Originally Posted by evansvillegirl26
He gets more labwork tomorrow.
I hope that you get good news from the new bloodwork, but don't get discouraged if there hasn't been much change. There is a saying among CRF caretakers, "Treat the cat, not the numbers." Sometimes even high-numbers kitties can lead reasonably healthy, happy lives with proper supportive care. Numbers don't tell the whole story.
The specialist basically said to keep up the IV fluids then start the subQ fluids and change his diet.
A diet change may or may not be advisable, depending on how far advanced his CRF is. You'll know more about that after the new bloodwork. Current thinking is that low protein diets should be fed only to cats in the later stages of the disease. Restricting protein in early stage CRF may lead to muscle wasting and overall weakening.
He has been acting alot better since we started IV fluids but he still won't eat.
Proper hydration can do wonderful things for a CRF cat, so it's no wonder that he's feeling better. As far as eating is concerned, he may just not have any interest in eating while in the hospital, or they may be feeding him renal foods that he finds repugnant (many cats refuse to eat the renal diets). You should bring him some of his favorite foods from home and see if you can get him to eat for you at the hospital. Don't let your vet pressure you into feeding only renal diets. It is MUCH more important that your cat eats SOMETHING than that he eats the prescribed renal diet.
If he won't eat normal foods even after he comes home, you should ask your vet about an appetite stimulant. I used cyproheptadine successfully with my last CRF cat. You can get a lot of tips, tricks, and options to help get your boy eating at the following link:
It is essential to get food into your boy to avoid a potentially fatal liver disease, so if he won't eat on his own, insist that your vet syringe feeds him until you bring him home.
I'm afraid the number will not be good and they will just say to put him down.
Don't allow your vet to persuade you to make an irreversible decision until you are convinced that it is best for your cat. It's not your vet's decision to make. It's yours and yours alone. Take whatever time you need to research your options and make an informed decision that you'll be able to live with.
How do I know when I really should or if I should keep trying??
I've said it before and I'll say it again - educate yourself about this disease and the treatment and management options that your vet may or may not offer you. The more you know, the more reasoned and reasonable a decision you'll be able to make when the time comes. You might also find it very helpful to join the CRF Support Mailing List. It is a very large and active list filled with incredibly knowledgeable and supportive people who can offer you a tremendous amount of information, guidance, and insight about your cat's illness. They can help you make sense of your cat's current condition and suggest treatment or management options. They will also support you when there is nothing left to be done but say a gentle goodbye. You can join the group through this link:
I think vets sometime assume you won't spend the time or money to help but I am willing to do this.
Many of us have had those feeling about our vets. You need to have a frank and honest discussion with your vet about this and make sure you're on the same page regarding your cat's care. If you're not on the same page, find another vet now. There's nothing worse than having to do battle with your vet over the care of a chronically ill animal companion. You need a vet who will partner with you, not one who will try to dictate to you.
As far as allowing your cat to suffer is concerned, you just need to trust yourself. I can tell from your posts that you love your cat too much to allow him to suffer on your account. You will do everything you can to return him to an acceptable level of health, and if it turns out that you can not achieve that for him, you will let him go.
Take a deep breath and prepare yourself for the roller coaster that is CRF. It can be a scary ride, but it can also have some great peaks that bond you and your cat more closely than you can imagine.
I hope for you many good days ahead.