Lucy & Gracie · Health Records · West Hollywood
Lucy & Gracie.
Both spayed, both indoor-only, both born late September 2024. This is where I keep what's going on with each of them, what's been tried, and what's coming up.
Today—
Lucy
Bambino · DOB · spayed female
In active care for atopic dermatitis. April 2026 IgE panel found environmental allergies — top triggers Lamb's Quarter, Scale, Melaleuca, Maple, Sycamore, Timothy. Intralymphatic immunotherapy (ILIT) started May 8, 2026. Earlier coughing turned out to be part of the same allergic disease — full cardiac workup was clear.
Atopic dermatitis
Allergic cough
Essential oil + citrus sensitive
Heart normal
Gracie
Sphynx · DOB · spayed female
Chronic ocular condition. PCR confirmed FHV-1 and Mycoplasma felis March 2025. Imperforate puncta both upper lids, blocked nasolacrimal ducts, symblepharon OS. Spayed May 2025 with concurrent tear-duct flush and microchip. Famciclovir as flares occur.
FHV-1 + Mycoplasma
NLD obstruction
Allergic to Terramycin
Chicken allergy
Recent activity
Upcoming care
Today's brief
Lucy Ford · Bambino · DOB
Lucy.
Adopted from Purrxotics on November 7, 2024 (~6 weeks old). Currently 19 months old. Black, hairless, spayed female. Microchipped (Fetch-ID). Active dermatology care.
Current weight——
Age—young adult
Body condition 5 / 9ideal
Active diagnoses2atopic dermatitis · allergic cough
Environmental allergies — ESSENTIAL OILS & CITRUS-BASED CLEANERS
Lucy is highly sensitive to essential oils and the citrus base in most cleaning products. Avoid tea tree (melaleuca), eucalyptus, citrus/orange oils, and any fragranced or essential-oil-based cleaners, sprays, diffusers, or laundry additives. Because she's hairless, anything on floors, bedding, or surfaces contacts her skin directly. Use fragrance-free, dye-free, essential-oil-free products only — and screen every new cleaner, detergent, or air freshener before use.
Confirmed allergen panel — POLLENS, WEEDS, GRASSES
VARL IgE panel (April 16, 2026) confirmed environmental allergies. Top triggers (Class 4–5): Lamb's Quarter, Scale, Melaleuca, Maple, Sycamore, Timothy grass, Plantain. Keep windows closed on high-pollen days and run HEPA filtration.
Active diagnoses
Atopic dermatitis
Confirmed via VARL IgE panel, April 16, 2026. Food allergies ruled out via Royal Canin Hydrolyzed protein diet trial. Intralymphatic immunotherapy (ILIT) started May 8, 2026 with Dr. Lancellotti at Veterinary Skin & Ear (protocol shifted from originally planned SCIT).
Allergic cough
Cough flares correlate with skin flares — same underlying atopic disease, per Dr. Lancellotti's note (April 2026). Should improve as immunotherapy takes effect over 6–10 months.
Heart workup all normal
Echo, EKG, blood pressure, and bloodwork from April 2025 came back clean. The cardiomegaly and Lasix trial earlier that year were precautionary while ruling out a cardiac cause for the cough — no cardiac disease confirmed.
Weight over time
Current medications
Diet
Food allergies were ruled out, but she has stayed on the hydrolyzed-protein dry food as her standing diet.
Wet food: Tiki Cat — Salmon, 2.8 oz cans, 2–3 cans/day
Dry food: Royal Canin Veterinary Diet Adult Hydrolyzed Protein HP — out all day, free-feed
Favorite Treat: Vital Essentials freeze-dried raw duck liver
Water: water fountain
Dry food: Royal Canin Veterinary Diet Adult Hydrolyzed Protein HP — out all day, free-feed
Favorite Treat: Vital Essentials freeze-dried raw duck liver
Water: water fountain
Diet history: Royal Canin kitten → adult transition Oct 2025 → Royal Canin Hydrolyzed Protein HP from Jan 2026 as a food-allergy elimination trial. The trial came back negative — food is not driving her skin disease — but the HP dry food stayed on as the everyday diet and is still picked up from Veterinary Skin & Ear (most recently Aug 24, 2026).
Litter
Litter: Lady N Auto Litter Box Unscented
Box: Litter-Robot 4
Box: Litter-Robot 4
Insurance
Trupanion
Policy
(shared with Gracie)
Policy
(shared with Gracie)
Full visit history
Gracie Ford · Sphynx · DOB
Gracie.
Adopted from Purrbastet on November 9, 2024. Currently 19 months old. Pink, hairless, spayed female. Microchipped (PetLink) on May 8, 2025 alongside her spay surgery. Active ophthalmology care.
Current weight——
Age—young adult
Body condition 5 / 9ideal — watch upper bound
Active diagnoses5all ocular / chronic
Allergic to TERRAMYCIN ophthalmic ointment
Flag this on every new prescription. Reaction noted in Gracie's chart — alternatives like NeoPolyDex have been used safely.
Food allergy — CHICKEN
Avoid chicken and chicken-based ingredients in food and treats. Her wet food was switched from Tiki Cat Chicken to Tiki Cat Salmon (same flavor as Lucy) once this was identified. Check ingredient labels — chicken and chicken meal/fat are common in cat food and treats.
Active diagnoses
Feline Herpesvirus-1 (chronic)
PCR confirmed March 29, 2025. "Controlled" per chart as of June 2025. Famciclovir 125 mg responsive — significantly reduces conjunctivitis flares.
Mycoplasma felis (chronic)
PCR confirmed concurrently. Multiple Doxycycline rounds with limited response. Likely contributes to recurring eye discharge alongside herpes.
Imperforate puncta (bilateral)
Upper lid puncta absent both eyes — congenital agenesis. Lower puncta present. Diagnosed by ophthalmologist June 19, 2025 — second specialist confirmed agenesis of two ducts plus scar tissue blocking two more.
Nasolacrimal duct obstruction (bilateral)
Drainage poor on both sides. Surgery may be considered if oral + topical therapy fails. Tear-duct saline flush done during spay surgery May 8, 2025.
Symblepharon, ventral-medial fornix OS
Persistent epiphora left eye, mild blepharospasm. Likely secondary to early herpes infection (FHV symptoms began at 7 weeks of age per ophthalmologist).
No cardiac concerns
All exams: regular rhythm, no murmur, strong femoral pulses. Lungs auscultate clear. Cardiac workup not indicated.
Weight over time
Current medications
Diet
Wet food: Tiki Cat — Salmon (same as Lucy; switched off chicken due to her chicken allergy), 2.8 oz cans, 2–3 cans/day
Dry food: Royal Canin Veterinary Diet Adult Hydrolyzed Protein HP — out all day, free-feed (shares Lucy's dry food)
Favorite Treat: Vital Essentials freeze-dried raw minnows — chicken-free, safe with her allergy
Water: water fountain
Dry food: Royal Canin Veterinary Diet Adult Hydrolyzed Protein HP — out all day, free-feed (shares Lucy's dry food)
Favorite Treat: Vital Essentials freeze-dried raw minnows — chicken-free, safe with her allergy
Water: water fountain
Diet history: Royal Canin kitten → adult transition Oct 2025 → Tiki Cat Salmon wet food (moved off chicken once her chicken allergy was identified; matches Lucy's flavor), with Royal Canin Hydrolyzed Protein HP as the shared free-feed dry food. Vet flagged not to gain further — already at full healthy condition.
Litter
Litter: Lady N Auto Litter Box Unscented
Box: Litter-Robot 4
Box: Litter-Robot 4
Insurance
Trupanion
Policy
(shared with Lucy)
Policy
(shared with Lucy)
Full visit history
Allergies · Lucy & Gracie
What they can't be around — and what to do instead.
A reference for both girls. Confirmed allergens, ingredient screening, household guidance, and prompts you can hand to Gemini for deeper interpretation.
Lucy Environmental allergies
Bambino · Atopic dermatitis · Allergic cough · No drug allergies on file. Confirmed via VARL IgE panel, April 2026. Atopic dermatitis driven primarily by plant pollens — trees, weeds, grasses — plus citrus, Malassezia, and feathers. Contact reactivity to OxiClean. Intralymphatic immunotherapy (ILIT) started May 8, 2026.
Avoidance guidance — products & ingredients
⛔ Avoid
Tea tree oil / Melaleuca — VARL class 5. Found in many "natural" cleaners, shampoos, and essential-oil blends.
Eucalyptus — VARL class 2. Diffusers, vapor rubs, "calming" sprays.
Citrus / Orange — VARL class 3. D-limonene is a common cleaner solvent; check ingredient lists.
All essential oils & plant-derived fragrances — overlap risk with her confirmed botanicals.
OxiClean (orange cap) — confirmed contact reactivity, likely the fragrance/surfactant additives.
Fragranced laundry detergent — regular Tide is out; stay on Tide Free & Gentle.
Feather toys / down bedding — VARL class 2 for feathers.
Eucalyptus — VARL class 2. Diffusers, vapor rubs, "calming" sprays.
Citrus / Orange — VARL class 3. D-limonene is a common cleaner solvent; check ingredient lists.
All essential oils & plant-derived fragrances — overlap risk with her confirmed botanicals.
OxiClean (orange cap) — confirmed contact reactivity, likely the fragrance/surfactant additives.
Fragranced laundry detergent — regular Tide is out; stay on Tide Free & Gentle.
Feather toys / down bedding — VARL class 2 for feathers.
✓ Prefer
Tide Free & Gentle for laundry — the standing detergent. Patch-testing OxiClean Free (white cap, no fragrance) on one pillowcase before broader use.
Plain water or fragrance-free, dye-free, essential-oil-free solutions in floor cleaners. Verify Dreame fluid ingredients before refilling.
Fragrance-free enzymatic cleaners like Rocco & Roxie unscented for spot cleaning.
HEPA air filtration in the rooms she sleeps in — pollen is the dominant environmental driver.
Close windows on high-pollen days, especially during peak tree, weed, and grass seasons.
Apoquel 3.6 mg twice daily + Animax topical for flare-ups.
Plain water or fragrance-free, dye-free, essential-oil-free solutions in floor cleaners. Verify Dreame fluid ingredients before refilling.
Fragrance-free enzymatic cleaners like Rocco & Roxie unscented for spot cleaning.
HEPA air filtration in the rooms she sleeps in — pollen is the dominant environmental driver.
Close windows on high-pollen days, especially during peak tree, weed, and grass seasons.
Apoquel 3.6 mg twice daily + Animax topical for flare-ups.
VARL IgE Panel — Apr 16, 2026
0 absent
1 very low
2 low
3 high
4 very high
5–6 ultra high
General care for Lucy
Flare season is tree-pollen season. Maple, Sycamore, and Melaleuca peaks correspond with her worst skin and cough days. Pre-empt: keep windows shut, run HEPA, and don't wait until she's scratching to give Apoquel.
Bathe carefully. Use only what Dr. Lancellotti has prescribed (Miconahex Triz when active). Avoid anything "natural," "herbal," "calming," or with citrus or tea tree in the ingredient list — even pet-marketed products.
Patch-test new products. One pillowcase or blanket, washed once, placed where she lounges. Watch for several days before scaling up to whole loads.
Track her doses. When the cough flares and the skin flares together, that's allergic disease — not cardiac. Her heart is healthy (full April 2025 workup was clean).
Immunotherapy is the long game. Allergen immunotherapy takes 6–12 months to show meaningful results — keep the schedule even on her good weeks.
Watch for OxiClean overlap. Any laundry product with perfume, dye, or aggressive surfactants is suspect until patch-tested.
Bathe carefully. Use only what Dr. Lancellotti has prescribed (Miconahex Triz when active). Avoid anything "natural," "herbal," "calming," or with citrus or tea tree in the ingredient list — even pet-marketed products.
Patch-test new products. One pillowcase or blanket, washed once, placed where she lounges. Watch for several days before scaling up to whole loads.
Track her doses. When the cough flares and the skin flares together, that's allergic disease — not cardiac. Her heart is healthy (full April 2025 workup was clean).
Immunotherapy is the long game. Allergen immunotherapy takes 6–12 months to show meaningful results — keep the schedule even on her good weeks.
Watch for OxiClean overlap. Any laundry product with perfume, dye, or aggressive surfactants is suspect until patch-tested.
Take Lucy's allergies to Gemini
Tip: when Gemini suggests a product, double-check the current label against this page — formulas change.
Gracie Drug allergy + food allergy + sensitivities
Sphynx · Chronic FHV-1 + Mycoplasma felis · Drug allergy + food allergy on file. Confirmed allergy to Terramycin ophthalmic ointment, and a food allergy to chicken. As a sphynx, her skin readily picks up airborne dust and particulates — environmental sensitivity is a constant, even when other cats wouldn't notice.
DRUG ALLERGY — TERRAMYCIN ophthalmic ointment
Confirmed allergic flare to Terramycin (oxytetracycline + polymyxin B) noted March 2025. Flag this on every new ophthalmic prescription. Her vet's approved substitute for bacterial conjunctivitis is Tobramycin 0.3% drops — a different aminoglycoside that she tolerates. Famciclovir (oral) is used for her FHV-1 flares.
FOOD ALLERGY — CHICKEN
Avoid chicken and chicken-derived ingredients (chicken meal, chicken fat, chicken broth) in all food and treats. Read labels carefully — chicken is one of the most common bases in cat food. Her wet food was moved from Tiki Cat Chicken to Tiki Cat Salmon (same as Lucy) once this was identified.
Environmental sensitivities
⛔ Avoid
Open windows on high-pollen days — Lucy's triggers can settle on Gracie's skin and irritate her too.
Aggressive bathing — sphynx skin needs a careful routine; over-cleaning strips natural oils.
Terramycin for any future eye infection — confirmed drug allergy.
Chicken in food and treats — confirmed food allergy. Watch for chicken meal/fat in ingredient lists.
Aggressive bathing — sphynx skin needs a careful routine; over-cleaning strips natural oils.
Terramycin for any future eye infection — confirmed drug allergy.
Chicken in food and treats — confirmed food allergy. Watch for chicken meal/fat in ingredient lists.
✓ Prefer
HEPA filtration in shared rooms.
BioHAnce 0.4% gel drops 1–2× daily for eye lubrication, especially at bedtime.
Wipe-down routine per Dr. Rettinger's guidance — gentle, fragrance-free.
Tobramycin 0.3% on file for conjunctivitis flares — 3× daily × 7 days, then recheck.
BioHAnce 0.4% gel drops 1–2× daily for eye lubrication, especially at bedtime.
Wipe-down routine per Dr. Rettinger's guidance — gentle, fragrance-free.
Tobramycin 0.3% on file for conjunctivitis flares — 3× daily × 7 days, then recheck.
Take Gracie's allergies to Gemini
Tip: bring the prompt into the conversation with her ophthalmologist if a new flare needs a different antibiotic.
Medications
Everything they're on, and everything they were on.
Tagged by cat, condition, and prescribing vet. Tap any photo placeholder to add a picture of the medication or label — stored locally in your browser.
Care Team · Lucy & Gracie
Primary and specialist vets.
Active providers first; former providers we've moved away from below.
Active providers
Suggested next visits
Former providers
Records from these clinics remain in the visit history. We don't return for ongoing care.
Visit history
Every clinic visit and lab across both cats — filterable.
Emergency reference
For 24-hour clinics, primary vet, and insurance, see the Emergency tab.
Emergency Reference
If something is wrong right now.
Tap a phone number to call. Closest 24-hour clinic is M.A.S.H, 2.7 miles away. Always call ahead so they're ready.
Closest 24-hr emergency
M.A.S.H — Metropolitan Animal Specialty Hospital
Lucy Bambino
DOB (19 mo)
Microchip (Fetch-ID)
InsuranceTrupanion
⚠ SensitivitiesESSENTIAL OILS & CITRUS-BASED CLEANERS — avoid all fragranced/essential-oil products.
AllergiesEnvironmental — top: Lamb's Quarter, Scale, Melaleuca, Maple, Sycamore, Timothy. OxiClean (contact). No known drug allergies.
Active dxAtopic dermatitis · allergic cough
HeartNormal — full workup April 2025 was clean. Not on cardiac meds.
Current medsApoquel 3.6 mg PRN · Animax topical PRN. Rescue on hand: Furosemide 10 mg/mL syrup, 0.2 mL PO — only if a cough flare won't stop (allergic-asthma rescue); call Dr. Rettinger same day.
Gracie Sphynx
DOB (19 mo)
Microchip (PetLink)
InsuranceTrupanion
⚠ Drug allergyTERRAMYCIN ophthalmic ointment — DO NOT USE.
⚠ Food allergyCHICKEN — avoid in all food & treats.
Active dxChronic FHV-1 · Mycoplasma felis · Imperforate puncta (bilateral) · NLD obstruction · Symblepharon OS
Current medsBioHAnce 0.4% gel drops — 1 drop to both eyes 1–2× daily (lubrication). On file for flares: Famciclovir 125 mg (FHV-1) · Tobramycin 0.3% drops (conjunctivitis).
SurgerySpayed May 8, 2025 (with NLD flush + microchip)
24-hour emergency clinics
Call before driving — they'll triage you. Distances are from West Hollywood.
Primary vet
Dr. Meredith Rettinger, DVM · Laurel Pet Hospital
(323) 654-7060 · lph@laurelpethospital.com
7970 Santa Monica Blvd., West Hollywood, CA 90046
(323) 654-7060 · lph@laurelpethospital.com
7970 Santa Monica Blvd., West Hollywood, CA 90046
Insurance — Trupanion
Policy (covers both Lucy & Gracie)
(855) 650-0666 — Trupanion claims
Direct-pay accepted at most ER vets — ask the clinic to call Trupanion before you pay.
(855) 650-0666 — Trupanion claims
Direct-pay accepted at most ER vets — ask the clinic to call Trupanion before you pay.
When to go to ER vs. urgent care
- Go now: difficulty breathing, collapse, repeated vomiting, blood in urine/stool, suspected toxin ingestion, seizure, eye injury, allergic reaction (facial swelling).
- Same-day urgent: not eating >24h, lethargy, persistent diarrhea, limping, mild eye discharge, skin abscess.
- Routine flare (e.g. Lucy itch flare, Gracie eye discharge similar to past episodes): follow her existing PRN protocol unless symptoms escalate.
Documents · Guides & handouts
The reading material, in one place.
General guides from their vets — how-tos and reference sheets — plus imaging.
Insights · Both cats
Patterns across them.
Side-by-side comparisons computed from the actual record. Useful for spotting things that might warrant a vet question.
Weight trajectory
Computed insights
Visit frequency by clinic
Quick takeaways
- Both girls were spayed within ~5 weeks of each other (Gracie May 8, 2025).
- Gracie's eye condition surfaced almost immediately at adoption (~7 weeks old per ophthalmologist).
- Lucy's skin issues escalated sharply in early 2026 — January scabbing → February rechecks → April formal allergen panel → intralymphatic immunotherapy (ILIT) started May 8, 2026. Five monthly injections in (through Aug 24), her skin is clearly better, though she remains on a standing twice-daily Apoquel.
- Both girls get their dental cleanings at K9Grillz together — first on February 11, 2026, second on July 16, 2026; both non-anesthetic with no anesthetic work required.
- The Melrose Vet appears most often in their visit count, but is not part of the active care plan going forward.