Animal Profile

Milo is placed on the at risk list for medical reasons. Milo is a geriatric cat with chronic kidney disease. He is also very underweight and has significant dental disease, but has been eating well in shelter and is friendly. Milo will need continued nursing care and veterinary follow-up for his medical issues.

Let's get to know each other a bit more...

This pet needs emergency placement. Please click here to go to our emergency placement page for more information. Milo is placed on the at risk list for medical reasons. Milo is a geriatric cat with chronic kidney disease. He is also very underweight and has significant dental disease, but has been eating well in shelter and is friendly. Milo will need continued nursing care and veterinary follow-up for his medical issues. Milo is a handsome senior gentleman with a friendly personality and plenty of love to give. Affectionate, talkative, and independent, he's the kind of cat who enjoys being part of the household without demanding constant attention. You'll usually find him wherever the people are-lounging in the living room, supervising activity in the kitchen, or watching the world go by from his favorite window perch. Milo enjoys gentle play and especially likes toys that crinkle. He still has a playful side and loves chasing the occasional bug or moth that wanders indoors. When it comes to scratching, he prefers rope, carpeted surfaces, and cardboard scratchers. A low-maintenance eater, Milo happily enjoys Friskies wet and dry food. As a senior cat, he's looking for a patient adopter who will appreciate his companionship and understand that he may need some extra support. Milo has been reported to scratch furniture and has had occasional litter box accidents, so he may do best with an adopter willing to help him adjust to a new environment and provide appropriate scratching options and litter box management. If you're looking for a sweet, conversational companion who enjoys sharing your space and keeping you company throughout the day, Milo may be the perfect match.

My medical notes are...

Weight: 5.9 lbs

Medical Notes

5/29/2026

DVM Intake Exam Estimated age: 9+ years old, consistent with owner reported age Microchip noted on Intake? Scanned pos History: Owner surrender Subjective: BAR Observed Behavior - allowed handling, leans into petting Is there evidence of Cruelty? No Is there evidence of Neglect? No Is there evidence of Trauma? No Objective: T = not performed P = WNL R = WNL BCS 2/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: Recessing gingiva, moderate dental calculus at maxillary premolars PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: Male, no scrotal testicles MSI: Ambulatory x 4, skin free of parasites, no masses noted, moderate hair thinning over caudal dorsum and flanks, prolonged skin tent CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Externally normal Assessment: Moderate dental disease Dehydrated 7% - r/o underlying chronic disease Hair thinning on dorsum and flanks - r/o flea dermatitis vs behavioral vs other Underweight w/ muscle wasting - suspect underlying chronic disease History inappropriate urination - r/o CKD vs behavioral vs other Prognosis: Fair to guarded Plan: Intake tasks 100 mL SQ fluids x2d Apply selarid Submit out CBC/Chem/T4 Start gabapentin 20mg/kg PO BID x7d, extend if needed House in medical SURGERY: Already neutered

5/30/2026

Progress exam and bloodwork: S/O: BAR, very friendly and affectionate; pink mm. Moderately prolonged skin tent. All food trays empty (AS3/3). CBC: All values WNL BIOCHEMISTRY: SDMA 25 high Creatinine 2.5 high BUN 59 high Sodium 159 high Chloride 130 high Cholesterol 337 high A: Dehydration Elevated chloride and sodium - r/o GI vs osmotic diuresis (e.g. renal disease, diabetes mellitus) Azotemic - suspected renal Elevated creatinine and SDMA Good appetite currently *Bloodwork and clinical signs are consistent with chronic kidney disease P. Start: -LRS SQ fluids 75ml SQ q24h x another 3 days *Collect urine for UA to send to Idexx *Monitor daily on rounds for appetite and defecation *Recheck appetite and hydration in 2 days, extend/edit medications as needed *Once placed start on kidney diet, ensure eating consistently in shelter *Add to ARL

5/31/2026

Collect urine and send out for UA // completed

6/1/2026

Brief recheck QAR - reserved but leans into cheek scratches pale pink tacky MM, CRT <2s 1 episode diarrhea in litterbox this AM urinated large volume in litterbox fair appetite today no c/s/v reported Based on dentition / condition / CKD P appears to be significantly older than 9 years - changing age to 15 years to more appropriately reflect P condition / dentition DVM recheck 6/3

6/1/2026

Discussion: Chronic Kidney Disease in Cats Chronic kidney disease (CKD) is the inability of the kidneys to efficiently filter the blood of waste products. The kidneys have a large amount of spare capacity to perform their various functions, so at least two-thirds (67% to 70%) of the kidneys must be dysfunctional before any clinical signs are seen. In many cases, kidney damage has occurred over several months or years (chronic) before the disease is evident. Unfortunately, once the kidneys are damaged, they have minimal ability to recover. However, with proper management, most CKD cases progress very slowly. Management of CKD depends on the degree of severity, but it usually includes a prescription diet, promoting hydration (wet food, availability of fresh water at all times, and sometimes administering fluids under the skin), and serial bloodwork monitoring to assess for progression (every 3-6 months, sooner if there are health concerns). With further progression, some cats require additional medications and supplements.

6/1/2026

UA interpretation: Dilute urine (SG 1.017L) Proteinuria 1+ r/o 2ary to UTI vs degenerative renal disease vs other Hematuria 3+ Bacteriuria (rare rods) IRIS Stage 2 CKD r/o UTI (sample was free catch) ADD Clavamox 0.6mL (~14mg/kg) PO BID x7d Consider recheck UA 5-7 days post end of antibiotic course (recc collection via cystocentesis) At end of ID hold recc add to ARL

6/3/2026

Recheck geriatric cat with CKD S/O: QAR, fair to good appetite, no c/s/v/d noted EENT: No ocular or nasal discharge LUNGS: Eupneic MSI: Underweight/emaciated with diffuse muscle atrophy, prolonged skin tent CNS: Appropriate mentation A: Chronic kidney disease with possible UTI - ro +/- pyelo Geriatric Dental disease Dehydration Emaciation/muscle atrophy Prognosis: long-term guarded to poor P: Extend SQ LRS, continue clavamox Monitor appetite and overall improvement closely If not consistently eating, recommend EHR when stray hold is over

Details on my behavior are...

Behavior Condition: 2. Blue

Behavior History
Behavior Assessment

Date of Intake: 5/28/2026

Is this cat having litter box issues?: Yes

If yes, Please elaborate:: Milo is reported to urinate and defecate outside of the litterbox daily. In his previous home he had access to two, uncovered, litterboxes located in the bathroom and in Milo's room. He had tried many types of litter. He was able to see outside cats in his previous home. He is reported to urinate on anything on the floor, on couches, and on beds. He is reported to defecate on couches and beds. This has been occurring for the past five years. Previous owners has tried cleaning the entire box, changing the types of litter, cleaning more often, moving the box, blocking soiled areas, and cleaning soiled areas with enzymatic cleaning.

Basic Information:: Milo is a aprox. 9-year-old, male, cat. He came to ACC via owner surrender.

Previously lived with:: 2 adults

How is this cat around strangers?: He is tolerant, friendly, and outgoing around strangers. He prefers contact on his own terms.

How is this cat around children?: No experience.

How is this cat around other cats?: No experience.

How is this cat around dogs?: No experience.

Behavior Notes: He struggles when his nails are trimmed. He is unbothered when his coat is brushed, when he is held, and when he is placed in a carrier.

Bite history:: No bite history.

Energy level/descriptors:: Low

Has this cat ever had any medical issues?: No

Medical Notes: Last vet visit: 12/2025

For a New Family to Know: He is a friendly, affectionate, talkative, independent, cat. He spends most of his time where people are, in the kitchen, in the living room, or at the window. He plays gently, and likes toys that crinkle. He chases bugs/moths. He likes to scratch rope, carpet, and cardboard material. He eats Friskies wet and dry food. He is reported to scratch furniture, and have litterbox accidents.

KNOWN HISTORY:: Indoor Cat Previously lived with: 2 adults Behavior toward strangers: He is tolerant, friendly, and outgoing around strangers. He prefers contact on his own terms. Behavior toward children: No experience Behavior toward cats: No experience Behavior toward dogs: No experience Bite or Scratch history: None Litter box training: Milo is reported to urinate and defecate outside of the litterbox. In his previous home he had access to two, uncovered, litterboxes located in the bathroom and in Milo's room. He had tried many types of litter. He was able to see outside cats in his previous home. He is reported to urinate on anything on the floor, on couches, and on beds. He is reported to defecate on couches and beds. This has been occurring for the past five years. Previous owners has tried cleaning the entire box, changing the types of litter, cleaning more often, moving the box, blocking soiled areas, and cleaning soiled areas with enzymatic cleaning. Energy level/descriptors: Low Other notes: He is a friendly, affectionate, talkative, independent, cat. He spends most of his time where people are, in the kitchen, in the living room, or at the window. He plays gently, and likes toys that crinkle. He chases bugs/moths. He likes to scratch rope, carpet, and cardboard material. He eats Friskies wet and dry food. Upon intake, he is noted to be fearful but social.

ACTIVITY LEVEL:: Lively

VOCAL:: Quiet

CHARACTER TYPE: : Social,Sweet,Affectionate,Insistent,People oriented,Curious

POTENTIAL CHALLENGES:: Inappropriate elimination

Potential challenges comments:: Milo's previous owner reports that he was eliminating (urinating and defecating) outside the litter box and on couches and beds. Previous owners has tried cleaning the entire box, changing the types of litter, cleaning more often, moving the box, blocking soiled areas, and cleaning soiled areas with enzymatic cleaning. Please note as well that Milo has been diagnosed with and is being treated for chronic kidney disease in the care center, which may be influencing the urination behavior. We cannot be sure whether this behavior will continue in a home environment after treatment for the medical condition has been completed, but we recommend that potential adopters be comfortable with management and modification techniques for elimination outside the litter box should this behavior continue in a home environment.

BEHAVIOR DETERMINATION: : Level 1

BEHAVIOR SUMMARY:: Upon approach, Milo is waiting at the front of the kennel. He has neutral ears and a loose body, pushing his head into the assessor's hand as soon as they open the kennel door. He is purring as he is pet on his head, on the sides of his face and along his entire body. He tries to pop out of the kennel numerous times and is unbothered by all handling to move him backwards. He walks back and forth, nuzzling into the assessor's hand. The assessor is able to easily pick him up and he relaxes into their hold. Milo interacts with the assessor, solicits attention, is easy to handle and tolerates all petting. No known history of behavioral problems. This cat is behaviorally suitable for any level of adopter experience.