So I’ve got this radioactive cat I’m boarding for two weeks at the hospital. She’s an I-131 kitty just chilling out until all the hot blood she’s got cools down to non-toxic limits.
In case this sounds strange—let me explain. The ideal treatment for feline hyperthyroidism (an overactive thyroid) is a shot of some pretty heavy stuff the thyroid specialist comes to town to deliver once a month. Its job is to kill all the excess thyroid cells that colonize this gland, thereby bringing the affected cat’s altered metabolism back down to standard, slow-old kitty status.
Cats tend to age into this common disease where weight loss, increased activity, heat seeking and overeating are the hallmark signs. The most common approach to treating hyperthyroidism uses pills, liquid or patches to chemically kill off extra thyroid hormone producing cells. The next mort common finds vets slicing the gland into surgical submission. But vets are increasingly turning to more targeted, less stressful means of achieving a normal thyroid.
And here’s where the traveling thyroid guy comes in. (Dr. Erick Mears, in our case. He’s a board-certified internal medicine specialist who runs an outfit called I-CAT.)
This guy sets up shop in the specialty hospital across the street in this Spartan room outfitted just for this activity. After receiving a fresh batch of well-loved cats, checking their bloodwork and ultrasounding the heck out of them to make sure they’re otherwise healthy, he places IV catheters, lines up the kitties in their neat little row of cages and administers the “hot shot” that’ll usually cure ‘em.
It’s quite a sight—an array of multicolored, skinny geriatrics hanging out, waiting their turn to undergo the needle. Loud meows all around. Where’s the food, buddy?
If it sounds a little too science fiction, don’t worry—this is old technology. It’s just that cats have been slow to get the I-131 protocol streamlined just for them. But it’s pretty simple…except that while the I refers to iodine, the 131 refers to its unstable radioactive state. That means these kitties are literally HOT for about two weeks after their date with the good doctor.
Yet only two days after their thyroid cell-killing dose, these cats are allowed to go home to their families. Problem is, lots of hand-washing, careful litter handling and kid-watching is necessary so that the radioactive urine and stool is properly dealt with. That means that families with children aren’t usually too excited to take on the I-131 treatment for their cat—even when they know it’s best for them.
So we’ve taken to making things a little easier for Fluffy to get the right care. We keep ‘em. Skinny kitty spends two weeks hanging out with us in a stainless steel cage with lots of individual attention designed primarily to keep her from spreading her radioactivity beyond the confines of her litterbox.
It’s pretty easy care, really. I mean, how hard is it to throw out her litter in hermetically sealed containers? How hard is it to wash your hands after touching her? (We do that anyway, right?)
Still, everyone’s sort of scared of her. Which is kind of sad. She’s so sweet and solicitous of our attention that it’s hard to resist her plaintive meowls. So I don’t. After all, what’s a little radioactivity among friends?
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My 14-year-old kitty was diagnosed with a hyperthyroid last fall, in addition to battling ongoing IBD. Because hyperthyroidism and the pills taken for it have the same possible side effects as his IBD (vomiting, etc), we opted for the radioactive iodine, at a semi-local clinic [the only one in our state]. It is part of the Radiocat network, and we cannot say enough good things about it.
In our state, cats are required to remain at the clinic three days before they come home. We were given flushable litter (corn?), a plastic scoop and gloves to use for two weeks while the iodine passed out of his system. The care was pretty easy and not any more time-consuming than our usual routine. My other cat didn't seem to mind the abrupt change in the litter either. We had to do one or two follow up blood tests after the three month mark, to be sure the thyroid levels returned to normal, which they have. The best part is, if his IBD acts up and he gets sick, we know for sure it's that and not the thyroid, since the latter is "cured."
In our state, the pre-tests and procedure aren't inexpensive, but over time, the cost of the medication is probably about equal. If anyone is considering this, I would highly recommend it.
Debby September 18th, 2007 09:19:00 AM
What a great service - I can see how it would be very difficult for some families to maintain the protocols - especially if they have little kids as you said. (Sure, you could tell them that "If you pet the kitty and don't wash your hands, you'll be your own nightlight" but I know I would have taken it as a challenge as a child.)
Your patients are in such good hands.
CDC September 18th, 2007 01:08:00 PM
I love that you're willing to give the clients the option - take the kitty home after 2 or 3 days if they can safely manage it, or board it if they can't. Flexibility like that may make it more possible for more families to do this for their cats.
Barb September 18th, 2007 02:24:00 PM
Dr. Mears is the best. I have the great pleasure of working for/with him in Tampa. He's also treated a few of my pets (though none for thyroid...YET). Since I have seven cats, I'm sure it's coming!
Robyn November 1st, 2007 03:53:00 AM
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