Cats in the City • TANDEM Cat® Clinical Grooming

TANDEM Cat® Groomed Awake

Across 9,984 feline grooming appointments, TANDEM Cat® recorded 4,067 clinical complexity flags across 1,790 unique high-risk cats and completed every flagged grooming session awake, without injectable sedation.

These were not routine grooming cats. They included geriatric cats, medically fragile cats, behaviorally complex cats, sensory-sensitive cats, sedation-referred cats, and cats with diagnosed heart murmurs.

This page explains what Groomed Awake means, why these outcomes matter, and what makes them possible.

1,790 high-risk cats 4,067 flagged sessions No injectable sedation Trauma-informed grooming Team-based stabilization Environmental choreography
Core claim
Sedation is not the only door for high-risk feline grooming.
What this page establishes
  • High-risk cats can be groomed awake at scale
  • Trauma-informed grooming is clinical infrastructure
  • Team-based support changes what is safely possible
  • Solo restraint models are not equivalent systems
Definition

What “Groomed Awake” Means

TANDEM Cat® Groomed Awake refers to feline grooming performed without injectable sedation or systemic pharmacologic restraint.

It does not mean forcing cats through care. It does not mean replacing sedation with pressure, speed, or brute restraint. It means replacing sedation with stabilization, somatic assessment, team-based support, trauma-informed pacing, and feline-specific clinical infrastructure.

In this model, awake care is not the absence of medicine. It is the presence of a different system.

Scale

The Size of the Dataset

9,984
total feline grooming appointments
4,067
clinical complexity flags
1,790
unique high-risk cats with one or more flags
0
injectable sedation used across flagged sessions
Risk Categories

Who Was Included in This Model

Behavioral and sensory complexity

  • 1,373 behavioral complexity / special handling flags
  • 182 sensory sensitivity flags
  • 48 sensory impairment flags
  • 23 human-directed aggression risk flags

Medical and age-related complexity

  • 998 medical comorbidity flags
  • 562 geriatric flags
  • 218 active medication administration flags
  • 132 heart murmur flags

Traditionally excluded cats

  • 501 sedation referral or grooming refusal flags
  • 16 medication sensitivity flags
  • 8 limb amputation flags
  • 6 cerebellar hypoplasia flags
The TANDEM cradle showing full-body dual-practitioner support during feline grooming
Support Position

The Cradle

The cradle replaces compressive solo restraint with full-body dual-practitioner stabilization. Thoracic, abdominal, and pelvic support are distributed through the system rather than pushed into the cat’s body.

This protects posture, improves respiratory tolerance, and creates a stable foundation for awake care in medically and behaviorally complex cats.

TANDEM Touch neutral showing shared support and coordinated stabilization during grooming
TANDEM Touch™

Neutral TANDEM Touch

TANDEM Touch™ is not a single hold. It is a support choreography. Neutral positioning allows the body to remain organized while care proceeds with minimal force and continuous adjustment.

This is one of the core differences between a trauma-informed system and a one-person restraint model.

The hover support position showing distributed stabilization during feline grooming
Support Variation

The Hover

The hover allows support to remain present without converting contact into weight-bearing pressure. This is especially useful when preserving body organization while reducing stress on fragile or reactive cats.

In the TANDEM Cat® model, support is dynamic. It changes with the cat’s threshold, the body region being groomed, and the level of somatic burden present.

The edge support position showing organized access without abandonment of feline stabilization
Access Position

The Edge

The edge allows the working zone to shift while keeping the cat organized and supported. Access is created without abandoning structure.

This is one of the ways TANDEM Cat® preserves clipper access while protecting the cat’s body and threshold.

Why These Results Are Not Transferable

Solo Restraint Is a Different System

These outcomes should not be generalized to solo grooming settings. Conventional solo restraint methods transfer the burden of the groom into the cat’s thorax, spine, hips, joints, and respiratory pattern.

TANDEM Cat® does not treat these methods as alternate versions of the same care. They are structurally different systems with different safety profiles.

Gabapentin-Assisted Awake Grooming™

Awake Care Does Not Mean Pharmacology Is Forbidden

Some cats in this series received oral gabapentin under veterinary guidance. TANDEM Cat® defines these sessions as Gabapentin-Assisted Awake Grooming™.

These sessions preserved postural control, responsiveness, and emotional agency. They did not cross into sedation-level suppression.

In this model, light pharmacologic support is assistive, not controlling.

Key Outcomes

What This Dataset Proves

High-risk cats can be groomed awake at scale
Trauma-informed grooming can function as clinical infrastructure
Sedation referral is not the same as impossibility
Team-based support changes what is safely possible
Shutdown and protest must both be read as clinical information
Procedural Safety

Zero Clipper Injuries in a 525-Groom Month

In April 2025 alone, TANDEM Cat® completed 525 grooming appointments with zero clipper-related injuries.

No clipper burns. No abrasions. No lacerations. No secondary trauma.

This level of safety does not come from speed. It comes from dual-practitioner stabilization, somatic pacing, clipper temperature awareness, tactile fluency, and a system designed to receive high-risk cats without collapsing into force.

Clinical Discovery

Grooming as a Site of First Discovery

In this model, grooming is not cosmetic maintenance alone. It becomes a site of discovery.

Many cats in this series appeared behaviorally “fine” on dorsal intake, but showed ventral burden, tactile pathology, glandular dysfunction, fecal fusion, or hidden somatic compromise once actually received into care.

This is one of the most important clinical points in the dataset: the dorsal coat can lie.

What We Are Known For

TANDEM Cat® Specialization

Non-sedated grooming of high-risk cats
Severe matting and pelting cases
Trauma-informed handling and recovery
Medically complex feline care

Bottom Line

TANDEM Cat® Groomed Awake documents 4,067 flagged grooming interventions across 1,790 high-risk cats, all completed without injectable sedation.

These cats were not unusually easy. They were waiting for the right infrastructure.

In this model, sedation is no longer the only door. Grooming becomes a site of first discovery, restored stability, and awake care delivered with fidelity to feline needs.

Certified TANDEM Cat® Grooming Facility

Why This Matters

Cats in the City operates as a Certified TANDEM Cat® Grooming Facility, using a feline-specific care model built around shared support, trauma-informed handling, and safer pathways for cats with higher needs.

Feline-specific standards Team-based support Non-sedated care
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Cats Groomed

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Nights of Boarding

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Lbs of Hair Removed

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Contact

Caring for Cats in the Portland Metro Area

We measure our love of cats by how much we are loved by them.

Have questions or need to arrange care for your feline friend? We’re here to help! Reach out to us for any inquiries or to schedule our services.

For more immediate assistance, feel free to call us. We look forward to hearing from you and providing the best care for your cat!

CONTACT INFO

Phone: 503-214-2003

NE Tabor

Powell

Sellwood

Beaverton