Tag Archives: healing

On the limit of post-operative instructions…

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When you leave the vet’s office after one of your little furballs has surgery, they send you home with a post-op care sheet. In theory, this paperwork will tell you what to do, what issues to be on the lookout for, and how to handle some basic situations if they crop up. The post-op sheet isn’t and can’t be an exhaustive reference.

The reason I know this is because it doesn’t address, in any way, the scenario I was faced with this morning. By yesterday evening, Cordelia seems to have overcome her post-surgery lethargy. I’ve seen her eating, drinking, and eliminating – all the things you’re supposed to monitor as your patient recovers.

I don’t suppose any read ahead material really prepares you for starting the day to realize that sometime during the night, the kitten has gone head first into her food dish and smeared food around the circumference of the cone. She also managed to get the edge of the cone into her litter and had that clumped to the cone.

Under normal circumstances (or perhaps with a normal kitten), you might be tempted to think I’d just remove the cone, clean it up, and then put it back on her. The thing is, Cordy remains what I politely like to call selectively feral. She’ll accept being touched on her terms, but when I initiate it, she’s off like a rocket to the nearest available hiding place. She simply will not be “handled.” Thanks to her slight build, those places are most often under things like the bed or dresser and therefore bloody inconvenient places from which to try extracting her.

This leaves me in a bit of a conundrum. I don’t want to put her in a position where she can defile her sutures, but overall, I wonder which is better, removing the cone, cleaning it, and most likely being unable to put her back in it, or leaving her to wander the house for the next week with a crud encrusted cone?

Yeah, there are definitely things the post-op instructions don’t cover.

What we’ve learned…

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After three days with Anya closeted away under medical supervision, we’ve learned a couple of things:

My girl is a perfectly happy cat, doing normal cat stuff, right up until the point where it’s time to take her medicine. Drops, pills, or even just generally being held result in adverse consequences for those attempting to make her do what she doesn’t want to do. Otherwise, though, she’s happy to receive the attention of her temporary keepers.

She’s eating, and drinking, and pooping, and getting the meds she needs to get over the hump following her eye surgery. It’s as good a result as I could hope for a few days after surgery.

I’d be lying if I said part of me doesn’t feel just a little vindicated after claiming so many struggles trying to get her through the first 30 days of treatment. I honestly was starting to wonder if I was somehow gaslighting myself about how hard it was to get this animal to take her meds. The professionals, however, have confirmed that she can, indeed, get spicy.

I’m glad to have confirmation that it wasn’t just me somehow being ragingly incompetent. However, it raises other issues. Unless Anya learns a bit more tolerance to handling and being medicated as she gets older, it could be well near impossible for me to single handedly deliver any kind of even slightly involved or complex home care. Sooner or later, it feels like we’ll inevitably run into a situation where following the best possible medical advice simply isn’t feasible because the patient refuses to cooperate.

That’s not an ideal scenario in a cat with FHV who is likely to need some level of treatment periodically throughout her life. In my more pessimistic moments, I foresee a series of hard decisions where we have to weigh treating the illness versus treating the patient. At some point there has to be a compromise between the best possible treatment and what’s physically possible. Now that we’ve addressed what I hope will be her biggest medical problem, I think we’ll be making future decisions based on quality of life overall versus the often simpler calculus of what’s medically possible.

When the time comes, someone please remind me that sometimes the best action is no action at all. I always find that hard to remember when I’m in the moment.

What Annoys Jeff this Week?

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1. Numbers. This blog is my own little catharsis and never really intended as clickbait, but sometimes I really do wonder what sorcery is behind the numbers. My view and visitor numbers have been all over the map for the last few weeks. There’s no seeming rhyme or reason for days that are up or down. Posts that I think should be a hit end up idle and those that I thought fairly bland rack up visits. After fourteen years of doing this, you might be tempted to think I’d have a clue. If you thought that, however, you’d be 100% wrong.

2. Incredulity. The number of times in the last six weeks that I’ve been asked some version of “Aren’t you starting to go stir crazy?” is telling… if only because it reveals how many people don’t really “get” me at all. I’ve got books, critters, ready access to food and liquor, the ability to have almost anything on earth delivered to my front door, and can leave at any time for goods and services that need to be sourced locally. I feel no fear of missing out. Staying home isn’t punishment for me. It’s the life I thought I was going to have to wait another 15 years to have for myself… and after sampling it, I can assure you going stir crazy is the very least of my worries.

3. Persistence. Maggie has been quite a trooper, never so much as attempting to lick or scratch her enormous incision. Keeping a certain white and brown young canine sibling from trying to lick it all the time has been my other full-time job this week. Seven days into healing and he’s mostly stopped – though not before a few full-blown screaming fits on my part. I can sense him still searching for an opportunity. I usually appreciate and even respect that kind if persistence, but in this one case, I’m going to need him to knock it the hell off.

The new routine…

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We all know I’m a creature of habit and it’s safe to say that having an invalid dog has generated quite a few changes to a schedule that had been popping along happily for the last fifteen months. After three days, I think we finally hit on a new routine that might be manageable, especially tomorrow with me going back to work. The killer is that the two dogs have to be separated to do everything that they use to do together… eating, going out, hanging out in the living room, everything. The problem, of course, is that where feeding the dogs use to be a plural act, it’s now singular, in that I have to feed one dog, take them out, and crate them before repeating the process with the other. A twenty minute morning routine is now something closer to 45 minutes and creeps up towards an hour when it involves breaking out the ice packs. Of course I’ll keep doing it, knowing that the first two weeks of the healing process are the worst and it will get better over time. Even so, I’ll be much happier when I have a pair of dogs again instead of two dogs who just happen to be living in the same house. Until then it looks like I’ll be setting a 4AM alarm to get it done before heading to work. Yeah, tomorrow morning should be a real treat.