Meelee the “fuzzy indoor duck” had a bad week.

She went to the vet on Tuesday afternoon because she has not been eating well. She has had episodes like this for the past few years, and is slowly losing weight. She is on a good prescription diet for old cats with early stage kidney disease, but when she doesn’t eat, it gets scary. When she doesn’t eat, she gets her choice of anything in the world (sorry vegetarian friends, Meelee gets whatever she wants to eat, at any time). If she won’t eat the prescription canned food or packets, she gets Simon’s wet food. If she doesn’t like that, she gets tuna fish or chicken with broth. If that doesn’t work, she gets canned Friskies. So far one of those five options has worked most of the time, but she never eats very much.
At the vet on Tuesday afternoon she got fluids and anti-nausea medication and seemed a little better. Wednesday she did okay, but Thursday night she was in pain and vomiting, so we ended up at the emergency clinic until 2:30am.

By Friday morning she looked a little better and was out of pain, but she’s just sooooo skinny and her weight is not headed in the right direction.

Friday evening she hung out in the aviary and seemed to enjoy it. She is also eating a little better, so she’s more stable.

Saturday she was suckered back into the cat carrier, and we took her to the radiologist for an ultrasound. This will help decide if she has cancer, a blockage or inflammatory bowel disease. The results were just fine, so those bad things are probably not the problem. This is great news.
But we’re still not sure what the problem is. She has high-normal thyroid levels, on two different thyroid blood tests. But they’re both in normal range. I’m a little torn on what to do for her next. The cancer specialist cat clinic thinks an endoscopy might be a good next step, as gastrointestinal problems can lead to cancer. The thyroid specialist cat clinic thinks we should just treat her for hyperthyroidism, as that can cause all the gastrointestinal problems anyway.
I guess I’d be a little more clear if both clinics hadn’t recommended their own specialties as next steps. Know what I mean? I’d be a little more confident if one or both of them had recommended something/anything besides what they specialize in. I’m not suggesting that either of them is trying to sell me on an option, it’s just possible they both see what they’re used to seeing most often. And it’s my job to make sure I see what’s best for Meelee.
So… we might be going for a third opinion.

For the moment, Meelee is happily napping in the sun, having just snacked on some chicken juice (four other options were not to her liking). She is purring and snuggley and happy to be home.
And after a bad week, that’s a good day.
Miss Amelia Dingo
14-years and 1-month old
2.91kg/6.42lbs
UPDATE: Meelee is going to try the pills for hyperthyroidism for a few weeks and see if she responds well. In a few months, if she’s gaining weight and otherwise doing okay, we’ll think about the radioactive iodine treatment for her, so her human doesn’t have to give her pills twice a day.