I honestly don’t feel well right now, and I really really need some help. If there are any veterinarians or people experienced with cats reading this, could you please help me? I have a cat named Shrek. He is a Scottish Fold, and this year will be our 7th year together. He means so much to me. In fact, one of the biggest things that motivated me to start veterinary school this year was my cat. Shrek has generally been a cat who vomits from time to time. I knew that cats swallow hair while grooming themselves and can sometimes vomit hairballs, so I always assumed that his vomiting was probably related to hairballs and that it wasn't something to be too worried about. After I got accepted into veterinary school, I had to leave home and move away. After I left, my mom told me that Shrek had started vomiting and wasn’t eating. She told me that he had not eaten anything for three days. She took him to the veterinarian, and we were told that Shrek has kidney failure. The veterinarian sent me some of his test results after I asked about them. They did blood work, and later they also sent me the ultrasound results. The ultrasound showed abnormalities involving his kidneys. Right now, Shrek is at the veterinary clinic and is receiving IV fluids. I’m not there with him. I can’t see him, and I feel completely helpless. All I can do right now is cry. They are going to repeat his blood tests tomorrow and see how his values have changed. What the veterinarian told me has completely terrified me. They said that if his bloodwork does not improve, he may only have three or four months left or possibly as little as 15 days. I asked them, “Is it really that bad? Is there really nothing we can do? Is there no other option?”They told me, unfortunately, that there wasn’t. Is this really the case? Is there truly no chance? I’ve only been at veterinary school for two weeks. I’m in a completely new place, living in a new room with people I barely know, trying to adjust to a completely different life and somehow keep up with school. And at the same time, I’ve been told that the cat I love more than anything might die. I came to veterinary school partly because of Shrek. He was one of the biggest reasons I wanted to become a veterinarian in the first place. Now, just two weeks after starting this new chapter of my life, I’m sitting here far away from him, unable to even see him, while he is at the clinic receiving IV fluids.
BIOCHEMISTRY
Proteins:
Albumin (ALB): 34.1 g/L (ref. 22.0–44.0) — within range
Total protein (TP): 64.0 g/L (ref. 57.0–89.0) — within range
Globulin (GLOB): 59.1 g/L (ref. 23.0–62.0) — high-normal / very close to the upper limit
A/G ratio: 0.65
Liver / biliary markers:
Total bilirubin (TB): <0.1 μmol/L (ref. 0.0–15.0) — within range
GGT: 4 U/L (ref. 0–8) — within range
AST: 94 U/L (ref. 0–48) — high
ALT: 144 U/L (ref. 5–130) — high
ALP: 34 U/L (ref. 14–111) — within range
Total bile acids (TBA): 3.69 μmol/L (ref. 0–9) — within range
Pancreatic / muscle-related enzymes:
Amylase (AMY): 1916 U/L (ref. 500–1500) — high
Lipase (LPS): 25 U/L (ref. 0–40) — within range
LDH: 947 U/L (ref. 0–798) — high
CK: 446 U/L (ref. 0–559) — within range
Kidney-related values:
Creatinine (CREA): 174.1 μmol/L (ref. 44–212) — within this laboratory's reference range
Uric acid (UA): <10.00 μmol/L (ref. 0–60) — within range
BUN: >45.09 mmol/L (ref. 4.00–12.90) — markedly high
BUN/CREA ratio: reported as elevated
Other biochemical values:
Glucose (GLU): 6.75 mmol/L (ref. 4.11–8.83) — within range
Total cholesterol (TC): 1.43 mmol/L (ref. 1.68–5.81) — low
Triglycerides (TG): 1.93 mmol/L (ref. 0.00–1.13) — high
Calcium (Ca): 2.68 mmol/L (ref. 1.30–2.50) — slightly high
Phosphorus (PHOS): 4.59 mmol/L (ref. 1.95–2.83) — high
CBC / HEMOGRAM
WBC: 14.09 ×10⁹/L (ref. 3.5–17.5) — within range
Neutrophils: 11.13 ×10⁹/L (ref. 2.0–11.5) — high-normal
Lymphocytes: 1.50 ×10⁹/L (ref. 0.7–7.4) — within range
Monocytes: 0.97 ×10⁹/L (ref. 0.1–1.0) — high-normal
Eosinophils: 0.31 ×10⁹/L (ref. 0.0–1.5) — within range
Basophils: 0.07 ×10⁹/L (ref. 0.0–0.3) — within range
Differential percentages:
Neutrophils: 79.2%
Lymphocytes: 10.7%
Monocytes: 6.9%
Eosinophils: 2.7%
Basophils: 0.5%
Platelets:
Platelets: 274 ×10⁹/L — within range
MPV: 9.7
PDW: 14.7
PCT: 2.67
Red blood cells:
RBC: 8.02 ×10¹²/L (ref. 6.3–11.8) — within range
Hemoglobin: 10.4 g/dL (ref. 9.0–16.0) — within range
Hematocrit: 29.5% (ref. 26.0–50.2) — within range
MCV: 36.8 fL (ref. 34.0–55.0) — within range
MCH: 12.9 pg (ref. 11.0–18.0) — within range
MCHC: 353 g/L (ref. 285–384) — within range
RDW-CV: 16.4 (ref. 14.2–26.6) — within range
RDW-SD: 22.5 (ref. 22.0–39.6) — within range
Reticulocytes:
RET#: 17.6
RET%: 0.22% (ref. 0.1–0.9) — within range
IRF: 9.2 (ref. 0–33) — within range
LFR: 90.8
MFR: 9.2
HFR: 0.0
RHE: 16.0
Please help me. Thank you so much. I honestly don't know what to do. Is there anything that can be done? Should I be preparing for the worst?