The vet, the Amazing Dr. Reimer at Adler's VCA in the Valley, got a second opinion by Craig Adler, DVM who shares the practice.
It appears my instincts were right five weeks ago to begin treating Little Red for cancer assuming it was the same kind that Lakshmi had. But unlike Lakshmi's G.I. lymphoma, Red's cancer is systemic and certainly has metasticized already, and is causing multiple organ failure to begin. He is in pain, but not exceptional pain at this point.
There is really nothing that can be done. Reimer said we bought Red an extra five weeks by beginning the chemotherapy on August 4, but systemic cancers usually get around chemotherapy in short order.
The options were to do a bone marrow aspiration, followed by an ultrasound of the kidney, then an aspiration of the kidney to stage and type the cancer, and choose alternative chemotherapies. But he said he doubted that woud even buy Red an extra two months.
So, he gave Red a big (4mg) shot of Dexamethasone, a steroid used to fight cancer, and give him a little time before we have him put to sleep. I did not do it today, because Red is one of Kerima's favorite cats and she was at work. She would want to be present at his death as we both have been with all of our cats. Wish him well dear friends.