My kitty Barty is a spayed female domestic shorthair, about 10 years old. She was spayed sometime prior to age 1, which is about when we adopted her. She is currently between 9-10 lbs, down from about 14lbs in early Feb (appetite is greatly diminished since that time). I took her to a combined holistic/conventional vet (new primary) in early Feb, due to seeing bright red blood in her urine (in box). She had an xray, which did not show any stones, and was given a Convenia (cefovecin) injection and advised to have an ultrasound. No urinalysis was done, as when scoping her urethra for a sample the vet observed that her bladder looked irregular and "angry". Her bloodwork (CBC, Chemistry, T4/FT4) was found normal at that time. In early March she had an abdominal ultrasound by Board Vet Radiologist. All organs were reported as normal except for the bladder (uterus & ovaries unseen - spayed). The bladder is described as "severe generalized irregular mucosal thickening, up to 23 mm, overall decreased mucosal echogenicity. No Calculi." The ultrasonagraphic diagnosis was "bladder: most compatible with neoplasia (TCC, lymphosarcoma), less likely to represent severe infectious/inflammatory cystitis". It was reported that a fine needle aspirate would be feasible given the degree of wall thickening, but are often inconclusive with bladder tumors and carry risk of seeding the abdomen; surgical biopsy may be necessary for a definitive diagnosis. Barty saw a conventional Board Vet Oncologist on Mar 24 and was given metacam oral susp 0.5mg/ml (to dose 0.5 ml every other day) and mirataz transdermal. I gave Barty metacam (only 0.2ml) 2 days, but haven't continued as the 2nd time she really fought it. I have not used the mirataz yet. Her primary vet prescribed some Chinese herbs in powder form, but it has not been possible to give this to her in her food (she refused and is not eating much to begin with). She has continued to have blood in the urine, although about a week ago she had a few days with no blood seen (I think coincident with the metacam). She also started having incontinence (peeing outside of box, nearby and otherwise) - this seems to be increasing including more frequently being farther from box. She has been urinating very frequently recently, usually small amounts although at tiLS