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Old 13.06.2021, 08:48
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Mobile Veterinary Services, Home visit, FIP experienced VET

Dear All,
My cat is sick for the last 1 month and it is not going any better.
Severe dierrhea, nausea, lethargy, on and off fever are the symptoms.
Unfortunately these are symptoms for almost all of the cat diseases.
We have visited EnnetSEE clinic lots of times, Marigin Tierzentrum and mant other internal medicine specialists whoever recommended and ultrasounds indicate a severe inflammation. They suspect ibd/cancer/peritonitis and fip. This list is extensive. I am especially scared of fip. But all of those that we have visited have a different opinion on it. The test came negative but they think tests are not reliable. His bloodwork is not indicating to fip directly and this might be an atypical dry fip?
My questions:
Do you know any vets who are especially specialized in viral diseases?
Don’t tell us Tier Spital Zurich, they are full- they don’t give appointments for the next 2 weeks...
If we decide not to wait any longer so as not to risk his life further...Can you tell me if there is anything like mobile vet services, where they can visit you at home. Our cat is very stressed to visit any more vets. We live in Wollerau. I checked internet but couldn’t find something like that in Zurich area.
Last but not least... even if this is not possible (because fip medication is still illegal, vets can not help), do you know any experienced pet holder who can help us for the first week, so that we learn how to do the injections...
Thank you for your help. We feel very sad and worried. Any help would be very much appreciated.
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  #2  
Old 13.06.2021, 12:49
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Re: Mobile Veterinary Services, Home visit, FIP experienced VET

I don't have any resources to help but have a bump. I wish you the best as you try and find out what is wrong with your cat and how to help him/her get better.
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Old 13.06.2021, 14:35
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Re: Mobile Veterinary Services, Home visit, FIP experienced VET

I don‘t have a specific suggestion, but if you search for mobile Tierarzt praxis or kleintierarzt, there are several suggestions.

Good luck.
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Old 13.06.2021, 14:43
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Re: Mobile Veterinary Services, Home visit, FIP experienced VET

EceErgen,

I'm sorry to hear about your cat; it is so frustrating when you see your friend suffering without knowing why.

The few mobile vets I know of are not specialists, but rather general practice vets. What they can provide outside of a the practice environment is pretty much limited to routine services. The very nature of specialist work usually needs a well equiped practice with the bells and whistles to hand.

I've not encountered a specialist doing home visits - but that's not to say none such exists. Perhaps others might know of someone.

---

So that said, as an FYI:

One of the internal medicine specialists i admire is Dr Sandra Schäfer, whose 'go the extra mile' attitude played a large part in giving The Belltie two extra years.

Dr Schäfer is now with the Vet Trust group, as their 'special medical advisor'. She travels between some of their various practices as her expertise is needed. I'm not sure which practice is her home base, but I see that she is listed as an external specialist at the Zug practice, which is not so far from you.

https://vettrust.ch/de/tierarzt-tier...rarzt-team-zug

Now - I am not familiar with how VetTrust works, I've never used them. I met Dr Schäfer back when she was at Marigin. You might want to contact VetTrust and inquire how one gets an appointment with her.

---

Another practice I can recommend is MyVets in Cham. This is a smaller practice, the vets are quite talented, very client-focused as well as focused on finding solutions. And they really do try to keep the animal's stress as low as possible during the visit.

https://www.myvets.ch

---

As you are in Wollerau, have you ever seen Dr Martina Rusch?

Caveat: she is not a specialist, she is a small one-(wo)man general practice vet - so not exactly what you are looking for. But she has an 'outside the box' way of thinking that might be useful to at least get you a bit further along. She is very patient and her practice is quite low-stress. At least a visit might not be so difficult for your cat.

(When Hooligan needed dental cleaning but anesthesia was too risky, Dr Rusch was the only vet I found willing to try without anesthesia, one tooth at a time over several sessions. )

Dr Rusch will do home visits by appointment, and she is right in your neighborhood.
http://www.tierarzt-wollerau.ch

---

I know you said you don't want to hear 'Go to the Tierspital' - but nonetheless:

When faced with a puzzle such as you describe, the Tierspital really is the place to be. They have the interdisciplinary expertise, and all the bells and whistles, to tackle complex situations.

Yes, it can be difficult to get a timely appointment on your own. However, have you been referred to a specific professor or team by another vet? That is generally the way to get an urgent appointment.

I have always been given appointments very quickly when referred by my other vets - sometimes even immediately, as in "Get in the car and drive as fast as the speed limit allows, Dr So-and-So will be waiting for you."

The vets at Marigin have been very helpful in getting me referral appointments to the Tierspital. Do you think it might be worthwhile asking them specifically to do so for you? Dr Isabelle Rast was particularily helpful co-ordinating Hooligan's care between the Tierspital and Marigin.
Another Marigin vet who has several times been a huge help in coordinating with the Tierspital is Dr Tina Kleb. She is now at their Eschenbach practice, not at the main clinic.

FYI, the Tierspital is partnering with the University of Bristol in a research project on FIP. This is one of the reasons why I recommend trying to push for an appointment with them.
https://www.vetpathology.uzh.ch/de/forschung.html

---

I know all too well how difficult this is - and certainly empathize with all your frustration. I wish you and your cat all the very best.

Last edited by meloncollie; 13.06.2021 at 14:57.
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Old 13.06.2021, 14:47
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Re: Mobile Veterinary Services, Home visit, FIP experienced VET

Also make an appointment at the Tierspital now, so that if you don’t find a solution during the waiting time, you have an appointment already - you can always cancel if you find you don’t need it.
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Old 13.06.2021, 16:34
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Re: Mobile Veterinary Services, Home visit, FIP experienced VET

@meloncollie you're a treasure!

@EceErgin I can't help you with finding a cause, I can only send you hugs!
I know how it is to have cat that isn't ok and no one knows what's wrong exactly.

My had only chronic diarrhea and was weak when we got him from the shelter (he was even returned to the shelter before us because of that diarrhea).

After 6 months of that I've finally discovered combo that works - broth from rabbit (cat cannot tolerate chicken, and is allergic to cow) + catz finefood rabbit+lamb (zooplus/bitiba) + psylium (flohsamenschalen) + e. fecci probiotic (shop apotheke has it for ch and it's the cheapest there, bactisel HK) (we're moving to CH in a few months, so I had to research if I can get that)

Broth was life changing.

Our working diagnosis is IBD, because we never find anything else that could explain it but we're not sure (we includes vets). And if I change this 'recipe' for longer than a day or two, we're back into soft towards diarrhea area, so he's not healed and we don't know what's exactly wrong.

He's now full of energy, and can jump around wherever, so we have this status quo for 2 years already (he's with us for 2.5 if I'm counting correctly), but still don't know the reason.


About FIP itself, I vaguely remember that bloodwork test is for antibodies on corona (tells if cat was ever in the vicinity of sick cat or had corona itself), stool test is to see if cat is shedding corona at the moment, but I'm not sure if there are tests for FIP per se?

I can recommend reading https://www.katzen-forum.net/ about FIP experiences, and I think people mentioned there some FB group where people connect and share tips where to get the drug. I think vets usually would explain to folks how to administer the injection.
It's definitely worthy to find a vet who will cooperate and help, even though they aren't allowed to do the treatment.

Also, for other things that worry you. And you can open your topic and share results you've got and folks will chime in with ideas. I've seen some times that some thing led investigation into different direction and a solution, or coping strategy/tips.

I got the impression mods are really trying to keep the posts informative, and if someone is trolling/giving wrong advices they remove that, so I consider them relatively safe place for getting some information which you then brainstorm with your vet.


For cancer there should be some bloodwork that could point in that direction? I mean, tumour markers and such?

IBD is... yeah, shit. :/

In any case, I'd keep working on relieving some of symptoms, here's some ideas if you're not doing that already:

I'd cook broth for him with meat he can eat (chicken, cow, rabbit), so just throw the whole chicken (you want bones, so version where you buy whole chicken, use breast and thighs for people and the rest for broth is perfectly fine as well), put water, wait until flesh is easy to remove, cool, and give both. That will definitely be helpful for tummy no matter what's causing the havoc.

And I'd give probiotics, but check with vet, and you definitely want e. fecii, those for humans don't have it. I tried biokult which is one of the best ones for humans, but results weren't noticable back then.

Also, two youtube vets I find very helpful, but I'm not sure if they have any video about FIP, maybe one does have something....
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Fingers crossed that you'll figure out finally what's wrong and how to make him feel better :hug:
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