Kidney Disease and Cats - Everything you need to know

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  • Опубліковано 30 тра 2024
  • Everything a cat owner needs to know about chronic kidney disease and cats. I go over symptoms, diagnosis and general treatment concepts for what is probably the most common old cat disease, and certainly one of top three age related health conditions we see in our cat patients. Check out the follow-up LIVE Q&A session on cats and kidney disease here: • Cats and Kidney diseas...
    Hit that Super Thanks button if you find the video helpful!
    Hyperthyroidism and cats: • Hyperthyroidism and cats
    Timestamps for most important points:
    What kidneys do (mostly) 1:45
    How kidney disease is diagnosed in cats 3:10
    Why annual blood tests are important in 'healthy' cats 4:10
    Disease management goals 6:30
    Emergency treatment for uremic crisis 7:00
    Advanced diagnostics and UTIs 8:30
    Should you do a kidney ultrasound? 9:35
    Treatment of chronic kidney disease in cats 10:40
    Food for cats with kidney disease 12:00
    Wet food vs Dry food 13:40
    Subcutaneous fluids 16:10
    Calcitriol (Medication) 18:20
    Frequency of monitoring 20:00
    How to decide what other meds will be helpful 20:40
    Support this channel:
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    Some cute SquishThatCat merch: www.redbubble.com/people/arbu...
    Do you want Dr. Uri to help you with your pet's case? Sign up for a second opinion consult. Also on Patreon: / hvvet
    How to give your cat fluids under the skin: • How-to give fluids to ...
    How to tell if your cat is sick: • How to tell if your ca...
    How to give a cat new food: • Understanding how cats...
    Why supporting this channel makes the world a better place: • How to help this chann...
    #cat #youtube #howto #squishthatcat #veterinary
    In Vancouver, BC? You can meet Dr. Uri and his team at:
    ===========================================================================
    Arbutus West Animal Clinic - www.awac.ca
    Vancouver East Veterinary Clinic - www.vancouvereast.vet
    Acadia Veterinary Clinic - www.acadiavetclinic.ca/
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  • @sanctuaryrain2010
    @sanctuaryrain2010 2 роки тому +470

    I adopted my sweet Smokey at an animal shelter when he was 2 years old. We spent 13 1/2 years todgether, it's so strange now almost a month later to walk into the house and he is no longer there. The first signs were constant need to drink water. The vet prescribed a wet and dry food specifially made for kidney disease. He did well for a few months and then drastically went down hill in a month. Was horrible to make the decision to put him to sleep and then to be there in the vets office petting him, near his face talking to him as she gave him the shot. When she listened to his heart beat and then said he is gone.. I felt numb. She carried him away in a blanket and I carried his empty carrier to the car and then broke down. I miss him so very, very much. I love you Smokey, you will always be in my heart sweet boy ❤

    • @Kreedogger
      @Kreedogger 2 роки тому +29

      I am preparing for this too my friend. My beloved cat is having liver problems and is at the vet now. My apartment feels empty but I am preparing for the hole in my heart.

    • @MK-ih6wp
      @MK-ih6wp 2 роки тому +8

      @@Kreedogger how are you guys holding up now? I am so nervous.

    • @Kreedogger
      @Kreedogger 2 роки тому +32

      @@MK-ih6wp She made it! She's alive and is home. She has made a full recovery. About 4 days ago she 110% pepped back up and is having a good time. She's going to be ok! Thanks for your concern MK

    • @JohnnyRebKy
      @JohnnyRebKy Рік тому +12

      That just broke my heart 😢

    • @rochelimit55555
      @rochelimit55555 Рік тому +14

      So sad, Rest In Peace Smokey

  • @patriciafachini439
    @patriciafachini439 2 роки тому +534

    I had a cat with kidney disease and it is not the end of the world for sure! He lived 21 years. Take your cat to the vet frequently to avoid any unpleasant surprises.
    Thank you for this video, doctor!

    • @HelpfulVancouverVet
      @HelpfulVancouverVet  2 роки тому +47

      Thank you for sharing! Sounds like a happy story :-)

    • @patriciafachini439
      @patriciafachini439 2 роки тому +30

      @@HelpfulVancouverVet it is a happy story! He lived the best life with us with a lot of love ( and fluids too)… :)

    • @aly7379
      @aly7379 2 роки тому +30

      my cat i just 1 1/2 y/o. I want him to survive. 😢

    • @robbie025
      @robbie025 2 роки тому +21

      With a proper diet and simple medications, they can survive longer. So simple to deal with. Mine is 17, sick but allright.

    • @kekamirza
      @kekamirza 2 роки тому +5

      For constipation vet suggested to feed my cat little milk everyday. But now as he has kidney disease, 45% damaged, is milk safe to drink? His vet has no idea about it.

  • @keremcemayaz2795
    @keremcemayaz2795 8 місяців тому +60

    The fact that he petted the cat during the entire course of the video and the cat being so satisfied an chill with it is EXTREMELY adorable 😊☺️☺️😊😻😻

    • @jessethepersiankitty2377
      @jessethepersiankitty2377 4 місяці тому +1

      The cats tail wagging side to side is actually an indication that the kitty is becoming irritated. Jackson Galaxy who is a cat behaviour expert says for most cats it's best to pay a cat around the side of the neck, under the chin, and top of the head because they have sensitive nerve endings on their back.

    • @sachab6098
      @sachab6098 3 місяці тому +2

      ​@@jessethepersiankitty2377 I think this person knows this cat well lol

    • @TheTibmeister
      @TheTibmeister 10 днів тому

      That is one big cat. He/she is gorgeous ❤

  • @mochimaniac-8873
    @mochimaniac-8873 2 роки тому +307

    Mr. Pirate looks happy to be there. He is such a sweet boy.

    • @juliegoldman411
      @juliegoldman411 2 роки тому +12

      Mr. Pirate is so loved!

    • @MothGirl007
      @MothGirl007 2 роки тому +7

      He is the prettiest fur!

    • @peterclarke7240
      @peterclarke7240 2 роки тому +7

      My first cat was a tabby. She was the best cat in the world in my eyes
      Tabbies have a very special place in my heart because of her 🤗

    • @malicewonder8345
      @malicewonder8345 2 роки тому +4

      Looks twice as large too.

    • @lukecwolf
      @lukecwolf 2 роки тому +7

      I don't know how anyone could focus with Mr. Pirate being absolutely adorable and licking Dr. Uri!

  • @JohnPMiller
    @JohnPMiller 2 роки тому +343

    I don't even have a cat, but I'll be watching. A friend lost her cat to kidney disease, and now, 10 years later, she's dealing with this for her current cat. It's a terrible disease!😿

    • @spark_6710
      @spark_6710 2 роки тому +23

      I know...Dry foods cause lower urinary tract disease and kidney failures. It happened to my cats .It is very very hard to go through with .Please tell your friend that I am very sorry for your friend's loss & her/ his cat ! You are such a good friend & sweetheart ! 💔💜💜💜💜🥁🐉🎤💕💞

    • @PatriciaCV9
      @PatriciaCV9 2 роки тому +11

      @@spark_6710 what foods are recommended for cats? Any knowledge of brands, types of food will really help and be appreciated from our side

    • @belmum1689
      @belmum1689 2 роки тому +20

      @@PatriciaCV9 Raw, cooked meats and wet cat can foods (just not the cheapest brands) plus one can also mix kibble foods with some water, cats tend to get most of their water from the foods they eat. running water like a pet fountain can also encourage a cat to drink water.

    • @holdmacat9932
      @holdmacat9932 Рік тому +4

      @@PatriciaCV9 you can watch Jackson Galaxy video on dry and wet food to know what is the best!

    • @holdmacat9932
      @holdmacat9932 Рік тому +2

      Yh it is all most often caused ny dry good

  • @collinrasmussen5630
    @collinrasmussen5630 Рік тому +69

    I miss my princess so much, kidney disease is tough, the last 6 months we hand fed and watered her. We gave her subcutaneous fluids weekly and that really seemed to help. She still never had an accident and always was the perfect kitty. She passed in December at 19 years old.
    I miss you Nibbles.

  • @ciaraskeleton
    @ciaraskeleton 9 місяців тому +22

    I rescued my cat from a horrible home where they had just left her to rot and die. A family members house actually (i dont speak to that family member anymore).
    The cat was most likely born with congenital defects. She needed special care so i took her and with vets cared for her as best i could. I knew she was chronically ill and that i wouldn't have her forever but i wasnt aware that she had chronic kidney disease. During her year with me, i got her coat looking shiney+regrow in areas where it'd fallen out, got her eating a great diet, played with her, took her out to play and experience the trees, and cuddled her all the time. She really did seem at one point like she might survive, she looked great and had energy, she was loved and well fed.
    Today after her rapidly going downhill, i had to have her put to sleep. The vet explained that there was nothing i could have done and that she improved for that short time because of my care, but that there was nothing we could do. My heart is shattered into a million pieces. Ive never had a cat whos so loving, talkative, caring, and cuddly. She was so special. Im happy that shes not suffering anymore, but i am going to miss her forever.

    • @katlemarie
      @katlemarie 2 місяці тому +3

      You both needed each other::::

  • @judiroth7855
    @judiroth7855 2 роки тому +74

    When my soulmate, Oslo, got kidney disease, I gave him lactated ringers 2x a day, trying everything to help him. When he was gone, his absence was everywhere. Been 20 years - miss him everyday❤️

    • @LindseyRaelle
      @LindseyRaelle 2 роки тому +4

      Have my soulmate salem who was just diagnosed and i am a wreck

    • @sciencenotstigma9534
      @sciencenotstigma9534 Рік тому +2

      @@LindseyRaelle I hope you were able to get good care. My thoughts are with you. 💔

    • @InJusticeAustralia
      @InJusticeAustralia 16 днів тому +1

      what are lactacted ringers?? And what do they do??

    • @oscarcat1231
      @oscarcat1231 15 годин тому

      Sorry 😔

  • @NightmareNewt
    @NightmareNewt 2 роки тому +202

    Any Vet that says “…because treating a cat who wants to murder you is a special kind of Awesome” And Means It gets my Subscribe. It’s like he knows my cats…

    • @VictoriaWinterfall
      @VictoriaWinterfall 2 роки тому +13

      I wish my aggressive cat had a chance to be treated by this vet. Dr. Uri, you set my standards for a vet's attitude too high!

    • @neuralmute
      @neuralmute 2 роки тому +9

      @@VictoriaWinterfall It's like he met my old cat, who earned himself the nickname of The Bastard, and was both loved and feared as a murderous little house panther, and excellent exterminator...

    • @VictoriaWinterfall
      @VictoriaWinterfall 2 роки тому +5

      @@neuralmute I can relate to the feared and loved part a lot! And unfortunately my cat was sick, so giving him ton of medicine was a pain but also quite the achievement haha.

    • @jacquelinemuto
      @jacquelinemuto 2 роки тому +1

      My new vet literally called my cat a bitch during our first appointment and in the same sentence said she loved her sassiness for her age(23).

    • @jacquelinemuto
      @jacquelinemuto 2 роки тому +1

      @ladyvin pill shooters are a lifesaver if your cat doesn't do pill pockets.

  • @chrisbattisto7351
    @chrisbattisto7351 2 роки тому +65

    It's a horrible disease but the subcutaneous saline treatments work very well when given as prescribed. Our cat was diagnosed Stage 2-3 when he was 18, gave him the saline treatments every day for 3 years, and it made him so much more comfortable. Passed away at the ripe old age of 21, not even from the kidney disease. It was a labor of love but totally worth it if you have a cat in the early stages!

    • @mchaelhron279
      @mchaelhron279 Рік тому +3

      Wow. You got 3 more wonderful years! A 21 year old cat is amazing! We are doing the subQ fluids for about 4 months now & it does make quite a difference. It's well worth it .

    • @colettejaques2559
      @colettejaques2559 11 місяців тому

      ​@@mchaelhron279 of course...take your cat to the vet...the care of diet and hydration is key.

    • @user-qk3fo5xb1i
      @user-qk3fo5xb1i 11 місяців тому

      can you plz share the food brand you gave him ?

    • @juliatravisfemme
      @juliatravisfemme 6 місяців тому

      How about the foods? He refused to est or drink that time? How u manage it?

    • @debravictoria7452
      @debravictoria7452 3 місяці тому +1

      ​@@juliatravisfemme I just brought my cat home from 3 nights in hospital. While she was there, they fed her a couple of times with a syringe (of course with no needle). Now that she's home, her appetite is good. Sadly, she is at end stage and the IV fluids did not improve her blood work. So, one day at a time.

  • @PetrSojnek
    @PetrSojnek 2 роки тому +190

    This will be a bittersweet episode for many I think. Kidney disease can be very quick and surprise killer. I know first hand unfortunately.

    • @magicpainthorse
      @magicpainthorse 2 роки тому +19

      So do I. My heart is broken.

    • @EmpressLishy
      @EmpressLishy 2 роки тому +14

      Same. If I talk or think about it too much, I cry. This video makes me think I and my vet could have done more but I had no knowledge at all about this topic.😭

    • @PatriciaCV9
      @PatriciaCV9 2 роки тому +3

      @@toriless exactly what did you do? If you don’t mind sharing

    • @sanctuaryrain2010
      @sanctuaryrain2010 2 роки тому +4

      Yes, I miss my sweet boy so much. ❤

    • @JessieMassoudi
      @JessieMassoudi 2 роки тому +9

      I’ve lost two furbabies in the past two years to kidney disease. Now my 10 year old kitty has it too. 😞

  • @InJusticeAustralia
    @InJusticeAustralia 16 днів тому +1

    Dear Mr Vet (& kitty),
    Thank you so very much for taking the time to educate us. You are truly appreciated.

  • @nativeunamerican
    @nativeunamerican 2 роки тому +275

    Lost my cat to kidney disease in December, it was truly a horrible end and took such a heavy toll on all of us. Good spreading awareness, if you don't manage it early enough it's a bad time!

    • @hansbehrends438
      @hansbehrends438 2 роки тому +18

      I am sorry for your loss, what a terrible way for the beloved cat to go.

    • @hherroyal05
      @hherroyal05 2 роки тому +17

      Yes, it can be very bad. I truly appreciate Dr Yuri's advice in the early stages, and we need advice in case the disease gets bad and it becomes end-stage. It's a very delicate and sad topic, but we really need help with this this.

    • @hherroyal05
      @hherroyal05 2 роки тому +13

      nativeunamerican I am deeply sorry for the loss of your dear kitty. I've been there. Sending prayers to you.

    • @spark_6710
      @spark_6710 2 роки тому +8

      @@hherroyal05 I am very sorry for your loss ! I still strongly believe in ultra sound testing as it shows the shape & size & texture of organs in this case kidneys !!! So, vets & you can see how much damages done ! Also it's non aggressive method & not only that gives us more visions& ideas as well as it decreases stress on cats as we don't have to go back & force between vet's clinic & home !!
      Dry foods cause kidney failures & lower urinary tract disease which happened to my cats !
      Again sorry for your loss & your cat ! Lots of hugs are being sent to you from L.A. ! 💔💜💜💜💜🥁🐉🎤💕💞

    • @spark_6710
      @spark_6710 2 роки тому +1

      @@hherroyal05 💔

  • @claireconover
    @claireconover 2 роки тому +187

    I have 2 older cats, both have underperforming kidneys… this video is actually really useful.
    I wish MY cat’s vet explained even just half of all this. instead, I’ve been mostly clueless.

    • @spark_6710
      @spark_6710 2 роки тому +5

      I am so sorry to read this ! I am sending you my prayers & love & hugs from L.A. !!!
      Please do not feed dry foods as that causes lower urinary tract disease & leads to kidney failures ! 💜💜💜💜🥁🐉🎤💕💞

    • @andreah6379
      @andreah6379 2 роки тому +3

      I live in Reno, in a rural area. Horrible choices of nearby vets. Any diagnostic work, 1 vet sent me to 187+miles to UCDavis! Ridiculous.
      It's so important we have the vital information feline guardians need and it is just like medical care for humans...a lacking patchwork of expertise. That's what makes this Doc so valuable for me. I hope for you. We all need all the help.

    • @claireconover
      @claireconover 2 роки тому +4

      my cats get renal wet food served in every room, renal dry food served in one room, have 2 fountains, at least 1 bowl of milk formulated specifically for cats and 2 bowls of still water.
      It’s not really the dry food that causes trouble so much as the dehydration that CAN happen if they eat only dry food and don’t drink enough.
      my little ones are heavily encouraged to eat wet food (it’s everywhere) and drink water (also everywhere).
      I’d rather dry food be available if they insist on it. my cats just have to want it enough to jump and climb a little out of the way.

    • @spark_6710
      @spark_6710 2 роки тому +4

      @@claireconover No. Dry food is the cause of many things including lower urinary tract disease & kidney failure !! It happened to my cats ! One died from a distended bladder issue & severe dehydration caused by the lower urinary tract disease & he had both acute & chronic kidney failures !
      Dry foods are highly processed foods & only 10 % moisture that dry their bodies out !! Giving water never catches up for the loss of hydration !! Unless the cat drinks like 4 to 6 cups of water & as you know there's no cat does that !!! If a cat gallops water ,that means the cat has some medical issues !! 💜🥁🐉🎤🐈🐈‍⬛💞

    • @TheSathandra
      @TheSathandra 2 роки тому +3

      @@claireconover See *TANYA'S Guide to CKD cats* You need it. It's everything you need, save it to bookmarks. My vets are ignorant. Luckily they are ok with giving me the meds I request, but failed on everything else. I got a vet now who told me to call him with updates, since he never used this blood pressure medication, commonly given to CKD cats with high BP, before. Isn't neat?

  • @ChristophProbst
    @ChristophProbst 2 роки тому +6

    I lost my cat to kidney disease two months ago, two years after her diagnosis. I administered sub-q fluids at home, gave her vitamins, probiotic, and blood pressure medicine everyday. It kept her symptoms at bay and gave her a pretty good quality of life considering everything. Eventually the treatments weren't enough and I could tell that it was time. I didn't let her suffer. I arranged for a vet to come to my home so she could pass in her sleep.

  • @vampireturtle
    @vampireturtle 2 роки тому +74

    17:00 "Treating an animal that wants to murder you is just a special kind of awesome" The best line to represent cat people ever. Love your content Dr. Uri.

  • @sharpe3698
    @sharpe3698 2 роки тому +44

    Mr. Pirate being his magnificent self

  • @andrewj5998
    @andrewj5998 2 роки тому +169

    I'd also like to point out the importance of manually cleaning (or at least checking) the litter box frequently as a way of assessing cat health. I scooped our cat's litter box every day, and noticed that our then 13 year old cat was producing urine clumps that were about 50% larger. This continued for a week, so we brought her to our vet. I feared diabetes or kidney disease. Her urine and blood values were all OK except for her blood urea nitrogen, which was borderline high. The vet put her on a kd diet and fish oil. At her next checkup, her values were all normal range. She lived for another five years on the kd diet and fish oil and never developed full blown kidney disease. This is why I'd be reluctant to buy an automatic self cleaning litter box - especially for an older cat. I would have missed the change in urine output and she may not have lived to the age of 18 had I not scooped her litter box myself every day.

    • @post121
      @post121 2 роки тому +3

      Did she die of kidney disease? Or something else?

    • @andrewj5998
      @andrewj5998 2 роки тому +5

      @@post121 Congestive heart failure. Our vet told us that it sneaks up on them and can only be diagnosed with an internal ultrasound. She was being treated for a possible tooth infection and had seen the vet three times in her final two months, and nobody suspected anything wrong with her heart.

    • @nonone2010
      @nonone2010 2 роки тому +3

      What did the larger urine clumps indicate? I know you said test said high nitrogen but I'm wondering in general if cat urine balls get bigger why would that happen?

    • @andrewj5998
      @andrewj5998 2 роки тому +6

      @@nonone2010 Larger urine clumps just indicate increased urine volume. Our vet said that it's a common symptom in cats with kidney issues. After being on a prescription diet and fish oil, her blood nitrogen and creatinine returned to normal, but she continued to drink more water and produce large amounts of urine. And, yes, she was frequently tested for diabetes, but that always came up normal.

    • @nonone2010
      @nonone2010 2 роки тому +4

      @@andrewj5998 oh thank you so much for the information and for replying so quickly. It helped me.

  • @kimberlygalati1330
    @kimberlygalati1330 День тому

    Wonderful video. Thank you for the info. My cat is 21! I am pretty sure she is missing the litter box every time. ❤😂 She drinks a lot of water but only throws up when she does not agree with the food. She is such a picky princess❤. You reminded me of her hydration level. She does only eat wet food and LOVES the puree. Thanks again for the abundant information. Cheers!

  • @EVALLOYD
    @EVALLOYD 2 роки тому +8

    I adopted a senior cat of 15 in May of this year and he has quite a few health issues including kidney insufficiency. I have to give him half a pill of Benezcare every morning for life and special food for kidney care, no cheap supermarket stuff for my old buddy. Didn't appreciate at first my gently prising open his little gob to give him the pill but now I suppose he's understood it's just an unpleasant moment to bear for he's less reluctant, could be due to the fact that I give him a little treat straight after the ordeal; after the storm there is a silver lining. He has put on weight since I adopted him for he eats well, always a good sign. Did I mention that he is an utter joy and I've already fallen madly in love. I would highly recommend if you wish to adopt a cat not to overlook senior cats even if they do have health issues, they deserve as much love as younger cats just a bit more care.

    • @popular254
      @popular254 2 роки тому +2

      Thank you for adopting a senior. What an amazing caring thing you have done ❤

  • @andrewproducer4142
    @andrewproducer4142 2 роки тому +21

    Diet. Diet Diet Diet Diet. This cannot be stressed enough. Turns out, feeding your cat bad food leads to a low quality life. Makes me sad seeing all the crap cat food in stores. I learned this from first hand experience. My cat was actually eating Blue cat food(higher end would you believe) and got completely blocked up somehow. I could hear him scratching at the litter box and not having anything come out, it broke my heart. I took him to the vet and they did the tests, he checked out after having finally peed that weekend. I was completely lost and on my way out of the vet and would you believe one of the assistants recommended science diet for him and it legitimately saved his life. I will buy science diet cat food for the rest of his happy life. Was a night and day difference for my cat. Instant relief!

    • @palikariatl
      @palikariatl 2 роки тому +5

      NO DRY KIBBLE! Raw food diet with warm/hot water mixed in is great! Cats would never eat dry food in the wild.

    • @oscarcat1231
      @oscarcat1231 14 годин тому

      What’s science diet?

  • @Mike80528
    @Mike80528 6 місяців тому +7

    So I don't know if this helped, but our 16 year old was diagnosed with advanced kidney disease almost two years ago. His stools were hard and dry and his fur thinning. We switched him over to a quality low phosphate dry food and a different high quality low phosphate wet food. He mostly licked up the liquid from wet food and wasn't eating a lot. As a last ditch effort I decided to add small amounts of Resveratrol to his wet food. It took some time, but he really has made huge improvements. He is eating a TON now, has good stools, and a lot more energy.
    background - there are studies for humans showing Resveratrol with DHEA and another small dose of a prescription drug actually reversed aging and repaired cellular damage. I figured there was a *chance* it might help my kitty. I do not know for certainty if it is what has made a difference and do not want to give false hopes, but I would love for others to give it a try and maybe we might accidentally discover something that could actually help repair damage we thought was unrepairable.
    Again, I do not want to give false hope but just maybe this might save other cats.

  • @alisonchristensen1169
    @alisonchristensen1169 7 місяців тому +3

    My dating profile is going to say looking for a guy who can pet a cat for 20 minutes! That cat looks happy 😃

  • @rickbear7249
    @rickbear7249 2 роки тому +87

    MAKING WATER MORE INTERESTING FOR YOUR CAT. Dr. Uri's tip of adding Glycerine syrup to bad-tasting meds also works well in getting my cat to drink medicated water. It turns plain water into a cat treat that my cat now craves. So, Dr. Uri, you might want to mention your brilliant Glycerine trick when getting cats to drink more H2O.
    Thanks,
    Rick

    • @palikariatl
      @palikariatl 2 роки тому +8

      I add hot (not boiling) water to the raw food my cat eats. She laps it up like it is the best thing in the world. It also takes the chill off of refrigerated raw food.

    • @dmw5332
      @dmw5332 2 роки тому +9

      @@vo1d470 The product is Vegetable Glycerin, and the brand I usually use is Now. Here in the US, it is hard to find it as a sweetener because the substance is also used in the "beauty industry:" with use in the beauty industry the substance gets taxed, where as if it were considered food it would not be. I know all this because the product used to be sold in the sweetener section in health food stores; now you can only find it in the beauty section.

  • @charleslaine
    @charleslaine Рік тому +10

    I just lost my 17 year old cat Figaro to kidney disease. I miss him terribly. Our pets are such a huge part of our lives and it leaves a huge void when they are suddenly taken from us.

    • @cynthiastogden7000
      @cynthiastogden7000 Рік тому

      💜🐱⚘.. my cat is 17 tomorrow but struggling a lot. I don't think she has long. I have had many cats but miss then all.

  • @RavenFilms
    @RavenFilms 2 роки тому +27

    I don’t know what it about having someone petting a cat while talking about what many would consider a kinda dry topic, but I think it boosts viewer retention.

    • @RN-df5ws
      @RN-df5ws 2 роки тому

      It's a handy prop for anchors, especially those who have not developed a smooth body language

  • @teveddeli
    @teveddeli 2 роки тому +42

    I wish you lived in Sweden so my cats could have you as their vet.

    • @HelpfulVancouverVet
      @HelpfulVancouverVet  2 роки тому +25

      I wish I lived in Sweden for the delicious food and cozy table cloths, but I'll have to settle for visiting next time I'm in northern Europe :-).

    • @teveddeli
      @teveddeli 2 роки тому +5

      @@HelpfulVancouverVet You are much welcome here! :)

  • @ognimaeb
    @ognimaeb 2 роки тому +96

    Thank you for making this video! My cat was diagnosed with kidney disease aged just 5 (she's a rescue, so we don't know what might have caused it). It was a very steep learning curve, but three years later she's still happy and stable. Tanya's Comprehensive Guide to Feline Chronic kidney Disease has been an invaluable resource for us. I wish more people were aware of this condition, as early management really does make a huge difference.

    • @ymn202
      @ymn202 2 роки тому +10

      I have found so much useful information from the Tanya's CRF site, too. My cat also was a stray, and was diagnosed with early CKD at age 6 or 7. Good luck with your cat!

    • @ognimaeb
      @ognimaeb 2 роки тому +6

      @@ymn202 thank you, likewise! I hope your kitty stays happy and stable and you can share many years together.

    • @cynthiastogden7000
      @cynthiastogden7000 Рік тому +2

      Been using Tanya for many years when needed. Great info.

    • @colettejaques2559
      @colettejaques2559 11 місяців тому

      The food.....and vet care

    • @alwaystakethedetour3988
      @alwaystakethedetour3988 2 місяці тому

      Tanya's is amazing! So glad someone mentioned it.

  • @Its_like_the_T-Rex
    @Its_like_the_T-Rex 2 роки тому +76

    Kidney disease is so common but so hard. I lost my girl Lily last year to Kidney Failure. When she entered into stage 3, they don't lie when they say you have only up to 30 days left. Kidney failure is hard to watch. She battled it for 4 years before developing a Kidney infection and she got 6 months going from stage 2 to 4.

    • @spark_6710
      @spark_6710 2 роки тому +9

      They told you onlyb30 days left at 3rd stage !!? I think you meant stage 4 ?? I am very sorry for your beloved Lily ! Yes,very sadly kidney failure is almost inevitable for cats as they're sheer carnivores ! 💔💜🥁🐉🎤💕💞

    • @nelsrinden510
      @nelsrinden510 2 роки тому +16

      I know exactly how you feel. Loss to kidney failure is so devastating. I lost a cherished kitty to kidney failure amost 30 years ago. And I am not convinced that I have really gotten over his loss. I had to have him euthanized at the end, and it was the hardest thing I have ever had to do in my life. I have had several cats sinc then and I have loved them all unconditionally, but my pain still lingers once in a while, especially when I see a picture of him. So my heart goes out to you in your loss. It's been said we never get over the loss, we just learn to live with it. I wish you happiness and joy. Thank you for sharing your story.

    • @spark_6710
      @spark_6710 2 роки тому +3

      @@nelsrinden510 I totally relate to your experience, I've got too many !!! I never forget each one of mine ,like you said I've loved all of mine equally, unconditionally ,too !!! And people say time heals everything ! They don't know what they're talking about when it comes to this !! I still sleep with my cat's ashes( boxes ) in my bed ,though it's been 4 years now !! They didn't have to die like that ! I didn't get the chance to euthanize .I didn't get much of help from vets at all & lots of neglects !!
      I talk to all of my loved ones who aren't here physically anymore ! I recommend you to do so ,too ! I know it sounds crazy ! But ,it helps !! And they say the deads love us remembering 'em & love hearing us talking about them ! I believe that myself !! And I found out recently ,lots of my Y.T.friends do that as well !! Lol.💜💜💜💜💜🥁🐉🎤💕💞

    • @RONNIELA400
      @RONNIELA400 2 роки тому +1

      @@spark_6710 what do you mean you didn't get a chance to euthanize? I'm asking because I may be at that stage and I don't want to believe that's the best thing for my cat but you're saying you didn't get a chance to? Did your cat suffer, is that what you mean?

    • @spark_6710
      @spark_6710 2 роки тому +1

      @@RONNIELA400 My cases were different . As previously mentioned ,I didn't get a full support ,or help from the vets . I decided to let them go naturally as I wasn't getting real supports ,or help !! Vets had misdiagnosed my dogs in the past & ever since I disagreed ( I was right !!! ) with them & complained ,I got mistreated very badly, didn't ever get full support or help ,even harrased by their staff !!! Even worse !! So ,when I decided to get a help ,it was too late .
      If your cat becomes very lethargic ,stops eating or peeing ( then you have to take your cat to vet asap !! As she/ he can get a kidney failure & die ! ) ,or pooping ,or can't hold & defecates everywhere ,so on ,clearly losing the quality of life & will to live ,then it's the time .Natural deaths aren't always painless ,my cats suffered & I don't want your cat to suffer ! So,you should start talking about that with your vet ! How old is your cat ? Is your cat eating well ? Don't rush it ,but don't wait too long either when your cat's health keeps declining !! But,as long as your cat shows her/ his will to live ( eats ,drinks ,using cat litters & peeing/ pooping fine ) & you see life ( lights,sparks ,brightness ) in your cat's eyes ,then it's not the time to go ,yet !
      Euthanasia is tough mentally / emotionally ,but physically ,it's easier & it's painless .It used to be horrible !!( in the '70's to '90's !! ) Vets will make your cat sleep 1st then inject a chemical to slow her/ his heart down to stop ,so literally die in her/ his sleep .I had done that with my dad ,too ! It is far better than suffer their deaths ( my cat suffocated to die with his tail furs ,the vet denieded it !!! the other one had a heartattack in my arms from severe dehydration caused by distended bladder & kidney failure !!! )Wishing you & your cat the best luck !!! Sending you lots of hugs from L.A. !!! 💜🥁🐉🎤💕💞

  • @michelemaliano7860
    @michelemaliano7860 2 роки тому +6

    My daughter’s cat was in crisis. He had to go for check ups every two weeks. She was trained on administering subcutaneous fluids every 12 hours. She had to give meds and special foods. For a year her life revolved around the cat. She was glad to do it because that cat was her baby. The cat, I don’t think, knew it was sick. He acted normal. Playing and having fun. He did sleep a little more and his fur did not look great. But that could have been due to the fluids. Unfortunately, at his last check up he was diagnosed with cancer and diabetes. The little sweet boy only lasted three weeks after that. But for the last year he had a wonderful life.

  • @benk5623
    @benk5623 Рік тому +7

    Thanks, I just ordered the special food for my boy, the vet was recommending I put him down 8 months ago but I took him home instead after some hospitalization and he has been doing really well. He started vomiting again recently so im looking this up now, Its just so hard to get this info and get treatment when you dont have money to bring your cat in a few times a year for lab work. But im going to do my best because he is my boy, he has had many more Purrs since that day when I signed the paper for them to take him away, Im glad I couldnt let them take him and decided to let him die at home with me. I had to use a baby syringe with wet food at first to get some strength back in him and then he just starting eating on his own again one day. He had been almost a month without food. I now have food and water cameras so I can keep better track of these things. I didnt even notice he was sick until he was reeealy sick. anyway thanks, stay strong if your in the same boat.

  • @dancingottergirl
    @dancingottergirl 2 роки тому +35

    I lost my sweet Danu to kidney disease and cancer earlier this month. Subcutaneous fluids every day for a year when it got bad, bloodwork, and a constant eye. He was my best friend for 18 years. I wish I knew more earlier but I learned as fast as I could and did my best. The sooner people know about how to help maintain this disease the better. Hug your furry friends close

  • @kyle-carpio
    @kyle-carpio 2 роки тому +13

    I wish this video existed at least 5 years ago...
    It was very late for me to denoise my Cat as we never knew this disease existed in Cats. By the time we did try to keep my Cat normal, it was almost impossible to do. Sadly, we had to put our Cat down and it seems like he knew himself it was something he could not suffer long enough. It was in too much pain to go through living and he was around 8-9 years old. He passed away in 2019 for those who are wondering.

  • @mangobreadd
    @mangobreadd 2 роки тому +82

    What a cute thumbnail design! I love how helpful this channel is...it's really a gem!

  • @javorana
    @javorana 10 місяців тому +12

    I just want to hug you!! Even though this video is two years old, you don't know how on time it is for me to see it. My cat was just diagnosed with very early signs of kidney disease, and the vet wasn't very informative on what to expect from now on. Just sent us for more tests. So I was beginning to panic and feel hopeless. All this information that you give here finally calms me down. I know now that our situation is not fatal, at least not in the near future, if I do everything right! So , thank you, thank you, thank you! All the best for you and your lovely cats!

    • @emptythoughts3060
      @emptythoughts3060 9 місяців тому

      I know the feeling. Exactly why i came here too.
      I was panicking and spiralling tbh. This video is reassuring. How is your cat now? What was the treatment that doc suggested?

  • @usagilamperouge
    @usagilamperouge 2 роки тому +20

    My babies are ... Well babies (1 year and 2 years) but I'll research on ways to prevent kidney disease.
    Thank you for explaining so well

    • @FMiracleU
      @FMiracleU 2 роки тому +2

      The most important thing is to feed our kitties food rich in moisture so no kibble.

  • @pommebour5354
    @pommebour5354 2 роки тому +74

    Our little Chuckles (not so little,she's nearly 15!) just got diagnosed with very early stages of kidney disease (she's getting blood work every 3 months due to another condition, so that gets checked too). She's now on renal food (which she's not amazingly impressed with), and she's got a water fountain which she loves!

    • @karindickinson7993
      @karindickinson7993 2 роки тому +4

      Pomme Bour: our litlle girl , only 17 years !!! , had bad blood results concerning her kidneys. She immediately was put on new cat biscuits and wet food, which has helped . Her kidney results are stable , every 6 months a blood test) or if needed every 3 months.
      The main thing is, regular check ups and she will stay well .
      All the best, thinking of you and your cat.
      I only know so well, changing the food, very, very tricky. A good thing is she loves water. Eveywhere in all the rooms is water for her available. Its not, she is lazy, but whereever she is, she quickly can drink.

    • @pommebour5354
      @pommebour5354 2 роки тому +2

      @@karindickinson7993 Glad your cat is getting better! Chuckles has blood test every 3 months for a condition she's got and they systematically also check her kidneys. Her results were normal just three months ago and she is "just outside" the normal range (they did a second test to confirm that) . She seems completely fine, playful, and has her appetite (even if a bit reluctant with the new wet food - she does like the kibbles though!)

    • @karindickinson7993
      @karindickinson7993 2 роки тому +3

      @@pommebour5354 💖♥️💖👣🐾👣 I keep my fingers crossed, that your lovely cat still has good years with you, as we wish for our beloved moggy ROO. 💖🐱🐾🐱💖

    • @karindickinson7993
      @karindickinson7993 2 роки тому +3

      @@toriless It is so sad , to hear this. Hug you !!!
      Let us hope, that our old beloved MOGGY ( 17 ) eats properly again. I hope, once the new dosage for her THYRIODPROBLEMS kicks in, she will eat again. She has gone several times to her food bowls for nipping cat buscuits. That's a small success.
      Next week her teeth are cleaned( tartar) and there is a small inflammation too.
      All together adds up.
      She gets up, walks around, their is life in her.
      But one big thing : SHE AVOIDS ME !!!! I AM THE BAD MUM !!!
      I GIVE HER THE MEDICINE !!!
      I feel so unhappy about it, but I still love her dearly. I know why she does it. I want to make her well and she doesn't understand the reason.
      My beloved old MOGGY, please stay with us a little longer . You tell us, when your time has come .♥️🐱♥️🐱♥️🐱♥️

    • @lucyreds
      @lucyreds 4 місяці тому

      @@pommebour5354I know is being two years since you commented this but my cat that is looking grate and had labs with normal leves 5 months ago, is know with not good results, the levels of creatinine and urea are quite up, is your cat still with you?

  • @HelpfulVancouverVet
    @HelpfulVancouverVet  2 роки тому +66

    Check out the follow-up LIVE Q&A session on cats and kidney disease here: ua-cam.com/video/BXXkiSkAYMk/v-deo.html

    • @jess_ismore
      @jess_ismore 2 роки тому +1

      Should I have any kidney-related concerns if my kitty came back "very positive" for feline coronavirus? The vet has been really vague about what we need to do next. Her liver and kidney tests came back normal. I want to be proactive.

    • @HelpfulVancouverVet
      @HelpfulVancouverVet  2 роки тому +7

      @@jess_ismore If its just feline coronavirus then no.

    • @seledia
      @seledia 2 роки тому

      Q: for the blood work that check out the kidney function, is it mandatory that cat don't eat anything 8 hours prior? (the lab person told me that if the cat eats it will mess up the results; I just want to know if it will mess it up badly or the results will still be relevant. I can't keep my outdoor cats for 8 hours in a cage, to make sure they won't eat anything, that's why I keep postponing the appointment). Thank you!!

    • @phoenixfire8978
      @phoenixfire8978 2 роки тому +2

      Q: How does kidney diseases affect treating other chronic conditions in cats? Mine had kidney disease, arthritis, and asthma. And when it came to managing her arthritis I was told that many of the more common medications can exasperate the kidney disease. Is this true with multiple conditions?

    • @AzharZhanazarova
      @AzharZhanazarova 2 роки тому

      Thanks for the helpful video! In the follow up, I would really appreciate if you could speak about treatment options for cats with both heart disease and kidney disease. Our cat is 10 and so she couldn't receive fluids when she collapsed because it would cause heart failure.

  • @catbriggs8362
    @catbriggs8362 Рік тому

    With all respect, we're living in difficult financial times. Many of us cannot afford ideal healthcare for ourselves, much less for our pet (although my cat's health comes first!) Prices here in the US are rising weekly. It's not just food, it's medication, fuel, electricity--you name it. I do take my cat to the vet frequently, keep her vaccinations up to date, have an annual exam, make sure I clean her teeth each night, buy her good-quality food and do the best I can for her. Pet ownership is a responsibility. I wouldn't adopt a cat if I couldn't reasonably pay for her vet bills, but there's a limit. Unfortunately, that's the reality for most of us, especially those living on a fixed income.

  • @1961Lara
    @1961Lara Рік тому +2

    I have just lost my 17 yr old and my 20 yr old to kidney disease. I am still heart broken. I have one more 20 year old left!

  • @keibey
    @keibey 2 роки тому +10

    My Hope had stage four kidney disease since he was five (he was born with an irregular kidney) and somehow managed to make it to age ten before he had to go last year. When he had his last acute episode, one of the values that was supposed to be in the 300-400s was elevated to 1.4k and the vet frankly told me he had no idea how Hope was still alive. He was a tough little cookie! Hope he's having fun chasing birds in cat heaven.

    • @bigbad_
      @bigbad_ Рік тому

      What things you taken cares please share the details

  • @meganhuffmanwrites
    @meganhuffmanwrites 2 роки тому +95

    I'm so happy to see that Mr. Pirate will be joining us for this video! I am very excited. I have a 16 year old Japanese Bobtail at home and our vet has just diagnosed her with kidney disease in March. I can't wait to hear what you have to say about this topic because I have been beside myself with worry about her from this diagnosis.

    • @spark_6710
      @spark_6710 2 роки тому +2

      Sorry to read this ! Regardless the age of your cat ,wet food alone is much better for your cat ! Dry food causes lower urinary tract disease in cats especially males also kidney failures which happened to my cats !! I am sending you lots of love & hugs from L.A. !!! Hoping everything will be alright with your cat ! I cooked meals every other days for my cats to heal from lower urinary tract disease ! One healed completely, but the other one had a congenital issue made him prone to ...he almost healed but not completely & that led to a distended bladder ! And kidney failures ,both acute & chronic ! 💜💜💜💜🥁🐉🎤💕💞

    • @spark_6710
      @spark_6710 2 роки тому

      @@toriless I am very very happy for your cat & you !!! Yes,diet is the key !!! Please do not feed dry foods ! As it leads to lower urinary tract disease and kidney failures which happened to my cats ! 💜💜💜💜🥁🐉🎤💕💞

  • @callmedrz8900
    @callmedrz8900 2 роки тому +4

    Thank you. I really need this. I’ve been crying all night. One of my cats is diagnosed to have a kidney disease. I hope that I can keep him happy towards the end of his life.

  • @damianp564
    @damianp564 2 роки тому +55

    Thank you. I hope people watch this before it's too late. I wish I knew the warning signs to look for when our elderly cat started succumbing to kidney failure. She lived 17 years. The last couple months and especially last two weeks were difficult ones. I became a pro at administering subcutaneous fluids but it's definitely not something I wanted to have to excel at. After her initial crash we were able to nurse her back to a few good months but just as it seemed like she might go on for another year or so the disease got worse. It's truly heartbreaking but if caught in time you can add so much more to your cat's life so don't give up hope.

  • @Leguminator
    @Leguminator 2 роки тому +15

    My 19 year old guy will not eat kidney diet wet food recommended by the vet. I tried every recommended method of easing him into a new diet and different brands and big Nope!, he just won't eat it to the point of weight loss, lethargy, he lost interest in playing. The tiniest whiff and he won't touch the bowl, this went on for weeks. I even tried adding a single morsel of the wet food to the old food and he wasn't having it for days. I made it my mission (even made a daily spreadsheet, that's what quarantine can do) to make him eat the kidney diet wet food but my obstinate old man beat me at my own game. Man he's stubborn!
    Finally I tried the Royal Canin renal diet dry food and he loves it. It's like he's going through a geriatric renaissance. He's putting weight back on, he's affectionate again, he's gotten more playful again. I've gotten mixed messages from my vet practice --- one doctor says wet food full stop no exceptions, the other says if dry is all he'll eat to go for it. Fortunately his blood work has him on the high end of normal, the vet just wanted to get ahead of the game with his diet. I guess I'll know in the fall when he goes in for his biannual (twice a year at his age) tuneup & blood work, but for now he's a happier guy than he's been in a while. In the meantime I may try again to hide a morsel of wet renal diet to his dry renal diet kibble, we'll see.

    • @neuralmute
      @neuralmute 2 роки тому

      Cats are such weird, stubborn, picky eaters sometimes! My girl is 8, has IBS, and will *only* eat her Royal Canin Digestive Formula dry food. Granted, any food not formulated with extra high fibre for cats with digestive problems will be difficult for her to digest, but still, that particular food is ALL she will eat!
      I guess Royal Canin make good foods for cats with health issues?

    • @seledia
      @seledia 2 роки тому

      Some say that Fortiflora is a good appetizer (by sprinkling it on the food). Mines love Fortiflora, but will lick it from the top of the food.

    • @Leguminator
      @Leguminator 2 роки тому +6

      ​@@neuralmute I think my old guy goes online when I'm not home and looks for the most expensive food and decides that's what he wants.

    • @HelpfulVancouverVet
      @HelpfulVancouverVet  2 роки тому +8

      You can find a link to my video on getting cats to eat in the description but yeah, in some cats getting them to eat ANYTHING is a challenge, and if you have one of those, you take your wins where you can get them. Sounds like you are doing a good job though, and found an appropriate wet food that your cat will thrive on, so good stuff!

    • @neuralmute
      @neuralmute 2 роки тому

      @@Leguminator I'm sure my girl's been looking at cat food prices online too!
      She's such a spoiled little beastie! XD

  • @hherroyal05
    @hherroyal05 2 роки тому +18

    Hi, I think your chat stopped before I could share this link to Caitlin Doughty's channel Ask A Mortician. As I mentioned, my dear cat Tabitha died at age 20 from end-stage CKD, and I did not know anything about mobile services when the disease was far-gone. As you said, CKD is insidious and unless you are vigilant, even regular vets don't make a big deal about it at a certain age. At the end-stage, she was vomiting several times a day (because the CKD led to pancreatitis) and had a bleeding squamous cell tumor in her mouth. I tried to give her Pepcid orally via syringe for her upset tummy, but it helped very little. She was obese, severe arthritis, and could barely care for herself. She couldn't clean herself anymore. She developed a wheeze and got very constipated. It started with CKD4, and every few days there was another problem. I took her to a vet dentist when my regular vet saw a tumor in her mouth - the vet dentist said that he could resect the tumor and remove some of her jaw, but she would be on tube feedings indefinitely. At a cost of $3,000 USD. It would have been worth it if she would be healed, but c'mon - she was 20 and had so many problems. It broke my heart that she now had a terrible tumor in her mouth, because food was her favorite thing. She still loved to eat, especially wet food. So the myth that dry food causes CKD is incorrect. It is a degenerative disease - at a certain point in life, a lot of humans develop CKD and it affects their heart, their digestive systems, and their ability to tolerate IV fluids for rehydration. Back to Tabitha - at that point, I just knew that there was one way this would go and it would just mean horrible pain for her. At this point, I was taking her to her regular vet ALMOST EVERY 2 WEEKS because the vet refused to renew her narcotic pain medication without a visit to evaluate. I know that a lot of vets are more compassionate than to require such a thing when they themselves made the end-stage diagnosis - but in my area, vets are hard to get appointments for as they are a hot commodity. I know that there are amazing vets who are more than an hour's drive away - but Tabitha hated going to the vet. She would pee and poop in the carrier and cry nonstop. There are vets who do provide mobile services. I live in the Bay Area, CA, and there are vets who can come to the home when pets are dying - in order to avoid the traumatic last visits to a vet in order to have pain medication renewed. I am also an RN who did human hospice, so this was something I sought out in order to provide palliation and a good death. This link ua-cam.com/video/kORGk6s1C_s/v-deo.html is extremely moving but very useful. This was the service I used peacefulpathways.com which serves my area. The vet was available for emails - which, being upset and worried and freaking out, I admit that I used a bit too much but I was distraught. The vet arranged, via a special pharmacy that compounds medications, for Buprenorphine and Gabapentin, in addition to Cerenia, to be delivered to my house. She came to my house when Tabitha was obviously declining rapidly, and I didn't want the end to be horrible, and she put her to sleep in our home. It was incredibly sad - but she was home. I hope that you can devote a segment of your channel to end-of-life and options for palliative care. Thank you! I don't want to depress anyone and this is a hard topic. But if your cat is at an end-stage, look into the options available - it may really surprise you. Love your channel.

    • @hherroyal05
      @hherroyal05 2 роки тому +3

      All of her medications were compounded transdermal. So I could just rub them into the lateral parts of her ears (where the little divet is). She was very comfortable at the end.

    • @HelpfulVancouverVet
      @HelpfulVancouverVet  2 роки тому +6

      Compounding and transdermal meds are amazing tools that we should all remember more often (me included).

    • @hherroyal05
      @hherroyal05 2 роки тому +3

      @@HelpfulVancouverVet I know this is a service which requires some investigation. But I titrated her up all on all of her medications over a period of 2 months, and while the transdermal route isn't as immediately effective as the oral route, cats' ears are very thin with heavy blood supply, so transdermal medications are gentle to their systems. Our hospice vet also supplied oral sublingual Suboxone. Just having to not take her to a cold clinical vet office and making her last moments terrifying meant a lot to me. It didn't help the grief, except for the fact that we had comfort knowing she was with us in her home at the end. It's a tough subject - but CKD is ultimately an end-stage condition. This needs to be put out - it can be controlled for a bit, but it is bad for cats. We as a community need to know what the resources are for the end stage. I feel that this is hard for you - maybe I am getting it wrong - could we have a link to help us for end-stage diseases? Thank you, Dr Yuri.

    • @noellem9319
      @noellem9319 2 роки тому

      If you are in the Tacoma/Kitsap Peninsula area of Washington State I recommend Dr. Heather Houser. She helped my girl cross. She was amazing. She came to my home in the middle of covid.

    • @noellem9319
      @noellem9319 2 роки тому

      Also ask a mortician is amazing

  • @archstanton1161
    @archstanton1161 Рік тому

    Paul Reiser… It finally came to me.

  • @clevelandrocks1-ow5nc
    @clevelandrocks1-ow5nc Місяць тому

    Very clear description of kidney disease. Thank you.

  • @RenayVildhjarta
    @RenayVildhjarta 2 роки тому +16

    Thank you for being such an Eloquent, Humble & Compassionate Advocate & SAINT for the Vet/Pet community. You are Truly sent from Heaven❣Thank you seems so understated
    Sending Great Gratitude & Appreciation, Big Blessings & LOVE, Many Mercies & Compassion and All the Luck & Joy🍀✌🏽❤🙏🇨🇦May All be Free from Suffering

  • @TheKatred
    @TheKatred 10 місяців тому +8

    "I don't need to know about nutrition, I'm a vet," he says. Sadly that's why even good vets like this one just read the press release from the feed companies that manufacture the pet equivalent of McDonald's. Doctors should know health begins and ends with what we (and our pets) eat. Nutrition needs to be taught at veterinary schools.

  • @shanejohns7901
    @shanejohns7901 5 місяців тому

    In my crash-course on kidneys and cats, I learned that liver disease and kidney disease are somewhat polar opposites in terms of what to feed them. If they have kidney disease, foods with grain are better than 'grain free' foods with high protein content. The higher protein content becomes a problem with kidney disease. But with fatty liver disease in cats, the high grain can just deposit as more fat into their livers, causing further damage. But they have to eat something. If they don't eat something, they'll start to steal protein from their own muscle mass (including heart), which is terrible. If you have a cat that is farther along with kidney disease than with liver disease, I'd go with a more grainy diet. But if their liver disease is more advanced than the kidney, I would go for grain-free most feedings. This is why you need bloodwork done regularly. I also noted that mammals (cats) seem to revert to a kind of cold-blooded self-thermal-regulation -- looking for cool and warm spots as appropriate with kidney disease. Warmed up, their kidneys seem to work better, but it is also exhausting for them to be warmed up. Their respirations per minute and heart rates go up, but the kidneys do their job a little better it seems. And if they cool themselves down, it seems the kidneys either stop completely until they warm back up, or they filter at a much reduced rate. It's like they get a natural dialysis treatment when they warm themselves up. They kidneys release something that is used all throughout the body that regulates body temperature. And as that natural ability starts to fade in the damaged kidneys, the animals tend to control their body heat the only other way available to them -- by selecting warm and cold spots to lay in.

  • @tedtalksrock
    @tedtalksrock Місяць тому

    My idiot vet completely missed kidney disease until we reached crisis point. And then they STILL didn’t put it together…By the time we figured it out (thanks Internet) she was in crisis. Ugh, it is heartbreaking. If only we had given her sub Qs earlier she would have been better. We are giving them now, and it makes such a difference but it may be too late for her now. 💔

  • @redram5150
    @redram5150 2 роки тому +23

    I want to thank you for all the help you’ve given me with my cats. I’ve had Winston and Lenina since 2002. They both lived good, long lives thanks to your help. She passed two years ago at seventeen and I lost him earlier this week at nineteen. It’s hard to say goodbye to anyone you’ve called family for the best part of two decades. I miss them dearly, but I can go to sleep knowing I was able to do all I could for them with your guidance. Thanks, Doc .

  • @jenverar1547
    @jenverar1547 4 місяці тому +3

    My cat just passed away due to stage 4 kidney failure last January 11, 2024.

    • @wonntonn7992
      @wonntonn7992 Місяць тому

      Im sorry for your loss… my little buddy passed two days ago, so I’m watching this to educate myself as to not repeat it. I know how hard it is. I hope you’re doing OK.

  • @-runningwithscissors-9766
    @-runningwithscissors-9766 2 роки тому

    MANY recent research studies have stated that too much protein is NOT the problem in CKD, rather cats with CKD should be fed a high protein diet to prevent muscle and weight loss. I have been feeding my cat that has CKD a high protein diet (Young Again LID, recommended for CKD, low phosphorous, etc.) along with a kidney supplement (Only Natural Kidney Support) for three years and she has already lived one year beyond the prognosis given by my Vet.

  • @alwaystakethedetour3988
    @alwaystakethedetour3988 2 місяці тому

    This at 16:56 cracked me up 😹 😻 I wish there was a cat only vet where I live!
    "… that's why I find working with cats so rewarding because treating an animal that wants to murder you is just a special kind of awesome…"

  • @nuniabidnez1182
    @nuniabidnez1182 2 роки тому +30

    My last 2 senior fosters both passed from kidney disease at 17, was heartbreaking. They refused special food so my vet compromised and told them they could have crappy wet fancy feast (no tuna or salmon) as long as they promised to eat it with healthy crunchies sprinkled on top.
    Never heard of calcitrol, I'll make a note of that for the future.

    • @spark_6710
      @spark_6710 2 роки тому +7

      Actually fancy feast isn't bad at all from the well balanced nutritional ratio points of views ! When you calculate to convert the wet form to dry matter ,you'll see ! Aside from arguments on by- products .Especially their turkey & giblets is an excellent one !! So called " premium" wet foods aren't any better !! Not to mention the prescriptional foods!!! That's why your cat refused it !! As it didn't match your cat's palate. I don't blame her/ him ! 😅
      I am so sorry for your losses & yes,it's very very hard ! Sadistic disease ! 💔
      I thank you so much for fostering senior cats !!! That's so sweet & precious 💖 The cats were very lucky to be with someone like you ! 💜🥁🐉🎤💕💞

    • @nuniabidnez1182
      @nuniabidnez1182 2 роки тому +5

      @@spark_6710 good to hear it's not that bad! I call fancy feast 'cat crack' because even the pickiest eaters dive right in haha.
      Thanks for the lovely compliments, that's so nice of you 🤗 I take seniors and last chance cats, have an inappropriate pee-er right now. Hasn't done it for over year so it's working out better than expected yay. 😻😸

    • @mayjo7444
      @mayjo7444 Рік тому +1

      Nunia Bidnez, you meant not to give tuna n salmon to cats?

    • @nuniabidnez1182
      @nuniabidnez1182 Рік тому +3

      @@mayjo7444 tuna and salmon are high up on the ocean food chain and are older/larger when harvested. So a higher level of toxins builds up in them from the marine life they ate, multiple times their own weight in a lifetime. Also salmon has almost 2x the phosphorus as most whitefish and that's one of the things you're avoiding on a KD diet. So if the goal is to avoid accumulating toxins that can cause damage and reduce the amount of work the kidneys need to do, fish is not your cat's friend.

  • @cheekykiki5951
    @cheekykiki5951 2 роки тому +6

    My sweet little Minnie has had kidney problems for about two years. She’s strong at age 13!

    • @kekamirza
      @kekamirza 2 роки тому

      In what stage was she diagnosed?

    • @cheekykiki5951
      @cheekykiki5951 2 роки тому

      @@kekamirza she was diagnosed stage 2 I’m pretty sure

  • @aish125
    @aish125 2 роки тому +25

    I lost my first cat to CKD.He was doing good,then contracted UTI by Multidrug resistant Pseudomonas aeruginosa .There were few Antibiotics worked for him.But those were only injections.I had to inject them to my cat 3 times a day.I understand a cat with CKD are weak against infection,I wonder why he got Multidrug resistant Pseudomonas aeruginosa.(maybe it's everywhere?)
    He passed 2 weeks after 19 years old birthday.I borrowed Oxygen generator(We can borrow them for pets relatively cheap)because he was so anemic,despite he got a shot of Hematopoietic agent.He passed by my side.I hope treatment for feline CKD will advance.

    • @spark_6710
      @spark_6710 2 роки тому +2

      I always thought about oxygen generator or masks for my cats !! Nobody told me ,though ! Very sadly they both passed away 4 years ago ! I am very sorry for your loss !💔💔💔💜🥁🐉🎤💕💞

    • @aish125
      @aish125 2 роки тому +1

      My vet told me about generator.(There is a company in Japan (Edit:where I live)which rents generator for pets relatively cheap)I'm so sorry for your loss too!💗💓💓 I wish Oxygen generator for pets will be available easily many places.

  • @solitonmedic
    @solitonmedic 2 роки тому +3

    It’s a bittersweet episode, my cat died to some disease similar to cancer.
    I miss her so much.

    • @dianab7472
      @dianab7472 2 роки тому

      @@toriless How rude you are!!!

  • @unrequitedmusic8004
    @unrequitedmusic8004 2 роки тому +16

    It's intimidating when your cat is diagnosed, and treatment results vary widely. However, we had a cat diagnosed with kidney disease at the age of ten. With fluid treatments and diet changes, she lived another 2 1/2 years and you would have never have known anything was wrong with her. Once you get used to administering the fluids, it becomes second nature.

  • @tardisdance1236
    @tardisdance1236 2 роки тому +24

    I have 2 fountains for my cat since she loves her dry food and I want her to keep hydrated to avoid kidney disease. She was a hoarding rescue and it’s been difficult to break her old habits. I’ve only gotten her to eat one 3 oz. can of wet food a day (she grazes on it all day) and that took over a year to achieve. I hope it’s enough.

    • @sirBrouwer
      @sirBrouwer 2 роки тому +5

      have you tried to soak the dry food a bit?

    • @soccermom1245
      @soccermom1245 2 роки тому +6

      another idea is to serve chicken broth or just simply cooked chicken or other meat. Our elderly cat has avoided kidney disease so far eating Sheba, chicken breast, beef, etc. He also enjoys the fountain.

    • @tardisdance1236
      @tardisdance1236 2 роки тому +1

      @sirBrouwer she had to have a tooth removed back in April, and my vet suggested dry soaked in water since she wasn’t supposed have hard food. She went on a hunger strike when I only gave her this along with her usual wet food. I gave in and luckily she didn’t break any stitches.

    • @tardisdance1236
      @tardisdance1236 2 роки тому +2

      @@soccermom1245 I started her on soups and that’s when she started eating some wet. She now hates those since I started giving her Fancy Feast. Not the best food but at least it has a lot of moisture. I tried better quality stuff but she snubs it.

    • @amys2056
      @amys2056 Рік тому

      Do not soak kibble in water. It develops toxic mould. Freeze-dried food that need to be dehydrated is different because it contains no grain/corn.

  • @peterrichard3706
    @peterrichard3706 2 роки тому

    That cat u got there likes u very much

  • @cookingforsingles
    @cookingforsingles 2 місяці тому +1

    I hope it's not too late for my boy. This video might have saved his life. Only time will tell. We didn't catch the ckd early enough (bc of reasons) and he won't eat the renal food. I'm hoping it's not too late.

  • @gastonbell108
    @gastonbell108 2 роки тому +30

    Always a joy to see you demonstrating with Mr. Pirate. You two are pretty much the perfect cat-owner relationship that everybody aspires to.

  • @kaworunagisa4009
    @kaworunagisa4009 2 роки тому +4

    Okay, starting a week with some heavy stuff :) I had a CKD cat,we fought it for 1.5 years before she, sadly but inevitably, passed away at not-quite-14.
    For anyone researching feline CKD, Tanya's site is a treasure. Google it -- I won't put a link here, YT autodeletes comments with links. Don't use it _instead_ of qualified professional vet help (if you have access to it, which I didn't, at least not consistently), but use it to learn and understand this whole thing. BTW, Tanya is not the owner's name, it's Helen. Tanya was her first CKD cat.

  • @user-bo9pe9oz5c
    @user-bo9pe9oz5c Місяць тому

    I got my cat bloodwork, urine test and checkup, because she was drinking more. She was on a wet-food only diet for years and rarely drank water, so this was strange. Vet said her values were normal. She was turning 17 at that time. Six months later she went into a crisis from undetected kidney disease after developing a UTI, and had at least a couple other problems. I'm still mad and guilty that the tests didn't catch her health issues after doing 'the right things'. The only option was a $5K treatment, just to 'see if she would survive'. We had to put her down and my heart is broken forever. I'm sharing this so that anyone in a similar position might feel comforted that sometimes, it's out of our hands. We did everything we could with the knowledge that we had. Even if you do the yearly checkup, even if you feed them the right diet...She had no health issues and was on no medications until she died at 17.5.

  • @EmpressLishy
    @EmpressLishy 2 роки тому +19

    My 16 year old cat was, I guess, in uremic crisis based on what you described. We immediately took her to the vet who said she probably wouldn't last the day so we made the decision to end her suffering. It was awful. Listening to this video makes me wonder if the vet should have done more and we could have saved her. We didn't do any of the things you said and looking back, maybe we should have. I have so many regrets and a lot of guilt with that cat just because of my lack of knowledge. I have made it my mission since then to become a more informed cat guardian. Thank you for making this video so I can be more equipped to discuss treatment options with my vet if it ever comes up again.

    • @MK-ih6wp
      @MK-ih6wp 2 роки тому +2

      I am so sorry for your loss. May I ask, what were the symptoms that she presented at the vet?
      I am worried the vet we see tmw might not be as smart or well-informed as UA-cam's most compassionate vet, Dr. Yuri.
      Do you think you will get another kitty someday?
      It would be nice to put all this new health information into practice, and be the best damn cat guardians we can be.

    • @EmpressLishy
      @EmpressLishy 2 роки тому +3

      @@MK-ih6wp Thank you. Her symptoms were that she could barely walk. She was vomiting but not much was coming up, she was very lethargic, and was down to 4 lbs. I had no idea that even in this state fluids could be given and an overnight stay at the vet may have been the key to keeping her alive. We'll never know. She passed in September of 2010 and we adopted 2 sisters that December. Almost 2 years ago we rescued another cat from our back yard so now we have 3. I am definitely more informed now than I was 11 years ago. Just wish I would have known then what I know now.

    • @MK-ih6wp
      @MK-ih6wp 2 роки тому +1

      @@EmpressLishy My cat has similar symptoms right now. But the vet said her blood work looked good, kidneys thyroid were fine, she just has a UTI & needs antibiotics.
      But that doesn't seem right to me, my cat is like super sick. Wobbley & weak & skinny, so thirsty, looks miserable, although she is still eating.
      I hope the antibiotics help her, she also gets her first fluid IV today. Hydration is key.
      Glad you guys adopted more furry friends! They need us just as much as we need them. Invest in a cat fountain if you havent yet, esp male kitties. Then you can hopefully avoid chronic kidney problems.

    • @EmpressLishy
      @EmpressLishy 2 роки тому +1

      @@MK-ih6wp Good luck with your kitty. I hope her treatments work and she gets well soon. And I do have 2 cat fountains. :)

    • @MK-ih6wp
      @MK-ih6wp 2 роки тому +5

      @@EmpressLishy she is 10x better, in just 24 hrs! The vet gave her subcutaneous fluids & it made a big difference. Keep that in mind if you ever have a dehydrated kitty! It only cost like $40!

  • @MrNightx2
    @MrNightx2 2 роки тому +1

    I lost my cat yesterday to kidney disease after a very long battle.. it was heartbreaking and shocking for all of us.. he started developing ckd a year ago yet we never knew until it was at stage 2.. we started treating him every week, his condition was stable until all my cats got infected with calicivirus.. they all got better except for the one with kidney disease, it was so much for him to handle and his condition got worse and worse every hour.. until yesterday when we went to the hospital where he was hospitalized and we saw that his condition is hopeless and he was in so much pain that his mental condition is alot worse and he didn't even recognize us.. so i had to take the hardest decision of my life and put him to sleep.... he was my first and most beloved cat.. i always considered him my best friend and a source of joy to me and my family... you'll forever leave a gap in my heart, Ceaser.. 25.5.2022

  • @scarlettrhettforever
    @scarlettrhettforever 2 роки тому

    My Siamese cat 4 years old has it. At such a young age.

  • @Melinamiu007
    @Melinamiu007 2 роки тому +3

    I love when his punum faced the camera 🐱

  • @tangles6517
    @tangles6517 2 роки тому +4

    I adopted an 18-year old kitty grandpa two months ago. His name was Gismo and he's black, his chin is bald so the pink skin shows 😂 He was very sweet and agile despite his age and one day he just fell down and stopped walking. We took him to the vet and they discovered a huge tumor in front of his pancreas.. He was put down the same day. I didn't expect it to go that quickly because he never really showed any signs of distress before 😿🐈‍⬛ A video on pancreatitis or cancer would be really helpful! I love you guys. RIP Gismo.

  • @user-qg2zd1nv1r
    @user-qg2zd1nv1r Рік тому +2

    My cat was diagnosed with kidney disease 3years ago. She has been managed by kidney diet. She is turning 10 next feb. she also has a apricot sized cancer next to her pancreas. I am just happy that she is still eating, meowing, playing, wondering out in the garden, still catching little mice. I hope she can live up to 15. My other cat is also on her diet because they are related and share biscuits.

  • @lafther210
    @lafther210 Рік тому

    Lost my 5 year old cat to a kidney diseases. He caught an infection, it was as if he had a cold. Gave him the treatments but he never recovered. He was sleeping in a box most of day and had stopped eating, getting up only to drink and go to the liter box. By the time I got to the vet it was too late. :-(

  • @birgittazandhers9257
    @birgittazandhers9257 2 роки тому +5

    17:01 - Wish my vet had the same aproach!

  • @sunnyoak
    @sunnyoak 2 роки тому +15

    My cat is 20 with kidney disease, but thanks for the reminder to get her in for a recheck. She’s amazing…a tamed feral. Thanks for this helpful video. 👍🏼

  • @4pospisil
    @4pospisil 10 місяців тому +1

    My 19 years old cat has a kidney disease and suddenly was a severely constipated. The vet did everything correctly and my cat Micka is recuperating. Thank you for the video, I wish I have watched it sooner.

  • @garyd2879
    @garyd2879 7 місяців тому

    I adopted my cat at 5 years ago. I've had her for ten now. My first vet ignored her kidneys but my new one says she's got kidney disease. I'm giving her a phosphorus binder and stuff to help her kidneys, vitamins etc, and Azodyl, her new vet gave her this, hopefully she'll live until I die but I'm doing all possible to help her.

  • @cathleenwedlake4705
    @cathleenwedlake4705 2 роки тому +8

    I wish I had this thorough information before my Missy passed away at 17.5 from kidney disease. I watched her go from 11 lbs. to 8.5 in the latter stages. I learned how to give her subcues, but she had no appetite most of the time and lots of vomiting. Her Vet did not suggest hospitalization. I was lost for answers and left with a dwindling bank account. I know now what to do if need be for my next fur baby. Thank you much for sharing your knowledge with us and helping us understand what we can do to help our Cats. Listening to you from Paso Robles, CA.

    • @kekamirza
      @kekamirza 2 роки тому

      Pls give me some suggestions. My 11 year old cat is in stage 3 kidney disease. What should I do?

    • @frontlinemedia4270
      @frontlinemedia4270 Рік тому

      So sorry. I just lost mine and I suspected a kidney problem but didn't know all this. He was about 20 yrs old

  • @barryf5479
    @barryf5479 2 роки тому +22

    Going through this now with my cat. Also hyperthyroid and on methimazole transdermal. BUN is 46 and T4 was stabilized to 2.4 but edged up to 4.6 over last two months. The problem is progressive weight loss over about three years from about 9 Lbs. to about 6.0 right now. She has a decent appetite though but doesn't seem to be able to metabolize sufficient calories. Weight loss has stopped in the last two months but still unable to gain.
    Looking forward to your information on CKD.

  • @christinacarter4454
    @christinacarter4454 2 роки тому +2

    On the water intake, we bought a water fountain for our 1 year old cats (they're both male and I'm paranoid they'll get a blockage after a friends young cat died suddenly from this). I can't emphasise enough how much their water intake has increased! By how much I'm refilling it (and actually seeing them drink), I estimate their water intake has doubled.
    It wasn't expensive, only $40 but it's been worth every cent to see them drinking adequately.

  • @margeritahorvath8306
    @margeritahorvath8306 2 роки тому

    Thankyou doctor, my cat has kidney disease.

  • @PetrSojnek
    @PetrSojnek 2 роки тому +13

    My cat was looking perfectly normal, the only sign I got was, one day he started drinking water much more than usual. So I called my vet if that may be a sign of something and he told me "yes, please come tomorrow". He had very high levels of uria in blood, they immediately tried to give intravenous fluids, but after 3 days we decided to end his suffering. He was having water formed in lungs and started to have troubles breathing. My vet was totally confused, he literally said "if I didn't get this blood tests, I would say this is perfectly healthy cat" after cat spent 2 days in hospital. After the fact he asked me to allow performing autopsy and even contacted his friend who worked as a "cat coroner" in UK. It was indeed total fail of kidneys. I never stopped thinking if it was something we could have prevented or not.

    • @MK-ih6wp
      @MK-ih6wp 2 роки тому

      Heartbreaking, I'm so sorry. Was this recently? In UK?

    • @RONNIELA400
      @RONNIELA400 2 роки тому +2

      Oh my gosh, I'm going through this exact thing right now and that is why I'm here. My cat looks and is acting perfectly fine and the only reason I took her to the vet is because she threw up two days in a row and she wasn't eating alot and sure enough the test came back as kidney disease. Even the vet said she looks so healthy and beautiful. It's like one day she was fine in the next day she's dying. There was no lead up to this. This is truly heartbreaking!! They're telling me I should euthanize her if she doesn't get better with the IV ( she's at the hospital now, second night) and I can't wrap my mind around it because she looks so healthy!

    • @PetrSojnek
      @PetrSojnek 2 роки тому +1

      @@RONNIELA400 I'm really with you. I hope IV works (sometimes it can kickstart kidneys to be working again), I know it's heartwrenching, but please stay strong. Unfortunately sometimes life is as cruel as such... but life goes on.

  • @Abhorsen6930
    @Abhorsen6930 2 роки тому +6

    My dear cat recently passed from a sudden, aggressive kidney cancer that destroyed her one functional kidney. The other was completely shriveled and non-functional with no apparent cause. It was very sad, and having access to a video like this would've helped me understand what the problem she was facing was like. I'm glad it exists now - so it can help other people help understand the kidney function is in our feline friends.

  • @yvettemyers7472
    @yvettemyers7472 2 роки тому +1

    Easier said than done in regards to hospitalizing my cat for a few days to get fluids inside her. I can’t afford the cost. Me and some others do our best to be proactive by doing subcutaneous fluid therapy because that’s what we can afford to do.

  • @MURZBO
    @MURZBO 2 роки тому

    Excellent info doc 👏

  • @ymn202
    @ymn202 2 роки тому +4

    So looking forward to this video!

  • @zton636
    @zton636 2 роки тому +3

    The more I learn the better for Kaylee. Kay is. Having UTI and Kidney issues.

    • @zton636
      @zton636 2 роки тому +1

      Ironic. Kay just sat down next to me. She is so smart, beautiful, and sweet

  • @wandatorres3048
    @wandatorres3048 2 роки тому

    Very helpful.

  • @marilynncdufeliz
    @marilynncdufeliz 12 днів тому

    love this

  • @catherinehartmann1501
    @catherinehartmann1501 2 роки тому +3

    Awesome! So helpful! I learned so much. Thank you

  • @jpn_119
    @jpn_119 2 роки тому +4

    my cat has stage 1, and we are trying to manage it, thank you for the info.

  • @feliciaferrigno7467
    @feliciaferrigno7467 11 місяців тому

    I cannot tell you adequately how this video changed my life, I mean, my cats life. I watched this a couple of times, fumbled one or twice giving him his next pill, but after 3 doses, we are smoothly getting his pulls down, lowering the stress level of both of us. If you ever need a kidney, contact me!

  • @jem5108
    @jem5108 2 роки тому

    Very, Very helpful! Thank you!

  • @jalapenocheese7531
    @jalapenocheese7531 2 роки тому +13

    My cat was recently diagnosed with stage 3 renal insufficiency. We are doing more tests (second opinion) but I’m hopeful after watching this video. Thank you!

    • @kevinlikescakeu9279
      @kevinlikescakeu9279 Рік тому

      hii! i know it's over a year, but just wanna ask how's your dear cat now?

  • @Missy-ch6he
    @Missy-ch6he 2 роки тому +12

    Thank you for this!

  • @spaceplants1068
    @spaceplants1068 2 роки тому +1

    thanks!!!

  • @liizardmiilkmusic2608
    @liizardmiilkmusic2608 2 роки тому +1

    Thanks for the video!

  • @ChefMimsy
    @ChefMimsy 2 роки тому +12

    Thanks for this video. My 18 year old kitty was diagnosed with early kidney disease about 2 years ago. So far, he's been stable managing it with diet. We do bloodwork on him every 6 months because he's geriatric and I dread getting the results!
    It's comforting to hear you say the same things my vet says (he sees a feline specialist).
    The latest development is that his thyroid levels were slightly elevated. The poor kitty is just an little old man, getting older every day. Take it from me, getting old sux!

    • @makorepo11
      @makorepo11 2 роки тому

      Hi, may I ask what stage your cat was diagnosed at please? Thanks

  • @js-pb2kf
    @js-pb2kf 2 роки тому +5

    Thank you SO much for this video. My lady of a certain age was diagnosed with kidney problems earlier this year. It was wildly traumatic taking her to the vet three mornings in a row, the first day being the worst with insertion of the cannula (holy hell are her veins tiny!) and leaving her there without me. She resisted with all her might.
    The result was kinda meh, really. Her blood work only showed a moderate change but she seemed slightly better. So we are on Royal Canin renal anything and she eats it. (Hunger is the best chef) and her old protein laden treats have 99% been supplanted with kidney diet treats.
    I hope everyone here with a loved one who has this condition will have more time with them so that you can make sure the hugs and kisses are given and received.
    X to you all.