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                               Basic Health Care
                                       
   Note: Please see the [1]Table of Contents FAQ for a complete list of
   topics.
     _________________________________________________________________
   
Author

   Originally written 1991 & updated through 1997 by Cindy Tittle Moore.
   Maintained by the Fanciers website as of July 1999.
     _________________________________________________________________
   
In General

   Your cat can't tell you how it's feeling so you must familiarize
   yourself with its normal behavior. A healthy cat maintains normal body
   weight, level of activity, and social behavior. A significant change
   in any of these is a warning sign.
   
   Getting regular, accurate weights can detect problems early. You can
   weigh yourself on a bathroom scale with (holding) and without the cat
   and subtract. This is accurate only to about two pounds on most
   bathroom scales. For better accuracy, modify a kitchen scale by
   mounting a bigger platform on it. Train your cat to get on the
   platform by placing a Pounce or similar treat on it. Any sudden weight
   change, especially loss, probably means your cat is feeling sick.
   
   Medicines for humans are often used for cats, both prescription and
   non-prescription drugs (phenobarbitol, lasix, amoxicillin, cold
   medications, etc.). When you hear that you should never give human
   medicines to cats, it means that you should not give them without
   first consulting your vet. Certain very common human drugs like
   aspirin and especially tylenol (acetominophen) are deadly to cats, so
   don't give them any kind of medication unless recommended by the vet
   (note that aspirin can be given in very small doses, but you need to
   check correct dosage and frequency of administration).
   
   A final cautionary note about this section. This is not meant to be a
   complete treatise on these various diseases. It is intended to
   familiarize you with the various major diseases your cat can develop.
   If your cat has any of these diseases, you should be in close contact
   with your vet, who will provide you with all the information you need
     _________________________________________________________________
   
Veterinary Care

  On the net
  
   Frequently there are postings such as: "My cat is doing , should I
   take it to the vet?" Or even, "I can't afford to take my cat to the
   vet, he is doing , what can I do?" The usual answer will be TAKE IT TO
   THE VET! It is an irresponsible owner who does not consult the vet,
   even by phone, at the first opportunity. And if you take on the
   responsibility of owning a cat, you must budget for the vet visits to
   keep it healthy.
   
   On the other hand, if you already have a vet appointment, or have had
   the vet look at it and be stumped by the symptoms, rec.pets.cats can
   be a valuable resource of tips on what might be wrong, or reassurances
   that the cat is not at risk of immediate death, so do not hesitate to
   ask the group under these circumstances.
   
  Home vet books
  
   A low-cost method to ease anxieties over non-emergency kitty problems
   is to get a home vet book. (See Literature.) These books also help
   explain what sort of "deviant" behaviors are actually relatively
   normal for cats. However, unless you yourself are a vet, these books
   should never substitute for having a vet for your cat.
   
  Pet Insurance
  
   In the August issue of Cat Fancy, there is an article discussing
   health maintenance plans for cats that is set up between your vet and
   yourself and then administrated by this HMO company. The company is
   called RLI Planned Services in Peoria, Illinois.
   
   The article included a sample plan. For $75 a year, your cat receives:
   
   BASIC HEALTH CARE
          1 physical exam, no charge
          1 FVRCPC booster, no charge
          1 Rabies booster, no charge
          1 FeLV test, no charge
          50% off FeLV series
          Fecal analysis, ear flush, worming, no charge
          1 Pedicure, no charge
          
   MAJOR ELECTIVE PROCEDURES:
          Spay or Neuter, 40% off
          Declawing, 20% off
          Dental Prophylaxis, 50% off
          (anesthesia included)
          
   HEALTH SURVEY:
          Radiographs, 20% off
          EKG, 20% off
          Chemistry screen profile, 20% off
          Complete blood count, 20% off
          
   All other medical, surgical and hospital services (except
   prescriptions and diets) are 10% off.
   
   (All of these things are included in this HMO for $75/year. OR $125
   for two years.) Here's the company's address:
   
     RLI Planned Services Inc.
     Dept. CF
     9025 N. Lindbergh Drive
     Peoria, IL 61615
     
   The article says to ask your vet about this program. If he/she isn't
   familiar with it, they should contact the company and see about
   setting up the HMO plan.
   
   Vets also may be able to direct you to other pet insurance plans that
   they know about. You may want to consider that $100/year over an
   expected 15 to 20 year lifetime is $1500 to $2000. Plus whatever you
   have to pay for excluded costs, coverage limits, deductibles. Pet
   insurance will help with major medical problems such as FUS, cancer,
   etc, or emergency care. If your pet is basically healthy, you will pay
   about as much either way, for insurance or for preventative care that
   keeps it healthy.
   
  Choosing a vet
  
   Choose a vet who you are comfortable with and who will answer your
   questions. Check out the office: do animals seem just frightened or
   are they also out of control? Is it bedlam, or reasonable for the
   number of different animals there? Do you have local recommendations
   from friends? Does the vet specialize in small animals as opposed to,
   say, livestock? The best way to find a vet is word of mouth (from
   someone who takes good care of their pets, of course). If that doesn't
   work, here is a quick and dirty guide (written by Kay Klier,
   klier@cobra.uni.edu) on some ways to find a vet if you've just moved
   to a new town or gotten your first pet:
     * Ask your trusted former vet if s/he knows someone good in the new
       town. Often you'll get an excellent referral that way (I found my
       current vets because the senior partner was well known for his
       excellence in surgery).
     * If there's a local humane society or shelter, see if there are
       vets who volunteer their time there. Many vets who care about
       animals are often trustees and/or volunteer their services.
     * Check with any local breed associations: see who their members go
       to.
     * Look for memberships in associations like the American Animal
       Hospital Association (which has a fairly stiff inspection), Feline
       Practitioners Association, American Assoc. of Vet Cardiology,
       Animal Behavior Association, etc. These are usually people who
       have kept up with new developments.
       
  24 hour emergency care
  
   A good vet will either be associated with a 24 emergency care plan or
   be able to give you the number of a good place in your area. Keep this
   number on your refrigerator and check with your vet when you visit
   that it's still up-to-date.
   
  Fecal samples
  
   Any time you bring your cat to the vet, try to bring a fresh fecal
   sample. Put a small, fingernail-sized sample into a plastic bag, or
   ask your vet for a supply of fecal samplers. The vet cannot always get
   a fecal sample from the cat, and this saves you extra trips to return
   the sample and then bring the cat in if the tests are positive. If you
   are afraid your cat will not cooperate and give you a fresh sample
   before you need to go in, within 18-12 hours before a sample can be
   placed in the refrigerator. Samples over 18 hours hold, however, will
   probably not be of use.
   
  Cat reactions
  
   Cats largely dislike being taken to the vet. They hate riding in the
   car most of all, and the smell of fear and other animals in the office
   often distresses them further. Get a pet carrier. A plain cardboard
   one will do for infrequent trips; get a stronger fiberglass one for
   more travel or destructive cats. Carriers keep your cat under control
   at the vet's and prevent accidents in the car en route. Popular
   suggestions to reduce your cat's anxiety during vet visits:
     * Make sure to drive your cat around (WITHOUT going to the vet) to
       get it used to the car.
     * Use the relaxant acepromazine.
     * Find a "cats only" vet.
     * Find a vet who will make housecalls.
     * Find a vet who manages the lobby efficiently to reduce waiting
       time.
     * Keep your cat away from dogs in the waiting room.
     * Keep your cat in a pillowcase rather than a carrier or box.
       
  Further steps
  
   From kittenhood, accustom your cat to being handled. Look into its
   ears (clean, white and light pink), eyes (clear, no runniness, inner
   eyelids may blink but should remain open), nose (clean and pink (or
   its normal color) and mouth (clean, light pink gums) regularly. Hold
   it still and look at its anus; pick up its paws and look at the pads
   and claws. This will have the added benefit that you will notice any
   changes from normal quickly and be able to call up your vet if
   something is wrong.
   
   Do arrange for the kitten to meet plenty of people; this will
   socialize your cat and it will not hide from people when adult.
   
  Vet bills
  
   You should be prepared to handle routine costs from year to year
   incurred by yearly physical exams, occassional fecal samples (and
   worming medication), plus yearly vaccinations. However, accidents and
   major illnesses can happen. Sometimes, pet health care insurance is
   one way people use to control these costs. Other times you might try
   vet schools which may give you reduced rates for their students to
   have the opportunity to work with your cat, especially if the problem
   is rare or uncommon.
   
   You might be able to negotiate a monthy payment toward a large bill,
   or a slightly reduced one in exchange for a bit of labor or other work
   (for example, one accountant prepared his vet's taxes in exchange for
   reducing the cost of surgery that his dog had had).
   
   The humane society may know of lower-cost clinics or vets who are
   prepared to cut prices for people who are not particularly well off.
   It can't hurt to call around and ask.
   
   But as other posters have mentioned, being a vet is a business, too,
   and vets tend not to have high incomes. They also have many of the
   same expenses as an MD (equipment, office staff) and the additional
   expenses of running their own pharmacy (and animal medicine is just as
   expensive as people medicine).
     _________________________________________________________________
   
Human-Cat Disease Transmission (Zoonoses)

   Some diseases can be transmitted from cats to people (zoonoses). Most
   cannot. For example, you absolutely cannot contract AIDS from a cat
   with FIV or FeLV, although the diseases are related (all are
   retroviruses). This misconception led to the tragic deaths of hundreds
   of cats as panicked owners got rid of them.
   
   Anyone with an impaired immune system is at risk of exposure to germs
   and other things from cats that healthy people would not contract;
   this is regardless of the health of the cat.
   
   You are more likely to contract diseases from other people than your
   pets. Transmission of disease generally requires close contact between
   susceptible people and animals or their oral, nasal, ocular or
   digestive excretions. Use common sense and practice good hygiene to
   reduce your risks.
   
   From the Cornell Book of Cats:
     * Viral diseases transmitted by cats are rabies and cowpox, usually
       through biting or direct contact.
     * Ringworm is a fungus infection affecting the hair, skin, and
       nails. Humans contract it either by direct contact with the cat or
       by the spores shed from an infected animal.
     * Cat bites can cause a variety of diseases and infections,
       including pasteurella and tetanus.
     * Campylobacter enteritis, a disease of the small intestine, can be
       caused by contact with contaminated cat feces.
     * Cat scratch fever is an infection caused by a bacterial agent
       transmitted to the human via a cat scratch.
     * Conjunctivitis in humans can be caused by contact with the nasal
       and ocular discharges of cats infected with feline chlamydiosis.
     * Humans can become infected by Lyme disease or Rocky Mountain
       Spotted Fever when a cat brings home ticks. If the cat becomes
       infected with plague, it can also infect humans directly.
     * Salmonella organisms, which are shed in discharges from the mouth,
       eyes, and in the feces, can cause intestinal disease in humans.
     * Toxoplasmosis is transmitted by contact with the feces of an
       infected cat. Although it is well-known that cats can transmit
       toxoplasmosis, many do not know that humans are more commonly
       infected by eating incompletely cooked meat.
     * Other parasites which can be acquired by humans are hookworms,
       roundworms, and tapeworms: usually by direct or indirect contact
       with contaminated feces, or ingestion of contaminated fleas.
     _________________________________________________________________
   
Neutering

   If you are not planning to breed your cat or put it to stud service,
   you will want to neuter it. Technically, the general term for either
   sex is neutering; female cats are spayed and male cats are castrated.
   However, general usage is that female cats are spayed or neutered and
   male cats are neutered.
   
  Castration
  
   Male cats are castrated. A local anesthetic is administered and
   several stitches are used to close it up. You will want to neuter the
   male cat after its testicles descend but before its urine odor
   changes. This is typically around 6 months of age. By neutering
   earlier, you prevent spraying (if it has started spraying, it may not
   stop after neutering, even though it is no longer hormonally driven).
   Neutering later has been thought to help reduce the chances of FUS,
   but many studies have shown that there is no difference in urinary
   tract development or predisposition to FUS between early-neutered cats
   (as early as 7 weeks!) and late-neutered cats. As soon as the
   testicles have descended is just fine. As of 1993, this is now the
   official position of the AVMA. If surgery must be done on an
   undescended testicle (sometimes a testicle will not descend and then
   it needs to be removed) then the cost and risk increase.
   
   Some male cats may have undescended testicles. These must be
   surgically removed, as they often turn cancerous later. This is a more
   serious (and expensive) surgery than the usual castration, as the vet
   will have to use a general anesthetic and exploratory surgery to find
   the undescended testicle and remove it.
   
   An intact male cat (a "tom") will spray a foul-smelling urine to mark
   his territory, he will roam widely, and he will be involved in more
   fights. Often, he will be more aggressive. He will be at higher risk
   for certain diseases, such as cancer; he will also be more prone to
   infection from the injuries in fights. A neutered male cat will lose
   the foul-smelling odor in his urine (but may still spray); he will not
   roam as widely nor fight as often. You will be able to keep him
   indoors if you wish. Contrary to popular opinion, he will not become
   more lazy or fat. Laziness and fatness depend on cat temperament and
   how much you feed him.
   
  Spaying
  
   Female cats are spayed; this is an ovario-hysterectomy (uterus and
   ovaries are removed). There are two methods: ventral entry which is
   through the stomach muscles in the belly (where a large patch of fur
   will be shaved to prevent later irritation of the incision), and the
   lateral entry which is through a small incision in the cat's side.
   Ventral entry is less expensive, lateral entry has a quicker recovery
   time. You may have to bring your cat back in after ventral entry to
   remove stitches; lateral entry uses internal sutures which dissolve.
   Ventral entry is much more commonly employed; lateral entry is
   relatively rare, and not all vets may know how to do it.
   
   The cat must be put under general anesthesia. There is always an
   element of risk in general anesthesia and while it is rare, a few
   rec.pets.cats readers have had their cats die under anesthesia. The
   earlier the female cat is spayed, the better. Any time after four
   months is good, preferably before the heat cyles start. Heat cycles
   may begin as five months.. On occasion, a female cat will not have all
   of her ovaries removed. The ovaries produce the hormones that induce
   heat: if your cat still goes through heat after being spayed, you may
   have to take her in for exploratory surgery to find the missed ovary,
   or even piece of ovary.
   
   An intact female cat (a "queen") will go through heat which can be as
   frequent as every other week, and may last eight to ten days at a
   time. It may even appear as though she remains in heat constantly. You
   must keep her confined to prevent breeding, and she will do her best
   to escape. During her heat, she may "spray" a strong smelling urine
   just as tomcats do. Many cats will meow loudly for long periods of
   time. She will twitch her tail to the side and display her vulva. If
   she becomes pregnant, she will undergo all the risks and expenses
   associated with pregnancy (extra visits to the vet and extra food).
   Male cats will try very hard to get at her; there are documented
   cases, for example, of male cats entering homes through the chimney.
   
   An unbred, intact queen has a much higher risk of developing cancer of
   the reproductive system. Queens also risk pyometra (a life threatening
   infection of the uterus). Spayed cats have a much lower risk of cancer
   and will not contract pyometra.
   
   Female cats may come into estrus within a few days of giving birth. If
   you have a queen that you want to stop from having more litters, try
   to get her spayed as soon as possible after the kittens are born.
   
  Post-op recovery
  
   You will need to watch to make sure your cat does not try to pull out
   its stitches. Consult your vet if your cat starts pulling at its
   stitches. You might, in persistent cases, need to get an elizabethan
   collar to prevent the cat from reaching the stitches. Puffiness,
   redness, or oozing around the stiches should be also reported to the
   vet.
   
   Some stitches "dissolve" on their own; others require a return to the
   vet for removal. Some vets, especially with male cats, may use "glue"
   instead, which works as well in most cases and does not require later
   removal.
   
   You should note that male cats will take some time to flush all
   testosterone and semen out of their systems. There have been recorded
   cases of "neutered" cats impregnating female cats shortly after their
   operation. Three to four weeks is sufficient time for neutered toms to
   become sterile.
   
  Cost
  
   The cost can vary widely, depending on where you get it done. There
   are many pet-adoption places that will offer low-cost or even free
   neutering services, sometimes as a condition of adoption. Local animal
   clinics will often offer low-cost neutering. Be aware that spaying
   will always cost more than castrating at any given place since spaying
   is a more complex operation. Vets almost always charge more than
   clinics, partly because of overhead, but also because they often keep
   the animal overnight for observation and will do free followup on any
   later complications (a consideration in the case of missed ovaries).
   
   In the US, there is at least one group, "Friends of Animals"
   (1-800-321-7387) that will give you information on low-cost
   spay/neutering places, or do it themselves. They often have
   price-reduction certificates that your vet may accept.
   
   Quoting actual prices may or may not give you an idea of the cost for
   you in your area. Costs can range from US$10 for castration at a
   clinic to US$100 for spaying at the vet's. This is money well spent.
   One pair of cats, allowed to breed, and with 2 litters a year and 2.8
   surviving kittens per litter, will account for 80,000 cats in 10
   years!
   
  Early Neutering
  
   Early neutering is increasingly an option, especually used by human
   societies and shelters to ensure that the cats they adopt out will not
   produce any more kittens. Studies have shown that there are no adverse
   effects to neutering kittens at 7 weeks of age. See the CFA's
   [2]position on this issue.
     _________________________________________________________________
   
Skin Problems

  Matted fur
  
   Matted fur is a perfect breeding ground for parasites and encourages
   inflammatory skin diseases. If your cat has matted fur, do not try to
   cut it off as you may injure the cat. Mats are difficult to comb out
   and may be painful. You may have to have the vet sedate and shave the
   cat. Do groom it regularly to prevent mats.
   
  Bald patches
  
   Often caused by itching and irritation of some sort. Fleas, allergies,
   eczema, and ringworm are all possible culprits. Sometimes it is simply
   stress; Vets may prescribe hormone shots or even tranquilizers to
   control the scratching.
   
   If ringworm is indicated, you must take care not to get it yourself.
   It is a fungus just like athletes foot. Tresaderm and similar
   medications are used to treat this. Since ringworm spreads by spores,
   you can reduce transmission and spreading by cleaning everything you
   can with bleach (save the cat itself), and washing bedding and
   clothing in hot water. It may take some time (like several months) to
   get ringworm under control.
   
  Scratching
  
   If the cat is scratching its ears and you can see black grit, that's
   probably earmites. Consult your vet for appropriate ear drops. Ear
   mites stay in the ears, but can be passed from cat to cat, especially
   if they groom each other. The life cycle of an ear mite is entirely
   within the ear, so you do not have to worry about ridding your house
   of them the way you do fleas. Cats typically shake their heads when
   given the medication; unless the medication actually comes back out,
   that is OK. An additional step to take is to soak a cotton ball or pad
   in mineral oil (baby oil is fine), and clean out the outer ear (do not
   poke into the canal). That rids the upper ear of any ear mites lodged
   higher up than the canal, and makes it difficult for the ear mites to
   reestablish themselves.
   
   Scratching and a discharge from the ears means a bacterial or fungal
   infection and the vet should be immediately consulted. Other possible
   causes of scratching include fleas, lice, eczema, allergies, or stud
   tail (in male cats).
   
  Feline Acne
  
   Cats can develop acne just as humans do. Usually it is only on the
   chin. It will appear as small black spots. The reasons for feline acne
   are as complex as it is for humans. Sometimes a food allegery (such as
   chocolate with humans or milk with cats) can cause it or sometimes the
   cat does not clean its chin properly.
   
    Tips on caring for feline acne
    
   It is important to keep food dishes clean. Acne has bacteria
   associated with it. The cat's chin comes in contact with the edge of
   the food/water bowl, leaving bacteria. The next time the cat uses the
   bowl, it can come in contact with this bacteria and spread it on the
   chin.
     * Use glass or metal food/water dishes. It is next to impossible to
       remove the bacteria from acne from plastic dishes.
     * Wash the food and water dishes daily. This removes the bacteria
       from the dishes and helps to keep the problem from getting worse.
       Also, in multi-cat households, it will help reduce the chance of
       others breaking out with it.
     * Bathe the cat's chin daily with a disinfectant soap/solution from
       the vet. Nolvasan, Xenodine, Betadine soaps are a few of the ones
       to try. More severe cases may need to be washed twice a day. DO
       NOT USE HUMAN ACNE SOLUTIONS, these are too strong for cats and
       may cause serious problems. Don't try to pick the spots off, just
       clean it well.
       
   Visit the vet if you can't get the acne to clear up within a week or
   two or if the acne is severe or infected. The vet may prescribe
   antibiotics for these cats or other acne treatments.
   
   Once the acne is cleared up, keep an eye out for reoccurances. Washing
   the cat's chin once a week is a good preventative measure.
     _________________________________________________________________
   
Dental Care

  Tartar buildup
  
   Cats, like humans, have tartar buildup on their teeth called plaque.
   An accumulation of plaque can lead to peridontal (gum) problems, and
   the eventual loss of teeth. Plaque is a whitish-yellow deposit. Cats
   seem to accumulate plaque primarily on the exterior face of their
   upper teeth. Reddened gum lines can indicate irritation from plaque.
   
   Some cats are more prone to plaque buildup than others. Some never
   need dental care, others need to have their teeth cleaned at regular
   intervals. Many vets encourage you to bring your cat in annually for
   teeth cleaning, using a general anesthetic. The cost, which can be
   considerable, and the risk of the anesthesia itself are both good
   incentives for doing some cat dental care at home.
   
   If you must have the vet clean your cat's teeth, see if your vet is
   willing to try a mild sedative (rather than putting the cat under
   entirely) first when cleaning the teeth. If your cat is an older cat
   (5 years or more) and it must be put under, see if the vet will use a
   gas anesthesia rather than an injected form.
   
   What you can do:
   
     Brush your cat's teeth once a week. Use little cat toothbrushes, or
     soft child-size toothbrushes, and edible cat toothpaste (available
     at most vets or pet stores). Cats often hate to have their teeth
     brushed, so you may have to use a bathtowel straightjacket and a
     helper. If you are skilled and have a compliant cat, you can clean
     its teeth using the same type of tool the human dentist does.
     
  Rootwork
  
   Cavities in cat teeth often occur just at or under the gum line. If
   your cat has an infected tooth, you will have to have root work done
   on it. It is typical to do x-rays after such a procedure to ensure
   that all of the roots have reabsorbed. If the roots haven't done so,
   then the infection can easily continue on up to the sinus and nasal
   passages and from there to the lungs. Such infections require
   long-term antibiotics.
   
  Smelly breath
  
   If your cat has smelly breath, there are various possible causes.
     * Teething: at about 6 months of age, cats will lose their baby
       teeth and get permanent ones. If the gums are red and puffy and
       you can see the points of teeth breaking through here and there,
       the cat is just teething and the odor will subside as the teeth
       come in.
     * Gingivitus: if the gums appear red and puffy and you've ruled
       teething out, your cat may have a gum infection of some sort. Take
       the cat to the vet.
     * Diet: certain foods, usually canned foods or prescription foods,
       can make your cat's breath smell. If possible, try changing your
       cat's diet.
     * Abscessed tooth: may show no symptoms other than smelly breath.
       Drooling sometimes occurs in conjunction. The cat must be taken to
       the vet to have the abscess drained and possibly the teeth
       involved removed. If this is not done, the infection can easily
       spread to the sinuses and cause the face to swell, especially just
       under the eyes.
     _________________________________________________________________
   
Declawing

   Declawing is the surgical removal of the claw and the surrounding
   tissue that it retracts into. Usually the claws on the front feet only
   are removed, but sometimes the digits are as well. This is sometimes
   used as a last resort with inveterate scratchers of furniture, carpet,
   etc. However, if trained in kittenhood, most cats are very good about
   scratching only allowable items such as scratching posts (see
   Scratching). Britain and a few other countries have made declawing
   illegal. Show cats may not be shown declawed. Many vets will refuse to
   do this procedure.
   
   Declawed cats often compensate with their rear claws; many can still
   climb well, although their ability to defend themselves is often
   impaired and they should not be allowed outside without supervision.
   Many declawed cats become biters when they find that their claws no
   longer work; others develop displays of growling. Scratching is one
   way of marking territory (there are scent glands among the paw pads),
   so declawed cats will still "scratch" things even though there are no
   claws to sharpen.
   
   Alternatives are trimming the claws (see section on Trimming Claws) or
   "Soft Paws". These are soft plastic covers for the cat's claws.
   Generally, the vet will put them on, but cat owners can do so
   themselves if shown how. They will last about a month despite efforts
   to remove them. Check the July 1992 issue of Animal Sense. There is an
   informative article titled "Fake Fingernails for Felines?" by Dr.
   Marilyn Hayes at the Rowley Animal Hospital in Rowley, MA. They can
   make a useful training tool if used in conjuction with techniques to
   redirect clawing and scratching to approved items.
     _________________________________________________________________
   
Pills, Dosing and Medication

  Giving pills
  
   Kneel on floor and put cat between knees (cat facing forwards). Cross
   your ankles behind so cat can't escape backwards; press your knees
   together so cat can't escape forwards. Make sure your cat's front legs
   are tucked in between your knees so it can't claw you. Put the palm of
   your hand on top of its head and thumb and index finger on either side
   of its mouth; the mouth will fall open as you tilt the head back. If

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