Hi all, I have a 17 year old cat, named Bo, who has just been diagnosed with acromegaly. He also suffers from stage 3 kidney disease. We currently have the option to treat the acromegaly with radiation (SRT). I'm told that doing this would likely get rid of his diabetes (and associated symptoms like neuropathy, which he has pretty bad) and in theory would improve his quality of life by a lot. Now, his currently quality of life isn't terrible, but it could be better -- the worst he deals with now is probably the fact that we have to clean him every time he pees (due to the neuropathy, he is unable to squat properly, so he pees all over his legs), which he doesn't enjoy, since he pees like 6 times a day (and always outside of the box). My conundrum is that I'm not super comfortable with him needing to be sedated 4 different times for this treatment. His internist says he should be fine and that it will be low-risk for him, but just a few months ago his previous vet said he was no longer eligible for sedated dental cleanings due to his age and condition -- so why is it now suddenly fine for him to be sedated 4 times? The inconsistency is irritating, but I'm also more inclined to believe the internist since she is more experienced. I also acknowledge the fact that his life expectancy is lowered anyway due to the stage 3 kidney disease. But then I think about how, if he got the radiation, the life he had left would probably be a lot more pleasant... and I am honestly just really torn on what to do. Has anyone faced something similar, or just have an opinion on what they would do? Thanks in advance for any advice you may have! By the way, in case anyone is curious, he is currently on 7.5 units of Lantus insulin (but likely to increase if we don't go through with the radiation since the tumor will get worse), and he's also getting 100ml of subcutaneous fluids every day for his kidney disease.