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Age 13 with heart failure and thyroid issue.. time to PTS?

14 replies

YouAreTheEggManIAmTheWalrus · 08/12/2019 20:27

I've having a heartbreaking dilemma. DS's cat is 13 years old and struggling with his health. Back in May he was given just 9-12 months to live after being diagnosed with end-stage congestive heart failure & a lung tumour. He also had a blood clot a couple of months later, which everyone thought he wouldn't survive, but miraculously he did. He's successfully managed to have a decent quality of life since May on furosemide 2 x daily and clopidogrel 1 x daily for clearing fluid and thinning his blood. He was still monkeying about/playing out/hunting/winding the dog up and other than occasional coughing fits he seemed fine. He then got into a really bad fight with another cat in July and a nasty bite turned into a burst abscess which caused nerve damage to his back end, so he was started on Loxicom 1 x daily which he still takes. After recovery from that he was still himself and pretty spritely. Then last week he started going rapidly downhill, his breathing was extremely fast & shallow. He was given an injectable diuretic to clear the fluid accumulation and the vet wanted him in next day to do x-rays and blood tests. Apparently his thyroid levels were really high causing an exacerbation of his heart symptoms, so he was started on liquid medicine twice daily for that too.
However despite his breathing being back to normal now, he just seems absolutely shattered. He's happy enough (all the chicken and ham I'm hiding medicine in 6 x daily might have something to do with that!) but he's barely been outside other than to toilet and he doesn't really want to play (not sure if this is down to crappy weather though as it's barely stopped raining since he took ill last week.) When he is awake he sits there paws folded, nodding off like a little old man, as after a while he seems barely able to hold his head up. He doesn't seem unwell, just utterly goosed, so I'm assuming this is to do with the thyroid med, because he's only been like this since he started it on Weds.

DS is an only child and I've been a single parent his whole life. The pets are basically my second kids and I don't know if I am now just being selfish and keeping the cat alive because I'll be absolutely lost and distraught if I have to make a decision. I've cried like a baby weekly over this even thinking about it. DS will obviously be upset when the inevitable happens, but he's 16 now and pets aren't really on the radar so much.

So I suppose I'm looking for some kind of indication from anyone with any experience of these thyroid meds, whether the initial side effects lessen over time? Or should I just accept that he's not going to get any better and that without the meds 6 x a day he wouldn't be here anyway? I want to give him the dignified end he deserves but I don't want to unnecessarily have him PTS if the side effects will lessen and he can have some kind of quality of life rather than sleeping all day and trying to fight sleep the rest of the time. God this is absolutely killing me 😢

OP posts:
oohnicevase · 08/12/2019 20:43

My cat was 18 and had thyroid issues , no medication . I was only prepared to mediate with a special diet due to his age and he wouldn't have hated a large pill daily . He went into heart failure and was struggling to breathe . We decided it was time and he went on my lap in my bedroom .. he knew he was very very loved and it was very peaceful. He sounds like he has dealt with a lot and it sounds like it could be time . A very nurse once said to me it's never too early but it's often too late when I was dithering about him. .. sound advice I think x

BovaryX · 09/12/2019 11:08

That sounds really quite traumatic. I have not been in your situation yet, but I hope when I am, I will know because I wouldn’t want to prolong suffering. It must be difficult to decide. The only suggestion I would give is if he is PTS, can the vet come to your house to do this? I would try to organize that rather than putting him through the last visit to the vet. Then he can go in the place he knows and loves

Pilipilihoho · 09/12/2019 11:18

I'm so sorry, OP, but I think it's time now. Flowers. It's heart-breaking, but it's the final act of love for our friends. I'm crying as I am typing because I am remembering my dear furry friend who died eighteen months ago. I was late in taking the decision because of my own selfishness, and I still feel so guilty she suffered longer than she should have.

Your poor boy has has a lot of serious health issues, and I think right now it sounds like he's just hanging on. Perhaps ask your vet what they think is the kindest thing? I know my vet offered transfusions and tablets - but he could see I was distraught. I asked him honestly what he thought he would do for his pet.

I'm so sorry, OP Flowers

Wilmalovescake · 09/12/2019 11:20

Poor cat. It’s time, OP Flowers

Toddlerteaplease · 09/12/2019 11:46

I agree. My cat had heart failure and it makes treating other things difficult. When Maia's kidneys failed the vet said it could be treated. But in view of her heart, I knew it couldn't.
ThanksThanksfor you. It's awful.

Toddlerteaplease · 09/12/2019 11:48

Plan how you want the end to be. It helps at the time, and I took huge comfort from Maia's death being exactly how I wanted it to be for her.

viccat · 09/12/2019 12:19

When I was making this decision my vet said she's had many owners regret leaving it too late but no one regrets making the decision a little too early. Better a week too early than a day too late, as the saying goes...

Personally I think it's ok to go on a bit of a "high note" rather than wait until our pets are absolutely miserable and poorly all the time, euthanasia is about preventing suffering too if you know it's inevitably coming.

Pilipilihoho · 09/12/2019 13:57

I second viccat - in reality, I should have taken my cat to the vet the day before, but I kept hoping she was just tired...

Toddlerteaplease · 09/12/2019 15:19

I waited for the blood results to come back just to be certain, but I'd rather have taken her back that night. As I looked at her curled up in a corner (unusual) and just knew it was time.

YouAreTheEggManIAmTheWalrus · 10/12/2019 08:30

Thank you all for your lovely comments I really appreciate them very much. You're all absolutely right I would really, really hate to feel as though I'd left it too late. I don't want him suffering at all, he's really been through a lot and deserves a calm, dignified end and as @viccat says, to go out on a high note. Not long after I posted he did perk up considerably, he started to play with his fish toy then went out catting for a few hours and has been mostly himself since. He's not been as sleepy and it was almost as though he knew I had finally come to a decision and wanted to prove me wrong!! I'm upstairs currently and I can hear him playing with his fish toy downstairs as I write. But regardless, I do still think the end is imminent and he'll be lucky to see Christmas. Having seen how fast he can decline, the next sign of anything less than him having a happy day I'm going to do the kind thing, otherwise all I'm doing is delaying the inevitable and it's not right. @Toddlerteaplease your suggestion of planning how I want the end to be was really helpful thank you. I hadn't got that far in my train of thought, but I definitely need to make a plan. I had thought I only had one option of taking him to the vets which I felt was a horrible way to do it and was totally dreading, so thank you @BovaryX I will ask the vets about coming to the house.

Thanks again, you're all lovely and to those who have been through this, I'm so sorry 💐

OP posts:
Toddlerteaplease · 10/12/2019 08:49

My girl was at the vets. But I took her sister with her. She climbed into her basket and sat on top of her until it was time. Then I had her sister on the table and Maia in my arms. It was peaceful and dignified. And her sister knew straight away.

BovaryX · 10/12/2019 08:59

YouaretheEggMan

I really hope your vet provides this service. I think it is much less traumatic for the cat and you if he goes in the place he loves and knows rather than an awful last journey. Both of mine detest going to vet even when it’s just for an injection and the thought of putting an ill cat through that , I can understand why you were dreading it. The best of luck, it must be so upsetting

itstrue · 10/12/2019 09:06

I have a heart cat too. Mine is heavily medicated and is currently doing well. My boy is on a few more meds as well as the ones your one is on. If it's helpful I can dm them for you.

Personally I'd give him more time. It takes a lot to get over something going wrong. He's basically had a major medical event with his heart (even if it's thyroid related). I'd give him a few more weeks to recover. And compounding to that thyroid meds can take a bit of adjusting.

I wouldn't want to prolong suffering but if it was my one I'd want to make sure before pts.

Dodie66 · 10/12/2019 09:23

If he has improved and is happier I would wait and see how he is for a few days. Sounds like he might be getting used to the new meds. If he deteriorates you then need to consider having him PTS

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