Yes, Michelle I am sure both can be present but, as I understand it, they're thinking that if the second set of FeLV tests come back negative for FeLV than cancer is the next most likely cause of the anemia.  As far as it goes, if the immune system is compromised without the presence of FeLV than I'd have to think that cancer has to be present somewhere.  I am not a medical person however, and I just don't know.  My medical friends seem to think she has symptoms similar to a human cancer patient.  I will insist on the immuno-regulin her next visit however.  I don't see much going her way right now other than the antibiotics apparently having brought down her fever which I assume was from an invader that has set up house because of her compromised immune system.
They have run test after test and have ruled out FIA apparently.  My biggest worry is that they may be stuck on the positive ELISA and are not really looking further than that. 
I however, do not have much faith in testing right now for FeLV/FIV.  I hate to think that four years of testing was wrong on four cats.  I also hate to think that people are getting their cats vaccinated for FeLV and are believing their cats to be 100% protected while I know that is not true. My sister lost two of her four HOUSE cats to FeLV after vaccination and negative FeLV/FIV test results.  FeLV has to be a lot more contagious than they tell us, and/or is a lot harder to detect than they tell us because I cannot see, if it takes close, intimate, prolonged contact for an adult cat to contract FeLV, how Stinky contracted FeLV if she did not have it to begin with.  Either she carried it and now with old age it has expressed itself or, she contacted it through a cat running through our yard some time in the last two years without having made any contact with that cat ( not being outside for more than an hour a week for no more than three or four months a year with no food or water bowls outside), or one of the other cats she has lived with for 14 years is a carrier (again undetected by four years of testing) and finally after 14 years Stinky has gotten it from her.
I know that it may appear to be fool hardy but, I have my doubts about FeLV/FIV being Stinky's problem.  Perhaps that is due to my wanting it to be a more manageable illness or my bad experience with testing for FeLV/FIV or my medical friends insistence that I look more toward cancer that is FeLV unrelated.  In any event if she makes it through this latest episode, I will be grateful and look toward other ways of treating. 
I have my doubts of her making it through this however and I am angry over four years of testing that told me she and her sisters were free of FeLV/FIV and I am angry over believing the disease being contagious to adult cats only through close, intimate, prolonged contact with an infected cat.  Stinky never had a fight while outside with any cat- I know- I watched her the entire time she was out.  So, there goes that theory, too!  So, how did she get it?  When did she get it?  And, why didn't testing pick it up?  And, if she has it-why does IFA testing say she is negative while ELISA says she is not?  And, how do I believe the next set of tests?  I cannot see how at this point I can.
 
Stinky's Mom

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