Nikki's Kidneys, Redux

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I talked to the vet this morning in order to get a better sense of what is actually going on with Nikki's kidney values. It was a very instructive conversation, actually, and I'm glad she (this vet) is willing to actually go over technical details with me.

As for the nature of those details...apparently there IS actually some concern about her creatinine, even though it's technically within the normal range (2.1). The reason for this is the fact that her urinary specific gravity is lower than it should be.

The important lesson I'm taking from this is the fact that lab values can be kind of misleading if you just look at absolutes. Often you have to check and see how certain values relate to certain other values. Brodie's creatinine is actually higher than Nikki's (2.3) but since his urine was much more highly concentrated, this isn't indicative of a problem. The ability to concentrate urine is, it seems, a really significant function of feline biology and even an apparently small loss of this ability shouldn't be ignored.

...but all that said, the vet stopped short of actually officially diagnosing Nikki with chronic renal failure (CRF), though it certainly sounds to me like that's what we're looking at long-term. Which doesn't freak me out nearly as much as one would think it might, probably because I've known some cats-of-friends with the condition who've nonetheless gone on to live to ripe old ages. It's not a death sentence, nor is it the sort of thing that means the cat is going to be living for years in constant pain.

Moreover, there's no way to know how fast it will progress...the vet said she used to see a 23-year-old cat who had numbers very similar to Nikki's (and who'd had those same results for something like six years in a row). Of course I'm going to watch Nikki more carefully now for signs of discomfort and pay more attention to things like making sure she stays well-hydrated, but I don't see any reason to treat her with pity or what-have-you. She'd hate that, and it just doesn't seem logical besides.

As far as treatment goes...the vet did end up recommending I try offering Nikki some prescription food. There are different "levels" of RX for kidney trouble, apparently, and not all of them are extremely low in protein. She's going to leave me a can of Purina kidney diet this afternoon when I go and pick up the Panacur (giardia medication) for the younger kitties. Nikki is the pickiest eater I've ever met, so even if she's not at the stage yet where she absolutely needs a prescription diet I figure it's worth seeing how she reacts to it. And I was relieved to learn that there are other options if she refuses the RX food, e.g., mixing in a phosphorous-binding powder with her regular food.

She's not yet at the medication-needing stage, mind you, but when and if she gets to that point they will probably try an ACE inhibitor first. Either way, I'm just...really glad that veterinary care even exists, and that nobody is trying to pressure me to just "put her down". Nikki is a tough kitty and while she's never been much of a happy-go-lucky sort (except in case of copious sunbeams) I am absolutely certain that she has a whole slew of very important reasons for living all her own.

The Litter Box Is Not A Poop Storage Device. It Is Merely A Waystation.

The litter box is not a storage container for poop (or anything else that comes out of a cat).

The litter box is, rather, a place for cats to deposit their, er, business. After which said business should be removed in a timely manner. NOT allowed to accumulate until it becomes disgusting.

The fact of the matter is that a properly maintained litter box will not smell any more than a regularly flushed human toilet will. Which means it's best to scoop at least twice a day, and that if you have multiple cats, you should have multiple litter boxes.

I admit I've become a bit of a zealot about this, but only because I know how many cats are given up to shelters and subsequently killed due to "litter box issues". When in reality, I'm sure that many of those "issues" were probably either medical problems (undiagnosed UTIs, etc.) or matters of protest due to improper box maintenance.

That said, I realize sometimes people have problems cleaning the box due to illness, disability, etc. And if the box isn't getting cleaned in that sort of a situation, it's due to the cat's human not receiving adequate support. Which of course is a problem in and of itself. This post is NOT meant to denigrate anyone who cannot scoop litter themselves -- again, if you can't scoop, you should absolutely be getting assistance from someone who can -- but rather, to note a few things that might help whoever is supposed to be cleaning the box do it more often.

And it just occurred to me tonight that perhaps part of the reason litterboxen often get neglected far longer than is right or healthy is because too many people think of the box as a kind of....poop reservoir, or something, where basically you only clean it out when it fills up completely.

I've also met a number of people who believe that catboxes "just smell" and that this is normal/acceptable/okay. Even when their cats are suffering from ear ulcers due to having to enter a covered box reeking of ammonia fumes I've seen people baffled that I think something is wrong. And so I figured something like this post was in order.

In the interest of full disclosure, I should acknowledge that I am myself a reformed catbox-neglecter. When I was younger, I would basically wait until my parents nagged me to clean the box -- the consequence of which was that my poor cat Tim ended up with a box so nasty he eventually got fed up and decided to use my acid-washed-denim-look-neon-paint-splattered beanbag chair instead (seriously, I was all about to sit down and play Zelda one day when I was around thirteen, and very nearly sat in the middle of a tidy pile of feline feces!).

After that I got a little better about scooping, but it wasn't until I was an adult, with 4 cats of my own, that I figured out the actual meaning of litterbox cleanliness. And I am so glad I did figure it out because, well, my house doesn't stink, and my cats are so happy with their bathroom facilities that they use them regularly and perfectly. And I would never dream of going back to my preteen method of "wait until something bad happens, then clean the box". It's much, much more pleasant for everyone when the box is treated as a temporary waystation for waste as opposed to an accumulatorium (if that's even a real word) for same.

Cora and Shadow Get A Blood Test

Heh, the title of this post, now that I look at it, makes me think of the titles of the Berenstein Bears books I used to like as a kid (this being before the annoyingly fundamentalist offspring of the original authors took over the series, but I digress).


Ahem. Getting back to the all-important realm of cats, I am posting this both because I find medical-statistical values extremely interesting, and because (while I am NOT a vet and this should in NO way construe the proffering of medical advice) I figure I can't be the only one inclined to be searching around for comparison blood-test values for raw-fed cats. Which Cora and Shadow and Brodie have been for the better part of 2 years now. 


So since Cora and Shadow went to the vet this past Saturday (Nikki and Brodie will go in for their shots and checkups next; it's just easier for Matt and I to wrangle two cats at a time as opposed to all four!) and the vet was kind enough to email me their blood test results, I thought I'd go ahead and post the data here (copied and pasted from the PDFs I received; I wasn't able to get the little "low-normal-high" bar things to render but you can tell well enough from the values what was what. Results appear below; note that reference ranges are in parentheses ( ).


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Pet Name: Shadow
Species: Feline
Breed: Domestic Short Hair 
Age: 2Y
Sex: CM


Wellness Chemistries



Total Protein: 7.6 (5.2-8.8 g/dL)
Albumin: 4.2 (2.5-3.9 g/dL)
Globulin: 3.4 (2.3-5.3 g/dL)
A/G Ratio: 1.2 (0.35-1.5)
ALT (SGPT): 39 (10-100 IU/L)
Alk Phosphatase: 14 (6-102 IU/L)
BUN: 29 (14-36 mg/dL)
Creatinine: 2.5 (0.6-2.4 mg/dL)
BUN/Creatinine Ratio: 12 (4-33)
Glucose: 112 (64-170 mg/dL)
Potassium: 3.9 (3.4-5.6 mEq/L)


CBC


WBC: 8.4 (3.5-16.0 10³/μL)

RBC: 9.5 (5.92-9.93 10⁶/μL)
HGB: 14.8 (9.3-15.9 g/dL)
HCT: 49 (29-48 %)
MCV: 51 (37-61 fL)
MCH: 15.6 (11-21 pg)
MCHC: 31 (30-38 g/dL)
Platelet Count: 214 (200-500 103/μL)
Platelet Est: Adequate


               Differential         Absolute
Neutrophils:   4368          52%    2500-8500 /μL
Lymphocytes:   3192          38%    1200-8000 /μL
Monocytes:     168           2%     0-600 /μL
Eosinophils:   672           8%     0-1000 /μL
Basophils:     0             0%     0-150 /μL


Heartworm Antibody: Negative
Ova & Parasite: None Seen
Giardia (ELISA): Negative




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Pet Name: Coraline
Species: Feline
Breed: Domestic Short Hair 
Age: 2Y
Sex: SF


Wellness Chemistries


Total Protein: 7.2 (5.2-8.8 g/dL)
Albumin: 3.9 (2.5-3.9 g/dL)
Globulin: 3.3 (2.3-5.3 g/dL)
A/G Ratio: 1.2 (0.35-1.5)
ALT (SGPT): 35 (10-100 IU/L)
Alk Phosphatase: 11 (6-102 IU/L)
BUN: 30 (14-36 mg/dL)
Creatinine: 2.4 (0.6-2.4 mg/dL)
BUN/Creatinine Ratio: 13 (4-33)
Glucose: 111 (64-170 mg/dL)
Potassium: 4.5 (3.4-5.6 mEq/L)


CBC


WBC: 9.0 (3.5-16.0 10³/μL)
RBC: 9.2 (5.92-9.93 10⁶/μL)
HGB: 14.8 (9.3-15.9 g/dL)
HCT: 49 (29-48%)
MCV: 53 (37-61 fL)
MCH: 16.2 (11-21 pg)
MCHC: 30 (30-38 g/dL)
Platelet Count 127 (200-500 103/μL)
Platelet Est: Adequate



            Differential      Absolute 
Neutrophils: 4230         47% 2500-8500 /μL
Lymphocytes: 3870         43% 1200-8000 /μL
Monocytes:   180           2% 0-600 /μL
Eosinophils: 720           8% 0-1000 /μL
Basophils:   0             0% 0-150 /μL


Heartworm Antibody: Negative
Ova & Parasite: None Seen
Giardia (ELISA): Negative

------------------------------------------------------------------------

...so, overall, everything looked great! Both kitties were within reference ranges for almost everything, and the only values where they were "on the edge" were things that, due to their diet, would be expected to appear slightly high (creatinine, albumin). Protein-related values on a raw diet can be higher because raw-fed cats aren't generally consuming as many (if any) carbohydrates. Thus, it's important to factor in what's on a cat's regular menu when looking at his or her blood results, as the reference ranges have basically all been obtained from cats on a steady diet of commercial cat food, as that's what most people feed these days.

HCT (hematocrit) was also borderliney, but the vet said this probably wasn't a concern other than possibly indicating mild dehydration, which I wouldn't be surprised to see given it's been warm lately and my guys aren't big drinkers. They're accustomed to getting the vast majority of fluids IN their food, and since cats often don't feel thirst strongly, my guess is that they've not increased their liquid intake in light of the weather, meaning I should supplement their meat with some extra water during the summer months especially. 

[Which I tried doing tonight and it was a total success...apparently if the water is meat-flavored they lap it right up (I know, amazing!).]

Oh and regarding Cora's platelets: initially I was confused as to why the number was on the low side, and why the vet had no concerns at all about this. But apparently the important part of the platelet value is actually the little comment that says "Platelet est:  Adequate". Because they get the initial value using a machine, only the machine can't necessarily get the most accurate number, because platelets clump together and the machine is just taking an average from a limited volume of sample. So what the test lab people do then is smear some of the blood on a slide and then determine based on how that looks whether the platelet count is okay. And it was apparently fine for both cats. 

Finally, I was also of course happy to see there was no evidence of parasites in their poop (they did a fecal analysis too). Shadow had tapeworms as a kitten and I could barely look at sesame seeds for months afterward (believe me, if you've ever dealt with tapeworms, you'll understand why!). 

TNR News: Some Good, Some Sad

Since my last writing on this matter we've managed to get 3 more colony kitties successfully neutered and returned to their outdoor home. Which is awesome, of course -- it's definitely at the point where whenever I visit the colony, I'm liable to see unaltered cats way outnumbered by their TNRed cohorts.

So, that's the good news.

There is a bit of sad news to report as well, though: we actually brought in a total of 4 cats following the last round of trapping. While three came through the surgery fine, one of them (Tami, a little tabby girl who couldn't have been more than six months old) apparently had either an undiagnosed heart condition or sensitivity to the anesthesia because the clinic reported that her heart just randomly stopped on the operating table.

I hate reporting bad news like that, but I don't think Tami's memory would be well served by pretending this sort of thing never happens. It's rare, but it does happen, and whenever one gets involved in any type of cat rescue, one runs the risk of getting up close and personal with the occasional freak tragedy. I don't blame myself, I'm just really sorry that Tami never got to finish growing up and living a life spent running, playing, and climbing trees with her colony-mates.

What this sort of thing really drives home for me is the extreme need for more support for TNR clinics. It's great that the local Humane Society has a low-cost spay/neuter program at all, but over the long term I'd really like to see a bit more pre-op health screening become standard. If Tami did have a heart condition she might still be around if someone had been able to diagnose and treat it, and if she had a problem with one type of anesthesia, perhaps a different one might have been used.

Obviously it doesn't help anything to sit here dwelling on what could have been, but I'm not the sort of person who can just go "oh well, these things happen!' in response to this sort of thing. So I'm at least trying to look at what I can learn from the situation to help avoid it in the future. For one thing, I want to make sure that next time we bring in any cats that we at least REMIND the clinic of what happened to Tami. If nothing else that might prompt them to take a bit more care during surgery prep and watch more closely for signs of something being wrong, given that I know some heart conditions are familial and lots of cats in that colony are "cousins" of some degree.

…and on that note I will end this entry (and I promise the next one will be less sad!).

A Chance For Jack

We (meaning me, my partner Matt, and his parents) have had something of a fumbling start getting the local feral cat colony into a "managed" state, but things are getting better. Sometimes I look out into the feeding area and see no less than eight or so cats -- all sleek, clear-eyed, glossy-coated, and ear-tipped (indicating their TNRed status).

We've still got a ways to go, however, and I know of at least three unspayed females -- all of whom had litters in April or May of this year. I've thus far seen two solid grey babies, three black ones, and two tiny tabbies. There may have been more but either they didn't survive or are still being hidden by their mothers. It is also hard to tell which kittens belong to which mama -- this is common in feral colonies, though, as female cats (especially sisters or mother-daughter groups) will trade babysitting duties.

Unfortunately, despite the cooperative mothering that can occur in groups of outdoor cats, sometimes kittens still get abandoned. We suspect that to be the case with the kitten below:



This little guy's name is Jack, and in this photo (taken this past weekend) he is resting on the sofa with Matt's mom. We think he's maybe 8 - 10 weeks old, but he could be older -- he is very underweight. When I held him it felt like his backbone was about to poke through his skin.

Matt's mom (with help from 10-year-old niece Julie) managed to catch him pretty easily in the back yard without even employing a trap; this is not a good sign, as a feral kitten that can't move fast enough to run away generally isn't a very healthy kitten. We'd been seeing him around for a while but he never seemed to be "with" the other kittens -- rather, he sort of hung around on the periphery, and has always (since we started noticing him) been much smaller than the rest.

Of course Jack will be taken in for neutering eventually, but right now the priority is getting him well. One reason for his alarming skinniness became apparent to me when I happened to peek under his tail: Jack's got tapeworms. Big time. Or rather, he had tapeworms -- hopefully the medication has worked by now. Various worms are capable of infecting cats, and roundworms are more common than tapeworms, but tapeworms have a pretty distinctive, um, style, and thanks to Shadow's tapeworm adventure when he was five months old I got a very effective lesson in recognizing them.

Cats get tapeworms either from fleas (which are a necessary element of the worm's life cycle) or infected rodents. I am fairly certain Shadow got his from a flea, but whatever the vector, I am quite vigilant these days about not letting anyone's monthly topical parasite treatment lapse. I learned the hard way that just because a cat stays indoors all or most of the time doesn't mean they can't get cooties. Fleas can hitch-hike in on your clothes, for instance, especially if you spend any amount of time around groups of cats, and given my feral-colony dealings I try to be mindful of this.

But back to tapeworms. The first sign of Shadow's wormage was the little pile of what I initially believed to be sesame seeds in between my sofa cushions. Which was odd to begin with, considering I couldn't recall having eaten anything with sesame seeds on it at any point in the preceding months. Later that day my uneasy feeling was validated when I noticed that Shadow had a number of what looked like grains of rice stuck to the fur under his tail.

I fleetingly hoped that he'd just, you know, sat in a bowl of rice or something -- but then I saw that the "rice" was moving.

Ew.

Thankfully, two doses of praziquantel took care of the beasties that had set up shop in my (then) little black cat. Everyone else got dosed too, of course, just to be on the safe side, and the only side effect I observed was (in Cora's case) "excessive salivation", which resolved on its own within a few minutes.

Praziquantel is available under several brand names but the stuff I got was simply labeled "tape worm tabs". I've seen it at pet stores but it's generally ridiculously expensive there; I ended up buying it online and only spent a quarter of what I would have locally.

You can't just use regular wormer (e.g., the piperazine stuff easily found in grocery stores) because that will usually only get rid of roundworms. Tapeworms are essentially like those monsters in video games that can regenerate themselves indefinitely until you get to the source, and the praziquantel does something chemically to permit the head to be digested and passed uneventfully out of the body.

In any event, the point of all this is that if you live or work with cats, I highly recommend having tapeworm meds in your stock of Kitty First Aid supplies. Because I had two whole bottles left over from Shadow's wormisode, Jack was able to get treated without delay. Yay! Now hopefully he will start gaining some weight. He's still got a stuffy nose (hence the slightly open mouth in the photo above) and might need a vet trip for some antibiotics, but he is definitely looking more alert these days.

I will be sure to get another picture when I next visit, and of course if anyone local reading this blog has been looking for a kitten, please feel free to inquire! One area I would like to improve upon in terms of colony management is that of removing adoptable kittens and finding them permanent homes. Outdoor, unsocialized cats can of course lead perfectly happy lives (so long as they've got ample access to food, shelter, etc.) but it really makes it MUCH easier to care for those that cannot be adopted when colony populations are kept on the small side.

Plumbing Issues

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(TMI warning applies to this entire post, by the way.)

The photo just below is not a picture of a cat. Rather, it is a picture of my front yard taken last Tuesday.



Normally my yard doesn't look like this. And, just in case anyone was wondering, no, it has not been invaded by giant gophers.

The large mound of dirt, the cones, and the caution tape are all there due to Major Plumbing Activity. You see, we've got this great whopping sweetgum tree in the front yard that's nearly as old as the house, which was built in 1954. The tree provides lovely shade and turns a splendid array of hues in the autumn season (yes, we do have some trees in California that actually change colours!). Its roots, however, can pose quite a bit of an issue for sewer pipes, especially old segmented clay and cast iron pipes.

Anyway, to make a long story slightly less long, recently Tree won a significant victory in the longstanding Tree Versus Pipes battle, and the result was, shall we say, unpalatable. Essentially we had raw sewage backing up into the yard whenever anything went down a drain anywhere in the house. Initially it was just a little backup, and the flowers by the porch certainly seemed happy about the extra water and fertilizer, but over the past few weeks it started getting to the point where you couldn't step out the front door without stepping in The Partially Disintegrated Toilet Paper Wad That Time Forgot.

Which, you know, I figured was setting up to be an environmental hazard in addition to being monumentally disgusting.



Needless to say, plumbers were called.

Thankfully they arrived promptly and by Thursday afternoon everything was fixed up and filled back in. The yard looks remarkably unscathed, and we aren't stepping out the front door into any unpleasant surprises anymore. I will be very happy to spend the next hundred years (or whatever the lifespan of the new plastic pipes is) NOT thinking about my sewer lines, let alone stepping in the effluvia thereof.

Which brings me back to cats. The photo below is of a cat.



Specifically, it is a photo of Coraline, taken last weekend. She was feeling okay at that point -- in fact, she'd just finished a vigorous session of "leaping after the feather toy" -- but apparently sometime between then and Tuesday evening something (not tree roots, though!) clogged up her plumbing, leaving her unable to poop effectively.

And as gross as the mere concept of poop is, it's pretty important to be able to produce it if one happens to be alive (and wishes to stay that way). Just as there can be no light without darkness, there can be no eating without pooping. (Which is one reason my little niece's simulated kitten-care video games, wherein you get to feed the cats but never deal with a litter box, baffle me endlessly. But that's another topic entirely.)

As far as how I came to realize Cora wasn't producing...well, when you live with multiple cats and scoop their litter boxes on a daily basis, you kind of end up getting to the point of recognizing everyone's, er, deposits. And Cora's have always been rather distinctive inasmuch as no matter what she eats...let's just say if there were a prize for "superior feline stool formation", under normal circumstances she would be a grand champion. Not so much last week, though, as pretty much all the recognizable solid matter I scooped had clearly (based on known dimensional attributes and scent signature parameters) emerged from Nikki or the boys.

Mind you, I don't think Cora ever got completely obstructed. I did find a few of what are colloquially referred to around here as "poopflakes" in the box, and I will let you use your imagination to figure out the etymology of that term. Moreover, she was able to keep food down despite an obviously diminished appetite, whereas total colonblockery tends to result in projectile pukesplosion shortly after meals.

Most alarming, though, (aside from the pooplack, of course) was how her whole demeanor was just off. Normally, Cora is extremely active (in the same sense that the sun is extremely hot), but on Tuesday evening all her movements seemed very slow and tentative. She also only made half-hearted attempts to jump and climb the way she usually does, and showed no interest whatsoever in her favorite toys.

So, I called the vet's office with my concerns. They agreed that something didn't sound right, so first thing Thursday morning Matt and I bundled her up in the carrier and took her off to the clinic. We ended up getting assigned to a different doctor than last time (again) due to scheduling constraints, but that turned out fine as this doctor was pretty awesome (at least as awesome as the one we'd previously seen and liked a lot).

Moving along, though, the bottom line (heh) is that Cora did indeed, per the vet's examination, have a traffic jam in her lower intestinal zone. Thankfully a single Super Colon Cleanse (read: enema) was able to dislodge the backup, and all this entailed was a mild sedative (as opposed to general anaesthesia, which would have been needed if they'd had to "go in manually") and monitoring at the clinic until around 5:30 PM.

The vet undoubtedly dealt with the most buttfountainous aftereffects of the enema, for which I am thoroughly grateful. Nevertheless, things were still fairly...messy when we initially got Cora home. The sedative had mostly worn off by around 4 PM (when the vet called me, proclaiming that my cat had "pooped beautifully") so I can completely understand why Cora was returned to us with her entire back end, tail, and legs soggy and smelly.

Trying to give a fully-conscious Coraline anything resembling an effective bath is probably marginally more difficult than trying to perform a one-handed backwards cartwheel through a swarm of bees. And I would rather deal with a bit of yuck than have my cat sedated a second time solely for cleaning purposes.

Nevertheless, I didn't want her getting infections (or tracking Ass Flavored Smoothie all over the house) so Matt and I did the best we could to soap and rinse her lower half while she proceeded to claw her way up my chest and attempt to surgically attach herself to my face.

That went about as well as you can imagine it did.

Luckily I only ended up with a few holes in my neck, and none of them bled that much.

Really, though, my primary emotion Thursday evening was one of pure relief. Poor Cora. I can't imagine how much it must have been hurting her to be that blocked up. I was so happy when she got home, and she seemed to be as well, though I had to decline her friendly tail-swipey-leg-weaving greetings at first!

That said, ye gads, I honestly hope I never have to see anything like that coming out of a cat ever again. Granted most of the scariness was due to the fact that I'd been feeding her robust doses of hairball gel and petroleum jelly for a day and a half prior to her vet trip, but it was nonetheless disconcerting to have the contents of the litter scoop jiggle like some sort of earthquake-evaluation medium.

But anyway. Three days following her ordeal, Cora appears to be none the worse for wear (and Shadow, who has a severe Vet Phobia, has ceased hissing at her hind end). I put her in "quarantine" in the spare bedroom for only one night following her Great Rectal Waterslide Adventure. She was very quiet that evening, but by mid-morning Friday I figured she was fine to rejoin the household proper, given that she was shoving her paws under the door and trying to tear off pieces of the wood by that point.

The cause of her epic pooplog backup is thus far unknown, but the current primary suspects are (a) hairball material stuck in transit, and (b) her apparently "highly efficient" colon.

In other words, apparently Cora's tendency toward poops-so-perfect-they-almost-look-fake is actually a sign that her body is really good at extracting things (including water) from whatever is passing through. This isn't a disease, mind you, just a physiological predilection of sorts.

Cats evolved to be extremely efficient in this regard and as Cora is already like a more intense version of a regular cat to begin with, I guess it's not surprising this goes all the way down to the intestinal level. But it's something that needs to be managed, as cats Cora's age (less than two years old) only rarely get this badly blocked up. I have been instructed to (a) add 1/8 tsp twice daily of polyethylene glycol (a laxative, commonly sold under the brand "Miralax") to her food, (b) stop feeding her any dry food (aside from the occasional crunchie-treat), and (c) start brushing her every day (at least while we're in the midst of Super Shedding Season).

Adding more fiber to her diet may be something to think about as well, but the vet cautioned against going overboard here given that additional "bulk" could make things worse.

So yeah. Last week was pretty epic, and not in a cool fun way. I will certainly never again take any form of waste-pipery for granted, whether said pipery be part of my household sewer line or my cat's intestines.

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TNR Report #3: Herding Cats, For Real! Also, Mr. Mom.

Whew, what a week! Short version: two more cats have been TNRed at the time of this writing, which means six cats total from the colony have been spayed or neutered since the beginning of last week.

Not bad, and definitely a good start, but I was really hoping for eight (especially given we had eight appointments reserved). The Humane Society folks assured me that this sort of thing happens all the time, as you can't really guarantee you will actually get the number of cats you've made appointments for, but still. Color me annoyed.

Monday night's session went well: we managed to catch Dominique's shy sister Michelle (who is all black with a little white "locket" on her chest):


(Michelle watching me and the camera from a table)

...and a little marble tabby girl we haven't named yet who may well be one of Mimi's siblings judging from her size. So that was good.


(Tiny tabby girl with the high beams on -- this is actually the clearest picture I've got of her thus far)

Wednesday night's session, on the other hand, was...chaotic, to say the least. Matt and I stuck it out monitoring and attending to traps well into the late eve‌ning, but ultimately had to admit defeat (our own kitties were home waiting for their dinner, after all!). Matt's parents said they would monitor the traps for a while after we went home and I am sure they did, but I haven't heard from them yet today and I'm not optimistic that anyone actually ended up being trapped.

See, things started out promising. I began by cleaning the traps and setting up all four of them (three regular-sized and one kitten-sized) out in the general area frequented by the cats. At that point it was still light out, and as they'd not been fed yet, kitties were starting to mill around the patio area anticipating their dinner.

Then, just as I started getting ready to actually bait the traps, Toby (former rescue kitten, now the resident Territorial Boss Lady) decided for whatever reason to go around and spritz her signature scent on said traps.


(Toby disapproves of this ridiculousness!)

And when her (feral) younger brother Gryff got wind of his sister's aromatic graffiti, of course he had to go and overmark it with his own eau-de-pheromone.

Anyhow, since Toby's determination to mark the equipment wasn't evident on trapping days prior, my guess is that this time I didn't clean the smells of the other cats (not to mention the "clinic smell" which can be a major feline anxiety trigger) off the traps well enough. Needless to say, lesson learned! Prior to the next session I will most assuredly make sure the traps are liberally sprayed with enzymatic cleaner and thoroughly wiped down and air-dried.

[The newer enzyme sprays ("Nature's Miracle", "Anti Icky Poo", and similar) are really good at destroying the proteins or whatever the stuff in cat urine is that flashes up a giant SPRAY HERE! sign once applied to an object, but you really have to give them time to work, and last night I didn't get a chance to do that in any more than a cursory manner. ]

I may also try to corral Toby in the house or garage next time, seeing as even when she wasn't spraying she seemed determined to meddle in every way possible with what I was doing (she ended up IN a trap at one point when her curiosity got the better of her). She is very much like Nikki in that once she sets her mind on something there's just no arguing with her.

Mind you, of course I don't think ill of Toby for her actions. From a feline standpoint she was acting in accordance with perfectly sensible Cat Logic, and in general she's this awesome sweet bossy ladycat that I am always happy to visit with. She just needs to stay the heck away from my traps on TNR days!

So...I repeat, what a week! I am not sure when the next trapping night will be. It has to be relatively soon if we want to really stabilize the colony population, but given the mess that was last night I am proposing waiting a week or two before trying again. Between Toby's meddling, the neighbor's loud motorcycle (which arrived next door at the worst possible moment, when the ferals were just starting to emerge from the shadows), and assorted other Elements of Certain Chaos I wouldn't be surprised if the shyer cats we really need to start targeting will take a few days to re-establish their routine. And the routine (especially as it pertains to feeding) is really important for successful TNR.

All that said, one thing I am happy with that we managed yesterday was getting Blue into the house.


(Blue on the patio, looking apprehensive)

Blue has been fighting an upper respiratory infection for a while now, and while it seemed much better on Clinic Day, it looked much worse yesterday evening.

Like worse with eyes practically crusted shut, nose completely sealed off by matted dried mucus and hair, and breathing through the mouth due to nasal blockage. Matt's mom, awesome lady that she is, said she'd take Blue to the vet if she could get the obviously under-the-weather kitty inside, and this didn't end up being very difficult at all.

So anyway. Blue went to the vet. The diagnosis of "respiratory infection" was no surprise at all -- but we were all REALLY surprised to learn that "she" was really a "he"! You'd think the Humane Society would have mentioned that little detail, as I presume they neutered (as opposed to spayed) him last week, but still. Wow. Clearly, Blue isn't actually Dominique and Michelle's mother after all, despite the fact that he was sure as heck acting like Mom to them.

And as for how the other boy cats were treating him -- I'd thought they were doing the chase-and-grab thing as part of whatever passes for feline courtship, but now I'm guessing they were trying to fight him.

Anyhow, I really do wish sometimes that I could learn the stories of all these cats that show up. Who knows what kind of environment Blue and Dominique and Michelle came out of, and who knows if (or how) they are even actually related?

Blue is definitely a Siamese mix of some sort (he's got snowshoe points), but he could still be the girls' littermate or older brother. Litters of random-bred kittens can easily be comprised of both "pointed" and non-pointed cats, and as I've noted before, littermates can even all have different fathers due to the manner in which feline reproduction works. And Blue isn't that much bigger than the girls.

Or -- and at this point I'm considering this the likelier case -- Blue could just be an unrelated boy cat who for whatever reason "adopted" the girls he showed up with. Despite his being a relatively little guy, something about him just feels older. I'd picked up on that somewhat even when I thought he was the girls' mom, but still hadn't figured on her (his) being more than a year or two old.

Now, though, I wonder about that estimate. True he's sick right now so that might be adding a layer of confounding weariness to his bearing, but still, at this point I wouldn't be shocked to find out he was seven years of age or even older. And if he's younger than that, ye gads, I don't even want to imagine what he's likely been through.

That aside, it's not unheard of for male cats to occasionally choose the nursemaid role, though I guess it's sort of unusual for an un-neutered male to do this.

Either way, he's been a great nanny/protector to Dominique and Michelle and while again there's no way to objectively confirm this, I get the sense that all three of them had it pretty rough wherever they were before this past December. I have definitely seen cats band together in times of great stress and it really looks like that's what happened with this little family.

TNR Report #2: Dominique and Mimi

Thanks to everyone who offered well-wishing for Wednesday's trapping session...it ended up going just as smoothly as the first session, even though it started raining just as I was getting ready to set the traps. Woot!

Getting the first kitty this time felt kind of like cheating because it was Dominique (who decided a while back of her own accord to start hanging around with the local primates and even occasionally gracing us with purrs and head-butts). I think she picked up on the fact that something was going on, though, because usually she runs right up to me when she sees me and this time she sort of hung back and eyed me warily.

Still, she walked right into the trap as I sat next to it, just like her mom, Blue, had on Monday. Of course I don't know this for sure, not being privy to her (or any cat's) innermost mental processes, but it looked to me like she KNEW she'd get stuck if she walked into the trap but ultimately decided the sardines were worth it!

(Whole Foods, while colloquially called "Whole Paycheck" in these parts for reasons obvious to any non-millionaire who visits the store, actually carries a surprisingly inexpensive line of canned cat foods. The "Sardines in Jelly" variety is probably going to be my go-to trapping bait of choice from now on, because ye gads, the kitties go utterly batty for it. After trapping I put the rest of the can out on a paper plate for the other colony cats to finish off and I swear it was like sharks at a feeding frenzy!)

Kitty #2 (who has since been named Mimi) was by necessity trapped in the more traditional "bait trap, set trap, walk away, and watch from a distance" manner. She (and we only found out she was a "she" when we brought her to the clinic) was a very shy but thoroughly scrappy little girl kitten. She's solid black and a bit smaller than Dominique -- probably three or four months old. I'd been seeing her occasionally for about a month, and always alone, which is pretty weird. Usually feral kittens initially show up with their mothers to eat, but I have no idea who Mimi's mom is, or if she has any siblings. She looks very healthy and not emaciated or anything so it's doubtful she was orphaned; more likely she's just got a very wary and secretive mom, and possibly littermates even more shy than she is. But in any case, she doesn't need to worry about becoming a "teenage mother" now.

Anyway, both Mimi and Dominique came through their spay surgeries just fine, and have now rejoined their companions and family outside. Stay tuned for further updates of next week's sessions -- we're repeating the same routine next week -- and (hopefully) pictures!

TNR Report #1: Blue and Grey

Hooray! I am happy to report that two cats were successfully trapped last night, and taken to the Humane Society for spaying/neutering today.

I really wanted to try and get three cats in (seeing as I've now got three traps -- four if you count the smaller "kitten trap" that came with one of the bigger ones) but the HS has a 2-cats-per-appointment limit right now except on special clinic days. I was surprised and somewhat disappointed to learn of that limit, though I can understand it from a resource standpoint. And I will definitely be on the lookout for the "special clinic days" where apparently you get to bring in more cats at one time.

On the major plus side, though, spay/neuter for feral cats is free this month (March 2011), so even though we're "only" going to manage to get four cats total done this week, that's at least $100 saved. The normal $25/cat fee is still pretty manageable as long as we work in increments, but still, kudos to the HSSV for offering the service for free even if for a limited time. It's this kind of thing that demonstrates and helps set a new example for shelters and animal-welfare organizations, in line with the realization that the goal should be fewer cats being turned over to shelters in the first place.

The cats we got last night were Blue (the female male Siamese mix who showed up with her his two "adopted" kittens around Christmas 2010)* and a feisty grey tuxedo boy (the same one shown here with his very protective mom, only he's a lot bigger now!).

Matt's little niece and nephew have been calling the grey and white kitty "Tuxedo" (or "Tuxie"), but I really think he needs a better, less generic name. He's probably only about eight months old, but he's clearly got quite the personality already: he's brash, bold, and insufferably charismatic. He just has this sort of swagger to him, like he's just totally awesome and knows it.

As one of the "braver ferals", he was pretty easy to trap: I had him chasing a feather-wand toy, and with that I was able to entice him into Matt's parents' house, wherein I managed to corral him in the bathroom. He panicked a bit when he realized the door was closed, and proceeded to literally climb the wall, right up to the top of the medicine cabinet (which is mounted next to the window -- which, much to Tuxie's dismay, was closed). When he realized he wasn't getting out, he climbed back down the cabinet and onto a shelf. He sat there, all scrunched up on a folded towel, until Matt came in and picked him up in a blanket and sort of eased him into the trap.

I should note that this is NOT an orthodox trapping technique, and in general, it is NOT advisable to try and pick up unsocialized cats. I was actually really surprised Matt was able to do it...my idea had been to just put the trap in the bathroom, cover it with a blanket, and then wait for Tuxie to enter it on his own (which he most likely would have, given the trap would have been the most 'cave-like' space available).

But it worked out fine in the end, and we got to at least spare Tuxie the sudden BANG-SLAM of the trap door closing behind him (which, though cats seem to "get over", freaks them the heck out to the point that they often wet themselves). There is no way the "corral in bathroom then place in trap" technique is going to work for the warier colony kitties -- they're just going to have to deal with the BANG-SLAM -- but in Tuxie's case it made sense to do it the way we did.

Blue (whose name fits her him somehow even though it's a "color" name -- more on her his personality in a bit) was trapped somewhat more straightforwardly, though plenty of sheer luck was certainly involved. After Tuxie was safely secured in his trap in the bathroom, I went outside, to where I'd put a second trap about an hour prior (though I hadn't set it...I'd just left it out there for the cats to sniff and examine). I crouched down next to the trap and went about preparing and setting it: opening the door, lining it with puppy-training pads (softer and more absorbent than newspaper), and pushing a small plate of sardines (nice and smelly!) to the back of the trap's interior.

Lo and behold, Blue came right up and sat watching me do all this. For whatever reason, the other cats (there were about 10 outside at that point) didn't bother coming over; apparently there was something more interesting to them on the other side of the yard. And once Blue smelled the sardines she he got very excited about her his discovery and walked straight into the trap as I sat there next to it. she he did actually step on the trigger, but by then I'd already released the catch manually and was thus able to at least reduce the volume of the BANG-SLAM for her him.

The rest was uneventful: into the bathroom she he went, her his trap placed a few feet away from Tuxie's and covered with a blanket. she he meowed a little when I moved the blanket to check and make sure the interior of the trap wasn't covered in sardine (as that would have made for a seriously stinky situation, come the next morning) but was otherwise quiet.

(In general she he seems to be a fairly quiet, subtle cat, and I don't think it's just because she's he's been living outside for however long. It's like her his entire bearing is quiet and watchful. She's He's very curious and has a playful side, but part of her him seems to be constantly in "analysis mode", making sure she he doesn't get carried away in any particular direction. She He comes across as very centered and mature, I guess, even though I'd estimate her his age to be no more than a year or two.)

Initially I had been thinking of putting the traps in the garage overnight, and that would still be an option if the need arose (due to managing appointments for more than two cats at once, etc.). Matt's parents' garage is a large, well-constructed building that has its own plumbing and everything, so while it's not heated, it definitely offers plenty of protection from the elements (and from any suburban predators, humans included). But the bathroom easily accommodated two cats, so there they stayed for the evening.

Then, this morning Matt's dad took the kitties to the clinic -- he generally gets up early anyway, so that worked out fine. He also picked them up this afternoon post-surgery, and they will remain in the house until the anaesthesia wears off (probably overnight at least).

So yeah. Overall, the first round went so smoothly that this whole project is looking a lot more doable. Hopefully tomorrow (Wednesday) goes just as well, because we get to do it again (albeit with different cats this time)! I am not sure which cats we'll try for, but I am hoping to get at least one of the less bold ones, and I imagine since we were able to trap last night's pair so quietly and unobtrusively the shy kitties won't have been startled away from any willingness to investigate the traps.

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* As I've noted previously, Blue is more likely a "nervous stray" than a wild-born feral cat. However, given that she he is still so relatively wary, and given that she appeared to have a whole cadre of admirers following her around last night, I figured it made more sense to just go ahead and get her spayed BEFORE she got pregnant again!

[UPDATE/EDIT: Blue turned out to be a boy, as noted in my next post with more supporting detail. I was pretty surprised by this but in any case it certainly suggests a re-interpretation of why so many other boy kitties were following him around...my guess now is that they were trying to challenge him to fight!]

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Much Ado About Cat Teeth

Well, Nikki went back to the vet Wednesday for what was hopefully her last visit for a good long while.

(The picture below really has nothing to do with the rest of this post; it was taken last week when she was sleeping in my bathrobe on the couch, and I just thought it was very cute.)



Anyhow, this vet visit was to get her dental stuff dealt with...Nikki needed a cleaning, x-rays, and close examination of her broken tooth. This meant she needed general anaesthesia, which always scares me (I have a possibly-irrational phobia about people not waking up from it) but according to the vet she "bounced back" really quickly after the procedure.

(This doesn't surprise me. Nikki has Constitution +5, at least. It also didn't surprise me when the tech informed me, after the fact, that until the sedation had kicked in, Nikki had given them quite a heck of a difficult time...she is nothing if not assertive!)

They also did a urine test, as they'd not been able to do that when Nikki had been in last time because she had just used the litterbox before that appointment and didn't have any pee in there for them to take!

Anyway, the urine test came back totally normal, so between that and her recent blood test values it looks like she's quite thoroughly healthy from a systemic standpoint. No sign of anything pointing to diabetes or kidney disease or any of the other maladies cats become more prone to as they get older.

As for her teeth...they're clean and polished now, which is definitely a good thing. Poor tooth and gum condition can lead to all kinds of other health problems in cats, not to mention mouth pain. I've actually been wondering for a while if some of Nikki's extremely finicky and fickle eating habits have been due to some issue with her teeth, so while I'm not holding my breath, it will be interesting to see if she eats more consistently now.

Nikki's broken fang-tooth is also gone now...I'm sorry she had to lose it, but the detailed exam revealed that the root was basically gone, meaning the tooth was "dead". It's not healthy to keep a dead tooth in one's mouth as it can result in buildup of anaerobic bacteria where the pulp used to be, in addition to the fact that dead teeth are more likely to become brittle and crack and hurt and have to be taken out later on anyway. So I am at least glad we got that taken care of now rather than later.

Also...when I went to pick up Nikki in the afternoon, once she'd recovered enough from the sedation (Matt's mom, who is awesome, provided transportation for my non-driving self), the vet tech asked me if I wanted to see the tooth they'd removed. Of course I said yes...I was really curious!

They handed me the tooth in a test tube labeled with Nikki's name (see photos below).






It's huge! Even with the tip broken off the whole thing is nearly an inch long. It's hard to believe more than half of a tooth that size actually fit in Nikki's jaw...she isn't a big cat, and (despite the noises she's capable of generating) doesn't have a very big mouth.

I am not sure what I will do with the tooth other than keep it as a weird random thing to look at, but (as I mentioned to the vet tech), wouldn't it be kind of cool to drill a hole in it and make it into a collar charm for Nikki to wear? I could just see her trotting along her patrol routes being all "I BROKE THIS TOOTH IN A FIGHT. YOU DO NOT WANT TO F&$# WITH ME!"

But I don't know if I'll actually do that. It would definitely suit her, though!

They also shaved part of one of her front legs to put the IV in, so she'll have another area of hypercolor fur in a while.

The bad part of having had the tooth removed (even though ultimately I agree with the vet it was for the best, given it was dead and hence a health risk for Nikki) is that now she has to take antibiotics for a while. For her abscessed side wound (which is actually totally healed now, thank goodness) they were able to inject a single dose of some really powerful germkiller, but apparently that sort of thing isn't given for the purpose of warding off post-tooth-extraction infections.

Hence, she is on an oral suspension of Clavamox which has to be stored in the refrigerator and shaken well prior to administration. The main annoying thing about this is that it obviously has a flavor (one that Nikki, predictably, hates) and must be given in 1 mL doses. I've ended up having to wrap her in a towel with just her head poking out in order to actually get the syringe anywhere near her mouth. Which I hate doing because she seems very obviously insulted by the whole ordeal, but I really don't want her getting another infection, least of all right in her mouth.

[I do have to wonder what those pharmaceutical people are thinking making a medication for cats in what (judging by the smell) seems to be "Banana Creme" flavor. Nikki, I'd wager, would much prefer something more along the lines of "Poached Salmon in Cheese Sauce"!]

Nikki: Hypercolor Cat

An interesting fact about Siamese cats is that their characteristic "pointed" fur coloration is temperature-dependent. This is related to a particular form of partial albinism, though the temperature-based aspect of that is certainly not universally found in albino animals.

In short, the enzyme activity for melanin production works differently in Siamese cats than in other kinds of cats, and this can lead to some very interesting effects when the cats experience highly localized temperature differentials (as opposed to highly localized distortions of the spacetime continuum -- sorry, Star Trek joke...).

Ahem. Anyway, Nikki had a followup appointment with the vet last weekend, and received a clean bill of health. Her wound is basically fully healed and her bloodwork looks good overall (one kidney value was apparently "a little high" but the vet didn't seem overly worried about this, so I'm just going to make sure it gets monitored). She is definitely feeling better...I can tell in part because she's gotten extremely assertive again. (When she isn't feeling well she tends to get more passive, so I've actually learned to watch for that as a warning sign.)

Here Nikki is earlier today, sunning herself on my bed, and very happy to no longer be wearing the lampshade cone:



You can sort of see the interesting fur coloration she's developed here, but it's a lot more apparent in the close-up image below:



The darkest area is right in the middle, which is where her fur was shaved closest (right around the wound). It's sort of a grey-brown color. This area is surrounded by a patch of less closely-shaved but still short medium-brown fur. This, in turn, is surrounded by the cream-white fur that is normal for the parts of her body other than the "points" (ears, face, tail, paws).

Eventually everything will grow back in cream-white on that side, but that won't be until enough fur has grown in to normalize the surface temperature across the formerly shaved area with the surrounding area. In the meantime, Nikki is just going to look rather interesting for a while.

Incidentally, sometimes I wonder if Tim (pictured below, stalking a mouse that got into the living room!), the Siamese cat I had as a youngster, was very dark overall in part because we lived in Connecticut, which got a lot colder than this part of California does.



He was an indoor-only cat (his former human had gotten him declawed, grrr...) but my parents weren't really the types to blast the heat in the wintertime so who knows. On the other hand, Tim was a Seal Point Siamese whereas Nikki is a Chocolate Point, so that could account entirely for the color difference.

Either way, Nikki doesn't seem particularly fashion-conscious so she's likely not stressing over what Matt refers to as her "bull's-eye", and certainly I'm not. Most likely both of us are just happy her injury has healed.

(Oh yeah. And the term Hypercolor in this post's title refers to a type of clothing that a lot of my junior-high classmates in the early 1990s wore, which had the interesting property of changing colors in response to the combination of the wearer's body heat and the ambient temperature. I never had any of this clothing myself but I certainly saw plenty of it and the whole Siamese temperature-based-color-changing thing reminded me of it, even though of course with the cats the color change doesn't happen right before your eyes in realtime; it's a fairly gradual process that involves the fur actually having to grow in a different color.)

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A Brief (Positive) Update

It has now been three days since Nikki's vet visit regarding her abscessed wound and broken tooth. As mentioned in my previous post about this situation, the tooth was not deemed in need of emergency treatment, so we're going to deal with that when she goes in for her dental cleaning (which won't be until after the side wound has fully healed). And as for the side wound, it still seems to be draining a little bit...I've been following the vet's advice to make sure it stays open (i.e., applying warm compresses).

I might have to ask the vet again how long it's important for the wound to stay open, though, because at this point it seems to be "trying" to close up, despite the fact that Nikki is now literally climbing the walls (there are shelves in that room going nearly up to the ceiling) out of boredom. I really don't trust myself yet to be able to gauge whether the infection has really gone down enough, given I apparently couldn't even tell she had an abscess at all until it leaked! But the area is a lot less puffy and isn't as warm to the touch anymore, and I haven't seen any actual pus since Sunday. That seems like good progress.

I am also wondering (and yes, I will ask the vet about this when I ask about wound-closure again) when it will be okay to remove Nikki's conehead collar. But that's less of a priority, seeing as (despite my worries) she seems to be able to eat, drink, and crap just fine with it on. The one thing she can't really do is groom herself and that must be really annoying for a cat. I might try wiping her off all over with a damp towel tonight just to hopefully finally get the last of the lingering vet-smell off her.

As for the other cats, they're all back to eating normally and are only a tad twitchier than usual. I've started periodically opening Nikki's door enough for the cats on either side to sniff each other, etc. That way, I figure the others are less likely to write her out of the household's feline social dynamic. I mean it's not as if she was actively friends with any of them prior to this recent epoch, but everyone was at least being mostly civil to everyone else, and I don't want to set that back if I can help it.

On that note...one of the really odd things I've been noticing over the past few days is that Cora and Shadow (who are normally "the bold ones" in the sibling group) have been a lot twitchier than Brodie (who is normally the most skittish). Brodie was the first one to investigate the cat carrier when I brought it out, the first one to come out for dinner on Saturday when everyone was wigging out a bit, and overall has been more curious than scared regarding Nikki's presence on the other side of the spare room door.

I have no clue why this is but it's kind of fascinating. Just goes to show you how complex cat-personalities can be, I guess!

In Which Nikki Visits The Vet And Her Young Roommates Are Unnerved

Nikki had her vet appointment today. It lasted from approximately 11:30 AM to 1:24 PM, which actually isn't that bad considering all that was done and discussed during that interval. Nikki was quite a trooper herself, I have to say...I can only imagine all the pain and confusion and irritation she's had to put up with over the past few days. Hopefully now that she's had her wound well cleaned out, been given a shot of powerful antibiotics, and prescribed a few days' worth of pain medication she will recover quickly.

The picture below shows Nikki this afternoon, at home following her appointment. She is, for the moment, wearing an "Elizabethan collar" (yes, the notorious Head Cone -- thankfully she's taking it a lot better than Cora did after she was spayed!) and her injury site has been shaved of fur in order to permit better drainage.



The reddish fluid running down her side LOOKS alarming but is actually a really good sign -- the vet was able to clean out all the really awful infected pus, so now what's running out is mostly lymph fluid. I was wondering if they were going to bandage her up but apparently it's better with this kind of injury to leave it exposed to the air.

The liquid also needs to keep draining continuously as the infection heals, in order to keep anything nasty from getting trapped under the skin again. I am to apply a warm compress three times daily and clean the area periodically, mopping up any exuded fluid and making sure the wound isn't scabbing over or closing up just yet. The vet's office was also kind enough to send Nikki home with a container of pre-measured doses of pain medication, which thankfully comes in the form of clear liquid in these little syringe-like things I can just squirt into her mouth (getting Nikki to take a pill is...challenging, to say the least; the liquid is MUCH easier).

As far as the forensics of the injury go, per the vet's observations, there is presently only one puncture wound causing trouble. When I first realized Nikki had been bitten I could see two puncture wounds, but apparently one of them was a lot more superficial than the other, leading me to figure she was probably bitten with asymmetrical force. Not sure exactly how this could have happened, but I suppose if she was trying to get away from something, it could have latched onto her side with its mouth in a kind of sideways manner.

The vet also noted that the deep, infected puncture had actually gone all the way through into the muscle, which was scary to hear...that must have been very painful when it happened. On the plus side, though, it didn't puncture through into the abdominal cavity (though the fact that it COULD have freaks me out terribly to even think about).

Of course the matter of Nikki's broken tooth (that being the original reason for the appointment, after all) was also discussed. Thankfully it doesn't look like she is facing an actual dental emergency...the break wasn't down to the pulp, and the vet didn't see much in the way of dental problems at all aside from "mild gingivitis" (which is very common in middle-aged and older cats). However, she (the vet) is still inclined to extract the broken tooth when Nikki goes in for her cleaning (which will have to happen after she's completely healed from her side injury).

I would rather Nikki be able to keep the tooth if possible just to minimize trauma to her mouth, so they'll do an X-ray when she gets the cleaning and determine at that point if her canine is salvageable. I can understand the rationale for removing it "just to be on the safe side" but I at least want the vets to make sure that's really absolutely necessary, rather than randomly pulling it out as a matter of tradition or procedure.

Oh yeah. And another thing. The vet we saw today was new...the kitties' previous vet apparently moved to the Midwest (!!!) at some point during the past few months! I was rather dismayed to hear this as I really liked our old vet...she was ALWAYS willing to get completely technical with me about what she was doing and why, and so patient with the youngsters when they were tiny fierce fearful feral babies.

The new vet seems...okay so far, but younger, and she made a comment about food that has me a little worried. She approves of Nikki's diet (currently a mix of wet and dry commercial cat foods, mainly Fancy Feast and Blue Buffalo Wilderness) but something tells me I'll be getting a bit of tsk-tsking from her when she finds out my other three kitties are mostly raw-fed. Oh well, I was bound to run into that conversation with some vet at some point anyway...perhaps it will be good to get it out of the way.

Coraline, Brodie, and Shadow also had an interesting Caturday today due to Nikki's vet trip and all that entailed. First of all...apparently they all have very long memories, because none of them have been to the vet in over six months, and yet when I brought the carrier into the living room all three youngsters tucked their tails down between their legs and disappeared into the bedroom! Shadow's reaction was the most profound...he's actually spent most of the DAY under the bed, poor guy. Brodie and Cora eventually went over to examine the carrier, but only when I tossed treats sufficiently close to it, and even then they seemed very twitchy.

Then when Matt and I and Nikki got home from the vet's, apparently we all smelled like the vet's office, because the youngsters were even twitchier than before. They were also very rattled by the sound of Nikki (who is, for the moment, confined to the spare bedroom so that she won't potentially get into scraps with the others and risk worsening her injury) banging into walls and furniture with her head-cone. Everyone was so unnerved that they didn't even really want dinner at the usual time...Cora the Bold ate most of hers, but Shadow still hasn't gone for anything other than a few treats, and Brodie only just ate shortly before I sat down to write this post (which was almost four hours after dinnertime proper).



(Picture above shows Brodie, having finally decided dinner sounded good this evening)




(Cora makes an apprehensive face this evening, as if she still doesn't quite trust what's going on around here. Picture was blurry but it captured her expression well.)




(Shadow was still hiding under the bed as of this evening. :/)


...so, yeah, not quite what the cats would likely consider the most ideal of Caturdays today, but I am relieved Nikki has now at least seen the vet and been started on the path to getting better.

Infectious Lessons

Well...it appears I spoke too soon in my last post in stating that Nikki's leg wound (from the mysterious fight she got into recently with a member of the neighborhood wildlife population) was totally healed. She certainly seems to feel better now and is in less pain than when she first acquired her injury -- like I noted previously, she's walking and running and jumping and climbing normally -- but today it became very evident that the wound was infected, contrary to my prior appraisal.

The picture below is of her upper right thigh area, and is included here NOT to gross anyone out but for the potential edification of any other cat-folks out there who might be wondering what an infected bite wound abscess looks like.



Note that this picture was taken AFTER:

- a significant amount of drainage had occurred
- I had cleaned the area with peroxide
- I had moved her fur out of the way to get a better look at the wound
- I had actually cut away some of the fur to allow for easier drainage / "airing out" of the site.

Part of why I started this blog was because, well, I consider myself to be accountable to my cats. Writing about them, and all that living with them and looking out for their well-being entails, is sort of a way of tangibly acknowledging that accountability. I don't expect to do everything perfectly no matter how I might try, and I think it would be inappropriate to present myself as never making any mistakes.

And on this occasion I think I made a pretty serious mistake in not examining Nikki's injury more carefully and monitoring it on a daily basis even after she seemed "better". I am now trying to read up a lot more extensively on feline first aid, because somehow until today I did not actually realize that the structure and function of their skin makes cats particularly prone to abscesses.

Basically, their skin is very tough and small wounds heal VERY quickly. Which might be a good thing for injuries that are actually superficial, but which makes it very easy for infections to develop and go undetected until they get really nasty.

I'd seen two tiny puncture wounds on Nikki's upper thigh a week ago, but since they weren't bleeding and I didn't see any sign of infection then, I didn't pay much more attention to them. It did seem like her fur was sticking out oddly on her right side, but since her fur is so incredibly dense (like polar-bear dense...she's rather unique for a Siamese in that regard) that didn't strike me as unusual enough to worry about. She regularly creates bizarre cowlick-esque structures when grooming herself, so until today I sort of offhandedly figured the "poofiness" on her side was just a combination of that and a bit of skin irritation.

BUT, I was wrong. And oddly enough, I have to credit Coraline with helping me figure this out.

See...earlier today, at around 1 PM or thereabouts, I decided to brush Nikki (given her astounding shedding prowess) and clip her nails a bit in preparation for her trip to the vet tomorrow. She doesn't mind brushing or nail-clipping so this was largely an uneventful process.

Things started getting vaguely eventful only when, shortly after Nikki's brushing session, Cora started acting weird. Specifically, when I laid down on the couch, she (Cora) walked up to me like she normally does and went to sit on my chest. But rather than settling down, she sniffed my shirt and backed up, almost as if something had frightened her. Then, when I got out some treats, Cora was happy enough to eat them off the floor, but refused to take them out of my hand.

This led me to wonder if maybe I'd touched something that Cora didn't like the smell of...and then it hit me that Nikki had basically crawled all over me when I was brushing her and holding her to clip her nails.

Eeek.

So, I went and found Nikki and picked her up to inspect her. I didn't see anything initially...but I noticed that part of my shirt sleeve was wet. Not only that, but it (and Nikki's right side) smelled really, really bad. Like a combination of...I don't know, rotting liquid garbage and swamp gas. I'd never smelled an infected wound before that point (lucky me...) but as soon as that reek hit my nose it suddenly dawned on me what was going on. And sure enough, when I parted Nikki's fur so that the skin was visible, there was...well, it sort of resembled a crater.

Nearest I can tell, she managed to pull a scab out sometime today, which released a cascade of whatever had been festering under her skin. After doing a bit of reading on abscesses in cats I was actually rather relieved to consider this, seeing as it's a lot worse if they don't drain -- sometimes the vet will end up having to open the wound manually, or insert some sort of drainage tube. And I am even more relieved that Nikki managed to essentially lance the wound herself seeing as I didn't realize something was seriously wrong until she did.

So...off to the vet tomorrow we shall go, where hopefully they can more accurately assess the extent of the damage and perhaps prescribe some antibiotics, or at the very least give me some additional helpful instructions on caring for the wound properly until it heals. I am not TOO worried, seeing as Nikki does not seem to have lost her appetite or become feverish (she definitely isn't lethargic...) but I do want to get this dealt with in addition to her tooth so it doesn't get worse or cause her any more undue pain.

Oh yeah. And I also want to take this opportunity to say HOORAY FOR VACCINES! If Nikki hadn't had all her shots (which she has, as have all the other kitties here) I would be utterly freaking out right now about feline leukemia or worse. I know, I know, they're not 100% guaranteed to be effective but they're a whole heck of a lot better than no protection at all.