar damage in the Wrah-Wrah’s lungs. It would also account for the smaller mass found in his neck, lodged in his throat area, as the way that was presenting also matched the type of damage that could be done by the Pine Processionary.

Everything we can see points to this caterpillar.

Two things are for sure: Ronnie James survived an inordinately long time after his encounter with the caterpillar, and he was certainly dying by the time the surgeon removed the dead lung and surrounding infected areas. And we’re not finished yet. One of his lab cultures came back positive; the infection is alive.

 

thatasianlookingchick.com-pineprocessionarycaterpillar

 

One for the “WTF, Nature?” archives, if you ask me.

We’re so proud of Ronnie James. He’s been such a good sport throughout this ordeal, and he did extremely well in surgery. Everyone was surprised when he didn’t need oxygen therapy to transition out of anesthesia, as dogs and cats typically do after surgery. He started breathing on his own again as soon as they unhooked him! We credit this bit of badassery to the fact that the Wrah-Wrah had long since learned to get along without that nasty old lung.

So that’s what happened. Years ago, Ronnie James inhaled or ingested toxins from a caterpillar. And to think that I’d blamed myself for bringing him here, back when we thought he’d developed asthma from being in the dusty desert! The whole time, he’d been suffering the effects of an environmental hazard that doesn’t even exist in North America. I can’t believe we brought this demon caterpillar venom back from France with us, embedded in the Wrah-Wrah’s lungs. That was more baggage from France than we’d bargained for.

Now that we know the root of the problem, we have a better idea of what to do for Ronnie James. We’re going after the remaining infection with an aggressive, extended course of antibiotics. We’re also continuing him on his asthma treatments, as he’d shown slight improvement on them (the steroid inhaler was helping to hold the infection at bay, and the bronchial dilator inhaler was helping to open up his airways).

Tomorrow, the Wrah-Wrah goes back to Dr. M to have his stitches removed, and he’ll be checked for need of further thoracentesis (chest tapping/draining). We were cautioned that it wouldn’t be unusual for him to need to have his chest drained one or two more times following the surgery. Our hope is that after a month or so, he’ll no longer have to deal with chylothorax and all the treatments it necessitates.

We’ve had a couple of scary episodes with coughing and vomiting in the last few days, but he checked out fine at the hospital; the episodes aren’t surprising given that his insides are adjusting to the changes, and he’s still recovering. Overall, the Wrah-Wrah continues to do much better. He’s happy and more active now than we’ve ever seen him. He is exponentially better, in fact. He’s next-level Wrah-Wrah!

A happy kitty is a kitty without dead lung tissue rotting in his chest with a weird, bulbous, rotting-fat-filled mass. We still have a long road ahead of us; Ronnie James’ long-term prognosis depends on how he responds to treatment from this point on. Anything can happen, but we’re optimistic!

 

Sleepy Ronnie James. He just woke up from his evening nap. (4/13/15)

Sleepy Ronnie James. He just woke up from his evening nap. (4/13/15)

Frankenkitty Comes Home!

That Asian-Looking Chick 4 Comments

Or, shall we say, the FrankenWrahWrah.

Ronnie James, one week post-op. (4/10/2015)

Ronnie James, one week post-op. (4/10/2015)

The results of Ronnie James’ surgery are unbelievable, better than anyone thought possible.

Friday, 4/3/2015, Day Zero: Our first sight of Ronnie James after his surgery, about five hours post-op. Still coming out of anesthesia, heavily medicated.

Friday, 4/3/2015, Day Zero: Our first sight of Ronnie James after his surgery, about five hours post-op… still coming out of anesthesia, heavily medicated.

Hello, Wrah-Wrah!

Hello, Wrah-Wrah!

He’s half hairless. He’s got a five-inch-long incision with about 20 stitches, plus a few stitches closing up the hole where his chest tube had been. He’s minus his left cranial lung lobe, part of an adjacent lung lobe, and a mysterious mass, and he’s breathing much easier now!

Poor Nounours missed his brother so much, he literally waited at the door for him to come home (when he wasn't wandering around the house crying).

Poor Nounours missed his brother so much, he literally waited at the door for him to come home (when he wasn’t wandering around the house crying).

We were all kind of confused going in, but the truest story of the Wrah-Wrah could be seen when our surgeon opened him up and looked inside. The phone call I received at work after the surgery was bizarre because what the surgeon found was bizarre. It fact, it was so bizarre, I have to save the story for the next post.

Meanwhile, here are some pics of our little warrior!

Saturday, 4/4/2015, Day One: The day after his surgery, we went from the gym directly to the hospital to visit Ronnie James. We were allowed to hold him. He was so out of it and scared!

Saturday, 4/4/2015, Day One: The day after his surgery, we went from the gym directly to the hospital to visit Ronnie James. We were allowed to hold him. He was so out of it and scared!

Sunday, 4/5/2015, Day Two: When we brought him home on Sunday night, Wrah-Wrah went straight to my office to rest, relaxed on his pain meds.

Sunday, 4/5/2015, Day Two: When we brought him home on Sunday night, Wrah-Wrah went straight to my office to rest, relaxed on his pain meds.

His fur had been shaved so precisely for the surgery, it looks like he's wearing half a coat! That spot in the center is where his chest tube had been.

His fur had been shaved so precisely for the surgery, it looks like he’s wearing half a coat! That spot in the center is where his chest tube (for drainage) had been.

That is quite an incision there, little guy.

That is quite an incision there, little guy.

Monday, 4/6/2015, Day Three: Pain-killers in full effect! The kitties' toy area in the living-room has been one of Ronnie James' favorite hang-out spots since he's been home.

Monday, 4/6/2015, Day Three: Pain-killers in full effect! The kitties’ toy area in the living-room has been one of Ronnie James’ favorite hang-out spots since he’s been home.

So many toys! Too many decisions.

So many toys! Too many decisions.

Tuesday, 4/7/2015, Day Four: We had a rhythm going with Ronnie James' after-care. Between his different meds and his compress treatments, there's something to be done six times each day. He's doing so well!

Tuesday, 4/7/2015, Day Four: We had a rhythm going with Ronnie James’ after-care. Between his different meds and compress treatments, there’s something to be done six times each day.

He's spent a lot of time snuggling up to me in my office at home.

He’s spent a lot of time snuggling up to me in my office at home.

Thursday, 4/9/2015, Day Six: Breathing so much easier now!

Thursday, 4/9/2015, Day Six: Breathing so much easier now!

We’re so grateful to everyone involved in the Wrah-Wrah’s medical journey (which isn’t quite over, but we’re certainly off to a great start!) and well-being, from the doctors and staff at our two clinics to all of you who’ve been keeping him in your thoughts and prayers. Next week I’ll fill you in on What the Heck the Surgeon Found. 

Happy Friday, All!

Update on Ronnie James (for anyone who’s interested), or, Saving the Wrah-Wrah.

That Asian-Looking Chick 2 Comments

As you probably know if you’ve been reading here for a while, we’ve been treating Ronnie James, aka the Wrah-Wrah, aka le petit Wrah-Wrah, aka our furbaby, aka our son, for asthma for the last seven months. Well, a lot’s happened in that time, and some of you have been so kindly asking after him, so here’s the latest.

After his initial diagnosis of asthma, Ronnie James’ progress fell into the familiar, frustrating “one step forward, two steps back” pattern. With each step back, we’d return with him to the vet, and each time, his chest x-ray would come out looking different than the previous one. In November, his x-ray showed a collapsed and consolidated lung, conditions that are typically seen as complications of feline asthma. That was disheartening enough, but after a fairly unchanged January x-ray, he suffered further decline and another crisis, and back we went for more imaging. This was in the first week of March, and we found ourselves confronted with an x-ray that was abjectly frightening. It sent us down a rabbit hole of worry and fret. We’re just now emerging from the other side.

Ronnie James’ chest x-ray that day – it was March 4, I believe – was ghostly white, practically opaque. His chest cavity was so filled with fluid that we couldn’t see his heart, and his abdominal area looked the same. His liver was obscured. His stomach was obscured. It was alarming hearing the doctor navigate around Ronnie James’ insides as we stared at the screen. We were basically looking at a cat-body-shaped silhouette filled in with murky whiteness. We were looking at a big question mark.

“Right here is where we should see his heart,” the doctor said, pointing at a section. “Here is where his liver should be. And his stomach would be here – ” She paused as we bent closer to try to see. “This right here,” she said, tapping a small black shape, “is his lung. The black shows that there’s air in there.”

But none of his other vital organs could be seen.

Long story short, more tests were conducted, and two days later, we were relieved to find that things were okay in his abdominal cavity. But the pleural effusion issue – his chest cavity filled with fluid – had to be resolved. All signs pointed to a disease called chylothorax. We were referred to a specialist. Ronnie James needed next-level testing, and he needed to have a chest tap to drain the fatty lymphatic fluid that had no business being there. Our doctor was hesitant to perform a complete aspiration because the fluid had accumulated directly over Ronnie James’ heart.

However, the very next day, of course, was the day we were scheduled to board a plane to France for a week! One extremely long week, from the perspective of a critically ill kitty and his parents.

While we were in France, the doctor emailed with two options for veterinary specialists, animal hospital facilities with state-of-the-art equipment to tackle specific and complicated medical situations for animals, and we couldn’t do anything about it until we got back. We needed enough time and internet access to thoroughly review the two specialists online, and we had to be able to call them with questions before choosing one. I felt like it was a stupidly clichéd race against time, and it was. We’d done our online research into Ronnie James’ condition. We knew that it was critical to drain the fluids from his chest as soon as possible. The timing of the whole thing couldn’t be worse.

So all that week in France, I ran around during the day, cried at night, anxiously exchanged messages with Ronnie James’ beloved Auntie Margaret, who generously, expertly and compassionately kitty-sat and medicated Ronnie James for us, and got little to no sleep throughout. Don’t get me wrong! I still had an awesome, wonderful time and tremendous fun with everyone, but throughout it all, a part of my mind ceaselessly counted down the minutes to getting home and taking the Wrah-Wrah to the specialty hospital.

Back in Arizona, we researched the two facilities, made our phone calls and scheduled Ronnie James for an appointment with the internal medicine specialist at the hospital we chose. We took their earliest available slot, which was for Monday the following week (yesterday). I was beside myself. We’d already waited a week, and now we had to wait another whole week! But THANKFULLY on Wednesday night last week, the clinic called to tell us there’d been a cancellation for the next day, so we were able to get him in on Thursday.

Ronnie James at the specialty hospital, pre-thoracentesis and extensive testing.

Ronnie James at the specialty hospital, pre-thoracentesis and extensive testing.

We were grateful and beyond relieved that with their imaging equipment and many years of experience, the specialists were able to perform a complete thoracentesis on Ronnie James, safely aspirating 120 ml (the equivalent of three large syringes!) of milky-white fluid, chyle, from his chest cavity. Chylothorax was confirmed.

Post-thoracentesis, resting.

Post-thoracentesis, resting.

120 ml of chyle (~1/2 cup!) was removed from the Wrah-Wrah's little chest cavity!

120 ml of chyle (~1/2 cup!) was removed from the Wrah-Wrah’s little chest cavity!

Alleviating the Wrah-Wrah of his pleural effusion was one thing. The remaining critical task was to determine the underlying cause of the chylothorax, if there was one. (50% of chylothorax cases are idiopathic, meaning that there’s no known cause.) We had to get to the root of the problem so we could take some action to prevent his chest from filling up with fluid again! Thursday evening, the internist showed us Ronnie James’ CT scan. Contrast revealed a suspicious 2cm x 1cm mass in his left lung lobe. It was also confirmed that his right lung lobe had collapsed. A biopsy from the mass and more fluid samples were sent out to an external lab for analyses and cultures.

The results wouldn’t be back until Monday, so we settled in to wait again. It was a long wait. As some of you can (unfortunately) attest, the longest wait of all is the one between the words “we found a mass” and the receipt of the lab results.

Meanwhile, we spent the weekend marveling at the Wrah-Wrah’s restored vitality since his chest tap. He was back to his old self! He was alert, active, awake more than asleep; he was talking (wrah-wrah wrah wrah WRAH! Wrahhhhhh!), playing, flirting with us and running around, throwing himself on the floor and rolling over for belly rubs, purring furiously (as if to make up for all the purrs lost during his illness), engaging in his favorite games and raising hell with Nounours again. We hadn’t seen him like that in months! Without the fatty lymphatic fluid crowding everything in his pleural cavity, Ronnie James’ lungs could expand normally again. He was getting more oxygen, and it showed. The difference was dramatic.

Ronnie James returning to his former self over the weekend.

Ronnie James returning to his former self over the weekend.

Late Sunday afternoon, we received a wondrous surprise phone call from a doctor who was working with our internist. She reported that Ronnie James’ labs had come back free of cancer and infection!

This brings us to today. At some point today, the internist will call to report the details of the lab findings – one of the cultures is still pending – and to go over a game plan for the next steps. Part Two of the restoration of the Wrah-Wrah’s pulmonary health will begin soon, and with luck, it’ll be uneventful maintenance from there on out!

We’re hopeful that we can find a way to resolve this for him so he can live out his lifespan with a high quality of life. He’s only 10… he has at least 10 more years to go!

Thank you all for your kindness and support. We feel the love, and so does Ronnie James. We feel blessed, too, to have a wonderful, caring team of doctors between the University Animal Hospital and the VCA Specialty Animal Hospital. They saved Ronnie James’ life, and we can’t say enough how grateful we are to have this precious little guy with us, being his old self!

There aren't enough kisses in the world for the Wrah-Wrah....

There aren’t enough kisses in the world for the Wrah-Wrah….

Thank you all for reading! Please pass this post along to any kitty or doggie parents you may know who might be going through the same or similar medical crises with their furbabies. It would be wonderful if Ronnie James could provide with a little information and hope.