Pippin was my seven year-old tuxedo cat. My husband and I brought him into our family when he was just eight weeks old. The first thing he did to DH was bite him (and that's about how their relationship went, LOL! Not a mean bite, but Pippin liked to chomp my husband. It was how he showed his love). My first cat Cleo had died that summer, suddenly from cardiomyopathy and heart failure. We lost her over the course of an evening. Of course she had been sick for much longer, but with her being our first cat and only being 6, we didn't realize how sick she was, and how stoic she was being. We lost Cleo the week we moved into our first house, in a new city. The vet was an all-new vet, and over the years, we've become close to them - they only saw Cleo the once, before referring us to Tufts, which is where she died. Our vet's office manager mentioned on the phone, the day after Cleo died, that when we were ready for a new family member, to let her know and she'd help us find one. And then she mentioned she was fostering an adorable grey kitten - and she told me his story. A state trooper had pulled someone over on a local 4-lane highway, and when he got out of his car, he and the speeder saw the kitten dart up under the speeder's wheel well! So the cop and the speeder both got out and rescued the kitten, who then dove into the cop's car and hid under the seat. He couldn't get the kitten out, so he came to our vet and basically said: Help! Ha. So, this little kitten was named Robert after the cop that found him, and our vet's office manager was fostering him. As it turned out, we brought him home the next week, renaming him Horatio Robert. About a month after bringing Horatio home, DH and I felt he needed a sibling, because boy, was he tiring us out! We mentioned that we were looking for another kitten to our vet's office manager, and in a week or so, she called us. A rather troubled teen in a troubled family had found a kitten. The family was about to have their dog euthanized because they were "tired of it." The family had a history of not taking great care of their animals, and so our vet talked them into surrendering the dog and kitten instead of euthanizing the dog and doing who knows what with the kitten. I believe the dog found a new happy home shortly thereafter.
And so Pippin came to live with us at the age of eight weeks. We had a few scares at the very beginning, with him vomiting and having diarrhea, and getting terribly dehydrated, but we brought him to the vet quickly and they nursed him back to healthy. We lost his brother Horatio at the age of two, over the course of a weekend, to FIP. It was awful. He, too, died at Tufts. We were heart-broken, but carried on. Fast-forward to this past October, when DH and I went to my younger brother's wedding - we were away for the weekend, so we left out dry food for them. Pippin was quite overweight (he loved his noms!), so we'd been trying to get him to lose weight for over a year, with less success than we would have liked, and thus, we didn't give him dry food. We're pretty sure, given the amount we left and the amount that was gone when we got home, that Pippin must have gorged himself. The other three cats probably ate some of it, but... well, Pippin loved his noms, as I said. :-/ A few weeks later, at the end of October, we had a terrible snowstorm that knocked our power out. We noticed Pippin acting off. Not eating as much, acting a little lethargic, not moving around as much. Finally, on Halloween, we took him to the emergency vet - ours didn't have power! After a workup, we found he had developed diabetes and pancreatitis! Oh no! But I'm a nurse. I had perfect faith that I could manage this. He stayed in the ICU for a weekend while they got his sugars under control and gave him fluids.
Pippin was a trooper about blood sugars and insulin injections. He grumbled a little about the pawsticks, but he quickly returned to being his old self, running and playing and being generally happy. Two weeks later, he was sick again. Back in the ICU with a flare-up of his pancreatitis. A month after that... we were still having trouble regulating his blood sugars, increasing his insulin... and we found he had a bump in his kidney numbers. Pippin was in mild renal failure. Say what?! A seven year old cat with little prior history in renal failure?

And then after the New Year, another bump in his kidney numbers, so we took him to our IM vet, who did an ultrasound to find his kidneys were big again. So now it's time to do a biopsy to see if he has lymphoma - we'd already gone through the agony of a needle aspirate to check for it, and the waiting and waiting to find out. So again, we put poor Pippin through another procedure, and he does okay. In the meanwhile, we've started SubQ fluids daily. But that Friday, he starts vomiting. Back to the IM vet & a few days in the ICU with pancreatitis flaring. My poor baby! Every time he was in the ICU, I visited him before and after work. I work 3-11, so I'd go and sit with him in an exam room and play with him from 1-2:30, then spend a couple hours with him after work at 11. I did that this time, too. And so Pippin came home after a day in the ICU this time. Great, we think! They send us home with some injectable anti-nausea meds, just in case, and more SubQ fluids. Our ENTIRE existence is now revolving around our baby Pippin. He is our life, trying to get him better. And then, on Monday January 23, DH and I went to Petco to pick some things up, and come back to find Pippin has used the litterbox. Now, off and on throughout all this, Pippin has had chronic diarrhea, either from the antbiotics or pancreatitis, or a combination. We look, and holy cow! It's the first normal BM we've seen from Pippin in months, hurray! But then I look more closely and see he's vomited. So we give the anti-nausea med, which we'd had to give a couple times since we last had him in. It doesn't help. He still is acting nauseated. He goes and hides in his litterbox, just sits there. That terrified me, because he never does that.
So after multiple calls to the emergency vet, we take him at 1 AM. They look him over, say he looks okay, and by then he didn't look so nauseated. I asked them to do labs on him, so we'd be able to talk to the IM vet in the morning about it. They do, and the ER vet comes out with a very sad look on his face. His creatinine, which had never been above 3.5, was 9. It had been 2.6 eleven days before that. At this point, I know we're going to lose him. But Pippin's looking at me with those big yellow eyes, and he tells me with that look that he still wants to fight. (At least, I really hope that's what he was telling me.) So we admit him, start fluids and talk to our IM vet in the morning - not that my husband and I slept at all after we got home. She suggests bringing him to Tufts, because she really isn't sure what's going on. I was terrified. Even more terrified than I had been. We lost Cleo and Horatio there. This can't be happening, I thought to myself. But we took him to Tufts.
A wonderful team followed Pippin while he was there. He stayed from Tuesday AM until Friday when we let him go. We tried continuous dialysis, after a long talk with the attending specialist, and a long hard look at Pippin to see if he was ready to give up. He looked like he didn't feel well, but he still held his head up. He still purred and rubbed our hands. We talked with our IM vet, who knew Pippin and us so very well by now. She said that she wouldn't say this about most cats/in most cases, but if Pippin were her cat, she'd try it. So we decided to try it.
It was a roller coaster. He was in a little heart failure, so they put him on a lasix IV and another med to help his heart and kidneys work better. And that didn't work so they did put him on dialysis. And then he started making some urine. And then he stopped. And then he started again. And then there was blood in his bladder, since they did another renal biopsy to try to figure out what the heck was going on, and he was on a blood thinner on dialysis. And then his blood counts dropped, so he got multiple transfusions. And all this time, I'm looking at Pippin, still trying to decide if he wanted to give up. Wednesday night, I visited him and he ate from my hand. What a blessing that was. What a precious, precious memory, now. He kissed my cheek with his little sandpaper kisses. So I knew he stilled loved me, and that he knew we were just trying to make him better. And we thought he was making urine, so the dialysis was helping his kidneys. The next day, he was worse. I called out sick from work to go be with him, and I sat with him from 11 AM until 11 PM. They let me sit with him in dialysis, and I am so very grateful to have had that time. Friday morning, they call and let me know he's stopped making urine again. The attending began trying to seriously pursue transplant as an option, since Pippin was so young and we were willing to try it. DH and I rushed to Tufts to be with him, and we discussed the options. Euthanasia was an option, but so was trying him off dialysis, seeing if his kidneys started doing some work on their own, since his numbers were back to normal.
Again, we talked to our IM vet, who advised us to ask ourselves if we'd be able to live with not giving him that 24 hours off dialysis trying. So that was the plan - try him off dialysis. I looked at the heart monitor, though, and since I'm an ICU nurse, I recognize that he's in ventricular tachycardia, which I point out. So my husband and I, terrified, step back far enough to let them get to him. The doctors ask how much we want them to do. I look to my husband, because he wasn't in the same place I was - he wanted them to do everything. Suddenly, his heart rate drops, and Pippin cries out. The doctor gives three chest compressions, and his heart goes back into a normal rhythm for a kitty. DH and I call out, "Pippin, we love you. We're here, and we love you." They bring in the ultrasound to look at his heart, and draw blood from the dialysis line and find his potassium is sky-high on dialysis - a very bad sign, and I don't need anyone to tell me how bad, at that point. I know. I hate being a nurse and knowing. I don't always want to know. They give him a fluid bolus, and we go back to sit with him, petting him and telling him how much we love him. And then the tech takes his blood pressure, which is 40. Incompatible with life, I know in my heart. I tell my husband, "Honey. Pippin's body is telling us he's done fighting. We have to let him go." We have a talk with our IM vet, who is as kind and wonderful as always, and who agrees that Pippin is done fighting.
We took Pippin off dialysis, and held him. On top of all this, I called out sick to work for the weekend. I'm the sort of person who NEVER calls out, even on my deathbed, but I knew I couldn't take care of patients safely if we were losing Pippin. My boss calls me and insists on speaking to me. He asks how the kitty is. I tell him - a fellow nurse - that we took him off dialysis, and we're about to let him die. He proceeds to tell me that he and I need to have a meeting to talk about my calling out and future expectations. So at the moment I should have been most focused on my family, he's distracting me with that. I was so angry. But I refocused on what was important - Pippin and my DH. We settled Pippin in my arms, wrapped in a blanket, and we held him and talked to him. We told him how special he was, and how loved he was, and we would never ever forget him. We told him how much we were going to miss him, and petted him. We called my mother, who told Pippin she loved him and goodbye over the phone, and she told him she'd see him again someday. I think we held him for about an hour and a half. He was comfortable; he'd been on a narcotic IV, so that was still in his system. He was calm, restful. And then, we let them give the injection to help him die. DH and I stayed for at least another hour with him. It was so hard to let him go - to give him to tech and doctors. He fought so hard to stay with us. I loved him so much. I would have done anything for him. And then, we went home... January 27th. My baby was dead. My soulmate was gone.
No Pippin. Even with three cats, the house is quiet. Pippin was the one who was always hanging out at our feet. Letting us know when it was meal time. Letting us know when it was playtime. He was the one that slept on my hip. He was my baby. And he was gone. I explained what had happened to the other cats, and that Pippin wasn't coming home this time. I don't know how much they understood, but I do know that his sister Willow wouldn't look at me for a couple hours, after I explained things to her. For days, the other cats kept looking for him. He was the one that herded them into the kitchen for meals. Our Karma kept looking for him at mealtime. Strider was dejected. They've started to heal now, and we have a new family member, Earl Grey. It's beyond the scope of this post, but I'm fairly certain Pippin led us to him. And Earl is fitting in well - yet of course, he doesn't replace Pippin. I think Pippin would have liked him, though.
Most of the time, I'm okay. I go on with life. I hate being at work now, after the way my boss treated me while I was losing a family member. My mom says this is a gift from Pippin - a motivation to find a new job that's closer to home, where I'm happier. She's probably right. She usually is. (At 36, yes, I can finally admit my mother's right.) The other cats - thank goodness for them. Loving them helps. Being around DH helps. Distracting myself with decorating and craft projects helps... but none of it brings him back.
I know how this goes. I've lost pets before. I lost my dad when he was 49. I know it hurts like crazy, and that some days are good days, and some days are bad days. But today's not a good day. I haven't told the full story all at once yet, like I did here. Thank you for letting me share it.
Kel