Leo 12 year old cat with Lymphoma. Expats living in Singapore. in need of guidance.

joseph griffin

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Today October 20th Joe and Anthony expats living in Singapore posted this on the message board. We are open to any information that will help us do our best with Leo. Our 12 year old silver r taby with painted tail was diagnosed with Nasal Lymphoma. His name is Leo. We are expats living in Singapore. There are lots of vets here but only about two facilities which treat things other than the typical routine shots and antibiotics.

He was diagnosed in late July 2015. It is now October 20th. The first option offered by the clinic was a 12 month plan with weekly visits for Chemo and or radiation at a cost of $26,000 SD or about $19,000 USD. It will go into remission for awhile but it almost always come back. You repeat the process over again.

Leo gets very stressed and drools but cooperates for vet visits. He would not handle that many visits. The other choice offered was to start him on prednissolone daily. We started down that road.

Leo is a very hard cat to pill as his jaws are very strong and he really clamps down. We started pocketing the pills. That worked for about two weeks. Then we started grinding and placing in food. That worked for about two weeks. Then he started to ignore the foods we had used to pill even if they did not contain a pill. At that point we had no choice but to pill feed him. The solution that worked is to insert the pill where he is missing some teeth and let him swallow it.

Upon going back to the vet for another problem he had gained almost two pounds. That other problem is what is contributing to the situation both physical and mentally for Leo.

His pupil in one eye has now rotated back into his socket so you are seeing mostly white. The vet determined that he can still see out of the eye. He suggested not removing the eye as it will give an easy way for the turmor to grow. In other words the turmor has resistance with the eye. We did take home a gel type medication which I think it called Solonca from Sweden to keep his eye moistened.

Leo seems to be depressed over this turn of events. He is still doing his usual things and then sleeping alot. The problem now is he is hiiding everywhere and coming out after we leave for work. Upon return he is out and we pill him. He eats and then hides out under the bed. Once we are alseep he comes up and snuggles for the whole night. Once we get up he finds a place to avoid pilling.

The key to comfort for the remainer of his time with us is the consistant administration of meds. He is on a very reasonable dose and only feels off when he refuses to be pilled.

We have a second 18 year old cat that takes a pill twice a day for over active thyroid. That cat is doing exceptionally well and we have been pilling him for about 4 years. Leo has seen Winston be pilled time after time so it is not like it is a new thing for him to see. Leo's sense is THAT IS FINE FOR WINSTON BUT NOT FOR ME.

I have compared treatment costs with USA contacts and friends and we are about the same costs here as in the USA. Cancer treatments in animals is very expensive. I would have opted but his kind of lymphoma has a high reocurrance rate.

We chose QUALITY OF LIFE over stressing him out over 12 months of shots and weekly visits only to repeat it again 7 months down the road. It seems the cancer always wins.

I know this is alot of text to read but I am hoping someone out there can shed some advise. I know you all feel my pain. I also know Leo might be with us only a couple of months more. I also know we have given Leo the best we could of everything. NOW IT IS UP TO US TO MAKE HIM COMFORTABLE.

What are my options for a cat that is a strong hard to pill feline? Is there a long acting shot that could be used? What about the eye? Some days it has a slight pink as we think the eye is dryer now that it is more exposed. I asked the vet if he thought the eye would be forced out of the socket. His reply was that it would be at least 4 months from Octboer if and when that happend. Meanwhile other things will happen way before that. If it does move out of the socket than it might be time to remove the eye. He also felt he did not want to debulk the tumor as it will travel through his system and may hasten the lymphoma.

His blood cell count is very good. The roof of his mouth is fine. The vet was very happy with where he was 90 days out from diagnosis.

We have made and kept every appointment. The vet has checked all other vital signs and everything looks good.

The options of places to treat this was only two here in Singapore. Places that could do all the testing and are well versed on this.

I AM HOPING THAT SOMEWHERE ON THE ONLINE COMMUNITY MIGHT HAVE SOME MORE INSIGHT THAN WE HAVE IN MAKING LEO COMFORTABLE. The easiest solution is to suggest that we put him down. My only thought with that is his vitals are still very good and his interaction is fine. Right now Leo is annoyed, frustated and a little despondent. He stil has fight in him. At some point he will not and then it will be time to send him to the rainbow bridge. If he has not given up we will move forward.

Yes we have decided to creamate Leo when his time has come. The will not be October 22nd though. Not till .....

For those who may not have an idea or expertise but know someone who does, please pass this along. Thanks Joe and Anthony
 

stephenq

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I'm so sorry for what you are all going through.  And i can tell you have tried all the best techniques for pilling.  There is another steroid, dexamethasone that can be applied as a gel, gently rubbed on the inside of the cat's ear.  They barely notice or don't notice.  It is very easy to do this.  

Notes: Dex is stronger than Pred, so a dosage adjustment will have to be converted by the vet, that's easy for them to do, and in time it can cause the ear to wrinkle, mostly a cosmetic issue (and you can switch ears), but because it is a stronger medication, it may be more likely to lead to side effects like diabetes and lower resistance to other illnesses, but given the length of time that Leo may have, and the quality of life issue which is significant, this is the direction I would go in.  Great quality of life with an effective "transdermal" steroid, for a limited period of time, and then saying goodbye before he is suffering.

Dex comes in a special applicator that you twist and it clicks out measured doses.  Using a rubber or latex glove you then apply it to your finger, and then rub briefly in the ear.
 
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