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
Pollen nowchecking…
Apoquel today
Flares logged
Lucy Lucy Gracie Gracie

Today's recommendations for Lucy

Lucy

Bambino · DOB Sep 23, 2024 · 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. Subcutaneous immunotherapy planned. Earlier coughing turned out to be part of the same allergic disease — full cardiac workup was clear.

Atopic dermatitis Allergic cough Heart normal

Gracie

Sphynx · DOB Sep 26, 2024 · 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

Recent activity

Upcoming care

Today's brief

Lucy Ford · Bambino · DOB Sep 23, 2024

Lucy.

Adopted from Purrxotics on November 7, 2024 (~6 weeks old). Currently 19 months old. Black, hairless, spayed female. Microchipped 992000003604949 (Fetch-ID). Active dermatology care.

Lucy
Current weight
Ageyoung adult
Body condition iBody Condition Score (BCS) is a 1–9 visual + palpation rating of body fat:
  • 1–3: underweight (ribs/spine prominent)
  • 4–5: ideal (ribs felt with light pressure, visible waist)
  • 6: slightly overweight
  • 7–8: overweight
  • 9: obese
Both girls have been consistently scored 5/9 by their vets.
5 / 9ideal
Active diagnoses2atopic dermatitis · allergic cough

Active diagnoses

Dermatology
Atopic dermatitis
Confirmed via VARL IgE panel, April 16, 2026. Food allergies ruled out via Royal Canin Hydrolyzed protein diet trial. Allergen immunotherapy (SCIT) planned to begin ~3 weeks after the panel.
Respiratory · allergic
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.
Cardiology · cleared
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

Back on regular diet after Hydrolyzed-protein trial ruled out food allergies.

Wet food: Tiki Cat — Salmon (Lucy's preferred flavor), 3 cans/day
Dry food: Orijen Cat & Kitten (12 lb bag, free-feed)
Water: PetLibro fountain (currently PetLibro 2)
Diet history: Royal Canin kitten → adult transition Oct 2025 → Royal Canin Hypoallergenic Hydrolyzed Protein (Jan–May 2026, food allergy elimination trial — negative result, returned to normal diet).

Insurance

Trupanion
Policy TU0004566767
(shared with Gracie)

Full visit history

Gracie Ford · Sphynx · DOB Sep 26, 2024

Gracie.

Adopted from Purrbastet on November 9, 2024. Currently 19 months old. Pink, hairless, spayed female. Microchipped 981020059205203 (PetLink) on May 8, 2025 alongside her spay surgery. Active ophthalmology care.

Gracie
!
Allergic to TERRAMYCIN ophthalmic ointment
Flag this on every new prescription. Reaction noted in Gracie's chart — alternatives like NeoPolyDex have been used safely.
Current weight
Ageyoung adult
Body condition iBody Condition Score (BCS) is a 1–9 visual + palpation rating of body fat:
  • 1–3: underweight
  • 4–5: ideal
  • 6: slightly overweight
  • 7–8: overweight
  • 9: obese
Gracie's vet has flagged her not to gain further — she's at full healthy condition at 8.5 lb.
5 / 9ideal — watch upper bound
Active diagnoses5all ocular / chronic

Active diagnoses

Ocular · viral
Feline Herpesvirus-1 (chronic)
PCR confirmed March 29, 2025. "Controlled" per chart as of June 2025. Famciclovir 125 mg responsive — significantly reduces conjunctivitis flares.
Ocular · bacterial
Mycoplasma felis (chronic)
PCR confirmed concurrently. Multiple Doxycycline rounds with limited response. Likely contributes to recurring eye discharge alongside herpes.
Ocular · structural
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.
Ocular · structural
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.
Ocular · left eye
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).
Cardiology · clear
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 — Chicken (Gracie's preferred flavor), 3 cans/day
Dry food: Orijen Cat & Kitten (12 lb bag, free-feed)
Water: PetLibro fountain (currently PetLibro 2)
Diet history: Royal Canin kitten → adult transition Oct 2025 → Royal Canin Hypoallergenic Hydrolyzed Protein (Jan–May 2026, alongside Lucy's food allergy elimination trial) → back to Tiki Cat. Vet flagged not to gain further — already at full healthy condition.

Insurance

Trupanion
Policy TU0004566767
(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. Subcutaneous immunotherapy started spring 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.
Plant-based litter — pine, wheat, corn, walnut. Use clumping clay only.
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.
Clumping clay litter in the Litter-Robot 5.
Apoquel 3.6 mg PRN + 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. SCIT 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 + sensitivities

Sphynx · Chronic FHV-1 + Mycoplasma felis · Drug allergy on file. Confirmed allergy to Terramycin ophthalmic ointment. 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.

Environmental sensitivities

⛔ Avoid

Dusty litter — no crystals, pellets, or plant-based litter.
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.

✓ Prefer

Litter-Robot 5 with clumping clay only — currently in use.
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.

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.

Cat
Status
Care Team · Lucy & Gracie

Who we trust with them.

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
6565 Santa Monica Blvd, Los Angeles · 2.7 mi
(855) 350-7387

Lucy Bambino

DOBSep 23, 2024 (19 mo) Microchip992000003604949 (Fetch-ID) InsuranceTrupanion TU0004566767 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

DOBSep 26, 2024 (19 mo) Microchip981020059205203 (PetLink) InsuranceTrupanion TU0004566767 ⚠ Drug allergyTERRAMYCIN ophthalmic ointment — DO NOT USE. 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 (9024 Cynthia St).

Primary vet

Dr. Meredith Rettinger, DVM · Laurel Pet Hospital
(323) 654-7060 · lph@laurelpethospital.com
7970 Santa Monica Blvd., West Hollywood, CA 90046
Dire only: Dr. Rettinger personal — petdoc05@hotmail.com

Insurance — Trupanion

Policy TU0004566767 (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.

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): log it in the Tracking tab and follow her existing PRN protocol unless symptoms escalate.
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 and immunotherapy plan.
  • Both had their first dental cleaning at K9Grillz on the same day, February 11, 2026.
  • The Melrose Vet appears most often in their visit count, but is not part of the active care plan going forward.