Two weeks ago I learned that Selkie probably has lymphoma of the small intestine. Weâve ruled out every other reasonable diagnosis and the symptoms and test results we have are textbook lymphoma. I have elected not to get a definitive diagnosis; this would require abdominal surgery that would take weeks to recover from and I am unwilling to obtain a definitive diagnosis when it would not change the treatment Iâd opt to follow. I am further unwilling to opt for surgery that would cause Selkie pain during what might be some of her last good weeks. At fifteen years of age, Selkie has earned every last good day I can figure out how to give her.
This is not to say Iâve given up on her. Weâve added weekly shots of cyanocobalamin (Vitamin B-12) to her list of medications as well as a medication called chlorambucil (Leukeran), which is a chemotherapeutic drug related to mustard gas. None of this is a cure, but some studies suggest that doing this as well as giving prednisolone (which Selkie has already been on for years for her Feline Triad Syndrome) can give up to two or more good years of life. If she responds to this, then itâs worth trying, If she doesnât, Iâll take her off the chorambucil and continue palliative treatment for as long as it seems to help.
As I was writing this, she came through the room mewing pitifully. I thought something was wrong until I saw she was holding a sparkly fuzzy blue cat toy in her mouth. She has not done that for years. I find myself reluctantly entering the bittersweet realm of âIs This the Last Time Iâll Ever See This?â. As the weeks go on, if she continues to respond, I can return to my safe little world of cognitive dissonance. The day is always coming, but I do not want that black fact to fade the color that I have now.
