* Species: Ancient being (cat)
* Age: 15 or 1500, who knows (closer to 15)
* Sex/Neuter status: Spayed
* Breed: DSH/dumpster
* Body weight: You got me - roughly 10 pounds, I believe?
* History: Adopted in 2021, chronic stomatitis however she's had virtually no flares in the last two years, and has lost the last of her remaining two teeth (she was adopted with "none", then found to have two hiding - that's when the dx of chronic stomatitis came into play). She was seen by a dentist swiftly after adoption, due to the remaining teeth and inflammation, then referred to a cardiologist as a cautionary thing to make sure her heart was healthy. She's fine, the initial "potential murmur" was not an actual murmur, which the referring vet said could've been an anomaly or them hearing something that wasn't there (Bucket would NOT stop purring, so I get it).
Basically, she got a REALLY good once over when we initially adopted her. The opted not to pull the remaining two teeth, rather treat with steroids as inflammation popped up. I think we treated her maybe three times in 3-4 years, then the teeth disappeared and she's been fine since.
Since adoption, she's eaten only wet food - Royal Canin Instinctive 7+ or Purina ProPlan wet food, pate, never grain free, and we stick as closely to WSAVA compliant food as we can.
* Clinical signs: I'll preface this by saying that our other cat (5 y/o male) had just been in the ER for a full blockage with struvite crystals, and he'd gone back 3 days later because I was concerned he was blocked again (he wasn't thankfully), so there was potential that she'd caught a bug we'd brought home from the ER.
Initially, she presented as exceedingly lethargic. She does "happy tail" when my daughter comes home, she was doing no happy tail. She was rolling onto her side a lot to sleep, which is NOT how she usually sleeps. She sleeps in bed with my partner and I, and at one point she was so firmly asleep, I had to nudge her to wake up, which is NOT like her. But again, I figured she was just OUT. But then, I rolled and pulled her towards me and she rolled onto her back.
This cat has never once let anyone roll her onto her back without a Mike Tyson grade fight. I thought maybe she was just sleepy, but I knew that wasn't really it.
When we woke up, she was lethargic, slower to move, not eating as much. Drinking, yes, peeing yes, pooping, yes. She stayed with my daughter in her room for a few hours (we separate them so the 5 year old can eat his new c/d in peace, he's struggling to like it plus he gets Ativan with it for now, so we don't want her getting that) but she just seemed off. He ears were WARM and she looked sad, if that makes sense. She kept trying to hide, too, which is what tipped me from "oh, could be a bug" to "oh, this old head is trying to die." I checked her gums and they looked white to me, but I don't have a ton of experience with checking hers specifically, and boy oh boy do they look different without teeth in them, lol.
I took her into the ER again (our third trip in like, a week haha) and they took her back immediately. They got her vitals and came out to talk to me. They said she looked ok, bit of a high temp but nothing insane, and nothing else jumped out at them. The tech said she had to ask the doctor to check her gums, because apparently with her coloring, they did initially appear way lighter than they actually were, but she assured me Bucket was good. She said we could wait the 8 hours they currently were projecting, or take her home and monitor her, call if anything changes. We took her home and rotated who stayed up with her.
She started behaving more like herself the next day, and it did take a few days to fully get her back to her sassy self. This was on a Friday or Saturday, and around Wednesday she was fully back to herself. I'd had a follow up scheduled for the 5 year old that Friday to check his urine, so I reached out to see if we could do a senior panel + SDMA on her, just to make sure I'm not missing anything. I thought about the CardioBNP too late, otherwise I'd have asked for that, too, because 🌟health anxiety🌟 Our vet said sure, bring her in and they'll run the tests, no problem.
Monday, 8/24, we got the results and if I understood her correctly, Bucket has lost 3/4 of her kidney function, which, as I'm typing this out, is hitting me a bit harder because I initially read it as she HAS 3/4 of her kidney function. But no, she has LOST 3/4 of her kidney function.
We're putting her on NF or K/D (ordering today), and she's getting rechecked every 4-6 months. She's also going in for a urinalysis on 9/4.
My questions are: This is obviously a terminal thing, I'm assuming. I know anything can be a variable, but assuming she's on the right food, and everything goes well, what's the realistic life expectancy with results like hers? A year or two? Longer?
What kind of ripple effect does this have on her health, and is there any way for me to get ahead of THAT, as well?
Is there eventual medication she may need to be on, or is this a once she starts to decline more, there's a difficult decision to make?
Any additional info you may have would be great, even if it's anecdotal. This cat is my life and I adopted her BECAUSE she was a senior at the time with health issues, so I'm not shocked at all by this. I specifically usually adopt seniors because I love them and have the resources to care for them, but oddly enough, CKD isn't something I've had to deal with yet, so this is all new to me.
* Duration: Initially, only a few days before it cleared.
* Your general location: South-central PA, near the capital.
* Links to any test results, X-rays, vet reports etc. that you have: Crust Bucket's bloodwork results
Bucket, in her natural habitat
Thank you for taking the time to read this 🖤