Goodbye, Artemis

Artemis breathed her last breath at 12.37pm AEDT today. It was a peaceful moment. I held her while she moved from this world into the next. I cried. I am crying now.

Artemis led a gloriously adventurous life, if perhaps short at a little over seven years. She hunted everything from moths and grasshoppers to rats and noisy miner birds, eating most of them. She even brought us the striped marsh frog from the garden pond — three times before she learned, the hard way, that it’s poisonous. She never did catch a currawong, and I’m glad of that.

Artemis used up one of her nine lives when her tail was crushed and eventually amputated.

Today I chose to take her ninth.

Continue reading “Goodbye, Artemis”

Artemis, it’s decision time…

Thanks to today’s X-rays and ultrasound, we have some answers. Sadly for Artemis, the answers are not good. Not good at all.

Artermis’ left kidney is quite small, only 2.8cm long. A normal cat kidney might be 3.5 to 4.5cm. Perhaps she was born with it small, perhaps it’s been damaged later. Kidneys do shrink with some chronic problems. But either way, it’s clearly dodgy.

The right kidney is bigger, but there’s a kidney stone. It’s only 1.5mm in diameter, but we’re talking about a cat not a human. That stone is currently blocking the urethra, and perhaps a back-up of urine is inflating that kidney. It’s possible the stone has only just moved there, which could explain the reversal of Artemis’ blood results over the past few days.

“I would have thought she wouldn’t have recovered as well as she did initially with that stone there,” Dr Emily Payne at Pet Vets told me this afternoon.

Now if this were simply a kidney stone, we’d just operate and remove it. “If it was just that one kidney, the prognosis wouldn’t be too bad,” Dr Payne said. But with the other kidney clearly not right? “The outlook isn’t that great.”

Since so many people now have a stake in Artemis’ future, I’ll present the options and ask for your advice.

Continue reading “Artemis, it’s decision time…”

Artemis update soon

Just a quick note to say that I’ll have a full report on Artemis’ health once I’ve visited her at Pet Vets at midday Sydney time. That’s in about an hour, and I’ll post something perhaps an hour or two after that.

There was brief news from Dr Emily Payne on Friday night to say that various kidney-related enzyme levels were still high but reducing relatively quickly, which indicates both that the suspicions regarding liver disease could well be correct and that the issues may not be severe in the long term. The plan then was to keep her on fluids for another 48 hours and update the plan, which of course brings us to now. Please stand by.

Artemis eats

About 7.30pm this evening Dr Emily Payne from Pet Vets left a voicemail with an update about Artemis: “She’s drinking a bit of water for us, and she has eaten a very small amount of food as well, so that’s good. And she’s purring when she gets a pat.”

Artemis is stable, diagnosis unknown

“I’m so glad she’s doing well, I really didn’t know if she’d make the night,” said our vet Glen Kolenc a short time ago. And yet Artemis did make it through the night, thanks to interns Dr Helsa Teh and Dr Dharshinee Rajkumar and their team at the Sydney After-hours Veterinary Emergency Service.

“On presentation Artemis was collapsed and her gum colour was slightly muddy,” says the discharge statement. “She was given oxygen by mask and started on shock rates of intravenous fluids. Her blood pressure improved afterwards.” Artemis then spent the night in hospital on the drip, with methodone for pain relief.

While there is a lesion in her mouth which, as I explained yesterday, “could be a tumour”, the report also says that “her small kidneys and very dilute urine despite being dehydrated is suggestive of kidney disease”.

This morning, thanks to James Neave providing transport and Kate Carruthers covering the bills for now, Artemis was transferred back to our regular vets at Pet Vets, Petersham. She’s back on the drip and at the start of a few more days in hospital while tests are run and diagnoses reached.

At lunchtime Dr Emily Payne called from Pet Vets to say the first of the blood results were back. They show very marked kidney disease going on, “all kidney-related enzymes high”, “this all relates to kidneys”. And if it is kidney disease, well, it’s generally manageable long-term. It could even explain the mouth lesions: ulceration. We’ll find out more over the next few days.

However for the time being it’s mostly a matter of getting Artemis her strength back and then figuring out what’s going on. There will be uncertainty for a while, but she’s alive and now in no immediate danger.

My especial thanks to the many, many people who’ve given support, both personal and financial.

Donations have now well exceeded $2000, and this will probably cover the emergency treatment, hospitalisation and diagnoses currently scheduled. Whether further treatment is needed remains to be seen.

Of course if the mouth lesions do turn out to be cancer then we’re in for a bumpy ride. But it may not be that, and Dr Payne emphasised that at this stage we simply don’t know.

Thank you, everyone.

Right now I’m mentally exhausted, and I didn’t get much sleep last night. I will respond properly to comments in the next instalment. But for now, I’m taking a nap.

[Photo: Artemis, 30 May 2004.]