We have been having some cat and human medical drama, nothing with a Terrible Ending as of yet, nothing with Covid involvement; the title is a spoiler but I will tell the stories.
The week before last, Paul took Henry on The City Trip, where Paul and kids/kid take a train to a far-enough-to-be-fun city and do fun tourist things for a week, and they follow Paul’s vacation preference that they not eat anywhere they have the option to eat at home (I am more the “eat at Taco Bell because I am already at my limit for newness” type of traveler, though I WILL eat adventurously AND enjoy it IF someone else handles the arrangements, and Paul is good at handling the arrangements). He took Rob and William on this trip when they were in the 11-13 age range, and then took the twins when they were about that age, and then Henry’s trip was planned for summer 2020 and so you will not be surprised to hear it was canceled. And last summer didn’t feel safe, either. And this summer didn’t feel safe EITHER, but there apparently comes a time. So they went, bringing masks and Covid tests, and they had a great time.
On Friday morning at their hotel (not yesterday-Friday but a week before that), right before they were due to catch the train to head home, Paul started having what he thought was probably kidney-stone pain. He managed to get himself and Henry to the train THANK GOODNESS (the first text he sent me wasn’t clear on that, and my reaction was GET TO THE TRAIN, GET TO THE TRAIN, FOR THE LOVE OF GOD GET TO THE TRAIN AND THEN WE WILL FIGURE EVERYTHING ELSE OUT); and William and I drove together down to the train station, and then William turned around and drove my car back, and I drove Paul’s car (including Paul and Henry) back, because Paul was in too much pain to drive. Since then Paul has not been able to go to work, and has been doing a lot of groaning and writhing and pacing. But he’s had kidney stones before, and they have passed without medical intervention, so he felt he could cope. (I was not sure I could cope.)
Meanwhile one of our cats has been losing weight again over the last few months, and also started sometimes peeing outside the litter box. He went to a substitute vet (our usual beloved vet wasn’t available for a sick visit that day) who prescribed antibiotics in case this was an easily-treated UTI; and then a week and a half later we saw our usual beloved vet for his annual exam (I didn’t trust the substitute vet and was glad we already had the annual exam scheduled) and she suggested an ultrasound and a more intensive pee analysis, which was scheduled for this past Wednesday.
That same Wednesday, Paul had a doctor appointment scheduled because the kidney-stone pain was continuing and it seemed like time to consult someone, but we ended up canceling that appointment because he went to the ER instead. William had to drive him, because I was dealing with the cat’s appointment and also Elizabeth’s annual pediatrician check-up. If Paul had been willing to wait an hour, I could have driven him; but it had gotten to a point where he did not want to wait an hour.
So we had Paul at the ER, and the cat at the cat hospital, and I didn’t know when either of them would need to be picked up. “At the exact same time,” is of course how it turned out.
By then Paul was on an IV of painkillers/anti-nauseants and sending perky gossipy updates from the ER (“They’re boutta put a woman in restraints, I think.” “Oop, there she go!”). When he first arrived, they’d told him they were completely full so they would try to find an EMT to check him out, but then I think his pacing/groaning got him bumped up the list, so they put in an IV and put him on a gurney in the hallway along with several other patients they didn’t have room for. He did get a CT scan (I was worried they would send him home with painkiller and a referral and no scan), and they said the stones are 8mm, and they said 4mm is generally the largest a person can handle without medical assistance. They gave him a prescription for painkillers, a prescription to relax various tubes/muscles, and a referral to a urologist.
Meanwhile the vet called me with the cat’s results. She said this second ultrasound (he had one two years ago) confirms that he has one kidney that has basically shut down and another that is compensating, which is a perfectly sustainable situation for a cat or a human as long as nothing else happens. The bad news is that something else has happened: he had a bunch of kidney stones and they were piled up in his urethra. (There is another large stone lodged in the kidney that has shut down; she thinks that might be WHY it shut down.) She further made it clear to me in her tactful way that the two choices were surgery or putting him down: this was a situation that would lead to A Bad Crisis at some point likely very soon; she described him as “a ticking time bomb.” She said she was going to try to rearrange her schedule the next day so that she could do the surgery then, because she didn’t want him to have to wait until next week; she did manage to do that.
It is tricky math to figure out how much money is worth it to save a pet—similar to figuring out which repair is the one where you sell the car, but more fraught. In this case I came down on the side of paying for it: he’s only middle-aged, he is a beloved cat, the cost is Within a Certain Range, etc. This is the kind of expense where Paul soothes me by saying “This is WHY we EARN money: to PAY for things.”
The cat, like Paul, was given a painkiller and a medication to relax various tubes/muscles. Both of them were stoned out of their gourds. The cat kept leaping up on things and MISSING, and walking along the edge of the counter with one paw slipping off the side, and falling into the sink. Paul kept singing operatic snippets of songs, and starting stories he couldn’t remember the endings for, and wanting to talk about WHY he might be feeling so much better, and misplacing his phone.
On Thursday morning, the cat had surgery. They first put in a catheter and used it to push the stones back into his bladder, and then did an incision and removed the stones from his bladder. He is recovering well. He is still telling us he loves us and asking us if we have ever really looked at our paws. He has what the vet calls “a very bad haircut” (shaved sides for the ultrasound, shaved belly for the incision, shaved wrist for the IV, and a shaved area at the base of his tail for the equivalent of an epidural). He has an Elizabethan collar he is supposed to wear whenever we can’t keep an eye on him. He has various prescriptions.
On Friday morning, two days after he went to the ER, Paul went to the specialist, who ordered more bloodwork (he already had bloodwork in the ER) and x-rays (he had a CT scan in the ER). That was Friday morning before a long weekend. The specialist did not call Friday afternoon as we’d hoped. Now it is Saturday, and we still have Sunday and Monday to get through, so if you have kidney-pain-reduction suggestions, Paul would LOVE to hear them. He has ketorolac and tramadol for pain, both of which he had to PRESSURE the doctors to give him (both the ER doctor and the specialist were going to give him NOTHING for pain), and he says the ketorolac works better but they won’t let him take it longer than 5 days and tomorrow is Day 5, and anyway it consistently wears off about an hour and a half before he can take the next dose; the tramadol doesn’t work as well as the ketorolac, also wears off early, AND makes him feel crummy; he’s also on flomax. (The cat is on gabapentin and prazosin.)