My cat was just diagnosed with Chylothorax

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cuvmoi

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 My 13 year old grey and white short hair male cat was just diagnosed today with Chylothorax. We're still waiting for some tests to come back, however the initial thoughts from the team that treated him last night and today are that we're not gonna get any definitive answers as to why this occurred. For the last couple of days leading up to yesterday, he exhibited some behavioral changes which included hiding in the basement, and a general lethargic appearance. He did not sleep in bed with me the night before last, which is highly uncharacteristic of him. Yesterday morning, he remained in the basement and would not come upstairs. I contacted our vet (who does house calls), and she arrived around 5:30 yesterday evening. By that time Dick's breathing had become extremely labored. She instructed me to immediately take him to an emergency care facility, which I immediately did. During the 45 minute drive, Dick was panting and crying with his mouth open. He was immediately admitted upon arrival, and had a sufficient amount of Chyle removed via needle from his chest cavity. I was told that he almost didn't make it. He was admitted overnight, multiple tests on his organ function was performed, and blood tests, etc, were sent out to labs for analysis. The results of those tests are expected next week. A followup visit is scheduled 10 days from now, at which point a heart specialist is going to do some sort of examination to rule out heart problems, however the initial observation was that his heart was also OK. I'm well aware (now, after all the reading I've done in the past 24 hours) that the prognosis for something like this is guarded at best, and that the worst possible scenario for Chylothorax would be if it is idiopathic in nature.....Which is what they think it is. From everything I've read, it doesn't look good in the long run, and I've resigned myself to the fact that although I may be able to manage Dick's condition, the likelihood of  recurrence is high.

 Dick was kept in hospital overnight, and upon discharge he seemed agitated, distant, and not himself at all. He had that "F-you" look on his face. This is the same look and body language that he exhibited when my old band held practices in my basement a few years ago and he hid under the couch because of the noise.  He cried very little on the way home, spare for 6 or 7 subtle meows. Upon his arrival at the house, he tried to go back down into the basement. We instead carried him upstairs to the bedroom where he remained for the rest of the afternoon and early evening. He slept a little, responded somewhat to petting (purring, etc), however he'd go in and out of that catatonic, irritated look. He really didn't try to hide that much when he was upstairs, and the movements he did make (walking around a little, jumping on and off the bed, etc) seemed much more effortless than they were yesterday when the initial condition presented itself. Nevertheless, he's just "not himself". Later in the evening, we moved him into the guest bedroom, brought his litter box and food (new food, we are following ALL Rx recommendations to the tee), etc. He hid under a dresser, and last I checked (30 minutes ago), he seemed content and purring when lightly petted on head....Though he is still in "hiding". He did eat and drink earlier, however since I picked him up at the vet (3pm) he has not used the litter box. I have been monitoring his breathing obsessively.....The instructions say to check it 2 times daily, I've checked it at least 10 thus far today. His breathing does not seem labored and his breathing rate is around 20-30 breaths per minute, which is in the normal range as per what I've read. It's been well over 24 hours since his chest was tapped, so that's a good sign. Also worth mentioning is the fact that for at least 6 months leading up to all of this, Dick had been exhibiting some subtle signs of respiratory abnormalities which I foolishly chucked off as allergies. These included LOUD snoring, sniffling, and sneezing. NONE of these symptoms have been present since the emergency episode yesterday, which leads me to believe that the buildup of Chyle in his chest cavity occurred over a long duration of time.

 My question involves his behavioral disposition today. I know he's been through pure hell, and this may seem like a stupid question but is it possible that he is traumatized from the experience? It troubles me because these are the same general symptoms he displayed before he went into the hospital last night, minus the breathing issues.

 My apologies for sounding overly clinical in all of this. I'm just trying to become as informed as possible. Dick and I have an emotional bond that is incredibly strong, and I love him with all of my heart. I've been doing everything I can to not get emotional through all of this because that will inhibit my ability to help him. He's been with me since 2002, and in that time I've gone through a lot....I went through some tough times (a divorce, several moves, one of which was cross-country, etc), and Dick was by my side the whole time. There were times when he was really all I had. You can love another human being unconditionally, only to have them hurt you in underhanded, self-serving ways for all sorts of different reasons. A cat is different though. When you love them and care for them unconditionally, that's exactly what they give you in return. I love him so much, and I will do everything in my power to heal and comfort him, whatever the cost. I'm around $2500 into this whole ordeal at the moment, which is completely and utterly irrelevant to me if it means his survival and comfort. He brought me both, especially in the last seven years or so, and I vow to do the same for him.   
 
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cuvmoi

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I forgot to note that his in-hospital test results on his organ function and blood came back within normal readings. I'm not sure exactly what was sent out for testing.
 

mrsgreenjeens

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How is he today?  I can't explain his change in behavior, especially not knowing what they gave him while in the hospital.  Was he sedated while they drained the fluids?  Could this behavior be from him still being slightly "under"? Did you call the Vet and ask about it?  I would start there to see if it's a normal reaction? 

Is he on any new medications now (rutin?)  If so, maybe it's a side effect?  (I'm not actually sure what his strange behavior is, so can't look it up, sorry)
 
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cuvmoi

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 They gave him a mild sedative on Friday night when they tapped his chest the second time. The first tap was to stabilize him, and the second was to get the remaining fluid out. The fluid did not re-accumulate while he was in the hospital. His disposition is the same today as when I brought him home yesterday. He just wants nothing to do with us. He's picked at his food and has had a little bit of water, however he remains totally withdrawn. We come into the room that we've set up for him every hour or so to check his breathing cycle, which continues to remain normal and stable. At one point today, he was sitting on the couch and I sat on the other side of the room in an ez chair, and he literally turned around faced the back of the couch. Wouldn't even look at me. He has this disgusted, disgruntled look on his face.  

 We haven't started him on Rutin yet.....Just vet-approved lowfat food which he picks at. Vet told me to hold out on the Rutin until all the tests have come back, and until we're 100% sure with what we're dealing with here. Still a chance the underlying cause could be discovered. Right now Dick doesn't have much of an appetite. He's nibbled here and there, but that's it. He's peed once or twice, but no #2 since this all started. Given what he's been through, I'm not surprised. In the past 48 hours he's almost died, had a needle stuck deep into his chest twice, spent the night in a clear plastic cube with strange animals (some large dogs...which he HATES) around him, had x-rays & all sorts of other tests run on him, had strangers poke and prod him, had part of one leg and both sides of his chest shaved. That's a lot to go through, and I'm sure in his mind I'm the source of his ordeal, haha. While I'm concerned about his disposition, I do understand that he most likely is emotionally traumatized by what he's been through. 

 We are monitoring Dick's breathing almost obsessively, and there doesn't appear to be any negative changes at this current juncture. We are now approaching the 48 hour mark since his chest was initially tapped. I've read that in most cases, fluid re-accumulates within 24-72 hours, and the cat needs to have his chest tapped again. I'm encouraged so far, however even if Dick's breathing remains stable, I will be having our house-call vet examine him at least once or twice over the course of the next 9 days until his followup apt on the 13th.   
 

mrsgreenjeens

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OK, I get the behavior now.  It's kind of like when we go away on vacation and leave them with someone coming in the check on them and feed them, etc.  When we return, SOME cats act like they don't want to have anything to do with us for several days, and others come running up to us like "oh good, you're home...I've missed you so much".  Dick falls into the first category


Has he done this before, as in the vacation scenario above?  Normally I would say ignore him and he'll come around.  Obviously you can't ignore him completely, but just go about your normal business, check his breathing without hovering, if you can (I guess all you need to do is watch him, and with him being shaved you can do that pretty easily?), and I'm thinking he'll come round soon enough. And when I say ignore, I don't mean act as if he isn't there, I mean when you walk into the room and he's there, obviously you would say "hi Dick", or whatever you might normally say, but don't  go up to him and start petting him and try to baby him, that type of thing You might check with your Vet and see if it's okay to give him some Rescue Remedy for Pets if he seems stressed a bit, or maybe even some Jackson Galaxy Spirit Essences.  They have them for all kinds of things...even a "grouch remedy"
.  

I know it's hard tight now, probably VERY hard, because he IS your baby, and all you want to do is make it better for him, but he probably just needs to be in familiar surroundings, but "alone", to process and heal, right now.  He'll come around once he feels better.  

 
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cuvmoi

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Dick's condition deteriorated last night. I rushed him back to the vet, where they drained his fluid again. The ER vet told me that although they can keep tapping his chest, it just wasn't realistic to keep doing so every 48 hours, as he'd develop more problems from the tapping and would be in agony. I made the most heart wrenching decision I've ever had to make in my life. I then went back to see him, kissed him, held him one last time, and thanked him for the unconditional love that he'd given me over the past 13 years.

 I lost my best friend in this life last night. Over the past 8 years especially, Dick has been ,at many many points, the only comfort I've had. Especially after I got divorced from my stone-hearted dragon woman of an ex-wife. The bond that Dick and I had was precious beyond any words I could use to describe it. I now share my life with a wonderful woman and have a 3 year old stepson whom I absolutely adore. I'm not sure I would've made it long enough to have met them had it not have been for Dick's love and companionship. He was the rock that wouldn't leave my side. "Devastation" doesn't even come close to the way I feel right now. I love him so, so much.
 
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