I'd do the ivermectin, it's got a low risk of side effects, and will cure him if it is a lung worm. You can do a search and find the dosages for cats online, just to be sure your vet isn't over-dosing him. Search ivermectin feline dose, or ivermectin dosage cat. You should pull up a few spay clinics that deal with ferals that use it. That's it's most common use. The transtrach wash might be useful too, but it's very stressing to the system, so I might hold off on that one just yet.

Phaewryn
 
Please adopt a cat from Little Cheetah Cat Rescue!!! http://ucat.us/adopt.html
Low cost Spay&Neuter services in VT, and Emergency Financial Assistance for cat owners:
http://ucat.us/VermontLowCost.html
Special Needs Cat Resources: http://ucat.us/domesticcatlinks.html
The Sofa Poem: http://ucat.us/sofapoem.html
Please shop online through i-give and support the Feline Veterinary Emergency Assistance Program:
http://www.igive.com/FVEAP
Shop at GREAT stores, like Drs. Foster & Smith, Pet Food Direct, Musician's Friend, and LOTS more!
It doesn't cost you a single penny more, and it makes so much difference to a sick cat in need!
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