Help Needed: Rear Leg Amputation - Susie Continued

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DawnHolt
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Help Needed: Rear Leg Amputation - Susie Continued

Post by DawnHolt »

Hi again, everyone

Susie just will not go into her box. We put her in every hour and then praise her and put her back on her bed. She yeowls and will not stay in the box, even with me supporting the side with no hind leg.

Then, she pees wherever she lies and then rolls away from it so that she isn't lying right in urine. I am worried that this is going to become a behavioural tic and that if we can't get her back to using litter, we may not be able to at all.

I don't know what else to do to help her with the toileting thing. The vet says she will "eventually" adapt, but in the meantime, what can I do besides keep her in a rooms covered in litter? :)

Please, has anyone else experienced this? Carol has been wonderful in offering us an adapted litter box, but if Susie won't get in it...
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critters
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Re: Help Needed: Rear Leg Amputation - Susie Continued

Post by critters »

Hmm. One thing I've done at times is to give a super-special treat, maybe shrimpies or something, ONLY in the litterbox so it's associated with good things. Another idea that works is to put her in a small crate, only big enough for a small box, small bed, food, and water (bird cups work well). Having to choose between box or bed, most make the right choice. After that gets consistent, she could earn her way out to, say, a bathroom, then slowly earn her way out into the house.

Depending on the size of the crate, cake pans may work well, as may small plastic ones. I like to get at least 3, with only a little litter, then swap them out ASAP after she uses it; that way, it's always as clean as possible.

Good luck!
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CarolC
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Re: Help Needed: Rear Leg Amputation - Susie Continued

Post by CarolC »

Hi Dawn,

> Susie just will not go into her box. We put her in every hour and then praise her and put her back on her bed. She yeowls and will not stay in the box, even with me supporting the side with no hind leg.

I'm thinking maybe wait a little longer before putting her in the box? If you know she just went, I don't suppose she would need to go again for several hours at least. Maybe try again 4 or 5 hours later? If she wets sooner then try a little sooner. She has no stimulus to release her bladder if there is no pressure of fullness. You might make a note of what time she went (wetted) and then what time it happens again, so you can develop an idea of her schedule. She may actually be getting a little annoyed at being taken to the box every hour when she wants to rest, kind of like being awakened in the middle of the night at the hospital so they can take your blood pressure.

Also, it is generally thought that kitties like privacy when they go. It just may be bothering her that "people" are right there in her space, when what she really wants is her privacy, and it puts her right out of the potty mood. It sounds like she is pretty clearly telling you she doesn't want any help. You know how they say cats have such an independent nature!

I'm guessing (feel pretty sure) that the standing thing is the main reason she isn't wetting when put in the box. She'll get better at standing but it's only been a week. I bet she doesn't even have her staples out yet. When she feels better, she'll stand up. In a separate message I am going to post a story for you to read about a cat who is a double amputee, and he does fine. If he can get around (yes he walks and does everything without help) on 2 legs, then Susie will be able to do fine on 3. She just needs time.

> Then, she pees wherever she lies and then rolls away from it so that she isn't lying right in urine.

I was sitting in the waiting room where my dog does physical therapy today and I read something in the February 2005 Cat Fancy Magazine and copied it down for you. It is because you mentioned earlier that when your husband helped Susie stand in the box, it was the first time she managed to go without getting it on herself. I was thinking, I'll bet they're having to clean her. Here is what it said: "Hypoallergenic, odor-free baby wipes are great for cleaning a cat's rear area, especially for cats that cannot clean that area thoroughly themselves."

I could go back and find messages on this message board where this subject has come up before. You have a temporary situation here where Susie is probably getting wet, and of course she has her beautiful long coat. You haven't mentioned if she is grooming very well. If it were my cat, I would do the following, but it is up to you. When I take her back to the vet for her suture removal in a few days, I'd ask them to do a little judicious shaving in selected areas that will help for hygeine and will not spoil her appearance. I assume she is already shaved around her surgical site. You be the judge, but I think I'd ask them to shave the inside of her thighs, her lower abdomen, and if you think she needs it, you can also shave a small area around the anus and possibly an inch or two on the underside of the tail. I had an elderly dog who wetted, and we trimmed him that way. I also had a big beautiful long-haired gold cat who simply sometimes got "things" gummed up in the fur around his rear. I would sometimes have to groom them out of his fur and drop them in the toilet, so I had the vet shave just a small area right around the anus. My brother also did this with his Persians, which were not in show coats. Anyway, when you shave the inside of the thighs and tummy, it really doesn't show, and it helps a lot with clean-up. Soon this should not be necessary, but it would help you short-term till she gets back on her feet.

Also, since you've never had a problem with your carpet, you may not know about the new enzyme carpet cleaners? They are also recommended in Cat Fancy magazine. The one I use is PetZyme. I have also used Simple Solution (it is widely available). There are other brands as well. You spray them on your carpet and they remove the odor and stain by actually breaking down the proteins or something. All you do is spray it, leave it for 10 mintes, blot it with a paper towel, and let it dry on its own. (I just put a couple of paper towels over the spot and step on them and throw theem away.)

> I don't know what else to do to help her with the toileting thing. The vet says she will "eventually" adapt, but in the meantime, what can I do besides keep her in a rooms covered in litter? :)

You're smiling, but it's really very frustrating, isn't it. Who can blame you? There are two other things you can do about the wetting, and people here can tell you about them. They are diapers, and expressing. So yes, there are other things you can do (including the ideas Critters gave) but I think all she really needs is time. I believe it's going to go away on its own. If the carpet is expensive, you might want to crate her like Critters said. If you crate her, I like the idea of using a wire pen and putting it up on a table where the pet can see out the window and not be bored.

> Carol has been wonderful in offering us an adapted litter box, but if Susie won't get in it...

The box was mailed yesterday morning, and I sent it airmail so hopefully it should arrive soon. I think she will find if helpful, because pretty soon she'll be getting around better and standing more comfortably, but she'll appreciate not having to climb over a 6" side to get in.

Remember the yellow kitty I mentioned earlier--? He lived to be 21 in spite of a chronic health condition. You didn't make a mistake. I'm hoping she feels better soon for both of your sakes.
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CarolC
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Shamus, a double amputee cat *LINK*

Post by CarolC »

Hi Dawn,

If you click the link at the end of this message, it takes you to the news article about Shamus, a double amputee cat. The newspaper has archived the article so you can't read the whole thing online anymore, but you can still see his picture. I copied the text of the article back before they archived it. Here it is:

* * * * *

http://www2.townonline.com/marshfield/l ... leid=88998

Feline fine: There's no slowing Shamus the cat
By Elizabeth Malloy/ EMALLOY@CNC.COM
Wednesday, September 22, 2004
Shamus always lands on his feet - both of them.

Since he arrived as a stray at the Hickman family's home on Eames Way four years ago, the orange tomcat has had to go through a series of surgeries that have left him with only two legs, but despite his handicap, Shamus has maintained his feline swagger, and likes to run around the house and yard.

"He gets around; he runs up a whole flight of stairs, he uses the litter box," said Holly Hickman, a college student who owns Shamus with her sister Greta and mother Jill. "He hates our cat Rachel, he kicked her out of the front yard the other day."

The Hickmans have five cats all together, four females in addition to Shamus along with several geese and chickens. The cats were all strays taken in by the Hickmans, but Shamus was a special case, Holly said.

He first began coming around the Hickman's house in the middle of winter four years ago, and Jill fed him so he kept returning periodically. After several weeks, the family noticed Shamus' back right leg was severely injured, his paw swollen to the size of a human hand. Veterinarians at Duxbury Animal Hospital tried to save the leg but the injury was too extensive and they were forced to amputate.

"Then he had three legs and he was fine on his three legs," Holly said. "Then about a year later, I noticed what I thought was a callous on his front foot."

The bump turned out to be a tumor. The Hickman's brought Shamus to a specialist in Bourne who said he could remove the tumor, and in the process two of Shamus' toes, but the growth would most likely come back. Last August it did grow back, and it was larger than a golf ball, Holly said.

The Hickman's had two choices: put Shamus to sleep or remove his other right leg. They only had about a day to make the choice because their vet was going away, but Holly said she had a feeling the cat had not yet used all nine of his lives.

"I came home one night, and he'll always run over to my truck when I get home, and he's holding up his bad foot and he's walking on his other two, and I thought, 'I really think he'll be able to walk on two legs,'" she said. "I feel like if the vet never removed his tumor, and it didn't have a chance to come back, he wouldn't have taught himself, but because it grew back over a year and it was painful to put pressure on, he taught himself how to walk on two legs."

The vet agreed to the third operation, and Shamus lost his front right leg to another amputation.

The cat recovered quickly, according to Holly, eating and purring the day after surgery.

"I was afraid he'd just be in a funk or be depressed," she said. "Two days after surgery he came home and I made him a bed because I didn't think he'd be able to get around, and within two minutes he was up, running through the kitchen seeing if there was any food."

While the Hickmans are happy Shamus is doing well, his veterinary bills have been high, totaling about $5,000, and with Holly and her sister in college, it has caused some strain on the family finances. Since friends, family and neighbors have been so enthralled with the cat, they decided to hold a fundraiser at their house earlier in September. Holly said they had a DJ, food and about 50 guests who donated about $700 towards the final bill, which was $1,200.

"Our next stop is the Marshfield Fair freak show to pay off the rest," she joked, scratching under the cat's chin. "A lot of people say to me, 'You're nuts,' but he's happy. I would have put him to sleep in a second if he wasn't happy."

Shamus cannot run with the same ease as other cats, but he can run with a kind of off-balance hop that gets him where he needs to go. Holly said the family doesn't like to let him outside by himself, especially at night when foxes and coyotes come out in their heavily wooded area of Marshfield, but sometimes the feline, ever an outdoor cat, finds his own way out.

"He sneaks through the porch and pushes the door open with his head and he comes out," she said, describing one incident shortly after his August surgery. "We find him outside and he's bald and he had his stitches and his two legs and I'm like, 'You can't just go out in the front yard like that, honey. If anybody sees you they'll be reporting us.'"

Despite his handicap, Shamus is still an active, happy cat. He even caught a chipmunk recently. Holly said she looked into wheelchairs that are designed for animal amputees, but she didn't think Shamus would like the confinement.

"He was more aggravated having that tumor on him than he is with the two legs," she said. "Nothing ever gets him down."



CLICK HERE to see Shamus, a double amputee cat
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CarolC
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Forgot to mention...

Post by CarolC »

I'm sorry, I forgot something important--duh. You may want to keep an eye on her for the possibility of a bladder infection. Some cats can develop interstitial cystitis (inflammation of the lining of the bladder) merely from the stress of a vet visit, not to mention a hospital stay. Also, she may not have been urinating as frequently as usual following her surgery, which gives opportunity for bacteria to grow in the bladder. (Did you ever wait too long during a plane trip or something and develop a bladder infection?--it's the same thing.) Also, she may have been drinking less this week since it involves shifting position. One symptom of a bladder infection is inappropriate elimination, which you've been seeing in Susie--what may seem to be behavioral could be physical. Other symptoms may include an odor to the urine (not always), blood in the urine (not always), and sometimes straining to urinate. Bladder infections usually aren't serious and can be cleared up readily with antibiotics. If you have any reason to suspect a bladder infection, the vet can get a urine sample from her and check it to see. This would actually be a very common and predictable result of surgery/hospitalization/recovery. If you let her lie on a white towel and she wets it, you can judge the color of her urine, and you can check it for any sour odor. I have also used incontinent pads sold for bedfast humans. They are sold at Walgreen's, Wal-Mart and other drug stores in the adult diapers aisle. They are white absorbent material on one side and a plastic liner on the other. It saves the bed and you throw them away if she wets.

Hope this helps!
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