Pleural effusion

Milaly
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Hi everyone,

I’ve very recently lost my little girl and I’m still questioning the vet’s diagnosis. I was wondering if anyone else has dealt with this diagnosis and what the prognosis was. I’ll explain without going into too much detail as I’ve already posted in the ‘General’ section and I don’t want to hog the forum...

So, my cat had stopped eating and was just sleeping all the time; the vet did a blood test which showed kidney failure, though he didn't think it was too serious – she just needed to be hospitalised to be put on a drip, and then we could bring her home... But the next day, the other vet at the practice called and the diagnosis had changed. She’d done an X-ray and found she also had pleural and thoracic effusion (fluid in the chest)... She told me there was nothing she could do because if she treated one issue, she’d be making the other one worse. The only thing she suggested was that if she started eating again, she could have some injections and I could take her home to spend one last weekend with her... We chose to let her go...

Now, I’m wondering if that ‘reprieve’ she offered could have actually led to my cat living a bit longer after all; it’s eating away at me (especially as she had started eating again). Could her kidneys not have ‘held out’ for longer than a weekend, and the same for the effusion? In hindsight, it all feels like a blur... Did that vet give up too easily?

If anyone has been through a similar diagnosis or has any knowledge on the subject, I’d really appreciate your input.

Thank you.

Translated from French
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16 answers
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  • C
    Coko77 Icon representing the flag French
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    It can take a while sometimes, but the pain will eventually start to fade. Whenever those sad memories come to mind, try as much as you can to replace them with the happy times you shared with her. Your whole relationship isn't defined by having to put her to sleep, even if that's all you can focus on right now. I also had to make that difficult choice just over a month ago, and my advice is to really just take it one day at a time.
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    Milaly
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    Hi @Coko77,

    Thank you for your message. You're right, I don't know if prolonging things would have really helped... I'm not sure if it would have been the right thing to do and I'll never know for sure... That's what is so hard to accept. I just can’t seem to come to terms with it; my mind is just going round and round in circles and I'm crying every day... It feels like the pain will never go away.

    Thank you for your support.

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    C
    Coko77 Icon representing the flag French
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    Dear Milaly, first of all, I’m so sorry for the loss of your cat. You really fought for her, taking her to the vet several times. That feeling of guilt is completely natural when you have to make the decision to put a lifelong companion to sleep. The messages above only confirm that your choice not to let her suffer was the right one. Wouldn’t trying to prolong her life by a few weeks have just meant prolonging her suffering, or even risking making it worse? You made an incredibly difficult choice... give yourself time to accept it, knowing that the grieving process can involve many different feelings, such as guilt, anger, sadness and, finally, acceptance. Sending you lots of strength for the time ahead.
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    Milaly
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    Hi everyone, Thank you for your replies. Looking back, it all happened so fast and I was so overwhelmed with emotion that I keep thinking maybe we should have tried to pull her through—that maybe she could have had a few more weeks. I feel like I’ve let her down, like I didn’t even give her a chance or fight for her... At the time, I trusted the vet, but now I’m second-guessing whether I did the right thing, especially since the first vet didn’t pick up on her breathing difficulties when they listened to her chest and had completely reassured me. I just don’t know what to think anymore... I miss her so much.
    Translated from French
    ProvetoJuniorConseil
    Provetojuniorconseil Icon representing the flag French
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    Hi there, You’ve almost certainly made the right decision. I’m not sure what caused the fluid buildup in your cat, but with certain advanced illnesses, it becomes very difficult to treat them, especially when they’re suffering from kidney failure. If the vet told you there was nothing more they could do, it’s because they felt no other solution would have been fair to your cat, or even to you. Just remember that you’ve spared her from suffering and a very poor quality of life. It would have been incredibly hard for both her and you to go through. I hope this helps. Take care, Lucie
    Translated from French
    Blue_Cat
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    Hi there, Pleural effusion is very serious, and a cat can end up struggling for breath. Kidney failure is also grave; many cats pass away because of this illness, even if treatment can sometimes buy them more time. Both are very painful. As far as I’m aware, vets nowadays only suggest putting a pet to sleep as an absolute last resort. Personally, I wouldn’t second-guess your vet’s conclusion.
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