I lost my dear 18-year-old brown tabby, Neko, on Wednesday afternoon, June 22 to inoperable lung cancer. The only time I stop crying is when I'm sleeping. I feel her presence everywhere but mostly when I'm in bed (she's at my side, up by my shoulder or lying next to my head on the pillow).
Two weeks to the day after Neko's regular vet unceremoniously dumped us (after five x-rays and no real diagnosis), she had a CT scan by a specialist who confirmed the collapsed left lung lobe that was diagnosed by ultrasound the week before. Her lung was aspirated during the ultrasound so they could determine if the collapse was caused by infection or cancer. The cytology report suspected cancer but it wasn't definitive, so a CT scan was ordered. The other lung and lymph nodes were clear of any indications of cancer during the CT scan, so I agreed to have a surgeon remove the collapsed lobe. When the surgeon got in, however, he found tumor tentacles wrapped around the artery that supplies blood to both lungs. It was too dangerous to proceed, so I asked that he put her down and close her up. I spent some 25 minutes saying goodbye and arranged to have her cremated.
I feel like someone has torn my heart out of my chest.
I took Neko in for her semi-annual checkup and shots back on March 4. She saw Dr. Gloria. For some reason Neko was very upset on the ride there and even coughed up a humongous hairball in her carrier. Drs. Gloria and Lori always harped on the fact that older kitties tended to have kidney and/or thyroid problems, so they had me come in every six months, but Neko's blood panels always came back normal. (I always got the feeling they were disappointed they were so normal.) The one thing that was elevated on that trip was her blood sugar, so right away Dr. Gloria started harping on the idea that Neko "might" be diabetic and that I should bring her in every three months to get her blood pressure checked. (Dr. Gloria didn't seem to care that the car ride to their office took 30 minutes or that Neko had been overly upset during the ride to that particular visit.)
I also asked Dr. Gloria about the possibility of over-vaccinating animals (especially strictly indoor only ones like all of mine have been). She pooh-poohed the idea and said she personally had never encountered any animal, cat or otherwise, who had a bad reaction to a shot, especially since the shots she gave were individual ones, not all lumped together in one syringe. Well, wouldn't you know it, Neko got her rabies and distemper shots and then laid around for three days afterward, acting very lethargic and not wanting to eat.
In between March 4 and May 11, Neko started having problems with what I thought were hairballs but she never brought anything up. It got so bad that she'd be walking around and would stop and start coughing from deep inside her lungs. She coughed so hard that her sides heaved in and out like bellows as she tried to clear out whatever was in there. She also started losing weight. Between March 4 and May 11, she lost 15 oz but Dr. Gloria didn't seem too concerned when I brought her in. She took the first of five sets of x-rays on May 11 and concluded that Neko "probably" had asthma.
Neko was treated with transdermal steroids and re-x-rayed on May 25. Dr. Gloria couldn't see any difference so she sent the x-rays out to have a radiologist read them. The radiology report came back on May 27, but Dr. Gloria was out of town because it was the Memorial Day weekend. Dr. Lori got back to me after hours and said the radiologist thought it looked like pneumonia and recommended that Neko be put on antibiotics for three days and then re-x-rayed.
I took Neko in on May 28 so I could get the antibiotic and they could give Neko her first dose. (The technician thought she was being cute by forcefully giving Neko a syringeful in her mouth and Neko immediately started gagging and puked it right up.) Dr. Lori came in and gave Neko a shot instead and sent me home with the liquid equivalent which they told me could be mixed in her food. Neko really started not eating then so she got very little medication over the long holiday weekend.
My other cat, five-year-old Lena, had been jumping in and out of the litter box and licking her butt that week. By Sunday, May 29, I grew very concerned because cats can die from crystals in their urine if left untreated for 72 hours. After watching her jump in and out of the box seven times in three hours, I called a nearby 24-hour ER vet and asked them if I should bring her in or wait until after Memorial Day. They said to bring her in but were unable to get a urine sample from her. Erring on the side of caution, the ER vet assumed Lena had feline urologic syndrome and prescribed antibiotic pills, pain shots and special hard and dry food (which she totally refused to eat).
By the time May 31 rolled around, I had to take Neko back to Dr. Lori (Dr. Gloria was still out of town) for different antibiotics since she had essentially stopped eating. I also took in Lena for a urine sample to determine if she really had feline urologic syndrome or something else. Lena got good news. She didn't need the pain shots or the special food as she didn't have crystals in her urine after all. She was "only" blessed with a urinary tract infection, but would still need to be pilled once a day for 10 days (something I couldn't do one-handed). Neko had to have two shots a day of the antibiotics and I couldn't give them to her either because I have only one working hand. I located a vet technician who did house calls to pill Lena and inject Neko.
After Neko had three days of shots on the antibiotics, I took her back in to be re-x-rayed on June 3. These x-rays differed little if any from the ones done on May 25, so Dr. Gloria asked that I finish the antibiotics and then get another x-ray. The final set of x-rays were done on June 8 and that's when Dr. Gloria basically dumped me and Neko by saying that we'd "have to take it to a higher level" (meaning "go see a respiratory specialist because I don't know what's going on here"). Dr. Gloria pointed me to a phone outside the exam room and she left, literally, as I called and made the appointment myself with information I found on the internet. When I went back to the exam room, Neko was in her carrier on the counter. No Dr. Gloria, no technician, no one. I grabbed the carrier and went to the waiting room which was deserted except for Gayle the receptionist who was working on my bill. Neko's first and last x-rays were on the counter along with copies of Dr. Gloria's notes and lab work since May 11. (Nice, huh? I had gone to this clinic with all of my cats for more than 10 years, so I don't understand the royal brush off, but rest assured I won't be going back there again.)
On June 13 Neko and I went to see respiratory specialist Dr. Phil Padrid in Chicago. He couldn't make head or tails out of the x-rays from the clinic, so he asked if he could make his own set as he was looking for something specific. He ruled out asthma and pneumonia and settled on either a ruptured diaphragm, collapsed lung or cancer (in that order). He said the next step would be to get an ultrasound and that I'd have to go to the Vet Specialty Center in Buffalo Grove for that.
On June 15 Neko and I went to see radiologist Dr. Renee Leveille in Buffalo Grove for the ultrasound. Dr. Leveille determined that the lower lobe of Neko's left lung was collapsed and asked for permission to aspirate it (withdraw cells and fluid for biopsy). If the collapse was due to an infection, they'd be able to determine what antibiotics to prescribe. Dr. Leveille explained that many cats survived and recovered beautifully from having lung lobes removed. The pathology results would come back in two and ten days.
On June 17 I received a call from Dr. Padrid who had been sent a fax from Dr. Leveille with the two-day pathology results. Although it wasn't 100% certain because a tissue sample was not taken, the pathology report strongly suspected the Neko had lung cancer. The treatment for both a collapsed lung and lung cancer was the same; removal of the diseased/collapsed lung lobe. A CT scan would be the next thing to do to determine if cancer had affected the other lung or any of the lymph nodes. Dr. Padrid told me to think about what I wanted to do over the weekend (what else would I do?) and let him know of my decision on Monday, June 20.
After thinking long and hard and talking it over with Neko, I decided to proceed with the CT scan and the procedure was scheduled for June 22 at 11 a.m. As I said, the other lung and lymph nodes were clear of any indications of cancer during the CT scan, so I agreed to have a surgeon remove the collapsed lobe. Little did we all know that the insidious cancer was also outside the lung making surgery and recovery hopeless because it was wrapped around the artery that supplied blood to both lungs.
She left this world weighing only 6 lbs 1 oz (having lost 2 lbs 9 oz since May 11 when I began my quest to get her diagnosed). My beautiful girl with the big green eyes and the sweet white muzzle will always be my Big Mac (aka The Striper, Catfish, Fish Face, Nekon, Pecan Pie, Macarena, et al).
I feel her nestled on my lap, not the sick kitty she was at the end, but the joyous youngster who used to sass back at me under her breath when I'd tell her to be a "good girl," while I was gone, with "no fighting and no escaping."
I loved and will always love that girl very much.