Tuesday, December 24, 2013

Warm Holiday Wishes from ECVH to you!

Does your cat get that certain sparkle in his eyes, this time of year? You know, that certain festive sparkle that can only come from the center of a well-lit Christmas tree? If so, we hope that you and your Christmas decorations survive the holidays, intact! 

If you have a mischievous cat, please make sure to read our holiday survival guide. It may help make the holidays pass a little more smoothly.

Helping your Cat avoid the Emergency Room this Holiday:
Part 1: On the First Day of Christmas, my True Love Gave to Me – a Cat in a Christmas Tree!
Part 2: On the Second Day of Christmas, my True Love Gave to Me - Two Toxic Plants!
Part 3: On the Third day of Christmas, my True Love Gave to Me - Three Family Parties!
Part 4: On the Fourth Day Of Christmas, my True Love Gave to Me - Four Mewling Kittens!

 From all of us here at Exclusively Cats Veterinary Hospital to all of you, and all your cats, we hope that whatever winter holiday you celebrate is fun, festive and full of family and friends (furry and otherwise)!

Monday, December 2, 2013

Meet Miss December!


Age: 19 months
Weight: 8.65 pounds.
Gender: Spayed female
Demeanor at the vet's office: Wiggly!

My name is Josie Rose.  I was born on April 25, 2012, on a farm in Woodland, Michigan. So how did I come to live with my Mom and Dad in Clarkston?

My Mom started a new job, Nurse Case Manager, for a company in Hastings, MI. Mom was very sad at the loss of her kitty, Callie, in May.  A co-worker stated she had a Calico named Katie, that just had a litter of 6 and one was a Calico—Yep, that’s me!
I was taken to the hotel that my Mom was staying at.  We bonded instantly. I was still too young to leave my biological Mom so I had to wait another week to go to my new home.

My Mom picked me up at the farm and we both cried all the way to Clarkston. I was given a “bubble bath” upon arrival at my new home and then swaddled in a blanket.
I love playing with my Mom and Dad.  Dad says Mom and I are like the “Pink Panther and Kato”.  I love to jump out at Mom as she is walking by, then she chases me and I hide behind a door. She pretends not to know where I am so I stick my paw out so she will see me.  She laughs at me every time!

I love to sit on Mom’s rocking chair.  It has two cushions that are very comfy.  I also enjoy watching the chipmunks when they come up on the deck. Once I knocked the screen out of the window to get at one—MISSED!!!

I love being with my family but I have to get used to Mom and Dad’s two granddaughters—they frighten me when they scream.

I hope you enjoyed hearing my story!  Thank you for choosing me to be Miss December.  It is Mom’s favorite month.

Josie, all grown up!

What a beautiful girl!

Wednesday, November 6, 2013

Chewy gets a leg up!

Chewy is a 9 week old male kitten that was found by Dr. Bailey's son, Christopher. He had been attacked by a dog and had a broken leg. Christopher, a current veterinary student at MSU, brought the kitten back to Exclusively Cats to have Dr. Bailey treat him.

The left rear leg is broken

Another view of Chewy's legs, showing the healthy right leg and the broken left leg
While many small fractures of the hind limb can be stabilized with bandages and splints, a severe fracture like this one requires surgery. As you can see, the bone has been broken all the way through and the ends do not want to meet. Dr. Bailey had to place pins in the bone in order to stabilize it so that it can heal.

Chewy's leg required three pins to fix it in place, along with an outer brace.

Now that his bone is supported by the pins, it will remain end-to-end so that healing can occur. Meanwhile, although Chewy is restricted to resting in his cage, he can bear weight on the leg.

 You can see him scurrying around in this video.

Hopefully, with time and care, Chewy will be able to start looking for his forever home!
Here is Chewy with his external brace - it is a rubber tube filled with a hardening material so that it could be cut and fit to Chewy's tiny leg.

February 2014 update: Little Chewy has been getting around without any troubles for quite some time, now, and has found his permanent home with Dr. Bailey and his wife, Liz.

Friday, November 1, 2013

Meet the November Calendar Cats: Rocky and Patches!

 Rocky and Patches
Age: 9/1/1993 - 1/28/2013
Gender: Neutered Male
Demeanor at the vet's office: A little grumbly, but he never really meant it.
Age: 17 years
Weight: 10.0 pounds.
Gender: Spayed Female
Demeanor at the vet's office: Nice, but vocal
Feline Friends:   Milo (3y) and Kay (8m)

Rocky had a "rocky" start.  He was found on the curb of the street, appeared to be less than 2 months old, and had been mistreated.  He fit in the palm of one hand.  But he was a fighter and survivor.  He was also one of the most graceful cats we have ever seen.  He could go from the floor to the top of a highboy dresser in one graceful leap - and he loved be up high, looking down at the world.  I have attached one of my favorite photos of Rocky.  He loved Christmas trees - especially when he could reach the ornaments from a convenient perch.  As you can see here, I caught him in the act of taking a swing at one of them when he was young.  But he never destroyed anything on our holiday trees; it was almost as though he knew not to touch the glass ornaments.

Patches joined us when Rocky was about three years old.  They were very different cats.  He was adventurous and curious; she was gentle and content to play solo.  We always had more cats around, but Rocky never bonded with the others in the same way he did with Patches.  We often found them cuddled together.  They were wonderful friends, and while Patches has been "courteous" to others, she has never bonded with any other cat in the household like she did with Rocky.  

We are so glad this photo was selected last year, especially when we lost Rocky in January, 2013.  We miss him very much, and are grateful to have this wonderful calendar as part of his legacy.

Monday, October 28, 2013

Raising Orphaned Kittens Part 3: When to call the Veterinarian

One of the hardest parts about fostering orphaned kittens is that kittens can easily get sick. Sick kittens should be dealt with quickly, because they are small and fragile, especially if they have no mother cat.

If one or more of your orphans becomes sick, you should call a veterinarian and discuss the problem. The veterinarian may or may not advise you to bring the kitten in.

At home, you can take your kitten's temperature, if you feel comfortable doing so. You will need a regular thermometer (preferably one that you will not want to use again!) and some KY jelly.  Put some KY on the tip of the thermometer and stick just the tip into the kitten's anus. The kitten will likely protest. Hold the thermometer there until the thermometer beeps (or for about a minute if it is a mercury thermometer). If the kitten's temperature is over 103 or under 99, it is important to call the veterinarian.

Abnormal signs to watch for in a kitten:
  • Discharge from the eyes or nose.
  • Poor appetite
  • Lethargy (lack of energy)
  • Diarrhea 
  • Vomiting
  • Weight loss or failure to gain weight
  • Coughing or sneezing
Emergencies requiring immediate veterinary attention
  • Continuous diarrhea
  • Continuous vomiting
  • Bleeding of any kind 
  • Any trauma: hit by a car, dropped, limping, stepped on, unconscious.
  • Difficulty breathing.
  • A kitten that does not respond or that hasn't eaten for more than a day.


-Watch closely for respiratory signs.  Kittens have weak immune systems, especially when raised away from their mother, as they are not getting any antibodies from their mother. They can easily and quickly succumb to disease and infection if not treated appropriately. 
-Aspiration pneumonia is a concern for bottle-fed kittens; be careful when feeding and give them only what they can swallow at one time. Make sure to feed them in an upright position to decrease risk. 
-Watch stool and urine output closely, and observe for any signs of constipation from the milk formula. Some formulas can increase the risk of diarrhea and some can increase the risk of constipation - either one can be a significant issue for tiny kittens.
-Watch for lethargy/or inappetance.
-If you ever have any questions about kittens’ health please call your veterinarian.

Diarrhea and parasites of the digestive tract
Diarrhea is common in kittens and can have many causes including: parasites, viruses, bacteria, food changes, stress, overfeeding. Because kittens can become dehydrated very quickly, make sure to discuss your kitten's diarrhea with your veterinarian sooner rather than later. If the diarrhea is severe, lasts more than 3 or 4 feedings, or contains blood or obvious parasites, you should call a veterinarian and bring in as much as possible of the feces in a Ziploc bag.

Several causes of diarrhea in kittens involve protozoan (single-celled) parasites, such as coccidia, giardia, and tritrichomonas.  These parasites are common in kittens, and occasionally found in adults.  They are not generally treated with common de-wormers, but antibiotics. For diagnosis of these parasites, especially giardia and tritrichomonas, extremely fresh stool is best for diagnosis.

Most large intestinal worms do not cause diarrhea, but can be very debilitating to kittens in large numbers. Sometimes, if the numbers are large enough, or many worms are dying, the dead worms will pass in the stool. More often, the diagnosis for these parasites is by seeing the microscopic worm eggs in a stool sample. If you see spaghetti-like worms in the stool, you are seeing roundworms. These worms can come up in vomit or stool. The cysts of roundworms can persist for years in soil and be spread to other cats or human children, so it is important to deworm cats as directed by a veterinarian.

If you see rice-like worms on the stool or in the hair around your kittens' tails, you are seeing tapeworm segments. These rice-shaped pieces of the worms are mobile when they exit the body, so they may work their way off the stool or kitten and into the environment. They are not infective at this stage. They are spread by fleas or by eating rodents. Tapeworms do not generally cause diarrhea, but it is advisable to treat your kitten for tapeworms, especially if you know that he has had fleas in the past.

Several types of bacteria, including Clostridium, are potential causes of diarrhea in kittens, and all require microscopic examination, bacterial culture, or PCR testing for diagnosis. These are among the fecal pathogens that can be spread to people if adequate hygiene is not observed after handling sick kittens or litterboxes. Most bacteria respond quickly to antibiotics prescribed by a veterinarian.

Finally, there are a number of viral causes of diarrhea, with feline distemper (also known as panleukopenia or feline parvo virus) being the most devastating. If distemper is suspected, seek veterinary care immediately. Treatment for distemper involves aggressive nutritional supplementation and hospitalization, and you may have a number of kittens die if an entire litter is exposed.This is one of the reasons that you should make sure any older cats in your household are up to date with their annual vaccinations before bringing a kitten into the home. Thoroughly disinfect anything that has been exposed to the sick kittens with a bleach solution.

Ear mite
Ear Mites
Ear mites are tiny arthropod parasites which live in the ear canal. Common signs of ear mites are ears full of coffee-ground-like crumbling debris, itchy ears, head shaking.In very large infestations, you may actually see the pinpoint white mites moving in the debris in the ear. They are highly contagious, but easily treated.

Failure to thrive
Once in a while, one or more kittens in a litter that were healthy and vigorous at birth will begin to "fade" after a week or two of life. They will stop growing, begin to lose weight, stop nursing and crawling. They may cry continuously and lose the ability to stay upright. The mother cat may push them out of the nest, where they often chill and starve to death. Kittens fade very quickly - they will not last 48 hours without veterinary care, and probably will not recover even with intensive care.
There is no clear cause or reason for this condition - it has been linked to birth defects, environmental stress and infectious disease. Early veterinary treatment is imperative, but even with tube feeding, rehydration and monitoring, many, if not most fading kittens will die.

Feline Leukemia (FeLV) and Feline immunodeficiency (FIV)
FeLV and FIV are retroviruses cats get from other cats (or their moms). Testing for disease can help you make the decision whether to foster a kitten, or whether to add kittens to a litter or keep them in isolation. It is often a good idea to have positive test results confirmed.

In the early stages of FeLV, infected cats appear healthy but over months to years, they develop severe, ultimately fatal disease. In very young kittens, it is advisable to test at least twice as some kittens can be transiently positive, or falsely negative.

On the other hand, testing for FIV is more difficult until after a kitten is four months old. The good news about FIV is that it is much harder to transmit than FeLV, and cats that have been infected with FIV can live long, healthy lives, often not experiencing detrimental disease symptoms until the age of 8 years or more.

A flea on a flea comb
Fleas are insects that love to feed on kittens. Each flea only consumes a small amount of blood, and most adult cats are relatively unaffected by large flea infestations, however fleas commonly attack in large numbers and an infestation in a kitten can lead to severe anemia and even death. It is essential that your home be free of fleas before bringing home a small kitten.

If your foster kitten enters your home with fleas, it is important to remove them without causing harm.  Fleas can be transported from the kittens isolated in one area to the main part of the house on clothing, shoes, etc. Therefore, it is also important to treat any other animals in the home with monthly flea prevention or a stray flea, flea egg, pupa or larva may cause an infestation in your house - any unprotected animal in the house can then become a reservoir for the infestation.

Check with your veterinarian before applying any commercial flea products to your kitten, as some flea medications can be harmful to cats. One safe way to remove fleas from very young kittens (less than 6 - 8 weeks) is daily flea combing. Keep a jar of soapy water near you to dip the comb into as it comes off the cat full of fleas. Try not to moisten the kitten too much, and make sure to thoroughly dry your kittens after you are done combing.

If the Kitten is 4 Weeks old and over two pounds in weight, Capstar can be given orally up to once a day to kill adult fleas. This product starts to work within 30 minutes and is effective against adult fleas for 4-6 hours. It does not have any affect on, eggs, larva, or other adult fleas in the kittens environment.

If the kitten is 6 weeks old or older, you can use topical monthly applications available from a veterinarian. Despite your best efforts at flea control, you should plan to treat the kittens for a minimum of 90 days to ensure that all the fleas are out of the household. For more information about flea control, please refer to our blog article "Fighting Fleas Fairly...For Good!"

Upper respiratory tract infection (URI)
Upper respiratory infections are very common in kittens, especially if they have been through a shelter situation and exposed to other cats. These infections are caused by airborne viruses and bacteria which are contagious and spread very quickly.

Signs of URI to watch out for:
  • Sneezing and discharge from eyes or nose
  • Congested breathing
  • Loss of appetite
  • Lethargy
  • Dehydration
If your kitten is vomiting, it is possible that the kitten is eating his meals too quickly. You should watch him when he eats and not allow him to eat too much too quickly. If your kitten vomits 2-3 times in a row, it should see a veterinarian. Vomiting can be another sign of distemper in kittens, so it should not be taken lightly.

Monday, October 21, 2013

Case study: Sally - Progressive Retinal Atrophy (PRA) in cats

 Sally is a 3-year-old Abyssinian cat that was rescued from a hoarding situation. She was one of 84 cats rescued. Eighty of the cats in the household were too ill or debilitated to survive and had to be euthanized. After adoption, it was discovered that Sally was Feline Leukemia positive. She is shy, but sweet, and her owners brought her in to us because she suddenly appeared to lose her sight. She began bumping into things and lost her fear of the dog. If you notice in her photo, her pupils are very dilated, and her owners had noticed this at home, too. Her regular veterinarian sent her to us because high blood pressure was suspected.

What does high blood pressure have to do with eyesight?
The retina lines the back of the eye

The retina is a thin membrane lining the inside of the eye that receives light and translates it into electrical impulses for the brain with special cells called photoreceptors. There are two kinds of photoreceptors - rods that process black and white or dim light vision and cones that process colors or bright light. If the retina or its photoreceptor cells become damaged in some way, the eye has trouble converting waves of light into signals that the brain can understand, interfering with a cat's vision.

 One of the ways that cats can lose their vision is by developing hypertension lesions in the retinas - tiny blood vessels are damaged and regions of the retina lose their ability to function as they lose their blood supply. These lesions look like bubbles in the retina. If a cat's blood pressure remains elevated for a long period of time, the retina can completely detach and lose its connection with the nerves that transmit visual impulses to the brain. Once this has happened, a cat becomes irreparably blind. If the hypertension is diagnosed and treated early, as in these photos, the retinal lesions can heal over time.

Retinal lesions appear like bubbles in the back of the eye

The same eye 2 months after starting blood pressure medication

 Notice that not only are the lesions gone, but the blood vessels appear more visible.

The first thing that we did when Sally came in was check a blood pressure reading. Her blood pressure was 150mmHg, which is a normal pressure in a nervous cat. Hypertension was not the culprit in this case. So, what could be the problem?

The next thing that happened was that Sally received a full physical exam from Dr. Demos, including an eye exam. This is what Dr. Demos saw when she looked in Sally's eyes...
Something very important is missing, here!
There are no blood vessels in this retina!
This is a characteristic feature of something called Progressive Retinal Atrophy (PRA). PRA is a recessive trait in certain breeds of cats such as the Abyssinian, the Somali and the Ocicat. Perisans and Siamese are also often at risk. There are a number of other breeds that have also been identified to carry the mutated gene in small numbers.

Other key features of this disease are a granular appearance to the retina, signs of retinal thinning, and a reduction or thinning of blood vessels. Increased reflectivity of the retina and dilation of the pupils are symptoms that owners can easily see at home. Later stages show pigment changes to the retina and a degradation of the optic nerve. These changes usually happen equally to both eyes at the same time.
Sally's pupils stay dilated, even in bright light

The most common form of PRA in cats is involved a progressive degeneration of the rod and cone receptors in the retina.The cat's eyes develop normally as a kitten, but as the cat gets older, the cat will begin to experience night-blindness and may tend to avoid stairs or darkened areas of the home. It will progress to total blindness by the age of 3-5 years. This is problematic not only for the cats themselves, but for the breeders of high-risk breeds, because often the disease is not apparent until after the age at which many cats have already participated in a breeding program. If you are interested in a purebred cat, it may be a good idea to ask your breeder about PRA and whether their cats have been genetically tested for the mutation.

Unfortunately, this is a problem for which there is no treatment. However, the good news is that cats adapt well to being without their sight due to their superior hearing, sense of smell and sense of touch (whiskers). You can read about the amazing cat, Homer, who caught flies out of the air without the aid of sight!

If your cat starts to show reluctance to move around at night, or has trouble jumping onto furniture, or starts to bump into things, it would be a good idea to have your cat's eyes checked by his or her veterinarian, as well as having a blood pressure exam performed.

Monday, October 14, 2013

Raising Orphaned kittens Part 2: What to do, week by week

You've decided to raise the litter of orphaned kittens you found...

 You have all your supplies, you're ready to go, but just like caring for a 2 day old human infant is different than caring for a 9 month old human baby or two year old toddler, the age of your orphaned kittens is crucial to deciding how much to feed and how often.

0-7 days:

Feeding: 1/2 tablespoon formula every 2 - 3 hours with a kitten bottle.
If the mother, or a surrogate mother is available and healthy, the kittens should nurse vigorously and compete for nipples. Newborns can nurse up to 45 minutes at a time. When the mother cat settles down in the nest box, the kittens should bee-line to the nipples and begin to feed with minimal fussing. If the kittens wander excessively or cry excessively, there could be a milk supply issue. Check at least once daily to make sure all the kittens are nursing, if not more frequently.

Environment: Keep the nest box temperature at a toasty 85-90 degrees. The number one danger to newborn kittens is hypothermia, or a low body temperature. They cannot keep themselves warm on their own (thermoregulate).

Behavior & Training : By one week of age, the kittens should weigh 4 oz. (1/4 pound), and will be sleeping 90% of the time. They will eat the other 10% of the time. Handling should be minimal to allow babies to sleep and eat in their snug, warm nest.

1-2 Weeks of age:

Feeding: Bottle-feed formula every 2 - 3 hours until kittens are full but not bloated- usually kittens will eat at least 1/2 tablespoon of formula per feeding.

Environment: Keep the nest box temperature at a toasty 85-90 degrees.

Behavior & Training : Kittens at 2 weeks of age will weigh about 7 ounces (just shy of 1/2 pound) and have pink skin, and round bodies. If you pinch their skin gently, it should spring back into place quickly. Kittens should wiggle energetically when picked up, and should migrate towards its mother when placed back down. Healthy kittens rarely cry.

To tell whether kittens are male or female, look under the tail. Females will have two holes close together - the vulva is a vertical slit or teardrop below the anus. Males will have two holes farther apart - the opening for the penis is separated from the anus by a little bump (the scrotum) which may be difficult to see or feel at a young age. The best thing to do is find two kittens who look different under the tail and compare. By the time the kittens are ready for forever homes, it should be much more obvious, so don't despair if you can't tell this early what you have.

2-3 Weeks of age
Feeding: Bottle feed formula according to the manufacturer's instruction about every 2 - 3 hours until kittens are full but not bloated- usually kittens will eat at least 1/2 tablespoon of formula per feeding.

Environment: Floor temperature of the nest box can be a little cooler, now - about 75-80 degrees.

Behavior & Training : If there is a mother cat (queen), she will begin to spend more time out of the nest, though she won't wander far.

Kittens should weigh about 10 oz (about 2/3 pound). Their ears will start to stand up. Kittens will start to crawl around day 18 and can usually stand by day 21. Kittens will start to play with each other and explore their environment. Their baby teeth will start to come in (erupt) during this period.

The next six weeks are a critical socialization period. Kittens will learn how to act like a proper cat by watching their mother and interacting with their litter-mates. Additionally, human handling during this period is very important, too. Interaction with children may be too frightening, since even gentle children can be awkward with tiny kittens, so should be supervised closely while visiting. 

3-4 Weeks of age
Feeding: Bottle feed formula per manufacturer's instruction every 2 - 3 hours until kittens are full but not bloated- usually kittens will consume at least 1/2 tablespoon of formula per feeding. At this stage kittens may start lapping from a bowl.

Environment: Floor temperature of the nest box can be much closer to normal room temperature - 70-75 degrees from this point onward.

Behavior & Training: Kittens should weigh about 13 ounces (0.8 pounds). Their eye color will start fade from blue to the adult color, but may not reach its final color until 12-16 weeks of age. Kittens can now focus on the world with an ability similar to adults. They will start to groom themselves, though their mother will continue to do most of the serious cleaning.

4-5 Weeks of age
Feeding: By 4 weeks, your kittens should be eating and drinking from a saucer. Now is the time to start gradually weaning them. Introduce solid food by warming some pate-style canned food and mixing it with a small amount of water or formula to create a soupy gruel that they can lap at.

Without a mother cat to show them what to do, kittens will invariably walk, sit, play, slide in and track food everywhere. Offering gruel on the tip of a finger or wiping a little across a kitten's lips or teeth will help them associate the smell of food with eating behavior. Because it will take several meals before the kitten will end up with more food in its stomach than on its fur, you should continue to offer a decreased amount of formula by bottle-feeding - about 3 tablespoons (1-1/2 oz.) formula every 8 hours. This will simulate the weaning process.

This is a critical time to continue watching the kittens' weight. They should continue to gain weight through the transition from milk or formula to solid food.  If a surrogate mother or the actual mother is present, the kittens will continue to try to nurse, but she will become more and more agitated by this process. Just like small children who gain comfort from pacifiers or thumb-sucking, kittens will continue to perform nursing behavior even after they no longer gain any nutrition from it. Most cats will eventually grow out of this behavior, but it can persist long term in some cats.

Fresh water in a stable, shallow bowl.

Behavior & Training : This is the age that you can also start litter training. Make sure to provide a low sided box, as kittens are not very big. Use a low box with one inch or less of litter. As mentioned in our previous article, a disposable cake pan is perfect. Cut-off cardboard boxes also work well.

Most people think that cats need to be trained to use the litterbox, but in fact, it is an instinct for them. Even kittens raised without a mother cat will gravitate towards a box full of sandy litter and figure out what to do pretty quickly. You can speed the process by placing a kitten in the box after a nap, after meals, and after play, and (the first time or two) guiding him gently to dig in the litter. However, even if you don't do this, they will discover the box on their own.

Just like young children who are potty training, it is good to make sure that wherever the kittens are, a litter box is handy. Otherwise, they may get distracted and find themselves too far from the box with a very insistent need to go! Since most kittens are born with some type of intestinal parasite, make sure to keep the litter box very clean to prevent cross-contamination and re-infection. Cats also do not like their litter to be near their food, so make sure there is a good amount of separation between the two.

5-6 Weeks of age
Feeding: Feed four times daily, gradually thickening the gruel. At this age, you can introduce dry food and water. If your foster litter has a mother, she will continue the weaning process. If your kittens are reluctant eaters, you can try mixing any non-onion-containing meat-flavored human baby food with a little water, but this is not a long term solution, because cats need taurine in their diets or severe developmental issues of the heart and eyes can occur.  

Behavior & Training:  A good rule of thumb from this point forward is that a kitten should gain one pound a month. At 4 weeks, they should weigh about 1 pound, at 8 weeks (2 months) they should be about 2 pounds and at 12 weeks (3 months), they should weigh about 3 pounds. At this age, kittens can start to roam around the room, under supervision. The strongest, most curious kitten will figure out how to get out of the nest. The others will quickly follow. Male and female cats should start to become more easily distinguished as male anatomy develops.

Play with your kittens daily! Kittens love to climb and explore, so sit on the floor and allow them to get to know you. This game allows them not only to get exercise and develop muscle coordination, but to become comfortable with humans. Some kittens may be fearful at first; do not force yourself upon them. You can sit in the room and read or watch quiet television or listen to quiet music, and allow shy kittens to become desensitized. This is a very important step in allowing kittens to develop a confident, social attitude. As they become more adventurous, you can start to introduce other sounds, such as vacuum cleaners and dishwashers. Many very shy and secretive kittens were not abused as kittens as so many people believe, but were just never introduced to the normal noises and activities in a human home at an early age.   

6-7 Weeks of age
Feeding: By this age, your kittens should be eating canned and dry food well. You should offer food to them at least three times daily. Watch for any bullying among littermates, and ensure that all kittens are getting their fair share. They may not eat much at a single sitting, because their tiny stomachs are acorn-sized, but they like to eat at frequent intervals throughout the day. This is how a cat instinctively wants to eat, even as an adult - they spend most of the day hunting and only eat for a few minutes at a time. Frogs, bugs, rodents and birds do not make large meals.

Behavior & Training: By this time, you have "mini-cats." They will wash themselves, use scratching posts, play games with each other, their toys, and you, and many will come when you call them.

7-8 Weeks of age

Feeding: Offer wet food 3 - 4 times a day (each kitten will be eating a little over one can of food per day). Leave down a bowl of dry kitten food and water for them to eat and drink at will. If you have a litter with a mother, she will allow very little nursing.

8+ Weeks of age
Feeding: Offer wet food twice daily. Kittens should have free access to dry food and water all day.

Behavior & Training:  If all your kittens are two pounds in weight, you can start to consider finding them homes at this point, however, a large amount of social development occurs in the next 4 weeks, so the longer the kittens can remain together, the better it will be for their long-term happiness. At 3 pounds in weight, we recommend early spay or neuter surgery. It is much easier to find homes for kittens that have already been spayed or neutered and have had some vaccines and a clean bill of health from a veterinarian.

Remember: A healthy kitten is playful, has bright eyes with no discharge, a sleek coat, and a plump belly. Younger kittens are content to sleep between feedings. Normal body temperature for a kitten is 100 - 102.5. Unfortunately, kittens do become ill and sometimes die while being fostered, so it is important to take steps to prevent disease and treat it appropriately as soon as it appears.

Monday, October 7, 2013

Feline Medicine without Borders!

Jeremy Campbell BVSc MACVSc (Feline Med) MRCVS (and friend)

One of the interesting things about having an ABVP veterinarian at Exclusively Cats Veterinary Hospital is that we get to meet and work with a large variety of other veterinarians who love working with cats as they come to visit and study for externships, internships, or just because they want to know more about all-cat practices. 

This past month, we were thrilled to have Dr. Jeremy Campbell rotating through our hospital on a tour of US feline veterinary hospitals. He is very enthusiastic, friendly and very obviously and genuinely cares about cats. We invited him to share a little more about himself, and why he was here.


Hi, my name is Jeremy Campbell, and I am a New Zealand qualified veterinarian who is spending time at Exclusively Cats to get experience with how things are done in Feline-only practices in this part of the world. I have been fortunate enough to meet some of you and your lovely cats in my two and half weeks here which has been fantastic. Interestingly, my professional career started off at the complete opposite end of the scale both in size and location. I began life in New Zealand working only with horses in a specialty hospital. Over the years as my skills and interests have developed I realised that there was really only one species that presented me with the personal challenges and rewards as a Veterinarian, and that is of course, the cat. 

Why do I like working with cats?
"Cats don't have owners: they have staff." "Dogs look up to us, pigs treat us as equals and cats look down on us." Basically, I love their independence, their ability to train us and the fact that they can convert the most determined/adamant dog-lover (usually men) into a lifelong cat lover with a swish of their tail and a carefully calculated show of affection..... They are such subtle creatures in their manifestations of illness and pain it is a challenge to understand that, then solve their problems. The rewards of making a sick or painful cat better is the thing that motivates me and drives me to enhance my knowledge.

I currently work in a very busy 3.5- 4-vet practice in South London; the practice is 70% cats so I am in my element. However, unlike your lucky cats, ours still have to deal with the day-to-day stress and the constant racket provided by the lesser species! We do have one evening a week which the cats can call their own and this is bliss. Bliss for the cats and bliss for me.

Before settling back in the UK two and a half years ago, I spent three years working for the Society for Prevention of Cruelty to Animals (SPCA) in Hong Kong which was a very interesting time with some pretty crazy diseases and manifestations of disease. The SPCA is one of the busiest practices I have worked in with about 21 Veterinarians in total and runs very much like a human hospital being the size of a city block! It was here that I picked up my current cat Guppy. She was dumped on the doorstep of the hospital aged only 3 weeks with a nasty shoulder abscess. I intended to foster her for a short period until she was well enough to be rehomed but (not surprisingly) 4 years later she is still with us.  I have yet to rehome her………although her 3am shouts for attention sometimes tempt me!!

I am spending time in three different feline practices in the US before heading back to London in November (managing to hold the winter at bay for as long as possible…..the other two practices are in Texas!!). I am intending to use this experience as a jumping-off point to doing a speciality qualification in Feline Practice in a couple of years.

Already time is flying as my first placement here at Exclusively Cats is drawing to an end. I have learnt a lot and really enjoyed the warm hospitality and friendliness of everyone here in Waterford and Milford.

Jeremy Sept 2013

Thursday, October 3, 2013

Meet Mr. October!


Age: 4 years
Weight: 7.7 pounds.
Gender: Neutered Male
Demeanor at the vet's office: Nice boy!
Feline Friends: Riley (14y) and Mowgli (4y)

Bear says "Boo!" and declines to comment further. :)

Monday, September 9, 2013

Raising Orphaned kittens Part 1: Overview

If you find a kitten that is less than 8 weeks of age, that kitten will need fostering, either by a human or another nursing female cat. Raising orphaned kittens is a big commitment, but can also be very rewarding. If you're not sure about the age of your stray kitten foundling, please check out our previous blog article on the topic. The following are some considerations that may affect your decision to take on this responsibility.

Orphaned kittens may carry illnesses into your home that could affect your resident animals' (or humans') health. Most commonly, they may suffer from upper respiratory infections and intestinal parasites, but can also carry diseases such as calicivirus, distemper, or rabies. It is important to keep orphaned kittens isolated from your other cats in the household until you are certain they are healthy. You should also make sure that any other pets in your home are up to date on their vaccinations.

  • For the protection of both parties, young children should not handle the kittens. 
  • You should check the kitten for fleas before bringing it into your house, because fleas can spread disease among cats and to people. 
  • You should wash your hands with soap and water hands after handling animals, fecal waste, or litter boxes, before handling your own animals or children and you may also want to change clothes. 
  • You should routinely disinfect the orphaned kittens' quarters and the entire premises before new kittens are introduced. Remove all biologic materials and soak litterboxes with a mild bleach solution (1 part bleach to 32 parts water) for at least 10 minutes. All surfaces, as well as bowls and toys need to be disinfected so it would be best to keep the kitten(s) in a carpet-free area. Tiny kittens do well in large pet carriers or dog crates. 

Supply list
  • Nest Box or carrier  - You will want a box that allows you to easily check on the kittens, with plenty of room for the mother (if there is one) and the growing kitten(s).
  • Newspapers or absorbent pads - Keep several layers in the bottom of the box, and they will come in handy when the kittens start to roam around the room and are introduced to their litter box.
  • Big litter box for mother cat (queen) - the mother cat will prefer a normal sized litterbox, but it will be too large and the sides will be too high for the kittens.
  • Small litter box for kittens - An oblong, disposable cake pan is perfect. Cut-off cardboard boxes also work well.
  • Cat litter
  • Water bowls - Heavy and impossible to tip. Should be stainless steel or porcelain/ceramic, NOT plastic, as plastic is difficult to disinfect because it is so porous, and some cats have sensitivities to plastics.
  • Food bowls (at least 2) - One is for dry cat food, the other for canned food. You can use TV dinner trays, paper plates or whatever you have; any relatively flat plate or saucer will do. The larger the litter, the larger the plate should be so that no one gets crowded out.
  • Food - You should have dry kitten chow, canned cat food (any brand for adults or kittens), and all-meat baby food (must not contain vegetables or onion powder). Offer several choices to weaned kittens to determine their preferences.
  • Heating pad, hot water bottle, or infrared lamp  - Prior to three weeks of age (open eyes and erect ears), kittens need an environment that is about 85°. It is best to provide them a heat source of some kind, but you must be sure that the kittens have the ability to move away from the heat if they become too warm. Do not put kittens directly on a heating source, but insulate them from it with towels. If using an electric heating pad, make sure to cover any electrical cords so that the kittens do not play with them or bite them. Alternatively hot water bottles, rice bags, or special microwaveable heating disks can be used as heat sources. These should also be covered by towels, and should be changed regularly to ensure that they stay warm for the kittens to snuggle up against.
  • Clean towels and blankets
  • Toys - Plastic toys that can easily be disinfected are best. Disposable toys such as empty toilet paper rolls, empty 12-pack cardboard soda boxes, old stuffed socks, caps from soda bottles and paper bags are good toys as well. Young kittens do not appear to react to catnip. Make sure to kitten proof the kitten's nursery, because anything can become a toy: drapes, venetian blind cords, lamp shades, electrical cords and breakables, etc.
  • Scale - a food or postal scale is very helpful in monitoring small kittens' growth, which should average about 4 ounces a week.
  • Kittens should nurse from mother, or be fed with a bottle, syringe or dropper with kitten milk replacer (not regular milk) every 2-3 hours. 
  • They should start by eating at least 2ml milk at a time.They will increase their food intake quickly.In as little as one week, they may drink 10-15ml per feeding. By the time they are about ready to start canned food (4-5weeks of age) they may each drink half a bottle apiece. 
  • At 4-5weeks of age you may start giving canned food.Mix with milk replacer at first to get to a porridge type consistency; at first the kittens will try to suck up their canned food like they did the milk, so it has to be liquid consistency.  

  • After eating, use a warm wet cotton ball, Kleenex, or baby wipe to stimulate their bodily functions.The first couple of days kittens may not have any stools until they start eating well.After that, their stools may be a soft, pudding consistency for a week or so. 
  • After the first couple of days they should defecate at least a couple of times per day, though they may defecate every time as well.If kitten is not defecating at least once a day, they may be constipated. Observe for straining, vocalizing and/or vomiting. -A thermometer can be used to help stimulate defecation.If kitten is very constipated he might need fluids under the skin (contact Exclusively Cats Veterinary Hospital for suggestions) 
  •  Kittens will most likely urinate every time they are stimulated. -The amount of urine and stool output should increase substantially over 2-4weeks -At 3 weeks of age you may try kittens in a litter pan. Put them in the pan, and they should use it fairly well right away. Cats’ instincts prepare them to urinate and defecate in dirt/sand type materials. Kittens may have a few accidents at first around or near the box. Do not be alarmed, this should resolve over a few weeks.
  • Often the kittens will turn around and step in their stools because their coordination isn’t great until about 8 weeks of age.You should scoop the boxes as soon as kittens go to help prevent this.If they do step in anything, you may bathe their feet with warm water and a mild soap.Try not to wet their entire bodies at a time because they are not great at regulating body temperature until they are a little older.
An orphaned kitten being housed in a carrier

  • Babies are unable to regulate their body temperature very effectively until about 3 weeks of age. Keep them warm and covered with a light blanket.You may also use a “snuggly” heated disc underneath blankets as well. Do not put too many covers over them, as they may overheat as well. -You may keep them in a carrier for the first few weeks. 
  • After they start using the litter box at approx 3 weeks of age, you may put them in a large play pen, or small bedroom or bathroom where they are not able to fall/jump off of anything. 
  • At approx 8 weeks of age, you should be able to try and incorporate the babies into the household. Make sure to supervise them at first to make sure the other cats will get along with them.  
This kitten is dehydrated, and has an IV catheter placed

  • Watch closely for respiratory signs.Kittens do not have great immune systems, and can perish from infection if not treated appropriately. 
  • Aspiration pneumonia is very dangerous for kittens; be careful when feeding not to give more milk than they can swallow at one time. 
  • Watch stool and urine output closely, and observe for any signs of constipation from the milk formula.
  • Look for lethargy/or inappetance. 
  • If you ever have any questions about kitten health please call us at 248-666-5287 or email us at ecats@exclusivelycats.com

Sunday, September 1, 2013

Meet Mr. September: A Life Remembered


*Note:  “Vitesse”-means “speed” in French and “Vite” means “quick” or “hurry up”;  I decided on the name because he was so fast when playing with his tinsel toy when I first met him

Age:  14 ½ years
Gender:  Neutered Male
Breed:  Selkirk Rex, Silver Smoke
Vitesse at 6-7 months of age

At the beginning of July, we found out that Vite had cancer.  After a whirlwind 3 weeks, we ended up losing Vite.  So instead of the original bio we had planned to write, we have written this memorial to share a little about the “handsome boy” who so blessed our lives.

When I first met Vite, he was 6 months old.  A friend had decided to take him from the breeder along with an 8-week old kitten that he had gotten but was planning on returning him because he just wasn’t adjusting well to his new home—all he did was hide under the beds.  For some reason, things changed when Vite met me.  (I always say he “picked” me.)  He came out from under the bed, played with the tinsel toy I had and crawled on my lap to be petted and purr as we sat down to watch a movie.  At the end of the evening, my friend let me know that if I didn’t take him home with me, he was going to have to send him back to the breeder where the chances of being adopted would probably be pretty slim.  (Guilt—what a powerful tool!)  Needless to say, I found myself stopping at a pet store to get all the supplies I’d need for the new addition to my family.

Right from the beginning, I knew that Vite was special.  I hadn’t gotten a pet, I had adopted a child and I truly believe that he somehow thought that I was his mother.  From the very first night, I found out my life would be never be the same!  I was a very light sleeper and since Vite liked crawling on me, I tried shutting the door at bedtime.  I quickly found out from the crying outside the bedroom door that wasn’t going to work for him.  He just had to lie on my chest or on the pillow next to me with his paw on my cheek purring as we went to “sleep” at night.  It didn’t take long for me him me to realize that Vite had worked his way into my heart and I would love him and spoil him forever.

We have had several weeks to try to adjust to not having Vite with us, but I still think of him every day and all of the quirky things he did.  He had such a unique personality and never lost his kitten-like playfulness.  I can still see him playing with his toys, going outside and “patrolling the perimeter” of the house (as he truly thought he was a panther), laying spread eagle on the living room floor watching TV with us, sleeping on the couch next to me, chasing his sister, climbing into any open box or bag or just crawling on the table or counters (yes, he was that spoiled!) to sleep or just hang out.  He even used to let me put my head on him and use him as a pillow while we lay on the couch together and would follow me around the house just to be near me.  (My husband always called him a “momma’s boy.”)

It was just the two of us for several years, but Vite finally got the “papa” he always yearned for when my husband came into the picture.  It took a little bit for Vite to warm up to Dave but once he did, it was all over for Dave.  Vite had him wrapped around his paw in no time and Dave came to love him just as much as I did.  They ended up forming their own special bond and routines that didn’t include me.  Every day after work was “guy” time.  Wherever Vite was in the house, he would come running, jump on the table so that he could nudge Dave to be petted, get his crunchy treats and then, if it was nice enough, go outside.  When Dave took off his shoes, we’d find Vite laying on them or next to them with his leg draped over them.  He even got to the point where now and then he would sleep next to him at night and would let Dave flip him upside down and carry him around like rag doll (something that was previously reserved for just me). 

While there are so many things I miss about Vite, I miss our nighttime routine the most.  When it was time to head up to bed, Vite would be hot on my heels heading up the stairs, waiting for me to get settled in bed (sometimes not even waiting).  Once in bed, Vite would purr and knead the crook of my arm while I petted him, then move down between my knees, lay down, purr and settle in so we could read and have “story time” until I went to sleep.  And the next day, we’d wake up to start all over again.

Losing Vite has definitely left a huge hole in our lives and in our hearts.  Although it is a hole that I am sure will never be fully filled, we will never forget all of the joy and love that he brought to our lives.

We would like to express our deep appreciation to the entire staff at Exclusively Cats for the care they gave Vite throughout his life.  Not only for the excellent medical care (especially with his diabetes) but also for the love they showed him whenever we brought him in.  We would also like to thank them for the compassion, support and comfort they have shown us as we have gone through our loss and grief.  Your kind thoughts have helped make an extremely difficult time more bearable.

From Exclusively Cats Staff: Vitesse was a very sweet boy when he came to see us - which was frequently, because he was a diabetic. We will always remember his handsome face, and the dignity with which he allowed us to work with him. He was always affectionate when we saw him, and we could tell there was a certain mischief in him that he reserved for his home life. We will miss him very much, as he was such a presence when he was here.

Thursday, August 8, 2013

Feline Hypertension: What you need to know

High blood pressure? In a cat? All your cat does is lie around all day, grooming himself and sleeping - he couldn't possibly have high blood pressure, right?

In humans, we think about high blood pressure as a problem of high-stress, high-anxiety people with high-pressure jobs. According to the American Heart Association, however, science has not definitively proven that stress causes high blood pressure, even in humans. It is more likely that people under stress will engage in unhealthy activities that ARE linked to high blood pressure - such as smoking, drinking too much alcohol, and eating an unhealthy diet or not exercising regularly.

Unlike human high blood pressure, feline hypertension is not usually a stand-alone disease. It is most often seen associated with another illness, such as kidney disease or hyperthyroidism. However, in cats that have kidney disease, it is often uncertain whether the kidney disease caused the hypertension or chronic hypertension damaged the kidneys.

Symptoms: Just as in humans, there are few, if any, outward signs of high blood pressure in cats.

The "bubbles" in this photo of the inside of a cat's eye indicate areas where the retina is detached due to chronic high blood pressure
The most common sign of high blood pressure, and the one most recognizable by owners, is sudden blindness. Blood vessels under high stress in the eye are at high risk for rupture or leakage, which damages the retina. Over time, this can lead to complete retinal detachment and complete blindness.

Some cats with high blood pressure will develop a heart murmur or a "gallop" rhythm due to damage to the heart - most commonly a thickening or overgrowth of the muscle of the left ventricle.

Sometimes people who start treating their cats for their high blood pressure notice a change in their cat's behavior (for the better!), noting that they seem less anxious, or they have stopped howling at night, or they appear more active.

It is known that in humans, high blood pressure can cause headaches. This is very difficult to diagnose in cats, however, we know that cats experience pain in a similar manner to humans, so one might wonder if cats with high blood pressure also experience headaches.  If so, diagnosing and treating high blood pressure would relieve your cat of head pain.

Other outward signs and symptoms that may appear with high blood pressure are associated with the primary disease that is linked to the hypertension: increase in water intake and urine output, dull coat, weight loss, change in appetite (either eating more or eating less), vomiting, diarrhea, constipation, and behavior or personality changes.

Inwardly, chronic high blood pressure can lead to organ damage.
65-100% of hypertensive cats have decreased kidney function
50-70% of hypertensive cats have damage to their hearts
30-40% of hypertensive cats have damage to their retinas which can ultimately lead to blindness if left untreated
15% of cats with high blood pressure have neurologic signs including head-pressing, twitching or seizures

Prevalence and Risk Factors: The cats that are at highest risk for high blood pressure are senior cats, especially those over the age of 10 or those with other health conditions. There does not seem to be a specific breed that is at high risk for high blood pressure. 

High blood pressure in older cats appears to be fairly common, especially as a secondary problem associated with other diseases. Exactly how common is still up for debate. In researching for this article, many studies disagreed about the numbers, and most of the studies were performed with 100 or fewer cats - but we do know that hypertension is a serious issue that we can easily diagnose and treat.

Somewhere between 20-65% of cats with chronic kidney disease have hypertension.
Somewhere between 9-23% of cats with hyperthyroid disease have hypertension.

Somewhere between 17-50% of cats with high blood pressure have hypertension that is not associated with another problem.

Diagnosis: High blood pressure in cats is diagnosed with a blood pressure reading, very similar to the readings taken in humans. While oscillometric (electronic, automatic) blood pressure machines exist and are quite accurate in humans and dogs, the Doppler method of blood pressure examination is generally recommended as the most accurate in cats. The oscillometric units are often unable to detect feline blood pressure (in up to 52% of cases!), take longer to get a result, were less precise and often read lower than the actual pressure.

Checking a blood pressure with the Doppler method is painless and most cats are quite calm and unconcerned by the process. After the cat has time to acclimate itself to the exam room, the technician attaches a small cuff (the same kind that is used in human neonatal medicine) to one of the cat's legs. Preferably, the cat's owner is present to calm and hold the cat for the technician, but occasionally, just like small children, a cat may behave better for a group of strangers than in front of his or her "parents", or they may feed off an owner's anxiety and become anxious, themselves.

A small amount of alcohol is applied to the cat's foot or a small amount of hair is shaved near the paw pad, and then ultrasound gel is applied to the Doppler probe and is it gently pressed against the cat's foot. The Doppler machine is turned on, and the heartbeat becomes audible  as a "whoosh whoosh" noise. Every effort is made to keep the cat calm and relaxed during this process, to avoid artificially raising the blood pressure. Several readings are taken and the average of these readings is recorded.

Doppler blood pressure machine and supplies
The cat either reclines on its side for a rear leg pressure check or sits/lies in a normal position for a front leg reading. In some cats, it may be appropriate to take a measurement from the tail.
The blood pressure cuff is wrapped around the leg, and some alcohol is used to wet the fur. In some cases, a small amount of fur is shaved near the cat's paw pad. Ultrasound gel is applied to the Doppler probe and then held gently against the foot. The blood pressure cuff is then inflated and several readings are taken.


Amlodipine is usually the medication veterinarians turn to for treatment of high blood pressure in cats. This medication relaxes the blood vessels to allow the blood to pass more easily. Most cats started on this medication are started on a low dose and then re-checked in a couple weeks to ensure that they do not need to have additional medication. This avoids adverse side effects from a sudden decrease in blood pressure such as weakness or fainting spells, but also allows for appropriate correction of blood pressure that is severely elevated within a short period of time. Other medications such as benazepril and atenolol may be preferable in some cases, depending on the cat's overall health.

Additionally, treating any primary disease such as hyperthyroidism, diabetes, kidney disease, may aid the control of high blood pressure.

Currently, Exclusively Cats Veterinary Hospital is participating in a nationwide study of an FDA-regulated investigational medication for high blood pressure associated with chronic kidney disease in cats. This clinical trial is designed to determine the effectiveness of the investigational medication in a real-world situation. We hope you will consider this opportunity to possibly help your cat and, potentially, many other cats nationwide. 

ANY CAT* over the age of 7 is currently eligible for a free exam and blood pressure screening

For more information, call our office at 248-666-5287 or visit www.mycatcanhelp.com.
To get involved, please call our office to schedule an appointment!

*Any cat that is not currently on blood pressure medication, and is not an F1 generation Savannah Cat or Bengal breed.

Selected Resources and References:
More information:
High Blood Pressure in Cats: Winn Feline Foundation
High Blood Pressure (Hypertension) in cats: FAB cats
Diagnosing Feline Hypertension: Pet MD
All About Hypertension: Tanya's Comprehensive Guide to Feline Chronic Kidney Disease
Hey, Doc, Why Did My Cat Go Blind? by Dr. Eliza Sundahl at Felinedocs.com

Research and Journal Articles:
Management of Hypertension in a geriatric cat: Canadian Veterinary Journal
Managing Hypertension in Cats with Hyperthyroidism: Proceeding of the SEVC
Prevalence of systolic hypertension in cats with chronic renal failure at initial evaluation. J Am Vet Med Assoc. 2002 Jun 15;220(12):1799-804. Syme et. al
Heart and Kidney, A.P. Carr, B. Egner

Feline Systemic Hypertension: Classification and pathogenesis, E Rosanne Jepson, BVSc (Dist) PhD MRCVS
Feline Systemic Hypertension: Diagnosis and Management, Rebecca L Stepien, BS DVM MS DipACVIM (Cardiology)
 A comparison of CAT Doppler and oscillometric Memoprint machines for non-invasive blood pressure measurement in conscious cats. Jepson et al. 2005.
  The Prevalence of Ocular Lesions Associated with Hypertension in a Population of Geriatric Cats in Auckland, New Zealand. Carter et. al, 2013
Routine health screening: findings in apparently healthy middle-aged and old cats. Paepe et. al. 2013
Systemic Hypertension in Cats: Current Issues in Diagnosis and Therapy, AAFP 2011 Conference 9/9-9/11. Daniel F. Hogan DVM, DACVIM (Cardiology)