Sherri

There isn’t any hurry to get her back on the Winstrol. I would wait. Her 
haematology numbers give you quite a significant cushion to rely upon. Winstrol 
likely strains the liver, so you want the liver to rest for a while.

It sounds like she is better, though. I recommend baby food, which you can 
syringe feed into her. Keep up the feeding. It is good that the first urine was 
orange but the next wasn’t. She is hopefully clearing out the bilirubin. I 
think fluids are important to help with that, too. Have you tried some very 
diluted milk or some Whiskas milk? That might encourage her to drink some more.

Amani

From: Felvtalk [mailto:felvtalk-boun...@felineleukemia.org] On Behalf Of Sherri 
Godschalk
Sent: December-15-16 7:42 AM
To: felvtalk@felineleukemia.org<mailto:felvtalk@felineleukemia.org>
Subject: Re: [Felvtalk] FW: Update on Bogey My FELV + Cat

Just a little update for any of you following Bogey’s progress here or others 
who find these posts helpful.

First day home from hospital. She of course wasn’t interested in eating. But I 
would sit with her and she would lick Hill’s L/d and a/d from my finger. She 
ate over a full can total. Every hour or so I gave her about a tablespoon. 
Alternating between the two. I also am giving her water and a  few drops of 
Pedialite each time. The first time she urinated it was very orange about 2 pm. 
She didn’t urinate again until last night around 10 and was clear. She actually 
went to her water dish last night and took a couple of laps. She is still weak 
and wobbly. But she know where things are. Still seems out of it though. I 
doubt that she slept at all while in the hospital so I am just letting her 
rest. She is curled up on a bean bag chair right now with a heating pad on her.

She isn’t suffering or getting worse.

I have yet to start her back on the Winstrol but may do that today if the 
jaundice continues to show improvement. Might make her feel stronger.

Thanks for reading.

Sherri

From: Felvtalk 
<felvtalk-boun...@felineleukemia.org<mailto:felvtalk-boun...@felineleukemia.org>>
 on behalf of Amani Oakley 
<aoak...@oakleylegal.com<mailto:aoak...@oakleylegal.com>>
Reply-To: <felvtalk@felineleukemia.org<mailto:felvtalk@felineleukemia.org>>
Date: Tuesday, December 13, 2016 at 9:21 PM
To: "felvtalk@felineleukemia.org<mailto:felvtalk@felineleukemia.org>" 
<felvtalk@felineleukemia.org<mailto:felvtalk@felineleukemia.org>>
Subject: [Felvtalk] FW: Update on Bogey My FELV + Cat

Sherri

The yellow discolouration takes a bit of time to ebb away. The more important 
indicator of how she is doing is that she is more steady on her feet and has an 
interest in eating. She has clearly improved, so don’t let the yellow colour 
concern you. It should fade away on its own.

After tonight, if she is as good as you saw her today, I would take her home. 
She needs to eat, and needs to be nudged to eat as much as possible. That will 
help get rid of some of the bilirubin as some of it is excreted in feces. It 
will also improve her outlook on life if she is eating again.

Later on, you can follow up on the glucose. Glucose doesn’t just rise above the 
normal reference range with diabetes. Animals and people will have an elevated 
glucose when the body is in crisis or in pain. Retest her at a time when she is 
feeling better. For the potassium (which is the “K” number) it is just barely 
low. I would not leave her at the vet’s or give her more fluids just for that.

However, I would ask for her bloodwork to be retested after the fluids. 
Ideally, you should start to see the bilirubin, GGT and ALT dropping. The 
potassium may also now be in the reference range, and let’s see what the 
glucose looks like.

One key thing I was taught was that you treat the patient, not the numbers. I 
follow the lab numbers closely, but the more important thing, is how is she 
doing. She is improving and hopefully will continue to do so. I think that a 
retest of her blood work should confirm that.

Take her home as soon as possible and give her some TLC!

Was the can of salmon a can of catfood salmon or human food salmon? If catfood, 
I understand that there have been incidents of liver failure because of an 
additive/preservative called ethoxyquin which is added to fish or fish meal. 
(Fish meal can also sometimes be contaminated with mycotoxins which might also 
have a deleterious effect on the liver.) That might also explain why the 
jaundice seemed to come on so suddenly after ingestion. Do a Google search on 
the brand name and see if others have reported a problem.

Amani

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