Medical Expenses for Senior Stray Cat

Update posted by Silvo Scruffy On Dec 29, 2021

Hi everyone!

Yesterday we took Scruffy for his check-up after two weeks of antibiotic treatment to see if the infection in his bladder had cleared up. Unfortunately, his bladder was the size of a pea. The vet was unable to obtain a urine sample, even after we tried to give him water via syringe.

The vet, after listening to us describe his symptoms and noting that it was not improving much after medication, told us that it was time to consider surgery for Scruffy to remove his bladder stones. The medication route might not be a long-term solution, because the bacteria might evolve and outsmart the antibiotics, which would cause an even bigger problem. Also, the bladder stones will continue to cause physical irritation and increase the risk of further infection.

(look at his blep. it's become a bleeeeeeeeeep)

The surgery would involve cutting along his abdomen, lifting the bladder out, removing the stones and then flushing it with lots of saline water. We have the option of fixing his hernia at the same time. The surgery would also allow them to get a swab, determining exactly what kind of bacteria was growing in his bladder, and therefore exactly what kind of antibiotics he needed.

However, even after surgery, it might not guarantee that his symptoms will improve. His bladder wall has been inflamed for so long, and it may or may not make a difference.

Scruffy is scheduled for a heart ECG on 14 Jan to see exactly what the issue with his heart is. This would give us a better idea of the anesthetic risk involved. For now, he doesn't need to take any medication (Hooray for him!) Scruffy is also scheduled for a grooming session on 6 Jan to be a real clean boi :))

Here is the receipt for our consult today:


Thank you to our offline donors:

kate-lyn - $20

haryani - $100

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Update posted by Silvo Scruffy On Dec 23, 2021

Hey everyone!

Today, we took Scruffy back to where he used to live for a visit. He must have known exactly where he was, poking his head out of the carrier curiously. Another cat, whom the community cat feeder affectionately named "Spot", was equally curious too. He paced around Scruffy's carrier while sniffing it.

We had a conversation with the community cat feeder, who told us about all the people who cared for Scruffy and asked about how he was doing. We're so grateful that over the years, he has had a community of loving and kind people who offered whatever they could, within their own means. We want his remaining years to be filled with the love and affection that he deserves. Just look at this blep.


Thank you to our offline donors:

melinda - $50

faith - $200

Chin Yee - $20

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Update posted by Silvo Scruffy On Dec 21, 2021

Hi everyone!

It's been a few days since we last posted an update. Scruffy has been taking his medication (reluctantly, but we're glad he has the energy to struggle), taking long naps and frequently peeing (though blood is still present in his urine).

Here are some cute photos we took of him!

"I am an angry flower."

Nap time! zzz

It's beginning to look a lot like Christmas...

Thank you to our offline donors:

Christina Koh - $50

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Update posted by Silvo Scruffy On Dec 18, 2021

Hello to all our kind supporters,

Today has been a whirlwind of emotions. We would first like to emphasize that Scruffy is currently at home, napping and safe.

Scruffy fell asleep with us last night, on our bed. He was gently snoring and purring, with little twitches in his sleep. He didn't pee on our bed or the floor! He's almost fully litter trained, so close to being a complete indoor cat. We're definitely going to increase his unsupervised roaming privileges.

We woke up to find his kibble bowl empty, and fed him his wet food, before letting him enjoy his morning prior to medication.

His appetite has also been returning in full force, as he immediately ate away everything on the plate. We were really proud and were cheering for him. Every small setback and success is so important for us and Scruffy's journey.

He was also lapping away on his bowl of fresh clean water. We do have a pet camera, and we monitor him through it when we're away. Every time the camera detects a motion, we pop on the phone app to find Scruffy drinking away. He drinks water aggressively and with gusto.

I mention this information as while the day progressed, we began to notice a pattern in Scruffy's behavior. He would alternate between his litterbox, his pee pad, our bed, and the front door. Each time he goes to that spot, he would sit upright in his peeing position, and we would watch his tail twitching. Afterwards, he'd dig at the spot before walking away.

Each time he did so, we note that there was barely any indicators of pee. There would be a small coin sized dribble of pee at most. We began discussing about this behavior, before noting that he also displayed difficulty and straining while peeing yesterday. We went through his litterbox, also noting that there was barely any litter clumps. His pee pad had several droplets of blood.

That's where we began to panic and began making plans for an emergency trip to the vet. It was an extremely anxious moment for the two of us, while scruffy was on the bed napping.

We called Oasis Vet, which was fully booked for today. We called a nearby vet, which was not answering calls. We called Mount Pleasant, who said that they were also booked but accepted walk ins, before calling Pet Avenue, who listened to our ramblings, consulted with the vets, and agreed to book us in at 4pm.

We will admit, tears were shed on our way to the appointment. We were terrified, and had to brace ourselves.


Per our previous vet visit, scruffy's main concern is the inflammation in the kidney and bladder, along with bladder stones. This inflammation may be caused by an array of issues. It could be an infection in the urinary tract, it could be due to cancer. We couldn't get a more in depth review as any further investigation would require physically handling Scruffy. What we do know is that his bladder stone and kidney/bladder inflammation are seperate issues. Solving one will not get rid of the other. The bladder stone he has is about 1cm, and is lodged right below where his urethra would be. It is not obstructing, but is currently below it.

I know that there is a lot to take in, so please bear with me.

From the above, we know these three things:

1) The bladder stone is not blocking his pee

2) Inflammation may be due to infection

3) His kidney and bladder inflammation are not related to the stone

Our vet, Dr Sandhya from Oasis vet came up with a medical treatment. We will put him on antibiotics, supplements for his bladder and potassium levels, and painkillers.

What we hoped is that through a 2 weeks medication period, any infection will resolve and he would stop peeing blood. If during the vet checkup we find out that the antibiotics did work and was the cause of his bloody pee, then that would be one issue checked off for scruffy. This method would allow investigation of Scruffys condition, without any surgery or hospitalization.

As we went to the vet initially with concern over his bloody pee and general wellbeing, this would mean that our goal would have been achieved. The bladder stone which currently sits away from a urethra would not require removal, just constant supervision.

Which brings us to today. He showed the following symptoms

- Frequent attempts to urinate

- Very frequent drinking

- Straining to pee

- Droplets of pee

- Blood in pee

These were all signs of a possible stone blockage. UTI was also a possibility, but given as he was already on antibiotics, it would be unusual for his pee to become worse than it was before medication.

Throughout the whole fiasco, we were holding hands with Scruffy tightly secured in our arms. He was honestly the calmest between the two of us.

When we entered Pet Avenue, there were some rowdy and noisy dogs but the receptionistt/nurses guided us to a consultation room where we could sit and wait peacefully with our old Scruffy.

We had Oasis Vet emailed Scruffy's medical history so that the vets will be up to date with his progress.

Their findings were the following:

1) Scruffy's bladder was only half full and was not bloated.

2) Droplets of pee and wetness of his exterior indicates that it was not blocked, as pee could still come out despite the struggle he may have faced.

Given as everyone was incredibly aware of his age and bladder stone, they suspect that he was currently facing irritation caused by the position of the bladder stone. The physical irritation of his bladder stone may have caused the urethra to swell up and bleed, resulting in difficulty peeing.

It truly was a right call to go for an emergency appointment. However this is also a reality that we have to face for as long as we stick with the non-surgical path. The bladder stone will sometimes cause irritation, the urethra will sometimes swell and bleed. Scruffy will hurt, but he can find relief in his medication. As opposed to an immediately life threatening surgical procedure.

It was heartbreaking listening to the vet, but it was nothing compared to the grief and terror we felt moments prior the vet consultation.

Right now, scruffy is acting as scruffy. He is on the bed sprawled out next to us, snoring or purring as he sleeps. His long fluffy tail is politely tucked in, he is at peace. During brief moments like this, he is simply a cat being a cat. He sleeps well, rolls and sprawls, occasionally wakes up as though to seek comfort, and goes right back to sleep once you give him an assuring pat.

Thank you for reading through today's update.

Thank you for all the support, for showing care and worry for Scruffy.

We are constantly fighting for scruffy.

It has been a huge emotional and mental drain, but we do this because Scruffy is worth it.

We want his remaining time to be filled with good memories. For him to no longer deal with the fear and struggle of being an old, half-blind street cat. For him to enjoy his soft comfy beds, back massages, daily grooming, and love.

Please share his story around and support us in any possible way.

Here is the invoice for our visit to the vet today.

Thank you so much, and thank you to our offline donors:

minghui - $50

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Update posted by Silvo Scruffy On Dec 17, 2021

Hi everyone!

This morning, we woke up to Scruffy’s two food bowls which we left in his cage, empty! Hooray! Scruffy continues to be a good boy, cooperating with us as we feed him medication. Except for the antibiotics, which he absolutely detests. He scrambled to the window and lost two of his nails, which were weak and dirty. So dramatic this boy.


He loves the window, so we put a towel down so he’d be comfortable as he watches the birds and passers-by.

We also cleaned his ear again, as the dirt seems to be never ending.


He hated us touching his right ear though.


Here are some more cute photos of Scruffy:



We’d like to thank our offline donors today:

Ruo Xing - $20

Chiew - $200

Have a good day, and until tomorrow

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Update posted by Silvo Scruffy On Dec 16, 2021

Hello everyone,

Scruffy is not a fan of his new medicine. Its a syrup based medication which frankly smells like cough syrup. We wouldn't want that either.


This was the first time we saw him so vehemently against anything. He spat it out with such vigor that the medication foamed around his mouth. He shook his head side to side, droplets of the medication splattering across the floor and onto our shirts.

Unfortunately, he has to take it until the next vet appointment where we hope to ask for a pill version instead.

I can't imagine how our poor boy felt. Luckily, his medication induces drowsiness, so he relaxed into a deep sleep as we continued to comfort and pet him.

We feel incredibly grateful that scruffy is not one to hold grudges. He remains sweet and receptive to our pets. We do feel bad having to feed him medication, but we'll do it if it means allowing him to relax and not silently suffer.


The next day, he was as active as ever, jumping on tables and also jumping between the window grate and window. It was a sunny morning and he was basking the warmth in. Our windows are always closed and locked so it is safe.

Short update because scruffy was just chilling and enjoying the day.


Thank you to everyone's kind support.



A big thank you to our offline donors as well:

Renee - $50

Elle - $30

Jiaming - $5

QH - $50

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Update posted by Silvo Scruffy On Dec 15, 2021

Hey y'all!


Today we talked to our vet about findings from the ultrasound Scruffy did this week, and they also checked the potassium levels in his blood. Good news - they are back to normal, which is a good sign! Hooray! He has lost weight, though, going from 4.57kg to 4.05kg. He hasn't been eating much on his own.

The ultrasound revealed a few things: Firstly, stones in the bladder which are located right next to his urethra. There is a small possibility that the stones would end up get lodged inside it, in which case emergency surgery is needed. We will continue to monitor his peeing habits for now and give him painkillers.

Secondly, his bladder walls are abnormally thick, which is a sign of infection, specifically polyploid cystisis. We were given antibiotics for this.

Thirdly, he has an enlarged kidney. The cause is hard to ascertain. It could be an infection or inflammation, which might be related to the bladder issue, or it could be cancer. Surgery and a biopsy is needed to investigate more, but we're hoping it will get better as his bladder returns to normal.

Lastly, he also has a hernia in his abdomen, near his navel. It's basically fat that has gone through a pocket of muscle. It isn't much of an issue right now, as it might just be a birth defect and he's lived with it his whole life. It might, however, cause issues if an intestinal loop goes into that pocket.

We want to minimise Scruffy's day-to-day suffering by treating his most painful & problematic symptoms in the least invasive way possible. That means antibiotics and painkillers for now instead of surgery. He is an old boi after all, so we're going to help him retire as painlessly as possible in a warm and soft bed - safe from fleas, dirt and naughty cats who might attack him.

We are scheduled for another review with our vet in two weeks. Scruffy is taking it like such a champ, cooperating with us (mostly) as we shove pills, medicine and food down his throat. He is an odd boi - We wave treats and food around his face but he looks at us with a blank stare, not a single thought behind those beautiful eyes. Other cats would kill for those treats hahaha.


We also tried cleaning his ear again, which is full of so much gunk! He is getting cleaner and healthier day by day.

Here is the invoice from the consultation:

We want to thank the following offline donors for their generosity:

rachel - $30

ivy - $20

yumi & husband - $300

Thank you for reading and donating. Until tomorrow!

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Update posted by Silvo Scruffy On Dec 14, 2021

Hello everyone!

Today we got a call from Oasis Vet telling us about the results of the ultrasound Scruffy did this week. He has bladder stones, bladder inflammation (likely caused by bacterial infection), kidney inflammation (hard to ascertain cause, one of it could be cancer), and a hernia.

The bladder stones and hernia require surgical attention. If we were to go ahead with the surgery, they would remove the stones, take a swab to grow the bacteria and see what it might be, as well as take a biopsy from the kidney.

Of course, it comes with risks as he’s an old boi and will have to be put under general anaesthesia. Even if he makes it through the surgery, his organs might start to fail. In the meantime, we are still giving it some consideration and are weighing the risks and benefits of surgery. Our intention is to minimise the suffering and pain Scruffy is experiencing right now, while giving him the best shot he has to live out his years. It’s definitely going to be a hard decision to make.


Tomorrow, we’ll be going to the vet to check Scruffy’s potassium levels to see if it has returned to a healthy level The vet will also be checking for any parasites he might have. We’re hoping to hear some good news soon.

Thank you to our offline donors:

ant - $5

michelle - $20

Thank you everyone for reading, and for your kindness and generosity!


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Update posted by Silvo Scruffy On Dec 13, 2021

Hello everyone!

Scruffy is getting cheekier with each day, roaming around our room, jumping onto tables and opening wardrobe doors, despite our attempts to save him from his own reckless behaviour. This naughty boi likes to pretend like nothing is going on when we’re looking away, but immediately tries to leap onto the table as soon as we let our guard down. He’s got the soul of a young’un in the body of an old man.


He is such an affectionate boy, and starts purring like a motorcycle when we put him in our lap. He’s definitely a lap cat, for sure. It makes us so happy to see his health improve day by day. We can only imagine how much unnecessary pain he must have been in daily before we rescued him. We can’t help but think how he could have had a better life all this time.


But, what matters now is that he is safe, warm and happy! And this couldn’t have been possible without all of your generous donations, whether you’re our family and friends, or a stranger on the internet halfway across the world! We sincerely thank you for very single cent that goes into his treatment and care, for giving him a chance at a good quality of life.

We’d like to acknowledge the help from our offline donors so far, too:

Sam - $15

Manusha - $10

Michael - $15

Kj - $10

Maxz - $10

Jayden - $10

Yuan Ren - $50

Isabelle - $20

Amelia - $10

Fu Yuen - $30

Joshua Ooi - $10

Nathaniel - $10

Choong Kai - $25

Shenkai - $5

Yumi Pong - $100

Minhui - $20

hm - $10



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Update posted by Silvo Scruffy On Dec 13, 2021

Hello everyone!

Scruffy is getting cheekier with each day, roaming around our room, jumping onto tables and opening wardrobe doors, despite our attempts to save him from his own reckless behaviour. This naughty boi likes to pretend like nothing is going on when we’re looking away, but immediately tries to leap onto the table as soon as we let our guard down. He’s got the soul of a young’un in the body of an old man.


He is such an affectionate boy, and starts purring like a motorcycle when we put him in our lap. He’s definitely a lap cat, for sure. It makes us so happy to see his health improve day by day. We can only imagine how much unnecessary pain he must have been in daily before we rescued him. We can’t help but think how he could have had a better life all this time.


But, what matters now is that he is safe, warm and happy! And this couldn’t have been possible without all of your generous donations, whether you’re our family and friends, or a stranger on the internet halfway across the world! We sincerely thank you for very single cent that goes into his treatment and care, for giving him a chance at a good quality of life.

We’d like to acknowledge the help from our offline donors too:

Sam - $15

Manusha - $10

Michael - $15

Kj - $10

Maxz - $10

Jayden - $10

Yuan Ren - $50

Isabelle - $20

Amelia - $10

Fu Yuen - $30

Joshua Ooi - $10

Nathaniel - $10

Choong Kai - $25

Shenkai - $5

Yumi Pong - $100

Minhui - $20

hm - $10



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Sam

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Gambatte!!

Tracy

Backed with $20.00 On Dec 13, 2021

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Cheering your cat and you on this journey! Best wishes and all the best 😃 sending the cat lots of pats and love.

Hy L

Backed with $20.00 On Dec 13, 2021

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Anonymous

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hope scruffy will get well soon, thanks for taking care of our community cats!

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Backed with $20.00 On Dec 13, 2021

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