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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 27952
Experience:  University of California at Davis graduate veterinarian with 45 years of experience.
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Good morning

Customer Question

Good morning
Submitted: 2 years ago.
Category: Cat Veterinary
Expert:  Dr. Michael Salkin replied 2 years ago.
Aloha! You're speaking with Dr. Michael Salkin
I'm sorry that your question wasn't answered in a timely manner. It's 4:30AM here. It's fair to say that osteoarthritis with be found in any 19 year old cat but osteoarthritis doesn't peracutely (suddenly) worsen. Please describe his current ability to walk to me. Is he ataxic ("drunken sailor")? Can he rise from a prone position? Are there other symptoms such as inappetence, vomiting, diarrhea, weight loss, etc? Is he currently receiving any medications? Has been diagnosed with disorders other than arthritis?
Customer: replied 2 years ago.
He can arise from a prone position, but it's getting tougher and tougher and yes he goes side to side as he attempts to use all four legs. He even appears as if he wants to normally knock himself out cold sleeping but he's fighting sleep.
Expert:  Dr. Michael Salkin replied 2 years ago.
Thank you for the additional information. Please check his gums and tongue for me. They should be nicely pink - not whitish or bluish-greyish. I need to know if he's become profoundly anemic and his behavior, then, would indicate the weakness associated with such anemia.
Customer: replied 2 years ago.
Dr what exactly am I checking for with his gums and teeth please?
Expert:  Dr. Michael Salkin replied 2 years ago.
The color as mentioned above - they should be nicely pink - not whitish or bluish-greyish. It looks like our posts crossed.
Customer: replied 2 years ago.
Cannot really get a great look at them
Expert:  Dr. Michael Salkin replied 2 years ago.
I understand. Have Kenny's vet take a look. I'm concerned that his weakness and ataxia have arisen secondary to a systemic disorder rather than simple arthritis. Cardiac disease (cardiomyopathy/heart muscle disease) is common at Kenny's age. Neoplasia (cancer) is very common and often causes nonregenerative (Kenny isn't able to replace the red blood cells he lacks) anemia. Degenerative disorders such as chronic renal or hepatic insufficiency must also be on my differential diagnosis list and will also cause nonregenerative anemia.
Needless to say, Kenny's presentation is a negative prognosticator. It often indicates end-stage disease prompting euthanasia. Please continue our conversation if you wish.
Customer: replied 2 years ago.
End stage disease sir?
Expert:  Dr. Michael Salkin replied 2 years ago.
End-stage disease describes the symptoms of a disease presaging (predicting) death from that disease.
Customer: replied 2 years ago.
Months ago he was diagnosed with some kidney issues where he takes Renavast. This was on 12/19/2014, and yes his weight has gone down a lot from what it used to be
Expert:  Dr. Michael Salkin replied 2 years ago.
Thank you. ***** would suspect some degree of kidney compromise at his age. It's certainly possible that his kidneys have failed further. A nonregenerative anemia is very common concomitant with failed kidneys.
Customer: replied 2 years ago.
Is it possible that my cat can survive or be treated if it's non-regenerative anemia?
Expert:  Dr. Michael Salkin replied 2 years ago.
That would be predicated upon the cause of the non-regenerative anemia. It's usually a chronic disease process that can't be cured but might be managed.
Expert:  Dr. Michael Salkin replied 2 years ago.
Hi Corey,

I'm just following up on our conversation about your pet. How is everything going?

Dr. Michael Salkin

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