Beloved old boy (16) has had a snotty nose - one sided - since last summer. Lots of courses of antibiotics, two rhinoscopies, CT scan at referral vets, fine needle aspiration of his liver and 3 biopsies including one that included bone samples. From the CT scan they thought it was cancer somewhere in his sinuses but none of the bipopsies or tests have found anything.... No cancer, no fungus, no foreign bodies so we got a "working diagnosis" of chronic rhinitis. Last trip to referral vets was early Dec and advice was "let's review if he's still wth us in March".
He's still here, gained 100g since Xmas, eating like a horse, playful, shouty, affectionate etc as he ever was. He has two saunas a day - cat in cat box, bowl of boiling water either end, heavy towel over the lot - to clear congestion, metacam nightly and antibiotics if he gets really snotty or sneezy.
The local vets thought is "it must be cancer as nothing else would cause these symptoms" (blood stained snot sometimes, other times just clear snot, other times nothing from the nose and we had the whole of Feb snot free).
It has been explained if it was a lymphoma it would have progressed by now and he would likely have a facial deformity (and he could have had oral chemo) so if it is cancer it's a carcinoma and the treatment is only metacam, antibiotics and possibly prednisone down the line. They don't respond to chemo and with no tumor found or clearly discernable a further referral for laser knife treatment on the other side of the country is not on the cards (especially given his age).
I have decide... Back to the referral vets even though symptoms not worse to re CT for progression or do nothing and carry on as we are....
Referral vets means an overnight stay for him and another insurance claim and is highly unlikely to change the treatment options. I kind of want to know if it's progressed but he's happy, purry and clearly not in any discomfort. Chest and lungs all sounds good, blood work normal etc.
I just can't decide what's best to do - putting him through the referral vet stuff now or keep on keeping on as we are.... In the full knowledge that he could take a turn for the worse any day and I'm making the most of each day while he is still with us at the moment. Have discussed worst case scenarios (cancer might spread to brain and cause a seizure, lots of blood if something ruptures and euthanasia when the sad time comes wth the vet and they have been nothing but supportive) and he's now in the category of being a bit of a medical mystery and having defied all expectations.
He's a totally full on, in your face big personality cat who looked all the neighbours etc and I dread the end but have grieved a lot about him since the autumn and know we are living in the moment with him (as of course he is being a cat!) so I'm trying to be realistic.
It's so hard.
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Old boy.... WWYD
10 replies
Maltropp · 21/03/2017 17:20
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