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    Complete Care for Your Aging Cat

    Page 20
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      joint problems unless care is taken in the breeding matchmaking

      process.

      “When they discovered the first Scottish Fold in 1951, they were

      breeding folded-eared cats to folded-eared cats,” says Michel e.

      “Their kittens had al kinds of spine problems, stiff joints and stiff tails,

      short tails and club feet, spina bifida, that kind of thing. They realized

      very quickly if you breed a fold to a straight-eared cat, you didn’t get

      these problems,” she says. Today, ethical breeders avoid these health

      problems in their cats by breeding folded-eared cats with a straight-

      eared cat. “But there’s a lot of folded to folded in every Scottish Fold’s

      background, because they al started with just one cat,” says Michel e.

      “That’s probably part of the problem with stiffness that they have.”

      Many cats get stiff and hunched up when they’re older, says

      Michel e. “We don’t know if Scottish Folds have normal arthritis, or if

      it’s something special to folds.” Carol W. Johnson, DVM, PhD of

      Kalamazoo, Michigan, is col ecting histories and X-rays on affected

      and asymptomatic cats to help determine how widespread Scottish

      Fold Osteodystrophy (SFO) is within the breed. Al submissions

      remain confidential. The ultimate hope is to find out whether or not the

      problem is associated with the fold gene, and/or find families of cats

      within the breed that do not get SFO so that selective breeding wil

      prevent the problem in future generations.

      Punkin’s problems first showed up in her stiff back legs, and then

      she began to hunch over as though her back was painful. “It seemed

      to come and go,” says Michel e. It was especial y bad during

      pregnancy perhaps because of the extra weight and strain on her

      joints. “She had a real y rough time,” says Michel e, and she final y

      stopped breeding her. More recently, Punkin has developed knobs on

      the inside of her wrists. “Like smal marbles, they’re smooth. They’re

      so bad now that even when she’s at rest you can see the little knobs

      sticking out there.”

      Over the years, Michel e has made adjustments to help keep Punkin

      comfortable and maintain her quality of life. “I put little boxes

      everywhere right by the bed so she never has to jump more than six

      inches. And I put a step stool and table by the window so she could go

      up steps. That does seem to help.”

      She also found information and advice on the Scottish Fold

      email list, in particular about changing Punkin’s diet. When a new

      senior cat food came out that included glucosamine and chondroitin,

      Michel e decided to give it a try. “I healed my own arthritis with

      glucosamine and chondroitin, so I’m a big fan,” she says. Michel e

      offers a mix of different foods to her cats, so for Punkin she added 50

      percent of the new food to the cat’s previous diet. “I started on her

      birthday last year, so it’s been just about a year and she’s much

      better. It has real y worked for her,” says Michel e. Punkin no longer

      walks al hunched up, she’s not as stiff, and she’s much more lively

      and plays more.

      Michel e has also noticed that the cat’s ability to groom herself has

      declined, probably because she’s not as flexible. “She used to be one

      of those cats that if you touched her, she’d clean her whole body for

      twenty minutes,” says Michel e. “She’s mostly white, and she kept

      herself sparkling clean and perfectly smooth. Now she’s starting to

      develop little mats around her neck and under her chin—and she’s a

      shorthaired cat. So now I have to brush her for the first time.”

      Also, Michel e has never had to clip her cat’s nails. “I teach them to

      scratch like maniacs, and it keeps the nails in perfect condition. But

      because of her arthritis, Punkin can’t scratch so much.” She’s noticed

      problems with the nails getting too long, especial y on the back toes,

      and curling into the tender flesh of the pad. “It seems to be a slippery

      slide. Once she gets stiff, she can’t clean herself as wel , so therefore

      mats, and she can’t scratch and therefore toenail problems,” says

      Michel e.

      She knows that Dr. Johnson wants Punkin’s body to study when she

      dies. “I hope she’s going to live another 10 years,” she says, but she’s

      made the necessary arrangements for when the time comes. She

      hopes learning from Punkin wil help advance understanding about

      SFO and help other cats.

      Today, taking care of the beautiful cat and accommodating her

      senior needs doesn’t feel like a hardship to Michel e, or to Punkin.

      “Her quality of life is just fine,” says Michel e. “We’re great together.

      She real y loves me and I real y love her.”

      BLINDNESS

      Cats can become blind at any time, but it occurs mainly when they

      are older. Vision loss often is gradual, but may be sudden, complete

      or partial. Injury or eye disease such as infections, cataracts or

      glaucoma can frequently cause blindness. “The greatest problem we

      see in aging cats is hypertension secondary to renal [kidney]

      problems,” says Paul A. Gerding, Jr., DVM, an ophthalmologist at

      University of Il inois. Hypertension can also develop as a consequence

      of heart disease. “It’s far more common to see vision loss due to

      retinal detachment because of hypertension than anything else.”

      Even if the cat loses vision, the owners typical y aren’t aware of it—

      at least not at first. “They can be down to their last bit of vision, and in

      their own home they compensate very wel ,” says Dr. Gerding. Blind

      cats remember the layout of the house, and rely on sound and scent

      landmarks to get around. Vision loss typical y causes problems when

      they’re in unfamiliar surroundings. Owners may suddenly realize

      there’s a problem if they rearrange the furniture, for example.

      Catching vision loss in the earliest stages has the best chance of

      preserving the cat’s sight. Specific drug treatments and sometimes

      surgery are available for glaucoma and cataracts, discussed further in

      the chapters on those topics. Eye infections and inflammation may

      also respond to prompt medication.

      Similarly, cats suffering from kidney or heart disease often benefit

      from anti-hypertensive drugs, says Dr. Gerding. “If you catch it early

      and treat it medical y you may catch it before the retina completely

      detaches, or it may reattach so there’s stil some viable vision

      afterwards.”

      Senior Symptoms

      “Usual y you’l see vision loss in an unfamiliar environment. They’l

      have memorized their own home or yard if they’ve been there the last

      5 to 10 years,” says Dr. Gerding. Symptoms of vision loss are

      therefore noticed more in an unfamiliar environment. “Cats to tend to

      become a little more withdrawn if they lose their vision,” he says. Look

      for these signs:

      The cat hides, and her activity level decreases.

      Shows reluctance to navigate stairs or jumps, especial y in

      unfamiliar places

      Becomes clingy

      Bites when touched unexpectedl
    y

      Moves more slowly and cautiously

      Pupil of eye stays dilated

      Accommodations

      When blindness due to disease or injury can’t be reversed, you

      need to adjust your cat’s environment to help her better cope in a

      sightless world. Blind pets compensate for the loss by relying more on

      other senses, and won’t be nearly as concerned about the deficit as

      the owners, says Harriet Davidson, DVM, an ophthalmologist at

      Michigan Veterinary Specialists.

      Cats prefer the status quo anyway, and this becomes even more

      important when they can no longer see. Don’t rearrange the furniture.

      Keep things in the same place so the cat can map the house, and

      doesn’t become disoriented. “Keep their food, water bowl and bed

      always in the same spot so the animal knows where his things are at

      al times,” says Dr. Davidson. Cats don’t tend to run into objects, but

      they may decide to stop moving altogether in a strange landscape.

      “The animal’s behavior wil change somewhat in that they wil

      sometimes become more dependent on the owner,” says Dr.

      Davidson. “They tend to stand very close and fol ow you around more.”

      That can be a problem especial y for elderly owners if the cat stays

      underfoot and causes fal s. To counter this tendency, try providing a

      safe, cat-friendly retreat such as a bed or cat tree in each room.

      Cats that have always loved to be the center of attention may

      become reserved once vision is lost, especial y when guests visit.

      That’s only natural, says Dr. Davidson. The cat’s sense of self-

      preservation keeps her out of harm’s way—under the bed—instead of

      beneath the feet of guests where she might be stepped on.

      As long as the environment stays the same, blind felines become

      adept at compensating and may stil be able to accurately judge wel -

      known leaps simply by memory. But take care to block off danger

      zones, such as the basement stairway, to protect your blind cat from

      an accidental fal . If you must pick up and carry the cat, set her down in

      a place she recognizes—near her litter box, for example—or she may

      become disoriented. Setting her on high unfamiliar surfaces could

      cause her to fal off because she doesn’t know where she is. Also,

      warn visitors that the cat can’t see, and to avoid startling her.

      Frightened cats often bite out of reflex, and you want to protect friends

      and family – and your senior kitty. Interestingly, other cats often seem

      more tolerant of blind cats than they are of others that can see.

      A blind cat is stil a very happy cat. She can enjoy and remain

      engaged in life and the world around her. “People are told by a

      neighbor that when they’re blind, you have to put them to sleep,” says

      Dr. Gerding. is further from the truth.

      Comfort Zone

      Sound is much more important to blind cats. Try attaching a bel

      to the col ar of other pets in the home, so the blind cat can more

      easily find them. It may also be helpful for you to wear a bel , or

      speak to announce your presence to avoid startling the cat.

      Offer toys that have a sound, such as bal s with bel s inside, a

      noisy paper sack, or scrunch up wads of paper she can hear

      and “dribble” across the room.

      Golden Moments: Blind Stubbornness

      Rudy is a 10-year-old fawn Abyssinian, but she doesn’t act the

      least bit old. “Abys are kittens forever!” says Linda Weber, and shares

      a picture of Rudy as a baby. The children’s book author from Reno,

      Nevada shares her home with seven cats, aged 2, 6, 8, 9, 10, 17, and

      19, but Rudy rules the roost—even though she is mostly blind. “She

      stil runs through the house at 90 miles an hour,” says Linda.

      Rudy began having problems with her eyes at age 4, as a

      result of an earlier upper respiratory infection. “We had to fight to keep

      her alive. She didn’t seem to have any immunity to herpes,” says

      Linda. The il ness started with congested lungs and stuffy nose, and

      got progressively worse. “We thought we were going to lose her then,

      because she couldn’t eat or drink.”

      Rudy managed to fight her way back from this near-death

      experience. But then the infection got into her eyes. “She was healthy

      except for her eyes, and these things kept growing and growing

      through the corneas.” In many such cases, owners final y decide to put

      the cat to sleep. “That wasn’t an option with her because she was just

      fighting too hard to survive,” says Linda. “That seems to be a quality in

      fawn Abyssinians. They seem to be extra stubborn.”

      The infection caused chronic inflammation of the cornea, which

      resulted in a corneal sequestrum—a growth of dead tissue on the

      cornea. This dark plaque interferes with the cat’s ability to see, and

      treatment involves removing the bad spot and patching with tissue.

      “She ended up having three surgeries on her left eye and two on her

      right eye to remove them,” says Linda.

      Each time the surgeon would remove the sequestrum from each

      cornea, and pul up the inner eyelids and stitch them shut to give the

      corneas a chance to heal. “Rudy would be completely blind for a

      week,” says Linda. “We’d put her in the funnel col ar, and she’d use

      that as a white cane, stomp around the house and run into furniture

      with it to figure out where the furniture was. She’d walk along the back

      of the couch, scraping it against the wal , but I think she was doing that

      just to annoy us.” At the end of the week the stitches were removed,

      the eyelids opened and she could see again.

      But two years later, after she’d had two surgeries on the left eye and

      one on the right, Rudy’s left eye was so thin that it ruptured.

      “Fortunately, it coagulated right away and didn’t completely drain, but

      it was scary,” says Linda. “We lived in Fresno at the time, and the

      ophthalmologist was two hours away in Stockton.” The surgery to fix

      the damage left her blind. The left eye had too little remaining cornea,

      and that eye developed cataracts. “The right eye has a skin patch

      across the middle of it,” says Linda.

      The last surgery didn’t seem to bother Rudy any more than the

      previous ones, until the stitches were cut. “She was tense because

      she knew what was happening,” says Linda. But this time when her

      eyelids opened up, she didn’t relax into happiness; she stiffened up

      again. “You could feel her anger. It radiated out of her in waves,” says

      Linda. “When her vision didn’t come back, she got mad that we’d

      broken the rules. I don’t blame her. She showed us that she was

      pissed, literal y, and sprayed the house.”

      Rudy eventual y adapted to the loss, and she is a very happy cat

      most of the time. She’s got just enough sight in that right eye that she

      can see where she’s going, says Linda. “The ophthalmologist

      compared it to looking through a ful coke bottle with a label in the way

      —I don’t know how she does it.”

      Rudy stil manages to leap to her favorite sleeping perches on

      top of the furniture. “She fakes depth
    perception to know how far to

      leap,” says Linda. “She loves to be up high.” It takes two eyes to judge

      depth accurately—the brain processes vision from each individual eye

      and automatical y makes the necessary calculation. To compensate,

      Rudy gets more than one “reading” with her single, damaged eye by

      moving her head into different positions. “She’l spend about 30

      seconds stretching her neck out, and then pul ing it back so that one

      right eye has moved a distance of about two inches,” says Linda.

      “Somehow in her brain she has used that to fake the depth perception

      you get of two eyes side by side. Then she’l leap flawlessly and land

      on top of the 8-foot tal entertainment center.”

      Despite being virtual y blind, Rudy enjoys life to the ful est and

      keeps the rest of the Abys in line. So far her innate stubbornness has

      brought her through multiple chal enges. “I expect Rudy to live to be

      about 30,” says Linda.

      BRAIN TUMORS

      Although cats of any age can develop them, brain tumors are

      more commonly considered a disease of older animals.

      “Typical y the cats with brain tumors are anywhere from nine to

      fourteen years of age,” says Lisa Klopp, DVM, a neurologist at

      University of Il inois. Even when tumors are quite large, cats can

      appear to be “normal” on a neurological workup. Symptoms of

      brain tumors are often chalked up as simply behavior changes of

      old age when the cat becomes less active, more vocal, hides, or

      has changes in litter box al egiance. As with any tumor, prompt

      treatment offers the best hope of remission and/or recovery.

      Pets are more likely to develop certain types of brain tumors. “I

      think now everybody agrees we see by far more

      meningiosarcomas, tumor of the covering of the brain. That’s true

      especial y in cats,” says Dr. Klopp. Meningiomas are usual y

      removable, and the biggest issue for the surgeon is the location

      and how accessible the spot is. The majority of these tumors in

      cats develop in locations that you can get to, she says—in the

      forebrains.

      The symptoms depend on the location of the tumor. “By far the

      most common presenting sign is seizures,” says Dr. Klopp.

      Another sign is when the cat stops jumping up. Of course, this

      could also be an indication of arthritis. Vascular injury—a stroke

     


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