About
seven years ago three adorable kittens came into our home. Tiny, tiny.
All three could fit in my left hand.
Charly, Maxie, and Freddie were between 6-8 weeks old.
Charly was the runt and had his eyes were running constantly. But Charly grew
up into a prince’s body: tall, elegant, and lean.
Unlike boisterous and talkative Maxie, or powerful and energetic Freddie, Charly
was very laid back, gentle, and affectionate.
About two and a half years ago Charly developed stomatitis, the bane of our household,
which is a painful inflammation of the gums and throat. The initial treatment is
teeth cleaning, and if that does not work, long lasting steroids. When that
does not work, the recommended treatment is removing all the cats teeth except
the canines. We delayed that treatment
because of cost. Cat dentistry today is enormously expensive now, at least in Los Angeles, with X-rays,
anesthesia, surgery, etc., just getting the teeth cleaned can cost $500-$700 at
the better vet clinics and higher with a specialist.
Four weeks ago we decided we had to get Charly’s teeth removed, the
inflammation was terrible and he had been losing weight from the pain of eating
for 6 months or more.
We took
him to Dr. Tsugawa of Culver City, the most highly recommended dentist-specialist in Los
Angeles. All of Charlys non-canines were
removed uneventfully. And we were right to be concerned about the cost: $1,879!
Two weeks
later we brought him back for a recheck.
Unfortunately Charley had a major swelling on the left side lower jaw
and a bit of swelling on his left cheek area.
He was started on two weeks of Clavamox to fight a possible infection.
Dr. Tsugawa said he had never encountered a case like this where swelling
developed after surgery. He gave Charley
another two weeks of Clavamox.
Two weeks later we brought Charly back.
The swelling on the lower jaw, a lymph node, was smaller, but the cheek
was puffier. Tsugawa warned us to watch the left eye, whether it bagan to
water. Tsugawa gave another two weeks of Clavamox. Total antibiotic cost was
$140 for four weeks.
About 10
days later, Charley’s left eye began to water and we brought Charley back the
next available appointment.
Tsugawa’s
guess was that it was cancer, a carcinoma.
He second-guessed himself for not being more suspicious of the swelling
when we brought him for the first follow up and performed a needle aspirate
biopsy to the tune of $807. We are
awaiting the results, but cancer is almost certain. Dr. Tsugawa was certain the
tumor was extensive and had already gone behind the eye and was inoperable.
Tsugawa
speculated that the cancer developed within the stomatitis inflammation, and
surgery disturbed the statis quo, allowing the cancer to grow aggressively.
Without further treatment, Charley would have three months to live. With aggressive treatment, meaning removing
the left eye and extensive radiation treatment costing maybe $4,000 for both,
he might have a year to live!
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Charly at age 2 |
We have been faced with such critical decisions before and always opted the
expensive, extensive treatment way. But
this time, though we have scheduled an appointment with a radiation oncologist,
we will have extensive second thoughts about getting it for Charley. The treatment will be invasive, painful, and
really only give him an extra nine months of life and an even more extensive
emotional investment. For me, when I am
working with a terminal cat, my heart gets totally invested in their health,
and when they die, I go numb for a long time.
Is it better
for Charly and for us to give him the best three months of his life and then
put him to sleep when the pain gets too bad, or to operate and irradiate, and
out his death off another nine months but also with constant treatment?
When Satchi died the same year as Robert Adams, I went into a three year
depression. When Gopi died in 2008,
again a depression and angst.
Since
then so many died including Gracie, Dustin, his sister, and Lakshmi. Each death takes a toll on me.
What do you think?
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Charly at age 4 |