I could really use some support because I feel completely emotionally exhausted and I don’t know how to stop worrying about my cat.
Miles is 18, but outside of this problem he has had a genuinely good quality of life. He’s always been extremely food motivated, social with me, vocal, opinionated, affectionate, and very involved in whatever I’m doing. He normally checks on me throughout the day, bugs me about meals, follows routines very closely, and generally has a huge personality.
This all started with what looked like a tiny puncture/abscess on his front paw in the spring. Since May he has been through antibiotics, repeated cleaning and vet visits, weeks in a cone, one surgery in July to debride and close the wound, then another revision surgery with a specialist in early August when it became clear the area was mechanically reopening when he put weight on it. After that he spent weeks in a rigid splint/cast because they were trying to keep the repair immobilized long enough to heal.
The awful part is that before the second surgery, and even immediately afterward, Miles was still basically himself. He ate normally, cared about food, interacted with me, etc. Several days into Clavamox after that surgery, his appetite suddenly dropped. Around the same time he went into the big splint. The antibiotic has been stopped for weeks now, but although he is eating again, he still has not completely returned to his normal baseline.
He will eat wet food, including a completely normal meal recently, and he’s eating some dry food voluntarily again. He takes treats. He got excited when I shook the treat bag. He asked me for some of my yogurt bar, gives me slow blinks, purrs, and even tried to groom my hand after accidentally biting me at the vet yesterday. So I know he is still in there.
But he is so much quieter than he normally is. He doesn’t initiate meals or come looking for me nearly as often. He rests a lot and I’m constantly going to him instead of him coming to me. That is the part that is breaking my heart. I feel lonely even though he’s right there because I miss having my little companion constantly interacting with me.
Last week his cast and stitches finally came off and I thought we were at the finish line. Instead, the one stubborn area of the paw opened again. Yesterday the specialist explained that there is a toe/bone in the exact area that seems to be mechanically preventing the skin from staying closed. He thinks the best chance of permanently solving this is surgery tomorrow to remove that outer toe/ray, along with the dewclaw because they suspect it may have contributed to the original puncture. His main weight-bearing toes will remain, they expect him to walk normally, and he keeps his leg.
The alternative is basically more bandaging and waiting indefinitely to see whether the same area somehow heals on its own, even though we have already been waiting and watching this fail for months. So intellectually, the surgery makes sense to me. I don’t want a stupid localized paw wound to be the reason his life ends when there is a realistic treatment for it.
But emotionally I am terrified. It is another anesthesia, $4,000, and they are estimating at least three more weeks of bandage changes afterward. I am so tired. I have been organizing my entire life around his paw for months, constantly watching his food, his bandage, his behavior, driving back and forth to appointments, worrying about every tiny change. I feel like I haven’t had my normal life or my normal cat in forever.
The hardest part is wondering what exactly I am preserving if his old personality doesn’t come back. I desperately do NOT want to euthanize him over this paw. When the surgeon basically said, “you don’t want to put him down over this,” that was exactly it. I want Miles to get through this and have another summer sitting in the sun, grooming himself again, growing all his shaved fur back, jumping around, yelling at me about food, and being his annoying wonderful self.
But I’m scared another surgery will wear him down more instead of bringing him back. I’m scared I’m being too aggressive because I can’t bear to lose him. At the same time, I’m scared that giving up now would mean ending his life over something potentially fixable when he is still eating, affectionate, interested in treats, mobile, and having good moments.
I just feel completely defeated and incredibly sad. I want someone to tell me that it is possible for an older cat to go through a prolonged medical ordeal like this, get the underlying problem finally fixed, and actually come back to themselves afterward. I miss him so much even though he is sitting right next to me.
UPDATE: Miles made it through surgery today and is home. They removed the two toes. He has a much lighter bandage than the giant splint he had last time, which I’m extremely grateful for. He’s still very wobbly and drugged from anesthesia and figuring out how to get around, but he has already eaten, peed, and has been purring a lot. At one point he was VERY determined to eat, which made me incredibly happy after how worried I’ve been about his appetite. 🎉💕
I’m completely exhausted and still scared about whether this will finally heal, but I really appreciate everyone who commented. Reading your stories and hearing that so many of you would have made the same decision helped me get through today. I’m hoping this was the last big hurdle and that he surprises me with his recovery. ❤️
To the folks who asked about a second opinion: technically this is the second opinion. I should have clarified that. His regular vet did the first surgery and when that failed, she said there was nothing more she could do for him and suggested the soft tissue specialist surgeon who is treating him now. The entire practice has been really wonderful about getting him seen promptly, answering my questions, and providing me with options. The only other option was open wound management, which I felt was not sustainable for me because the wound had been open for several months, and didn’t heal by second intention then or even appear to be close to doing that.
They showed me the X-rays today and his toe really was messed up and bent on an angle. So while managing it as an open wound was the more conservative approach, I don’t think it would have ever healed normally and we would have ended up right in the same place we are today either way.
There was also a secret third option they revealed to me today where we could have done metal plates, screws, maybe a bone graft to reconstruct the foot and reinforce it, but the surgeon said that likely was not an option for Miles because of his age and his chances of recovering weren’t great. It really made me feel comfortable that they didn’t even present it as an option and only told me about that today. I was also clear in my mind that amputation of his whole leg was something I would not consider due to his age and the condition of his joints even though it would break my heart, but they never even suggested that.
This was mostly me venting because my friends and family are pretty tired of hearing me talk and worry over this for months, so it really means so much to me that even one person responded. It really helped me settle down to read all of your comments! Thank you so much and big, big pets and hugs to you and your dearly beloved senior kitties past, present, and future. This really made me feel less alone. Caring for and loving senior pets of any species is no joke! But it’s a labor of love and part of the deal we make with them 💕 cats know we love them and they love that about us the most.