You're speaking with Dr. Michael Salkin. Welcome to JustAnswer. I'm currently typing up my reply.
I'm sorry to hear of this with Thomas. His kidney problem doesn't preclude anesthesia. It does, however, dictate that an anesthetic agent(s) be chosen that isn't excreted through the kidneys and that Thomas is rigorously monitored during anesthesia. This is a patient who should be admitted early in the day, have an indwelling catheter placed for the purpose of administering intravenous fluids prior to, during, and following anesthesia, and have his blood pressure, blood saturation of both oxygen and carbon dioxide, and EKG assessed continuously throughout the day. If his vet is uncomfortable doing this, Thomas can be attended to by a specialist veterinary dentist - in particular, one associated with a specialty clinic or veterinary school teaching hospital in which a specialist anesthesiologist is available.
Please respond with further questions or concerns if you wish.
You're welcome to share out conversation with your vet. Longevity is predicated upon the severity of his polycystic kidney disease (PKD). Cats can have normal lifespans with FIV (feline immunosuppressive virus). It's important to note that not all cats with PKD will develop azotemia (uremia) and that PKD tends to progress more slowly than many other types of chronic kidney disease. Once azotemia develops, however, long-term prognosis is poor. I would be please to review Thomas's most recent diagnostic test results. I understand that you might not have a copy at home but Thomas's vet can give you one which you can scan into your computer and then give me the file link or you can photograph the pages and upload them by using the paperclip icon (if you can see that icon) or by using an external app such as dropbox.com/
Please continue our conversation if you wish.
Yes, the bacteria colonizing his gums can seed his other organs - heart valves and kidneys to be sure.
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Thank you for your kind accept. I appreciate it.