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Hello, JACustomer. I have been a Veterinary Nurse for over 15 years and would be happy to help you today. I'm reviewing your question right now.
Can you share a picture of the crusting on the nose?How is he acting otherwise? Still eating and drinking well?
Has a recent weight been taken to determine if he's losing weight? This would be a wise consideration if you think his habits have changed.There's no rush on attaching a picture. This can happen whenever you return home.
What is making you concerned he will not make it to the visit on the 12th? The crusting alone does not sound life threatening and is likely due to him cleaning himself less. This is one of the first places we see dirt buildup. That said, it can be a sign that his overall health is going downhill if he's avoiding cleaning himself, drinking more and eating less. Rechecking kidney values soon would be wise, as well, if he's not to the point of euthanasia yet and you're wanting to try for more time.
That certainly sounds like a confirmation of weight loss to me. Thinning and muscle wasting are both common in end stage renal failure in cats.
I understand and sympathize with your situation. Consider that euthanizing earlier that his last given, natural day may save him some suffering in the end, too. One must weigh the good with the bad, of course. If I can help you to know when that final day might be, please let me know. I recommend to everyone that when considering euthanasia they do the following: Make a list of 10 things that your pet enjoyed doing when they were young. Perhaps that was playing fetch, riding in the car, etc. Now mark off all of the things that your pet can no longer do consistently due to age or illness. Once you're down to 5, it's time to discuss euthanasia and once 2-3 items remain, it's time to have the procedure performed.