E-tube issues and vet cost

jabs

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Hello,

I have a 12 year old cat, who, a little over one month ago, decided that she did not want to eat. After a couple of days of this, I took her to the vet, who decided that her condition was too serious and referred me to an animal hospital for treatment. The doctors, who were very good, informed me that she has a fatty liver condition, and all of the usual issues that go along with it (jaundice, dehydration, etc). She got very good treatment, and was released back to me in about 5 days with an e-tube placed into her neck. This stay at the animal hospital cost me about 5 thousand dollars. 

So, since she has been home, she has improved tremendously. Instead of lethargy, she is running to the door to greet me when I come home, and she is gaining weight and grooming herself. She had started eating canned food on her own, although not enough to maintain her weight, so i also fed her through the tube.

Yesterday, while grooming herself, she began scratching the side of her neck, opposite of the e-tube. While doing so, her kitty kollar began to rotate and the e-tube got caught in the opening. I walked over to stop her, but by the time I got there, she had pulled the e-tube out of her neck. Yikes!

I called the animal hospital back, and after a lengthy discussion, they said that if they need to replace the tube, it will be at least a thousand dollars again. I simply cannot afford to pay for this procedure again.

She has nibbled on food here and there, and seems ok. But I'm worried that she will not eat the amount of calories to maintain her health. I know that the advice would be to go to the vet, but how long should i keep trying to let her eat on her own before making that very expensive decision? Also, since I live in NYC, is the cost of the e-tube procedure cheaper in other parts of the northeast? I have a car and would not mind driving further out (NJ, CT, Upstate NY) to save some money. Recommendations on vets?

Thanks!
 

denice

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My cat had fatty liver with a feeding tube and it sounds like your cat is recovering faster than mine did.  I didn't pay nearly that much but I live in Ohio.  Since she has started eating a little on her own you might be able to syringe feed her.  There are several videos on youtube and one here showing how to do it.  You basically syringe feed her in the side of the mouth and go very slow.  Did they give you a prescription food called Hills A/D?  If they did continue to use that.  Some of the pate foods may need to be thinned a little with water to go through the syringe.  If you can get a full six ounce can of food in her either by syringe or what she eats on her own it should be enough.  It would definitely be enough of the Hills A/D.

If she doesn't get enough food then she will need to have the feeding tube replaced.
 

sugarcatmom

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Maybe an appetite stimulant would be enough at this point to keep her eating? A small amount of Mirtazapine (half the usual dose that vets give) might help.

One problem with syringe feeding might be that the stress of doing it will cause her to develop a food aversion. I personally prefer to try everything possible to get kitty eating on their own without force-feeding, unless absolutely necessary (cat stops eating completely). Have you tried any of the tips at these links?: 

http://www.assistfeed.com/Enticing.htm

http://www.felinecrf.org/persuading_cat_to_eat.htm#eating_tips

http://consciouscat.net/2013/07/03/how-to-get-finicky-cats-to-eat/
 
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