Thanks you guys! I left my notes in the car but I think I remember everything. There is only one thing I didn't think to ask about. Jennie, with all the pooping, is getting a bit smelly. I clean her up, but it isn't eliminating the smell, both in her hind end area and her face (from washing her hind end area)
I've been using plain water, don't want to risk anything toxic, she is a dedicated washer. I don't like the idea of pet wipes, I worry they may contain something toxic. I did wash her bottom with a little soap, then try to rinse her well but I worry about getting all the soap rinsed off. I need a mini spray hose of some kind for gentle rinsing. Hmm...something I could hook up to the sink faucet?
Lumpy underside- vet agrees she is lumpier. She called them fatty lumps and doesn't know why, but perhaps a loss of muscle tone.
Open eyes - she feels that using a lubricant in Jennie's eyes won't hurt and may make her more comfortable and any of the products I am looking at would be appropriate. I still like the idrops vet gel and have already ordered it. She said that might be a bit of overkill, since it's for severe dry eye but it won't hurt her, so if I like the ingredients in that one to go ahead and use it.
Mineral oil (if/when constipation becomes an issue) over lactulose. She doesn't like lactulose either but would prefer I use miralax rather than mineral oil. Her concern is with the interference with nutrient absorption.
The increased respiration is very concerning. Jennie is breathing at over 40 breaths per minute (I've been documenting) Since buprenorphine depresses respiration, this is even more of a concern.
Her first thought (and mine as well though I hadn't voiced it) was that the cancer had metastasized to her lungs. She took a chest x ray and lungs (and heart) appear fine.
She also did a CBC and her white blood cell count is up. She wondered if Jennie is developing a chest infection, but she does not have an elevated temperature (poor Jennie she was already in her carrier to go home, when we decided to take her out and check her temp). Or any other signs of infection. She isn't coughing, or sneezing. She's not mouth breathing or pannting, just her sides go in and out heavily and her breaths are more than 40 per minute. Normal for a cat is 20-30.
I last checked respiration in all 3 cats in August and Jennie was 29 breaths per minute.
I am to watch her and if it gets any higher vet wants to put her on antibiotics.
Jennie has to go back in two weeks for a re-check on the CBC. If the WBC is down okay, if it is still elevated or climbing, vet wants to put her on antibiotics.
I am just looking up the piroxicam and gabapentin and cerenia to see if the side effects of any of those might cause the fast breathing. (it's not loud, just fast with her sides going in and out)