Page 77 of Derek

At ten o’clock, she loaded him into his carrier, once again scared because she could feel so many of his bones. They arrived at the clinic early, but Trudy was expecting them. “Hi, Sonja.”

“Hi, Trudy. I’m glad you remembered.”

“Sorry to see you here again so soon,” she said. “Here comes Tom. We’ve got a room waiting for you.”

“Hello, Ms. Madden,” Tom said. “Right this way.” Sonja followed Tom into a clean, bright exam room. “Let’s get him weighed, and the doctor will be right with you.”

Snuggles allowed Sonja to place him on the scale, where he hunched while Tom got the reading. “Seven-point-two pounds.”

“I’ll get him something to sit on and then get Dr. Phillips.” Tom reached into a cabinet behind him and put down a soft, fluffy towel on the counter next to the scale. Snuggles looked over at it and sniffed carefully before taking a tentative step onto the fabric. Tom left through the staff door and Snuggles relaxed a bit. Sonja stroked him and reassured him that everything would be okay while they waited for the vet.

A soft knock preceded the entrance of Dr. Phillips with Tom at his heels. “I’m so sorry to hear Snuggles is having trouble eating. His weight is down almost a pound from last summer. Let’s take a look, shall we?” Tom came around to the end of the counter and got a firm grip on Snuggles’ head and neck. Dr. Phillips felt the cat’s body thoroughly, checked his eyes and mouth, and listened to his heart and lungs. “I don’t see any new teeth problems, so we can rule that out. I don’t feel anything or hear anything suspicious, either. He’s lost a lot of muscle mass. You say he’s hungry?”

“Yes, he wants to eat, but he takes a few bites and walks away. Half the time, he spits that up a little while later,” Sonja said. “It doesn’t seem to matter what I offer him.”

“We’ll have to do bloodwork to be sure, but I suspect his kidney function is the problem. How much is he drinking?” Dr. Phillips asked.

“A lot, but he throws that up, too,” Sonja said.

They talked a bit more about options, and Sonja decided that it would be wise to get information on Snuggles’ kidney function before going any further.

Tom and another tech drew the cat’s blood for testing. “I’ll call you by the end of the day with the results,” Dr. Phillips said.

“Thank you,” Sonja answered as she put Snuggles back into his carrier for the trip home. “I appreciate all the time you’ve given us.”

It was almost six when the phone finally rang. “This is David Phillips. Sorry to be so late getting back to you, but we had an emergency surgery earlier.”

“That’s all right, Dr. Phillips. What can you tell me about Snuggles?”

“I’m sorry, Sonja, but the news isn’t good. His kidney disease has gone from chronic to acute. You have a couple of options. I know you’re not interested in the kind of treatment that would interfere with Snuggles’ quality of life, so we won’t go into the extreme of a kidney transplant.”

“Oh no, that doesn’t make sense at all. Snuggles is already old, and the surgery would be awfully hard on him.”

“I agree, but I have to tell you the possibilities. I remember you saying he wouldn’t eat the special kidney food, but there are a couple of other things you can try. You can give him fluids several times a week, and we can try an appetite stimulant. Some cats will live for several months or more with subcutaneous fluids, but his phosphorus level is also high, which is making him nauseous even when he’s hungry. You can use the fluids to keep him more comfortable while you wait for nature to take its course, or you can euthanize him. Sorry to be so blunt.”

Sonja sighed. She wasn’t sure she knew how to cope without Snuggles in her life. “I’ve had him since he was a kitten. Do you have any idea how long he would last with the fluids?”

“There’s no way to tell. Has he been any better since you were in this morning?”

“Not really. He kept down some of his food, but he doesn’t look comfortable, even in his favorite spots. I’ll have to think about it. I want to do what’s best for Snuggles,” Sonja said.

“That’s a good way to look at it,” Dr. Phillips agreed. “Do you have any other questions?”

“No. Thank you for calling, Doctor.”

“You’re welcome. Let us know if we can do anything for you.”

“I will.” She ended the call and sat. What should she do? She loved Snuggles. He’d brought comfort to her life from the moment she’d met him. She didn’t want to lose him, but she didn’t want him to suffer, either. What kind of quality of life did he have now, and would the vet’s suggestions improve things enough to be worth the trouble for Snuggles? She wished there was someone she could talk to about it, but she couldn’t think of anyone other than Derek, and they were ‘broken up’. How many of her friends would even try to understand her attachment to a cat? She went back and forth in her mind about the options and what each would mean for her and for Snuggles. After her evening of mental struggle, Sonja finally took Snuggles to bed, her mind made up and her heart heavy.

CHAPTER THIRTY-EIGHT

Tuesday afternoon, Sonja threw her keys on the small table beside her coat rack when she got home. How she had driven without causing an accident was beyond her, with the way tears had been blocking her view. Mentally, Sonja knew her decision had been the right one, but emotionally, she was plagued by what-ifs. Coming back to her empty apartment was heartbreaking.

Reality slammed into her when she wasn’t greeted by big yellow-green eyes and a sleek black body. She sank to the floor without bothering to close the front door or take off her coat and gave in to her grief. Sonja cried until all she had were dry sobs. She tried to get up but couldn’t muster the strength.

Why should I get up anyway? Nobody needs me.

Still on the floor, her sobs subsiding, Sonja dug her phone out of her coat pocket. The loneliness was oppressive, and she needed to talk. She took a couple gulps of air to control her breathing and quell the tears. She opened her contacts and scrolled to the one person she wanted and needed now. She didn’t care that they weren’t together.