Hello Anna,

I am happy to hear about the increase in Hct.  That is wonderful!  Sounds
like your on the right track.  I would only suggest something additional
for immune suppport.  Perhaps interferon, LTCI injections, lysine (I think
you said you were giving that - I don't remember), transfer factor,
standard process immune support or whole body support, vitamin C, coq10.
Otherwise, right on.

About prednisone - I agree long term usage makes me nervous so you could
try weaning her in a week or two and see if she stays stable or not.  If it
is lymphoma (I don't recall if you told us what the differential for the
WBC was - i.e. if the high number of white blood cells were neutrophils,
lymphocytes or some type of atypical cells), prednisone will help but
generally not cure and will require to be taken continually.  It would be
worth while in my opinion to see if your vet had the pathologist look at a
peripheral blood smear to identify any atypical looking cells or see if
they simply look reactive.  That would help you decide if you were dealing
with a malignant process or an infectious one.

Thanks for keeping us updated and may God bless you both.


On Sat, Apr 28, 2012 at 1:16 PM, Anna Waltman <anna.walt...@gmail.com>wrote:

> Hi all,
> Thanks to everyone who responded last week. Your advice means a lot to me,
> as do your kind words of support. Most of my friends here are not pet
> owners, so hearing from folks who have been through the same thing makes me
> feel way less alone. So again, thank you.
> At our last vet appointment, Sylvia's hematocrit was up to 31 from 28,
> which may be a good sign re: the anemia. I've switched the cats to EVO
> Herring and Salmon because that's the smelliest and seems to be Sylvia's
> favorite (she prefers it to A/D soft food). Her fever, unfortunately, has
> not responded to antibiotics. She's had a shot of Convenia, and I'm giving
> her antibiotics at home, too; we started with zeniquin, but it didn't seem
> to help, so the vet switched us onto doxycycline. She's eating enough on
> her own that the vet doesn't think we need to worry about assisted feeding
> or tube feeding, but she does have me giving subcutaneous fluids at home
> daily as long as Sylvia's fever is over 103 (she's been steady at 104 for
> over a week). We do have some new symptoms, too: her nose is extremely
> runny/stuffy, she's sneezing a lot and sniffling, and her eyes look very
> watery. The discharge is clear. Because she's not responding to
> antibiotics, the vet started her on steroids (prednisolone) today. She
> suspects that Sylvia has either an immune-mediated anemia or potentially
> FLV-related cancer, and thinks the steroids might help. I am under strict
> instructions to continue giving subcutaenous fluids and antibiotics along
> with the prednisolone.
> Sylvia seems to be feeling better than she was when I originally posted.
> She's not hiding under the bed, but has been sleeping out in the open on
> the couch and occasionally getting up to watch birds out the window on the
> armchair or hang out on the floor for a bit. She purred a little last night
> and seems quite happy to get attention/cuddles. She's still interested in
> treats, too. I'm trying to encourage her to eat as much as I can, and the
> vet says the steroids should help with that.
> Anything I need to look out for with the steroids? Have any of you had
> treatment go this route? I'm not at all clear on what the prognosis is for
> Sylvia right now, though I'd assume that if we're dealing with cancer that
> the steroids aren't a permanent fix. Any information you have that can help
> me figure out what to expect would be immensely helpful.
> Many thanks, and lots of luck to all of you and yours.
> Best,
> Anna, Sylvia, and Beatrice
> --
> Anna E. Waltman
> PhD student & Teaching Associate
> Department of English and American Literature
> University of Massachusetts, Amherst
> <awalt...@english.umass.edu>
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