Hi Caroline,

I'm sorry that Monkee's HCT count is not too good.  I
cried when I read your account of going to Dr. Maier's
office.  It felt like a rainbow bursting through the
clouds.  I loved the story about Monkee trying to get
at those cats.  He sounds like a hoot.

If Monkee isn't making any RBC's, which means he
doesn't have any reticulocytes, then it's called
nonregenerative anemia, and it is not a good anemia to
have.  It means the leukemia is probably active in the
bone marrow, which is, as far as I know, irreversable.
 I wish I could tell you differently.  Here is a good
website to read up on types of anemia.

http://www.merckvetmanual.com/mvm/index.jsp?cfile=htm/bc/10200.htm

Here is another link:

http://www.vet.uga.edu/vpp/clerk/tolbert/index.php

I think you are right not to put kitty through chemo
again.  The anemia is enough to deal with.  I am so
sorry your beautiful, healthy kitty is going through
this.  I truly am.  Fighting anemia is like fighting a
ghost.  You just don't know when it's really time to
let go until sometimes it's too late.  Even with the
lowered HCT, some kitties have a good quality of life.
 And no one wants to let their kitty go before their
time, even if they aren't feeling 100%.  I lost my
Cricket to the same thing.  His was regenerative
anemia, but we could not reverse it in time.  

If you do go with the blood transfusion, you will see
a different cat, even for just a few days.  He will
feel so much better.  But your vet is right in telling
you it's temporary; she is doing the right thing in
being honest.  Even though there are many good vets,
there are those out there that will not give you the
full scoop because of greed or ignorance or whatever,
and give false hope.  Your vet seems to be a good one.

It will be a good time to spend a lot of quality time
together, feed Monkee a lot of whatever he loves, let
him enjoy the outdoors and sun if that's what he
likes, takes pictures and video (After I lost Cricket,
his photos helped a lot), and prepare for good-bye.  I
hate telling you this because I never want to give up
hope.  I'm as tenacious as they come.  But if your vet
did test for reticulocytes and there are none, then
there are studies to prove the graveness of the
situation.  And I want you to be able to make the most
of it instead of looking back and wishing you'd done
this or that.  The only real hope is if the vet missed
the reticulocytes and the anemia is actually
regenerative; then the Epogen is important is helping
to stimulate need RBC's.  I pray this is the case for
Monkee.  Make sure your vet tested for these; I'm sure
she did if she's saying Monkee is not making any
RBC's.  You can ask how she came to that conclusion
and see if she mentions RBC's.  

Prayers going out for reticulocytes and that Monkee is
comfortable.  Prayers also going out for peace for you
and your mom.  Please keep us posted on sweet Monkee.
:)
Wendy

"Never doubt that a small group of thoughtful committed citizens can change the 
world - indeed it is the only thing that ever has!"     ~~~ Margaret Meade ~~~



 
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