Thank you, Sandra  :)

I visited Nori today. The hospital is in another city so I can't go there
every day.

She is a rosy gingiva, but continues to sleep most of the time and with a
low temperature. One of the veterinarians there thinks that temperature is
lower because of malnutrition, she has almost no lean mass and no fat.

Nori will go through the evaluation of a neurologist tomorrow. Some
hypotheses raised for this prostration are neurological, including a
possible hypoxia before the first transfusion when her hematocrit was
really low.

Her blood work today is 30% hematocrit, the higher till now! So i think red
cells aren´t being destroyed anymore, is it right or is it early to know?

Some red cells in Rouleaux. Leukocytes are still high (> 26.000), low
platelets for the first time (92.000).

Nori had an echocardiogram today too and it is ok.

Thank you!

Patrícia

Em sáb, 8 de jun de 2019 às 11:40, Sandra Wachtstetter <
swacht1...@comcast.net> escreveu:

> 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>
> 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> * On Behalf Of 
> *Patricia
> Oliveira
> *Sent:* June 7, 2019 1:44 PM
> *To:* 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>
> 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> *On Behalf Of *Patricia
> Oliveira
> *Sent:* June 7, 2019 12:53 PM
> *To:* 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>
> 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> *On Behalf Of *Patricia
> Oliveira
> *Sent:* June 4, 2019 8:53 PM
> *To:* 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> 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] *On Behalf
> Of *Patricia Oliveira
> *Sent:* Tuesday, June 4, 2019 6:34 PM
> *To:* 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>
> 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> *On Behalf Of *Patricia
> Oliveira
> *Sent:* June 1, 2019 12:36 PM
> *To:* 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>
> 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> *On Behalf Of *Patricia
> Oliveira
> *Sent:* May 30, 2019 12:56 PM
> *To:* 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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