Hello Patricia, you may already be doing this - but if not, please take a copy 
of Amani's conversations for the vet to read - may help.

Good luck - don't give up!!

Sandt W


> On June 7, 2019 at 9:55 PM Patricia Oliveira <cinzaeamar...@gmail.com> wrote:
> 
>     Nori did not want to eat by herself so they are syringing food. They 
> started another medication for nausea, although she does not vomit, they 
> think that may be why she does not eat.
> 
>     Blood work showed changes in neutrophils (bizarre core?), veternary says 
> it can be from leukemia.
> 
>     The result of this transfusion was not as good as the other time :(
> 
>     i´ll talk to veterinary tomorrow morning again.
> 
>     thank you!
> 
>     Patrícia
> 
> 
> 
>     Em sex, 7 de jun de 2019 às 16:13, Amani Oakley < aoak...@oakleylegal.com 
> mailto:aoak...@oakleylegal.com > escreveu:
> 
>         > > 
> >         Still sounds more like a transfusion reaction than anything with 
> > the meds.
> > 
> >          
> > 
> >         Hang in there. See what the afternoon labs show.
> > 
> >          
> > 
> >         Amani
> > 
> >          
> > 
> >         From: Felvtalk <felvtalk-boun...@felineleukemia.org 
> > mailto:felvtalk-boun...@felineleukemia.org > On Behalf Of Patricia Oliveira
> >         Sent: June 7, 2019 1:44 PM
> >         To: felvtalk@felineleukemia.org mailto:felvtalk@felineleukemia.org
> >         Subject: Re: [Felvtalk] Rescued kitten felv +
> > 
> >          
> > 
> >         Hi, Amani
> > 
> >          
> > 
> >         Nori is receiving doxy+prenisolone+stanazolol even in the hospital.
> > 
> >          
> > 
> >         I know it can be a reaction but i thought higher dose of 
> > prednisolone would prevent hemolysis.
> > 
> >          
> > 
> >         I also know it's normal for part of the red blood cells to be 
> > cleared right after the transfusion, but i don´t remember if it was icteric 
> > plasma on last one.
> > 
> >          
> > 
> >         I was hopefull she would come back home tomorrow, now i don´t know 
> > if it will be possible.
> > 
> >          
> > 
> >         Today she must have am echocardiogram too because x-ray showed an 
> > enlarged heart. 
> > 
> >          
> > 
> >         Thank you!
> > 
> >          
> > 
> >          
> > 
> >          
> > 
> >         Em sex, 7 de jun de 2019 às 14:18, Amani Oakley 
> > <aoak...@oakleylegal.com mailto:aoak...@oakleylegal.com > escreveu:
> > 
> >             > > > 
> > >             Hi Patricia
> > > 
> > >              
> > > 
> > >             The Stanozolol often has a side-effect of elevating liver 
> > > enzymes, though I cannot remember if it also increased bilirubin (which 
> > > would be what would cause the icteric observation of the plasma). 
> > > However, hang in there. If it is the Stanozolol, my experience is that 
> > > the liver enzymes drop right back to normal, shortly after it is 
> > > discontinued, and there is no lasting damage to the liver. For now, what 
> > > you have described (low temp and slightly lower heart rate) seems more 
> > > likely to be related to the transfusion itself, rather than anything else 
> > > going on.
> > > 
> > >              
> > > 
> > >             It is also possible that with the additional transfusion, 
> > > there is a higher than normal red cell destruction going on, which would 
> > > be another explanation for the increased icterus in the blood (which will 
> > > also show as an increase in bilirubin). Elevated bilirubin can often be 
> > > caused by a reaction to a blood transfusion. If the high bilirubin is the 
> > > indirect or the unconjugated portion, it is related to red cell break 
> > > down. The direct bilirubin (conjugated portion) is related to liver 
> > > function. The lab results are usually broken down to Total bilirubin and 
> > > Direct bilirubin. The indirect portion is obtained by subtracting the 
> > > direct amount from the total amount.
> > > 
> > >              
> > > 
> > >             I myself went through the pressure of the vets wanting me to 
> > > discontinue the Stanozolol because of abnormal liver enzymes. My logic 
> > > was that there was nothing else. If I discontinued the Stanozolol, my cat 
> > > would die, period. I continued and found that in the end, the liver 
> > > enzymes normalized on their own, even though I had Zander on almost 
> > > continuous Stanozolol for close to two years.
> > > 
> > >              
> > > 
> > >             I know that you know that you are only temporarily helping 
> > > Nori with blood transfusions, and the virus is still attacking cells, 
> > > etc. In my opinion – and mine alone – my experience and research leads me 
> > > to the conclusion that the combination of 
> > > Doxycycline/Prednisone/Stanozolol worked to not only boost the red cell 
> > > production, but I believe that the Doxycyline assisted in keeping the 
> > > viruses from properly reproducing.
> > > 
> > >              
> > > 
> > >             However, anticipate that when the vet gets back the second 
> > > set of blood work, she may well try to tell you to discontinue the 
> > > Stanozolol.
> > > 
> > >              
> > > 
> > >             Amani
> > > 
> > >              
> > > 
> > >              
> > > 
> > >              
> > > 
> > >             From: Felvtalk <felvtalk-boun...@felineleukemia.org 
> > > mailto:felvtalk-boun...@felineleukemia.org > On Behalf Of Patricia 
> > > Oliveira
> > >             Sent: June 7, 2019 12:53 PM
> > >             To: felvtalk@felineleukemia.org 
> > > mailto:felvtalk@felineleukemia.org
> > >             Subject: Re: [Felvtalk] Rescued kitten felv +
> > > 
> > >              
> > > 
> > >             Hi, Amani!
> > > 
> > >              
> > > 
> > >             Nori got another transfusion last night, hematocrit was 11.9 
> > > before it. 
> > > 
> > >              
> > > 
> > >             Today morning, i talk to the hospital's veterinarian, she 
> > > said hematocrit went to 29 and Nori was fine, all normal parameters and 
> > > eating by herself again.
> > > 
> > >              
> > > 
> > >             But plasma was intensely icteric. I think this means red 
> > > cells being destroyed, isn't it?
> > > 
> > >              
> > > 
> > >             About one hour ago, veterinarian said Nori was with low 
> > > temperature and heart rate slightly lower than normal. She was waiting 
> > > the new blood work. In the morning, it was done only hematocrit, not 
> > > complete blood work.
> > > 
> > >              
> > > 
> > >             i am worried again.
> > > 
> > >              
> > > 
> > >             Thank you,
> > > 
> > >              
> > > 
> > >             Patrícia
> > > 
> > >              
> > > 
> > >             Em ter, 4 de jun de 2019 às 23:46, Amani Oakley 
> > > <aoak...@oakleylegal.com mailto:aoak...@oakleylegal.com > escreveu:
> > > 
> > >                 > > > > 
> > > >                 I would be leery of the going the route suggested by 
> > > > the vet at this juncture. I seriously seriously doubt if the 
> > > > erythropoietin will help. See my earlier where I explain why.
> > > > 
> > > >                  
> > > > 
> > > >                 Amani
> > > > 
> > > >                  
> > > > 
> > > >                 From: Felvtalk <felvtalk-boun...@felineleukemia.org 
> > > > mailto:felvtalk-boun...@felineleukemia.org > On Behalf Of Patricia 
> > > > Oliveira
> > > >                 Sent: June 4, 2019 8:53 PM
> > > >                 To: felvtalk@felineleukemia.org 
> > > > mailto:felvtalk@felineleukemia.org
> > > >                 Subject: Re: [Felvtalk] Rescued kitten felv +
> > > > 
> > > >                  
> > > > 
> > > >                 Hi, Lorraine
> > > > 
> > > >                  
> > > > 
> > > >                 Veterinary wants to increase prednisolone to 
> > > > immunosuppressive dose and add erythropoietin. She thinks it is 
> > > > immune-mediated anemia and not mycoplasma.
> > > > 
> > > >                  
> > > > 
> > > >                 Nori is receiving  1,2 mg prednisolone, twice a day. 
> > > > She weighs only 1 kg. 
> > > > 
> > > >                  
> > > > 
> > > >                 We did x-ray today too. No visible tumor but we found a 
> > > > possible cardiopathy ("Increased globular-looking heart silhouette").
> > > > 
> > > >                  
> > > > 
> > > >                 :(
> > > > 
> > > >                  
> > > > 
> > > >                  
> > > > 
> > > >                  
> > > > 
> > > >                 Em ter, 4 de jun de 2019 às 20:50, Lorraine Johnston 
> > > > <johnston1...@comcast.net mailto:johnston1...@comcast.net > escreveu:
> > > > 
> > > >                     > > > > > 
> > > > >                     Patricia,
> > > > > 
> > > > >                      
> > > > > 
> > > > >                     I would go with the transfusion and also start 
> > > > > erythropoietin.  Stanozolol is supposed to stimulate erythropoietin 
> > > > > production, but she might need a boost of the ready-made drug just to 
> > > > > keep her alive until then.
> > > > > 
> > > > >                      
> > > > > 
> > > > >                     - Lorraine
> > > > > 
> > > > >                      
> > > > > 
> > > > >                     "Sometimes it is the people no one can imagine 
> > > > > anything of who do the things no one can imagine."  - Alan Turing
> > > > > 
> > > > >                      
> > > > > 
> > > > >                     From: Felvtalk 
> > > > > [mailto:felvtalk-boun...@felineleukemia.org 
> > > > > mailto:felvtalk-boun...@felineleukemia.org ] On Behalf Of Patricia 
> > > > > Oliveira
> > > > >                     Sent: Tuesday, June 4, 2019 6:34 PM
> > > > >                     To: felvtalk@felineleukemia.org 
> > > > > mailto:felvtalk@felineleukemia.org
> > > > >                     Subject: Re: [Felvtalk] Rescued kitten felv +
> > > > > 
> > > > >                      
> > > > > 
> > > > >                     Hi,
> > > > > 
> > > > >                      
> > > > > 
> > > > >                     We did another blood work today, her hematocrit 
> > > > > is 13% now :(
> > > > > 
> > > > >                      
> > > > > 
> > > > >                     She is very sleepy but responsive when i talk to 
> > > > > her. 
> > > > > 
> > > > >                      
> > > > > 
> > > > >                     I don´t know if i can wait some more days to see 
> > > > > if stanozolol is working. Or maybe it would be better get another 
> > > > > transfusion right now.
> > > > > 
> > > > >                      
> > > > > 
> > > > >                     Today, vet talk about erythropoietin. Do you know 
> > > > > if it can be used with stanozolol?
> > > > > 
> > > > >                      
> > > > > 
> > > > >                     Thank you,
> > > > > 
> > > > >                      
> > > > > 
> > > > >                     Patrícia
> > > > > 
> > > > >                      
> > > > > 
> > > > >                     Em sáb, 1 de jun de 2019 às 14:44, Amani Oakley 
> > > > > <aoak...@oakleylegal.com mailto:aoak...@oakleylegal.com > escreveu:
> > > > > 
> > > > >                         > > > > > > 
> > > > > >                         Hi Patricia – I gave all the pills 
> > > > > > together, morning and evening, except for the metoclopramide which 
> > > > > > was given ½ or so before meals. The rest I gave with the meals. I 
> > > > > > didn’t observe a problem with giving them together.
> > > > > > 
> > > > > >                          
> > > > > > 
> > > > > >                         You might also try baby food to get Nori to 
> > > > > > eat. Get the pureed kind (beef or chicken with or without 
> > > > > > vegetables), so it can be sucked up into a syringe. If my Zander 
> > > > > > wasn’t eating (and he wasn’t at the start of the medication 
> > > > > > regime), then I would use a syringe to get the baby food into him. 
> > > > > > Baby food is easy to digest and has good things in it. I would 
> > > > > > target – say – five 3 cc syringe-fulls at each feeding. I would 
> > > > > > boost the number of syringe-fulls if possible. Eventually, Zander 
> > > > > > started eating the baby food on his own, and then I graduated to 
> > > > > > moist food, and really, anything he wanted until he put the weight 
> > > > > > back on.
> > > > > > 
> > > > > >                          
> > > > > > 
> > > > > >                         I had a look at the picture you sent and 
> > > > > > Nori is adorable. I am crossing my fingers for you and for Nori. 
> > > > > > Keep us updated on her progress.
> > > > > > 
> > > > > >                          
> > > > > > 
> > > > > >                         Amani
> > > > > > 
> > > > > >                          
> > > > > > 
> > > > > >                         From: Felvtalk 
> > > > > > <felvtalk-boun...@felineleukemia.org 
> > > > > > mailto:felvtalk-boun...@felineleukemia.org > On Behalf Of Patricia 
> > > > > > Oliveira
> > > > > >                         Sent: June 1, 2019 12:36 PM
> > > > > >                         To: felvtalk@felineleukemia.org 
> > > > > > mailto:felvtalk@felineleukemia.org
> > > > > >                         Subject: Re: [Felvtalk] Rescued kitten felv 
> > > > > > +
> > > > > > 
> > > > > >                          
> > > > > > 
> > > > > >                         Hi, Amani!
> > > > > > 
> > > > > >                          
> > > > > > 
> > > > > >                         Thanky you very much for you email!
> > > > > > 
> > > > > >                          
> > > > > > 
> > > > > >                         Nori was discharged from the hospital 
> > > > > > yesterday night. She is eating baby dry food. I tried canned but 
> > > > > > she didn´t accept so weel. 
> > > > > > 
> > > > > >                          
> > > > > > 
> > > > > >                         Today i bought other kinds of canned, i'll 
> > > > > > try them hoping she likes some one.
> > > > > > 
> > > > > >                          
> > > > > > 
> > > > > >                         Compound pharmacy must delivery stanozolol 
> > > > > > today.
> > > > > > 
> > > > > >                          
> > > > > > 
> > > > > >                         Are there any precautions regarding 
> > > > > > medication schedules? Close or far to doxy, for example?
> > > > > > 
> > > > > >                          
> > > > > > 
> > > > > >                         This is Nori: 
> > > > > > https://catsnecropolis.blogspot.com/2019/06/nori-teve-alta.html 
> > > > > > https://catsnecropolis.blogspot.com/2019/06/nori-teve-alta.html?fbclid=IwAR0cXMedtfi73B81pJI7QiYGwRTJf9VJp-JN7S_Tstb0ANeg0Hm4ObtFH_A
> > > > > > 
> > > > > >                          
> > > > > > 
> > > > > >                          
> > > > > > 
> > > > > >                         Thank you!
> > > > > > 
> > > > > >                          
> > > > > > 
> > > > > >                         Patrícia
> > > > > > 
> > > > > >                          
> > > > > > 
> > > > > >                         Em qui, 30 de mai de 2019 às 20:52, Amani 
> > > > > > Oakley <aoak...@oakleylegal.com mailto:aoak...@oakleylegal.com > 
> > > > > > escreveu:
> > > > > > 
> > > > > >                             > > > > > > > 
> > > > > > >                             Sorry Patricia – after going on and 
> > > > > > > on in my last email, I realized I hadn’t actually answered your 
> > > > > > > question. I think you can probably use the stanozolol with the 
> > > > > > > Doxycycline, without the prednisone, but prednisone itself has 
> > > > > > > properties which help to boost red cell production. Try it out, 
> > > > > > > keep close tabs on the haematology results and see if you are 
> > > > > > > getting a good response on just Doxycycline and the Stanozolol. 
> > > > > > > If not, add the prednisone. You may find that this combination 
> > > > > > > assists with the FIP as well, as per my previous email.
> > > > > > > 
> > > > > > >                              
> > > > > > > 
> > > > > > >                             Amani
> > > > > > > 
> > > > > > >                              
> > > > > > > 
> > > > > > >                             From: Felvtalk 
> > > > > > > <felvtalk-boun...@felineleukemia.org 
> > > > > > > mailto:felvtalk-boun...@felineleukemia.org > On Behalf Of 
> > > > > > > Patricia Oliveira
> > > > > > >                             Sent: May 30, 2019 12:56 PM
> > > > > > >                             To: felvtalk@felineleukemia.org 
> > > > > > > mailto:felvtalk@felineleukemia.org
> > > > > > >                             Subject: [Felvtalk] Rescued kitten 
> > > > > > > felv +
> > > > > > > 
> > > > > > >                              
> > > > > > > 
> > > > > > >                             Hi from Brazil,
> > > > > > > 
> > > > > > >                              
> > > > > > > 
> > > > > > >                             I rescued a very weak, dehydrated, 
> > > > > > > extremely thin kitten.
> > > > > > > 
> > > > > > > 
> > > > > > >                             She's hospitalized now. Her 
> > > > > > > hematocrit was 8, had blood transfusion which raised hematocrit 
> > > > > > > to 22, now it is 19. Low reticulocyte count.
> > > > > > > 
> > > > > > >                             She has difficulty walking, which we 
> > > > > > > can not define if it is just weakness or neurological. Already 
> > > > > > > had a seizure.
> > > > > > > 
> > > > > > >                             She also have changes in her kidneys. 
> > > > > > > It has been tested and is felv +
> > > > > > > 
> > > > > > >                             She is receiving doxy and the 
> > > > > > > hospital vets would like to include prednisolone.
> > > > > > > 
> > > > > > >                             However, as it is not possible yet to 
> > > > > > > rule out PIF, and the medication I could use in the case of PIF 
> > > > > > > does not work if the cat received prednisolone, I am trying to 
> > > > > > > avoid it.
> > > > > > > 
> > > > > > >                             The veterinarian agreed to prescribe 
> > > > > > > stanozolol.
> > > > > > > 
> > > > > > >                             Can it be used without prednisolone, 
> > > > > > > only with doxy she is already receiving?
> > > > > > > 
> > > > > > >                             Thank you!
> > > > > > > 
> > > > > > >                              
> > > > > > > 
> > > > > > >                             Patrícia
> > > > > > > 
> > > > > > >                         > > > > > > 
> > > > > >                     > > > > > 
> > > > >                 > > > > 
> > > >             > > > 
> > >         > > 
> >     >     _______________________________________________
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> 
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