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What the Hell was I going to do? I used to depend on Sam. He helped out when the kittens needed a claw trim (my close-up vision sucks) or he’d hold a kitten so I can give them medication. I needed to de-worm Pistachio again, but Pistachio was fussing around and wouldn’t hold still.

I was too proud to ask for help and even though I went slowly, right after I gave the liquid de-wormer, Pistachio coughed furiously.

I feared the meds went into his lungs which can cause aspiration pneumonia. When it happened the next night, too, I got very scared I screwed up big time.

I took Pistachio to the vet the next day. The kittens were due for their first FVRCP vaccination anyway. I forgot to mention the coughing when Pistachio was examined, but Dr. Larry didn’t hear anything troubling during the exam. It didn’t help that the kitten was purring so loud it interfered with what he could hear. Because I didn’t say anything about the cough, he didn’t know to listen extra carefully.


©2018 Robin AF Olson. One of over 2 dozen trips to the vet. Here Pistachio is being examined by Dr. Mary.

Over the weekend, late at night, Pistachio would cough, a wet cough, not unlike a hairball type cough, but there was something off about it. I called Saturday morning and talked with one of the vet techs. She said if it got worse to come in but that maybe I was over-thinking it. I agreed. Lack of sleep, maybe giving it another day, since Pistachio was bright and running around, would be okay.

By Monday I was sure there was something terribly wrong and thank goodness I went back to have Pistachio checked. On x-ray you could see his lungs looked terrible. If it was aspiration pneumonia, Pistachio could DIE. No joke. Maybe I just killed one of the cutest kittens I’ve ever fostered.


©2018 Robin AF Olson.

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

I was to give Pistachio antibiotics because, as Dr. Larry told me, the bacteria in his mouth was pushed into his lungs, if, indeed I forced the de-wormer liquid into his lungs. It made sense, but I didn’t want to give him the medication because I knew it would throw off his gut bacteria.

I’ve been learning about homeopathy and I’ve seen some amazing things happen for my cat, Spencer, but I didn’t know what to do for Pistachio so I followed Dr. Larry’s advice.


©2018 Robin AF Olson. Feel better!

The next day Pistachio didn’t cough that I know of. He seemed to be doing really well, though his appetite was worse than ever. He’d never been a great eater, which is very unlike kittens, who will usually eat anything and everything. Something didn’t add up. I just couldn’t figure it out. I know I’d seen kittens get a cough after being de-wormed. The dead parasites can cause a mild allergic reaction that effects the lungs. I’d seen it a few times but it always went away after a few days. Pistachio was skinny. I could feel his ribs. His wormy belly was gone, but he wasn’t chunking up.

Pistachio Coughing - YouTube

©2018 Robin AF Olson.

It was very difficult to stay strong and keep Pistachio’s symptoms tracked I was so stressed out. I couldn’t work. I couldn’t write. Words failed me. One night I saw Sam sitting in the living room typing onto his laptop. Facebook was open. I could see he was talking to someone in Messenger. It was late at night. Who was he talking to? I NEVER EVER SNOOP. I’m not that kind of person, but he was saying a lot to whoever it was. He got up and walked into another room. I tiptoed over to his laptop, but I couldn’t tell who he was talking to because I had the wrong glasses on. All I know is he saw me looking and he quickly walked over and closed the laptop, then walked back into the kitchen. That’s when I felt the gut-punch of fear well up inside me. Was Sam cheating on me? Would he really do that? For over a decade we’d lived together and I never worried about him having something going on with another woman, but now this? I understood. We’d been under tremendous stress for too long. No fun. No laughter. Lots of hardship. Why wouldn’t he look for love somewhere else? Why wouldn’t I? I couldn’t ask him about it, but I could let the fear fester inside my gut and add to my sinking depression.

I returned to my self-imposed jail, the foster room, and tried to read a book as I sat there trying not to throw up. I didn’t want to be on social media, but I wanted to look at Sam’s posts. Maybe there was a clue there, but I stopped myself. Instead, I made a list about how we would separate the cats. Which ones Sam would get. Which ones we’d have to re-home (yes, re-home). How I would live if I cashed out whatever I have left, sell the house in its poor condition and move. I couldn’t live in an apartment because they’d restrict me from having more than a cat or two. I’d have to buy something, but what? Where would I live? Where could I move where it’s affordable? How would I make a living?


©2018 Robin AF Olson. Off to the vet again.

I realized if Sam and I broke up for good I’d have to shut Kitten Associates down, at least for a year or two, or maybe forever if I couldn’t get back on my feet.

I tried to be positive. Maybe it was time to realize a dream I’ve had for over a decade. I’ve wanted to move to Lunenberg, Nova Scotia since I visited there in 2004. I looked up what it would take to get citizenship in Canada and I’m A) too old, B) don’t have any skill set they need, C) don’t have a $600,000 (at least) business to bring into the country. I think I could live there, just not as a citizen, but I’d have to keep residency here in the USA, right? How could I do that?

I was hit with a crippling sense of failure. I'd waited too long to try to move. Add that realization to depression, well, it wasn't a good mix. I started to have very dark thoughts about maybe I didn't even want to live any more.

My father took his life. I know what suicide does to the surviving family and friends. When my mother was still alive, I had to promise her I wouldn't follow in my father's footsteps. She knew of my struggles. We made a plan. If I ever went into the dark place I could call her. Then my next goal was to get to my next breath-that was it.

I knew if I could just hang tight, I'd feel different in time, but without the support of my mother, I didn't know how I was going to manage to be strong enough to keep going. I had to find some grain of faith and trust that I really didn't want to die. I just wanted the pain to stop. I could find another way.

I started looking around for things to sell. I have a lot of items from my parents estate that I don’t want and that they didn’t care much about. Nothing is particularly valuable but if I sold it all off it might help with a few bills and paying bills would help me feel better. I have an old jewelry box of my mother’s. Inside it I found my father’s wedding ring. He took it off after he had an accident fixing the garage door and spilt his fingers open. It was when we lived in Ohio back in the 1960s. He never put the ring back on after that, though my parents stayed married the rest of their lives. But now the unworn ring gave me a clue about the truth of their relationship.

A few months ago I found out my brother is only my half-brother, that my mother had had an affair with a lawyer just a few years into my parent’s marriage. Maybe my dad found out some time around the accident and that’s why he never wore the ring again. For his sake, I hope he never knew the truth.

It made me sad to see the ring, I missed my daddy so much. I would never sell it, but oh to have one of my parents around to confide in during this time would have been a great relief. My mother’s been gone for over ten years and my dad, nearly twenty.

I put my daddy’s ring on and inside the next small box I found a necklace he gave my mom. It’s a jade heart surrounded by tiny pearls. I love this piece and won’t part with it. On the back it’s inscribed to my mother and dated Feb 14, 1959. 59 years later I held it in my hands. It just happened to be Valentine’s Day 2018. I put the necklace on. It fit perfectly. Through the pieces of jewelry I could feel both my parents with me. I hoped that they were out there somewhere helping me find my way out of a very dark place. I felt so alone. It was unbearable.

I went downstairs and found two Valentines cards from Sam on the kitchen counter. I was shocked. I figured this would be a Valentine’s Day with no celebration. I was too scared to open them, but once I did I was sickened, because one card basically said he wished me happiness and peace. In so many words, goodbye, then he added, I don’t wish you anything bad. In the other card he made a comment about the artwork on the cover; heart-shaped sushi. We went out for sushi the first time we met 25 years ago. It was the first time I ever had it and I loved it.

Inside that card were tickets to a comedy show he knew I wanted to go to. I felt totally messed up and distraught. What was going on? Why wouldn’t he talk to me but yet here was this offering. Was it a goodbye gesture or something else? By then I didn’t have the confidence to imagine it was anything good, so I slunk back into my room and sat with the kittens.

Later that night I went into the master bathroom to brush my teeth. Sam was in bed reading, not looking up at me. I was so sad and broken. I don’t know how I worked up the nerve, but I slipped into the bed next to him. He was startled, silent. I lifted his arm and got under it. Even if he loved someone else, maybe he still had a little bit of love left for me? He didn’t say a word. He put his book down. He didn’t adjust his position. He didn’t hold me any closer. He stretched out and turned the light off. Neither of us spoke. We barely moved. I didn’t know if he wanted me there or was too stunned to do anything. I squeezed his hand. He didn’t squeeze back. I laid there quietly for a few minutes. We were like two corpses, we were so still. The only sign of life was our breath. I didn’t know how long to wait or what to do next. I felt resigned to my fate. After a few minutes I got up and quietly went back to the foster room to sleep. He didn’t stop me. He didn’t come after me. He let me go. It’s amazing how much can be communicated without words and how much it hurts.

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

A few days passed. More tension. Continuing inertia on my part. I couldn’t take the stress any more, but I also feared if I said anything to Sam we’d have a knock-down (not literally), drag-out fight. I just didn’t feel like I could do that and I was too down in the dumps to even try. I went out to dinner with some of my cat-rescue lady friends, but it did little to cheer me. I didn’t want to get into a bitch-fest complaining about Sam. I just wanted to go back to my ratty bed in the foster room.

And I was worried about the kittens, yes the kittenS. Cassie started coughing. That meant two things, one: I DIDN’T GIVE PISTACHIO ASPIRATION PNEUMONIA because that’s not contagious and two: whatever was going on they BOTH HAD IT. Was it viral or due to their common health issues regarding parasites? Mia was in the room, too and she seemed unaffected.

I couldn’t keep ignoring my problems. I had to get back on my feet. I had to talk to Sam, so without any agenda, I sat down next to him and started to talk. Thankfully after all the weeks of not talking we’d both calmed down enough to have the start of a conversation. We didn’t fight at all, but we expressed some of what we were feeling. We acknowledged we have a long way to go, if we go together. We need to make a lot of changes but we weren’t going to try to solve it all in one sitting or say everything that needed to be said all at once, too, but at least some of the pressure dissipated.

I asked him about if he’d stepped out on me. I looked him in the eye when I asked. He said no. Nothing was going on. He was surprised I asked him that, but I told him I had my reasons. Yes, I understand people lie to each other, but I had a choice. I chose to let it go. If there was something going on or still is, it will come out eventually. Since Sam never left home much during the past few weeks and even before that, he couldn’t be hooking up with someone nearby. It would have to be via online, or it was nothing. Part of me was too beat up emotionally to fight about that, but the other part still wasn’t 100 percent certain I wanted to fight for him at all.


©2018 Robin AF Olson. Late one night we get silly.

Pistachio was doing all right, other than a rare cough, but still wasn't eating well. Cassie hadn’t coughed again since the first time days ago. I thought they were getting better, but without warning, Pistachio started up again. The kittens were a bit quieter than usual, not playing or eating well. To make things worse, Dr. Larry go the Flu and wasn’t in the office for most of the week while I was getting suspicious about the kitten’s health.


©2018 Robin AF Olson. Catshew finally learns she can relax around me.

Yesterday I took them both in to see Dr. Larry. The night before they’d been quiet and had actually eaten a meal. I thought maybe I was nuts, the stress of the past month, severe lack of sleep had gotten to me, but I wasn’t wrong.


©2018 Robin AF Olson. Pistachio's x-rays.

Dr. Larry took x-rays of Pistachio’s lungs. They were no better than two weeks ago when we last did the rads. He told me if Pistachio was an adult he’d think it was cancer. It did not look like asthma, but perhaps it was P.I.E. (Pulmonary Infiltrates of Eosinophils). Yet another disease I’ve never heard of before. I swear all my cats have weird things wrong with them that my Vet rarely sees. IF that’s what it is, it basically means a severe allergic reaction to some sort of parasite. The problem is it may be a CHRONIC problem, not a curable one.

Dr. Larry asked me if we could x-ray Cassie. I had no reason to believe she was in trouble. I almost said no, but I was glad I agreed.

Her lungs are as bad as Pistachio’s. I almost fainted when I heard the news. What the Hell was going on with the kittens? How would we find out what was wrong?


©2018 Robin AF Olson. Cassie's x-rays.

We decided to do a PCR test on Cassie’s saliva since she had never gotten antibiotics, which would ruin the test results. Dr. Larry said it would rule in or out “some bad things,” (which it ended up doing) but this time didn’t go into detail and I didn’t ask, which is completely unlike me. The tests, the x-rays, the over 10 vet visits have taken a toll on us…and Pistachio’s testicles haven’t dropped. This is called, Cryptorchid.

It’s either one testicle doesn't drop or both sides don't drop, and in his case, it’s both sides which, again, is very rare. This can also be very painful and cause a lot of problems. It complicates his neutering because it turns it into exploratory surgery unless we do an ultrasound first.

It also means Pistachio can’t go anywhere-be adopted-for another two months. If at 6-months of age he still doesn’t have his little nuggets, then we have to do the procedure and surgery and we might as well wait to re-test him for FIV while we’re at it (we did re-test and he was found to be negative for FIV).

It was a real kick in the teeth. So many people want to adopt Pistachio and now no one can. I don’t know when or if the kittens will be able to find their forever homes. First, I have to find a way to get them healthy if it’s possible, and right now I have more questions than I have answers.

If there’s something to be learned it’s to follow your gut with your pet’s health. Even though Pistachio’s cough isn’t every day, it sounds terrible. He still plays and purrs, but his lungs tell another story. He and Cassie have come a very long way in the weeks they’ve been with us and I’m determined to find an answer for them.

As for me, it’s one day at a time. At least my words are back and I have so many more stories to tell.

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

August 2018

It was February when I wrote about Pistachio and Catshew, but as the year dragged on, things got worse for me and Sam, for the kittens, too. Spencer just turned 17, which was the highlight of the past few months. Somehow he’s still with us. I haven’t done chemo, just homeopathy and good food. It was a very difficult decision to not give him chemo, but now I feel more comfortable with my choice. Hearing him purr and having him gain back weight he'd lost last year has given me hope he may be with us a bit longer.


©2018 Robin AF Olson. Spencer & Freya curl up together. I'm so grateful Spencer is still with us.

But Pistachio. My God. For MONTHS he coughed. MONTHS. I tried homeopathy with both kittens for about 6 weeks and their lungs got about 40% better. I was tracking every meal, if they ate, if they coughed, I timed Pistachio's coughs since he was much more severely effected, even if it was 3 AM. I wrote what kind of cough (foamy or dry-harsh, etc) into the notes app on my phone.

I finally had to give up on homeopathy (which I found out later is fine to do. You don’t have to do all homeopathy or all “traditional” treatments. You can do a bit of both, but that sort of fine-tuning is not something I'm comfortable with yet.)

Meanwhile, Pistchio’s testicles didn’t drop. He frequently goes in and out of the litter pan, but doesn’t always pass urine. I got an ultrasound done to find his testicles and they only saw one. It was pressing on his bladder. The longer we waited to do surgery, the more uncomfortable he would become, but you can’t sedate a cat and do surgery on a cat who has lousy lung function.


©2018 Robin AF Olson. Guess where they're going? Ugh!

We tried antibiotics. Nothing worked. I asked about lungworm, but was told it was too unlikely and his symptoms would be different. We did more tests and talked about doing a trans-trachael lavage (basically they sedate the cat, infuse his lungs with a small amount of sterile saline, then remove the fluid and test it to get answers about what the coughing was from). The problem, not only was cost, but THE CAT CAN’T BREATHE very well! Is this wise to sedate him? Okay, it would be a “twilight” sort of sedation since they needed him to cough as part of the procedure, but it was still risky.

I took Pistachio to see a specialist. We talked about lungworm again. We decided to do a Baermann fecal test. It’s $200. It’s also VERY TOUGH to do because they require a FRESH stool sample..I mean like “right out of the pipe” stool sample. If I didn’t see Pistachio pass the stool, it would be too old. Also, I needed to get the sample on Tuesday-Saturday between 8AM and 6PM. Really? That meant ideally I should be in the foster room ALL THE TIME. Yeah, that’s not going to happen. I have to work!!!

It took a few weeks, but I finally lucked out and got a sample. Guess what?

LUNGWORM POSITIVE.

Lungworms are rare here in the northeast, but common in cats in the south. It meant he had to have come into contact with a secondary host somehow. I read it can be from a slug or drinking out of a puddle a slug passed through, but in the winter? Or something else was the culprit because it could be transmitted through him eating another prey animal. Whatever it was, clearly both he and his sister had been infected because they both had a terrible cough.

The treatment was a de-wormer! No biggie. We’d do it for 2 weeks. You can bet I did not miss one dose of that de-wormer!

At last, Pistachio and Catshew stopped coughing so often. Cassie was fine very quickly so I was able to get her spayed. I opted to have it done with Dr Larry just in case her lungs were an issue, but it was very expensive. Pistachio still had a lingering cough now and then, but I could finally get it set up to have him neutered.

It was July. I’d been trying to find a cure for SEVEN MONTHS.

The first week of August we set the date for his neuter. The neuter is really exploratory surgery to find both of Pistachio’s nuts. Dr. Larry said we had to repeat the ultrasound, which dashed my hopes at not having to spend yet another $500 on more tests. I’d taken him to our vet over 20 times and spent over $4000 on his care to date. His surgery was going to be about $750. Normally it’s less than $100 to neuter a cat. His care was breaking the bank.

Pistachio Coughing June 2018 - YouTube

©2018 Robin AF Olson. Still coughing.

The day arrived for his surgery. I couldn’t wait. For months I’d been suffering from the stench in the foster room. His urine smelled VERY STRONG-a mix of ammonia and male-cat-stank since he still had working hormones. I couldn’t do much to clear the smell out of the room and I was trying to sleep there each night. Yeah, good luck with that. A few weeks after surgery his hormone level should drop and the smell would go away. I could finally put Pistachio and his sister up for adoption.


©2018 Robin AF Olson. At least Pistachio can get some rest.

Around 6AM Pistachio started coughing again. I had to cancel the surgery. It was too risky. I didn’t know if the de-wormer had failed or if something else was going on. The next time we could do the ultrasound and the surgery was a MONTH later (August 31). I was devastated.

This cat was uncomfortable. The smell..

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[Note from Robin: Stories need to be told in a timely manner, but due to the terrible weather, the near-miss tornado that wiped out power and our internet, I’m left feeling as scrambled as the branches of many downed trees in our area. I couldn’t finish this story when I'd planned to, but in some ways it was a blessing some time passed because now the tale will end a lot differently than I imagined. The power is finally back on. We’re reconnected to the world again, so here I go...]

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I understand the error of thinking that there’s a way to control the outcome of a situation, but that doesn’t stop me from trying. Determination, sleepless nights doing research, mixed with palpitations, fear, and anxiety is my offering to the “Gods,” who I hope will grant me my deepest desire. Certainly the sacrifice of my own pain and hard work will change the path of one little kitten, keeping her from dying, right? My suffering is her protective shield. But unfortunately it doesn't work like that.


©2018 Kathy Ray. Used with Permission. Margo in her tiny outfit that held her diaper in place.

It’s been barely three weeks since we ended our fundraiser for Margo, a tiny 13-week old lynx-point Siamese kitten who lives in Florida with her mom, Pearl, her human mom, Kathy, Kathy’s hubby, children, some chickens, another cat, a dog and a young, naughty cow named Daisy.


©2018 Kathy Ray. Used with Permission. Mama-Pearl watching over her daughter.

Margo was surrounded by love. Even though she was blind, Margo navigated her world with grace, dignity and joy. Even though Margo also had many other birth defects, she was happy, plucky, and curious, still 100% kitten. She loved the amazing world she was just getting to know. In the photos and videos I saw of her it always seemed that Margo was smiling. I couldn’t help but fall in love with her from afar.


©2018 Kathy Ray. Used with Permission. One of Margo's many chicken-friends looks in on her while Pearl gives her a bath.

Without ever spelling it out formally, instead of surrendering Margo to a local rescue, where her vet bills would be covered, I ended up being Kathy’s liaison and rescue-partner. I gave her advice for how to care for Margo, since I had so much experience with Freya. I helped her sort out the many vet appointments and tests Margo would need. I was in charge of fundraising. Our goal was to get Margo to surgery to reconstruct her biggest, baddest, scariest birth defect–Atresia Ani with Recto-Vaginal Fistula. In awkward terms, build her a butt-hole and close off the abnormal pathway that went from her colon to her vaginal vault. If it wasn't fixed, she would eventually die. Our dream was to relieve Margo from the buildup of stool inside her body, since she was only able to leak stool from her "lady place," and finally give her a way to void safely. We wanted the rest of her life to be the happiest it could be, and the most comfortable.

Kathy’s smart and capable, but anyone in a life or death situation with their cat is going to have brain fog from the stress of being a caregiver. I’m over 1000 miles away, so it was easier for me to keep things on track. I had Kathy’s back. I had Margo’s care as my top priority. I researched vets and found the surgeon, Dr. Gary Ellison at the University of Florida. He’d done this surgery before. He had the skills we needed to move forward, but before we could even have Margo see him, we needed to be budget-conscious and do some pre-operative blood tests with a local vet. More importantly, it would save some travel time for Kathy and Margo too, because Dr. Ellison was 2-hours away.


©2018 Kathy Ray. Used with Permission. Off to yet another vet visit.

Kathy located a vet that was about 30 minutes away. I reached out to them to set up a rescue-account for Margo’s care. Somewhere in these early communications there was a disconnect between Kathy, the staff and Vets at Prime Vet in Orange Park and myself. They may have assumed that because I ran the rescue group, that Kathy was my foster mom, even though I said she was the owner. We were doing things differently than what is considered the "norm" , but as long as the bills got paid, did it matter? (Note: the assumption: rescue takes kitten if owner can't afford care, rescue deals with paying for care and for having someone else foster kitten, owner has no role so rescue is in charge.). This left Kathy feeling ignored when she brought Margo in for her appointments, but worse, she wasn't consulted or informed about Margo's condition, only I was, and that communication wasn't great, either. Though I was nothing but cordial, respectful and paid our bills immediately, I feel on their end there was something going on behind-the-scenes that they weren't saying to us.

Maybe they felt it was a lost cause to bother with Margo, so why do tests? I don't know, but you can decide if you think this sounds like a great vet "practice" or not.

1. They wanted to do an enema on Margo. In any other cat we might have said yes, but this is a cat with no known pathway in how stool is moving through her body. An enema could have KILLED her on the spot. We said, no, and for good reason. We were both shocked this was even suggested considering the atresia ani.

2. EYE-Rolling. YES, I wrote: EYE-Rolling. Kathy told me that on numerous occasions she would ask a question of staff members and they seemed irritated that she had the nerve to bother them with her concerns. Advice to Prime Vet: If you're going to roll your eyes at a client, I think it's wise to do it WHEN THEY CAN'T SEE YOU DOING IT.


©2018 Kathy Ray. Used with Permission. Stepdad giving her comfort after lactulose made Margo feel awful.

3. They treated Margo like a circus freak. Atresia Ani is very rare. After Margo's second visit they asked Kathy to bring her back so a surgeon they knew could see her. Why? He was Board Certified and had experience with the surgery and just wanted to see Margo. Okay, so show-and-tell? Is that what is going on? We already had a surgeon. Kathy obliged, hoping we'd get a better idea of what we could do to help Margo until she was seen by Dr. Ellison, but that's not what happened.

This Dr. pontificated about Margo's condition, told us he would charge $10,000 or more for the surgery, then said we should do a barium study where they inject barium into her rear end and see where it goes. It would have to be under sedation. We didn’t even know if Margo could handle ANY sedation so why do it in a vet clinic that isn’t staffed 24-hrs if she tanked? We didn't have ANY BLOOD WORK at that point so we didn't know if she had underlying issues. Why do this when we don't have her with our surgeon overseeing the procedure? Or risk doing something, that again, could harm Margo? Again, we said NO and again we must have hurt their fragile feelings because we didn't blindly do what they suggested. I asked if he could send his notes to Dr. Ellison, to give him a heads up on Margo. Well, no. He wouldn't do that unless we PAID him a few hundred dollars. It was ok for Kathy to waste part of her day, stress out Margo for their show-and-tell, then not take 5 minutes to write notes to Dr. Ellison, who he already knew and was friendly with. So once again, we said NO. Why bother? We only learned that he's an expensive surgeon. It really felt like no one cared.


©2018 Kathy Ray. Used with Permission. Kathy feared she would lose Margo a few weeks ago after a dose of lactulose made her grow week, but that time with a lot of TLC and a heat lamp, Kathy got her perked back up.

4. NOT CONTACTING US WHEN MARGO WAS SERIOUSLY ANEMIC and they KNEW IT. All we wanted to do was simply have Prime Vet run some blood work, do an exam, make suggestions as to how to shore Margo up until we got her to see Dr Ellison. I'd explained that up front. I was open to suggestions as I always am, but I also have to take Margo's condition into account and therefore I declined some tests.

Instead, they got offended. One of the staff hinted at it to me during a phone call. I assured her we depended on them to guide us but that we also had a surgeon we would be seeing. Why do I even have to tell her this?

So I NEVER got contacted after Margo's blood test results came back in. I was the one who saw in her results OVER A DAY LATER (again I had to bug them for the information) that she was dangerously anemic. It shocked me that I wasn't getting alerted by the Vet. I asked them about it and got a cryptic reply only saying that maybe Margo’s anemia was from her birth defects, not that she had fleas. That was it. No suggestion about what to do about it because by then I'm guessing they just didn't want to help us any more. In the end, I was left to figure it out on my own. WHAT VET DOES THIS TO THEIR CLIENTS?! I consulted with my own vet, Dr. Larry, about what to do. He was alarmed that we hadn't been testing Margo for bartonella right away, that she wasn't getting supportive care for her anemia, that the Vet hadn't bothered to notify us or be concerned about this kitten.


©2018 Kathy Ray. Used with Permission. Margo finds another warm spot for a kitten nap.

5. Which Vet are we dealing with anyway? We couldn’t even get Margo to see the same vet. She saw THREE different vets on her three visits. None of the vets examined Margo in front of Kathy. Instead, they took her in the back of the building and who knows what they did. No one asked Kathy how Margo was doing. I had to chase them down to get exam results and updates even though I'd asked for them a few times.

Being treated like this was completely unprofessional, unconscionable and potentially DANGEROUS to the well-being of Margo. I have never, in my life, dealt with such uncaring and passive-aggressive people. It's not like we were constantly bothering them, not paying our bills or being late for appointments or rude to the staff. We did nothing to deserve this! MARGO needed ALL OF US to be on her side and not act like petulant children because someone took their lollipop away.


©2018 Kathy Ray. Used with Permission. Most of the right side of this x-ray is stool inside Margo.

Kathy already had more than enough stress. Not being able to trust a vet almost made her give up right then and there. I had to encourage her to keep going. I even told her if need be, Margo could come here where I have vets I trust and who treat us with respect and compassion. We were both terrified that Dr. Ellison wouldn’t be any better.

Maybe this is how vets behave in Florida? I’d like to think that is not the case. I was so shocked I didn’t know what to do. I just kept trying to right the ship, to let all the vets know that we just wanted to help Margo and we were prepared to cover whatever costs were involved. They shouldn’t even assume Margo's case was hopeless and not to bother when we hadn't determined a definitive diagnosis. We were going to bother. We were going to get this done if there was any chance to do it. We were #TeamMargo.


©2018 Kathy Ray. Used with Permission. TLC time.

Finally, on May 8th, Kathy made the long drive to Gainesville with Margo to meet with Dr. Ellison. We couldn’t wait. We knew Margo had anemia and I was very worried about it. I wanted her to finally have a vet look over her results and give us a game plan. Dr. Ellison wasn’t too concerned about the anemia at the time, saying this is something he’d seen before. He felt that there were things that could be done and some tests needed to be performed, especially a dye-contrast CT scan. He was hesitant about the costs, knowing that my rescue, Kitten Associates, was responsible for the fundraising and payment of Margo’s medical bills. During our conference call I assured him we were ready to go. It took some convincing, but he realized we were going to go the distance for Margo. Once he understood, he became more invested. That was just what I wanted. I wanted him to care. It would make a difference for Margo and give some measure of comfort to Kathy. She and I quickly agreed that we both liked Dr. Ellison and felt like he was going to treat Margo right.

Dr. Ellison lightly sedated Margo just to probe her back end and try to get an idea of how serious her atresia ani was. He also injected lactulose, a stool softener, into her opening, so she might be relived of some of the bulk. A few hours later he called again saying that Margo might be a stage III which was not good news. It’s a much harder repair. It’s not that it couldn’t be done, but it would be more difficult, especially at her small physical size.


©2018 Kathy Ray. Used with Permission. Sweet slumber.

My challenge, years ago with Freya, who also had atresa-ani, was that I had to keep her going until she was nearly 4-months old. I didn’t dare do the surgery when she was too little, but she could have died on me from waiting so long. I had terrible anxiety from taking on such a risk and here we were again. I knew the next decisions could mean life or death for Margo.

Dr. Ellison wasn’t sure we could wait much longer, either. We went back and forth about what to do. We decided to try to get Margo back home and do the surgery on June 6th. We were to change up a few things to help her with the anemia and hopefully get her strong enough for what was to come next.

It had already been a long road, especially for Kathy, who had to manage Margo’s ups and downs. It seemed every time Margo got lactulose she tanked. She HAD to have the stool softener, but it made her so weak Kathy almost lost her a few times along the way. Margo’s appetite was poor after she got home from seeing Dr. Ellison. She was weak. We thought maybe it would resolve by the next day, but she still wasn’t doing well. They’d done an updated CBC and Chem Panel at U of FL. Dr. Ellison called just as Kathy was deciding on if she should rush Margo back to see him.


©2018 Kathy Ray. Used with Permission. Margo's refuge was always with Kathy.

Margo’s PCV (Packed cell volume) had gone from 24 to 21 to 14 (normal is 29-48).

She was so anemic she was at the point where she could die. Kathy packed Margo up and raced to Gainesville. We weren’t even sure Margo would make it to the hospital she was so weak. Kathy had been syringing pedialyte into her and some food, but it wasn’t enough to perk her up.

We had another conference call with Dr Ellison. He didn’t mince words. Margo was probably severely dehydrated, a possible side effect of the lactulose. They needed to get an IV into her, then see if she would perk up. You have to keep one thing in mind-Margo didn’t even weigh 2 pounds. She was so tiny, the only place an IV could go would be into her neck. We didn’t want to do that to her, but it was that or die.

He sketched out the game plan for us. They were to cross-match Margo with a blood donor cat. If needed, she’d get a transfusion. They would see how she did. If she survived the night and showed improvement, they would sedate her and do the CT Scan, then either do the surgery or if she didn’t do so well, send her home until Monday, then do the surgery Monday. Also, there was a chance Margo had a liver-shunt on top of all her other birth defects because maybe that was the reason Margo tanked after getting lactulose. If she did, it was “game over” because it could not be repaired along with her atresia-ani. It was just too many birth defects at that point. So they were going to add a bile acid test, too and see if she had the shunt.


©2018 Kathy Ray. Used with Permission. Goodbye, sweet girl.

Kathy said goodbye to Margo. Margo curled her paw around Kathy's fingers, as she had done so many times, late at night while she snuggled on Kathy's chest. Kathy didn't know if she'd ever see Margo again, as she looked down at Margo's sweet smiling face. She could only pray it would be ok and that Margo was in good hands. Kathy later told me that the techs reported that Margo held their fingers, too and that they already loved the little kitten. I sat with my gut knotted up, hoping that all the love and kindness and great skill of the staff and Dr. Ellison would be enough.

And so we began the ever-painful sitting-by-the-phone-waiting-game. We held our breath until we got some answers. We were distracted and couldn’t think about much until we found out what would be next. We prayed, asked for prayers, I lit a candle, we thought good thoughts. We did all those things many of us do hoping to tip the odds in our favor, so things will go the way we most desire.

We got an update a few hours later that Margo had perked up. She was eating and drinking. Her PCV was up from 14 to 21! No need for a transfusion! This was very promising news. I knew that Margo, being a kitten, still had that “kitten power” in that she could respond to treatment well because she was so young. Kittens could bounce back. I’d seen it before. I hoped that in the morning we’d get more good news.

I didn’t sleep that night. Catshew, one of my sick foster kittens, went into heat. She’s been too ill to be spayed and I’ve already had to crate her once to keep her brother, Pistachio from impregnating her. I heard her moan, then saw her squat low with her hind end up in the air. Pistachio ran over to her and mounted her. I clapped loudly to keep him away. I couldn't go to back to sleep because I couldn’t physically lift the big dog crate and bring it upstairs into the foster room without waking Sam. If I couldn't set up the crate to keep Catshew from her brother, then I had to stay awake.

Catshew would have to be crated for the next 10 days. So I was left to keep distracting the cats, while I sat on the pile of old blankets I use as a makeshift sleeping nest. I watched an awkward romance movie featuring Daniel Radcliff that made me realize he's sort of odd looking. I tried not to think about Margo.

The phone didn’t ring that night. I took it as a good sign. No news is good news. If Margo passed away, they would have called regardless of the time.

Around 6:30 AM Catshew got tired and went to sleep. I decided to set my alarm for 8:30 AM and take a nap. I got up just as the phone rang. It was a tech who sounded like the most depressed person in the world. She told me in as few words as possible that Margo’s PCV dropped to 17 and they had the donor cat on standby to do the transfusion. They were going to go ahead with the CT scan and report back later.

My heart sank, but I still still hopeful.

I got up, my back aching badly. I began the “rounds” that take about 2-hours to feed and clean up all the cats and kittens. I did what I had to do to try to keep my mind off Margo. I felt like a zombie. I could only imagine how Kathy was doing, but I didn’t want to bother her.

Then the phone rang again. It was Dr. Ellison, though he simply refers to himself by his last name, which I found both curious and somewhat endearing. His tone was matter-of-fact, with no emotion to betray what he was about to tell me.

He explained that after he saw the contrast study he knew that Margo was staged at a III. She had her fistula well inside her body. It was only 1 inch inside her, but that inch was the difference between reconstruction and no surgery at all. Margo was too tiny. He could try a procedure where they take the fistula and make it into a rectum. It’s just basically a tube after all, but in her body it was more like a thread. It wouldn’t grow with her. How could she live passing stool out of a thread? I knew the answer. I wanted him to stop talking, not to say what I knew what was coming next, but there was nothing I could do. He told me he’d spoken with Kathy already. She’d given permission to humanely euthanize Margo. He explained that due to the very long distance Kathy could not be there to say goodbye, plus Margo was still sedated and they couldn't keep her like that for the hours it would take for Kathy to get there. Kathy loved Margo very very much and she fought so hard for her. It’s a terrible choice to have to make. I think she was very brave, but it broke my heart that none of us were there with her at the end.

I had to remind myself that Margo was still sedated from the scan so she wouldn’t suffer at all. She would just drift off to sleep gently and peacefully with the staff by her side.

Dr. Ellison also added that Kathy had agreed to allow him and his students to do an autopsy on Margo (called a necropsy). He was very appreciative of the opportunity and grateful that Kathy understood why it was important to allow them to do the procedure.

This will be very difficult for many of you to know, but please read on. It’s horrible for us to imagine ever carving up a precious creature, but this is a teaching hospital. Kathy understood that perhaps someone who examined Margo, and learned about her condition, might be the same person who one day pioneers the solution that results in saving the lives of other kittens. Margo’s life gave so many joy and now in death, Margo's body would allow others to learn and someday save more kittens born with atresia-ani. Again, it was the brave choice to make, albeit so very very painful.

But no one would be with Margo in her last moments. I could not hold back my tears any longer. Choking out the words, I asked Dr. Ellison a favor. I asked him to please kiss Margo goodbye from me. I heard him say to his assistant that of course they would both say farewell and give her kisses and a peaceful passing. I thanked him for trying, for caring so much.

I asked about what would happen to Margo’s body afterwards. He told me that she wasn’t going to be cremated unless we wanted that. That the necropsy would take a few days. Kathy had asked for a paw..

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We made our fundraising goal for Margo's surgery! Hopefully she will only need one procedure but there's a chance she will need up to two more. We will only know once the first surgery is done and she's healed up. Then we'll see how her function is going, if she has any infection or failure of the reconstruction. She has one of the top surgeons in the country doing her surgery so we hope that will help her have the best outcomt possible. 

Next steps: Visit to GP Vet on Friday the 27th where they will do pre-op blood work and some other tests. Then we wait until May 8th for Margo to meet Dr Ellison, at U of Florida Small Animal Hospital. They will be examining her and determing if she is ready for surgery or if we need to wait longer.

Thank you to everyone who made this chance possible for Margo. She would literally die if we don't try and now she, at least, has a chance and that's because of ALL OF YOU for donating, for caring, for sharing. 

 

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