Skeeter’s Diagnosis

cat in blanket
Skeeter after some pain meds.

Injured stray cats come along sadly too often, and how do you decide what to do with a cat who is not yours, may even be someone else’s who wouldn’t want you to intervene in a situation, may cost a load of money and even be dangerous to you or your other animals?

The first decision is always in the animal’s best interest, and from there you simply do your best.

Skeeter has a good chance at survival and certainly has the will, but has a few strikes against his continued health aside from the ugly gaping wound on his neck. Here is his story.

cat with neck wound
Skeeter on the couch.

An injured cat who stinks

I received a call on Sunday from a friend who lives a few blocks away that she had an injured cat on her porch. We discussed the injury and possible treatment, and she was willing to undertake the effort and cost to take him to a 24-hour emergency hospital. He wasn’t wild though he was hissy and growly, but no swats, and likely wasn’t feral but was a stray who was hurting and hungry. He certainly enjoyed the food and water she kept on her porch for “Porch Cat”, though her own cats are indoors, and when she called he was sunning himself on the porch. Oh, and she mentioned a smell. Hmmm, sounds like an abscess to me.

cat with neck wound
Skeeter's wound from the side.

I told Peg I’d grab a carrier and be up in a bit.

And there he was, looking very handsome and relaxed on the red cover to the rattan loveseat. Then he turned his head and I saw the sticky and missing fur on the back of his neck. And then I smelled the smell of putrefaction and rotting flesh—nothing smells worse than an abscess. The wound looked like the typical outgrown-collar lesion, where the cat has either outgrown a collar or the collar has shrunk as some nylon ones will do, and actually cut into the skin, an open wound which then became infected, but this was the absolute worst I ever hope to see.

cat with neck wound
Skeeter's wound from the back.

Still, he didn’t seem to be particularly bothered by it, though he was bothered by our efforts to sneak up and throw a blanket over him, silly humans. I have no problem with and am quite skilled at suddenly scruffing a cat and dropping it into a pillowcase or carrier. I do have a problem when the cat basically has no scruff, as was the case with this cat. Even if I could have grabbed the loose skin on his upper back I was afraid the wound would break open and would not risk it.

I called Karen Sable for a little advice, and she suggested putting on heavy garments and gloves and trying to enclose him somewhere, carefully pick him up, even scruff him temporarily, and get him in a carrier. Nothing worked and he got away from us on Sunday, only to crawl under a neighbor’s porch and curl up in an unrolled portion of household insulation.

cat wrapped in blanket
Peg petting Skeeter's nose.

Caught!

No luck on Monday so we made arrangements with Karen to borrow a humane trap on Tuesday. But good news was first thing Peg e-mailed and called to say that the cat was in the carrier with the door shut, and she’d named him Skeeter! He had gone in there for comfort, she had closed the door. She said she’d even been able to pet him a little longer. Peg had appointments and had to put him in the garage, but we’d take him to the emergency hospital just after noon.

It’s really heartening when a stray cat who is ill or injured and has been acting hostile starts acting nice, or at least growling and hissing less. But I was concerned this meant something less positive, that the cat was actually beginning to fail and give in to his injuries, that he wasn’t weak enough to fight and he was willing to have a little comfort if it was his last. I’ve seen my share of crusty old tom cats who came in from the cold only to die from some injury, chronic illness or just old age. I didn’t know at the time this cat really was an old tom cat, but he was beginning to seem like it.

cat with neck wound
Skeeter with veterinary technician.

PVSEC, here we come

I refer to Pittsburgh Veterinary Specialty and Emergency Clinic, which is where I’ve always taken my cats or any other cat who is in need of emergency care; Peg and I had discussed our options on Sunday and felt this was the best though it would be expensive. We drove with the windows open so the smell wouldn’t saturate the car.

They took Skeeter back in the carrier as soon as we arrived, then a veterinary technician met with us to take notes. They had told us they would first do FIV and FeLV tests since he was a stray, and the vet tech told us that Skeeter was FIV positive. Peg and I briefly discussed if we should stop here and decided Skeeter had a strong will to live, and we should at least go on with an array of blood tests.

In a while Dr. Manhart, who was treating Skeeter, came to give us an initial diagnosis and treatment plan, and the information from exam and blood tests that would help us make decisions.

She said Skeeter was middle-aged, eight to nine years at least, that the wound was very old with scar tissue all around his neck, and he was also an intact male. There was not enough skin left to close up the wound, and the best they could do would be to stabilize him first, get him on antibiotics and rehydrate him, trim the skin in hope of “second intention” healing, where the wound is covered with various types of bandages and the edges of the wound heal toward the center and create scar tissue, much like a serious burn is healed; this has always reminded me of how trees grow bark over wounds to their trunk or cut away branches. He might also be septic, where the infection or a secondary infection spreads throughout the body.

veterinarian with cat
Dr. Manhart with Skeeter.

His blood test results were all out of whack, but that’s not unusual in a cat with a serious infection who’s in a lot of pain, hasn’t had much or anything to eat or drink for a while and was a little stressed at his current situation.

The FIV diagnosis gave us two hurdles: it would hamper his healing to a certain extent no matter what, and he would need to live in a home without other cats, or with other cats who were already FIV positive at least for a while.  The wound would take a long time to heal, someone would be physically handling care of the wound and there would be a certain amount of fluids emitting from the wound, and then his imperiled immunity with both FIV and an open wound put him at risk. Also, he may be nice with people, but he was also an unsocialized intact male and it would be a while before they neutered him, perhaps the first time he went under anesthetic for debridement, perhaps later. Until then, he could still act like an unneutered male, and they often continue to act like one even after neutered just out of habit.  We decided we’d work with that.

Then she pointed out his blood glucose: 376, unlikely to be a situational fluctuation, likely to be real diabetes, and in fact could be the reason he could have lived with the wound for so long yet it may have suddenly begun to abscess as diabetes developed. If it was, then it would be even more difficult for the wound to heal along with the FIV+, and would he be able to be poked with a needle twice daily?

A urinalysis, however, showed no glucose in his urine so it was not diabetes, though Dr. Manhart said that was possibly stress-related but was a much higher number than stress-related diabetes typically showed.

After reviewing a few other things—his spine was not affected, his kidneys were functioning, his liver values were a little high but that was probably due to his recent diet, he had few teeth left and those in bad shape, one of the reasons it was hard to guess his age—we decided to go ahead with treatment.

cat with neck wound
The wound today.

Treatment: stabilize him, then clean up his wound

So that’s what we decided to do. At every step we looked at each other and said, “You can’t save them all,” yet we remembered how he had shown up on Peg’s porch and to me seemed to be asking for help. Most important, he still had a will to live, and that is the deciding factor after all the blood tests and diagnoses—he wants to live, and that means that if he gets the support he needs and it is at all possible, he will live. So we will help him.

So far the low estimate, which Peg has already paid, is $670. The high estimate is a little over $900. Several people have already offered to help pay for his care, and she has set up a ChipIn for Skeeter the Cat for anyone who wants to donate to his care in any amount.

More important, a home that can care for him

Skeeter wants to live, not only could Peg and I see that, but so could the people who treated him, but he will need a special home, one that can accept an FIV+ cat and has the skills to care for him while his wound heals on its own. Can you take Skeeter, or do you know of a rescue organization that can help, or an individual rescuer? Any leads would be much appreciated!

Emergency animal hospital veterinarians and technicians

This cat was a mess and smelled like death, yet they all treated him with the utmost gentleness and respect. Not that I am surprised, and any animal deserves nothing less, but I’ve seen less and remember a day when we’d have been told to just put him down and his existence would have been waved away like so much trash. I’m glad that is changing. We may have met with that elsewhere, perhaps the emergency clinic sees things differently.

Thanks to Peg

And thanks to Peg and people like her who, when they can, will undertake the care for a cat like Skeeter.

Epilogue

Skeeter sadly failed under anesthesia with the first procedure; read Peg’s explanation in the comments below.

Also read What’s the Matter?

________________________

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Bernadette

From health and welfare to rescue and adoption stories, advocacy and art, The Creative Cat offers both visual and verbal education and entertainment about cats for people who love cats. From catchy and creative headlines to factual articles and fictional stories, The Creative Cat provides constant entertainment and important information to people who love cats, pets and animals of all species.

23 thoughts on “Skeeter’s Diagnosis

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  • January 12, 2012 at 5:23 pm
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    Hi, all. I sent this to Bernadette privately, and she encouraged me to post it here. So here goes. This is a take-it-or-leave-it thing. So if it helps anyone, I’m glad.

    I’m psychic. I am not disciplined, though, so I often “get” stuff but don’t know where it’s coming from. For a few days before I read about you (Bernadette) and Peg helping Skeeter, I heard a cat crying. I know I wasn’t “really” hearing it, because I would only hear it once and then not again for a few hours. In “real” life, cats don’t just cry once. They usually don’t cry at all, but if they do, they don’t just do it once.

    After Peg called you about Skeeter, I stopped hearing the cat cry.

    Knowing Skeeter’s “type”, I’m sure he wasn’t crying with his voice. But his spirit was crying, and I am so thankful that you and Peg “heard” him too, and helped him.

    Reply
  • January 12, 2012 at 3:44 pm
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    Oh, what a heart breaking story and to think how he lived with the pain of that wound outside in all kinds of weather and he was still sweet and gentle and how grateful I am that you and Peg rescued him and he had warmth and love at the end and that his big spirit lives on somewhere beyond our understanding. Thank you for everything you do.

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  • January 11, 2012 at 9:56 pm
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    I am deeply saddened to read this news about Skeeter. I send my thanks to Peg and to you for all you did to give him a fighting chance and for the love and care you gave him in his final days.

    Reply
  • January 11, 2012 at 8:48 pm
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    Peg and can’t thank everyone enough for just sending love and light to Skeeter and words of support to us. You never really know how these things will turn out, you can only hope for the best, but prepare for the worst. We’ll remember Skeeter.

    Peg took care of him in life, I’ll take care of him in death–I’ll have him cremated and scatter his ashes all over the neighborhood he called home.

    Reply
  • January 11, 2012 at 8:45 pm
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    I have sad news about Skeeter…he had his first procedure today, and didn’t make it out of the anesthetic. At least he had love and comfort in his last days. Here is the note that Peg wrote:

    6:15PM – I was just about to post a cautiously optimistic note saying “Skeeter is currently in surgery to remove all the loose skin, scars, and scabs from his wound and I will be visiting him tomorrow” when I received a call from his surgeon. He said Skeeter was currently on the operating table and the wound was far more serious than originally thought. It was not a tight-collar wound after all but a bite wound. The surgeon said the infected area was “as large as my hand” — an area approximately 6″ by 4″ from shoulder to shoulder and from head to back — and quite deep, penetrating all the way to the muscle. He said Skeeter had only about a 25% chance of survival, and with FIV-related complications, would probably not heal well if he made it through the surgery.

    I told the surgeon I was hoping to be with Skeeter if he had to be put down so he wouldn’t have to go to the Rainbow Bridge alone, but I said “it would be a kindness not to wake him up, wouldn’t it?” and the surgeon said “I’m afraid so”.

    I am deeply grateful to have had the honor of being petmom to Skeeter if only for a few short days, and want to send out thanks to all of you who have joined me on this journey. Skeeter was kind and gentle and I’m very glad he spent his last days well fed and free of pain. A freezing rain is falling as I type and I am very glad Skeeter is not out there dying in the cold but is spending his last moments in warmth and being treated with care and dignity. RIP Skeeter.

    Reply
    • January 12, 2012 at 11:27 am
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      Bernadette, thank you so much for the kind and gentle update on Skeeter. As you said, Skeeter got to spend his last days knowing that people loved him. Thanks to you and Peg and the people at the emergency vet for doing all you could.

      Reply
  • January 11, 2012 at 5:41 am
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    Skeeter obviously knew where to go! I hope he makes a good recovery. He is a cutie.

    Reply
    • January 11, 2012 at 9:31 am
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      Carolyn, I think you’d probably get one of those angle slit-eyed tom cat looks if you called him “cutie” to his face! Underneath it all, I think he’s a very nice cat.

      Reply
      • January 11, 2012 at 2:46 pm
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        Bernadette, when you get time could you let us know how Skeeter’s doing today? I would love as many updates as you have time for. Or Peg, you could do a “reply” and let us know. I’m not trying to be a pest, I just care about Skeeter and I know others do too.

        Reply
  • January 10, 2012 at 7:21 pm
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    Hi, all.

    Thanks so much, Peg! I’m so glad to see those photos and read more about Skeeter. Thanks again to you, Bernadette, and the people at the vet’s for your love and care.

    Reply
  • January 10, 2012 at 7:14 pm
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    Hi, all.

    Peg, I still can’t get that link to work. Did the link change when you set it to “Public”?

    Susan

    Reply
  • January 10, 2012 at 7:11 pm
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    awww- we love those big tomcats. Please realize that he CAN live with cats that don’t have FIV – it is only spread through deep bite wounds or sexual contact. So as long as he isn’t aggressive toward other cats, he can’t spread it. We know several families that have “mixed” households. If you would like more info, check our BestFriends,org

    We hope he heals up fast and is feeling better soon…..and THANK YOU for helping this boy – the world needs more people like you!!!

    Reply
    • January 10, 2012 at 7:27 pm
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      Random Felines, if he was just FIV+ that would be fine, but it’s partly because of his wound, which will remain wet and open while it heals, and may take months to heal over, and other cats should not risk coming into contact with it. He will also take a lot of handling of bandages for that area, and because of the nature of that it may spread the disease as well. Considering he’s an intact male at his age, even without testosterone a lifetime of habits can still carry through!

      He looks to me as if he’s pretty satisfied with the life he led!

      Reply
  • January 10, 2012 at 6:36 pm
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    Hi, Bernadette.

    I just tried the Facebook link that Peg sent, and it gave me an error.

    Also, thanks so much for the link to the ChipIn for Skeeter. And I’ll be looking for updates! He is one tough cat, and blessings to you, Peg, and everyone else involved in helping him!

    Reply
    • January 10, 2012 at 7:02 pm
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      Susan, thanks to you!

      I’ll have to ask Peg about that link. It doesn’t work for me either.

      Reply
    • January 10, 2012 at 7:08 pm
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      Sorry – I forgot to set it to “Public”. Give it a try now!

      Reply
    • January 10, 2012 at 7:03 pm
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      Peg, I can’t get anywhere with the link above. Did you upload new photos or is this the gallery you had already uploaded?

      Reply

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