So I came home from class tonight (really felt like I couldn't miss class two weeks in a row) and Liz had picked Arthur up from the vet already and gotten instructions. He is feeling groggy from the anesthesia. Liz was told to keep an eye on Arthur all night tonight to make sure he doesn't fall asleep with his head in the water or food bowl and presumably to make sure he doesn't disturb the tube.
The picture above shows Arthur practically passed out in front of the bowl. He did actually eat a 1/3 to 1/2 of the bowl before he laid down again. What concerns me about this tube is the placement. Any time he rubs his head against anything (which he does all the time), he is jostling the tube. Did the vet put it in the wrong place?
He is supposed to get 4 meals a day for a total of 250 calories for the next few days. He is supposed to get his liver values checked again on Friday and hopefully we will see improvement. As I said in an earlier post, the hospital wants to do a biopsy if he doesn't improve, though Friday is not necessarily a firm deadline for improvement.
I am VERY concerned about the tube. On the one hand, I think it's necessary to help him consume enough calories. On the other, I think they positioned it very precariously on his neck. If it comes loose, if he vomits, if he bleeds, if anything happens at all, he has to be rushed to the hospital again.
Call me a nattering naybob of negativity but I'm concerned that the hospital doesn't care about helping Arthur at all. For over $5,000 in medical expenses, not only have they failed to make him better, but his liver numbers actually went up. And they don't seem even remotely interested in answering questions or providing us with the information we need to help him.
This morning, I brought a printed listed of questions to the hospital. I waited patiently for the doctor to come over and explain the procedure. Then I started asking her questions. She said "it sounds like you put a lot of thought into this, let me take your paper so I can properly answer your questions when you come in later."
When Liz came in later, she did not get to speak to the doctor, but to a vet tech instead. The vet tech handed her back the paper. You can see in the picture below how seriously she took our questions.
If you click the image, I believe it will enlarge so you can see my Qs and her As or lack there of. The first question, "how much food does Arthur need to eat each day?" is one that she would not explicitly answer for us last week and which our regular vet would not answer either, until the feeding tube was put in today and they finally said "250 calories."
Was asking about required food intake too much to ask? If we had known about that 250 calorie number over the weekend, we might have been able to act upon that information, feed him high-calorie feed and prevent him from getting worse. Instead, I was shooed away by both the vet and the hospital doctor, both of them annoyed by my questions and telling me things like "if he eats at all, you shouldn't worry" or "I can't really tell you how much your cat needs to eat" or "don't believe things you read on the Internet about how much a cat with fatty liver disease needs to eat."
Anyhow, right now, we can only pray that the feeding tube works, that Arthur gets better, and that we can move on from this.