Finding the right veterinarian
SPOILER: Isis is still alive!
I was up late again last night watching Isis, anxious and angry because I couldn’t do anything to relieve her labored breathing. My tiny kitty had lost interest in food and was increasingly lethargic.
I again called the county’s pet urgent care (which I’m thankful for—they’re open all evenings, weekends, and holidays) and spoke to the same assistant who had been there 24 hours earlier when I took Isis in. She said a different doctor was there that night, so I’d have to pay the full exam fee again just to bring her in. Which is double the cost of an exam fee at a regular vet, of course. And to drain the fluid in her lungs? Starting around $500-$1000 due to costs for oxygen, tube set-up, hospitalization, etc.
You’ve GOT to be kidding me, I said. Can’t you just stick a needle in and pull out a little but so she doesn’t suffocate before we can get her to the regular vet in the morning?!?
Ben and I had a rough and emotional discussion about what we should do. Of course we want her to live, but we still didn’t know what was wrong with her or even if draining the fluid would really help. We’d already dropped a few hundred bucks on the two vet visits for X-rays, lab tests, and medicine, but she’s going on 11 years old and what if it’s just her time? At what point do we draw the line when it comes to finances? It’s a really ugly question. How much are we willing to spend to save her?
Meanwhile, Isis shifted uncomfortably, her nostrils flaring as she failed to take in as much oxygen as she needed. I pictured the X-ray of her lungs compressed by fluid in her chest cavity.
Less than seven hours until the regular vet opened. We knew our vet had gone out of town Friday afternoon, but he would leave someone on call.
We decided to make her as comfortable as possible—on her blanket with water just a step away—and hope that she would hang on until morning. We prepared ourselves for the possibility that she would not make it and finally went to bed.
I woke up when it was still dark, not sure if I’d actually fallen asleep, and jolted out of bed when I saw the clock said 3:30. Heart pounding, oh-my-god-is-she-still-alive, fumbling for glasses, tumbling toward her sleeping spot… and yes, she was still alive. She turned to look at me, still breathing rapidly.
Somehow, the fact that she’d survived the what, hour and a half? of me not watching her every breath helped me sleep more soundly until my alarm went off at 7:45. Still alive. I called the vet a little before 8 (Saturday opening time) and left a message with the situation. Still exhausted, I reset my alarm in case they didn’t call back ASAP and slept again until 9. I sort of knew the vet tech who answered my second phone call, and we talked a couple times over the next hour while figuring out what to do.
Me: HALP. Cat is barely breathing, needs fluid drained from increasingly lifeless body. Lab results back yet?
Tech: Okay, let me contact the vet on call. Nope, lab results probably not in until Monday.
Me: CRAP.
Tech: Vet says to wait until the lab results come in before doing anything.
Me: CAT NOT BREATHING, srsly, I’m about ready to stick a pin in her to relieve the pressure
Tech: Call one of the other vets nearby?
Me: Thanks for nothing. Get her X-rays ready for me to pick up.
So yeah, I called another veterinarian—the fifth vet office in the area I’ve now been to. (The first one was close and well-priced, but was no help during the height of Isis’ digestive issues; the second one called the vet techs “nurses” and was a nickel-and-diming nightmare; the third one was the Pet Urgent Care which I guess serves its purpose; and the fourth one we’ve been going to for over a year with moderate satisfaction until now. Also, I’m pretty sure their vet on call is over 100 years old—he administered vaccinations to Loki and Phoebe last year and it was a little scary.)
And I am happy to report that Dr. Dobson at the semi-holistic Riverwoods Pet Hospital in Provo treated Isis well and was the one to finally drain fluid from her chest. After hearing our story thus far, she was appropriately appalled that neither of the two vets we’d seen had drained her fluid right away. She has a very take-charge personality and it was borderline Primetime Hospital Drama as she ordered her staff to set up the oxygen box and prepare for the drainage procedure.
Right before they came into the room to get her, Isis really looked like she was dying. That was hard.
They hyper-oxygenated her for about 20 minutes before draining the fluid from her chest cavity to help her breathe during the process. I didn’t see it, but they placed her into a sealed box that was pumped full of oxygen. Upon learning that she would need oxygen, I’d initially pictured a cat getting oxygen through a mask like humans, but I guess I hadn’t really thought about the logistics of that. A box makes more sense for a vet to serve animals of all shapes and sizes.
Dr. Dobson came out after a while with a paper cup to show us how much liquid was coming out of Isis. It was kind of gross (Ben said it looked like raspberry tea at first glance, until he threw up a little in his mouth after realizing what it was). But the vet drained an impressive total of 8 ounces from Isis—who had weighed only 5.2 pounds beforehand. A tenth of her body weight, and that wasn’t even all of the fluid. She left some in there because otherwise it would really throw off her protein levels.
But hoo boy, were we happy to hear that she was still alive and breathing better!
They kept her in the oxygen box for another hour, so we left for a little while to grab our first meal of the day and to place our fearful bets on what the vet’s bill would be. Note that we split a $5 Subway footlong in preparation!
Happily, the total bill—including medication—was well under the starting cost I was quoted by the Pet Urgent Care. Even happier was seeing Isis alert—albeit weak—and back to breathing somewhat normally. We took her home and have been doing all we can to help her recover while we wait out the weekend.
She started purring again!


Yay! She had me worried there. Is this bad, but I think I’m going to be more upset about my dog dying than I was about my grandpa a couple years ago.
Thank you so much for posting Isis’ story here.
I lost one my cat Danú last summer because of liver problems. I brought her to what is generally considered to be THE best veterinary practice in the area for treatment because she developed jaundice. Tests eventually confirmed that she had hepatic lipidosis, a curable condition. It is *critical* to get food into the cat as quickly as possible, even if the little one needs force feeding. Any delay, and the condition is likely to be fatal. There was a significant delay by the vets, and I lost her.
I brought her to the Vet on a Tuesday morning. On Wednesday morning, tests had ruled out a number of potential causes of her jaundice, but there was no firm diagnosis. I asked the vets if they could treat her for lipidosis as a precaution while waiting for further test results to come back, not least of all because it can develop as a secondary complication of other feline liver problems. In the days that followed, they were dismissive of my repeated requests, were not aggressive enough in their attempts to feed her and seemed to have decided – to my perceptions at least – that she probably had liver cancer and would need to be put to sleep very soon. They were **wrong**…
Eventually tests confirmed on the Friday that she DID have hepatic lipidosis, not cancer, but they didn’t deploy the emergency feeding tube till Saturday morning!! It was too late. My little one died early Sunday afternoon. She was only seven years old…
From that day to this, I have been desperately unhappy with the way the vets handled things. I’ve thought long and hard about what happened, and for the longest time I have wanted to meet with the head of the practice to give him my feedback about their handling of my little one’s treatment, but to date I’ve not been sure whether to act upon this feeling.
After reading about Isis, Yvette, I have to tell you how much I admire the way that you fought to find the right vet to help Isis, and I’m so happy she made it!
Your story has inspired me to find the courage to request a meeting with the vets in the hope that I might be able to provide constructive feedback to the vet. It won’t bring my little girl back, but if they were to reconsider how they handle cases like hers in the future , it might make the difference between life and death for other kitties. I used to call Danú my Healer Puss because she had a very nurturing spirit. I think she would approve of my plan of action.
If anyone else happens to come across this page some day, please follow Yvette’s shining example of how to get the right help when your feline companions need it, and don’t make the same mistakes as I did. Trust your instincts, and be **assertive**. Vets – for however intimidating they can appear to be with all of their specialist knowledge – are humans, not gods. And all humans make mistakes. In my case, the vets got things wrong, but the greatest mistake was my own. I should have trusted my own instincts more.
Yvette, thanks again for sharing this story, and please give Isis some fusses from me.
@Anna Thanks for your nice comments. I’m so sorry to hear about your bad experience with your kitty and vets who weren’t able/willing to enough at the right time. I think the same can happen with people doctors… when for whatever reason the doctor isn’t being aggressive or even logical enough for the patient, it is very important to seek a second or even third opinion. It’s good to follow your instincts. From my experiences with Isis, I think that the reason vets hesitate in proactive treatment before test results are known is sadly a matter of finances and disinterest in being compassionate with their patients’ humans. They don’t want to deal with an angry, grief-stricken pet owner who is stuck with the bill for treatments that didn’t end up working.
Unfortunately, it turns out that after averting crisis at the point I wrote this post, Isis did not fully recover. She was eventually diagnosed with the wet form of FIP (feline infectious peritonitis) and the fluid kept returning. If you click on the “Isis” tag, you can see all the posts related to her saga. We ended up extending her life only a month after this post… but I’m really glad that we were able to hold her in our arms and say goodbye in a more peaceful manner than if she had suffocated from the fluid filling her lungs while we stood by helplessly. I am so sorry that your parting with Danú happened the way it did.
Ben and I have had our share of post-mortem guilt over Isis’ situation, but what I’ve taken away from this experience is that I know that she lived a longer, more comfortable life than she would have if we had never taken her in. We treated her well for as long as she was in our care and loved her every step of the way. It was the most that we could do.