Penny has done so well today. She's been up on the sofa, used the dining chair and table to look out the window like she used to. She can't get on the dining chair very easily. She jumps at and then uses her front claw and legs to pull herself up. I'm just looking around to see if there's anything I can do to make it easier for her.

But she's been all round the flat except kids room. She's only allowed in the supervised anyway as my son has a high sleeper bed and I don't want her on the ladder

 My husband made the ramp, in the same way her used to make a skateboard ramp as a kid so he kinda knew what he was doing. I mentioned some steps to him and he seemed reluctant to add loads of different things for her, purely because we don't have biggest space for us 4 humans and the 2 cats. So I'm thinking maybe just a little box would work, like a single step? She can get onto the highest part of her ramp from the floor so if we were to create a little box she could use that to then get on the chair/sofa and would take up less floor space too. 

We only have carpet so she's managing pretty well. I'm quite shocked at how quickly she's come around compared to what she was like just a few days ago. I would say shes very nearly just her usual self. Appetite might be a little down still but not much. X 

Her back leg had buckled a couple of times causing her to stumble, so when I mentioned it they said to put her back on the metacam.

Once I had managed to get the urine sample in and they had the results they suggested we try the gabapentin. She was prescribed half a capsule 2x a day. I think that was 50mg but I don't have them here anymore to check.

It definitely sedated her as she spent the whole morning asleep. It was the sedation I had a problem with but i broke down watching her try and wash, or get to her litter tray. She couldn't even come over to me properly as she was so unsteady. 

If I'm completely honest, I will be surprised if she's here in a year  I just want to make sure she's got the best quality of life while she is.  So although the metacam isn't great for the kidneys, if it means she can get around and be herself then at the moment that's what I would rather give her. The effects of the gabapentin didn't wear off for over 12 hours and she would have been due another dose before that

Yeah she has luxating patella in the remaining back leg too, although It wasn't causing her any real issues when they decided to do the amputation. It's hard for me to tell how it's doing now as I obviously can't compare how she's walking as well. Before I could tell by how bad she was limping. The fact that its given out a couple of times within 5 weeks of the amputation isn't a great sign. 

Her urea levels have been tested multiple times. At first they were at 20, which you would expect to see in a cat of around 14 years. They tested again after iv fluids and they'd gone down to 11 which is still pretty high. These tests were done when she spent a few days as an in patient for the amputation. They were tested again approx 4 days after she came home and they had already gone back up to 15. 

There was protein and white blood cells present in the urine sample 2 weeks ago, and The level of concentration was borderline low but still much lower than would be expected in a healthy cat.

I will look into it and see what I can find

She seems to be eating the renal food well at the moment.  The vet had warned that they don't tend to like it due to the low protein. Tiger also seems to like it too which is a real nuisance. 

She's on the dry version as she's so fussy with food that she won't eat more than a mouthful of any wet food which is a shame as I know that wet is better for kidneys. I just have to work with her though so if that's what she'll eat at the moment then so be it