thanks
It's just when you are paying £80 for a home visit (or ok, 35% of that) and it's like "oh well you know NO-ONE else would do what you do for these cats" snigger snigger, I just see red. You are right in that the extent of palliative care depends on a cat's temperament. Both of my cats are well travelled with us and although Swampy isn't easy to treat (he pulls away, he's still strong and he has his likes and dislikes!) both him and Max basically are cats you can treat. They have always been very focused on "their" people too. I was going to have it out with the vet, but there isn't really any alternative to him in this area and it's too far down the line anyhow. I think he doesn't like the fact that I am getting info and support online from America on sub cuts and CRF as there is none coming from him and what he told me wasn't enough for Max.
He now told me that even if Max isn't eating much I should give him lactulose every day as it will help his urea to be flushed out. But it makes Max feel sick if I get the dose a bit wrong, then he doesn't eat. I am aiming for twice a week if everything stays the way it is (of course it may not). He only really eats Applaws which is chicken and has no fibre. PAH have been out of stock of the chicken and pumpkin one which I suppose has a bit more fibre (?). Do you think twice a week is enough for him to poo? I just want him to feel as well as possible for as long as possible and today he's much better than yesterday, when he had the lactulose runs.
thanks everyone for making me feel less alone