I’m dead tired, but somehow have the urge to stay up late and watch Project Runway. With half an hour left to go until it’s on, and no guarantee that reading or watching TV will keep me awake that long, I thought I’d tell you about Pippin’s recent trials and tribulations because yay, verily, he has been sorely tested of late.
His story started rather in medias res when I came home from church and errands three weeks ago to find him favoring his back left paw. By the end of the day, the farthest outside toe was distinctly swollen and he was limping pretty badly. He couldn’t even get up on the couch for his nightly massage-n-purr session.
Now, I’m naturally something of a worrier when it comes to this kind of thing, so I started doing quite a lot of self-talk.
“Self,” I said, “animals hurt themselves, but they heal. Remember Toby’s knee? He could hardly walk for weeks, but he healed. And this looks like badly twisted toe, which is similar to a badly twisted knee, only less crippling. Also, remember that he has his annual exam in just three days, so you can just stop worrying and wait until the vet has seen it and told you what’s up with it. And you know what the vet will say? She’ll say it’s nothing and that he’ll limp for a week or so and then be done with it.”
This when on for quite some time.
The next morning he was no better. In fact, he was worse. His poor little toe stuck out from the rest of his paw like the thumb on a mitten.
“Just two days until his vet visit,” I reminded myself. “Hang in there. Don’t panic and reveal to the world that you’re such a worrier that you took your cat to the vet for a swollen toe. You laugh at people who do that.”
Meanwhile, I started grinding my morning coffee. And unfortunately, the sound of the grinder startled the cat and he jumped imprudently down from the table. The next thing I knew, he was dripping gloppy, watery, purple-ish blood from his paw.
That did it. 5 minutes later he was in his carrier (where he couldn’t get blood all over my carpet, or jump around on things, or hide in the deepest darkest areas of Under The Bed where I’d never be able to extricate him should we need to go to the vet) and had called the vet. They agreed that I should probably bring him in and even had a slot for him later that morning, so I emailed work and said I’d be out that morning and then sat down to wait for our appointment while Pippin complained about his incarceration loudly from the other room. Hell hath no fury like a cat caged.
Well, the first circle of hell, anyway. From there we got into the car (which is oh so much worse than simply sitting in the cage while it’s safely planted on the apartment floor). And just when he thought life couldn’t get any worse, I added insult to the previous two insults and his injury by dismantling the cage (to get him out of it, since he wasn’t eager to be cooperative).
“So, uh… Does he still have his claws?” Asked the vet tech as she strategized how best to take a very large, very scared cat away for weighing. And that’s when I remembered how hard I’d laughed while reading about another kitten’s acts of terror at a vet’s office. “Please don’t shimmer and turn inside out. Please don’t shimmer and turn inside out. Please don’t shimmer and turn inside out.” I repeated over and over to myself as I took his carrier over to the examining room’s sink and returned its insides to their normal tan color.
Just as I was reassembling his carrier, I started hearing persistent yowls echoing off the back halway’s walls but getting louder and nearer with astonishing speed. “Ouff, he is not a happy camper,” the vet tech exclaimed rather breathlessly as she burst into the room and Pippin leaped out of her arms to go stake out territory under the examining table and take up a stance which clearly said “Enter And Die.”
Understanding this universal language, the vet tech made a hasty exit and went to get the vet who, unfortunately, turned out to be Dr. Worst Case.
There are three vets at this office, only one of whom consistently has slots open for same-day appointments. Pippin hates him. I dislike him. And he seems to have very little concept that everything he says and does makes both Pippin and me more and more nervous.
“WELL HELLO,” he boomed in his over-loud voice. Pippin ducked under a chair, startled by the sudden decibel increase.
“SO, I HEAR WE’VE HURT OUR PAW,” he continued in his characteristic (and often confusing) first person plural. “CAN YOU HELP GET US UP ON THE TABLE, AND WE’LL SEE WHAT’S GOING ON?”
Pippin was so busy warding off the decibels that he didn’t even notice when I snuck up and got him up on the examining table. But once up there, he changed tactics and set up a guttural warning moan meant to chill the hearts of any within 100 yards of his position.
“DO WE GET VIOLENT AT ALL?” Dr. Worst Case asked, and a keen observer could hear the timid edge that had crept into his voice and demeanor.
I assured him that Pippin had never been violent before, but he’d also never been injured before.
“LET’S JUST GET A TECH IN HERE, SO WE’LL ALL BE A LITTLE SAFER, THEN. WHY DON’T YOU HOLD ON TO HIM FOR A MINUTE WHILE I CALL HER IN.”
The tech arrived and gathered a massive handful of scruff in her right hand, flipped Pippin onto his side, and pinned him with her left arm while her left hand kept hold of his lower arm. It was a wrestler’s hold designed to keep all the pointy bits away from human flesh. And with a couple of rests and re-adjustments in between Dr. Worst Case’s attempts to clean and examine the exploded paw, she managed to maintain general human safety.
Then Dr. Worst Case swung into his favorite act: Deciding on a Course of Treatment. He always relishes this portion of the appointment because it gives him the chance to demonstrate his diagnostic knowledge by laying out all the possible causes of the symptoms at hand, followed by all the possible treatments we could try. He particularly likes fatal diseases and invasive (expensive) treatments. All of the possible causes and treatments that he lists before these are simply appetizers, teasers to set the stage for the pièce de résistance.
“I DON’T KNOW WHEN I’VE SEEN A PAW QUITE LIKE THIS. YOU CAN SEE IT’S OPEN RIGHT DOWN TO THE MUSCLES AND LIGAMENTS, AND THAT SEEMS JUST A LITTLE EXTREME FOR A SIMPLE INFECTION. WE COULD TREAT IT LIKE AN INFECTION, IF YOU LIKE, BUT I SHOULD WARN YOU THAT THERE IS A FORM OF CANCER THAT APPEARS IN THE PAW. NOW, IT NORMALLY APPEARS IN DOGS, AND WE’RE A CAT, AND KIND OF A YOUNG ONE AT THAT. STILL, WE COULD DO A CANCER SCREENING JUST TO BE SURE. OR WE COULD JUST CLEAN IT AND WATCH IT. OR WE COULD GO UNDER SEDATION FOR X-RAY AND MORE THOROUGH CLEANING.”
I kept waiting for him to say which of these many options he’d recommend, but as usual, he wanted me to diagnose and plan for treatment. Exasperated, I reminded him that I hadn’t gone to vet school and asked what he would recommend (while ruling out the cancer screening, since I was pretty sure that suggestion was just an artifact of Dr. Worst Case’s love of, well, worst cases). Pippin was ready to hope back in his cage by the time we negotiated down from full-cancer-screening to an x-ray and deep clean followed by antibiotics, but he had to stay and get sedated, so I left to get a few hours of work in.
I wasn’t prepared for the phone call I got just after noon, though.
“HI, IT’S [Dr. Worst Case]. WE’RE ALL SEDATED AND CLEANED OUT NOW, AND THE X-RAY SHOWED THAT WE’D CRACKED A NAIL, WHICH IS PROBABLY WHERE OUR INFECTION STARTED. AND MY GOODNESS, WHAT AN INFECTION. THERE WAS DEFINITELY DEAD TISSUE AND A BACTERIAL ODOR. IN FACT, IT’S SUCH AN EXTREME WOUND THAT IT’S MAKING ME WONDER… YOU SEE, THERE’S A RARE LUNG CANCER THAT SPREADS TO THE PAWS. AS LONG AS WE’RE SEDATED, DO YOU THINK WE SHOULD DO A CHEST X-RAY? NO? YOU’RE SURE? OK THEN. WE’LL START COMING OUT OF SEDATION ANY MINUTE, THEN, AND YOU CAN COME PICK US UP ANY TIME.”
“I’ll pick up the cat, thank you very much, but I won’t be picking you up, nosirree bob.” I muttered after hanging up and congratulating myself for negotiating down from yet another cancer screening, through bacterial culture, and right down to a wait-and-see approach with a broad-spectrum antibiotic.
To make a very long story only a little bit longer, Pippin and I then spent some quality time together every 12 hours for the next 10 days as I forced one and a half dropper fulls of antibiotic between his resisting teeth. And all this joy was followed by a follow-up vet visit, this time with Dr. Calm. She speaks softly but with conviction, gets down on the floor to examine Pippin there where he has the illusion of control (though he couldn’t hide his fear from her stethoscope and her astonished count of 200 heart beats per minute).
Oh, and Dr. Calm confirmed that Pippin’s paw is healing nicely, which flies somewhat in the face of the cancer diagnosis.