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This is going to be a long post, I apologize. But I just have to talk to someone about this. Backstory:
On Sunday Oct 11th, my normally rambunctious 2 year old cat, Toki, started acting a little subdued and lethargic. I know lethargy is indicative of a larger problem in cats, but he was eating, drinking, and using the litterbox normally; he just seemed sort of "quiet."
Monday morning he was still subdued, but he ate and drank in the morning before I left for work. I called my regular vet to discuss it with them, and they had no appointments on Monday, but agreed to see him Tuesday morning.
When I got home Monday evening, Toki seemed to have gone a little more downhill. He didn't come downstairs to greet my fiance and I, which he usually does. He just wanted to sit on our bed, and he looked sicker. We debated bringing him to an emergency vet, but since we had the morning appointment on Tuesday, we decided against it at around 9pm.
Around midnight, he started breathing shallowly and quickly, and I knew I couldn't wait 12 hours for his regular vet. I took him to the e-vet, and right away they found out he had a very high fever of 106. They assumed it was something viral, but would have to do a myriad of tests to find out.
Tuesday morning: he was not any better, still had a fever, etc. They do an ultrasound and some x-rays, and determine by the afternoon that he has pancreatitis. This news is concerning, but I'm glad that it's not necessarily life-threatening. We've spent about $2500 thus far.
Wednesday morning, yesterday, the Dr realizes the pancreatitis is a secondary condition, so they need to look for a cause. More ultrasounds and x-rays, and they determine that 100% he has a blockage in his intestine. The Dr tells me that they definitely have to do surgery, and that it will be $3500. He tells me that if I waited one more day (till today), my regular vet could do it for $1500, but that it would be extremely risky to wait. My fiance and I decide to go ahead with the more expensive immediate surgery.
6:30pm Wednesday night: the surgery is finished, and guess what! THERE WAS NO BLOCKAGE. AT ALL. His pancreas is also not swollen, so he doesn't actually have pancreatitis, either. However, inside his abdomen was very inflamed, so they took some material for biopsy, and I won't have those results until tomorrow at the earliest. They're now back to assuming that it's viral, but don't know what. Maybe it's FIP, maybe it's something less fatal. Maybe it's cancer. Who the fuck knows.
This morning: We've now spent $5300, and by the end of today will have spent another $400 more for his care today. They have no idea what's wrong, and won't until the biopsy results come back. Even then they may be inconclusive. They're discussing sending him home this evening if he improves a little more, so that I can administer the subcutaneous fluids, all the medication, take care of his incision, and monitor his fever.
I am at my wit's end, and my fiance is thoroughly disgusted with spending so much of our Rainy-Day fund without learning anything. I hate being in limbo like this. I wish he would either pass on so that I can face it and grieve, or he would get better so we can move on with this. But this terrible not-knowing is killing me, especially since his condition has not really changed at all since Monday, but now he has to try and heal from major abdominal surgery while fighting this fever and inflammation.
To summarize: I've spent $5300 and counting for the vet to tell me they have no idea why my cat is sick, and he's not getting any better, and I'm going fucking crazy.
The boy in question:
I'd be pissed. SO PISSED. I know vets offices work with you--you spent all that money, they were "100% sure" and they were wrong. Seriously. How is that right? I'm not sure if that's just "how it is" but see if you can talk to the clinical manager--this guy ASSURED you it needed to be done immediately (versus waiting for your regular vet) and you were persuaded, only to find out it was false. See if they can knock some of their overhead costs off it.
Take baby kitty to your regular vet. Seriously i am seething for you. I spent thousands getting rid of a nasty case of ringworm and almost had to fight a lawsuit for my little orange baby. And I'd do it again in a heartbeat.
PS i have a photo of mine chewing on a pineapple, too. Maybe they were separated at birth.
Chin up and fight. Maybe they'll reduce some of the costs since it was all completely utterly uselss and they told you you HAD to do it this way.
I'm so sorry, that's awful. I don't know what to tell you other than that I'm thinking of you and your boy, and I hope that you find something out soon. It seems weird that your vet was so sure of the blockage and there was none at all?
Do you have any other cats? Be very careful, because FSIL runs a rescue out of her house, and I know how quickly those diseases can spread.
aw! ((hugs!)) I hope he gets better soon.
Also I notice he is knawing on some leaves to the top of a pineapple, do you have any house plants he knaws on. I don't know if you know this, but some plants are toxic to cats, and well if he is eating them, that might be why he is sick, but I don't know.
Hope something gets figured out soon!
do what you have to do and then figure out if they'll meet you in the middle. I think they will - especially since they were 100% wrong with their diagnosis. In people, that = lawsuits. I'm not an advocate for suing for everything, but i'm just saying.
That pic is adorable! Good luck to you. <3 <3 <3
My fiance is definitely going to discuss the fees with them, and get them to reduce this heinous bill. I'm usually really good at negotiating, but I've been an emotional wreck since this all started.
Do you have any particular plants he was chewing on? That might have made him not feel good. This makes me so angry! I absolutly hate it when vets do this. I agree with EJS-try and talk down some of those charges. It's total BS that they were sure it was life threatening and then they were wong. Keep fighting, and keep us updated with how he is doing!
Maybe your regular vet will work with you. I was going to clinic A for awhile to treat the ringworm issue i had and it wasn't working (it was so bad it was killing my cat) so i transferred him to clinic B upon a personal recommendation. I was lamenting about how much i'd already spent and he was very nice about not over-charging me and talking me through cost options and not just being a price-gouger. It definitely sounds liek this was the case with this e-clinic you were at. Not to mention this doctor made TWO (not one...two) 100% wrong diagnoses. Definitely incompetent to me.
Is your kitty still at that vet? When can you move him and have your regular vet take a look at him? Will you get to know the biopsy soon at least?
We do have another older cat, and he's been fine so far. He is incredibly needy with his "brother" gone, and has been following us around for 3 days begging and begging for attention. His problems are all mental :)
We don't have any houseplants. I actually had a scare with Toki last year when he ate part of a lily that was in a bouquet my fiance had given me. He survived that near-death experience, so I'm hoping he'll pull through this one.
I'm unfamiliar with veterinary costs in San Francisco, and I assume they're somewhat higher than I'm used to. But your initial $2500 for overnight care, ultrasound, radiographs, bloodwork (I'm assuming), IV fluids and medications (also assuming) seems a little steep. In the markets I'm accustomed to and somewhat increasing for San Fran ER prices, I'd envision that costing $1300-1800, tops. The $3500 for abdominal surgery is absurd. Soft tissue surgery should be about $1000-2000, even with biopsies. However, be glad that your vet knew to take biopsies - there is no excuse for opening an abdomen, not finding what you think you'll find, and leaving without taking any samples. Did the vet have any theories on why the imaging they did suggested a blockage, vs the contrary results of the exploratory surgery? That seems weird to me. And for whatever it's worth, a non-swollen pancreas does not rule out pancreatitis - getting a definitive "This animal has pancreatitis" diagnosis in cats is really challenging, and not even surgery is 100%.
I hope the biopsies give you some sort of diagnosis. Or that Toki just starts feeling better. Poor little dude. :(
@redherring: The price is really steep. I assume it's because it's an e-vet, our normal vet is expensive, but not this much. We are really upset because we were told that we needed this immediate $3500 surgery, instead of waiting one day to have it done at my regular vet for $1500, especially since they didn't find anything.
They have no real idea why a blockage showed up on the multiple ultrasounds and x-rays, and then wasn't there. I wish the biopsies didn't take so long to come back, but I know it's a complicated process.
I am really sick of all their speculating, and being wrong the whole time. Today I'm going to see about moving him to my regular vet if my regular vet thinks that's a good idea.
No, even for an emergency vet, $3500 for soft tissue surgery is insane. I'm also somewhat uncomfortable with their declaration that he 100% had an obstruction. Giving anything in medicine a 100% guarantee is difficult. "Highly suggestive" - sure. "Definitive" - not so much. It somewhat sounds like they strong-armed you into an overpriced surgery. I'd definitely negotiate with them. It sucks to have to nitpick when your kitty is still sick, but you have room to bargain. They were wrong.
Oh no! Poor kitty. I hope this all works out, I know how scary it can be to wait for results! They're like our children :(
you take redherring with you to the vet and she will straighten things out for you pronto!
Sounds to me like this stupid vet took advantage of a person who was obviously distraught over the poor health of her cat-sorry to say but it happens A LOT! It happened to me too, my little furbaby girl had what we think was a seizure and called our regular vet who told us to take her to an er-vet and what did that vet do? Absolutely nothing! Except tried to charge us almost $300 just to look at her, my regular vet was very mad and apologized for sending us over there. Take your kitty back to your regular vet and have them take a look.
i just wanted to say that i'm so sorry your kitty is sick and i really hope they find out what it actually is that's making him so sick! my dogs, bella and margot, are my family and i can't imagine what you've been through emotionally these past few days.
i also agree that the vet bill is OUTRAGEOUS!
I'm so sorry. I've been keeping up with your twitter updates on Toki, but I didn't know the whole story. This makes my heart very sad. :( :(
I hope he gets better, and the doctors figure out what's wrong.
I also hope that they're not giving you the run-around.
I hope your baby gets better!
When I was in highschool, our 17 year old cat got deathly ill from a cat bite (terrible infection). We spent 5 thousand dollars on him. FIVE THOUSAND DOLLARS PEOPLE.
He lived three more years in fabulous health. I know my family has never regretted that decision, even though it nearly bankrupted us at the time.
An update: we're most likely moving him to his regular vet regardless of how he's doing. My fiance and I are so angry at how this has been handled and we no longer feel like the emergency vet can offer competent care.
We'll definitely be fighting all these vet bills. Several people including other vets have confirmed that what we are being charged is too much.
I think something just snapped between last night and today; I no longer want these clueless people touching my cat. I was just in such shock that I couldn't even see that they weren't doing anything, and that they know nothing.
I just want to say I am so sorry to hear about your cat, I hope your vet figures out whats wrong. BTW hes a cutey :)
best of luck fighting the bills, and i so so hope your kitty gets better! he's such a cutie!
* Sigh * It really makes me sick when this sort of thing happens. They should have known better. What really gets me is how they took advantage of not only the situation, but also your love and devotion for your pet. That. Is. Sick.
But anyway, speaking of love and devotion, I wish more pet owners were like you! Keep us posted on how he's doing. I'll be thinking of all of you *HUGS*
I am so sorry about your little kitty!! I know I was extremely depressed and couldn't even work when my dog had ghiardia.. I thought eh was goign to die, so I know hwo you feel. Keep us updated with Tiko's progress and I hope a second opinion will do the trick! Also keep fighting those bills, the vet would rather get something then nothing:)
Good luck! Vets who overcharge give the rest of us a bad name. And my fingers are crossed for Toki - he's a cutie :)
I am so sorry for your kitty! I hope he gets better very soon.
Please consider leaving feedback for other pet owners online about your experience with the e-vet. This site offers the ability to leave reviews of their services:
Perhaps if they know that you are going to share your experience with them online they will give you some relief for what appears to be exorbinantly high prices for extremely sub-par care.
Please keep us posted on how he does!!!!
ER care for people is exactly the same....inflated charges,but I doubt you'll be successful in recouping any of the costs. You probably had to sign several papers agreeing to certain things,as I'm sure this clinic is well prepared to handle disgruntled people and have covered themselves.
We had a similar instance with our cat several years ago,but in our case we saw evidence she was chewing on ribbons attached to balloons my husband had gotten me for Valentine's Day. They were tied all over the house,so it was impossible to see her getting at them. She became lethargic and stopped eating,but had vomited a few times...and that's where we saw pieces of ribbon. On taking her to our vet he said its quite common,but a favorite of cats is dental floss. It can wrap around the intestines or cause a blockage. When he cut her open,tho,the 'blockage' was tumors,so it was really just coincidental. He told us the most humane thing to do was just to increase the sedation and let her go. We did. :o(
In the past 2 1/2 years we have spent over $12,000. for our dog,and on Aug. 17th we had to have her euthanized. The first month of her not being herself was also a 'guessing game' by the regular vet,and after 2 weeks and no improvement, I asked her if I needed a teaching hospital to figure it all out. She too was lethargic & quiet,not eating,very clingy...something was 'off'. She sent us to a surgical center that was filled with specialists. After several days and testing,our dog was diagnosed with ITP (blood platelet disorder),had chemo and numerous medications for several months. She then developed esophageal dysphagia (coouldn't eat or drink without choking) and the remedy for that? A permanent feeding tube. We tube fed her for 2 years and she was great! It started to fail this summer and we held on as long as we could.....:o(
The point of all this is that are very many competent,compassionate vets out there,but you,as an owner have the right to question and/or refuse treatment...but be prepared to live with any consequences as well. In some ways,veterinary medicine is more complex as animals can't talk and explain how they're feeling. Owners have to be in tune with them to give the vet a reasonable assessment of symptoms/changes that gives them something to investigate. Unfortunately,all that comes at a price. Is there a large university with Veterinary facilities close by? It won't be cheap,but its a place to start over. I hope they can get to the bottom of this for you and your cat . Good luck!
I do have to add this for all pet owners. Get Pet Insurance!! The SPCA has a great inexpensive plan available and if you ever need it,you'll be very glad to have it.
What about taking Toki to a specialist for a second opinion? If they determine the original diagnosis was completely off, you will have a better chance at having your bill reduced and hopefully they can figure out what is going wrong with him! Since you're in San Francisco, you're close to UC Davis vet school. Take him there and see what they can find out.
Have you considered calling the nearest veteranary university and talking to an instructor there?
I have a friend who went to vet school and he's a world of animal knowledge, but sometimes when he has questions he calls his old instructors for help too.
Plus they might be able to steer you in the direction of the best vet for this kind of situation and maybe give you a better idea. Just a thought.
I just wanted to post an update, we had Toki stay at the emergency vet since my regular vet agreed that he'd need more overnight care that they can't offer.
Well, none of that matters now, we got back the biopsy results, and he almost definitely has FIP, an always-fatal viral disease. They're doing a more complicated test to tell us for sure.
The results of that test, when positive, 100% mean that he has the disease. Even when they are negative, there's still a 57% chance that he still has it.
I'm absolutely devastated right now.
Oh honey, I'm so sorry to hear that. FIP is an absolutely awful diagnosis. My heart aches for the pain you're going through and also for your poor little furbaby.
Nexus- I am so sorry to hear about all of the awful care and how sick your kitty is! You are in my thoughts. Please check back in with us, I know that all of this has been very tough for you.
I'm so sorry. I hope that the test is wrong and that your fur baby will be ok! I'm thinking of you.
I'm so sorry, you'll all be in my thoughts, I hope that whatever happens happens smoothly and peacefully. Hugs...
I'm so sorry. = ( I hope that the tests are wrong and that he will be okay. We'll be thinking of you!
Fuck. I apologize for my language, but that's really one of the only diagnoses I was hoping Toki would not get. Based on everything you said, though, it was highest on my list of differentials.
Nexus, I'm so sorry for you and your furbaby.
I feel so bad for you for what you've been through. Keeping you and the adorable kitty (get better Toki!) in my thoughts.
I'm so sorry for what is going on! I couldn't imagine what we would do if any of our fur-babies got sick like this... many prayers for you and Toki! ::hugs::
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