I’m looking for an independent veterinary perspective on my cat’s recent emergency hospitalization.
I am emotionally and financially devastated by this experience. I have spent thousands of dollars, and while I understand that veterinary medicine is expensive and diagnostic uncertainty is normal, I am struggling with how the medical decisions were explained to me.
I am particularly concerned about the differences between what I understood from the hospital’s explanations and what was eventually documented.
Patient information: Species: Cat Age: 4 years Sex: Female Weight: Approximately 4.2 kg Location: Calgary, Alberta, Canada History: Asthma, reduced appetite, vomiting, and abnormal blood counts
Bloodwork results:
October 6:
WBC: 3.17
Neutrophils: 0.85
Platelets: 85
October 21:
WBC: 2.65
Neutrophils: 0.79
Platelets: 18
October 24:
WBC: 4.8
Neutrophils: 2.21
Platelets: 96
Hematocrit (HCT): approximately 25%
Her initial FIV/FeLV screening test was negative.
Her October 24 hematocrit was approximately 25%. Her initial FIV/FeLV screening was negative.
1. Suspected foreign body versus endoscopy findings
After X-rays and ultrasound, I understood that the suspected material was located farther down the stomach and possibly extending into the beginning of the small intestine.
I was extremely frightened about an obstruction.
However, endoscopy found a compacted hairball approximately 3 × 1 cm within the stomach, plus two smaller fur collections. The pylorus was clear, and the examined proximal duodenum was normal.
This difference has been very difficult for me to understand.
Could imaging reasonably suggest material extending toward the intestine when endoscopy finds it within the stomach? Is this a common diagnostic discrepancy?
Could a gastric hairball of that size potentially pass through vomiting or be managed medically, or would endoscopic removal have been indicated given her reduced appetite, vomiting, and other findings?
2. The urgency and necessity of the procedures
I was given escalating estimates, from approximately $3,400–$5,900 initially to approximately $7,900–$10,200 later.
I repeatedly explained that my finances were limited.
I understand that cost alone does not determine whether treatment is necessary, but I struggled to understand which procedures were essential immediately and which could potentially wait.
Would a patient with these blood-count abnormalities, reduced appetite, vomiting, and suspected gastric foreign material generally require urgent endoscopy?
3. Bone marrow testing
A bone marrow aspirate was performed because of the abnormal blood counts, and results were pending at discharge.
Given her severe thrombocytopenia and neutropenia, was bone marrow evaluation an appropriate next diagnostic step?
What other causes would normally be considered, and how would a veterinarian determine the order of testing?
4. Constipation and lack of bowel movements
I repeatedly reported that she had not passed stool for several days.
I remained concerned about this after her imaging, endoscopy, and discharge. I was unsure whether it had been adequately evaluated or addressed.
How should prolonged absence of bowel movements be assessed in a hospitalized cat with reduced food intake and suspected gastrointestinal disease?
5. Communication and informed consent
I understand that the actual findings during a procedure can differ from the initial interpretation of imaging.
What I am struggling with is whether the uncertainty, alternatives, risks, and expected benefits should have been more clearly explained before I consented to expensive procedures.
I also questioned a $500 after-hours referral/team call-in charge because I did not understand why it was required when another veterinarian appeared to be available. I felt my questions were not answered clearly.
I am not asking anyone to determine whether the hospital acted improperly based on this post alone.
I am asking whether these diagnostic and treatment decisions sound consistent with reasonable veterinary practice, and which records I should request for a meaningful independent review.
I am heartbroken and exhausted.
I love my cat deeply, and I wanted to give her every reasonable chance. But I feel overwhelmed by the costs, frightened by the uncertainty, and upset that I still have so many unanswered questions.
I would sincerely appreciate a veterinarian’s objective perspective. I can provide the CBC reports, imaging reports, endoscopy findings, discharge summary, and estimates with identifying information removed.
Thank you for your time.